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R-2019-0409 - 10/10/2019 RESOLUTION NO. R-2019-0409 WHEREAS, the City of Round Rock ("City") desires to rent pumps necessary for operations at the East Wastewater Treatment Plant; and WHEREAS, said pumps are necessary for critical daily operations of the East Wastewater Treatment Plant; and WHEREAS,the City has an obligation to protect the health, safety, and welfare of its citizenry by procuring equipment necessary to effectively operate the East Wastewater Treatment Plant; and WHEREAS, the City is under no statutory obligation to advertise for bids for the rental of equipment needed for critical daily operations of the East Wastewater Treatment Plant, as such rental falls under the general exemption to competitive bidding requirements cited in the Texas Local Government Code Section 252.022(a)(2) regarding procurements necessary to preserve or protect the public health or safety of the City's residents; and WHEREAS, in addition, the City is under no statutory obligation to advertise for bids for the rental of equipment necessary because of unforeseen damage to public machinery, equipment, or other property, as such falls under the general exemption to competitive bidding requirements cited in the Texas Local Government Code Section 252.022(a)(3); and WHEREAS, this procurement is made in accordance with Sections 252.022(a)(2) and (3) of the Texas Local Government as both a Public Health and Safety exemption and Unforeseen Damage to Public Machinery exemption; and WHEREAS, Xylem Dewatering Solutions, Inc. has submitted its proposal to provide pumps at reasonable pricing; and WHEREAS, the City Council wishes to issue a purchase order to Xylem Dewatering Solutions, Inc. for the rental of pumps for operations at the East Wastewater Treatment Plant, Now Therefore 0112.1902;00432497 BE IT RESOLVED BY THE COUNCIL OF THE CITY OF ROUND ROCK,TEXAS, That the City Council finds that the rental of pumps for the East Wastewater Treatment Plant is necessary to preserve or protect the public health or safety of the residents of the City and is the result of unforeseen damage to public machinery, equipment, or other property, and such purchase falls under the general exemptions to competitive bidding requirements in Section 252.022(a)(2)and(3). That the City Manager is hereby authorized and directed to issue a purchase order to Xylem Dewatering Solutions, Inc. for the rental of pumps necessary for operations at the East Wastewater Treatment Plant. The City Council hereby finds and declares that written notice of the date, hour, place and subject of the meeting at which this Resolution was adopted was posted and that such meeting was open to the public as required by law at all times during which this Resolution and the subject matter hereof were discussed, considered and formally acted upon, all as required by the Open Meetings Act, Chapter 551, Texas Government Code, as amended. RESOLVED this 10th day of October, 2019. City of Round Rock, Texas ATTEST: W R 1-r BA e sS, AMYORK PRU76W- w M�Fkcr-,AfQ SP1t�1K5, P�r� CITECl�(�K 