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Contract - Prime Construction - 8/23/2018 ROUND ROCK TEXAS GENERAL SERVICES Competitive Sealed Proposal Ranking for Adult Recreation d � > > C y •O � a � N �_ � C � •c� •u Ly,i � � � N C. .. al •O Alternates -6 o e. Q o s Q. Contractor Name a Base Price Total Cost N �; = o Total Points a Total c E L � .. CIO as Prime Construction $ 2,849,000.00 $ 33,000.00 $ 2,882,000.00 40.00 19.40 18.20 17.00 -1.80 92.80 1 Chasco Construction $ 3,379,000.00 $ 34,400.00 $ 3,413,400.00 33.77 18.80 18.20 14.60 -1.00 84.37 2 Falkenberg Construction $ 3,725,000.00 $ 38,232.00 $ 3,763,232.00 30.63 15.80 11.60 13.60 -2.00 69.63 3 G.Creek Construction $ 2,945,000.00 $ 63,000.00 $ 3,008,000.00 38.32 12.40 10.20 10.60 -4.60 66.92 4 Proposer's Name $ - $ - $ - 0.00 0.00 0.00 0.00 0.00 0.00 5 Proposer's Name $ - $ - $ - 0.00 0.00 0.00 0.00 0.00 0.00 5 Proposer's Name $ - $ - $ - 0.00 0.00 0.00 0.00 0.00 0.00 5 Proposer's Name $ - $ - $ - 0.00 0.00 0.00 0.00 0.00 0.00 5 Proposer's Name $ - $ - $ - 0.00 0.00 0.00 0.00 0.00 0.00 5 Proposer's Name $ - $ - $ - 0.00 0.00 0.00 0.00 0.00 0.00 5 Selection Committee: Katie Baker,Chad McDowell,Brian Binkowski,Eddie Imken,Aneil Naik Date:06/18/2018 1 I 1 Page 2 of 17 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. Prime Construction Company Inc, 2018-388417 Pflugerville,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 08/06/2018 being filed. City of Round Rock Date Acknowledged: i 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. ARCPPI Adult Recreation Complex Project Phase 1 r 4 Nature of interest Name of Interested Party City,State,Country(place of business) (check applicable) Controlling T Intermediary 1 5 Check only if there is NO Interested Party. X 6 UNSWORN DECLARATION ` My name is_ C) , and my ! j�(y,,.:}^ n ,+'� , date of birth is My address is 1 ,r ,1 � z� Y(� (street) (city) (state) (zip code (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in County, State ofG'CS ,on the 401 day of par,20 . w- month) (year) Signarf uthorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us version v1.0.6711 CERTIFICATE OF INTERESTED PARTIES FORM 1.295 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. 2018-388417 Prime Construction Company Inc. Pflugerville,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 08/06/2018 being filed. City of Round Rock Date Acknowledged: 08/06/2018 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. ARCPPI Adult Recreation Complex Project Phase 1 Nature of interest 4 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 UNSWORN DECLARATION My name is and my date of birth is My address is (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in County, State of on the day of 20 (month) (year) Signature of authorized agent of contracting business entity (Declarant) Version V1.0.6711 Forms provided by Texas Ethics Commission www.ethics.state.tx.us