HomeMy WebLinkAboutResolution - 2016-R0308 - Purchase Order - Dell Marketing LP - Computers And Related Equipment - 09/08/2016Resolution No.2016-R0308
Item No.5.18
September8,2016
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 ratify the
agreement previously entered into by and on behalf of the City of Lubbock for the State of Texas
Department of Information Resources.Purchase Order No.33000756.in the amount of
$102,691.98.for computers and related peripheral equipment, by and between the City of
Lubbock and Dell Marketing LP of Round Rock,Texas,and related documents,pursuant to State
of Texas Department of Information Resources Contract No.DIR-SDD-1951.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.
Passedby the CityCouncilon September 8,2016 .
ATTEST:
)Lc£~£.JU
Rebdcca Garza.City Secreta
APPROVED AS TO CONTENT:
Markx^earwooa.Assistant City Manager
APPKOVN)\S It)M>RM>
DANIEL M.POPE,JMAYOR
i:-:S.PO33000756_Dell_Computers _2016.2.doc
►r City Of
Lubbock PURCHASE ORDER
TEXAS
TO: DELL MARKETING LP
RR 8 BOX 8706 ONE DELL WAY
ROUND ROCK Texas 78682
Page - 1
Date - 08/12/2016
Order Number 33000756 000 OP
Rrnnrh/Plant 3410
SHIP TO: CITY OF LUBBOCK
INFORMATION TECHNOLOGY
1611 LOTH STREET
LUBBOCK Texas 79401
INVOICETO: CITYOFLUBBOCK
ACCOUNTSPAYABLE
P.O. BOX 2000
LUBBOCK, TX 79457 BY:
Marta Alvarez,Dirw of Purchasing& Contract Management
Ordered 08/12/2016 Freight
Requested 09/15/2016 Taken By S SUMMERS
Delivery Per J Zhine / Req # 48263 Quote #08052016 / DIR-SDD-1951
Description/Supplier Item
PowerEdge FX2 Chassis
#210-ABUX
ProSupportPlus MissionCritical
3 Yr #973-9967
PowerEdge FC630 Server Node
32 GB #210-ACWIC
ProSupportPlus MissionCritical
#997-0236
PowerEdge FN410S I/O Module
#210-AHBX
ProSupportPlus MissionCritical
#807-9783
SFP+ SR Optical Transcvr Intel
10Gb #407-BBVI
Ordered
Unit Cost
UM
Extension
Request Date
2.000
2,890.3700
EA
5,780.74
09/15/2016
2.000
EA
09/15/2016
8.000
9,995.6900
EA
79,965.52
09/15/2016
8.000
EA
09/15/2016
4.000
2,322.8300
EA
9,291.32
09/15/2016
4.000
EA
09/15/2016
32.000
239.2000
EA
7,654.40
09/15/2016
Total Order
Terms NET 30 102,691.98
\ LubU'o ck
TEXAS
PURCHASE ORDER
Page - 1
Date - 08/12/2016
Order Number 33000756 000 OP
3410
TO: DELL MARKETING LP
RR 8 BOX 8706 ONE DELL WAY
ROUND ROCK Texas 78682
SHIP TO: CITY OF LUBBOCK
INFORMATION TECHNOLOGY
1611 I OTH STREET
LUBBOCK Texas 79401
INYOICETO: CITYOFLUBBOCK
ACCOUNTS PAYABLE
P.O. BOX 2000
LUBBOCK, TX 79457 BY:
Marta Alvarez, Dir t r of Purchasing& Contact Ntanagemmt
Ordered 08/12/2016 Freight
Requested 09/15/2016 Taken By S SUMMERS
Delivery Per J Zhine / Req # 48263 Quote #08052016 / DIR-SDD-1951
This purchase order encumbers funds in the amount of S 102,691.98 awarded to Dell Marketing LP of Round Rock, TX on September
8, 2016. The following is incorporated into and made part of this purchase order by reference DIR-SDD-1951 Dell Marketing LP of
Round Rock, TX Resolution #2016-R0308
CITY OF LUBBOCK
Daniel M. Pope, M or
ATTEST:
Re ecca Garza, City Secretary
Quote
Date 8/5/16
Summary
Quote
08052016
Company CITY OF LUBBOCK
Cusfomer# 1784159
Qvote # Nod- Description
OTY Se61ota1
Tax Shipping Extended Application Description
732467018 PowerEdge FX2 / (4)FC630 / (2)FN410S
1 $51,345.99
$0.00 $0.00 $51,345.99
732466435 PowerEdge FX2 / (4)FC630 / (2)FN41 OS
1 $51,345.99
$0.00 $0.00 $51,345.99
Contract Code: 42AFU
Non tied Software and Peripherals
DIR-SDD-1951
Durel
Totals
$102,691.98
and Peripherals $0.00
2.513.0603 Soles Tax
_ $0.00
Grand
Quote Summary_732466435
file:///C:/Users/14801/AppData/Local/Microsoft/Windows/Temporary In...