2 Xylem Dewatering Solutions, Inc. East Waste Water Treatment Plant-Rental 04/23/19 thru 09/30/19 Months Total Cost 2 sewage Pumps Rental+set up fees Apr-May $ 7,403.20 1 diesel pump+set up fees April-May $ 30,385.52 3 Pump Rental (incl Diesel+service fee) June $ 18,338.02 $ 56,126.74 1 Diesel Pump Rental July $ 11,440.35 1 sewage Pump Rental July S 3,438.00 2 Pumps tear down fee July 2,358.00 2 sewage pumps pick up fee July $ 1,000.00 $ 18,236.35 Due to the large pump shipment being delayed we had to hang on to the rental. 2 addt'l month (Diesel) Aug.-Sept. $ 22,880.70 plus 2 addt'I weeks Aug. -Sept. $ 7,626.90 Pick up fee for 2 pumps Sept. $ 1,100.00 $ 31,607.60 In case any unforeseen circumstances $ 4,029.31 PO Total $ 110,000.00 i� :I i' { r I: i' {Ii !I e I r .i �i Account Statement xyle Let's Solve Water ' i godwln a Kama,VonksWag Credit Doparlm m PhenstFea: Ema II:Vank■tNa 4Kam®sylsmimoom Statement for. City of Round Rook 3939 E PALM VALLEY BLVD ROUND ROMT%786669613 Stalemant Date; 091CM2019 1 Amount In Amount In Oocumant Documald Purchase Ordar No.of Dara Nei oue Tnn■■clbn Dispute No. Dale No. Past Due Date TCur 8°1!07 Cricyumncy Currency Fu�o no USD Amount palrmon!Tomo Stloa Ordef SO t i 400914001 400614001 FSC S9 07A62011 7.80386 U30 2,503101 WIa9Raarde.." Watd1 400914170 /00614120 Palm Valeywwp- 66 071072019 2.906.64 USD 2.066.64 0.00 NET So 216014406 Sea* I� /309151/3 100615/13 6 67 071172o19 3.90620 U8D 3.960.20 0-00 NST so 210011377 400617701 /00617701 / 13 97202019 121066.93 U60 1;066.96 0A0 NST so 21/014400 , 400618637 400610637 Palm V■sy NAARP 41 01!02019 12.540.36 WD 12,640.36 0.00 NET 40 215014403 1` 400923105 400123106 / 26 0610910019 3.436.00 U80 3,438,00 0100 No so 21501437 i 40DW715 4M923716 / 23 0511 tR016 6p91.67 USO 6,017107 0.00 NST 90 2150t4100 ' 400920137 400/26152 Patin V.oyVNNTP 16 09192019 11,440.35 U80 11.440.36 0.00 90110 213014/05 I� 100/70651 400170654 a •3 090062019 7.438.00 USD $,43180 0.00 NET so 215011373 /00932303 400932303 1 •10 01/102019 212.50 U80 29290 080 NET 60 215011773 /00933660 4009760 Pak$Valley1Mw4RP •13 06/111!2011 11.440.36 USD 11,440.35 0.00 NET 90 2.15011406 /006/1306 4009/13011 Palm VaD ~P 41 10114201/ ",440.35 USD 11440.3d 0.00 NST aO 215014405 Total for currency'USD" 92,737.94 Total 62,777.11 Oulsland'nm Indlcal••that s■veral Purchase Orden 3ve1'e h1Aed under 1M tmoln document number shown. I Pape 1 II i i 1 I 1 i II xylem 84 Floodgate Road Let's Solve Water Bridgeport NJ 08014 Tel:(858)4873838 gOdWff1® "� STATEMENT Far-(858)487-7025 www.godwlnpumps.00m I Customer Number.00123154 Oats 06124/2019 Gty of Round Rock 3939 East Palm Veaey&vd. Road Rack TX 78885.9443 _Dale Document Number PO _ Reference Type Chargos Credda Balance 05107119 400914001 FSC huta0/Teardown/Pmp Watch 215014398 Invo ce — 2.8W.89 2,803.88 05!68118 400914120 Palm Valley WWTP-Sotup 215014406 Invoice ! 