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Item 4E Item 4E Page 1 of 2 M E M O R A N D U M (January 15, 2019) To: Shana Yelverton, City Manager From: Rob Cohen, Director of Public Works Subject: Approve annual purchase agreement with Reynolds Asphalt & Construction Co. (RAC) for the purchase of asphalt through an Interlocal Agreement (ILA) with Tarrant County in an amount not to exceed $500,000 Action Requested: Approve annual purchase agreement with Reynolds Asphalt & Construction Co. (RAC) for the purchase of asphalt through an Interlocal Agreement (ILA) with Tarrant County in an amount not to exceed $500,000. Background Information: The Public Works Streets & Drainage Division requires the purchase of asphalt paving materials for the purpose of building and repairing streets. The City’s bidding process for this contract award was met through an Interlocal Agreement (ILA) with Tarrant County. Chapter 271 of the Texas Local Government Code allows governmental entities to enter into an ILA with other governmental entities to share contracts which have met the statutory bidding requirements as prescribed by the State of Texas. The City of Southlake has such an agreement with Tarrant County (Attachment A). In September 2018, Tarrant County awarded bid number 2018-165 with two (2) twelve (12) month renewal periods for an annual contract to six suppliers of asphalt road surfacing products. The City of Southlake anticipates only using one vendor, Reynolds Asphalt & Construction Co. (RAC), due to favorable service history, price and availability of product. Their pricing for Fine Grade Surface Course Hot Mix Asphaltic Concrete Type “D” is $61 per ton (Attachment B line item 3). Item 4E Page 2 of 2 With the favorable pricing received in this contract and ou r experience with the vendor, staff recommends approval of the annual purchase agreement. Financial Considerations: Funding for this contract is budgeted in the FY 2019 annual operating budget for the Streets & Drainage Division and the FY 2019 Capital Improvements Program (CIP) budget. Expenditures will not exceed budgeted funds. For the past four fiscal years, the City has spent the following with RAC on asphalt material:  FY 2015, $ 185,899  FY 2016, $ 271,429  FY 2017, $ 310,058  FY 2018, $ 491,703  FY 2019, $ 3,199 (to date) Strategic Link: This item relates to the City’s strategy map focus areas of Infrastructure and Partnerships & Volunteerism. It specifically relates to the City’s Corporate Objectives (B2) to collaborate with select partners to implement service solutions and (F2) to invest to provide & maintain high quality public assets. Citizen Input/ Board Review: N/A Legal Review: This agreement conforms to previous ILA that has been reviewed by the City attorney. Alternatives: The City Council may approve or deny this purchasing agreement. Supporting Documents: Attachment A: Interlocal Government Agreement for Purchasing Attachment B: County Commissioners Court Award Documents Staff Recommendation: Approve annual purchase agreement with Reynolds Asphalt & Construction Co. (RAC) for the purchase of asphalt through an Interlocal Agreement (ILA) with Tarrant County in an amount not to exceed $500,000. Staff Contact: Rob Cohen, Director of Public Works Cristina McMurray, M.P.A, C.P.M, Deputy Director of Public Works CO r/�+r(R'�r'��rRP PP N�f�•PP Pay i�6 O � P y PP+PR P•RPR •R INTERLOCAL AGREEMENT BETWEEN COUNTY OF TARRANT AND CITY OF SOUTHLAKE This Agreement is made this 10 day of JUNE , 2015 between the County of Tarrant, Texas and CITY OF SOUTHLAKE, TEXAS Pursuant to the authority granted by the "Texas Interlocal Cooperation Act," Chapter 791 Texas Government Code providing for the cooperation between local governmental bodies, the parties hereto, in consideration of the premises