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R-01-03-08-10A1 - 3/8/2001DATE: MAKER'S ADDRESS: PLACE OF PAYMENT: TERMS OF PAYMENT: /P- 0/- 03- 0 - /04/ ODMA \WORLDOX \0. \WDOX \CORK \GM\GENERAL \00022944.WPD /OC NOTE (Secured by Security Agreement) JUL l , 2002 (Date of loan to be contingent upon and proof of Round Rock Volunteer Fire Department signing a contract for purchase) MAKER: Round Rock Volunteer Fire Department 203 Commerce Round Rock, Texas 78664 (Williamson County) PAYEE: City of Round Rock, Texas 221 East Main Street Round Rock, Texas 78664 (Williamson County) PRINCIPAL AMOUNT: Seventy Thousand and No /100 ($70,000.00) Dollars ANNUAL INTEREST RATE ON UNPAID PRINCIPAL FROM DATE: 0.00 percent per annum ANNUAL INTEREST RATE ON MATURED, UNPAID AMOUNTS: 0.00 percent per annum The principal is payable in six (6) semi - annual installments in accordance with Exhibit "A" which is attached hereto and incorporated herein for all purposes. The semi - annual installments are due on the 1st day of November of each year and on the 1st day of May each year, beginning on November 1, 2002 and continuing regularly until the principal has been paid. The first five semi - annual installments are Eleven Thousand Seven Hundred and No /100 ($11,700.00) each, and the sixth installment is Eleven Thousand Five Hundred and No /100 ($11,500.00). Maker may prepay all or any part of the principal of this note before maturity without penalty. Prepayments shall be applied to installments on the last maturing principal. SECURITY FOR PAYMENT: OTHER SECURITY FOR PAYMENT: A security interest created and granted in the following security agreement: Date: J U L y 1 , 2002 (Date of loan to be contingent upon and proof of Round Rock Volunteer Fire Department signing a contract for purchase) Debtor: Round Rock Volunteer Fire Department Secured Party: City of Round Rock, Texas Collateral Located: Williamson County, Texas Collateral: Lool (NI a RN *tixt. a tboot. ¢90 Cµ4.5iss (Make and Model of Truck) I li"TSDAD 14 Ga. H51SZ7C, (VIN of Truck) CGt+�rt *� ''"I't■ Me I4PPAILA - 1 v5 None Maker promises to pay to the order of Payee at the place for payment and according to the terms of payment the principal amount plus interest, if any is called for, at the rates stated above. All unpaid amounts shall be due by the final scheduled payment date. If Maker defaults in the payment of this note or in the performance of any obligation in any instrument securing or collateral to it, and the default continues after Payee gives Maker notice of the default and the time within which it must be cured, as may be required by law or by written agreement, then Payee may declare the unpaid principal balance and eamed interest on this note immediately due. Maker and each surety, endorser, and guarantor waive all demands for payment, presentations for payment, notices of intention to accelerate maturity, notices of acceleration of maturity, protests, and notices of protest, to the extent permitted by law. If this note or any instrument securing or collateral to it is given to an attorney for collection or enforcement, or if suit is brought for collection or enforcement, or if it is collected or enforced through probate, bankruptcy, or other judicial proceeding, then Maker shall pay Payee all costs of collection and enforcement, including reasonable attorney's fees and court costs, in addition to other amounts due. Reasonable attorney's fees shall be ten percent (10 %) of all amounts due unless either party pleads otherwise. Interest on the debt evidenced by this note shall not exceed the maximum amount of nonusurious interest that may be contracted for, taken, reserved, charged, or received under law; any interest in excess of that maximum amount shall be credited on the principal of the debt or, if that has been paid, refunded. On any acceleration or required or permitted prepayment, any such excess shall be canceled automatically as of the acceleration or prepayment or, if already paid, credited on the principal of the debt or, if the principal of the debt has been paid, refunded. This provision overrides other provisions in this and all other instruments concerning the debt. 2 Each Maker is responsible for all obligations represented by this note. When the context requires, singular nouns and pronouns include the plural. If