2,985.54 5,789.22 05113/19 400915443 a 215014373 Involca 3,985.20 9,754.42 05121/19 400917704 C 215014400 Invoice 12,055.95 21,810.37 05123119 400918637 Palm Valley WWTP 215014405 Invoke 12,540.35 34,350.72 08110/19 400923108 C 215014373 Invoke 3.438.00 37.788.72 08112119 400923715 9 215014400 Invoice 0,897.67 44.888.39 08/20119 400928152 Palm Valley W WTP 215014405 Invoice 11,440.35 56.128.74 I Sovke Charge 1.5%Added Per Month For Amounts Past 30 Days I Current Over 30 Days Over 00 Days IMOver 120 Days I Balance Due 21,778.02 34.350721 01 1 01 01 58,128.74 Think Orange.Think Godwin.Greet Pumps.Greet People. I, f I E ! i Invoice xyl /�/� Sold by: Branch 015 Remit to. Xylem Dewatering Solutions,Inc. ' ! (� 4965 Eisenhaur Road 28611 Network Place Let's Solve Water Suite 102 Chicago,IL 60873-1286 Nlindcrest,TX 78218 Phone:850.467-3636 lel:210-648-9101 godwin O s- Fax:2'10-648-9102 S S Cust.No. Invoice Date I Invoice No. L Clty of Round Rock H City of Round Rock 1 00123154 05.072019 400914001 D 3939 East Palm Valley Blvd. P 3939 East Palm Valley Bivd. T Round Rock,TX 78665-9443 T Round Rock,TX 78665-9443 Page 1 Of 1 O O Customer PO Ordered By Contract Date Service Contract# Sales Representative Order Taken By Payment Terms FSC instalVTeardownlPmp 05-01-2019 2/5014398 Brandon Ramsey Randy Schnee Net 60 `Hatch UNIT EXTENDED QTY ITEM DESCRIPTION AMOUNT AMOUNT 200 MILEAGE Mileage-Setup 2.00 400.00 8 TRAVEL Travel Charge 95.00 760.00 5 LABOR Labor 1 setup 95.00 475.00 5 LABOR Labor#2 Setup 95.00 475.00 2 LABCROT Labor OT 1 setup 95.00 190.00 2 LABOROT Labor OT#2 Setup 95.00 190.00 1 SERVICETRUCK Godwin Service Truck 100.00 100.00 Comments provide man power to install and set up of rental equipment ALL PAST DUE INVOICES ARE SUBJECT TO Rental Labor Shipping Misc.Charges Taxes 1 1/2%PER MONTH SERVICE CHARGE $0.00 $2,090.00 $0.00 $500.00 $213.68 Important Information:Duo to fraud attempts any communication for changes of bank account Total Invoice $2,803.68 details have to be confirmed by a call-back with your respective Xylem contact person. Invoice Xylem Sold by: Branch 015 Remit to: Xylem Dewatering Solutions,Inc. 4985 Elsenhaur Road 28811 Network Place Let's Solve WaterSuite 102 Chicago,IL 60573-1286 Windcrest,TX 78218 Phone:8564673838 i Tel:210-648-9101 p3dwina oT Fax:210-648-91 D2 i SS o. 0 H Cust No. Invoice ==ilrlvotce;IV L City of Round Rock I City of Round Rock 00123154 GROMM71 400914120 D 3939 East Palm Valley Blvd. P 3939 East Palm Valley Blvd. i T Round Rock,TX 78885-9443 T Round Rock,TX 78665-9443 Page 1 of 1 O __ 1. Customer PO Ordered By Contract Date. Service Contract t! Safes Representative Order_TakamByi PnytnentTsrma- i Palm Valley Mr John Heaps 05-03-2019 215014406 Brandon Ramsey Brandon Ramsey Net 80 WWfP-Setup i UNIT _- EXT6MqED QTY ITEM, DESCRIPTION AMOUNT-_ -;AMOUNT'' i 1 FSTR180001 R Mcelroy T50011 Fusion Machine 6-20' 400.00 400.00 SIN:C18729 204 MILEAGE Mileage-setup 2.00 408.00 2.50 FUSIONTECHOT Fusion Technician OT 142.50 356.25 2.50 LABOROT Labor Tech OT 127.50 318.75 7 FUSIONTECH Fusion Technician setup 95.00 665.00 6 LABOR Labor Tech 85.00 510.00 I 1 SERVICETRUCK Godwin Service Truck 100.00 100.00 I Comments provide man power and fusion equipment to set up CD400 diesel pump,fuse 18'HDPE pipe and fittings. Install suction lube set fuel tank and make ready