and mutual promises contained herein, agree as follows: WHEREAS, the contract is made under the authority of Sections 791.001-791.029 of the Texas Government Code; and, WHEREAS, the parties, in performing governmental functions or in paying for the performance of governmental functions hereunder shall make that performance or those payments from current revenues legally available to that party; WHEREAS, the governing bodies of each party find that the subject of this contract is necessary for the benefit of the public and that each party has the legal authority to perform and to provide the governmental function or service which is the subject matter of this contract; furthermore, the governing bodies find that the performance of this contract is in the common interest of both parties; and that the division of cost fairly compensates the performing party for the services under this contract. I. CITY OF SOUTHLAKE hereby makes, constitutes and appoints Tarrant County its true and lawful purchasing agent for the purchase of various commodities using Annual Contracts (Bids). Tarrant County will maintain a listing of Annual Contracts which are available for local entities use. Tarrant County will forward a copy of requested Annual Contract to the requesting entity. CITY OF SOUTHLAKE agrees that Tarrant County shall serve as the purchasing agent for selected items, and agrees that the bidding shall be conducted by Tarrant County according to its usual bidding procedures and in accordance with applicable State statutes. 1 u. CITY OF SOUTHLAKE agrees that all specifications for selected items shall be determined by Tarrant County. III. CITY OF SOUTHLAKE agrees to pay the supplier for all goods, equipment and products pursuant to this Agreement. The successful bidder or bidders shall bill CITY OF SOUTHLAKE directly for all items purchased, and CITY OF SOUTHLAKE shall be responsible for vendor's compliance with all conditions of delivery and quality of the purchased items. IV. CITY OF SOUTHLAKE (name), CFO OR DESIGNEE (title) is hereby designated as the official representative to act for CITY OF SOUTHLAKE in all matters relating to this Agreement. V. This Agreement shall take effect upon execution by both signatories. VI. This Agreement shall be in effect from the date of execution until terminated by either party to the Agreement upon written thirty (30) days notice prior to cancellation IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by their authorized officers the day and year first above written. TARRANT COUNT (Entity) ITY OF SOUTHLAKE 5 BY: (� g BY: 1 TITLE: (% �i� TITLE: CITTY NAGER /DATE: —l/v l DATE: 611q/ls- 2 JT-14-97 TJE 8:31 TARRANT CNTY PURCHASING FAX NO. 8178842629 P. 02 � 3 ENCB OFFICIAL RECOR17 PAGENUMUI OP_6 2 DATE: _ 02/1 A497 TNTERLOCAL AGREEMENT BE,TWEEN COUNTY OF TARRANT AND Ci ry OF SOUTBI Ak-E This agreement is made this 30th day of December, 1996 between the County of Tarrant, Texas and City of Southlake, Texas. Pursuant to the authority granted by the "Texas Interlocal Cooperation Act, Chapter 791 Texas Government Code providing for the cooperation between local governmental bodies, the parties hereto, in consideration of the premises and mutual promises contained herein, agree as follows: WHEREAS, the contract is made under the authority of Sections 791.001- 791.029 of the Texas Government Code; and, WHEREAS, the parties, in performing governmental functions or in paying for the performance of governmental functions hereunder shall make that performance or those payments from current revenues legally available to that party; WHEREAS, the governing bodies of each party find that the subject of this contract is necessary for the benefit of the public and that each party has the legal authority to perform and to provide the