R-2021-118 - 5/13/2021 RESOLUTION NO. R-2021-118
WHEREAS, the City of Round Rock ("City") desires to purchase Automated External
Defibrillators; and
WHEREAS, the City is a member of the NASPO Cooperative, a cooperative purchasing
program; and
WHEREAS, Stryker Sales LLC is an approved vendor of the NASPO Cooperative; and
WHEREAS, the City wishes to issue a purchase order to Stryker Sales LLC for the purchase
of Automated External Defibrillators,Now Therefore
BE IT RESOLVED BY THE COUNCIL OF THE CITY OF ROUND ROCK,TEXAS,
That the City Manager is hereby authorized and directed to issue a purchase order to Stryker
Sales LLC for the purchase of Automated External Defibrillators.
The City Council hereby finds and declares that written notice of the date, hour, place and
subject of the meeting at which this Resolution was adopted was posted and that such meeting was
open to the public as required by law at all times during which this Resolution and the subject matter
hereof were discussed, considered and formally acted upon, all as required by the Open Meetings Act,
Chapter 551, Texas Government Code, as amended.
RESOLVED this 13th day of May, 2021.
CRAIG ORGA ayor
City of Round R , Texas
ATTEST:
MEA AN SP KS, Depu City Clerk
0 112.20212;00471069
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. 2021-738530
Stryker Medical
Portage, MI United States Date Filed:
2 Name of governmental entity or state agency that is a party to the contract for which the form is 04/14/2021
being filed.
City of Round Rock Date Acknowledged:
04/19/2021
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
Cardiac monitors/defibrillators
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
(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.ceffd98a
CERTIFICATE OF INTERESTED PARTIES FORM 1295
loft
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. 2021-738530
Stryker Medical
Portage,MI United States Date Filed:
2 Name of governmental entity or state agency that is a party tot the contract for which the form is 04/14/2021
being filed.
City of Round Rock Date Acknowledged:
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
Cardiac monitors/defibrillators
Nature of interest
4
Name of Interested Parry 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 4f lz- i r by 7873 :S+
(street) (city) (state) (zip code) (country)
1 declare under penalty of perjury that the foregoing is true and correct.
Executed in -l;wts County, State of /K on the /41 day of /�_,200?�
(month) (year)
Sig e o uthorized agent of contracting business entity
(Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.ceffd98a