HomeMy WebLinkAboutContract 49059 *)YAMAHA
YAMAHA MOTOR FINANCE CORPORATION, U.S.A.
6555 KATELLA AVENUE CYPRESS, CALIFORNIA 90630-5101 800-551-2994 FAX 714-761-7363
April 24, 2017
yg7 u 9, 70
71
CITY OF FORT WORTH ^�b �j� CITY SECRETARY'
ti r �A -O CONTRACT NO. `T
4200 SOUTH FREEWAY, SUITE#220 �,�� 1�`\
FORT WORTH,TX 76115y�
Enclosed you will find the documentation for your conditional sale purchase of 72 DR2A
Yamaha golf cars. The documents enclosed in the package include the following:
Conditional Sale Agreement
Equipment Schedule#117080
Request for Insurance
Certificate of Acceptance
Resale Certificate
Invoice For First Payme t
ACH Form VVI 'o n9l
Account Update Form OFFICIAL RECORD
CITY SECRETARY
Please have these documents signed by an Authorized City Official and return them to me in the enclosed prepaid overnight
return envelope.
The insurance form should be forwarded to your insurance company and a copy returned to us with the other documentation.
If the city requires the use of Purchase Orders,please provide one with your documents. However,if they are not required
please include a signed statement on official city letterhead stating that a purchase order will not be required for this
transaction.
We appreciate your continued business and thank you for choosing us to service your financing needs. If you should have
any questions,please give us a call at 800-551-2994.
Sincerely,
La7rice D Rosser
YAMAHA
Commercial Customer Finance
a
YA M A H
CONDITIONAL SALE AGREEMENT
Page 1 of 4 CSA 0906
CONDITIONAL SALE AGREEMENT
CONDITIONAL SALE AGREEMENT(this"Agreement")dated as of April 24,2017 by and between Yamaha
Motor Finance Corporation, U.S.A. (hereinafter called"Seller")having its principal office and place of business at 6555 Katella Avenue,
Cypress, California 90630 and CITY OF FORT WORTH (hereinafter
call"Purchaser")having its principal office and place of business at
4200 SOUTH FREEWAY,SUITE#220, FORT WORTH,TX 76115
1. PROPERTY SOLD. In consideration of the agreement to ANY THIRD PARTY. No defect, unfitness, loss, damage or other
purchase by Purchaser and the covenants and agreements condition of the Equipment shall relieve Purchaser of the obligation
hereinafter set forth, Seller hereby sells to purchaser all of the to pay any installment under this Agreement.
tangible personal property (collectively, the "Equipment") listed on 5. TITLE AND ASSIGNMENT.
any Equipment Schedule(s) attached hereto as Exhibit A (the
"Equipment Schedule"). 5.1 Title. At the time of acceptance, title to the Equipment
2. TERM. The term of this Agreement shall commence on shall pass to Purchaser. As security for the prompt and complete
the date set forth above and shall continue in effect thereafter so payment and performance when due (whether at the stated
long as the Equipment Schedule remains in effect. maturity, by acceleration or otherwise)of each and every obligation,
covenant, agreement and commitment of Purchaser under this
3. PAYMENT. Purchaser shall pay to Seller, for the Agreement and/or any Equipment Schedule (including, without
Equipment during each month of the Term of the Equipment limitation, the prompt and complete payment by Purchaser, as and
Schedule, the monthly payment set forth in the Equipment when due and payable, whether at the stated maturity, by
Schedule plus any taxes, fees, etc. associated with proper filings acceleration or otherwise,of all amounts owing from time to time by
and ownership by Purchaser together with any down payment set Purchaser to Seller under this Agreement and/or the Equipment
forth in the Equipment Schedule. Whenever any payment is not Schedule), Purchaser hereby grants Seller a continuing security
made when due hereunder, Purchaser shall pay Seller interest on interest in all of the Equipment and all proceeds thereof (in
such amount at the maximum allowable rate of interest permitted whatever form). Seller is hereby authorized by Purchaser to file
by the law of the state where the Equipment is located. any UCC financing statements or any other documents to evidence,
4. DELIVERY AND ACCEPTANCE; WARRANTY AND establish, perfect or enforce the security interest granted
hereunder.
