Contract - Caldwell Country Ford - 5/14/2020 CALDWELL COUNTRY FORD
DBA ROCKDALE COUNTRY FORD
.BUYBOARD 60149
End User: CITY OF ROUND ROCK Caldwell Rep: AARON WfLEY
Contact: SCOTT PARKER Phone: 254-613-2482
Phone/email- 512-.218-3298/sparker(@ a ov Date: Wednesday,February 5,2020
,roundrocktexas.g_
Product Description: FORD 3/4 TON email: aaron(5),caldwellcountr com
A. Bid Series: 125 A.Base Price: S 20,425,001
B. Published Options[Itemize each below[
Code Options Bid Price Code Options Bid Price
W2A 12010 CREW CAB 3/4 TON SRW 4X2 S 6,419.00 18B BLACK RUNNING BOARDS S 422.00
6.2L V8 GAS; 10-SPD AUTO INCL 525 CRUISE CONTROL S 223.00
VINYL 40/20/40 SEAT INCL
AC&HEAT;AM/FM RADIO/SYNC INCL
RUBBER FLOOR INCL
6.5'SHORT BED INCL
DAYTIME RUNNING LIGHTS INCL
REAR VIEW CAMERA INCL
SPARE TIRE INCL
-EPOWER WfNDOWS&LOCKS 1,068.00
IKEYLESS ENTRY INCL I I
Total of B.Published Options:1 S 8,132.00
C. Unpublished Options[Itemize each below,not to exceed 25%] S= 1.6 %
Options Bid Price Options Bid Price
2ADDITIONAL KEYED FOBS S 460.00 BLACK COLOR
ESTIMATED 90-120 DAYS TO CAP FLEET DELIVERY
Total of C.Unpublished Options: 460,00
9
D.
E. Registration,Inspection,Paperwork,Postage cost,Courthouse time,&Runner time: I�150.00
F. CAP FLEET UPFFITERS CAPQ55636: $ 31,540.00
G. Floor Plait Interest(for in-stock and/or equipped vehicles): Is -
H Lot Insurance(for in-stock and/or equipped vehicles):
I. Contract Price Adjustment:
J. Additional Delivery Charge: 0 miles Is
K. Subtotal: S 60,707.00
11. Quantity,Ordered I x K= S 60,707.00
M. Trade in:
N. BUYBOARD FEE PER PURCHASE ORDER: $ 400.0
O. TOTAL PURCHASE PRICE INCLUDING.BUYBOARD FEE: $
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CERTIFICATE OF INTERESTED PARTIES
FORM 1295
lofl
Complete Nos.l-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 errtity filing form,and the city,state and country of the business entity's place lCerfificate Number;
of business,
Caldwell Country Chevrolet 2020.611528
Caldwell,TX United States Date Filed;
2 Name of govemmentfd entity or state agency is a party to the contract f6r;7vfiich the form is 04/24/2020
being filed.
City of Round rock Date Acknowledged:
3 Provide the identification number used by the governmental entity or state agency to track or iderrtify the contract,and provide a
description of the services,goods,or other property to be provided under the contract.
000000
Vehicles
4 Name of INature of interestInterested party City,State,Country(place of business) (check applicable)
Controlling Intermediary
Hildebrand,Jon Caldwell,TX United States X
lWay,Stephen Caldwell,TX United States X 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 P V zcn?' 2-3 Co,(duje(1
(street) (SLY) (state) (zip code) (country)
I declare under penalty of perjury that the foregoing is true and correct
Executed in 7E XA V2 CJ YA r----
County, State of on the Zq day of y 4 Zp 20
(month) (year)
Signature of authori`t e of contracting business entity
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.3a6aaf7d
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.
Caldwell Country Chevrolet 2020-611528
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 04/24/2020
being filed.
City of Round rock Date Acknowledged:
05/01/2020
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.
000000
Vehicles
4 Nature of interest
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling Intermediary
Hildebrand, Jon Caldwell, TX United States X
Way , Stephen Caldwell,TX United States X 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