Date: 8/6/2016
QUOTATION
Quote #:
Customer #:
Contract #:
CustomerAgreement #:
Quote Date:
Customer Name:
732466435
1784159
42AFU
DIR-SDD-1951
08105/2016
CITY OF LUBBOCK
Thanks for choosing Dell! Your quote is detailed below; please review the quote for product and
informational accuracy. If you find errors or desire certain changes please contact your sales
professional as soon as possible.
Sales Professional Information
SALES REP: KEVIN A PRIFOGLE PHONE: 1800-4563355
Email Address: Kevin Prifogle(cDDELL com Phone Ext: 5139195
GROUP: 1 QUANTITY: 1 SYSTEM PRICE: $2,890.37 GROUP TOTAL: $2,890.37
Description
Quantity
PowerEdge FX2 (210-ABUX)
1
PowerEdge FX2 Chassis for up to 4 Half -Width Nodes (321-BBFM)
1
Thank you for choosing Dell ProSupport Plus. For tech support, visit http://www.dell.com
/contactdell (951-2015)
1
Dell Hardware Limited Warranty Plus On Site Service Initial Year (973-9866)
1
Dell Hardware Limited Warranty Plus On Site Service Extended Year (973-9867)
1
ProSupport Plus: Mission Critical 4-Hour 7x24 On -Site Service with Emergency Dispatch,
Initial Year (973-9966)
1
ProSupport Plus: Mission Critical 4-Hour 7x24 On -Site Service with Emergency Dispatch,
2 Year Extended (973-9967)
1
ProSupport Plus: 7x24 HW/SW Tech Support and Assistance, 3 Year (973-9990)
1
Dell Proactive Systems Management - Declined - www.dell.com/Proactive (909-0259)
1
US Order(332-1286)
1
On -Site Installation Declined (900-9997)
1
Declined Remote Consulting Service (973-2426)
1
PowerEdge FX2 Shipping (340-AGKB)
1
Redundant Ethernet Switch Configuration (540-SBQM)
1
FX2S Chassis Configuration Label (321-BBFZ)
1
PowerEdge FX2S Chassis Configuration with Flexible 10 (up to 8 PCIe Slots) (321-BBGH)
1
SD Storage for Chassis Management Controller (403-BBEQ)
1
CMC Enterprise for FX2 (634-0287)
1
USER Guide, FX2 Chassis (343-BBBW)
1
Dell OpenManage CD Kit for PowerEdge FC630 Server Node (631-AAJT)
1
PowerEdge FN 1/0 Module User Documentation (340-AKBN)
1
FX2 ReadyRails Sliding Rails (770-BBER)
1
Power Supply, Redundancy Alerting Enabled Configuration (450-ADTZ)
1
Dual, Hot -plug, Power Supply, 2000W, C19/C20 Power Cord Required (450-AENU)
1
1 of4 8/9/2016 10:10 AM
Quote Summary_732466435
file:///C:/Users/1480]/AppData/Local/Microsoft/Windows/Temporary In...
