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Contract - We Build Fun Inc. - 7/13/2017 PO BOX 29 Ips Allen, TX 75013 Phone 972-727-0653 Fax: 972-396-4994 Miracle ;t raoill,an+i "+! C.animI Texas Customer Information: Date: 3/10/2017 Katie Baker Est. Delivery: Consultant: The City of Round Rock Parks & Recreation Department Josh Bailey 301 W. Bagdad Ave. Round Rock, TX 78664 Pr ,ect: Play For All, Expansion Buy Board Contract#512-161 Buy Board Vendor ID-2904 ITEM QTY DESCRIPTION EACH TOTAL Poured-In-Place Rubber Surfacing 9,575 Poured-In-Place Rubber surfacing for the various pods that are $11.05 $105,803.75 part of the expansion as detailed by Katie.Includes transitions into ewf surfacing where applicable. 50%black&50%color mix. Includes installation-concrete slab base by other. Includes train track design(50%black&50%color mix) * Nature Pod- 900 sq.ft.@ 102 inch fall height * Swing Pod- 800 sq.ft.@ 90 inch fall height * Swing Pod- 375 sq.ft.@ 24 inch fall height *Large Playscape Pod- 5,400 sq ft.-various heights-see drawing * Adventure Hill Pod- 2,050 sq.ft.-46 inch fall height Discount 1 Buy Board Discount -$5,290.00 -$5,290.00 Install 1 Included Total $100,513.75 **Notes** *Concrete slabs by other * Does not include security while the rubber cures * Price assumes all site work done by"other" unless noted above *Price assumes all drainage away from the play area by"other" unless noted above *Price assumes border by"other" unless noted above Thank you for the opportunity to provide this quote! If tax exempt, please provide tax exemption certificate In addition to manufacturer's warranty on materials, labor is warranted by webuildf un, inc. for 12 months from job completion if webuildfun, inc, provides the original installation Josh Bailey Prepared By: Approved by: *In the event rock is encountered,charges may be assessed. *It is the responsibility of the owner to obtain permits(unless specified above). *It is the responsibility of the owner to locate all underground utility lines.Webuidlufn will assist with this by requesting a line locate from Dig Test,at the owner's request. *webuildfun,inc. Will make every reasonable effort to respect all marked utility lines,and will repair damage webuildfun,inc,causes to *webuildfun,inc.will not be responsible for damage to unmarked utilties * Re-establishment of disturbed grass areas is not included in this quote and if necessary,is to be provided by owner *Prices are guaranteed for 30 days from date listed on quote. CERTIFICATE OF INTERESTED PARTIES FORM 1.295 1 of 1 Complete Nos.1-4 and 6 if there are interested partes. 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. 2017-229346 Webuildfun, Inc Allen,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 06/27/2017 being filed. City of Round Rock Parks&Recreation 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. Poured-In-Place Rubber Surfaci Poured-In-Place Rubber Surfacing at the Play For All Abilities Park 4 Nature of interest Name of Interested Party City,State,Country(place of business) (check applicable) Controlling I Intermediary - 5 Check only if there is NO Interested Party. X 6 AFFIDAVIT I swear,or affirm,under penalty of perjury,that the 6bove disclosure is true and correct. JANIE CAROL PAINTER ���PY P6;1 „J�h... G�_Notary Public,State of Texas Comm.Expires 06-30-2020 of Notary lQ 126575384 Signature of authorized agent of contracting business entity AFFIX NOTARY STAMP/SEAL ABOVE Sworn to and subscribed before me,by the said Vince Allen this the 27 day of June 20 17 to certify which,witness my hand and seal of office. ` Janie Carol Painter Office Administrator 1Signatureof officer a ministering oath Printed name of officer administering oath Title of officer administering oath Forms rovided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.883 CERTIFICATE OF INTERESTED PARTIES FORM 3.295 1 of 1 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. 2017-229346 Webuildfun, Inc Allen,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 06/27/2017 being filed. City of Round Rock Parks&Recreation Date Acknowledged: 06/30/2017 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. Poured-In-Place Rubber Surfaci Poured-In-Place Rubber Surfacing at the Play For All Abilities Park 4 Nature of interest Name of Interested Party City,State,Country(place of business) (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. X 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