HomeMy WebLinkAboutResolution - 2019-R0383 - PO With KANN Manufacturing Corporation - 10/22/2019 Resolution No. 2019-RO383
Item No. 6.14
October 22, 2019
RESOLUTION
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK:
THAT the Mayor of the City of Lubbock is hereby authorized and directed to execute for
and on behalf of the City of Lubbock, Purchase Order No. 31048438 for the purchase of KANN
Bodies as per BuyBoard 516-16, by and between the City of Lubbock and KANN Manufacturing
Corporation of Guttenberg, Iowa, and related documents. Said Purchase Order is attached hereto
and incorporated in this resolution as if fully set forth herein and shall be included in the minutes
of the City Council.
Passed by the City Council on Octnher 22, 2019
DANIEL. M. POPE, MAYOR
ATTEST:
' Lbe'44 a k----� —
Rebe ca Garza, City Secr tart'
APPROVED AS TO CONTENT:
Mark Y6wood, M-sistant City Manager
APPROVED AS TO FORM:
U
C z
I,elli Leisure, Assistant City Attorney��
ccdocs/RES.-PurchaseOrd 31048438 - KANN Bodies
October 10,2019
Cityr>I Page - I
Lubb O Ck Date - 10/10/2019
TEXAS PURCHASE ORDER
Order Number 31048438 000 OP
SianchiPlant 526
TO: SHIP TO:
KANN MANUFACTURING CORPORATION CITY OF LUBBOCK
PO BOX 400 FLEET SERVICES
GUTTENBERG IA 52052 206 MUNICIPAL DRIVE
LUBBOCK TX 79404
INVOICE 7'O: CITY OF LUBBOCK
ACCOUN"1'S PAYABLE
P.O.BOX 2000 fl
LUBBOCK,'FX 79457 13Y: V
Maila Al arez,Director of Purchasing a.Contract Management
Ordered 10/10/2019 Freight
Requested 10/24/2019 Taken By R ROCHA
Delivery J LOERWALD REQ 54628 BUYBOARD 516-16 PUR 14980
Description/Supplier Item Ordered Unit Cost Um Extension Request Date
KANN Bodies 8.000 53,054.0000 EA 424,432.00 10/24/2019
CC 5811
Pushout Wall TB Kit,Slec 8.000 170.0000 EA 1,360.00 10/24/2019
CC 5811
Tailgate Assy IYD, Slec RR 8.000 3,030.0000 EA 24,240.00 10/24/2019
CC 5811
Paint,Misc Matt Ppg 8.000 2,800.0000 EA 22,400.00 10/24/2019
CC 5811
Ppg Fdgh 90604 NC, Int Wht 48.000 115.0000 EA 5,520.00 10/24/2019
CC 5811
Sngr Hook Load Opt Stec 8.000 2,725.0000 EA 21,800.00 10/24/2019
CC 5811
Roof Deck Assy,Slec 26 RR 8.000 720.0000 EA 5,760.00 10/24/2019
CC 5811
Lights, lyd Tg LED T/B Stec RR 8.000 1,375.0000 EA 11,000.00 10/24/2019
CC 5811
_ City of Page - 2
4f Lubbock Date - 10/10/2019
TEXAS PURCHASE ORDER
Order Number 31048438 000 OP
526
TO: SHIP TO:
KANN MANUFACTURING CORPORATION CITY OF LUBBOCK
PO BOX 400 FLEET SERVICES
GUTTENBERG IA 52052 206 MUNICIPAL DRIVE
LUBBOCK TX 79404
INVOICE TO: CITY OF LUBBOCK
ACCOUNTSPAYABLE
P.O.BOX 2000 ^ /
LUBBOCK,TX 79457 BY: V
Marta Alvarez,Director of Purchasing&Contract Management
Ordered 10/10/2019 Freight
Requested 10/24/2019 Taken By R ROCHA
Delivery J LOERWALD REQ 54628 BUYBOARD 516-16 PUR 14980
Description/Supplier Item Ordered Unit Cost UM Extension Request Date
Strobe Wheel en MGA, Iyd To Sle 8.000 295.0000 EA 2,360.00 10/24/2019
CC 5811
Beacon Wheelen L360,LWR I TG 8.000 560.0000 EA 4,480.00 10/24/2019
CC 5811
7'Rnd Amb Arrow Lights Slec 8.000 328.0000 EA 2,624.00 10/24/2019