governmental function or service which is the subject matter of this contract; furthermore, the governi g bodies find that the performance of this contract is in the common interes of both parties- and that the division of cost fairly compensates the performing Arty for j the services performed under this contract; I. City of Southlake, hereby makes, constitutes and appoints Tarrant County its true and lawful purchasing agent for the purchase of various commodities using Annual Contracts (Bids). Tarrant County will maintain a listing of Annual Contracts which are available for local entities use. To utilize one or more of these contracts, local entities must, request authorization, in writing, to Tarrant County, Upon receipt of request, Tarrant County will send a form letter to the appropriate vendor(s) for their approval and signature. Upon receipt of authorizing letter from the vendor(s), Tarrant County will forward a copy of the letter and appropriate Annual Contract to the requesting entity. City of Southlake agrees that Tarrant County shalt serve as the purchasing agent for selected items, and agrees that the bidding shall be conducted by Tarrant County according to its usual bidding procedures. I 00T-14-97 TUE 8:32 TARRANT CNTY PURCHASING FAX N0, 8178842629 P. 03 • - REFERENCE NUMBER 6 PAGE: 2 OF 2 DATE: 02/18/92 II. City of Southlake, agrees that all specifications for selected items shall be as determined by Tarrant County. City of Southlake, agrees to pay the supplier for all goods, equipment and products pursuant to this agreement. The successful bidder or bidders shall bill City of Southlake directly for all items purchased, and City of Southlake shall be responsible for vendor's compliance will all conditions of delivery and quality of the purchased items. IV. Mr. Robert Whitehead, Director of Public Works, is hereby designated as the official representative to act for City of Southlake in all matters relating to this agreement. V. This agreement shall take effect upon execution by both signatories. VI. This agreement shall be in effect from the date of execution until terminated by either party to the agreement. IN WITNESS WHEREOF, the parties hereto have caused this agreement to be executed by their authorized officers the day and year first above written. i TARRANT COUNTY TY OF S�KE BY BY *j TITLE TITLE DATE 9 DATE�� A' I ;s°OIINTj�� REFERENCE NUMBER F y COMMISSIONERS COURT PAGE I OF 11 COMMUNICATION DATE: 9/11/2018 SUBJECT: BID NO. 2018-165—ANNUAL CONTRACT FOR ASPHALT ROAD SURFACING PRODUCTS—ALL PRECINCTS—VARIOUS VENDORS - PER UNIT PRICE AND DISCOUNT FROM LIST PRICE COMMISSIONERS COURT ACTION REQUESTED: It is requested that the Commissioners Court award Bid No. 2018-165, Annual Contract for Asphalt Road Surfacing Products, for all Precincts, to the following vendors at the per unit price and discount from list price: Primary Austin Asphalt, Inc. JLB Contracting, LLC The Lane Construction Corporation Reynolds Asphalt and Construction Company TexasBit Vulcan Construction Materials, LLC BACKGROUND: Notice of the County's intent to bid was advertised in local newspapers, as required by State statute, and posted on the Internet, the Arlington Black Chamber of Commerce, the Fort Worth Hispanic Chamber of Commerce, the Fort Worth Metropolitan Black Chamber of Commerce, and the Tarrant County Asian American Chamber of Commerce. Two hundred twenty-one (221) vendors were contacted and requested to participate in this bid process. All documents pertaining to this bid were posted on the Tarrant County website and were downloaded by interested bidders. Six (6) bids and one (1) no-bid were received. Bids were evaluated by the four (4) Maintenance Precincts and Purchasing representatives. Primary award recommendations are to all vendors meeting specifications. The term of the contract is twelve (12) months; effective October 1, 2018, with two (2) options for renewal periods of twelve (12) months each. SUBMITTED BY: Purchasing PREPARED BY: Brandie Bingham,CPPB� APPROVED BY: ��uNT;.