Contract - SiteOne Landscape Supply - 9/9/2021CITY OF ROUND ROCK
AGREEMENT FOR THE PURCHASE OF
GROUNDS MAINTENANCE EQUIPMENT,
IRRIGATION PARTS, SUPPLIES AND INSTALLATION
WITH
SITE ONE LANDSCAPE SUPPLY
THE STATE OF TEXAS §
CITY OF ROUND ROCK §
COUNTY OF WILLIAMSON §
COUNTY OF TRAMS §
KNOW ALL BY THESE PRESENTS:
THAT THIS Agreement for the purchase of grounds maintenance equipment, irrigation
parts, supplies and installation (referred to herein as the "Agreement"), is made and entered into
on this the Lq dayof the month of 2021 b and between the CITY OF
y
ROUND RO K, TEXAS, a home -rule municipality whose offices are located at 221 East Main
Street, Round Rock, Texas 78664 (referred to herein as the "City") and SITE ONE
LANDSCAPE SUPPLY whose offices are located at 1385 East 36t" Street, Cleveland, Ohio
441.14 (referred to herein as the "Vendor").
RECITALS:
WHEREAS, City desires to purchase grounds maintenance equipment, irrigation parts,
supplies and installation; and
WHEREAS, City is a member of BuyBoard Cooperative and Vendor is an approved
BuyBoard vendor; and
WHEREAS, the City desires to purchase certain goods and services from Vendor through
BuyBoard Cooperative Contract No. 611-20 to receive pricing and services as set forth herein;
and
WHEREAS, the parties desire to enter into this Agreement to set forth in writing their
respective rights, duties, and obligations;
NOW, THEREFORE, WITNESSETH:
That for and in consideration of the mutual promises contained herein and other good and
valuable consideration, sufficiency and receipt of which are hereby acknowledged, it is mutually
agreed between the parties as follows:
00475511/ss2
�K,e 2-A 2*-. 1,* 2.
loOl DEFINITIONS
A. Agreement means the binding legal contract between City and Vendor whereby
City agrees to buy specified goods and/or services and Vendor is obligated to provide said
goods/services. The Agreement includes any exhibits, addenda, and/or amendments thereto.
B. City means the City of Round Rock, williamson and Travis Counties, Texas.
Co Effective Date means the date upon which the bindIV
ing signatures of both parties
to this Agreement are affixed.
D. Force Maj'oeure means acts of God, strikes, lockouts, or other industrial
disturbances, acts of the public enemy, orders of any kind from the government of the United
States or the State of Texas or any civil or military authority, insuectons,rririots, epl*demics,
landslides, lightning, earthquakes, fires, hurricanes, storms, floods, restraint of the government
and the people, civil disturbances, explosions, or other causes not reasonably within the control
of the party claiming such inability.
E. Goods and services mean the specified services, supplies, materials,
commodities, or equipment.
2oOl EFFECTIVE DATE AND TERM
A. This Agreement shall be effective on the date it has been signed by both parties
hereto, and shall remain in full force and effect, unless and until it expires by operation of the
term stated herein, or until terminated as provided herein.
B. The term of this Agreement shall be from the effective date of the Agreement
until May 31, 2022. City reserves the right to review the relationship at any time, and may elect
to terminate this Agreement, with or without cause, or may elect to continue.
3*01 CONTRACT DOCUMENTS AND EXHIBITS
City selected Vendor to supply the goods and services as outlined in Exhibit " A,"
attached hereto and incorporated herein by reference.
The goods and services which are the subject of this Agreement are described I*n Exhibit
"A" and, together with this Agreement, comprise the total Agreement and they are fully a part of
this Agreement as i*f repeated hereini"n full.
4001 ITEMS AWARDED AND SCOPE OF WORK
When taken together with the appended exhibit, this Agreement shall evidence the entire
understanding and agreement between the parties and shall supersede any prior proposals,
correspondence o discussions. Vendor shall satisfactorily provide all goods and services
2
described under the attached Exhl*bl*t "A" at the sole request of the City. Vendor provide goods
and services in accordance with this Agreement, in accordance with the appended exhl*bits, i*n
accordance with due care, and i*n accordance with prevailing industry standards for comparable
services.
