Contract - Texas Outdoor Power Equipment - 12/6/2018 7,;)
7A
Iv 4;9
Al"( , .0 , _2—
Q 16-7
T Equipment Qj U 0 TE
19 8(1
Proposal# Dote: OC I Ober 25,2018
Buy Board 529-77 Expiration Date:January 26,2919
Involce# I
ATTN; Cily Of Round Rock
Salesperson Job ShippingMethod 5hippingTernis Delivery Dote Poyrnenl Terms Due0ole
Chris 30 Days
Oty Item'" Descrolk)n Unit Price Discount LlneTolcl
7 8415 STT[I-72V-25K8D $20,142.00 EA 23% $15.440.00 EA
Subtotal
ios.080.00
•
Assembly.Prep, $2161.60
TotolDiscounl
Sublolol $110,241.60
SafesTox 0
Tolol $110,241.60
C/O A Longhom
Quolationpieperedby:
Ws Is a cpjololion on ihe-goods named, subject to the conditions noled below;l0escilbe arvy conditions pertaining to these prices
and orry addillonal terns of the agreement. You may wont to Includc contingencies that willaffecl the quotation.]
to accept lhl;quolotiom sign here and rel vn
Thankyou for your bustnessl
%
r t i i
�-ZUIA/
CERTIFICATE OF INTERESTED PARTIES
Ft3R1~.t 12g5
2� 1
Comptote ltic,s -t.an<l if thowN are interested panw.s, OFFICE USE ONLY
Complete tens 1,7.3, arld 6 if there are ro inierested partes. CERTIFICATION OF FILING
1 Name of business entity filing form,and the cir/,state and country of the business ent ty"s place Certificate umbor:
of business. 2018-42:762
.i exam Outdoor PrJ'wer Equipment
Georgetown,'Tx umitptc!States Cate Fired',
2 Name or jo-Wrnmental entity or start+agencythat is a party to the Contract for V itch the form is 11126s'2018
being filed.
C.iiy of Round mock Date Acknowledged;
3 Provide the identification number used by the governmental entity or state agency to track or idL!ntify the contract,and provide a
description ul Me services,goods,or other property to be provided under the contract_
000 1
Qommercial Mowing Eq,on,Soy hmard 41 529-17
Nature of interest
4 Maine of Interested Party City,State,Country(place of business) (check applicable)
Controlling intermediary
r
e
j
5 Check only if there is ANJ0 Interesled Party.
0
6 UNSWORN DECIJfRATIO Cdr
". !
tvly r►�arrrrr is.,,_, .,,,..- __.. . and my date at t;4i'
My aderess is
. ire*��r - i lsts»tv5 ;r►p:tMt&i icountryr
I declare cinder r?�!nalty tsl iaWrj>ar;mat the foregoiiI, is true and cnrrer.,.
1 ..
Uxec,red inC�tr►rtrr Stat=e rat on the.. ciay of a .20-1.
irr °+trki {y'e�c
a Sir}natt re$}fa urized aigersl iii CUI I,Mg i i,z 11 e�entitV
(ul-cla'ant, 11
... .......
Forms provic:ed by Texa:�Fthir-q C:ornniission tier.wethics.state:tx,us Version V1.0,6711
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. 2018-427762
Texas Outdoor Power Equipment
Georgetown,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 11/26/2018
being filed.
City of Round Rock Date Acknowledged:
12/05/2018
g 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.
000000
Commercial Mowing Eq.on Buy board#529-17
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 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)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.6711