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Contract - Caldwell Country Chevrolet - 10/28/2021QUOTE# O OD - CAPQ10 2 710 (SSV) CONTRACT PRICING WORKSHEET End User: CITY OF ROUND ROCK Contractor: CALDWELL COUNTRY Contact Name: MARSHALL REYNOLDS CALDWELL COUNTRY Email: MREYNOLDS@ROUNDROCKTEXAS.GOV Prepared By: Averyt Knapp Phone #: 512-218-5571 Email: aknapp@caldwellcountry.com Fax #: Phone #: 979-567-6116 Location City: ROUND ROCK, TEXAS Fax #: 979-567-4376 Date Prepared: SEPTEMBER 20, 2021 Address: P. O. Box 27, Caldwell, TX 77836 Contract Number: BUY BOARD #601-19 Tax ID # 14-1856872 Product Description: 2022 CHEVROLET TAHOE CC10706 (4X4-SSV) A Base Price: $32,960 } B Fleet Quote Option: Code Description Cost Code Description Cost LH LED SPOTLIGHT, $6,317.25 4X4-SSV, 5.3L-V8, 10-SPD AUTOMATIC, LOCKING REAR AXLE DIFFERENTIAL, DUAL BATTERIES, 18" X 8.5" ALUMINUM WHEELS, 265/65R18SL, SKID PLATE SHIELD, CLOTH BUCKETS/VINYL REAR BENCH, FULL RUBBER FLOOR, AIR CONDITION FRONT AND REAR, AMFM-STEREO W/BLUETOOTH, TILT, CRUISE, POWER WINDOWS, POWER LOCKS, POWER MIRRORS, KEYLESS ENTRY, DEEP TINT GLASS, RUNNING BOARDS, TRAILER TOW HITCH PACKAGE, REAR VISION CAMERA, FLASHER SYSTEM HEADLAMP AND TAILLAMP DRL COMPATIBLE W/CONTROL WIRE, CALIBRATION SURVEILLANCE MODE INTERIOR LIGHTING, CALIBRATION TAILLAMP FLASHER RED/WHITE, CALIBRATION TAILLAMP FLASHER RED/RED GM WARRANTY INCL CALDWELL COUNTRY 5YR/100,000 MILES PO BOX 27 POWERTRAIN @ N/C CALDWELL, TEXAS 77836 CAPQ102668 $13,260.75 (**OPTION 4X4 - ADD N/I $ 2 , 8 0 0 EXTRA* * ) R�J-021, -2�- Subtotal B 1 $19.,578 C Unpublished Options Code Description Cost Code Description Cost _T Subtotal C D Other Price Adjustments (Installation, Delivery, Etc...) Subtotal D INCL E Unit Cost Before Fee & Non-Equipment Charges(A+B+C+D) $52,538 Quantity Ordered 1 Subtotal E $52,538 R• F Non-Equipment Charges (Trade-In, Warranty, Etc...) BUY BOARD FEE ($400 PER PO, NOT PER UNIT) N/I G. Color of Vehicle: VICTORY RED WA9260 H. Total Purchase Price (E+F) $52,538 Estimated Delivery Date: 360-420 DAYS APPX QUOTE# 00E-CAPQ102 668 (SSV) CONTRACT PRICING WORKSHEET End User: CITY OF ROUND ROCK Contractor: CALDWELL COUNTRY Contact Name: MARSHALL REYNOLDS CALDWELL COUNTRY Email: MREYNOLDS@ROUNDROCKTEXAS.GOV Prepared By: Averyt Knapp Phone #: 512-218-5571 Email: aknapp@caldwellcountry.com Fax #: Phone #: 979-567-6116 Location City: ROUND ROCK, TEXAS Fax #: 979-567-4376 Date Prepared: SEPTEMBER 24, 2021 Address: P. O. Box 27, Caldwell, TX 77836 Contract Number: BUY BOARD #601-19 Tax ID # 14-1856872 Product Description: 2022 CHEVROLET TAHOE CC10706 (4X4-SSV) A Base Price: $32,960 B Fleet Quote Option: Code Description Cost Code Description Cost LH LED SPOTLIGHT, $6,317.72 4X4-SSV, 5.3L-V8, 10-SPD AUTOMATIC, LOCKING REAR AXLE DIFFERENTIAL, DUAL BATTERIES, 18" X 8.5" ALUMINUM WHEELS, 265/65R18SL, SKID PLATE SHIELD, CLOTH BUCKETS/VINYL REAR BENCH, FULL RUBBER FLOOR, AIR CONDITION FRONT AND REAR, AMFM-STEREO W/BLUETOOTH, TILT, CRUISE, POWER WINDOWS, POWER LOCKS, POWER MIRRORS, KEYLESS ENTRY, DEEP TINT GLASS, RUNNING BOARDS, TRAILER TOW HITCH PACKAGE, REAR VISION CAMERA, FLASHER SYSTEM HEADLAMP AND TAILLAMP DRL COMPATIBLE W/CONTROL WIRE, CALIBRATION