5*01 COSTS
A. City agrees to pay for goods during the term of this Agreement at the Pricing set
forth n Exhl"bit "A."
B. The City is authorized to pay the Vendor an amount not -to -exceed Sixty
Thousand and No/100 Dollars ($60,000.00) for the term of this Agreement.
6eOl INVOICES
All invoices shall include, at a minimum, the following information:
A. Name and address of Vendor;
B. Purchase Order Number;
C. Description and quantity of items received or services provided; and
A. Delivery or performance dates.
7*01 NON -APPROPRIATION AND FISCAL FUNDING
This Agreement i'*s a commitment of City's current revenues only. It is understood and
agreed that City shall have the right to terminate this Agreement at the end of any City fiscal year
if the governing body of City does not appropriate funds sufficient to purchase the services as
determined by C10tv's budget for the fiscal year in question. Clity may affect such termination by
giving Vendor a written notice of termination at the end of its then current fiscal year.
8*01 PROMPT PAYMENT POLICY
In accordance with Chapter 225 1, V.T.C.A., Texas Government Code, payment to
Vendor will be made within thirty (3�0) days ofil the day on which City receives the performance,
supplies, materials, equipment, and/or deliverables, or within thirty (30) days of the day on
Which the performance of services was complete, or within thirty (30) days of the day on which
City receives a correct invoice for the performance and/or deliverables or services, whichever is
later. Vendor may charge interest on an overdue payment at the "rate in effect" on September 1
of the fiscal year i*n which the payment becomes overdue, in accordance with V.T.C.A., Texas
Government Code, Section 22,151.025(b); however, this Policy does not apply to payments made
by City 1"n the event,*
3
A. There is a bona fide dispute between City and Vendor, a contractor, a
subcontractor or supplier about the goods delivered or the service performed that
cause the payment to be late; or
B. The terms of a federal contract, grant, regulation, or statute prevent City from
making a timely payment with federal funds; or
C. There is a bona fide dispute between Vendor and a subcontractor or between a
subcontractor and its supplier about the goods delivered or the service performed
that causes the payment to be late; or
B. Invoices are not mailed to City in strict accordance with instructions, if any, on
the purchase order or the Agreement or other such contractual agreement.
9.01 GRATUITIES AND BRIBES
City may, by written notice to Service Provider, cancel this Agreement without liability
to Vendor if it is determined by City that gratuities or bribes in the form of entertainment, gifts,
or otherwise were offered or given by Vendor or its agents or representatives to any City officer,
employee or elected representative with respect to the performance of this Agreement. In
addition, Vendor may be subject to penalties stated in Title 8 of the Texas Penal Code.
10.01 TAXES
City is exempt from Federal Excise and State Sales Tax; therefore, tax shall not be
included in Service Provider's charges.
11.01 ORDERS PLACED WITH ALTERNATE SERVICE PROVIDERS
If Vendor cannot provide the goods as specified, City reserves the right and option to
obtain the products or services from another supplier or suppliers.
12.01 INSURANCE
Vendor shall meet all requirements required by the City as set forth on the City's website
at: httns://www.roundrocktexas.,aov/wp-content/uploads/2014/12/corr insurance 07.20112.pdf
13.01 CITY'S REPRESENTATIVE
City hereby designates the following representatives authorized to act in its behalf with
regard to this Agreement:
4
Randy Gordon
Parks and Recreation Manager
301 West Bagdad Avenue
Suite 250
Round Rock, Texas 78664
(512) 341-3340
rizordongroundrocktexas. ov
14.01 RIGHT TO ASSURANCE
Whenever either party to this Agreement, in good faith, has reason to question the other
party's intent to perform hereunder, then demand may be made to the other party for written
assurance of the intent to perform. In the event that no written assurance is given within the
reasonable time specified when demand is made, then and in that event the demanding party may
treat such failure as an anticipatory repudiation of this Agreement.