any installment becomes overdue for more than ten (10) days, at Payee's option there may be a charge made of five cents ($0.05) for each dollar overdue in order to defray the expense of handling the delinquent payment. Maker promises to pay to the order of Payee at the place for payment and according to the terms of payment the principal amount plus interest due, if any, at the rates stated above. All unpaid amounts shall be due by the final scheduled payment date. Prepared in the offices of: Sheets & Crossfield, P.C. 309 East Main Street Round Rock, Texas 78664 (512) 255 -8877 phone (512) 255 -8986 fax ROUND ROCK VOLUNTEER FIRE DEPARTMENT By Chief E. Kirvan 3 EXHIBIT "A" Payment Schedule Payment Due Date Payment Amount Balance Remaining After Payment $70,000.00 November 1, 2002 $11,700.00 $58,300.00 May 1, 2003 $11,700.00 $46,600.00 November 1, 2003 $11,700.00 $34,900.00 May 1, 2004 $11,700.00 $23,200.00 November 1, 2004 $11,700.00 $11,500.00 May 1, 2005 $11,500.00 $0.00 1 DATE: SECURITY AGREEMENT av LY 1 ,2002 (Date of loan to be contingent upon and proof of Round Rock Volunteer Fire Department signing a contract for purchase) DEBTOR: Round Rock Volunteer Fire Department DEBTOR'S ADDRESS: 203 Commerce Round Rock, Texas 78664 (Williamson County) SECURED PARTY: City of Round Rock, Texas SECURED PARTY'S ADDRESS: OBLIGATION: Note 221 East Main Street Round Rock, Texas 78664 (Williamson County) CLASSIFICATION OF COLLATERAL: Equipment COLLATERAL (including all accessions): 2001 (NZERNt- 1(cNILL Mo9136 4°)o (.nivY, (Make and Model of Truck) 1 75pPpNf02 14 515 276 (VIN of Truck) CA N1R04- t P. l=i p vPan.N Date: - 3 - Ut_Y t , 2002 (Date of loan to be contingent upon and proof of Round Rock Volunteer Fire Department signing a contract for purchase) Amount: Seventy Thousand and No /100 ($70,000.00) Dollars Maker: Round Rock Volunteer Fire Department Payee: City of Round Rock, Texas Maturity: May 1, 2005 Terms: Six semi - annual payments (every six months) for three years, with the first payment being due and payable on or before November 1, 2002. Semi - annual installment amounts are as follows: $11,700.00 semi - annually (installments 1 -5) $11,500.00 final installment 1 OTHER OBLIGATION: None DEBTOR'S REPRESENTATION CONCERNING LOCATION OF COLLATERAL: DEBTOR'S WARRANTIES: 203 Commerce Round Rock, Texas 78664 (Williamson County) DEBTOR'S GRANT OF SECURITY INTEREST: Subject to the terms of this agreement, Debtor grants to Secured Party a security interest in the collateral and all its proceeds to secure payment and performance of Debtor's obligation in this security agreement and all renewals and extensions of any of the obligation. 1. Financing Statement. Except for that in favor of Secured Party, no financing statement covering the collateral is filed in any public office. 2. Ownership. Debtor owns the collateral and has the authority to grant this security interest. Ownership is free from any setoff, claim, restriction, lien, security interest, or encumbrance except this surety interest and liens for taxes not yet due. 3. Fixtures and Accessions. None of the collateral is affixed to real estate, is an accession to any goods, is commingled with other goods, or will become a fixture, accession, or part of a product or mass with other goods except as expressly provided in this agreement. 4. Financial Statements. All information about Debtor's fmancial condition provided to Secured Party was accurate when submitted, as will be any information subsequently provided. DEBTOR'S COVENANTS: 1. Protection of Collateral. Debtor will defend the collateral against all claims and demands adverse to Secured Party's interest in it and will keep it free from all liens except those for taxes not yet due and from all security interests except this one. The collateral will remain in Debtor's possession or control at all times, except as otherwise provided in this agreement. Debtor will maintain the collateral in good condition and protect it against misuse, abuse, waste, and deterioration except for ordinary wear and tear resulting from its intended use. 2. Insurance. Debtor will insure the collateral in accord with Secured Party's reasonable requirements regarding choice of carrier, casualties insured against, and amount of coverage. Policies will be written in favor of Debtor and Secured Party according to their respective interests or according to Secured Party's other requirements. All policies will provide that Secured Party will receive at least ten (10) days notice before cancellation, and the policies or certificates evidencing 2 them will be provided to Secured Party when issued. Debtor assumes all risk of loss and damage to the collateral to the extent of any deficiency in insurance coverage. Debtor irrevocably appoints Secured Party as attorney -in -fact to collect any return, unearned premiums, and proceeds of any insurance on the collateral and to endorse any draft or check deriving from the policies and made payable to Debtor. 