Contract - DXP Enterprises, Inc. - 11/26/2019 DXIP
City of Round Rock September 30, 2019
221 E. Main St.
Round Rock, TX 78664
Attn: Brandon Pritchett
Rei~: Floway Pump Quote-REVISED
1- Floway Model 18MKL/N 3stage vertical turbine pump. Pump to include cast iron/bronze fitted bowl
assembly, 12" flamed discharge column, stainless steel line shafting, 14" fabricated steel discharge head
with a packed stuffing box. Pump to be a duplicate of S/N 22739-5.
LOT NET TOTAL WITH FREIGHT INCLUDED TO JOBST.IE.............$ 65,500.00
1-Motor, 450HP, 1800RPM, 3phs, 460V,vertical solid shaft, high thrust, WP-1 enclosure, Frame
5008VPH, premium efficient, 175% extra high thrust, VPI-2000 insulation system, inverter duty rated,
with thermostats, insulated upper bearing, grounding ring and non-reverse ratchet.
Note: Motor to be current design.
LOT NET TOTAL WITH FREIGHT INCLUDED TO JOBSTIE.............$37,750.00
Shipment:
Pump: 18-20 weeks afler order.
Motor: 12-14 weeks after order.
Please left nye know if you have any questions or need any additional information.
Prepared by,
.Randy Key
l� V-V ODXP Enterprises,Inc.
1510 W.Shady Grave,Grand Prairie,TX,75050 (972)441-5500 fax(866)916-1905
CERTIFICATE OF INTERESTED PARTIES
FORM 1.295
1 of 1
Complete Nos.1-4 and 6 it there are interested parties. OFFICE USE ONLY
Complete Nos.1,2,3,5,and 6 if there are no interested parties. CERTIFICATION OF FILING
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1 Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number:
of business. 2015-558264 i
DXP Enterprises
Grand Prairie,TX United States date Filed:
2 Name of governmental entity or state agency that is a,pany to the contract for which the form is 11/04/2019
being filed.
City of Round Rock,TX Date Acknowledged:
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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.
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Pump equipment
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4 Nature of interest
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling Intermediary
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5 Check only if there is NO Interested Party.
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6 UNSWORN DECLARATION
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My name is dW and my date of birth ism lV z 1. f 9
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My address is /57 o W. `j (et its r�g��Y'•c , ►b o �' }
(street) (city) (state) (zip code) (country) '
declare under penalty of perjury that the foregoing is true and correct.
Executed in Fe, '_S County, State of �xt ,on the $/day of AIO V. ,2t3_`�.
(month) (year)
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Signatur f a orized agent of contracting business entity
(Declarant) I
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Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.3a6aaf7d
i
CERTIFICATE OF INTERESTED PARTIES FORM 1.295
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. 2019-558264
DXP Enterprises
Grand Prairie,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 11/04/2019
being filed.
City of Round Rock,TX Date Acknowledged:
11/07/2019
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
Pump equipment
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