Contract - Caldwell Country Chevrolet - 9/9/2021QUM# OOM-CAP0102075 CONTRACT MCING WORRSHM
End User: CITY OF ROUND ROCK
Contractor: CALD ZLL COUNTRY
Contact dame: MhRSHALL REYNOLAS
CALDV= COUNTRY
Email: WXYHOLDS®ROUNGOV
Prepared By: Averyt Knapp
Phone #: 512-218-5571
Email:
akna Qcaldeellaoun .aom
Fax #:
Phone #: 800-299-7283 or 979-
567-6126
Location City a State: BAY CITY, TX
Fax #: 979-567-0853
Data Prepared: JULY 12, 2021
Address: P. O. Box 27,
Caldwell, TX 77836
Contract Number: BUY HOARD #601-19
Tax ID # 14-1856872
Product Description: 2021 CMCVROLBT TABOR
PPV CC20706
A Base Price i Options: $54,115
B Published Options
Coda
Description
Cost
Code
Description
Cost
(NO SPOTLIGHT) , PPV,
INC.
482, 5.3LV8, 10-SPD
AUTO WIC, LACKING
REAR AKLE
DIB'PRRXNTIAL, DUAL
HATTERIEB, CLOTH
ITS, VINYI. REAR
HBNCH, BWAL RUBBER
FLOOR, AIR CONDITION
FRONT Mw REAR,
AM/BM-STER80
aT SIMT'0OTH, TILT,
CRUISE, POWER MAT,
POWER WINDOWS, POWER
LOCKS, POWER
MIRRORB, KZ=88
ENTRY, DEEP TINT
GLA88, RUHNING
HOARDS, TRAILER IM
HITCH PACKAGE, REAR
VISION CAMERA,
FLASHER SYSTEM
HEADLAMP AND
TAILLAMP DRL
COMPATIBLE W/CONTROL
WIRE, SURVEILLANCE
MODE INTERIOR
LIGHTING,
CALIBRATION TAILLNW
FLASHER RED/RED,
CALIBRATION TAILIAMP
FLALSHER RED/WHITE,
POUR ALL IN ONE
RELATE KEYS PER
UNIT, 12.5" WID$
HIGH ANGLED 22H
CONSOLS, 8.3- HD
TWASCOPING POLE
SIDE MOUNT W/SHORT
HANDLE, ACTADP, HM,
SLIDE TS, SP,
UNIVERSAL ADAPTER
PLATE, GETAC 8300
DOCKING STATION NO
RF (GA14M JOHNSON) ,
SELF ADJUSTING
DOUBLE COP HOLDER,
SIDE ilOUNT AMMST,
1-PIBC6 SQUIPHENT
MOUNTING BRNMT,
Ml)TOROLA SSLB
CONTAINED RADIOS, 1-
PIECE $QUIPlom
MOUNTING BRACKET, 4"
MOUNTING SPACE, 2-
MC CLIP BRACKET, 2-
MM=TIC MIC KIT, 3-
1/2"' E'ILLER PLATE,
4" FILLER PLATS,
SWOL NINE WITH 12V
DC (PS OF CONSOLE
MOUNTED),
CHhRQZGUARD SELECT,
h' 14OMW 25' RG59/U
MINX UHF LOOSE,
RADAR DUAL-SL
COUNTIIMG UNIT DUAL
DISPLAY LAX HIGH
TEMP DUAL KA BAND
ANTENNA FA24M
CONTROL KA Tulrnm
INCLUDES VSS CABLE,
ANT/CU/DISPLAY CEO
MOUNT, STALKER DUAL
RADAR KA BAND DUAL
ANTBNWL T-FORKS
RZWlOTE DISPLAY
INTERFACE CABLE,
R2140TZ DISPLAY
navacomuzcT CABLE,
REAR ANTENNA MOUNT,
3 YR RADAR YEARLY ON
SITE RADAR
CERTIFICATION FOR 3
YEARS, MGM
EDGE
SOLO (DRIVER SIDE
RED, PASSENGER SIDE
ELM) , C399 CORE
SIREN, C399K, SA315P
SPEAKER, am II
CANPORT KIT, 10
LIGHT WITH TAKE
DOWNS FRONT INNER
EDGE SOLO 5 RED
DRIVER - 5 BLUE
PASSENGER, CENCOM
CORE MCS CONTROL
CENTER, SA315P
SPEAKER BLACK
PLASTIC, MMLEN
DRIVER/PASSENGER
SPEAKER HDUlNT,
NECAM 21 BUTTON
SLIDE CTRL HD, 9
LIGHT REAR TRAY,
SOLAR 4 RED DRIVER 4
BLUE PASSNEGER, (2)
TRACER TRIO 5-LAMP
HOUSING WIRED
W/OVERRIDE, 10
TRACER TRIO
LIGHTHEAD BLUE/WHITE
RED, TRACER MTG KIT
(2), DUAL AVENGER II
SOLO BLUE/ BLUE
(RQGL2-REAR QTR
GLASS -PS -LOW), DUAL
AVSNG= II SOLO
RED/RED (RQ=-REAR
QTR GLASS-DS-LOW),
ION LIGHT BLUE (PS
OF RECEIVER HITCH)
ION LIGHT RED (DS OF
HITCH RECEIVER), ION
LIGHT RED/SLUE (02-
GRILLS BEHIND), ION
LIGHT RED/BLUE (G2-
GRILLE BZHXND), 4-
SWIVEL MOUNT KIT FOR