3. Secured Party's Costs. Debtor will pay all expenses incurred by Secured Party in obtaining, preserving, perfecting, defending, and enforcing this security interest or the collateral and in collecting or enforcing the note. Expenses for which Debtor is liable include, but are not limited to, taxes, assessments, reasonable attorney's fees, and other legal expenses. These expenses will bear interest from the dates of payments at the highest rate stated in notes that are part of the obligation, and Debtor will pay Secured Party this interest on demand at a time and place reasonably specified by Secured Party. These expenses and interest will be part of the obligation and will be recoverable as such in all respects. 4. Additional Documents. Debtor will sign any papers that Secured Party considers necessary to obtain, maintain, and perfect this security interest or to comply with any relevant law. 5. Notice of Changes. Debtor will immediately notify Secured Party of any material change in the collateral; change in Debtor's name, address, or location; change in any matter warranted or represented in this agreement; change that may affect this security interest; and any event of default. 6. Use and Removal of Collateral. Debtor will use the collateral primarily according to the stated classification unless Secured Party consents otherwise in writing. Debtor will not permit the collateral to be affixed to any real estate, to become an accession to any goods, to be commingled with other goods, or to become a fixture, accession, or part of a product or mass with other goods except as expressly provided in this agreement. 7. Sale. Debtor will not sell, transfer, or encumber any of the collateral without the prior written consent of Secured Party. RIGHTS AND REMEDIES OF SECURED PARTY: 1. Generally. Secured Party may exercise the following rights and remedies either before or after default: a. take control of any proceeds of the collateral; b. release any collateral in Secured Party's possession to any debtor, temporarily or otherwise; c. take control of any funds generated by the collateral, such as refunds from and proceeds of insurance, and reduce any part of the obligation accordingly or permit Debtor to use such funds to repair or replace damaged or destroyed collateral covered by insurance; and 3 EVENTS OF DEFAULT: d. demand, collect, convert, redeem, settle, compromise, receipt for, realize on, sue for, and adjust the collateral either in Secured Party's or Debtor's name, as Secured Party desires. 2. Insurance. If Debtor fails to maintain insurance as required by this agreement or otherwise by Secured Party, then Secured Party may purchase single- interest insurance coverage that will protect only Secured Party. If Secured Party purchases this insurance, its premiums will become part of the obligation. Each of the following conditions is an event of default: 1. If Debtor defaults in timely payment or performance of any obligation, covenant, or liability in any written agreement between Debtor and Secured Party or in any other transaction secured by this agreement; 2. If any warranty, covenant, or representation made to Secured Party by or on behalf of Debtor proves to have been false in any material respect when made; 3. If a receiver is appointed for Debtor or any of the collateral; 4. If the collateral is assigned for the benefit of creditors or, to the extent permitted by law if bankruptcy or insolvency proceedings commence against or by any of the following parties: Debtor; any partnership of which Debtor is a general partner; and any maker, drawer, acceptor, endorser, guarantor, surety, accommodation party, or other person liable on or for any part of