for bypass ALL PAST DUE INVOICES ARE SUBJECT TO Rental Labor Shipping MI=-,C_he_rges > Txi&ST„ 1 112%PER MONTH SERVICE CHARGE $400.00 1 $1,850.00 1 $0.00 $508.00 $227.54 Important Information:Due to fraud attempts any communication for changes of bank account Total Invoice $2,985.54 details havo to be confirmed by a call-back with your respective Xylem contact person. Invoice Xylem Sold by: Branch 015 Remit to: Xylem Dewatering Solutions,Inc. 4985 Eisenhaur Road 28611 Network Piece Let's Salve Water Suite 102 Chicago,IL 60673-1286 Windcrest,TX 78218 Phone:858467-3638 Tel:210-848-0101 godwin® Fax:210-648-9102 O H Cust:No. lnvolce Date, Invotcallo._ L City of Round Rock I City of Round Rock 1 00123154 T `400915443 D 3939 East Palm Valley Blvd. P 3939 East Palm Valley Blvd. Round Rock 7X 78685.9443 Page 1 Of 1 T Round Rock,TX 78665-9443 T j Customer PO Ordered By Contract Date Rental Contract# Sates Representative" Wderaken By, �PayiReiiE,Teilii i ft 0423-2019 215014373 Brandon Ramsey Brandon Ramsey Net 60 QTY ITEM DESCRIPTION PER DIWIM RATE ...._.: i�:'__,AMOU1 Rontal 04/23/2019 Thru 0512012019 1 FLY3102-022 NS463MT 3P 5.OHP 460V 4"Sewage ANI FM 1 M 1,035.00 1,035.00 1 G25-39 GHP26KW-R Generator 4024TF270 RGT 62G 1 M 1,494.00 1,494.00 3 HSWSO40020ODSR 4'x 20'Black Water Suction Hose W/QD 1 M 189.00 567.00 1 HSDSO400500DOR 4'x 50'HD Laytlat Hose W/QD 1 M 189.00 189.00 1 HSWSO40020ODSR 4'x 20'Black Water Suction Hose W1QD 1 M 0.00 0.00 • spare 1 OTHERADAPTERR CMO-4061 1 M 153.00 153.00 1 DZQNE04PICKUP Delivery Zone 4-Pickup Truck 225.00 225.00 ALL PAST DUE INVOICES ARE SUBJECT TO Rental Labor Shipping 1 1/2%PER MONTH SERVICE CHARGE $3,438.00 $0.00 $225.00 $0.00 $302.20 Important Information:Due to fraud attempts any communication for changes of bank account Total Invoice $3,965.20 dotails have to be confirmed by a call-back with your respective Xylem contact person. (76 S. cir Lv�lechiwl5.n ' Invoice Y wK►+�,c•cum xylem Sold by: Branch 015 Remit to: 4965 Eisenhaur Road 28611 Network Place Suite 102 Chicago,IL 60673-1286 Let's Solve Water windcrest.TX 78218 Phone:a56467-3636 Tel:210-648-9101 god W in a Fax:210-648-9102 8 S Cust No. InvoIce Date I Invoke No.� o City of Rand Rock H City of Round Rock 1 00123154 105-21-20191400917704 D 3939 East Palm Vary Blvd. P 3939 East Palm Valley 81vd. T Round Rock,TX 78665-9443 T Round Rock,TX 78665-9443 Page 1 Of 2 O 0 customer PO Ordered By Contract Oate Rental Contract# Sates Representative Order Taken By Paymant rarms # Mr John Heaps 05.01-2019 215014400 Brandon Ramsey Brandon Ramsey Net 60 QTY ITEM DESCRIPTION PER DMIM RATE AMOUNT Rental 05/01/2019 Thru 05128/2019 1 FLY3171-007 NS436MT 3P 25.OHP 460V 6•FM Sewage 1 M 2.052.00 2,052.00 • 8MQD 50'Cable 1 FLY3171-029 NS434MT 3P 34,OHP 460V 6"Sewage FM 100' 1 M 2.052.00 2.052.00 1 CAD-049 Auto Control 3P Max:65Amps P29 230V DFrrn 1 M 189.00 189.00 1 CAZOt55 Auto Control 31P Max:16 Amp P29 1 M 189.00 189.00 12 HSWS080020ODDR B'x 20'Black Water Suction Hose W/QD 1 M 397.80 4,773.60 3 HSWS080010QDDR 8'x 10'Black Water Suction Hose W/QD 1 M 252.45 751.35 2 VLCK080F1CO0R 8'Check