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Contract - Rescue Intellitech, Inc. - 10/8/2020Prepared for: Round Rock Fire Department Attention to Joel Mace 1991 Rawhide Drive Round Rock, TX 78681 Solo Rescue' QUOTATION Date: 91412020 Dear Joel Mace, Thank you for the opportunity of working with you on this project. Solo Rescue® is a proven solution for decontaminating complete sets of SCBA, without dismantling the equipment. The unique construction with a rotating wash basket and specially designed wash nozzles, ensures decontamination of dangerous carcinogens. Washing is done in a controlled environment, ensuring the safety of both the user and the equipment. A safe and ergonomic product that guarantees the same result in every wash cycle. Solo Rescue® is a vital part of a "Clean Cab Concept" for any Fire Department. Project name: Ligonier Fire Department DESCRIPTION UNIT PRICE QUANTITY AMOUNT Machine Type: Solo Rescue® - SCBA DECON WASHER® $ 199800.00 4 $ 799200.00 including: - Heavy Duty Basket with holder for 2 single or double SCBA - Holder for 2 large air cylinders (Jumbo Flasks) - Gear Holder for gloves and boots Voltage: 3-ph 208 - 240 V 160Hz 40A Accessories: Additional Gear Holder 0 Shipping: Shipment of 4 Solo Rescue Machine $ 154.50 4 $ 618.00 Dosing Pump Metered Detergent Dosing Pump $ 243.75 4 $ 975.00 Installation Installation of 4 Solo Rescue Machine $ 277.50 4 $ 17110.00 Sales Tax 8.25% If applicable 0 TOTAL NET $ 81 y903.00 RESCUE I IN i L0- L I_ ' _1 L C �-i RESCUE INTELLITECH Inc. 19308 Morton Road, Suite 105 Katy, TX 77449 Phone; 832.321.3260, sales@rescue-tech.com K., 2-M,..- 02,05 Payment Conditions: 30 days net Terms of Delivery: FOB Katy, TX Delivery Time: Standard machine 10 working days production after formal order confirmation + transportation time Validity: Offer valid until 09.30.2020 Warranty: Warranty 12 Months on Parts and Labor from installation date. Other: Unless included on the first page, cost for installation and dosing equipment is not included in the purchase price. These services will be offered separately by an Authorized Service Partner or Detergent Distributor. Best regards, Bjorn Rowland, VP of Sales & Marketing 346-204-3634 biorn.rowland@rescue-tech.com Solo Rescue@ was developed in 2012 together with Rescue Services in Scandinavia, as a vital part of the Healthy Firefighers@ project. Since the introduction, hundreds of Fire Services throughout Europe are using the solution every day. For more information about our solution and our products, please visit; You � . www.solorescue.com Im RESCUE RESCUE INTELLITECH Inc. 19308 Morton Road, Suite 105 Katy, TX 77449 Phone: 832.321.3260, sales@rescue-tech.com -------------------------------- ------------------------------------------------------- --- --------- ERT'tF -ICATE F STED PARTI----- ------- ------- .... ... ES FoRw 95 . --:- -----'--' *** . �C1 ....- .'- . -- ------------------ --- ---- -I ........ .- - ---- ---- --------- p MM­ -- -- --------- --- ----- -- - --------------------------- -- ---------------. --- -. ----- ,--- '--- ---- ....... . - --------- --:--:---- -- ---------------- ------- - -- .. dom e nas, - 4 rind 6 iE theta sus inretted Putties, OF�#CE USE ONLY �amp[ehe Nos. , ZA n+i.- Ta ingested parii�s. CERi'I�1GA'i'ItiN t7�F F��.i� ... I�IC� i Name dbustness e»lity fi�ng farm, atHd the city, e and cau�by t� the bush s entity's ptaae �ti�cat� Numbed; of lsusiness. ' 2020-6fi?0l53 RescuIntellto.h, lnc Kaly.'t')E united States 2 hlame of gtnnerrtme ar stare sgeticy rs a parks WhM=%fft1 is 0_4J2020 46UT*fed. CivYotRond Rock Date Atk.wwledgedt 3 Provide the identification ►camber rYsed by the g emmentai anlitY �sr mate aa�ency 2a trasic or identify+ tt�e contract. and' provide desonptionot the serrrices, goods, or otker property to bo.nd.r.ha p�avied uec . 00OOU C? CERTIFICATE OF INTERESTED PARTIES FORM 1295 10fl Complete Nos,. 1- 4 and 6 if there are interested parties. Complete Nos, 1, 21 31 5, and 6 if there are no interested parties. OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2020-667053 Rescue Intellitech, Inc. Katy, TX United States Date Filed: 09/14/2020 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. City of Round Rock Date Acknowledged: 10/05/2020 g 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 Solo Rescue SCBA Decon Washing with accessories and installation included 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. X 6 UNSWORN DECLARATION My name is ,and my date of birth is My address is �1 - - --- -- (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, eth i cs . state . tx . u s version vi.1.3auaaatta