15.01 DEFAULT
If Vendor abandons or defaults under this Agreement and is a cause of City purchasing
the specified goods elsewhere, Vendor agrees that it may be charged the difference in cost, if
any, and that it will not be considered in the re -advertisement of the service and that it may not
be considered in future bids for the same type of work unless the scope of work is significantly
changed.
Vendor shall be declared in default of this Agreement if it does any of the following:
A. Fails to make any payment in full when due;
B. Fails to fully, timely and faithfully perform any of its material obligations under
this Agreement;
C. Fails to provide adequate assurance of performance under the "Right to
Assurance" section herein; or
D. Becomes insolvent or seeks relief under the bankruptcy laws of the United States.
16.01 TERMINATION AND SUSPENSION
A. City has the right to terminate this Agreement, in whole or in part, for
convenience and without cause, at any time upon thirty (30) days' written notice to Vendor.
B. In the event of any default by Vendor, City has the right to terminate this
Agreement for cause, upon ten (10) days' written notice to Vendor.
5
's
C. Vendor has the right to terminate this Agreement only for cause, that being I*n the
event of a material and. substantial breach by City or by mutual agreement to terminate evidenced
in writing by and between the parties.
D. In the event City terminates under subsections (A) or (B) of this section, the
following shall apply: Upon Cl*ty's delivery of the referenced notice to Vendor, Vendor shall
40
discontinue all services in connection with the performance of this Agreement and shall proceed
to cancel promptly all existing orders and contracts insofar as such orders and contracts are
chargeable to this Agreement. Within thirty (30) days after such notice of termination, Vendor
shall submit a statement showing in detail the goods and/or services satisfactorily performed
under this Agreement to the date of termination. City shall then pay Vendor that portion of the
charges, if undisputed. The parties agree that Vendor is not entitled to compensation for services
it would have performed under the remaining term of the Agreement except as provided herein.
17.01 INDEMNIFICATION
Vendor shall defend (at the option of City),, indemnify, and hold City, its successors,
assigns, officers, employees and elected officials harmless from and against all suits, actions,
legal proceedings, claims, demands, damages, costs, expenses, attorneys fees, and any and all
other costs or fees arising out of, or incident to, concerning or resulting from the fault of Service
Provider, or Service Provider's agents, employees or subcontractors, i*n the performance of
Vendor's obligations under this Agreement, no matter how, or to whom, such loss may occur.
Nothing herein shall be deemed to limit the rights of City or Vendor (including, but not limited
to the right to seek contribution) against any third party who may be liable for an indemnified
claim.
18.01 COMPLIANCE WITH LAWS, CHARTER AND ORDINANCES
A. Vendor, its agents, employees and subcontractors shall use best efforts to comply
with all applicable federal and state laws, the Charter and Ordinances of the City of Round Rock,
as amended, and with all applicable rules and regulations promulgated by local, state and
national boards, bureaus and agencies.
B. In accordance with Chapter 2271, Texas Government Code, a governmental entity
may not enter into a contract with a company for goods and services unless the contract contains
written verification from the company that it: (1) does not boycott Israel; and (2) will not boycott
Israel during the term of the contract. The signatory executing this Agreement on behalf of
Vendor verifies Vendor does not boycott Israel and will not boycott Israel at any time during the
term of this Agreement.
19.01 ASSIGNMENT AND DELEGATION
The parties each hereby bind themselves, their successors, assigns and legal
representatives to each other with respect to the terms of this Agreement. Neither party shall
assign, sublet or transfer any interest 1*n this Agreement without prior written authorization of the
6
other party.,
20.01 NOTICES
All notices and other communicat40 ions in connection with this Agreement shall be in
writing and shall be considered given as follows:
1. When delivered personally to the recipient's address as stated I*n this Agreement;
or
2. Three (3) days after being deposited in the United States mail, with postage
prepaid to the recipient's address as stated in this Agreement.