•. COMMISSIONERS COURT COMMUNICATION •*• REFERENCE NUMBER: DATE: 9/11/2018 PAGE 2 OF 11 Therefore, it is the joint recommendation of the four (4) Maintenance Precincts and Purchasing that Bid No. 2018-165, Annual Contract for Asphalt Road Surfacing Products, be awarded to the vendors listed above at the per unit price and discount from list price. FISCAL IMPACT: Expenses from last year are approximately $2,075,600.00. Orders are placed on an as-needed basis. Bid No. 2018-165 Annual Contract for Asphalt Road Surfacing Products ESTIMATED ITEM DESCRIPTION USAGE IN Austin Asphalt, Inc. JLB Contracting, LLC NO. TONS Irving, TX Fort Worth, TX HUB - NO COOP -YES HUB - NO COOP -YES SECTION I -VIRGIN AGGREGATE MATERIAL Unit Cost Per Unit Cost Per Unit Cost Per Unit Cost Per Ton Loaded Ton Delivered Ton Loaded Ton Delivered Hot Mix Asphalt Concrete Type B; Fine Graded 1 Intermediate Base Course 5,500 $61.00 $71.50 $58.00 $64.85 Type C; Coarse Graded 2 Surface Course 60 $63.75 $74.25 No Bid No Bid Type D; Fine Graded 3 Surface Coarse 40,000 $64.75 $75.25 $58.00 $64.85 Hot Mix Asphalt Concrete, Cold Laid 0 - Minimal 4 Type B Tons No Bid No Bid No Bid No Bid 0 - Minimal 5 Type C Tons No Bid No Bid No Bid No Bid 0 - Minimal 6 IType D Tons No Bid No Bid No Bid No Bid 0 - Minimal 7 Type F Tons No Bid No Bid No Bid No Bid Warm Mix Asphalt Concrete 0 - Minimal 8 Type B Tons $61.00 $71.50 No Bid No Bid 0 - Minimal 9 Type C Tons $64.00 $74.50 No Bid No Bid 0 - Minimal 10 Type D Tons $65.00 $75.50 No Bid No Bid 0 - Minimal 11 Type F Tons No Bid No Bid No Bid No Bid Patching Material High Performance Cold Mix 12 Patching Material 60 No Bid No Bid $100.00 $105.00 Bid No. 2018-165 Annual Contract for Asphalt Road Surfacing Products ITEM ESTIMATED The Lane Construction Reynolds Asphalt and NO. DESCRIPTION USAGE IN Corporation Construction Company TONS Roanoke, TX Euless, TX HUB - NO COOP -YES HUB - NO COOP -YES SECTION I -VIRGIN AGGREGATE MATERIAL Unit Cost Per Unit Cost Per Unit Cost Per Unit Cost Per Ton Loaded Ton Delivered Ton Loaded Ton Delivered Hot Mix Asphalt Concrete Type B; Fine Graded Varies with 1 Intermediate Base Course 5,500 $50.75 No Bid $56.00 Milage Type C; Coarse Graded Varies with 2 Surface Course 60 $58.00 No Bid $61.00 Milage Type D; Fine Graded Varies with 3 ISurface Coarse 40,000 $62.00 No Bid $61.00 Milage Hot Mix Asphalt Concrete, Cold Laid 0 - Minimal 4 Type B Tons No Bid No Bid No Bid No Bid 0 - Minimal 5 Type C Tons No Bid No Bid No Bid No Bid 0 - Minimal 6 IType D Tons I No Bid No Bid No Bid No Bid 0 - Minimal 7 Type F Tons No Bid No Bid No Bid No Bid Warm Mix Asphalt Concrete 0 - Minimal Varies with 8 Type B Tons $50.75 No Bid $56.00 Milage 0 - Minimal Varies with 9 Type C Tons $58.00 No Bid $61.00 Milage 0 - Minimal Varies with 10 Type D Tons $62.00 No Bid $61.00 Milage 0 - Minimal Varies with 11 Type F Tons No Bid No Bid $62.00 Milage Patching Material High Performance Cold Mix 12 Patching Material 60 No Bid No Bid No Bid No Bid Bid No. 2018-165 Annual Contract for Asphalt Road Surfacing Products ITEM ESTIMATED TexasBit Vulcan Construction DESCRIPTION USAGE IN Materials, LLC NO. TONS Irving, TX San Antonio, TX HUB - NO COOP -YES HUB - NO COOP -YES SECTION I -VIRGIN AGGREGATE MATERIAL Unit Cost Per Unit Cost Per Unit Cost Per Unit Cost Per Ton Loaded Ton Delivered Ton Loaded Ton Delivered Hot Mix Asphalt Concrete Type B; Fine Graded Varies with 1 Intermediate Base Course 5,500 $54.00 Milage $58.00 $70.50 Type C; Coarse Graded Varies with 2 Surface Course 60 $58.00 Milage $58.00 $70.50 Type D; Fine Graded Varies