ION BLK, WEATHER
TECH FLOOR HATS AND
LINER, CARGO VAULT
HAG 1 DRAWER 3p0
REMDVED MAGNUM
HEIGHT, 1 DRAWER,
EXTERIOR CARPET
BLACK, INTERIOR
CARPET GRAY, FRONT
DRAWER BLACK
CO gP0SITE, IAC-PUSH
BUTTON W/KEY
OVERRIDE, 2 MAGNUM
CARPETED LON
DIVIDERS, 2 HAGMW
CARPETED SHORT
DIVIDERS, POWER
DISTRIBUTION KIT,
WIRING HARNESS,
TOTAL. INSTALL, MAX
LEGAL TINT ALL
WINDOWS, CUSTCHER
SUPPLIED INSTALL
CRADLEPOINT HC400-
1200K-B, AXON,
APX6500
CALDWELL COUNTRY
PO BOX 27
CALDWELL, TEXAS 77836
INCL
Subtotal s
C Unpublished Options
Code
Description
Cast Code
Description
Cost
Subtotal C
D Other Price Adjustments (Installation, Delivery, Etc._)
subtotal D
iNCL
E Unit Cost Before Pee i Non-8 t Cha es(A+B+C+D)
$54,115
Quantity Ordered
x
1
Subtotal S
$s4,11s
F Non-$qui,pment es (Trade -In, Warranty, Eta)
BUY BOARD
$400
G. Color of Vehicle: BLACK
H. Total Purchase Price (E+F) 54,515
Estimated Delivery
Date:
Q1-Q2 2022
CERTIFICATE OF INTERESTED PARTIES FORM 1295
loll
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
Certificate Number:
1 Name of business entity filing form, and the city, state and country of the business entity's place
of business.
2021-795084
Caldwell Country Chevrolet
Caldwell, TX United States
Date Filed:
08/25/2021
2 Name of governmental entity or state agency that is a parry tot the contract for which the form is
being flied.
City of Round rock
Data 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.
000000
New Vehicles
4
Name of Interested Party
City, State, Country (place of business)
Nature of interest
(check applicable)
Controlling
Intermediary
HESTER, Zach
Caldwell, TX United States
X
SLATER, Ryan
Caldwell, TX United States
X
KNAPP, Averyt
Caldwell, TX United States
X
5 Check only if there is NO Interested Party. ❑
6 UNSWORN DECLARATION
}} j/�
My name isMV& N e �(('!� Y t and my date of birth
My address is �O itlO " 'i 1 A I I n —1i " -` �
(street) (city) (state) (zip code) (country)
I declare under penalty of perjury that the foregoing is true and correct.
Executed iny `r`r� L�V yl County, State of 1 ` on 1hel"'r day of 2011 .
(month) (year)
Sign t of 4thorized agent of contracting business entity
(Declarant)
Forms provided by Texas Ethics Commission www.ethlcs.state.lx.u6 Version V1.1.191b5cdc
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.
12021-795084
CERTIFICATION OF FILING
Certificate Number:
i Name of business entity filing form, and the city, state and country of the business entity's place
of business.
Caldwell Country Chevrolet
Caldwell, TX United States
Date Filed:
08/25/2021
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:
08/25/2021
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
New Vehicles
Nature of interest
4 Name of Interested Party
City, State, Country (place of business)
(check applicable)
Controlling
Intermediary
HESTER, Zach
Caldwell, TX United States
X
SLATER, Ryan
Caldwell, TX United States
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 V1.1.191Ubcac