R-2016-3651 - 7/28/2016 RESOLUTION NO. R-2016-3651
WHEREAS, the City of Round Rock ("City") desires to purchase a playground system for the
Joanne Land Playground Project, and
WHEREAS, the City is a member of the Texas Government Statewide Purchasing
Cooperative ("Buy Board"), and
WHEREAS, Webuildfun, Inc. is an approved vendor of the Buy Board, and
WHEREAS, the City wishes to issue a purchase order to Webuildfun, Inc.,Now Therefore
BE IT RESOLVED BY THE COUNCIL OF THE CITY OF ROUND ROCK, TEXAS,
That the City Manager is hereby authorized and directed to issue a purchase order to
Webuildfun, Inc. for the purchase of a playground system for the Joanne Land Playground Project.
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 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.
RESOLVED this 28th day of July, 2016.
ALAN MCGRAW, Mayor
City of Round Rock, Texas
ATTEST:
SARA L. WHITE, City Clerk
0112.1604;00161051
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. 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.
Webuildfun, Inc
2016-82028
Allen,TX United States Date Filed:
2 Name of governmental entity or state agency that is a party to the contract for which the form is 07/11/2016
being filed.
City of Round Rock Parks&Recreation Date 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.
Joanne Land Project
Playground equipment/surfacing!site amenities
4 Nature of interest
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling Intermediary
5 Check only if there is NO Interested Party. ❑
X
6 AFFIDAVIT
I swear,or affirm,under penalty of perjury,that the above disclosure is true and correct.
JANIE CAROL PAINTER
'`Pp,Y aid
z°O. ,Notary Public,State Texas
Comm.Expires 06-300-2020 Vince Allen,President
Notary ID 126575384 Signature of authorized agent of contracting business entity
AFFIX NOTARY STAMP t SEAL ABOVE
Sworn to and subscribed before me,by the said Vince Allen this the 11 _day of July
20 16 —to certify which,witness my hand and seal of office.
. Janie Carol Painter Secretary
Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.1021
i
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
10f1
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
1 Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number:
of business. 2016-82028
Webuildfun, Inc
Allen, TX United States Date Filed:
2 Name of governmental entity or state agency that is a party to the contract for which the form is 07/11/2016
being filed.
City of Round Rock Parks&Recreation Date Acknowledged:
07/12/2016
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.
Joanne Land Project
Playground equipment/surfacing/site amenities
Nature of interest
4
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling Intermediary
5 Check only if there is NO Interested Party. ❑
X
6 AFFIDAVIT I swear,or affirm, under penalty of perjury,that the above disclosure is true and correct.
Signature of authorized agent of contracting business entity
AFFIX NOTARY STAMP/SEAL ABOVE
Sworn to and subscribed before me,by the said this the day of
20 ,to certify which,witness my hand and seal of office.
Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.1021