CC 5811
Lights,Sade Work Option Slc 8.000 165.0000 EA 1,320.00 10/24/2019
CC 5811
Loading Work Lights,Slec 8.000 97.0000 EA 776.00 10/24/2019
CC 5811
Camera,(3)Convoy T LCD 3' 8.000 1,906.0000 EA 15,248.00 10/24/2019
CC 5811
Rear Work Lights,Btm Lt Bar 8.000 85.0000 EA 680.00 10/24/2019
CC 5811
Selc3Iyd Ssl PTO/TP Int'I 2018 8.000 30,253.0000 EA 242,024.00 10/24/2019
CC 5811
City of Pa-e - 3
Lubbock b
TEXAS PURCHASE ORDER Date - 10/10/2019
Order Number 31048438 000 OP
Branchirtant 526
TO: SHIP TO:
KANN MANUFACTURING CORPORATION CITY OF LUBBOCK
PO BOX 400 FLEET SERVICES
GUTTENBERG IA 52052 206 MUNICIPAL DRIVE
LUBBOCK TX 79404
INVOICE'r0: CITY OF LUBBOCK
ACCOUNTSPAVABLE
P.O.BOX 2000
LUBBOCK,TX 794-57 BY:
Marta Alv, ez,Director of Purchasing&Contract Management
Ordered 10/10/2019 Freight
Requested 10/24/2019 Taken By R ROCHA
Delivery J LOERWALD REQ 54628 BUYBOARD 516-16 PUR 14980
Description/Supplier Item Ordered Unit Cost UM Extension Request Date
Freiglit 8.000 2,665.0000 EA 21,320.00 10/24/2019
CC 5811
Option,Cmpctr Rev Press Switc 8.000 95.0000 EA 760.00 10/24/2019
CC581I
Steel Surcharge 8.000 1,082.0000 EA 8,656.00 10/24/2019
CC5811
Total Order
Terms NET 30 816.760.00
This py,�chaf$e ordu encumbers funds in the amount of$816,760.00 awarded to KANN Manufacturing Corporation,of Guttenberg,IA
on October Z , 2019. The following is incorporated into and made part of this purchase order by reference: Quote dated
October 8,2019 from KANN Manufacturing Corporation, of Guttenberg,IA, and BuyBoard Contract 516-16 Resolution
#2019-R03 83
CITY OF LUBB ATTEST:
—01)" 1 --0- )/c
Daniel M. Pope,Mayor Reb t Garza,City Secre ary
PURCHASE ORDER
TERMS AND CONDITIONS
IMPORTANT:READ CAREFULLY
STANDARD TERMS AND CONDITIONS
Seller and Buyer agree as CITY OF LUBBOCK,TX
follows:
1.SELLER TO PACKAGE GOODS. Seller will package goods in accordance with good commercial practice. lice of any other remedies which Buyer may have in law or equity.
Each shipping container shall be clearly and penrmanently marked as follows(a) Seller's name and address. 15.TERMINATION.Tire perfomtance of work under this ander maybe terminated in whole,or in pan by the
(b)Consignee's name,address and purchue order or purchase release mmmber and the supply a grcement number Buyer in accordance with this provision. Termination of work hereunder shall be effected by the delivery
if applicable,(c)Container number and total number of containers,erg.box I of 4 boxes,and(d)rise number of the Seller of a"Notice of Termination"specifying the extent to which performance of work under the
of the container bearing the packing slip. Steller shall bear cost of packaging unless otherwise provided. Goods order is terminated and tis date upon which such termination becomes effective.Such right or lemhination is
shall be suitably packed to secure lowest transportation costs and to confomh with requirements of common in addition to and not in lieu of the rights of Buyer set forth in Clause 14,herein.