the obligation; 5. If any financing statement regarding the collateral but not related to this security interest and not favoring Secured Party is filed; 6. If any lien attaches to any of the collateral; and 7. If any of the collateral is lost, stolen, damaged, or destroyed, unless it is promptly replaced with collateral of like quality or restored to its former condition. REMEDIES OF SECURED PARTY ON DEFAULT: During the existence of any event of default, Secured Party may declare the unpaid principal and earned interest of the obligation immediately due in whole or in part, enforce the obligation, and exercise any rights and remedies granted by Chapter 9 of the Texas Business and Commerce Code or by this agreement, including the following: 1. Require Debtor to deliver to Secured Party all books and records relating to the collateral; 4 2. Require Debtor to assemble the collateral and make it available to Secured Party at a place reasonably convenient to both parties; 3. Take possession of any ofthe collateral and for this purpose enter any premises where it is located if this can be done without breach of the peace; 4. Sell, lease, or otherwise dispose of any of the collateral in accord with the rights, remedies, and duties of a secured party under Chapters 2 and 9 of the Texas Business and Commerce Code after giving notice as required by those chapters; unless the collateral threatens to decline speedily in value, is perishable, or would typically be sold on a recognized market. Secured Party will give Debtor reasonable notice of any public sale of the collateral or of a time after which it may be otherwise disposed of without further notice to Debtor; in this event, notice will be deemed reasonable if it is mailed, postage prepaid, to Debtor at the address specified in this agreement at least ten (10) days before any public sale or ten (10) days before the time when the collateral may be otherwise disposed of without further notice to Debtor; 5. Surrender any insurance policies covering the collateral and receive the unearned premium; 6. Apply any proceeds from disposition of the collateral after default in the manner specified in Chapter 9 of the Texas Business and Commerce Code, including payment of Secured Party's reasonable attorney's fees and court expenses; and 7. If disposition of the collateral leaves the obligation unsatisfied, collect the deficiency from Debtor. GENERAL PROVISIONS: 1. Parties Bound. Secured Party's rights under this agreement shall inure to the benefit of its successors and assigns. Assignment of any part of the obligation and delivery by Secured Party of any part of the collateral will fully discharge Secured Party from responsibility for that part of the collateral. If Debtor is more than one, all their representations, warranties, and agreements are joint and several. Debtor's obligations under this agreement shall bind Debtor's personal representatives, successors, and assigns. 2. Waiver. Neither delay in exercise nor partial exercise of any of Secured Party's remedies or rights shall waive further exercise of those remedies or rights. Secured Party's failure to exercise remedies or rights does not waive subsequent exercise of those remedies or rights. Secured Party's waiver of any default does not waive further default. Secured Party's waiver of any right in this agreement or of any default is binding only if it is in writing. Secured Party may remedy any default without waiving it. 3. Reimbursement. If D ebtor fails to perform any of D ebtor' s obligations, S ecured Party may perform those obligations and be reimbursed by Debtor on demand at the place where the note is payable for any sums so paid, including attorney's fees and other legal expenses, plus interest on those sums from the dates of payment at the rate stated in the note for matured, unpaid amounts. The 5 sum to be reimbursed shall be secured by this security agreement. 4. Interest Rate. Interest included in the obligation shall not exceed the maximum amount of nonusurious interest that may be contracted for, taken, reserved, charged, or received under law; any interest in excess of that maximum amount shall be credited to the principal of the obligation or, if that has been paid, refunded. On any acceleration or required or permitted prepayment of the obligation, any such excess shall be canceled automatically as of the acceleration or prepayment or, if already paid, credited on the principal amount of the obligation or, if the principal amount has been paid, refunded. This provision overrides other provisions in this and all other instruments concerning the obligation. 