Contract - Technology For Education - 1/10/2019 K [ Y
2 Sierra Way,Suite 105 Georgetown,Texas 78626 (P)888.902.5563 www.tfeconnect.com
Date: Dec.7,2018
To: City of Round Rock
Attn: Henry Belk/Matthew Smith
Re: CARR—Sundance Parkway Conduit Placement—Fire Station 3
TFE: DIR--TSO—3721
Zone 1, District 14
Standard Cabling Support
This letter is to provide you with overall pricing and Scope of Work for the New Conduit Placement at Sundance
Parkway for the New Fire Station 3 for the City of Round Rock.If you have any questions or concerns please contact
me at your convenience.
ConduitPathway..........................................................................................................................$63,330.00
Scope of Work
_..__._.-...............__.__------
__--
• Provide and Install approximately 2,265 ft of 2" communications conduit with hand hole boxes along
Sundance Parkway for future connection to Fire Station 3. Perform field discoveries of existing duct banks
and pathways for future fiber optic cable installation.
For questions or concerns please contact me at your convenience.
Sincerely,
Henry Castillo
TFE I South Region Operations Manager
512-819-6913 Direct
hen ry.castillo@tfeconnect.corn
CERTIFICATE CSE INTERESTED PARTIES
FORM 1295
101`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 farm,and the city,state and country of the business entity's place Certificate Number:
of business.
TFE 2019-437623
Georgetown,TX United States
Date Filed:
2 Name of governmental entity or state agency that is a party tot the contract for which the orm is 01/03/2019
being filets.
City of Round Rock
Date Acknowledged:
3
Provide the Identification nurnber 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.
2019-0013
Fire Station 3 Conduit Pathway
4
Name of Interested Paan Nature of interest
City,y,State,Country(place of business) (check applicable)
Controlling Intermediary
5 Check only if there is NO Interested Party. nX
6 UNSWORN DECLARATION
My name is
and my date of birth is
My address is
,.r
/�/
(street) ,--. .✓',
(state) (zip code) r
(country)
declare under penalty,of pe'ury that the foregoing is true and correct,
Executed in (�,.�' . �' ,; «--�_ ..r.�,•-..
'-- County, State of �"-t' 'r ,on the
day of 20
(month) (year)
Sign re 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 of Certificate Number:
business. 2019-437621
TFE
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 being 01/03/2019
filed.
City of Round Rock Date Acknowledged:
01/08/2019
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.
2019-0013
Fire Station 3 Conduit Pathway
4
Nature of interest
Name of Interested Parry City,State,Country(place of business) (check applicable)
Controlling Intermediary
5 Check only if there is NO Interested Parry. ❑
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