carriers and any applicable specifications. Buyer's count or weight shall be final and conclusive on shipments -
not accompanied by packing lists. 16.FORCE MAIEURE. Neither party shall be held responsible for losses, resulting if the fulfilbncnt
2.SHIPMENT UNDER RESERVATION PROHIBITED. Seller is not authorized to ship the goods under orally tears of provisions of this contract is delayed or prevented by any cause not within the control of the
reservation and no tender of a bill of lading will operate as a tender of goods. pane whose performance is interfered with,and which by the exercise of reasonable diligence said pang is
unable to prevent.
3.TITLE AND RISK OF LOSS. The title and risk of loss of the goods shall not pass to Buyer until Buyer 17.ASSIGNMENT-DELEGATION. No right or interest in this comma shall be assigned or delegation of
actually receives and takes possession of the goads at the point or points of delieery•' any obligation made by Seller without the written permission of the Buyer. Any attempted assignment or
4.NO REPLACEMENT OF DEFECTIVE TENDER- Every tender of delivery of goads must fully comply delegation by Sella shall be wholly void and totally ineffective for all purpose unless made in conformitywith
with all provisions ofthis contract as to time ofdelivery,quality and the like. Ifa tender is made which docs not this paragraph.
fully conform.this shall constitute a breach and Seller shall not have the right to substitute a conforming tender, 18.WAIVER. No claim or right arising out of a breach of Ibis contract can be discharged in whole or in part
provided,where the time for performance has not yet expired,the Seller may reasonably notify,Buyer of his by a waiver or renunciation of the claim or right unless are waiver or renunciation is supported by
intention to cure and may then make a conforming tender within the contract time but not a0cr card.
consideration and is in writing signed by the aggrieved party.
5.INVOICES S PAYMENTS.a.Scllcr shall submit separate invoices,in duplicate,one each pnrehaac
order or purchase release alter each delivery. Invoices shall indicate the purchase order or purchase release 19. INTERPRETATION-PAROLE EVIDENCE. This writing, phis any specifications for bids and
number and the supply agreement number if applicable. Invoices shall be itemized and transportation charges, performance provided by Buyer in its advertisement for bids. and any other documents provided by
if any,shall lie listed separately. A copy of the bill of lading,and the 0•eight waybill when applicable,should Seller as par of his bid,is intended by the parties as o final expression of their agreement and intended also
be attached to the invoice. Mail To:Accounts Payable,City of Lubbock,P.0.Box 2000,Lubbock,Texas as a complete and exclusive statement of the recti of their agreement. Whenever a term defined by the
79457. Payment shall not be due until the above instruments are submitted aflcrdclivm-. Uniform Commcrcial Code is used in this agrecment,the definition contained in the Code is to control.
6.GRATUITIES. The Buyer may,by written notice to the Seller,cancel this contract without liability to 20.APPLICABLE LAW. This agreement shall be govemed by the Uniform Commercial Code.Whereever
Seller if it is determined by Buyer that gratuities,in the farm of entertainment,gifts or odrenvise,were offered the term"Uniform Commercial Code'is used.it shall be constmcd as meaning the Uniform Commercial
or given by the Seller,or any agent or representative of the Seller,to any officer or employee of the City of Code as adopted in the State of Texas as effective and in force on the date of this agmcment.
Lubbock with a view to securing a contract or securing favorable treatment with respect to the awarding or 21.RIGHT TO ASSURANCE. Whenever one party to this contract in good faith has reason to question
amending,or the malting of any determinations with respect to the performing of such a contract. In the event the other party's intent to perform he may demand that the other party give written assurance of his intent to
this contract is canceled by Buyer pursuant to this provision,Buyer shall be entitled,in addition to any other perfarm. In the event that a demand is made and no assurance is given within five(5)days,the demanding
rights and remedies,to recover or withhold the amount of the cost inured by Seller in providing such gratuities. party may treat this failure as an anticipatory repudiation of the contract.