DISCLAIMER OF WARRANTIES.
5.2 Location, Inspection. Purchaser shall not move the
4.1 Delivery and Acceptance of the Equipment. Purchaser Equipment from the location specified on the Equipment Schedule
has selected and shall take delivery of all the Equipment directly without the prior written consent of Seller, which consent shall not
from Yamaha Golf-Car Company, a Yamaha Authorized Dealer, or be unreasonably withheld.
an authorized agent. All costs of delivery are the sole responsibility
of Purchaser. Seller shall not be liable for any loss or damage 5.3 Assignment by Seller.
resulting from the delay or failure to have any Equipment available (a) Purchaser does not have the right or power to, and shall
for delivery. Purchaser shall inspect the Equipment to determine not,sell,transfer,assign,or pledge(except for short-term rentals to
that the Equipment is as represented and has been equipped or patrons in the ordinary course of business) any of the Equipment
prepared in accordance with any prior instructions given in writing without the prior written consent of Seller. Any attempt to sell,
by Purchaser. Purchaser shall accept the Equipment if it meets the transfer, assign, pledge any of the Equipment in violation of the
criteria set forth in the preceding sentence and shall execute and foregoing shall be null and void and of no force or effect.
deliver a Certificate of Acceptance with respect to each shipment of
Equipment. For all purposes of this Agreement,the Equipment will (b) Seller may assign its rights hereunder, in whole or in part,
be considered accepted by Purchaser upon the earlier of (i) without Purchaser's consent. If Purchaser is given notice of any
delivery of the Certificate of Acceptance, and (ii) 10 days after assignment by Seller, Purchaser agrees to pay directly to such
delivery of the Equipment(unless prior to such time Purchaser has assignee all sums payable hereunder if so directed and such assignee
properly rejected the Equipment and advised Seller in writing of shall be thereafter considered the Seller for all purposes under this
same). Purchaser authorizes Seller to insert in the Equipment Agreement.
Schedule the serial number and other identifying data of the
Equipment. (c) Any assignment or transfer by Seller shall not materially
4.2 Warranty and Disclaimer of Warranties. Seller warrants change Seller's duties or obligations under this Agreement.
to Purchaser that, so long as Purchaser shall not be in default of 6. TAXES AND FEES.
any of the provisions of the Equipment Schedule, neither Seller nor 6.1 Taxes and Fees.Purchaser shall pay all property taxes
any assignee of Seller will disturb Purchaser's quiet and peaceful and sales and use tax due on the Equipment. Purchaser agrees to
possession of the Equipment. indemnify and hold harmless the Seller from and against all taxes,
In addition,the Equipment is warranted only in accordance with the fees or other charges of any nature whatsoever(together with any
manufacturer's warranty,which may be amended or modified from related interest or penalties thereon)now or hereinafter imposed or
time to time only by Seller. OTHER THAN THE WARRANTY AS assessed during the term of the Equipment Schedule by any
REQUIRED BY LAW AND EXCEPT AS EXPRESSLY PROVIDED governmental authority upon or with respect to the Equipment or
ABOVE, SELLER DISCLAIMS ANY OTHER WARRANTY, upon the ordering, purchase, sale, ownership, delivery, leasing,
EXPRESSED OR IMPLIED, INCLUDING BUT NOT BY WAY OF possession, use, operation, return or other disposition thereof or
LIMITATION, THE WARRANTIES OF MERCHANTABILITY, NOW upon the receipts or earnings arising therefrom or upon or with
INFRINGEMENT, NON-INTERFERENCE AND FITNESS FOR A respect to any Equipment Schedule (excepting only Federal, state
PARTICULAR PURPOSE. SELLER DISCLAIMS ANY LIABILITY and local taxes soley based on or measured by the net income of
FOR INCIDENTAL, SPECIAL OR CONSEQUENTIAL DAMAGES Seller).