Power Cord, C20 to C19, PDU Style, 16A, 250V, 2ft (0.6m) (492-BBEI) 2
Serial 1/0 Management Cable, for Ethernet Blade Switches (310-9696) 1
No Media Required (421-5736) 1
GROUP: 2 QUANTITY: 4 SYSTEM PRICE: $9,995.69 GROUP TOTAL: $39,982.76
Description
Quantity
PowerEdge FC630 Server Node (210-ACWK)
4
PowerEdge FC630 Motherboard MLK (329-BCZL)
4
PowerEdge FC630 Regulatory Label, DAO (389-BESB)
4
Thank you for choosing Dell ProSupport Plus. For tech support, visit http://www.dell.com
/contactdell (951-2015)
4
Dell Hardware Limited Warranty Plus On Site Service (997-0181)
4
ProSupport Plus: Mission Critical 4-Hour 7x24 On -Site Service with Emergency Dispatch,
3 Year(997-0236)
4
ProSupport Plus: 7x24 HW/SW Tech Support and Assistance, 3 Year (997-0250)
4
Dell Proactive Systems Management - Declined - www.dell.com/Proactive (909-0259)
4
US Order (332-1286)
4
On -Site Installation Declined (900-9997)
4
System ordered as part of Multipack order (750-AADI)
4
PowerEdge FC PCIE Mezzanine Adapter (492-BBQT)
4
Intel X710 Quad Port, 10Gb KR Blade Network Daughter Card (542-BBCF)
4
Intel X710 Dual Port 10Gb Direct Aattach, SFP+, Converged Network Adapter, Low Profile
(555-BCKN)
4
iDRAC8 Enterprise, integrated Dell Remote Access Controller, Enterprise (385-BBHO)
4
2.5" Backplane with up to 2 Hard Drives and PERC RAID Controller (406-BBFE)
4
Standard Cooling,FC630 (384-BBDS)
4
Performance BIOS Settings (384-BBBL)
4
Diskless Configuration, PERC Controller (780-BBKQ)
4
H730 Controller (405-AAEU)
4
Intel Xeon E5-2643 v4 3.4GHz,20M Cache,9.60GT/s QPI,Turbo,HT,6C/12T (135W) Max
Mem 2400MHz (338-BJCR)
4
Intel Xeon E5-2643 v4 3.4GHz,20M Cache,9.60GT/s QPI,Turbo,HT,6C/12T (135W) Max
Mem 2400MHz (338-BJCS)
4
32GB RDIMM, 2400MT/s, Dual Rank, x4 Data Width (370-ACNS)
16
240OMT/s RDIMMs (370-ACPH)
4
Performance Optimized (370-AAIP)
4
No Hard Drive (400-ABHL)
4
No Trusted Platform Module (461-AADZ)
4
No Systems Documentation, No OpenManage DVD Kit (631-AACK)
4
Internal Dual SD Module (330-BBCV)
4
Redundant SD Cards Enabled (385-BBCF)
4
16GB SD Card For IDSDM (385-BBII)
4
16GB SD Card For IDSDM (385-BBII)
4
No OS, No Utility Partition (421-2869)
4
2 of 4 8/9/2016 10:10 AM
Quote Summary_732466435
file:///C:/Users/14801/AppData/Local/Microsoft/Windows/Tempomry In...