5. Modifications. No provisions of this agreement shall be modified or limited except by written agreement. 6. Severability. The unenforceability of any provision of this agreement will not affect the enforceability or validity of any other provision. 7. After - Acquired Consumer Goods. This security interest shall attach to after- acquired consumer goods only to the extent permitted by law. 8. Applicable Law. This agreement will be construed according to Texas law. 9. Place of Performance. This agreement is to be performed in the county of Secured Party's mailing address. 10. Financing Statement. A carbon, photographic, or other reproduction of this agreement or any financing statement covering the collateral is sufficient as a financing statement. 11. Presumption of Truth and Validity. If the collateral is sold after default, recitals in the bill of sale or transfer will be prima facie evidence of their truth, and all prerequisites to the sale specified by this agreement and by Chapter 9 of the Texas Business and Commerce Code will be presumed satisfied. 12. Singular and Plural. When the context requires, singular nouns and pronouns include the plural. 13. Priority of Security Interest. This security interest shall neither affect nor be affected by any other security for any of the obligation. Neither extensions of any of the obligation nor releases of any of the collateral will affect the priority or validity of this security interest with reference to any third person. 14. Cumulative Remedies. Foreclosure of this security interest by suit does not limit Secured Party's remedies, including the right to sell the collateral under the terms of this agreement. All remedies of Secured Party may be exercised at the same or different times, and no remedy shall be a defense to any other. Secured Party's rights and remedies include all those granted by law or otherwise, in addition to those specified in this agreement. 6 15. Agency. Debtor's appointment of Secured Party as Debtor's agent is coupled with an interest and will survive any disability of Debtor. 16. Attachments Incorporated. The addendum indicated below is attached to this agreement and incorporated into it for all purposes: The obligation represents cash that Secured Party advanced at Debtor's request to Debtor, who used it to purchase the collateral, and this security interest is apurchase -money security interest. ATTEST: Lori Sloat, Prepared in the offices of : A. Note Secured By This Security Agreement Sheets & Crossfield, P.C. 309 East Main Street Round Rock, Texas 78664 (512) 255 -8877 phone (512) 255 -8986 fax ROUND ROCK VOLUNTEER FIRE DEPARTMENT B Chief E. J. Girvan 7 r' RESOLUTION NO. R- 01- 03- 08 -10A1 WHEREAS, the Round Rock Volunteer Fire Department provides valuable back - up assistance to the City of Round Rock's paid fire department, and WHEREAS, the Round Rock Volunteer Fire Department provides additional valuable services to the City of Round Rock's paid fire department such as responding to emergencies and natural disasters, providing preliminary emergency medical care until other servers respond, holding community training and public awareness classes, and conducting home safety checks, and WHEREAS, the City desires to provide certain financial assistance to the Round Rock Volunteer Fire Department in return for and in consideration of such above - enumerated services provided by the Round Rock Volunteer Fire Department, Now Therefore BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF ROUND ROCK, TEXAS, That the City Council hereby authorizes the City to provide financial support to the Round Rock Volunteer Fire Department in the form of assistance in financing the purchase of a fire truck. 