Contract - Central Texas Equipment - 1/10/2019 Quotation
Date QUOTE#
<7C7 ECentral Texas E
10/30/2018 7783
Construdon Equipment Sales*Rental Pam*Service
Customer
CITY OF ROUND ROCK
ATTN: ACCOUNTS PAYABLE
221 E.MAIN STREET
ROUND ROCK,TX 78664
Web Site Phone# Fax#
www.ctegroup.net 512-442-2371 512-442-3051
P.O. No. Terms Rep FOB
NET 30 NT PFLUGERVILLE
Qty Item Description U/M Cost Total
1 GTH-1056-T4F NEW GENIE MODEL GTH-1056 10000#CAPACITY TELEHANDLER 156,882.00 156,882.00
POWERED BY A DEUTZ 121HP TIER 4 FINAL DIESEL ENGINE
EQUIPPED WITH ROPS/FOPS CANOPY,60"PIN ON CARRIAGE,48"
PALLET FORKS, 72"PALLET FORKS,4 WHEEL DRIVE,4 WHEEL
STEER, SUSPENSION SEAT,AND ALL OTHER STANDARD
EQUIPMENT.
LIST PRICE: $261,710.00
BB DISC: ($ 104,684.00)
CORR PRICE:$ 156,682.00
Freight INCOMING FACTORY FREIGHT 1,500.00 1,500.00
CURRENT LEAD TIME IS JANUARY 2019
PRICING PER BUYBOARD CONTRACT 515-16
QUOTE IS VALID FOR 90 DAYS
Subtotal $158,382.00
By purchasing the equipment through a Cash Purchase,or Purchase by Security Agreement,or
Charge to Open Account,the Customer hereby agrees that said purchase is being made by
Customer according to the payment terms noted above. Sales Tax (0.0%) $0.00
This sales order when accepted in writing by Customer shall become a binding contract,and all
payments due hereunder shall be payable to Company by Customer at Company's principal place
of business in Pflugerville,Travis County,Texas. All payments due hereunder shall bear Total
interest from the date of maturity until paid at the highest legal contract rate of interest(per $158,382.00
annum)permissable in the State of Texas.
Accepted By Signature & Date:
ob14
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. 2018-428246
Central Texas Heavy Equipment Co
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 11/27/2018
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.
000000
Telehandler
4
Nature of interest
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling Intermediary
Kurowski,Walter ROUND ROCK,TX United States X
Tewell, Chris AUSTIN,TX United States X
HENRY, Bob LAKEWAY,TX United States X
Tewell,Andrew AUSTIN,TX United States X
5 Check only if there is NO Interested Party.
6 UNSWORN DECLARATION
My name is t"� and my date of birth is 12' (D �Jh�
My address is K-' ��-'� e- 1..�`c LJytG.—`-- 7
(street) (city) (state) (zip code) (country)
I declare under penalty of
perjury that the foregoing is true and correct. f
Executed in L l County, State of ` on th d ay of 20AK.
month ear
(month) (year)
ignature of authorized agere#wntrar#ng-business entity
(Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.6711
CERTIFICATE OF INTERESTED PARTIES
FORM 1Z95
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. 2018-428246
Central Texas Heavy Equipment Co
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 11/27/2018
being filed.
City of Round Rock Date Acknowledged:
12/12/2018
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
Telehandler
Nature of interest
4
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling Intermediary
Kurowski,Walter ROUND ROCK,TX United States X
Tewell, Chris AUSTIN,TX United States X
HENRY, Bob LAKEWAY,TX United States X
Tewell,Andrew AUSTIN,TX United States X
5 Check only if there is NO Interested Party. ❑
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