OR COMMERCIAL LOSSES SUFFERED BY PURCHASER OR
Page 2 of 4 CSA 0906
7. CARE, USE AND MAINTENANCE; ALTERATIONS AND 12. DEFAULT. Each of the following shall be an Event
ATTACHMENTS. of Default under this Agreement(each an"Event of Default"):
7.1 Care,Use and Maintenance. Purchaser (a) Failure by Purchaser to pay Seller any installment
shall, at its sole expense, at all times during the term of the payment or other amount payable by Purchaser to Seller under this
Equipment Schedule, keep the Equipment clean, serviced and Agreement and/or any Equipment Schedule as and when the same
maintained in good operating order, repair, condition and becomes due and payable;or
appearance in accordance with Seller's manuals and other
instructions received from Seller. (b) To the extent not covered by subsection 12(a) above,
failure by Purchaser to comply with any term, covenant, agreement
7.2 Alterations and Attachments. Purchaser may, or condition in this Agreement and/or any Equipment Schedule,
with Seller's prior written consent, make such cosmetic which failure continues for a period of 10 days after notice of such
modifications to the Equipment as Purchaser may deem desirable failure is provided by Seller to Purchaser;or.
in the conduct of its business; provided, however, that such
alterations shall not diminish the value or utility of the Equipment,or (c) Any representation or warranty made by Purchaser in an
cause the loss of any warranty thereon or any certification Equipment Schedule, this Agreement, or in any document or
necessary for the maintenance thereof, and provided, further, that certificate furnished to the Seller in connection therewith shall be
such modification shall be removable without causing damage to incorrect,false or misleading in any material respect when so made
the Equipment. or furnished.
8. REPRESENTATIONS AND WARRANTIES OF 13. REMEDIES. Upon the occurrence of an Event of
PURCHASER. Purchaser hereby represents and warrants to Default, Seller, at its option: 1) may declare immediately due and
Seller that with respect to the Agreement and each Equipment payable any or all amounts payable under this Agreement and/or
Schedule: the Equipment Schedule(whether such amounts are due or not yet
due), whereupon the same shall become immediately due and
(a) The execution, delivery and performance thereof by the payable by Purchaser to Seller; 2) may proceed by appropriate
Purchaser have been duly authorized by all necessary corporate or court action or actions either at law or in equity to enforce
other action. performance by Purchaser of the terms and conditions of this
Agreement and/or an Equipment Schedule; 3) may recover from
(b) The individual executing such was duly authorized to do Purchaser any and all damages or expenses, including reasonable
so. attorney's fees, which Seller shall have sustained by reason of the
Event of Default or on account of Seller's enforcement of its
(c) The Agreement and the Equipment Schedule constitute remedies thereunder;and/or 4)may exercise its rights as a secured
legal,valid and binding agreements of the Purchaser enforceable in creditor under the Uniform Commercial Code as enacted in
accordance with their respective terms. California ("UCC") including, without limitation, taking immediate
possession of the Equipment, disposing of such Equipment in
(d) The Equipment is personal property and when subjected accordance with the provisions of the UCC, and collecting for any
to use by the Purchaser will not be or become fixtures under deficiency as a result of the disposal of the Equipment by Seller
applicable law. together with all reasonable attorneys fees and costs incurred by
Seller during the disposal of such Equipment. Seller's rights and
(e) Purchaser's name as set forth in the preamble to this remedies under this Agreement and the Equipment Schedule shall
Agreement is the exact legal name of Purchaser. be cumulative and in addition to any rights and remedies Seller
may have under applicable law and the exercise or failure to
9. DELIVERY OF EQUIPMENT. Purchaser hereby exercise any right or remedy shall not preclude Seller from
assumes the full expense of transportation and in-transit insurance exercising any other right or remedy.
from the Seller to Purchaser's premises and delivery thereat of the
Equipment. 14. MISCELLANEOUS.