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 As\ VPOOCS \RESOLUTI \R1030BA1.WP0 /Sc 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, and the Act. RESOLVED this 8th day of March, 2001. Attest: JO/ LAND, City Secretary 2 City of Round Rock, Texas DATE: March 2, 2001 SUBJECT: City Council Meeting — March 8, 2001 Resource: David Kautz, Director of Finance Funding: Cost: Loan Amount $70,000 $6,700 in waived interest over the term of the loan Outside Resources: N/A Public Comment: N/A Sponsor: Round Rock Fire Department ITEM: 10.A.1. Consider a resolution authorizing the financing of a fire truck for the Round Rock Volunteer Fire Department. The Round Rock Volunteer Fire Department (RRVFD) would be Loaned $70,000 under this agreement and the City would be repaid over a period of three years at 0% interest. The proposed truck holds a crew of four, has a 1250 gpm pump and 1000 gallon tank. The truck costs $140,000 and is intended to replace an older unit and is used for major fire and medical calls. The truck is pledged as collateral for the loan. History: The City has made loans ranging from $30,000 to $40,000 to the Volunteers in 1991, 1996 and 1998 for equipment acquisition. These loans have been repaid on time. The City provides insurance for Volunteer equipment and labor for equipment repairs through the operating budget. In addition to paying for equipment acquisition, the Volunteers pay for repair parts and fuel. Source of funds: - General Fund (loan principal; waived interest) - Repayment of the Loan comes from funds paid to the Volunteers by Williamson County Impact: Provides additional, newer equipment resources for emergency services Benefit: The Volunteer Fire Department provides valuable primary services in the ETJ and backup fire suppression services in the City. This financing minimizes cost to the volunteer organization. apparatus and equipment: o 1,4 0) 406 n_ Date STATES FIRE APPARATUS, L.L.C. 1:.r"Waosaar, -.y Quality 8 'Value 7brou9hout File Dept. r J, �1 Ro m d Zak Uo f- eE l� 27yi16+ Address A 0. ck 7 $S Ctty_Rou.K a1 teoc/G Date 61951 State 7`'f" Zip 7 S 6 ( Dear Sus: We hereby propose and agree to furnish, after your acceptance of this proposal and the proper execution by j?0 .in lock on') and an officer of Central States Fire Apparatus, L.L.C., the following Ce rnf1 - / S�ka yes Iu .+y.)ef'2. All of which are -to he built in accordance with the specifications, clarifications and exceptions attached, and which • are made apart of this agreement andontiac,.to` same m 3 ,D-.1 days after receipt of. 0 2D ubject.to aR causes,beyond - our control,' for the sum of: Q t7ej.t S8 7'64' oNS ++r �-QN�+ crai�i2aa✓�f�iie�s''C�hC - - �Doflars' "'= Payment Terms: Final payment for the apparatus shall be made at time of delivery or pick up of the completed vehicle. Due to insurance liability, the apparatus will not be left at the purchaser's location without full acceptance and payment or prior agreement between purchase[ and bidder, Note. If chassis paid fm upon arrival at plant in Lyons, SD The amount m this proposal shall remain firm for a period of days from the date of same We agree to accept the above Proposal Respectfully submitted / , c*64 and enter into contract with signature below. Dealer <rUee t2ttn t C— Salesman t/ uc /c $irnF // y" Central States Fue Apparatus, L.LC r f--'. Titic Title Titic / T- ate � G - O / 100 Third Street. P.O. Box 57 • Lyons, South Dakota 57041 Phone: (605) 543 -5591 • Fax: (605) 543 -5593 • E -mail: salescsfa @aol.com • www.centralflre.com fl AMERICA er World Cta aa reodnoleOY CHANGE ORDER Fire Department:Rnl!ND,_RQC_i Y1DDate:l+1.t.,B11 Job # : Chief: ED CARVAN Phone: Change Order Request Form: ® Fire Dept. ❑ Dealer ❑ Factory Change Order No. ((d)) We hereby agree to make the change(s) specified below: 500.00 1 CHANGE TO TOP MOUNT P PA 931.00 2 ADD KUSSMAUL PUMP PLUS 1000 - - -- — — "—" — u E N THE RIGHT S ROSSLAY COVER TO CROS WITH L ONITO ARD TO SIDE 0 TAC D PS ND P R ABLE 2 1 /2" BASE---- -- - ---- 185.00 3. CHAN E PUMP FROM 1250 GPM 1000 GPM AND DE TE N 2 1/2" DISC 4. ADD ALUM 5 ADD AIR HORN 6. ADD AKRON 421 _($992.00 7. DE TE UM HO EBED COVER & - - DD VINYL HO E COVER------- M ^($2489.00) S.DELETE HOSE REEL, ROLLER ASSEMBLIES AND HOSE - - - --- -- WE AGREE hereby to make change(s) specified above at this price $124.00 $7 908.00 448.00 2570.00 PREVIOUS CONTRACT AMOUNT REVISED CONTRACT TOTAL Due to lead tunes of components and in fabrication this change order may delay delivery. ACCEPTED — The above price and specifications of the Change Order are satisfactory and are hereby accepted. All work to be performed under same terms and conditions as specified in