Valve Will 509FL 1 M 180.00 360.00 1 HSWS030020CGSR 3'x 20'Black Water Suction Hose W/CG 1 M 144.00 144.00 2 BN08090QDGDOOR 8.90 Degree 00 Bend 1 M 81.00 182.00 2 TE080QFQMPFG00R 8'Godwin QD Pipe W/FNPT Drain 1 M 81.00 162.00 • wiba0 valve&3'CG ALL PAST DUE MVOICES ARE SUBJECT TO 1 112%PER MONTH SERVICE CHARGE Important Information:Due to fraud attempts any communication for changes of bank account details have to be confirmed by a call-back with your respective Xylem contact person. ►nvolce xyt Sold by: Branch 015 Remit to: Xylem Dewatering Solutions.Inc. 4965 Etsonhaur Road 28811 Network Place Suits 102 Chicago,IL 60673-1286 Let's Solve Water 'Nndcrest.TX 78218 Phone:856.467-3636 Tel:210.648.9101 godwin Q :__ Fax:210.648-9102 S S Cust.No.- Invoke Date Invoice No. L City of Round Rock H City of Round Rock 1 00123154 105-21-20191400917704 0 3939 East Palm Valley Blvd. P 3939 East Palm Valley Blvd. T Round Rock,TX 78665-9443 T Round Rock,TX 78665.9443 Page 2 of 2 0 0 Customer PO Ordered By Contract Date Rental Contract# Sales Representative Order Taken By Payment Terms # Mr John Heaps 05.01.2019 215014400 Brandon Ramsey Brandon Ramsey Net 60 QTY ITEM DESCRIPTION PER DIWtM RATE AMOUNT 1 SNO8045ODG000R 8"45 Degree OD Bend i M 81.00 81.00 12 PPPE080020QD26R 8"x 20'HDPE Pipe SDR26 W1QD 1 M 57.00 684.00 3 HSWS08001COODR 8'x 10'Black Water Suction Hose W/QD 1 M 0.00 0.00 • spare 1 OZONE04ROLLBACK Delivery Zone 4-Rollback 450.00 450.00 ALL PAST DUE INVOICES ARE SUBJECT TO Rental Labor Shipping Misc.Charges Takes 1112%PER MONTH SERVICE CHARGE $11,605.95 S0.00 $450.00 $0.00 $0.00 Important Information:Due to fraud attempts any communication for changes of bank account Total Invoice $12,055.95 details have to be confirmed by a Cali-back with your respective Xylem contact person. Invoice xylem Sold by: Branch 015 Remit to: Xylem Dewaterfng Solutions,Inc. 4985 Elsenhaur Road 28811 Network Place Let's Solve Water Suite 102 Chlcago,IL 80873-1288 Windcrest,TX 78218 Phone:856-487-3636 Tel:210-648-9101 godwine o. Fax:210-648-9102 S SCust No. InvWto Dati� I ilnvoteo,No. fyt--=- L City of Round Rode H City of Round Rock 00123154 1 Qfi; St400918637 D 3939 East Palm Valley Blvd. P 3939 East Palm Valley Blvd. - T Round Rock,TX 78665.9443 T Round Rock,TX 78665-9443 Page 1 of 2 O O_ - — - — Customer PO Ordered By Contract Date Rental Contract# Sales Representative Oder Taken By -_` :i;ayisierStTemis Palm Valley WWTP Mr John Heaps 05-03-2019 215014405 Brandon Ramsey Brandon Ramsey Net 60 QTY ITEM DESCRIPTION PER DMIM RATE_ ` MOUNT' Rental 0510312019 Thru 05/30/2019 1 B-2992 CD400M 18'3306TA SB 10G 1 M 7,444.80 7,444.80 • 18FL x 18FL Stand by 1 FTC50.389 528 Gal UL Transcube w/Obl well 8 Skid 1 M 436.05 436.05 1 CAPGMAOGOR PrimeGuard Float Set 1 M 640.60 640.80 2 AD180180F117E0R 18'HDPE SDR17 1509FL Adapter 1 M 189.00 378.00 4 BN1809017E000R 18'90 Degree HDPE SDR17 BIW Bend 1 M 122.40 489.60 3 BN1804517E000R 18'45 Degree HDPE SOR17 B/W Band 1 M 122.40 38720 2 AD18018OF117EDR 18'HDPE SDR17 150#FL Adapter 1 M 122.40 244.80 450' PPPE180001BW26R 18'HDPE Pipe SDR26(Per Fool) 1 M 3.00 