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HomeMy WebLinkAboutResolution - 2017-R0243 - Associated Supply Company - ASCO Equipment - 07/13/2017Resolution No.2017-R0243 Item No.6.13 July 13,2017 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,BuyBoard Contract No.515-16 for repair services of construction,road, bridge,ditching,trenching,utility, and other equipment,by and between the City of Lubbock and Associated Supply Company, Inc. dba ASCO Equipment Co. (ASCO), and related documents. Said Contract 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 July 13,2017 . ATTEST: 'j(UUju Rebecca Garza,City Secretary APPROVED AS TO CONTENT S^fyn Scott Snider,Assistant City Manager APPROVED AS TO FORM: lelli Leisure,AssistantCity Attorney RES.Contract515-16ASCO 07.06.17 DANIEL M.POPE,MAYOR CERTIFICATE OF INTERESTED PARTIES FORM 1295 1 of 1 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. OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number: 2017-236530 Date Filed: 07/13/2017 Date Acknowledged: 07/13/2017 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. Associated Supply Company, Inc. (ASCO) Lubbock, 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 Lubbock 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. 515-16 Construction equipment and related services 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling I Intermediary Wright, W.B. Brax Lubbock, 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 V1.0.883 CERTIFICATE OF INTERESTED PARTIES FORM ZZJrJ lofl Complete Nos. 1- 4 and 6 0 there are interested parties. OFFICE USE ONLY Complete Nos.1, 2, 3, 5, and 6 if there are no interested parties. CERTIFICATION OF FILING Certificate Number: i Name of business entity filing form, and the city, state and country of the business entity's place of business. 2017-236530 Associated Supply Company, Inc. (ASCO) Lubbock, TX United States Date Filed: 07/13/2017 2 Name of governmental entity or state agency that is a party to the contract for which the form Is 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. 515-16 Construction equipment and related services 4 Nature of interest Name of Interested Party City, State, Country (place of business) (check applicable) Controlling intermediary Wright, W.B. Brax Lubbock, TX United States X 5 Check only if there is NO Interested Party. El 6 AFFIDAVIT I swe r, or affirm, unde penalty of er pe nY p 1 ry, that the above disclosure is true and correct. JUDY MELVIN` Notary PublicState of Texas ID # 12431175-2My S Comm. Expires 08-22-2018 gn ure of authoriz t ontracting business entity AFFIX NOTARY STAMP / SEAL ABOVE 1111 f , r � Sworn to and subscribed before me, by the said W, - W A this the day of 20 l � . to certify which, witness my hand and seal of office. X d Si ature officer a ministering oath Printed name of officer administering oath Title of officer administering oath Forms -provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.883