Contract - Caldwell Country Chevrolet - 11/14/2019 QUOTE# OOAA-SLV CONTRACT PRICING WORKSHEET
End User: CITY OF ROUND ROCK Contractor: CALDWELL COUNTRY
Contact Name: SCOTT PARKER CALDWELL COUNTRY
Email: SPARKER@ROUNDROCKTEXAS.GOV Prepared By: Averyt Knapp
Phone #: 512-218-3298 Email: aknapp@caldwellcountry.com
512-844-1248
Fax #: Phone #: 979-567-6116
Location City & State: ROUND ROCK Fax #: 979-567-0853
Date Prepared: OCTOBER 2, 2019 Address: P. 0. Box 27,
Caldwell, TX 77836
Contract Number: BUY BOARD #521-16 Tax ID # 14-1856872
Product Description: 2020 CHEVROLET 1500 SILVERADO 4X2 CREW CAB CC10543
A Base Price & Options: $29,440
B Fleet Quote Option:
Code Description Cost Code Description Cost
4X2-CREW CAB, LT INCL
PACKAGE, 5.3L-V8,
40-20-40 JET BLACK
CLOTH INTERIOR, LPO
ALL WEATHER TECH OEM
GM FLOOR LINER F&R,
THREE KEYS & TWO
REMOTES
GM WARRANTY INCL CALDWELL COUNTRY
5YR/100,000 MILES PO BOX 27
POWERTRAIN @ N/C CALDWELL, TEXAS 77836
Subtotal B INCL
C Unpublished Options
Code Description Cost Code Description Cost
Subtotal C
D Other Price Adjustments (Installation, Delivery, Etc...)
Subtotal D JINCL
E Unit Cost Before Fee & Non-Equipment Charges(A+B+C+D) $29,440
Quantity Ordered 1
Subtotal E $29,440
F Non-Equipment Charges (Trade-In, Warranty, Etc...)
BUY BOARD FEE $400
G. Color of Vehicle: HAVANA BROWN METALLIC (W/JET BLACK CLOTH)
�- lq'oq-t6
INTERIOR)
H. Total Purchase Price (E+F) 1 $29,840
Estimated Delivery Date: 90-120 DAYS APPX
QUOTE# OOAA-LT CONTRACT PRICING WORKSHEET
End User: CITY OF ROUND ROCK Contractor: CALDWELL COUNTRY
Contact Name: SCOTT PARKER CALDWELL COUNTRY
Email: SPARKER@ROUNDROCKTEXAS.GOV Prepared By: Averyt Knapp
Phone #: 512-218-3298 Email: aknapp@caldwellcountry.com
512-844-1248
Fax #: Phone #: 979-567-6116
Location City & State: ROUND ROCK Fax #: 979-567-0853
Date Prepared: OCTOBER 2, 2019 Address: P. 0. Box 27,
Caldwell, TX 77836
Contract Number: BUY BOARD #521-16 Tax ID # 14-1856872
Product Description: 2020 CHEVROLET TAHOE CC15706
A Base Price & Options: $42,975
B Fleet Quote Option:
Code Description Cost Code Description Cost
LT PACKAGE, 4X2, JET INCL
BLACK/DARK ASS
LEATHER INTERIOR,
LPO ALL WEATHER TECH
OEM GM MATS FRONT
AND REAR, THREE KEYS
AND TWO REMOTES
TOTAL
GM WARRANTY INCL CALDWELL COUNTRY
5YR/100,000 MILES PO BOX 27
POWERTRAIN @ N/C CALDWELL, TEXAS 77836
Subtotal B INCL
C Unpublished Options
Code Description Cost Code Description Cost
Subtotal C
D Other Price Adjustments (Installation, Delivery, Etc...)
Subtotal D INCL
E Unit Cost Before Fee & Non-Equipment Charges(A+B+C+D) $42,975
Quantity Ordered 1
Subtotal E $42,975
F Non-Equipment Charges (Trade-In, Warranty, Etc...)
BUY BOARD FEE $400
G. Color of Vehicle: WHITE (W/JET BLACK/DK ASH LEATHER INTERIOR)
H. Total Purchase Price (E+F) 1 $43,375
Estimated Delivery Date: 90 DAYS APPX
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.
Caldwell Country Chevrolet
2019-557596
Caldwell,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 11/01/2019
being filed.
City of Round rock Date Acknowledged:
3 Provide the identification number used by the govemmental 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
Vehicles
4 Nature of interest
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling Intermediary
Way,Stephen Caldwell,TX United States X
Hildebrand,Jon Caldwell,TX United States X
Knapp,Averyt Caldwell,TX United States X
5 Check only if there is NO Interested Party. ❑
6 UNSWORN DECLARATION
My name is 1&u ky� Mh p _ and my date of birth is
My address is -7 l ,�}( -77
(fit) (City) �(-state) (z1p fie) (�oountryy))
I declare under penalty of perjury that the foregoing is true and correct.
Executed in County, State of 1 ��M,� on the ,day of�201 .
(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
CERTIFICATE OF INTERESTED PARTIES
FORM 3.295
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. 2019-557596
Caldwell Country Chevrolet
Caldwell,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 11/01/2019
being filed.
City of Round rock Date Acknowledged:
11/04/2019
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
Vehicles
4 Nature of interest
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling Intermediary
Way, Stephen Caldwell,TX United States X
Hildebrand ,Jon Caldwell,TX United States X
Knapp,Averyt Caldwell, 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 V1.1.3a6aaf7d