Contract - Anderson Marchinery - 12/6/2018 I^`�C(��(`"I Q�C.3J �`C. }Lt-t('r Jar{ 1 � f r�"I, m � ."�,,... �� ��1 r •....,`/t t,�f k 1"°"f �`�
PRICING WORKSHEET FOR STANDARD D'
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EQUIPMENT PURCHASES Ai°"'�"' '�
The following dedalssholl be provided with any BuyBoad purchase order(fax Purchase Order to(.900)211-5454
` Prepared By: JOSHUASMITH
BuyBoard Vendor; ANDERSON MACHINERY Vendor Phone: 210-661-2366
[Address P.O.to:] PO BOX 200380 Vendor Fax: 210.661-4971
SAN ANTONIO TX 78220-0380 VendorToll Free
Date Prepared 9/27/2018
Government Agency: _City of Round Rock Gov,Agency City of Round Rock
[Ship to:] Anderson Machinery Company-Manor TX [Bill to:] City of Round Rock
12711 Highway 290 East Austin TX 78653 =Fast Main Stcet Round Rock Tai 78664
Contacts Name: Scott Parker Gov.Agn.Phone No: 512-8441248 G.A.Fax No:
Product Q 1)Bornag BW138AD-5 Double Drum Roller
4:8 Contract#515-36 Price List: 1TEM 3 Base Price $ 63,350.00
11: ease Bid ONP1101IMSIZe[MOW)
• ROPS,Hinged $ 2,085.00 * Rotary Beacon S 265.00
• Economizer $ 2,819.00 * Battery disconnect switch 5 323.00^
• Operators/Main.Manual $ 22.00 Lighting-Stvzo $ 869.00
+ pare Parts Catalog $ 22.00
* And All Standard Equipment •
*
STANDARD MANUFACTURE WARRANTY
C,J
Subtotal $ 4,948.00 Subtotal $ 1,457.00
Contract List Price Total $ 6,405.00
III: Subtotal of 1+If => $ 69,755.00
IV: Discount: 20% BuyBoard Contract Price: $ 55,804.00
V: Non-Base Options (Itemize below{ NON-BASE = 3.579e %
•
FREIGHT TO DEALER YARD S 1,800.00
• FREIGHT TO CUSTOMER NO CHARGE
• SERVICE MANUAL $ 194.00
•
Subtotal $ 2,994.00 Subtotal $
VI Unpublished Options added to Contract Price(Subtotal of Co.1&Col 2) $ 1,994.00
vii: Total of IV+Vi $ 57,798.00
VIII:Quantity Ordered Units; 1 X "EI' $ 57,798.00
IX: Trade-in or other Credit(s) PRICE GOOD TILL 10-31-18(Delivery 30.90 Days)
x: TOTAL PURCHASE PRICE INCLUDING VIII+IX $ 57,798.00
Contract Effective Dates: 12/1/2016 through 11/30/2019
Fax all Purchase Orders to BuyBoard at(800)211-5454
i
CERTIFICATE OF INTERESTED PARTIES FORM 1.295 i
I
1of1
Complete Nos,1-4 and 6 if there are interested parties. OFFICE USE ONLY i
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. 2018-426016
Anderson Machinery
Manor,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 11/15/2018
being filed.
City of Roundrock 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.
190165
Construction Equipment
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. Z
X
6 UNSWORN DECLARATION
-T
My address is ' I &�� L .
(street) (city) (state) (zip code) (country)
I declare under penalty of perjury that the foregoing is true and correct.
M
Executed in IY4ft County, State of ,on the �� day of �1�+�'i1 Z�,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
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. 2018-426016
Anderson Machinery
Manor,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 11/15/2018
being filed.
City of Roundrock Date Acknowledged:
11/21/2018
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.
190165
Construction Equipment
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 t ,
(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