No Media Required (421-5736)
DIMM Blanks for System with 2 Processors (374-BBHL)
4
4
104MM Heatsink for PowerEdge FC630 Processor 1 (412-AAEL) 4
104MM Heatsink for PowerEdge FC630 Processor 2 (412-AHEM) 4
104MM Processor Heatsink Shroud for PowerEdge FC630 (750-AAFH) 4
GROUP: 3 QUANTITY: 2 SYSTEM PRICE: $2,322.83 GROUP TOTAL: $4,645.66
Description
Dell PowerEdge FN410S 1/0 Module, 8x Internal to 4x SFP+ external ports, Factory
Installed (210-AHBX)
Dell Hardware Limited Warranty Plus On Site Service (807-9776)
ProSupport Plus: Mission Critical 7x24 HW/SW Technical Support and Assistance, 3 Years
(807-9782)
ProSupport Plus: Mission Critical 4-Hour 7x24 On -Site Service with Emergency Dispatch,
3 Years(807-9783)
Thank you for choosing Dell ProSupport Plus. For tech support, visit http://www.delf.com
/contactdell (951-2015)
US Order(332-1286)
On -Site Installation Declined (900-9997)
Dell Networking, Transceiver, SFP+, 10GbE, SR, 850nm Wavelength, 300m Reach
(407-BEEF)
Software, Rights to use Full -Switch Mode, FN 1/0 Module (634-BFBL)
SOFTWARE & ACCESSORIES
Product
SFP+, SR, Optical Transceiver, Intel, 10Gb-9 Gb, Customer
Install (407-BBVJ)
'Total Purchase Price:
Product Subtotal:
Tax:
Shipping & Handling:
State Environmental Fee:
Shipping Method:
GROUP TOTAL: $3,827.20
Quantity Unit Price
16 $239.20
Quantity
2
2
2
2
2
2
2
4
2
Total
$3.827.20
$51,345.99
$51,345.99
$0.00
$0.00
$0.00
LTL 5 DAY OR LESS
(" Amount denoted in $)
Order this quote easily online through your Premier Page, or if you do not have Premier, using Quote to
Order
Statement of Conditions
The information in this document is believed to be accurate. However, Dell assumes no responsibility for
inaccuracies, errors, or omissions, and shall not be liable for direct, indirect, special, incidental, or
consequential damages resulting from any such error or omission. Dell is not responsible for pricing or
other errors, and reserves the right to cancel orders arising from such errors.
3 of 8/9/2016 10:10 AM
Quote Summary_732467018
file:///C:/Users/14801/AppData/LocaVMicrosoft/Windows/Temporary In...
Date: 8/5/2016
QUOTATION
Quote M
Customer #:
Contract M
CustomerAgreement M
Quote Date:
Customer Name:
732467018
1784159
42AFU
DIR-SDD-1951
08/05/2016
CITY OF LUBBOCK
Thanks for choosing Dell! Your quote is detailed below; please review the quote for product and
informational accuracy. If you find errors or desire certain changes please contact your sales
professional as soon as possible.
Sales Professional Information
SALES REP: KEVIN A PRIFOGLE PHONE: 1800 - 4563355
Email Address: Kevin Prifocle EDDELL corn Phone Ext: 5139195
GROUP: 1 QUANTITY. 1 SYSTEM PRICE: $2,890.37 GROUP TOTAL: $2,890.37
Description
Quantity
PowerEdge FX2 (210-ABUX)
1
PowerEdge FX2 Chassis for up to 4 Half -Width Nodes (321-BBFM)
1
Thank you for choosing Dell ProSupport Plus. For tech support, visit http://www.dell.com
/contactdell (951-2015)
1
Dell Hardware Limited Warranty Plus On Site Service Initial Year (973-9866)
1
Dell Hardware Limited Warranty Plus On Site Service Extended Year (973-9867)
1
ProSupport Plus: Mission Critical 4-Hour 7x24 On -Site Service with Emergency Dispatch,
Initial Year (973-9966)
1
ProSupport Plus: Mission Critical 4-Hour 7x24 On -Site Service with Emergency Dispatch,
2 Year Extended (973-9967)
1
ProSupport Plus: 7x24 HW/SW Tech Support and Assistance, 3 Year (973-9990)
1
Dell Proactive Systems Management - Declined - www.dell.com/Proactive (909-0259)
1
US Order(332-1286)
1
On -Site Installation Declined (900-9997)
1
Declined Remote Consulting Service (973-2426)
1
PowerEdge FX2 Shipping (340-AGKB)
1
Redundant Ethernet Switch Configuration (540-BBQM)
1
FX2S Chassis Configuration Label (321-BBFZ)
1
PowerEdge FX2S Chassis Configuration with Flexible 10 (up to 8 PCle Slots) (321-BBGH)
1
SD Storage for Chassis Management Controller (403-BBEQ)
1
CMC Enterprise for FX2 (634-0287)
1
USER Guide, FX2 Chassis (343-BBBW)
1
Dell OpenManage CD Kit for PowerEdge FC630 Server Node (631-AAJT)
1
PowerEdge FN 1/0 Module User Documentation (340-AKBN)
1
FX2 ReadyRails Sliding Rails (770-BBER)
1
Power Supply, Redundancy Alerting Enabled Configuration (450-ADTZ)
1
Dual, Hot -plug, Power Supply, 2000W, C19/C20 Power Cord Required (450-AENU)
1
I of4 8/9/2016 10:19 AM
Quote Summary_732467018
file:///C:/Users/14801/AppData/LocaUMicrosoftAVindows/Temporary In...
