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Contract - Facility Solutions Group - PO Only - 1/26/2017 FACILITY SOLUTIONS GROUP LIGHTING ■ ELECTRIC ■ ENERGY ■ NATIONAL ACCOUNTS ■ TECHNOLOGY SIGNS Proposal December 14, 2016 City of Round Rock SITE: Dell Diamond, 3400 E Palm Valley Blvd, Round Rock, TX 78665 SCOPE : Material only quote 161209-BKS (see attached price guide for itemized fixture/lamp schedule) QUOTE: $235,917.38 GENERAL CONDITIONS: * FSG shall not be held liable for errors or omissions in designs by others. * FSG shall not be held liable for inadequacies of materials and equipment specified or supplied by others. * FSG will facilitate procurement to be made by the City of Round Rock through Buy Board contract numbers 437-13/512-16. *Equipment and materials supplied by FSG are warranted only to the extent of the manufacturer warranty. * FSG shall not be held liable for indirect loss or damage. *All bonding and/or special insurance requirements are not included in this proposal. *If a formal contract is required, its conditions must not deviate from this proposal without our permission. *Anything(verbal or written) expressed or implied elsewhere, which is contrary to these conditions shall be null and void. *We reserve the right to withdraw this proposal after 30 days from the date of receipt. * Payment terms are net 30 days from invoice date on the percentage of work completed, monthly. With approved credit EXCLUSIONS: *Bonds, Permit Fees, Utility Fees, &Utility Impact Fees * Upgrades or repairs to existing electrical, branch circuitry, wall covering Respectfully Submitted Approval Signature Brian Stevens Brian Stevens/Account Representative TX State Contractor License No.TECL-17904 8203 N. Lamar - Austin, TX 78753 • 512-835-4971 ■ FSGi.com Austin,TX■ Albuquerque,NM ■ Chicago, IL■ Corpus Christi,TX■ Dallas,TX■ Fort Worth,TX■ Houston,TX■ Indianapolis, IN Kansas City, MO ■ Placentia, CA■ Perth Amboy, NJ■ Phoenix,AZ■ Denver,CO• Perth Amboy, NJ ■ Philadelphia, PA ■ San Antonio,TX ■ National Accounts Central Call Center, Dallas,TX■ ' FACULUT%" SLUIU ONS GROUP uo*nmo ^ sLsormo ^ smsnov ^ mxnomAL Aonouwru ^ TECHNOLOGY SIGNS �LetFSG's wide range of expertise and the purchasing power of BuyBoard help simplify the lighting and electrical service procurement process for you and your team.With six approved BuyBoard contracts, FSG can help bring light to your project. Whether it!s LED lighting upgrades to public spaces' or vehicle charging stations to help capitalize on the latest incentives and boost community value for residents, FSG isready and capable. 512-16 437-13 Parks and Recreation Lioliuno �� � snergy Savn�Lighting Products 461-14 � �,nrove6 ` 456-14 Trade Services Parts&Labor for Buy8oan6 � �^*��� Outdoor-Stree/LighUn8 Electrical,P|unnbin��Hv�� ====` ^ Contracts -�_ n ` 5O1'15 . 