14.1 No Waiver. No omission or delay by Seller at any
10. INDEMNITY. Purchaser shall and does hereby time to enforce any right or remedy reserved to it, or to require
indemnify and hold Seller and any and all of its assignees harmless performance of any of the terms,covenants or provisions hereof by
from and against any and all claims,costs,expenses, Purchaser at any time designated, shall be a waiver of any such
damages, losses and liabilities (including negligence, tort and strict right or remedy to which Seller is entitled, nor shall it in any way
liability), including reasonable attorney's fees, arising out of or in affect the right of Seller to enforce such provisions thereafter.
any manner connected with the ownership, selection, possession,
leasing, renting, purchase, financing, operation, control, use, 14.2 Binding Nature.This Agreement and the Equipment
maintenance, transportation, storage, repair, delivery, return or Schedule shall be binding upon, and shall inure to the benefit
other disposition of the Equipment including without limitation, of Seller, Purchaser and their respective successors, legal
claims for injury to or death of persons and for damage to property. representatives and assigns.
Purchaser agrees to give Seller prompt notice of any such claim or
liability. 14.3 Notices. Any notice, request or other communication to
either party by the other as provided for herein shall be given in
11. RISK OF LOSS. Seller and Purchaser agree Purchaser writing and only shall be deemed received upon the earlier of
shall bear the entire risk of loss, theft, destruction or damage to the receipt or three days after mailing if mailed postage prepaid by
Equipment from any cause whatsoever and shall not be relieved of regular or airmail to Seller or Purchaser,as the case may be,at the
the obligation to pay the total of the monthly payments or any other address for such party set forth in this Agreement or at such
obligation hereunder because of any such occurrence. Purchaser changed address as may be subsequently submitted by written
further agrees to insure the Equipment for full value and to cause notice of either party.
Purchaser's insurance carrier to name Seller as a loss payee and
provide Seller with a loss payee certificate of insurance.
Page 3 of 4 CSA 0906
14.4 Severability. In the event any one or more of the shall be included in the payment as shown on the Equipment
provisions of this Agreement and/or an Equipment Schedule shall Schedule applicable to any such items of Equipment,
for any reason be prohibited or unenforceable in any jurisdiction,
any such provision shall,as to such jurisdiction,be ineffective to the 14.7 Involuntary Transfer Constitutes Default.
extent of such prohibition or unenforceability without invalidating the Except for the security interest granted to Seller under this
remaining provisions hereof, any such prohibition or Agreement, Purchaser shall not create, incur, assume or suffer to
unenforceability in any jurisdiction shall not invalidate or render exist any mortgage, lien, pledge or other encumbrance or
unenforceable such provision in any other jurisdiction. attachment of any kind whatsoever upon, affecting, or with respect
to the Equipment or of Seller's interest thereunder.
14.5 Signed Counterparts. The parties agree that this
Agreement may be signed in counterparts, that delivery of an 14.8 Statute of Limitations. Any action by
executed counterpart of the signature page to this Agreement by Purchaser against Seller for any default by Seller under this
fax, email, or other electronic means shall be as effective as Agreement, including breach of warranty or indemnity, shall be
delivery of a manually executed counterpart, and any failure to commenced within one year after any such cause of action
deliver the original manually executed counterpart sent by fax, accrues.
email or other electronic means shall not affect the validity,
enforceability or binding effect of this Agreement. Notwithstanding 14.9 Entire Agreement. Seller and Purchaser
any other provision of this agreement the sole original of this acknowledge that there are no agreements or understandings,
Agreement shall be the Agreement bearing the manuallyexecuted written or oral, between Seller and Purchaser with respect to the
signature of the Purchaser. The Purchaser , by making any Equipment, other than as set forth herein and in an Equipment
payment required under this Agreement ratifies all of the terms of Schedule and that this Agreement and such Equipment Schedule
this Agreement. contains the entire Agreement between Seller and Purchaser with
respect thereto. Neither this Agreement nor any Equipment
14.6 Registration and License. Purchaser shall Schedule may be altered, modified, terminated or discharged
perform and pay for the titling,registration and licensing(if required except by a writing signed by the party against whom such
by applicable law) of any items or Equipment in the Purchaser's alteration, modification,termination or discharge is sought.
name and all inspections of such items of Equipment which may be Each Equipment Schedule is hereby incorporated by reference into
required by any governmental authority unless such fees and taxes this Agreement,and made part of this Agreement,as if fully set
forth herein.
IN WITNESS WHEREOF,the parties hereto have executed this Agreement on or as of the day and year first above written.