Power Cord, C20 to C19, PDU Style, 16A, 250V, 2ft (0.6m) (492-BBEI) 2
Serial 1/0 Management Cable, for Ethernet Blade Switches (310-9696) 1
No Media Required (421-5736) 1
GROUP: 2 QUANTITY: 4 SYSTEM PRICE: $9,995.69 GROUP TOTAL: $39,982.76
Description
Quantity
PowerEdge FC630 Server Node (210-ACWK)
4
PowerEdge FC630 Motherboard MLK (329-BCZL)
4
PowerEdge FC630 Regulatory Label, DAO (389-BESB)
4
Thank you for choosing Dell ProSupport Plus. For tech support, visit http://www,del].com
/contactdell (951-2015)
4
Dell Hardware Limited Warranty Plus On Site Service (997-0181)
4
ProSupport Plus: Mission Critical 4-Hour 7x24 On -Site Service with Emergency Dispatch,
3 Year(997-0236)
4
ProSupport Plus: 7x24 HW/SW Tech Support and Assistance, 3 Year (997-0250)
4
Dell Proactive Systems Management - Declined - www.dell.com/Proactive (909-0259)
4
US Order (332-1286)
4
On -Site Installation Declined (900-9997)
4
System ordered as part of Multipack order (750-AADI)
4
PowerEdge FC PCIE Mezzanine Adapter (492-BBQT)
4
Intel X710 Quad Port, 10Gb KR Blade Network Daughter Card (542-BBCF)
4
Intel X710 Dual Port 10Gb Direct Aattach, SFP+, Converged Network Adapter, Low Profile
(555-BCKN)
4
iDRAC8 Enterprise, integrated Dell Remote Access Controller, Enterprise (385-BBHO)
4
2.5 Backplane with up to 2 Hard Drives and PERC RAID Controller (406-BBFE)
4
Standard Cooling,FC630 (384-BEDS)
4
Performance BIOS Settings (384-BBBL)
4
Diskless Configuration, PERC Controller (780-BBKQ)
4
H730 Controller (405-AAEU)
4
Intel Xeon E5-2643 v4 3.4GHz,20M Cache,9.60GT/s QPI,Turbo,HT,6C/12T (135W) Max
Mem 2400MHz (338-BJCR)
4
Intel Xeon E5-2643 v4 3.4GHz,20M Cache,9.60GT/s QPI,Turbo,HT,6C/12T (135W) Max
Mem 2400MHz (338-BJCS)
4
32GB RDIMM, 2400MT/s, Dual Rank, x4 Data Width (370-ACNS)
16
2400MT/s RDIMMs (370-ACPH)
4
Performance Optimized (370-AAIP)
4
No Hard Drive (400-ABHL)
4
No Trusted Platform Module (461-AADZ)
4
No Systems Documentation, No OpenManage DVD Kit (631-AACK)
4
Internal Dual SD Module (330-BBCV)
4
Redundant SD Cards Enabled (385-BBCF)
4
16GB SD Card For IDSDM (385-1313II)
4
16GB SD Card For IDSDM (385-BBII)
4
No OS, No Utility Partition (421-2869)
4
2 of 4 8/9/2016 10:19 AM
Quote Summary_732467018
file:///C:/Users/14801/AppData/LocaVMicrosofUWindows/Temporary In...