7.SPECIAL TOOLS k TEST EQUIPMENT. If the price stated on the face hereof includes the cost of any 22.INDC•MNIFICATION. Scllcr shall indemnify,keep and save harmless rise Buyer,its agents,officials and
special tooling or special test equipment fabricated or required by Seller for the purpose of filling this order, employees.against all injuries,deaths,loss,domages.claims.patent claims,suits,liabilities,judgments,costs
such special tooling equipment and any process sheets related thereto shall become the property of the Buyer and expenses,which may in anywise acerae against the Buyer in conscqucncc of the granting of this Contract
and to the extent feasible shall be identified by the Seller as such. or which may anywise result therefrom,whether or not it shall be alleged or dctamincd that the act was
8.WARRANrTY-PRICE.a The price to be paid by the Buyer shall be that contained in Seiler s bid caused through negligence or omission of the Seller or its employees,or of the subSeller or assignee or its
which Seller warrants to be no higher than Seller's current process an orders by others for products of the kind employees,if any,and the Seller shall,at his own expense,appear,defend and pay all ch rgcs of aitomcys
and specification covered by this agreement for similar quantities under similar of like conditions and methods and all costs and other expenses arising therefrom of incurred in connection therewith,and,if any judgment
of purchase. In the event Seller breaches this warranty,the prices of the items shall be reduced to the shall be rendered against the Buys in any such action,the Seller shall,at its own expenses,satisfy and
Seller's current prices on orders by others,or in the alternative. Buyer may cancel this contract without discharge the swine Seller expressly understands and agrees that any bond required by this contract,or
liability to Seller for breach or Seller's actual expense.b.The Seller warrants lhrt no person or selling agcney othcrwuc provided by Seller,shall in no way limit the responsibility to indemnify,keep and save harmless
has been employed or retained to solicit or secure this contract upon an agreement or understanding for and defend the Buyer as herein provided.
commission,percentage,brokerage,or contingent Ice excepting bona fide employees of bonn ride established 23.TMIE. It is hereby expressly agreed and understood that time is of the essence for lite perf lmhance of
commercial or selling agencies maintained by the Seller for the pupnse of securing business. For breach of this contract,and failure by contract to meet lite time specifications of this agreement will cause Seller to
viciation of this warranty the Buyer shall have the right in addition to any other right of rights to cancel this be in default of this agreement.
contract without liability and to deduct from the contract price,or otherwise recover without liability and to
deduct from the contract price,or otherwise recover the full amount of inch commission,percentage,brokerage 1--4.MBE. The City of Lubbock hereby notifies all bidders that in regard to any contract entered into
or contingent fee. pursuant to this request,minority and women business enterprises will be afforded equal opportunities to
submit bids in response to this invitation and will not be discriminated against on the gmunds of race.color.
9.WARRANTY-PRODUCT. Seller shall not limit or exclude any implied warranties and any attempt to do res or natw•al origin inconsideration Foran award.
so shall tender this contract voidable at the option of the Buyer. Seller warrants that lite goods 6rmished will
conform to the specifrcatian,drawings,and descriptions listed in the bid invitation,and to the sample(s)furnished 25.NON-ARBITRATION.The City reserves the right to exercise any right or remedy to it by law,contract,
by the Seller,if any. In the event of a conflict or between the specifications,drawings,and descriptions,the equity,or otherwise,including without limitation,the right to seek any and all forms of relief in a cram of
specifications shall govern.Notwithstanding any provisions contained in the contractual agreement.the Seller competent jurisdiction.Further,the City shall not be subject to any arbitration pmcess prior to exercising
represents and warrants fault-free performance and fault-free result in lite pmecssing date and date related data its unrestricted right to seekjudicial remedy.The remedies set forth herein are cumulative and not exclusive,
(including,but not limited to calculating,comparing and sequencing)of all hardware,sofhrare and firmware and may be exercised concurrently.To the extent orally conflict between this provision and another prevision
products delivered cid services provided under this Contract,individually or in combination,as the case may in,or related to,this document,this provision shall control.