1,350.00 30' PPPE180001BW26R 18'HDPE Pipe SDR26(Per Foot) 1 M 2.97 89.10 4 MSBU180F1000R 18'HOPE 1504FL Back Up Ring 1 M 0.00 0.00 1 DZCNE04ROLLWPTR Delivery Zone 4-Rollback w/Plpe TH. 600.00 600.00 ALL PAST DUE INVOICES ARE SUBJECT TO 1 172%PER MONTH SERVICE CHARGE Important Information:Due to fraud attempts any communication for changes of bank account details have to be confirmed by a call-back with your respective Xylem contact person. Invoice Xylem Sold by: Branch 018 Remit to: Xylem Dewatering Solutions,Inc. 4965 Elsenhaur Road 28611 Network Place Legs Solve Water Suite 102 Chicago,IL 60673-1286 Wtndorest,TX 78218 Phone:85e467-3636 Tel:210-648-9101 godwin® Fax:210.648-9102 S S cast:terlos `- Itivgic6'tfata},' vOroe�No: L City of Round Rock H City of Round Rock 00123154 400918637 0 3939 East Palm Valley Blvd. P 3939 East Palm Valley Blvd. T Round Rock,TX 78665-9443 T Round Rock,TX 78665-9443 Page 2 of 2 0 O - — Customer PO Ordered By Contract Date Rental Contract# - Sales Represernatiiie l lnfairTaKen�B�r:- P�ynnent Terms Palm vaiisy wwTP Mr John Heaps 05-03-2019 215014405 Brandon Ramsey Brandon Ramsey Net 6o Q!TT_. -n EM DESCRIPTION PER DMIMBATT~ '_ :.=,AM0U NT-: 1 DZONEROLLBACK Delivery Zone-Rollback 500.00 500.00 Rental Labor Smppm9 I Mlec'ChttrQass _ :. Tial=- ALL PAST DUE INVOICES ARE SUBJECT TO - n-- - 1 112%PER MONTH SERVICE CHARGE F $11,440,35 $0.00 $1,100.00 $0.00 $0.00 Important Information:Due to fraud attempts any communication for changes of bank account Total Invoice $12,540.35 details have to be confirmed by a call-back with your respective Xylem contact person. Invoice Xylem Sold by. Branch 015 Remit to: Xyiem Dewatering Solutions,Inc. 4965 Eisenhaur Road 28611 Network Place Let's Solve Water Suite 102 Chicago,IL 60673-1286 Windcresl,TX 78218 Phone:856-467-3636 Tel:210-848-9101 godwine Fax:210-648-9102 S s CustirNoq,. i,fnVotDatiJ j tlnaajNo:, o City of Round Rode H City of Round Rock 00123154 19YOURM19 1400923108 D 3939 East Palm Valley Blvd. P 3939 East Palm Valley Blvd. T Round Rock,TX 78665-9443 T Round Rock,TX 78665-9443 Page 1 of 1 Customer PO Ordered.By Contract Date Rental Contract# Sales Representative OrderfTakent8yi ;P_,a_j!nterttiiTerir►s- # 04.23-2019 216014373 Brandon Ramsey Brandon Ramsey Net 60 4TY_.. ITEbA, DESCRIPTION PER- DIW1Mi : RATE :',AMOUNT' Rental 05121!2019 Thru 06/17/2019 1 FLY3102.022 NS463MT 3P 5.OHP 460V 4"Sewage ANI FM 1 M 1,035.00 1,035.00 1 G25-39 GHP26KW-R Generator 4024TF270 RGT 62G 1 M 1,494.00 1,494.00 3 HSWSO40020QDSR 4'x 20'Blade Water Suction Hose W/QD 1 M 189.00 567.00 1 HSDSO40050ODDR 4"x 50'HD Layflat Hose W/QD 1 M 189.00 189.00 1 HSWSO40020ODSR 4"x 20'Blade Water Suction Hose W/QD 1 M 0.00 0.00 - spare 1 OTHERADAPTERR CM0 4081 1 M 153.00 153.00 ALL PART DUE INVOICES ARE SUB IECT TO Rental Labor Shipping Mise.Chargesr 7axesr. --- tee . .. . 