CM-12-07-136ROUND ROCK, TEXAS
PURPOSE .F SSION PROSPERITY
Item Caption:
CM -l2 -o1--13(4/
City Manager Approval Form
RECEIVED
JUL 23 '
Consider issuing a purchase order to PlayWorks, Inc. for the installation of the pavilion structure for the
Mesa Village Park Improvement Project.
Approval Date: July 27, 2012
Department Name: Parks and Recreation Department
Project Manager: Rick Atkins, Director
Assigned Attorney: J. Kay Gayle
Item Summary:
PlayWorks, Inc. will install the pavilion structure for the Mesa Village Park Improvement Project. The pavilion will replace the
existing shade structure and will provide shade for park visitors.
No. of Originals Submitted: 1
Project Name: Mesa Village Park Improvement Project
Cost: $12,393.57
Source of Funds: General Self -Financed Construction
Source of Funds (if applicable): Select Source Fund
Account Number: 6130-550-23000pk12rrpl_mesa
Finance Director Approval: Cheryl Delaney
Department Director Approval:
Date: 7/24/12
Date: 7.u..47„,
**Electronic
-zi 2 -
**Electronic signature by the Director is acceptable. Please only submit ONE approval form per item. **
CIP n [ Budget 1-11
N/A OK N/A
OK
Purchasing
❑n
N/A OK
Accounting n n
N/A OK
ITEMS WILL NOT BE PLACED ON THE COUNCIL OR CM AGENDA W/OUT PRIOR FINANCE AND/OR LEGAL APPROVAL
REV. 6/20/11
PlayWorks, inc.
Toll free: (800) 726-1816
New Mexico
9430 San Mateo., NE, Unit G
Albuquerque, NM 87113
(505) 899-1762
Free Fax: (800) 560-9150
Texas
4743 Iberia Ave., Suite C
Dallas, TX 75207
(972) 488-9355
INSTALLATION QUOTE
SQ -19391
6/22/2012
Customer
Contact
Ship To
Village Park
City of Round Rock
221 E Main Street
Round Rock TX 78664
UNITED STATES
Tel: (512)-341-3355
Fax: (512)-218-5548
City of Round Rock
Accounts Payable
221 E Main Street
Round Rock TX 78664
UNITED STATES
Tel: (512)-341-3355
Fax: (512)-218-5548
City of Round Rock/Mesa
TBD
ROUND ROCK TX 78664
UNITED STATES
Account
Terms
Due Date
Account Rep
Schedule Date
235
UPON COMPLETION
6/22/2012
Carl Simmons
8/22/2012
Quotation
PO #
Reference
Ship VIA
Page
Printed
SQ -19391
Default Carrier
3
6122/2012
11:42:16AM
L
Item
Description
Qty
Price
UM
Discount
Amount
1
21W
IW -INSTALL
-CON -PIER
Installation of Icon Shelter
RH24X36M2V
Installation of Concrete Pier
1
6
$8,774.19
$603.23
EA
EA
$8,774.19
$3,619.38
This
above.
forward
signed
confirm
approximate.
interest
received
Play
Customer
Approved
Quotation is good for 30 Days from the date listed
We appreciate the opportunity to quote and look
to serving your needs. To order, please fax this
form including color choices, if necessary, and
the shipping address. This ship date is
We reserve the right to change and collect
in the amount of 1.5% per month if payment is not
in full in accordance with the terms set forth.
Safely and PlayWell.
PO No. AI
iI/I%Ij 7
B, �'�i �/i Date: N �'—
Tax Details
EXEMPT $0.000
Taxable
Total Tax
Exempt
Total
Balance
$0.00
$0.00
$12,393.57
$12,393.57
$12,393.57