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CM-11-05-110ROUND ROCK, TEXAS PURPOSE. PASSION. PROSPERITY. Agenda Item No. Agenda Caption: City Council Agenda Summary Sheet Consider executing invoice packet("In State Mutual Aid Reimbursement Invoice") to obtain reimbursement in the amount of $25,950.48 from the Texas Division of Emergency Management Meeting Date: 27 -May -2011 Department: Finance Staff Person making presentation: Cheryl Delaney Finance Director Item Summary: This item is a request to obtain reimbursement in the amount of $25,950.48 from the Texas Division of Emergency Management for expenses related to personnel and equipment deployed for service related to TIFMAS (West Texas Wildfires). Strategic Plan Relevance: 8.0 — Maintain and enhance public confidence, satisfaction and trust in City Government Cost: $25,590.48 Source of Funds: General Funds Date of Public Hearing (if required): Recommended Action: REV. 6/10/10 Texas Division of Emergency Management IN STATE MUTUAL AID REIMBURSEMENT INVOICE DISASTER / EVENT: West Texas Wildfires RESPONSE TYPE: TIFMAS PERIOD COVERED FROM: 04/11/11 TO: 04/22/11 DATE SUBMITTED: 05/27/2011 FROM: CITY: Round Rock, Texas or COUNTY: DEPARTMENT: Fire REMIT PAYMENT TO: City of Round Rock -Finance Dept (Make Check Payable to and mailing address info) 221 E Main St., Round Rock, TX 78664 COPIES OF RECEIPTS AND PAYMENT VOUCHERS FOR EACH CLAIM ARE ATTACHED: ./ YES 0 NO Force Account Labor Cost Travel Cost GRAND TOTAL = $ 12,435.52 352.19 11,185.00 1,152.72 25,950.48 Time Cost Benefit Cost Meals Lodging Regular Time $ 5,193.92 $ 1,052.42 $ 190.20 86.99 Overtime $ 5,44829 740.89 75.00 Sub Total $ 10,642.21 $ 1,793.31 Labor Cost Total = Mileage (Personal Vehicles) Other Travel Cost Total = Force Account Equipment Cost Total = Materials Cost Total = Contract Work Cost Total = Rented Equipment Cost Total = Other Costs = DESCRIPTION OF SERVICES PROVIDED: West Texas wildfire fight deployment CERTIFIED AND APPOV D BY; SIGNATURE: PRINTED NAME: EMAIL ADDRESS: cmcallister(a�round-rock.tx.us d LCtuyie TITLE: eitrMarratit DATE: 27 -May -11 PHONE NUMBER: 512/218-5433 The Authorized official of the assisting Agency certifies that the totals for each category'/claim are exact costs expended by the Assisting Agency to perform the services requested. All additional supporting documentation not included with this claim will be maintained by the Assisting Agency for a period of three (3) years following the above date of submission and may be obtained for audit purposes by notifying the Assisting Agency authorized official named herein, or other appropriate persons. WWI -05-110 10 .TE OF TEXAS rUAL AID REIMBURSEMENT Printed on 05/24/2011 at 11:15 AM TIFMAS reimbursement 2011.xls