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Contract - Playworks, Inc. - 6/8/2017 PLAYWORKS, INC. Toll Free: (800)726-1816 Fax: (505) 296-8900 Texas Coraorate Office Arkansas Sales Office Oklahoma Sales Office New Mexico Sales Office 4743 Iberia Ave.,Suite C 6929 JFK Blvd.,Suite 20-16 5030 North May,Suite 119 Processing Center-Payments Dallas,TX 75107 N.little Rock,AR 76116 Oklahoma City,OK 73112 9430 San Mateo Blvd NE Unit G Albuquerque,NM 87113 TERMS AND CONDITIONS INVOICE TERMS Tax funded and bonded projects only Net 30 days. Finance charge of 1.5% per month or maximum allowable by law will be added to past due balance. All other entities required 50% down and balance due upon completion. OPEN ACCOUNT Credit terms are available to municipalities, government agencies, school systems, bonded contractors, and businesses (with prior approved credit). To establish credit your organization must have a satisfactory rating with Dun & Bradstreet and provide three credit references. To establish credit, your initial order must total at least $10,000.00. 50% deposit is required on all orders from non-tax funded entities. Prepayment may be required for any order at PlayWorks, Inc.sole discretion. METHODS OF PAYMENTS MasterCard,Visa,American Express, money order, checks. Sorry no C.O.D.orders. CO-OP CONTRACT'S Available for Co-Op's and agency accounts on many items. PLAYGROUND SURFACING WARNING All play equipment must be installed over impact absorbing surface. Go to www.cosc.gov for more information. ROCK CLAUSE PlayWorks, Inc. reserves the right to charge for additional manpower and equipment rental if subcontractors encounter rock that cannot be penetrated to drill installation holes with a mechanical auger. Every effort will be made prior to installation to determine if additional rock charges may be required. PlayWell's Sales Associate will notify you and meet with you at the work site to review the conditions requiring additional charges. SITE ACCESS First off, you'll need a level site to make it free of any obstacles that might encroach upon the required fall zone for your design. Dig-Tess (1(800) Dig-Tess) will call all the possible utility companies that may have underground cables or piping running beneath the play area to mark where their runs might be. The site for equipment to be installed must be accessible by heavy machinery(trucks,trailers,and Bobcats). In the event this equipment is used at your site, please note there may be signs of access afterwards. PlayWorks, Inc. subcontractors will try to keep this to a minimum. WEATHER DELAY Unusual weather patterns, heavy rain, lightning or thunder conditions, and flooding"acts of God"or natural disaster, wherein the project site is determined to be unworkable. The installation of your equipment will be delayed. INSTALLATION WILL BE ORDERED IMMEDIATELY UPON RECEIPT OF WRITTEN APPROVALS. Please email or fax all pages. Installation Quote#: Purchase Order#: Signature: Date: www,playwellgroup,com INSTALLATION QUOTE PlayWor + 800-726.1816 QUOTE# (� 5/312017 PlayWorks,Inc. 505.296-8900(fax) 2900 Athletic,Park,and Playground Equipment Serving Texas.New Mexico.Oklahoma,and Arkansas since 1988 BILL TO: INSTALLATION SITE: City of Round Rock City of Round Rock-Rabb Pavilion Accounts Payable Rachel Morris 221 East Main Street 950 Harrell Parkway Round Rock,TX 78664 Round Rock,TX 78665 Phone: (512)218-5547 Phone: (512)341-3355 CUST.PO# TERMS SALES REP COUNTY QUOTE EXPIRATION NET 30 CES WILLIAMSON 7/3/2017 ITEM DESCRIPTION LIST PRICE QTY TOTAL BUYBOARD#512... BUYBOARD CONTRACT#512-16 EXPIRES 9/30/2017 0.00 0.00 INSTALLED BY TA MASONRY REMOVAL REMOVAL&HAUL OFF THE EXISTING EQUIPMENT& 12,612.90 1 12,612.90 SURFACING ON ENTIRE PLAYGROUND AREA.PROVIDE AND SET UP CONSTRUCTION FENCE. 30-1701.14A CUSTOM BRACH OUT PLAYMAKER 30,908.47 1 30,908.47 ZZXX0224 ACCESSIBLE SWING SEAT 229.50 1 229.50 S115 STRAP RUBBER BUMPER SEAT W/FLUTED EDGES 13.50 5 67.50 ZZXX0483 COZY COCOON-SPINNING 754.83 1 754.83 ZZXX0151 SPINAMI(REMOVE&RE-INSTALL) 1,225.68 1 1,225.68 FIBER SAFESURF ENGINEERED WOOD FIBER 12.75 264 3,366.00 FABRIC SAFESU... GEOTEXTILE FABRIC 0.11 5,400 594.00 QUOTE VALID FOR 30 DAYS. Install will be ordered upon receipt of written TOTAL $49,758.88 approvals and/or deposit. PLEASE REMIT PAYMENT TO: PLAYWORKS, INC. 9430 SAN MATEO BLVD., NE, UNIT G ALBUQUERQUE, NM 87113 Date Signature JUN-05-2017 15:47 PLAYWELL GROUP P.001i001 CERTIFICATE OF INTERESTED PARTIES FORM 1295 1of1 Complete Nos.1-4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos.1,2,3,5,and 6 if there are no interested parties. CERTIFICATION OF FILING 1 Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number: of business. 2017-218696 PlayWorks, Inc. Dallas,TX United States Date Filed: 2 Name of governmental entity or state agency that is a party to the contract for which the form is 06/05/2017 being filed. City of Round Rock Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract,and provide a description of the services,goods,or other property to be provided under the contract. Rabb Pavilion Installation of Equipment and Surfacing Nature of interest 4 Name of Interested Party City,State,Country(place of business) (check applicable) Controlling Intermediary PlayWorks, Inc. Dallas,TX United States X 5 Check only if there is NO Interested Party. ❑ 6 AFFIDAVIT I swear,or affirm,under penalty of perjury,that the above disclosure is true and correct. r ,....'r, f� 9; CLAUDIA QARLENE WOLOSZ My Notary ID#4083865 :F o; Expires January 4,2021 12., Signature o uthorized agent 6f contracting business entity AFFIX NOTARY STAMP/SEAL ABOVE Sworn to and subscribed before me,by the said J1,�� this the I.IPV day of 5 20 17 ,to certify which,witness my hand and seal of offi . Signature of officer administering oath Printed name of officer administering oath Tide of officer administering,6ath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0,883 TOTAL P.001 CERTIFICATE OF INTERESTED PARTIES FORM 1295 10f1 Complete Nos.1-4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos.1,2,3,5,and 6 if there are no interested parties. CERTIFICATION OF FILING 1 Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number: of business. 2017-218696 PlayWorks, Inc. Dallas,TX United States Date Filed: 2 Name of governmental entity or state agency that is a party to the contract for which the form is 06/05/2017 being filed. City of Round Rock Date Acknowledged: 06/08/2017 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract,and provide a description of the services,goods,or other property to be provided under the contract. Rabb Pavilion Installation of Equipment and Surfacing Nature of interest 4 Name of Interested Party City,State,Country(place of business) (check applicable) Controlling I Intermediary PlayWorks, Inc. Dallas,TX United States X 5 Check only if there is NO Interested Party. ❑ 6 AFFIDAVIT I swear,or affirm,under penalty of perjury,that the above disclosure is true and correct. Signature of authorized agent of contracting business entity AFFIX NOTARY STAMP/SEAL ABOVE Sworn to and subscribed before me,by the said this the day of 20 ,to certify which,witness my hand and seal of office. Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.883