Contract - Siddons Martin Emergency Group LLC - 1/9/2020 Siddons Martin Emergency Group, LLC
3500 Shelby Lane
f3"I
Denton,Texas 76207 �k k
GDN P 115891
TXDOT MVD No.A 115890
EIN 27-4333590
IN
January 2, 2020
Round Rock Fire Department
221 E. MAIN
ROUND ROCK, TX 78664
Proposal for 2020 Round Rock Pumper
Siddons-Martin Emergency Group, LLC is pleased to provide the following proposal to Round Rock Fire
Department.Theunitwill comply with all specifications attached.Total price includes delivery to Round Rock
Fire Department and training on operation and use of the apparatus.
Description Amount
1) Pierce-Custom Velocity Pumper, PUC Unit price-
$847,872.00
Price guaranteed until January 2401,2020. Delivery within 8-11 months Vehicle Price $847,872.00
of order date.A warranty term of 12 months is included.
Full Prepay Discount ($21,312.00)
Sub Total $826,560.00
Buy Board 571-18 $1,500.00
Final Sales Price $828,060.00
Taxes. Taxes are not included in this proposal. In the event that the purchasing organization is not exempt from
sales tax or any other applicable taxes and/or the proposed apparatus does not qualify for exempt status, it is
the duty of the purchasing organization to pay any and all taxes due.Balance of sale price is due upon acceptance
of the apparatus at the factory.
Late Fee.A late fee of.033%of the sale price will be charged per day for overdue payments beginning ten(10)
days after the payment is due for the first 30 days.The late fee increases to.044% per day after the first 30 days
until the payment is received. In the event a prepayment is received after the due date, the discount will be
reduced by the same percentages above, increasing the overall cost of the apparatus.
Cancellation. In the event this proposal is accepted,and a purchase order is issued then cancelled or terminated
by Customer before completion, Siddons-Martin Emergency Group may charge a cancellation fee.The following
charge schedule based on costs incurred and may be applied:
(A) 10%of the Purchase Price after order is accepted and entered by Manufacturer;
(B)20%of the Purchase Price after completion of the approval drawings;
(C)30%of the Purchase Price upon any material requisition by Manufacturer.
The cancellation fee will increase accordingly as costs are incurred as the order progresses through engineering
and into manufacturing. Siddons-Martin Emergency Group endeavors to mitigate any such costs through the
sale of such product to another purchaser; however, the customer shall remain liable for the difference between
the purchase price and, if applicable, the sale price obtained by Siddons-Martin Emergency Group upon sale of
the product to another purchaser, plus any costs incurred by Siddons-Martin Emergency Group to conduct such
sale.
Page 1 of 2
Acceptance. In an effort to ensure the above stated terms and conditions are understood and adhered to,
Siddons-Martin Emergency Group, LLC requires an authorized individual from the purchasing organization to
sign and date this proposal and include it with any purchase order. Upon signing this proposal, the terms and
conditions stated herein will be considered binding and accepted by the Customer.The terms and acceptance of
this proposal will be governed by the laws of the State of Texas. No additional terms or conditions will be binding
upon Siddons-Martin Emergency Group,LLC unless agreed to in writing and signed by a duly authorized officer
of Siddons-Martin Emergency Group, LLC
Sincerely,
ravis Walden
Siddons-Martin Emergency Group, LLC
the authorized representative of Round Rock Fire Department,agree
to all of the terms of this proposal and the specifications attached hereto and this proposal will be binding
upon Round Rock Fire Department.
Signature& Date
Page 2 of 2
CERTIFICATE OF INTERESTED PARTIES FORM 1.295
101`1
Complete Nos.1-4 and 6 if there are interested parties. OFFICE USE ONLY
Complete Nos.1,2,3,5,and 6 it 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 lCertificate Number:
of business.
Siddons Martin Emergency Group,LLC 2019-571361
Houston,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 12/18/2019
being filed.
Round Rock Fire Department Date Acknowledged:
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.
Bid#EP804488-692
Pierce-Custom Velocity Pumper,PUC
4 Nature of interest
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling Intermediary
Siddons, Patrick Houston,TX United States X
Martin Jr., Leon Houston,TX United States X
5 Check only if there is NO Interested Party, F1
6 UNSWORN DECLARATION
My name is and my date of birth is
My address is
+4o Lt*ki
, V --2 7L_7�
(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 theay of 20
—]Ed # ;rIq
(month) (year)
4signK Vr ;Kuthoriz authorized contracting
atu - t authorized agent of contracting business entity
(Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1,3a6aat7d
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. 2019-571361
Siddons Martin Emergency Group, LLC
Houston,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 12/18/2019
being filed.
Round Rock Fire Department Date Acknowledged:
01/07/2020
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.
Bid#EP804488-692
Pierce-Custom Velocity Pumper, PUC
4 Nature of interest
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling Intermediary
Siddons, Patrick Houston,TX United States X
Martin Jr., Leon Houston,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