be from the effective date of this Contract.The obligations contained herein apply to products and services 26.RIGHT TO AUDIT.At any time during the tern of the contract,or thereafter,the City,or a duly
provided by the Seller,its sub-Scllcr or any third party involved in the creation or development of the products aulhorizcd audit representative of the City or Lite State of Texas,at its expense and at reasonable times,
and services to be delivered to the City of Lubbock under this Contract. Failure to comply with any of the reserves the right to audit Contractor's records and books relevant to all services provided to the City under
obligations contained herein,may result in the City of Lubbock availing itself of any of its rights under the this Contract. hs the event such an audit by the ON rcvcals any errors or overpayments by the City,
law and under this Contract including,but not limited to,its right pertaining to termination or default. The Contractor shall refund the City the full amount of such overpayments within thirty(30)days of such
warranties contained herein are separate and discrete from any other warranties specified in this Contract, audit findings,or the City,at its option,reserves the right to deduct such amounts awing the City front any
and arc not subject to any disclaimer of warranty,implied or expressed,or limitation of the Seller's liability payments due Contractor.
which may be specified in chis Contract,its appendices,its schedules,its annexes or any document incorporated
in this Contract by reference. 27,HOUSE BILL 2015. House Bill 2015,signed by the Governor on Jun 14,2013 and effective on January
1,'_014,authorizes a penalty to be imposed on a person who contracts for certain services with a governmental
10.SAFETY WARRANTY. Seller warrants that the product sold to the Buyer shall conform to the standards entity and who fails to properly classify their workers.This applies to subcontractors as well.Contractors and
promulgated by the U.S.Department of Labor under the Occupational Safety and I Iealrh Act of 1970. In the• subcontractors who fail to properly classify individuals performing work under a governmental contract will be
event the product does not conform to OSHA standards,Buyer may return the product for correction or penalized$200 for each individual that has been misclassified.(Texas Government Code Section 2155.001).
replacement at the Seller's expense. In the event Seller fhils to make the appropriate correction within a
reasonable time,correction made by Buyer will be at the Seller's expense. 28.ASSIGNING OR SUBLETTING THE CONTRACT.The Contmetorshall not assignor sublet the contract,
or any porion of the contract, without written consent from the Director of Purchasing and Contract
11.NO WARRANTY BY BUYER AGAINST INFRINGEMENTS. As part of this contract for sale Seller Management. Should consent be given,the Contractor shall insure the Subcontractor or shall provide proof on
agrees to ascertain whethergaads manufactured in accordance with the specifications attached to this agreement insurance from the Subcontractor that complies with all contract Insurance requirements.
will give rise to the rightful claim orally third person by way of infringement of the like. Buycr makes no
warranty that the production of goods according to lite specification will not give rise to such a claim,and in no 29.HOUSE BILL 1295 DISCLOSURE OF INTERESTED PARTIES. House Bill 1295,adopted by the 84th
event shall Buyer be liable to Seller for indemnification in the event the Seller is sued on the grounds of Legislature,created§2252.905,Texas Government Code.Section 2252.908 requires a business entity entering
infringement of the like. If Seller is of the opinion that all infringement or the like will result,he will notify the into certain contracts with a governmental entity or state agency to file with the governmental entity or state
Buyer to this effect in writing within two weeks after the signing ofthis agreement. If Buyer dams not receive agency a disclosure of interested parties at the time the business entity submits the signed contract to the
notice and is subsequently held liable for the infringement or the like.Seller will save Buyer harmless. If governmental entity or state agency. Instructions for completing Farm 1295 are available at:
Seller in goad faith ascertains the production of the goods in accordance with the specifications will result in Inn+: m ay.ci luhhnek.tx uudepanmentnl-svehcil::_. ants nurchasine'vendor•inlianalinn
infringement or the like,the contract shall be null and void. 30.CONTRACTOR ACKNOWLEDGES.by supplying any Goods or Sen-ices that the Contractor has read,
12.NON APPROPRIATION.All funds for payment by the City under this contract are subject to the fully understands,and will be in full compliance with all terms and conditions and the descriptive material
availability of an annual appropriation for this purpose by the City. In the event of nonappropriation of funds contained herein and any additional associated documents and Amendments.The City disclaims any,terms and
by the City Council of tlhc City of Lubbock for the goods or scrvices provided under lite contract,the City will conditions provided b-v the Contractor unless agreed upon in writing by the parties. In the event of conflict
terminate the contract,without termination charge or other liability,on the list day of the Ihcn-current fiscal between these temps and conditions and any terms and conditions provided by the Contractor.the terms and
year or when the appropriation made for the then-current year fertile goods err services covered by this contract conditions provided herein shall prevail. 'file terms and conditions provided herein are Lite final tenni agreed
is spent,whichever event occurs first. If at any time funds are not appropriated for the continuance of this upon by the panics,and any prior conflicting terms shall be of no force or effect.