Notice to Vendor:
SiteOne Landscape Supply
1385 East 36th Street
Cleveland, OH 44114
Notice to City:
City Manager Stephen L. Sheets, City Attorney
221 East Main Street AND TO: 309 East Main Street
Round Rock, TX 78664 Round Rock, TX 78664
Nothing contained herein shall be construed to restrict the transmission of routine
10
communications between representatives of City and Vendor.
21.01 APPLICABLE LAW; ENFORCEMENT AND VENUE
This Agreement shall be enforceable in Round Rock, Texas, and if legal action is
necessary by either party with respect to the enforcement of any or all of the terms or conditions
herein, exclusive venue for same shall lie in Williamson County, Texas. This Agreement shall be
governed by and construed in accordance with the laws and court decisions of the State of Texas.,
22.01 EXCLUSIVE AGREEMENT
This document, and all appended documents, constitutes the entire Agreement between
Vendor and City. This Agreement may only be amended or supplemented by mutual agreement
of the parties hereto in writing, duly authorized by action of the City Manager or City Council.
23.01 DISPUTE RESOLUTION
City and Vendor hereby expressly agree that no claims or disputes between the parties
arising out of or relating to this Agreement or a breach thereof shall be decided by any arbitration
7
40
proceeding, including without limitation, any proceeding under the Federal Arbitration Act (9
USC Section 1=14) or any applicable state arbitration statute.
24.01 SEVERABILITY
The invalidity, illegality, or unenforceabill*ty of any provision of this Agreement or the
occurrence of any event rendering any portion or provision of this Agreement void shall in no
way affect the validity or enforceability of any other portion or provision of this Agreement., Any
void provision shall be deemed severed from this Agreement, and the balance of this Agreement
shall be construed and enforced as if this Agreement did not contain the particular portion or
provision held to be void. The parties further agree to amend this Agreement to replace any
stricken provision with a valid provision that comes as close as possible to the intent of the
stricken provision. The provisions of this section shall not prevent this entire Agreement from
being void should a provision whi*chi"s of the essence of this- Agreement be determined void.
25.01 MISCELLANEOUS PROVISIONS
Standard of Care. Vendor represents that it employs trained, experienced and
competent persons to perform all of the services, responsibilities and duties specified herein and
that such services, responsibilities and duties shall be performed in a manner according to
generally accepted industry practices.
Tiimes of the Essence. Vendor understands and agrees that time is of the essence and
that any failure of Vendor to fulfill obligations for each portion of this Agreement within the
agreed tieframes will constitute a material breach of this Agreement. Vendor shall be fully
responsible for its delays or for failures to use best efforts in accordance with the terms of this
Agreement. Where damage i*s caused to City due to Service Provider's failure to perform in
these circumstances, City may pursue any remedy available without waiver of any of Ci'ty's
additional legal rights or remedies.
Force Maj*eure. Neither City nor Vendor shall be deemed I*n violation of this Agreement
if it iisprevented from performng any of its obligations hereunder by reasons for which it i4s not
responsible as defined herein. However, notice of such impediment or delay iOn performance
must be timely given, and all reasonable efforts undertaken to mitigate its effects.
Multiple Counterparts. This Agreement may be executed i*n multiple counterparts, any
40
one of which shall be considered an original of this document; and all of which, when taken
together, shall constitute one and the same instrument.
on the followi[Signatures ng page.]
8
IN WITNESS WHEREOF, City and Vendor have executed this Agreement on the dates
indicated.
City of Roury4 Rock, Texas
By: -1
Printed Name:
Title: &I/
Date Signed: _
Attest:
By: 'Fil
Sara White, City Clerk
For City, pp oved as to F rm :
By:
Stephan L Sheets, City Attorney
I
SiteOne Landscape Supply
By: '0 10% 0—�-00
Pri Name. oo,-
Title:
Date Signed: —/e, 2
Exhibit "A"
City of Round Rock, Texas
Price Sheet
Siteone Landscape Supply
BuyBoard Contract 611-20
The City of Round Rock would like to enter into a contract with SiteOne Lanscape Supply per the terms of Buy Board Contract 611-20 The City
intends to purchase from this contract grounds maintenance equipment, irrigation parts, supplies and installations in an estimated annual
amount not -to -exceed $60,000.