1 1/2%PER MONTH SERVICE CHARGE $3,438.00 $0.00 $0.00 $0.00 $0.00 Important Information:Due to fraud attempts any communication for changes of bank account Total Invoice $3,438.00 details have to be confirmed by a call-back with your respective Xylem contact person. Invoice ylem Sold by: Branch 015 Remit to: Xylem Dewatering Solutions,Inc. 4965 Eisenhaur Road 28611 Network Place Let's Solve Water 6487 Suite 102 Chicago,IL 60873-1286 Winduest,TX 78218 Phone:85 3836 Tel:210-648-9101 gOdwin® » Fax:210-648-9102 S S C'tist4iNo:, 1RORceD`atit' lnvo9a :� a City of Round Rock i City of Round Rock 00123154 08-12-2019 400923715 D 3939 East Palm Valley Blvd. P 3939 East Palm Valley Blvd. Round Rock,TX 78665-9443T Round Rock,TX 78885.9443 Page 1 of 2 i T 0 0 ------ Customer PO: Ordered B Carttrect Date Rental.Contract# SafewRepresentative Ord"e ai�enf8 " PaYmet # Mr John Heaps 05-01-2019 215014400 Brandon Ramsey Brandon Ramsey Net 60 QTY REty: DESCRIPTION PER DMIM RATEi&.MPUNT Rental 05129/2019 Thru 06/06/2019-Return* 1 FLY3171-007 NS436MT 3P 25.OHP 460V 6"FM Sewage 2 D 228,00 1,140.00 8MQD 50'Cable 1 W 684.00 1 FLY3171-029 NS434MT 3P 34.OHP 460V 6"Sewage FM 100' 2 D 228.00 1,140.00 1 W 684.00 1 CAD-049 Auto Control 3P Max:65Amps P29 230V DFnn 2 D 21.00 105.00 1 W 63.00 1 CAZO155 Auto Control 3P Max:16 Amp P29 2 D 21.00 105.00 1 W 63.00 12 HSWS0800200DOR 8"x 20'Black Water Suction Hose W/QD 2 D 44.20 2,652.00 1 W 132.60 3 HSWS0800loQDDR 8"x 10'Black Water Suction Hose W1QD 2 D 28.05 420.75 1 W 84.15 2 VLCK080F1C00R 8'Check Valve W1150#FL 2 D 20.00 200.00 1 W 80.00 ALL PAST DUE INVOICES ARE SUBJECT TO 1 112%PER MONTH SERVICE CHARGE Important Information:Due to fraud attempts any communication for changes of bank account details have to be confirmed by a call-back with your respective Xylem contact person. Invoice xylem Sold by: Branch 015 Remit to: Xylem Dewatertng Solutions,Inc. 4965 Elsenhaur Road 28611 Network Place Let's Solve Water Suite 102 Chicago,IL 60673-1288 Windcrest,TX 78218 Phone:858.4673838 Tel:210.648-9101 godwin® —4;R--- Fax:210-648-9102 S 8 -Custr'Na alnvoi�-ca 4 [_+tiivolPINa-- City of Round Rock H L City of Round Rock 00123154 400923715 i D 3939 East Palm Valley Blvd. P 3939 East Palm Valley Blvd. T Round Rock,TX 78665-9443 T Round Rock,TX 78665-9443 Page 2 of 2 CuetipmKpO Ordered By Confraat•Dah.. 'Sates Representativ6 O�det`�akenit3j►•_ � eaymerk� Terhrs A Mr John Heaps 05-01-2019 215014400 Brandon Ramsey Brandon Ramsey Net 60 QTY ITEM DESCRIPTION. PER 01WIM `--RAS _. ;AMOUNT_ 1 HSWS03002000SR 3'x 20'Bleck Water Suction Hose WXQ 2 D 18.00 80.00 i 1 W 48.00 2 BNO8090ODG000R 8'90 Degree OD Bend 2 D 9.00 90.00 t 1 W 27.00 2 TE0800FQMPFGOOR 8'Godwin OD Pipe W/FNPT Drain 2 D 9.00 90.00 • wlball valve 8 3"CG 1 W 27.00 1 BNO8045ODG000R 8"45 Degree QD Bend 2 D 9.00 45.00 1 W 27.40 12 PPPE080020OD26R 8"x 20'HDPE Pipe SOR28 WIQD 2 D 8.33 379.92 1 W 19.00 3 HSWS080010ODDR 8"x 10'Black Water Suction Hose W/QD 2 D 0.00 0.00 • spare 1 W 0.00 1 PZONE04ROLLBACK Pickup Zone 4-Rollback 450.00 450.00 ALL PAST DUE INVOICES ARE SUBJECT TO Rental Labor Shipping Miar:..l = __ :P> _ 1 1/2%PER MONTH SERVICE CHARGE $6,447.67 $0.00 $450.00 �0.00 $0.00 Important Information:Due to fraud attempts any communication for changes of bank account Total Mwice $6,897.67 details have to be confirmed by a call-back with your respective