contract,cancellation shall be accepted by the Sella on thirty(30)days prior written notice,but failure to give 31.By accepting this PO,contractor acknowledges that pursuant to Section 2270.002,Government Code,(a)
such notice shall be of no effect and the City shall not be obligated under this contract beyond(lie date of This section applies only to a contract that:(1)is bctwcen a govcmmcntal entity and a company with 10
termination orrnorc full-timccmployccs;and (2)has a valucof S100,000 or more that is to be paid whollyor partly
13.RIGHT OF INSPECTION. Buyer shall have the right to inspect the goads at delivery before accepting from public funds of the govcmmcntal entity. (b)A governmental entity may not enter into a conract+vnh
them a company for goods or services unless the contract contains a written verification from the company that
it:(])does not boycott Israel;and(2)will not boycott Ismcl during the term of the contract..
W.CANCELLATION. Buyer shall have the right to cancel for default all or any pan of the unddivcrcd
portion of this order if Seller breaches any of the terns hereaf including waranties of Seller or if the Seller
becomes insolvent"commits acts of bankruptcy. Such right of cancellation is in addition to and not in
Rev.07;19
Kann Manufacturing Corporation
P.O. Box 400-210 Regent Street-Guttenberg, Iowa 52052
JKA Phone: 563-252-2035-Fax: 563-252-3069-Email: sales@kannnlfg.com
QUOTE
Date _ QLIOle
---
Quote To: CITY Of- LUBBOCK Ship To: CITY OF LUBBOCK
PO BOX 2000 208 MUNICIPAL, DR
LUBBOCK. TX 79= 57- LUBBOCK. TX
79457-
Contact BILLY TAYLOR
Customer 0012068
Telephone 806-775-2376 Fax 806-775-3085
- -- Terms --- - Expiry UatcSalesperson 1- - - Si 1-i � Via
NET 30 DAYS
--- --- ---- -- - -- R1 . DELIVER
- -- --- - - - - -
Qty Past# Description Unit Price Ext. Price
BUYBOARD CONTRACT 4516-16
BUYBOARD ITEM#10:CURB MASTER SERIES,SLEC
SERIES 27-YD:COMMERCIAL SIDE-LOADER,EJECT
UNLOADING,ROUND TOP
8.0 3531062 BODY ASSY 26YD SSL XS SLEC RR 53,054.00 424,432.00
8.0 3531223 PUSHOUT WALL TB KIT,SLEC 170.00 1,360.00
8.0 3531068 TAILGATE ASSY 1YD, SLEC RR 3,030.00 24,240.00
8.0 3530709 PAINT, MISC MATL PPG#FDGH SLC 2,800.00 22,400.00
48.0 1800306-18 PPG#FDGH 90604 NC, INT WHT 115.00 5,520.00
8.0 4530098 SNGL HOOK LOAD OPT SLEC 2,725.00 21,800.00
8.0 3530937 ROOF DECK ASSY, SLEC 26 RR 720.00 5,760.00
8.0 3531115 LIGHTS, 1YD TG LED TIB SLEC RR 1,375.00 11,000.00
8.0 4530093 STROBE WHEELEN M6A, 1YD TG SLE 295.00 2,360.00
8.0 4530092 BEACON WHEELEN L360, LWR 1Y TG 560.00 4,480.00
8.0 4530094 7" RND AMB ARROW LIGHTS SLEC 328.00 2,624.00
8.0 4530006 LIGHTS, SIDE WORK OPTION SLC 165.00 1,320.00
8.0 4530050 LOADING WORK LIGHTS, SLEC 97.00 776.00
8.0 4530091 CAMERA,(3)CONVOY T'LCD 33' 1,906.00 15,248.00
8.0 4530102 REAR WORK LIGHTS, BTM LT BAR 85.00 680.00
8.0 4530107 OPTION, CMPCTR REV PRESS SWTCH 95.00 760.00
8.0 5530059 SLEC31YD SSL PTO/TP INTI 2018 30,253.00 242,024.00
8.0 5000192 STEEL SURCHARGE 1.082.00 8,656.00