with 3 ISurface Coarse 40,000 $57.00 Milage $57.00 $69.50 Hot Mix Asphalt Concrete, Cold Laid 0 - Minimal 4 Type B Tons No Bid No Bid No Bid No Bid 0 - Minimal 5 Type C Tons No Bid No Bid No Bid No Bid 0 - Minimal Varies with 6 IType D Tons $80.00 Milage $70.00 No Bid 0 - Minimal 7 Type F Tons No Bid No Bid No Bid No Bid Warm Mix Asphalt Concrete 0 - Minimal Varies with 8 Type B Tons $56.00 Milage $61.00 $73.50 0 - Minimal Varies with 9 Type C Tons $60.00 Milage $61.00 $73.50 0 - Minimal Varies with 10 Type D Tons $59.00 Milage $60.00 $72.50 0 - Minimal 11 Type F Tons No Bid No Bid No Bid No Bid Patching Material High Performance Cold Mix Varies with 12 Patching Material 60 $97.00 Milage No Bid No Bid Bid No. 2018-165 Annual Contract for Asphalt Road Surfacing Products ESTIMATED ITEM DESCRIPTION USAGE IN Austin Asphalt, Inc. JLB Contracting, LLC NO. TONS Irving, TX Fort Worth, TX HUB - NO COOP -YES HUB - NO COOP -YES SECTION II - FRACTIONATED RAP MATERIAL Unit Cost Per Unit Cost Per Unit Cost Per Unit Cost Per Ton Loaded Ton Delivered Ton Loaded Ton Delivered Hot Mix Asphalt Concrete Type B; Fine Graded 13 Intermediate Base Course 16,000 $53.00 $63.50 No Bid No Bid Type C; Coarse Graded 0 - Minimal 14 Surface Course Tons $56.00 $66.50 No Bid No Bid Type D; Fine Graded 15 ISurface Coarse 1 20,000 $57.00 $57.50 1 No Bid No Bid Hot Mix Asphalt Concrete, Cold Laid 0 - Minimal 16 Type B Tons No Bid No Bid No Bid No Bid 0 - Minimal 17 Type C Tons No Bid No Bid I No Bid No Bid 0 - Minimal 18 IType D Tons No Bid No Bid No Bid No Bid 0 - Minimal 19 Type F Tons No Bid No Bid No Bid No Bid Warm Mix Asphalt Concrete 0 - Minimal 20 Type B Tons $53.00 $63.50 No Bid No Bid 0 - Minimal 21 Type C Tons $56.00 $66.50 No Bid No Bid 0 - Minimal 22 IType D Tons 1 $57.00 $67.50 1 No Bid No Bid 0 - Minimal 23 Type F Tons No Bid No Bid No Bid No Bid Patching Material High Performance Cold Mix 0 - Minimal 24 Patching Material Tons No Bid No Bid No Bid No Bid Bid No. 2018-165 Annual Contract for Asphalt Road Surfacing Products ITEM ESTIMATED The Lane Construction Reynolds Asphalt and NO. DESCRIPTION USAGE IN Corporation Construction Company TONS Roanoke, TX Euless, TX HUB - NO COOP -YES HUB - NO COOP -YES SECTION II - FRACTIONATED RAP MATERIAL Unit Cost Per Unit Cost Per Unit Cost Per Unit Cost Per Ton Loaded Ton Delivered Ton Loaded Ton Delivered Hot Mix Asphalt Concrete Type B; Fine Graded Varies with 13 Intermediate Base Course 16,000 $48.00 No Bid $51.00 Milage Type C; Coarse Graded 0 - Minimal Varies with 14 Surface Course Tons $49.25 No Bid $56.00 Milage Type D; Fine Graded Varies with 15 ISurface Coarse 20,000 $53.00 No Bid $56.00 Milage Hot Mix Asphalt Concrete, Cold Laid 0 - Minimal 16 Type B Tons No Bid No Bid No Bid No Bid 0 - Minimal 17 Type C Tons No Bid No Bid I No Bid No Bid 0 - Minimal 18 lType D Tons No Bid No Bid No Bid No Bid 0 - Minimal 19 Type F Tons No Bid No Bid No Bid No Bid Warm Mix Asphalt Concrete 0 - Minimal Varies with 20 Type B Tons $48.00 No Bid $51.00 Milage 0 - Minimal Varies with 21 Type C Tons $49.25 No Bid $56.00 Milage 0 - Minimal Varies with 22 Type D Tons $53.00 No Bid $56.00 Milage 0 - Minimal 23 IType F Tons No Bid No Bid No Bid No Bid Patching Material High Performance Cold Mix 0 - Minimal 24 Patching Material Tons No Bid No Bid No Bid No Bid Bid No. 2018-165 Annual Contract for Asphalt Road Surfacing Products ITEM ESTIMATED TexasBit Vulcan Construction DESCRIPTION USAGE IN Materials, LLC NO. TONS Irving, TX San Antonio, TX HUB - NO COOP -YES HUB - NO COOP -YES SECTION II - FRACTIONATED RAP MATERIAL Unit Cost Per Unit Cost Per Unit Cost Per Unit Cost Per Ton Loaded Ton Delivered Ton Loaded Ton Delivered Hot Mix Asphalt Concrete Type B; Fine Graded Varies with 13 Intermediate Base Course 16,000 $45.00 Milage $56.00 No Bid Type