1:1 469-14 Bvildi,$m^ioTeno/^*� � -----~—'- ----�' - ------ ^'�^` E�cnvVehicle pueiino S�a"ons 7. Supplies&Fqvrl)mex IJ 14 8203 N. Lamar " Austin TX 78753 512-835-4971 FSQ conn Austin,TX ^ /Ubunp,nlue. ww ~Chicago, |L^ conm,chn,u.Tx~ mdbo.Tx ^ Fort Worth,Tx^ Houston,Tx^ Indianapolis, IN Kansas City, MV ^ Placentia, cx^ Perth Amboy, w] ^ Phoenix,»z^ Denver,co~ Perth Amboy, w] ^ Philadelphia, n\ ^ San Antonio,Tx l3Tnlf ',i(st, _.. �icvc _,caro 'I =Ic ARCH Tot I CODE 0ty A 51 RAB SWISH2X2-29YN/D10 $ 121.43 $ 6,192.93 2-6 weeks B $ RAB SWISH2X2-29YN/D10 $ 121.43 $ 971.44 2-6 weeks BML 41 MaxLite MLFP22EP4035 $ 60.00 $ 2,460.00 1-3 weeks Green CREATIVE C 94 11 PLHG4/835/BYP $ 18.97 $ 1,783.18 1-3 weeks KEYSTONE KT-LED15T8- 26 48GC-840-X $ 10.05 $ 261.30 1-3 weeks KEYSTONE KT-LED 11T8- E 4 36GC-840-S $ 11.44 $ 45.76 1-3 weeks F 176 KEYSTONE KT-LED15T8- $ 10.05 $ 1,768.80 1-3 weeks 48GC-840-X FHC 10 RAB FALCOR16OW $ 655.71 $ 6,557.10 2-6 weeks KEYSTONE KT-LED9T8- G 4 24GC-840-X $ 12.41 $ 49.64 1-3 weeks GREEN CREATIVE H 2 7MR16G4DIM/827FL36 $ 12.45 $ 24.90 1-3 weeks J 50 Luceco $ 273.57 $ 13,678.50 8-10 weeks for WPR25GRQFIX17U4KLZ- 4000K GREEN CREATIVE K 119 9A19DIM/830 $ 8.98 $ 1,068.62 1-3 weeks GREEN CREATIVE L 2 5.5PAR20DIM/827FL40 $ 12.45 $ 24.90 1-3 weeks MRC 57 GREEN CREATIVE $ 18.97 $ 1,081.29 1-3 weeks 11 PLHG4/835/BYP MC 6 Progress Lighting P5774-31 $ 51.18 $ 307.08 2-6 weeks Green Creative MCL 6 9A19DIM/840/277V $ 14.39 $ 86.34 1-3 weeks MSC 200 NORA NYLS-6S2135DBB1 $ 178.74 $ 35,748.00 3-4 weeks N 33 NUVO 60-5406 $ 95.38 $ 3,147.54 2-6 weeks NL 33Satco S9578 $ 9.64 $ 318.12 1-3 weeks 4.5ST19/AMB/LED/E26/23K/ Q 7 NUVO 60-5401 $ 110.91 $ 776.37 1-3 weeks Satco S9578 OL 7 4.5ST19/AMB/LED/E26/23K/ $ 9.64 $ 67.48 1-3 weeks P 32 RAB SWISH2X4-49YN/D10 $ 141.43 $ 4,525.76 2-6 weeks PML 116 MaxLite MLFP24EP4035 $ 93.00 $ 10,788.00 1-3 weeks GREEN CREATIVE Q 4 6GU10G4DIM/827FL36 $ 12.45 $ 49.80 1-3 weeks R 26 RAB DLED8R38YHC $ 91.43 $ 2,377.18 1-4 weeks RT 26 D8TRIMM $ 21.43 $ 557.18 1-4 weeks RC 6 Lutron Diva $ 100.00 $ 600.00 1-4 weeks $ML 13 MaxLite MLFP24EP4035 $ 93.00 $ 1,209.00 EEweEl S 2 RAB SWISH2X4-49YN/D10 $ 141.43 $ 282.86 2-6 weeks LIGHT EFFICIENT DESIGN T $ LED-7320-27 $ 21.21 $ 169.68 1-3 weeks u 5 E-S23LO34UK $ 94.99 $ 474.95 1-4 weeks v $ GE EWNBOE470401 NBLCK $ 628.57 $ 5,028.56 4-6 weeks W 4 RAB WP3LED65N/PC2 $ 477.13 $ 1,908.52 2-6 weeks WL 6 RAB WP3LED65N/PC2 $ 477.13 $ 2,862.78 2-6 weeks X 20 RAB FXLED125SFN $ 591.43 $ 11,828.60 2-6 weeks KEYSTONE KT-LED27T5HO Y 132 48GC-840-S $ 16.57 $ 2,187.24 1-3 weeks KEYSTONE KT- Y8 6 LED15T848GC-840-D $ 13.17 $ 79.02 1-3 weeks GREEN CREATIVE AA 4 17PAR38G4DIM1930FL40 $ 30.47 $ 121.88 1-3 weeks GREEN CREATIVE AB 36 12.5PAR30G4DIM/930NF25 $ 12.45 $ 448.20 1-3 weeks SATCO AC 9 LED4/3W/JC/G6.35/12V/300 $ 9.64 $ 86.76 1-3 weeks Cooper 4SNLED-LD4-27SL- AD8 4 LW-UNV-L835-CD1-U $ 124.71 $ 498.84 1-3 weeks AD4 3 Cooper 8TSNLED-LD4-67SL $ 232.93 $ 698.79 1-3 weeks LW-UNV-L835-CD1-U Lunera AE 23 SN360E39L3.5KLM835G3 & $ 178.00 $ 4,094.00 2-6 weeks AH 4 RAB FFLED52N $ 355.71 $ 1,422.84 2-6 weeks Al 6 RAB LFLEDBNB $ 84.29 $ 505.74 2-6 weeks AJ 0 Diode LED (see "AO") $ - AK 36 RAB DLED8R38YHC $ 91.43 $ 3,291.48 1-4 weeks AKT 36 DBTRIMM $ 21.43 $ 771.48 1-4 weeks AL 6 SCOT