CITY OF FORT WORTH YAMAHA MOTOR FINANC CORPORATION U.S.A.
Print Name: Z '� C %'' Print Name: Kim RUIZ
Title
� 1 oh5�,- Title: President
If Purchaser is a Corporation,the Secretary of the Corporation is to execute the following:
The Officer signing above is duly authorized,on behalf of CITY OF FORT WORTH (the"Company"),
to negotiate,execute and deliver the Conditional Sale Agreement dated as of April 24,2017 ,and the Schedule(s)
thereunder and all future Schedule(s) (the"Agreements")by and between the Company and [Yamaha Motor Finance Corporation,
U.S.A.];and these Agreements are binding and authorized agreements of the Company,enforceable in all respects in accordance with
their terms.
WITNESS MY HAND and the corporate seal of the Company this day of
Secretary
SEAL
Page 4 of 4 CSA 0906
CONDITIONAL SALE EXHIBIT A
EQUIPMENT SCHEDULE# 117080
Dated April 21.2017
1. This Schedule covers the following property("Equipment"):
72 DR2A GOLF CARS
2. Location of Equipment:
ROCKWOOD GOLF COURSE
1851 JACKSBORO HIGHWAY
FORT WORTH,TX 76114
3. The Terms for the Equipment described herein shall commence on July 01,2017 and shall
consist of 60 months from the first day of the month following said date.
4. The down payment of the Equipment shall be$ $0.00
5. Payments on the Equipment shall be due on the following schedule.
Schedule of Payments:
60 MONTHLY PAYMENTS IN THE AMOUNT OF$3,375.36(APPLICABLE TAXES TO BE BILLED).
STARTING JULY 2017 AND ENDING JUNE 2022. DUE THE 1ST DAY OF THE MONTH AS FOLLOWS:
Jul-17$3,375.36 Jan-18$3,375.36 Jan-19$3,375.36 Jan-20$3,375.36 Jan-21$3,375.36 Jan-22$3,375.36
Aug-17$3,375.36 Feb-18$3,375.36 Feb-19$3,375.36 Feb-20$3,375.36 Feb-21$3,375.36 Feb-22$3,375.36
Sep-17$3,375.36 Mar-18$3,375.36 Mar-19$3,375.36 Mar-20$3,375.36 Mar-21$3,375.36 Mar-22$3,375.36
Oct-17$3,375.36 Apr-18$3,375.36 Apr-19$3,375.36 Apr-20$3,375.36 Apr-21$3,375.36 Apr-22$3,375.36
Nov-17$3,375.36 May-18$3,375.36 May-19$3,375.36 May-20$3,375.36 May-21$3,375.36 May-22$3,375.36
Dec-17$3,375.36 Jun-18$3,375.36 Jun-19$3,375.36 Jun-20$3,375.36 Jun-21$3,375.36 Jun-22$3,375.36
Jul-18$3,375.36 Jul-19$3,375.36 Jul-20$3,375.36 Jul-21$3,375.36
Aug-18$3,375.36 Aug-19$3,375.36 Aug-20$3,375.36 Aug-21$3,375.36
Sep-18$3,375.36 Sep-19$3,375.36 Sep-20$3,375.36 Sep-21$3,375.36
Oct-18$3,375.36 Oct-19$3,375.36 Oct-20$3,375.36 Oct-21$3,375.36
Nov-18$3,375.36 Nov-19$3,375.36 Nov-20$3,375.36 Nov-21$3,375.36
Dec-18$3,375.36 Dec-19$3,375.36 Dec-20$3,375.36 Dec-21$3,375.36
6. The final purchase price for the purchase of the Equipment at the expiration of this Agreement shall be $136,800.00
7. Other Terms:
Interest Factor: 4.6 %
Yamaha Motor Corporation,U.S.A.,Seller and their respective subsidiaries are not obligated to perform or provide any
maintenance or service,under any circumstances,under the terms of the Agreement. Maintenance and service are the responsibility
of the Purchaser. Failure by Purchaser to maintain or service the equipment consistent with the terms of the Agreement shall not
relieve Purchaser of the responsibilities under the Agreement.
