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Contract - Centerline Supply, Inc. - 7/11/2019 CENTER""" Quote Page 1 Centerline Supply, Inc. Quote Number: ORD0001385 530 Jesse Street Quote Date: 05/17/19 Grand Prairie,TX 75051 United States Prepared By: ALOPEZ BILL TO: SHIP TO: ROUND ROCK, CITY OF RAY HERRERA 221 EAST MAIN ROUND ROCK, CITY OF ROUND ROCK TX 78664 221 EAST MAIN ROUND ROCK TX 78664 Notes: BUYBOARD CONTRACT 354-17 QUOTE VALID FOR 45 DAYS FROM 4-19-19 Customer P.O. Ship VIA Terms Shipping Terms 4-15-19 CPU NET30 CPU Item Number Ordered Unit Price Extended Price 90900-QUOTE 316 EA $13.51 $4,269.16 12x18 VARIOUS STREET SIGNS-HIP-A3 90900-QUOTE 54 EA $27.02 $1,459.08 12x36 VARIOUS STREET SIGNS-HIP-A3 90900-QUOTE 8 EA $4.50 $36.00 12x6 VARIOUS STREET SIGNS-HIP-A3 90900-QUOTE 1 EA $6.76 $6.76 12x9 VARIOUS STREET SIGNS-HIP-A3 90900-QUOTE 6 EA $13.51 $81.06 18X12 VARIOUS STREET SIGNS-HIP-A3 90900-QUOTE 561 EA $20.27 $11,371.47 18X18 VARIOUS STREET SIGNS-HIP-A3 90900-QUOTE 143 EA $18.02 $2,576.86 24x12 VARIOUS STREET SIGNS-HIP-A3 90900-QUOTE 55 EA $27.02 $1,486.10 24x18 VARIOUS STREET SIGNS-HIP-A3 90900-QUOTE 59 EA $36.03 $2,125.77 24x24 VARIOUS STREET SIGNS-HIP-A3 90900-QUOTE 993 EA $45.04 $44,724.72 24x30 VARIOUS STREET SIGNS-HIP-A3 90900-QUOTE 50 EA $54.05 $2,702.50 24x36 VARIOUS STREET SIGNS-HIP-A3 90900-QUOTE 17 EA $6.76 $114.92 24x4.5 VARIOUS STREET SIGNS-HIP-A3 90900-QUOTE 110 EA $9.01 $991.10 24X6 VARIOUS STREET SIGNS-HIP-A3 CENTER ,, Quote Page 2 Centerline Supply, Inc. Quote Number: ORD0001385 530 Jesse Street Quote Date: 05/17/19 Grand Prairie,TX 75051 United States Prepared By: ALOPEZ BILL TO: SHIP TO: ROUND ROCK, CITY OF RAY HERRERA 221 EAST MAIN ROUND ROCK, CITY OF ROUND ROCK TX 78664 221 EAST MAIN ROUND ROCK TX 78664 Notes: BUYBOARD CONTRACT 354-17 QUOTE VALID FOR 45 DAYS FROM 4-19-19 Customer P.O. Ship VIA Terms Shipping Terms 4-15-19 CPU NET30 CPU Item Number Ordered Unit Price Extended Price 90900-QUOTE 2 EA $30.40 $60.80 27X18 VARIOUS STREET SIGNS-HIP-A3 90900-QUOTE 378 EA $22.52 $8,512.56 30X12 VARIOUS STREET SIGNS-HIP-A3 90910-QUOTE 107 EA $45.04 $4,819.28 3 >?4 VARIOUS STREET SIGNS-HIP-A3 909L'J-QUOTE 823 EA $56.30 $46,334.90 30X30 VARIOUS STREET SIGNS-HIP-A3 90900-QUOTE 278 EA $67.57 $18,784.46 30X36 VARIOUS STREET SIGNS-HIP-A3 90900-QUOTE 190 EA $27.02 $5,133.80 36X12 VARIOUS STREET SIGNS-HIP-A3 90900-QUOTE 3 EA $54.05 $162.15 36X24 VARIOUS STREET SIGNS-HIP-A3 90900-QUOTE 87 EA $67.57 $5,878.59 36X30 VARIOUS STREET SIGNS-HIP-A3 90900-QUOTE 89 EA $81.08 $7,216.12 36X36 VARIOUS STREET SIGNS-HIP-A3 90900-QUOTE 3 EA $108.11 $324.33 36X48 VARIOUS STREET SIGNS-HIP-A3 90900-QUOTE 21 EA $72.07 $1,513.47 48X24 VARIOUS STREET SIGNS-HIP-A3 90900-QUOTE 71 EA $90.09 $6,396.39 48x30 VARIOUS STREET SIGNS-HIP-A3 90900-QUOTE 21 EA $144.15 $3,027.15 48X48 VARIOUS STREET SIGNS-HIP-A3 CENTERI 'k' Quote Page 3 Centerline Supply, Inc. Quote Number: ORD0001385 530 Jesse Street Quote Date: 05/17/19 Grand Prairie,TX 75051 United States Prepared By: ALOPEZ BILL TO: SHIP TO: ROUND ROCK, CITY OF RAY HERRERA 221 EAST MAIN ROUND ROCK, CITY OF ROUND ROCK TX 78664 221 EAST MAIN ROUND ROCK TX 78664 Notes: BUYBOARD CONTRACT 354-17 QUOTE VALID FOR 45 DAYS FROM 4-19-19 Customer P.O. Ship VIA Terms Shipping Terms 4-15-19 CPU NET30 CPU Item Number Ordered Unit Price Extended Price 90900-QUOTE 4 EA $216.22 $864.88 96x36 VARIOUS STREET SIGNS-HIP-A3 80110-130 2450 EA $37.66 $92,267.00 80A[P] STOP 30X30 .080 HI 80110-136 30 EA $56.10 $1,683.00 80A[P] STOP 36X36 .080 HI 80111-130 187 EA $18.87 $3,528.69 80A[P] YIELD 30X30 .080 HI Quotations are valid for 30 days from the date of quotation. Net Order: $278,453.07 Discount% 10% Less Discount: $27,845.31 Signature: Freight: $750.00 Printed Name: Sales Tax: $0.00 Order Total: $251,357.76 WE NOW OFFER CUSTOM VINYL DECALS, FLEET GRAPHICS, WINDOW PRINT FILMS,AND MORE! 1.5%FINANCE CHARGE FOR INVOICES OVER 30 DAYS.Terms&Conditions Apply. CENTERLINE SUPPLY, INC. -TOLL FREE (800) 321-1751 -SALES@CLSUSA.COM CERTIFICATE OF INTERESTED PARTIES FORM1295 1 of 1 Complete Nos.1-4 and 6 if there are interested parties. OFFICE llSE 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. 2019-509378 Centerline Supply Austin,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 0612512019 being filed. City of Round Rock Date Acknowledged: 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. :ORD0001385 Various city signs 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 J`"i 50 r"r , and my date of birth is My address is �"{ �` C'.-�C. `- {..a , ('3 c.J {1 77 (street) (city) (state) (zip code) (country) declare under penalty of perjury that the foregoing is true and correct. Executed in t l3 a County, State of ,on the L-;!�� day of ZZ -)� .20 (month) (year) Signature of a thorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.39f8039c CERTIFICATE OF INTERESTED PARTIES FORM 1295 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. Centerline Supply 2019-509378 Austin,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 06/25/2019 being filed. City of Round Rock Date Acknowledged: 06/27/2019 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. : ORD0001385 Various city signs 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 V1.1.39f8039c