S2117-6N100-BA $ 1,555.56 $ 9,333.36 3-8 weeks ALL 36 GC 17A21 G4DIM/830 $ 18.00 $ 648.00 1-3 weeks AM 1 ETC UHC Controls $ 14,571.43 $ 14,571.43 2-6 weeks AM-L 1 Labor for UHC Controls $ 1,620.00 $ 1,620.00 N/A AN 2 RAB PS4-11-15WT $ 483.00 $ 966.00 2-6 weeks ANB 2 RAB BULL2 $ 111.00 $ 222.00 2-6 weeks ANM 2 RAB BGC or BGS $ 31.50 $ 63.00 2-6 weeks AO 1 Diode LED $ 17,401.54 $ 17,401.54 2-6 weeks ASM 5 RAB VANLED10 $ 241.43 $ 1,207.15 1-3 weeks Green Creative AT 2 9A19DIM/840/277V $ 14.39 $ 28.78 1-3 weeks AS 4 MaxLite MLFP22EP4035 $ 60.00 $ 240.00 2-6 weeks Lithonia RV6 35/15 RO6AR AV 4 277 $ 188.57 $ 754.28 1-3 weeks AU 52 RAB FXLED125SFN $ 591.43 $ 30,754.36 2-6 weeks C$ 1 Stadium Controls $ 10,000.00 $ 10,000.00 2-6 weeks AR 1 Labor Contingency $ 10,000.00 $ 10,000.00 N/A $Q 6 Leviton 8681 $ 4.00 $ 24.00 1-3 weeks $M 29 Simkar 95037 $ 5.45 $ 158.05 1-3 weeks M9420 A 12LED WHT41 K QP 2 MVOLT MFL FLC20 34B LP $ 1,692.50 $ 3,385.00 8-10 weeks DDB QQ 39 TCP LEDSLIMRB $ 25.04 $ 976.56 1-3 weeks AQW 11 TCP LEDSLIMRW $ 25.04 $ 275.44 1-3 weeks Total Package $235,917.38 CERTIFICATE OF INTERESTED PARTIES FORM 1295 Iola 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 of business. 1 Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number: Facility Solutions Group 2016-147015 Austin,TX United States 2 Name of governmental entity or state agency that is a party to the contract for which the FiDate Filed: n Is 12/1512016 being filed. City of Round Rock 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 he provided under the contract. Dell Diamond LED Lighting Retrofit(fixtures/lamps) 4 Name of Interested Part Nature of interest Y City,State,Country(place of business) (check applicable) Controlling I lnterrttediary Facility Solutions Group Austin,TX,TX United States X 5 Check only if there Is NO Interested Party. 6 AFFIDAVIT 2�.a... I swear,or affirm,under penalty of perjury,that the above disclosure is true and correct. L MICHAcL HARRISONm Notary Public.Staof Texas' - My Cornm scion Expires December 14, 2018 tgn lure of authorized agen f contracting business entity AFFIX NOTARY STAMP/SEAL ABOVE I E / I Sworn and subscribed before me,by the said f 20 this the_ day of to certify which,wiutess my hand and seal of office. j N�v Y���FS►+�.�/rJ ff Si ra re of officer hp-lring oath Printed name of officer administering oath �ffle�ad oalit i Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.277 t f 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. 2016-147015 Facility Solutions Group Austin,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 12/15/2016 being filed. City of Round Rock Date Acknowledged: 01/10/2017 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. Dell Diamond LED Lighting Retrofit(fixtures/lamps) Nature of interest 4 Name of Interested Party City,State,Country(place of business) (check applicable) Controlling I Intermediary Facility Solutions Group Austin,TX,TX United States X 5 Check only if there is NO Interested Party. ❑ 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 V1.0.277