Signed Counterparts: The parties agree that this Agreement may be signed in counterparts,that delivery of an executed counterpart of the
signature page to this Agreement by fax,email or other electronic means shall be as effective as delivery of a manually executed counterpart,and
any failure to deliver the original manually executed counterpart sent by fax,email or other electronic means shall not affect the validity,
enforceability or binding effect of this Agreement. Notwithstanding any other provision of this Agreement,the sole original of this Agreement
shall be the Agreement bearing the manually executed signature of the Purchaser. The Purchaser,by making any payment required under this
Agreement ratifies all of the terms of this Agreement.
This Equipment Schedule and Acceptance Guidelines are issued pursuant to the Agreement dated April 24,2017
All of the terms and conditions,representations and warranties of the Agreement are hereby incorporated herein and made a part
hereof as if they were expressly set forth in this Equipment Schedule.
CITY OF FORT WORTH YAMAHA MOTOR FINANCE CORPORATION, U.S.A.
i
By
Sig
BY
Signature n
Name: Name: Kim Ruiz
Type Or Print Type or Print
Title: ` /�_/ '` Title: President
YAMAHA MOTOR FINANCE CORPORATION, U.S.A.("Yamaha")
6555 Katella Avenue, Cypress, CA 90630
(800)551-2994, Fax(714) 761-7363
E-MAIL: Donna_Hennessy@yamaha-motor.com
NAME OF INSURANCE GENT: April 24, 2017
ADDRESS: 4P /U '67
Please Reference our Quote# 117080
PHONE:
FAX: �/'/ �� � ��/� ���✓ ��
RE: ROCKWOOD GOLF COURSE (Customer)Account#
The Customer has purchased and will be financing equipment from Yamaha.
The Customer is required to provide Yamaha with the following insurance coverage:
"All Risk" Property Insurance covering the property owned by or in which Yamaha has a security interest, in an
amount not less than the full replacement cost of the property, with Yamaha Motor Finance Corp., U.S.A., It's
successors and assigns as LOSS PAYEE.
Each policy shall provide that: (i) Yamaha will be given not less than thirty(30)days prior written notice of cancellation
or non-renewal, (ii) it is primary insurance and any other insurance covering Yamaha shall be secondary or excess
of the policy and (iii) in no event shall the policy be invalidated as against Yamaha or its assigns for any violation of
any term of the policy or the Customer's application therefore.
A Certificate evidencing such coverage should be mailed to Yamaha at the following address.
YAMAHA MOTOR FINANCE CORPORATION, U.S.
Attn: Commercial Finance Group
6555 Katella Ave
Cypress, CA 90630
Your prompt attention will be appreciated. Very Truly Yours,
Equipment Covered: CITY OF FORT WORTH
72 DR2A GOLF CARS (Custom
Equipment Location:
By: _
18S17ACKSBORO HIGHWAY ignature of Aut rized Officer)
FORT WORTH,TX 76114
Title:
4"MAHA
Rockwood Municipal Golf Club Initialed By:
AMORTIZATION SCHEDULE FOR CONDITIONAL SALE CONTRACT
PURCHASER: Rockwood Municipal Golf Club
EQUIPMENT SCHEDULE # 117080
Due Principal
Mon# Date Payment Interest Adjustment Balance
Total Financed........... 290.043.71