original contract unless otherwise stipulated. Date of Acceptance Authorized Signature (Contractor) uthorized Signature (Fire Department) Date of Acceptance We hereby agree to make the changets) specineu oeluw. • TO TOP MOUJNT PUMP PANEL - - -- $1500 00 1. CHANGE KUSSMAUL PUMP PLUS 1000 — - - -- $931.00 2 ADD PUMP FROM 1250 GPM TO 1000 GPM AND DELETE ONE 2 11/2" DISCHARGE ON THE RIGHT 3. CHANGE ---- ($908.00) SIDE PUMP PANEL ALUMINUM CROSSLAY COVER TO CROSSLAYS - --- -- $185.00 4. ADD AIR HORNS WITH LANYARD TO SIDE OF HOOD — $448.00 5. ADD 6. ADD AKRON 3421 MONITOR WITH STACKED TIPS AND PORTABLE 2 1/2" BASE FOUR ALARM FIRE EQUIPMENT TO PROVIDE THE MONITOR — $2305 00 ALUMINUM HOSEBED COVER AND ADD VINYL HOSEBED COVER--- - - - - -- (S99..2 00) 7.DELETE HOSEREEL, ROLLER ASSEMBLIES AND HOSE - - - - -- — ($2489.00) 8. DELETE 9 CHANGE FROM 6" HARD SUCTION TO 5" HARD SUCTION & CHANGE SOFT SUCTION TO 5" AND CHANGE BARREL STRAINER TO 5 " - - - - -- — ($125 00) • AMERICA worm= cra ss'rs cnnotosr CHANGE ORDER Fire Department: (SM.]r?.LR V1;!) Date: 10)i lob ??:1..r:ili;., Chief. 1 rt rJIRal, Phone: Change Order Request Form: ® Fire Dept. ❑ Dealer ❑ Factory Change Order No. (1) • WE AGREE hereby to make change(s) specified above at this price PREVIOUS CONTRACT AMOUNT REVISED CONTRACT TOTAL Due to lead time: of components and in lain (tiro, thi% change • r'it8 may ti dchv r }. ACCEPTED — The above price and specifications of the Change Order are satisfactory and are hereby ace,. .' All work to be performed under saute terms and conditions as specified to original contract unless otherwise stipula . d Authorized Signature (Contractor) Authorized Signature ire Department) e-1 1 ca. �= 1/ Date of Acceptance Date of Acceptance vo • t)0 $75,24.6.09 Sly „RQI 0) /2 ( / ee l J / a ) / 6 ' 1/ Check Stub Description (Not to exceed 30 characters) Account Number Fund - Dept - Division - Account Amount RRVFD fire truck - I � - l �� 0 Doi $ 70,000. - - - $ - - - $ - - - $ Check Request RECD JUN 17 2002 (complete address in total) Additional Explanation if needed: Per Resolution No. R- 01- 03- 08 -10A1. Chief Girvan will pick up check on July 1, 2002 PLEASE CALL ADMIN. 218 -5401 when check is ready. WE WILL PICK UP CHECK. SPECIAL INSTRUCTIONS: (ALL checks will be mailed unless otherwise specified) Explain special handling Date needed (no ASAP's please) CYCLE or (p /2b" / O I B 21lr Date Submitted: 6/6/02 Vendor Number: Check Amount $ 70,000.00 Requested By: Departmental Approval: Finance Approval: Received By: Total Amount Staple justification to check request Paper clip items to be mailed with check (49 n14 (o' $ 70,000. vendor name Round Rock Volunteer Fire Department 203 Commerce address Round Rock, TX 78664 cuty. state. zip Check Request RECD JUN 17 2002 (complete address in total) Additional Explanation if needed: Per Resolution No. R- 01- 03- 08 -10A1. Chief Girvan will pick up check on July 1, 2002 PLEASE CALL ADMIN. 218 -5401 when check is ready. WE WILL PICK UP CHECK. SPECIAL INSTRUCTIONS: (ALL checks will be mailed unless otherwise specified) Explain special handling Date needed (no ASAP's please) CYCLE or (p /2b" / O I B 21lr Date Submitted: 6/6/02 Vendor Number: Check Amount $ 70,000.00 Requested By: Departmental Approval: Finance Approval: Received By: Total Amount Staple justification to check request Paper clip items to be mailed with check (49 n14 (o' $ 70,000. Check Drr• 7R Jim 7002 Check o. 04(900 Invoice Nnmbrr 1 Invoire Date I Vnncher ID I Gross Amount 1 Disemmt Available Paid Ammm[ R- 01- 03- 08 -10A1 06.Jun.2002 00063674 , \70,000.00 0.00 70,000.00 1 r A r ,- J 2 l 1 / . Vendor Number Name i, Total Discounts TIN 0000030101 ROUND ROCK VOLUNTEER FIRE DEPT $0.00 Check Number Date Total Amount Late Interest Discounts Taken Total Paid Amount - 041980 28.Jun.2002 " 1 870,009 00 r 0.00 0.00 $70,000.00 4'L,98011 ' ToTIte r• ROUND DOCK VOLUNTEER FIRE DEPT Order Of 1 . 203 COMERCE BV ' L t ' ' 1 ' - ,ROUND ROCK,TX 78664 1 i 00 2,3:3094 i9 y;A tie mo 80.130 04`1980.. RUB OR BREATHE ON THE PINK LOCK & KEY ICONS -COLOR WILL CHANGE ON AN AUTHENTIC CHECK -IF COLOR DOES NOT CHANGE 00 NOT ACCEPT r .4''=i'3iillee}i .V. , L,;,w • 1.• z;u " . h 'y'i' =�°- ; OF' ROUND ROCK= �1 w ICit4FL 3, R Tl C t P S ,221. E.VA'IN,STREET' ^ ,s: , -- "'411;17.'1261. ra. ,-; ROUND ROCK; TX778d" ;Pline(512) * * *;S )00 DOLL, 'ef