8.0 FREIGHT 2,665.00 21,320.00
Sub Total: 816,760.00
Federal Excise Tax: 0.00
Freight Total: 0.00
Page 1 of 2
Kann Manufacturing Corporation
P.O. Box 400—210 Regent Street—Guttenberg, Iowa 52052
Phone:563-252-2035— Fax: 563-252-3069—Email: sales@kannmfg.com
WL
F'VAN,,
QUOTE
Date Quote 4 - ---1
t
108/19 7116
Total: 816,760.00
-Customer is responsible for throttle advance programming if required.
- F.O.B. Kann Manufacturing Corporation. Freight charge is estimated based upon fuel cost at the time of quotation. The
charge is subject to change at the time of delivery.
- Modifications to customer supplied chassis will be at the customer's expense and will be added to the customer's
invoice. Customers will be notified prior to any modifications.
- If Kann Manufacturing Corporation facilitates the customer purchase of a chassis, C.O.D. terms on both chassis and
body will supersede all other specified terms found in this agreement.
Ordering Information:
Order date: Number of Units Ordered: Customer's P.O. #:
Customer Order Authorization Signature:
Kann Manager Authorization: -
Page ? of'?
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
loll
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. 2019-555016
KANN MANUFACTURING CORPORATION
GUTTENBERG, IA United States Date Filed:
2 Name of governmental entity or state agency that is a party to the contract for which the form is 10!7.4!7.019
being filed.
CITY OF LUBBOCK 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.
31048438
KANN Bodies
4 Nature of interest
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling Intermediary
TAAKE, ROGER GUTTENBERG, IA United States X
KANN,WILLIAM GUTTENBERG, IA United States X
5 Check only if there is NO Interested Party. ❑
6 UNSWORN DECLARATION
My name is �U V /L and my date of birth is
0 LL
My address is (e 19 !u , 2 � �T`. v,
(street) (city) J (state) (zip code) (country)
I declare under penalty of perjury that the foregoing is true and correct.
Executed in aa,firm County, State of 7:F—oL4,6Lon the day of S.y1;A .2019
(month) (year)
Signature of a iorized agent of contracting business entity
(Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.3a6aaf7d
CERTIFICATE OF INTERESTED PARTIES FORM 1295
1of1
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. 2019-555016
KANN MANUFACTURING CORPORATION
GUTTENBERG, IA United States Date Filed:
2 Name of governmental entity or state agency that is a party to the contract for which the form is 10/24/2019
being filed..
CITY OF LUBBOCK Date Acknowledged:
1012412019
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.
31048438
KANN Bodies
4
Nature of interest
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling Intermediary
TAAKE, ROGER GUTTENBERG, IA United States X
KANN,WILLIAM GUTTENBERG, IA United States X
5 Check only if there is NO Interested Party. ❑
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.LIS Version V1.1.3a6aaf7d