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CM-12-07-137ROUND ROCK, TEXAS PURPOSE PASSION PROSPERITY Item Caption: Qvl-1t--of(39REcEIvEo JUL 251011 City Manager Approval Form Consider issuing a purchase order to The Playwell Group for 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: Playwell, Inc. to provide 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: $23,645.12 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: g. 2 -I L **Electronic signature by the Director is acceptable. Please only submit ONE approval form per item. ** CIP I I 1-7 Budget N/A OK n❑ N/A OK Purchasing ❑o N/A OK Accounting on 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 The PlayWell Grou 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 QUOTATION SQ -29485 6/21/2012 Customer Contact Ship To City of Round Rock City of Round Rock City of Round Rock/Mesa 221 E. Main Street Accounts Payable Village Park Round Rock TX 78664 1 221 E. Main Street TBD UNITED STATES ROUND ROCK TX 78664 ROUND ROCK TX 78664 UNITED STATES UNITED STATES Tel: (512)-341-3355 Fax: (512)-218-5548 Account Terms Due Date Account Rep Schedule Date 64 NET 30 7/21/2012 Carl Simmons 8/21/2012 Quotation PO # Reference Ship VIA Page Printed SQ -29485 Default Carrier 2 8/21/2012 1:01:28PM L Item Description Qty Price UM Discount Amount 1 BuyBoard BUYBOARD 1 $0.00 EA $0.00 2 This is a BuyBoard Purchasing Cooperative Quote. Pricing Reflects BuyBoard Discounts As Listed On Web Site www.buyboard.com Under The Vendor Listing For The PlayWell Group, Inc.Contract # 346-10. Expires 09/30/2012 3 4 ICO-RH24X36M2V Icon Rectangle Hip Shelter 1 $22,205.00 EA $1,554.35 $20,650.65 5 ICO -Engineering Icon Engineering Books and Drawings 1 $334.00 EA $23.38 $310.62 6 SH Shipping & Handling 1 $2,683.85 EA $2,683.85 This Quotation is good for 30 Days from the date listed Tax Details Taxable $0.00 above. We appreciate the opportunity to quote and look EXEMPT $0.000 forward to serving your needs. To order, please fax this signed form including color choices, if necessary, and confirm the shipping address. This ship date is approximate. We reserve the right to change and collect Total Tax $0.00 interest in the amount of 1.5% per month if payment is not received in full in accordance with the terms set forth. Exempt $23,645.12 Play Safely and PlayWell. Total $23,645.12 Customer PO No Approved By �� �'' �j / " '- i%' Dater 7 7 /2 Balance $23, 645.12 --