C; Coarse Graded 0 - Minimal Varies with 14 Surface Course Tons $49.00 Milage $56.00 No Bid Type D; Fine Graded Varies with 15 ISurface Coarse 20,000 $50.00 Milage $55.00 No Bid Hot Mix Asphalt Concrete, Cold Laid 0 - Minimal 16 Type B Tons No Bid No Bid No Bid No Bid 0 - Minimal 17 Type C Tons No Bid No Bid No Bid No Bid 0 - Minimal 18 IType D Tons No Bid No Bid $68.00 No Bid 0 - Minimal 19 Type F Tons No Bid No Bid No Bid No Bid Warm Mix Asphalt Concrete 0 - Minimal Varies with 20 Type B Tons $46.00 Milage $59.00 $71.50 0 - Minimal Varies with 21 Type C Tons $50.00 Milage $59.00 $71.50 0 - Minimal Varies with 22 IType D Tons $51.00 Milage 1 $58.00 $70.50 0 - Minimal 23 Type F Tons No Bid No Bid No Bid No Bid Patching Material High Performance Cold Mix 0 - Minimal Varies with 24 Patching Material Tons $97.00 Milage No Bid No Bid Bid No. 2018-165 Annual Contract for Asphalt Road Surfacing Products ITEM Austin Asphalt, Inc. JLB Contracting, LLC Fort The Lane Construction NO. DESCRIPTION Irving, TX Worth, TX Corporation Roanoke, TX HUB - NO COOP -YES HUB - NO COOP -YES HUB - NO COOP -YES Tandem Tandem Tandem Truck Flowboy Truck Flowboy Truck Flowboy Ton/Mile Ton/Mile Ton/Mile Ton/Mile Ton/Mile Ton/Mile Delivery Charge Per Mile 25 F.O.B. Precinct Gara a/Jobsite 1 $0.45 $0.45 1 $6.85 1 $6.85 No Bid No Bid 26 Minimum Delivery Charge $350.00 /12 Load $50.00/hour No Bid No Bid 27 Demurrage Charge Per Hour $100.00 $50.00 No Bid No Bid 28 Discount for Related Items No Specified 0.00% N/All No Bid I I No Bid 2301 Austin Rd 7151 Randol Mill Rd. 11801 Harmonson Rd. Plant Location(s) rFort Worth, TX 76118 Fort Worth, TX 76124 Justin, TX 76247 Bid No. 2018-165 Annual Contract for Asphalt Road Surfacing Products Reynolds Asphalt and Vulcan Construction ITEM DESCRIPTION Construction Company TexasBit Materials, LLC NO. Euless, TX Irving, TX San Antonio, TX HUB - NO COOP -YES HUB - NO COOP -YES HUB - NO COOP -YES Tandem Tandem Tandem Truck Flowboy Truck Flowboy Truck Flowboy Ton/Mile Ton/Mile Ton/Mile Ton/Mile Ton/Mile Ton/Mile Delivery Charge Per Mile 25 F.O.B. Precinct Gara e/Jobsite 1 $5.65 1 $4.90 $0.60 1 $0.50 N/Al 1 $0.25 26 Minimum Delivery Charge 12 ton 21 ton $6.00 $275.00 27 Demurrage Charge Per Hour $33.25 $47.95 $100.00 $90.00 28 Discount for Related Items No Specified 0.00% No Bid Plant Location(s) 12650 Calloway Cemetery Rd. 1901 Cold Springs Rd. Fort 1111 Gilbert Pit Rd. Millsap, Euless, TX 76040 Worth, TX 76102 TX 76066 10015 Hicks Field Rd. 9500 Technology Blvd. Fort Saginaw, TX 76179 Worth, TX 76104 617 E. College St. 12299 Camp Bowie Blvd. Lewisville, TX 75057 Aledo, TX 76008 .••�coUNT ••• TAKINGS IMPACT ASSESSMENT CHECKLIST Complete this form for any county action that involves the adoption of a regulation, policy, guideline, court resolution, or order. Bid No. 2018-165, Annual Contract Project/Regulation Name: for Asphalt Road Surfacing Products County Department: PURCHASING Contact Person: Jack Beacham, C.P.M., A.P.P. Phone Number for Contact Person: (817) 884-1133 Type of TIA Performed: SHORT TIA or FULL TIA. Circle one after answering the questions in Sections II and III belo . I. Stated Purpose Attach to this checklist an explanation of the purpose of the regulation, policy, guideline, court resolution or order. Note: The remainder of this Takings Impact Assessment Checklist should be completed in consultation with the Criminal District Attorney's Office. II. Potential Effect on Private Real Property 1. Does the county action require a physical invasion, occupation or dedication of real property? Yes No 2. Does the county action limit or restrict a real property right, even partially or temporarily? Yes No If you answered yes to either question, go to Section III. If you answered no to both, STOP HERE and circle SHORT TIA at the top of the form.