SURVEILLANCE MODE INTERIOR LIGHTING, CALIBRATION TAILLAMP FLASHER RED/WHITE, CALIBRATION TAILLAMP FLASHER RED/RED GM WARRANTY INCL IPO CALDWELL COUNTRY 5YR/100,000 MILES BOX 27 POWERTRAIN @ N/C CALDWELL, TEXAS 77836 CAPQ102668 $15,320.28 (**OPTION 4X4 - ADD N/I $ 2 , 8 0 0 EXTRA* * ) Subtotal B $21,638 C Unpublished Options Code Description Cost Code Description Cost _T Subtotal C D Other Price Adjustments (Installation, Delivery, Etc...) Subtotal D INCL E Unit Cost Before Fee & Non-Equipment Charges(A+B+C+D) $54,598 Quantity Ordered 10 Subtotal E $545,980 rA F Non-Equipment Charges (Trade-In, Warranty, Etc...) BUY BOARD FEE ($400 PER PO, NOT PER UNIT) N/I G. Color of Vehicle: VICTORY RED WA9260 bo F V k H. Total Purchase Price (E+F) $545,980 Estimated Delivery Date: 360-420 DAYS APPX CERTIFICATE OF INTERESTED PARTIES Complete Nos. 1 - 4 and 6 if there are interested parties. Complete Nos. 1. 2. 3. 5. and 6 if there are no interested parties. 1 Name of business entry filing form, and the city, state and country of the business entity's place of business. CALDWELL COUNTRY CHEVROLET CALDWELL, TX United States 2 Name of governmental entity or state agency that Is a party to the contract for which the form is being filed. City of Round Rock FORM 3295 iof3 OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number. 2021-811114 Date Filed: 10/1112021 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. OOODOO Chevrolet Tahoe for the Mobile Care Units 4 Name of Interested Party City, State, Country (place of business) Mature of interest (check applicable) Controlling intennedimy NESTER, Zach Caldwell, TX United States X SLATER, Ryan Caldwell, TX United States X KNAPP, Averyt Caldwell, TX United States X 5 Check only if there is NO Interested Party. 6 € NSWORN DECLARATION My name is I Ik 10 1 M16--U4A1%'1AAJ I mSZuv I ,and my date of birth My address is tj %r 6 - M WA -- (street) (OW) (mate) (zip coft) (envy) ) declare under pen of perjury that the foregoing is true and correct. '21 Executed in County. Stale of on the f arty day o _ . 20 (month) (year) Ig W1 ful 31 Inahwe otthorized ag of contracting business entity foectarano Forms provided by Texas Ethics Commission www.ethics.state.U.us Version V1.1.191b5cdc CERTIFICATE OF INTERESTED PARTIES FORnn 1295 1 of 1 Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos. 1, 21 31 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. 2021-811114 CALDWELL COUNTRY CHEVROLET CALDWELL, TX United States Date Filed: 10/11/2021 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. City of Round Rock Date Acknowledged: 10/14/2021 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. 000000 Chevrolet Tahoe for the Mobile Care Units 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary HESTER, Zach Caldwell, TX United States X SLATER, Ryan Caldwell, TX United States X KNAPP, Averyt Caldwell, TX United States X 5 Check only if there is NO Interested Party. F1 6 UNSWORN DECLARATION My name is and my date of birth is My address is , , (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in County, State of , on the day of , 20 (month) (year) Signature of authorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.191135cdc