Xylem contact person. Invoice Sold by: Branch 015 Remit to: Xylem Dewatering Solutions,Inc. )�ylefn4965 Eisenhaur Road 28611 Network Place Let's Solve Water Suite 102 Chicago,IL 60673-1286 Windcrest.TX 78218 Phone:856.467-3636 Tel:210-648-9101 godwinO v=�� Fax:210-648-9102 S S Gust No InvokeDate o. O City of Round Rock I City of Round Rock 00123154 {IQ- # X00926152 D 3939 East Palm valley Blvd. P 3939 East Palm Valley Blvd. T Round Rock,TX 78665-9443 T Round Rock,TX 78665-9443 Page 1 of 1 O O Customer PO ordered By Contract Date Rental Contract# Sales Representative Order Taken By Payment Terms Palm Valley WWTP Mr John Heaps 05-03-2019 215014405 Brandon Ramsey Brandon Ramsey Net 60 CITY ITEM, DESCRIPTION PER D/W/M RATE AMOUNT Rental 05131/2019 Thru 06/27/2019 1 B-2992 C0400M 18"3306TA SB 10G 1 M 7,444.80 7,444.80 • 18FL x 18FL Stand by 1 FTC50-389 528 Gal UL Transcube w/Dbi wall&Skid i M 436.05 436.05 1 CAPGMAOOOR PrimeGuard Float Set 1 M 640.80 640'80 2 AD180180F117EOR 18"HDPE SOR17 150FL Adapter 1 M 189.00 378.00 4 SN1809017EOOOR 18"90 Degree HDPE SDR17 BAV Bend 1 M 122.40 489.60 3 BN1804517E000R 18"45 Degree HDPE SDR17 B/W Bend 1 M 122.40 367.20 2 AD18018OF117EOR 18"HDPE SDR17 150#PL Adapter i M 122.40 244.80 450' PPPE180001BW26R 18"HDPE Pipe SDR26;Per Foot) 1 M 3.00 1,350.00 30' PPPE180001BW26R 18'HDPE Pipe SDR26(Per Foot) 1 M 2-97 89.10 4 MSBU18OF100OR 18"HDPE 1504FL Back Up Ring 1 M 0.00 0.00 ALL PAST DUE INVOICES ARE SUBJECT TO Rental Labor Shipping Misc.Charges Taxes 1 112%PER MONTH SERVICE CHARGE $11,440.3547 5 0.00 $0.00 $0.00 Important Information:Due to fraud attempts any communication for changes of bank account Total Invoice $11,440.35 details have to be confirmed by a call-back with your respective Xylem contact person. _ CERTIFICATE OF INTERESTED PARTIES FORM 1295 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: j of business. 2019-535739 � Xylem Dewatering Solutions Windcrest,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 09/03/2019 being filed. i City of Round Rock Date Acknowledged: I 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. i 000000 Palm Valley WWTP pumps,hoses and accessories 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. LCJ X 6 UNSWORN DECLARATION M name is y ��m // and my date of birth Is �-�l�"� i My address is T IO`1;erra, (street) (city) (state) (zip code) (country) I declare under penalty yof perjury that the foregoing is true and correct. j Executed in _ D, r County, State of I L`YQl on the3r44day of 5 �C1!20 (month) (year) 2 1Z I i Signature of authorized agent of contracting business entity j (Declarant) Forms provided by Texas Ethics Commission www.ethics.state,tx.us Version V1.1.3a6aaf7d 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. 2019-535739 Xylem Dewatering Solutions Windcrest,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 09/03/2019 being filed. City of Round Rock Date Acknowledged: 09/10/2019 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. 000000 Palm Valley WWTP pumps,hoses and accessories 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 V1.1.3a6aaf7d