Contract Term: Effective from date of execution and will expire on 513112022, per the terms of BuyBoard Contract No. 611-20.
Special Instructions: Complete pricing below and submit copy of price list or catalog.
BuyBoard 611-20
Line
Manufacturer
Discount %
item Number
1
Abor'et
2
Ames
3
Aqua maste r
4
Baseline
S
Calsense
6
T. Christy's
7
Corona
8
Cresline SDR21
9
Cresline SCH40
10
Cresline SCH80
11
DIG
12
Febco
13
Highline
14
Hunter
15
Hunter
16
Hunter
17
Hydro Point
18
Irritrol
19
Irritrol
20
Irritrol
21
Irritrol
22
Kasko Marine
23
King Innovation
24
MATCO
25
NDS
26
Netafim
27
Rain Bird
28
Rain Bird
29
Rain Bird
30
Rain Bird
31
Rain Master
32
Siteone Catalog (www.siteone.com)
33
Siteone Fert and Chemicals Price List
34
Siteone Equipment Catalog
35
Siteone Hydroseeding, Mulch, Equipment & supplies
Price List (includes Epic Manufacturing)
36
Siteone Specialty Soils and Field Accessories Price List
37
Siteone Green Tech Price List
38
Siteone Nursery (www.siteone.com)
39
Spears SCH 40
40
Spears SCH 80
41
Spears, All Other Items
42
TORO
43
TORO
44
TORO
45
TORO
46
Tournesol Siteworks
47 iTucorinc.
Exhibit "A"
48 Weathermatic
49 Wilkins
SO Protrade - New Wire Connectors
Information Only: The City of Round Rock reserves the right to order other products from the attached MSRP Sheet per the discounts quoted in
BuyBoard Contract #611.20
COMPANY NAME:
IGNATURE OF AUTHORIZED REPRESENTATIVE:
PRINTED NAME:
PHONE NUMBER:
EMAIL ADDRESS:
Site0ne Lands e Supply
Keith McGinty
Exhibit "A"
Manufacturer
Aborlet
Ames
Aqua master
Baseline
Calsense
T. Ch►isty's
Corona
Cresline SDR21
Cresline SCH40
Cresline SCH80
Dig
Febco
Highline
Hunter
Hunter
Hunter
Hydro Point
Irritrol
Irritrol
Irritrol
Irritrol
Kasko Marine
King Innovation
M ATCO
N DS
Netafirn
Rain Bird
Rain Bird
Rain Bird
Rain Bird
Rain Master
SiteOne Catalog (www.SiteOne.co
SiteOne Fert and Chemicals Price Li
Siteone Equipment Catalog
xs u t3oara
Proposal 611-2000
Buy Board Discount %
0
10
5
40
10
40
40
70
65
65
30
45
45
50
57
40
25
53
45
40
25
5
45
50
53
45
52
45
40
25
25
m} 10
F-:Item Number
24
12
36
29,32,33
29,32,33
39
12
39
39
39
29,30,32,35
39
29,32133
32
29,30,31,34,35,39
33
29,32,33
29,30,31,34,35
32
33
39
36
39
39
39
35
29,30,31,34,35
32
33
39
29,32,33
12,13119,20,27,28,36137
24,28,38
10,12,13,19, 2 0
Siteone Hydroseeding, Mulch, Equipment &
supplies Price List(includes Epic Manufacturing
0
17
SiteOne Specialty Soils and Field Accessories
Price List
10
26
Siteone Green TECH Price List
0
41
Siteone Nursery (www.SiteOne.com)
0
25
Spears SCH 40
60
39
Exhibit "A"
Spears SCH 80
40
39
Spears, all other items
40
39
Taro
53
2903003lip340*35-
Toro
45
32
Toro
Toro
40
25
33
39
Tournesof Siteworks
0
29
Tucor Inc.