No Media Required (421-5736) 4
DIMM Blanks for System with 2 Processors (374-BBHL) 4
104MM Heatsink for PowerEdge FC630 Processor 1 (412-AAEL) 4
104MM Heatsink for PowerEdge FC630 Processor 2 (412-AHEM) 4
104MM Processor Heatsink Shroud for PowerEdge FC630 (750-AAFH) 4
GROUP: 3 QUANTITY: 2 SYSTEM PRICE: $2,322.83 GROUP TOTAL: $4,645.66
Description
Dell PowerEdge FN410S 1/O Module, 8x Internal to 4x SFP+ external ports, Factory
Installed (210-AHBX)
Dell Hardware Limited Warranty Plus On Site Service (807-9776)
ProSupport Plus: Mission Critical 7x24 HW/SW Technical Support and Assistance, 3 Years
(807-9782)
ProSupport Plus: Mission Critical 4-Hour 7x24 On -Site Service with Emergency Dispatch,
3 Years (807-9783)
Thank you for choosing Dell ProSupport Plus. For tech support, visit hftp://www.dell.com
/contactdell (951-2015)
US Order(332-1286)
On -Site Installation Declined (900-9997)
Dell Networking, Transceiver, SFP+, 10GbE, SR, 850nm Wavelength, 300m Reach
(407-BEEF)
Software, Rights to use Full -Switch Mode, FN 1/0 Module (634-BFBL)
SOFTWARE & ACCESSORIES
Product
SFP+, SR, Optical Transceiver, Intel, 10Gb-1 Gb, Customer
Install (407-BBVJ)
*Total Purchase Price:
Product Subtotal:
Tax:
Shipping & Handling:
State Environmental Fee:
Shipping Method:
GROUP TOTAL: $3,827.20
Quantity Unit Price
16 $239.20
Quantity
2
2
2
2
2
2
2
4
2
Total
$3,827.20
$ 51, 345.99
$51, 345.99
$0.00
$0.00
$0.00
LTL 5 DAY OR LESS
(' Amount denoted in $)
Order this quote easily online through your Premier page, or if you do not have Premier, using Quote to
Order
Statement of Conditions
The information in this document is believed to be accurate. However, Dell assumes no responsibility for
inaccuracies, errors, or omissions, and shall not be liable for direct, indirect, special, incidental, or
consequential damages resulting from any such error or omission. Dell is not responsible for pricing or
other errors, and reserves the right to cancel orders arising from such errors.
3 of 4 8/9/2016 10:19 AM
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
IOU
Complete Nos. 1 - 4 and 6 if there are interested parties.
OFFICE USE ONLY
Complete Nos. 1, 2, 3, S. 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.
2016-97824
Dell Marketing, L.P.
Round Rock, TX United States
Date Filed:
08I11/2016
2 Name of governments ent ty or state agency that is a party to the contract for rc w t e form is
being filed.
City of Lubbock, Texas
Date Acknowledged:
08/15/2016
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.
732467018/732466435
Dell FX Blades
4
Name of Interested Parry
City, State, Country (place of business)
Nature of interest
(check applicable)
Controlling
Intermediary
Dell, Michael
Round Rock, 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
CERTIFICATE OF INTERESTED PARTIES FORM 1295
loft
Complete Nos. 1-4 and 6 it there are interested parties.
OFFICE USE ONLY
Complete Nos.1, 2, 3, S. 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.
2016-97824
Dell Marketing, L.P.
Round Rock, TX United States
Date Filed:
08/11/2016
2 Name of governmental entity ar state agency that is a party to the contract for which the form is
being filed.
City of Lubbock, Texas
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.
7324670181732466435
Dell FX Blades
Nature of interest
4 Name of Interested PartY
CI State, Count lace of business
City, Country lP 1
check applicable)
( PP 1
Controlling
Intermediary
Dell, Michael
Round Rock, TX United States
X
5 Check only if there is NO Interested Party. ❑
6 AFFIDAVIT I swear, at 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 Cynthia B. Radial , this the 11 th , day or Au9u_.t
2016 , to certify which, witness my hand and seal of office.
DIANE M KROLL NOTARY PUBLIC
MUSKEGON COUNTY, STATE OF MICHIGAN
MY TINGCOMMISSION
MUSK EXPIRES ONCO NT 24 2017
ACTING IN MUSKEGON COUNTY
Signature of officer administering oath Printed name of officer administering oath Tide of officer adrrenisferhg oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Vernon V'1.0.277