30
29j32s33
Weathecmatic
40
29p300*31132133134
Wilkins
75
20
39
39
PraTrade New wire connectors,,
� 1 �
AC(:S CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DDNYYY)
07/16/2021
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE-- HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsements .
PRODUCER
MARSH USA, INC.
TWO ALLIANCE CENTER
CONTACT
�E'
PHONE FAX
(AIC, No. Ext): (A/C. No):
P.=MAIL
DDRE S•
3560 LENOX ROAD, SUITE 2400
ATLANTA, GA 30326
Attn: Michelle. W. Robles@marsh.com
C N 1 17936603--GAW-20-21 Bid
INSURER S AFFORDING COVERAGE
NAIC #
INSURERa : Libert Mutual Fire Insurance Com an
23035
INSURED
SiteOne Landscape Supply, Inc.
INSURER B : Liberty Insurance Corp2ration
42404
& its subsidiaries
INSURER C
INSURER D
300 Colonial Center Parkway, Suite 600
Roswell, GA 30076
INSURER E
INSURER F
f_AVFRe(:FC CFRTIFICATF NUMBER' ATL-005284821-01 REVISION NUMBER: 1
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TR
TYPE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
MOLICY EFF DD/YYW
MO DDY �P
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE � OCCUR
SIR: $100,000MED
EB2-651-292547-020
12/23/2020
12/23/2021
EACH OCCURRENCE
$ 2;000;000
DAMAGE TO
PREMISES(EaRENTED
occurrence)_
000�000
$ 111
X
EXP (Any one person)
$0,000
PERSONAL 8 ADV INJURY
$ 21000,000
GEN'L
AGGREGATE LIMIT APPLIES PER:
POLICY x E a Ex:1 LOC
OTHER:
GENERAL AGGREGATE
$ 41000s000
PRODUCTS - COMP/OP AGG
$ 4;000;000
$
A
AUTOMOBILE LIABILITY
X ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
AS2-651-292547-030
12/23/2020
12/23/2021
COMBINED SINGLE LIMIT
(Ea accident
$ 3j000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
UMBRELLA LIAB
EXCESS LIAR
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
DED RETENTION
$
B
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY y / N
ANYPROPRIETOR/PARTNER/EXECUTIVE a
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N / A
WA7-65D-292547-010 (AOS)
WC7-651-292547-050 (WI)
12/23/2020
12/23/2021
12/23/2021
X 1 PER OTH-
STATUTEI I ER
E.L. EACH ACCIDENT
11000,000
$
E.L. DISEASE - EA EMPLOYEE
$ 11000,000
E.L. DISEASE -POLICY LIMIT
$ 1;000;000
DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Re: Contract Award Grounds Maint.Equip/Irrig. Parts Customer #1225035 Branch 682 Mason, TX
The City and its officers, employees, and elected officials is/are included as Additional Insured as required by written contract subject to the policy terms and conditions with respect to General Liability and Auto
Liability.
CERTIFICATE HOLDER CANCELLATION
City of Round Rock
221 East Main Street
Round Rock, TX 78664
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
of Marsh USA Inc.
Stanton Reid
O 1988=2016 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
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CERTIFICATE OF INTERESTED PARTIES FORM 1295
10fl
Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY
Complete Nos. 1, 21 31 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. 2021-779714
SiteOne Landscape Supply
Cleveland, OH United States Date Filed:
2
Name of governmental entity or state agency that is a party to -the contract for which the form is 07/16/2021
being filed.
City of Round Rock Date Acknowledged:
07/28/2021
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.
BuyBoard 611-w20
Ground maintenance equipment, irrigation parts, supplies and installation
4
Name of Interested Party
City, State, Country (place of business)
Nature of interest
(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 It
(street) (city) (state) (zip code) (country)
declare under penalty of perjury that the foregoing is true and correct.
Executed in County, State of , on the day of , 20�6
(month) (year)
Signature of authorized agent of contracting business entity
(Declarant)
Forms provided by Texas Ethics Commission www,ethics.state,tx,us Version via.cenaqtia