1 07/01/17 3.375.36 1.084.82 2.290.54 287.753.17
2 08/01/17 3.375.36 1.076.26 2.299.10 285.454.07
3 09/01/17 3.375.36 1.067.66 2.307.70 283.146.36
4 10/01/17 3.375.36 1.059.02 2.316.34 280.830.03
5 11/01/17 3.375.36 1.050.36 2.325.00 278.505.03
6 12/01/17 3.375.36 1.041.67 2.333.69 276.171.33
7 01/01/18 3.375.36 1.032.94 2.342.42 273.828.91
8 02/01/18 3.375.36 1.024.18 2.351.18 271.477.73
9 03/01/18 3.375.36 1.015.38 2.359.98 269.117.75
10 04/01/18 3.375.36 1,006.55 2.368.81 266.748.94
11 05/01/18 3.375.36 997.70 2.377.66 264.371.28
12 06/01/18 3.375.36 988.80 2.386.56 261.984.72
13 07/01/18 3.375.36 979.88 2.395.48 259.589.24
14 08/01/18 3.375.36 970.92 2.404.44 257.184.79
15 09/01/18 3.375.36 961.92 2.413.44 254.771.36
16 10/01/18 3.375.36 952.90 2.422.46 252.348.89
17 11/01/18 3.375.36 943.84 2.431.52 249.917.37
18 12/01/18 3.375.36 934.74 2.440.62 247.476.75
19 01/01/19 3.375.36 925.61 2.449.75 245.027.00
20 02/01/19 3.375.36 916.45 2.458.91 242.568.09
21 03/01/19 3.375.36 907.25 2.468.11 240.099.99
22 04/01/19 3.375.36 898.02 2.477.34 237.622.65
23 05/01/19 3.375.36 888.76 2.486.60 235.136.05
24 06/01119 3.375.36 879.46 2.495.90 232.640.14
25 07/01/19 3.375.36 870.12 2.505.24 230.134.90
26 08/01/19 3.375.36 860.75 2.514.61 227.620.30
27 09/01/19 3.375.36 851.35 2.524.01 225.096.28
28 10/01/19 3.375.36 841.91 2.533.45 222.562.83
29 11/01/19 3.375.36 832.43 2.542.93 220.019.90
30 12/01/19 3.375.36 822.92 2.552.44 217.467.46
31 01/01/20 3.375.36 813.37 2.561.99 214.905.47
32 02/01/20 3.375.36 803.79 2.571.57 212.333.90
33 03/01/20 3.375.36 794.17 2.581.19 209.752.71
34 04/01/20 3.375.36 784.52 2.590.84 207.161.87
35 05/01/20 3.375.36 774.83 2.600.53 204.561.34
36 06/01/20 3.375.36 765.10 2.610.26 201.951.08
37 07/01/20 3.375.36 755.34 2.620.02 199.331.05
38 08/01/20 3.375.36 745.54 2.629.82 196.701.23
39 09/01/20 3.375.36 735.70 2.639.66 194.061.58
40 10/01/20 3.375.36 725.83 2.649.53 191.412.05
41 11/01/20 3.375.36 715.92 2.659.44 188.752.60
42 12/01/20 3.375.36 705.97 2.669.39 186.083.22
43 01/01/21 3.375.36 695.99 2.679.37 183.403.85
44 02/01/21 3.375.36 685.97 2.689.39 180.714.45
45 03/01/21 3.375.36 675.91 2.699.45 178.015.00
46 04/01/21 3.375.36 665.81 2.709.55 175.305.46
47 05/01/21 3.375.36 655.68 2.719.68 172.585.77
48 06/01/21 3.375.36 645.51 2.729.85 169.855.92
49 07/01/21 3.375.36 635.30 2.740.06 167.115.85
50 08/01/21 3.375.36 625.05 2.750.31 164.365.54
51 09/01/21 3.375.36 614.76 2.760.60 161.604.94
52 10/01/21 3.375.36 604.44 2.770.92 158.834.02
53 11/01/21 3.375.36 594.07 2.781.29 156.052.73
54 12/01/21 3.375.36 583.67 2.791.69 153.261.04
55 01/01/22 3.375.36 573.23 2.802.13 150.458.90
56 02/01/22 3.375.36 562.75 2.812.61 147.646.29
57 03/01/22 3.375.36 552.23 2.823.13 144.823.16
58 04/01/22 3.375.36 541.67 2.833.69 141.989.47
59 05/01/22 3.375.36 531.07 2.844.29 139.145.18
60 06/01/22 3,375.36 520.43 2,854.93 136,290.25
Totals: 202,521.60 48,768.14 153,753.46
,,,J�Jww "MAHA
YAMAHA MOTOR FINANCE CORPORATION, U.S.A.
6555 KATELLA AVENUE CYPRESS, CALIFORNIA 90630-5101 800-551-2994 FAX 714-761-7363
April 24, 2017
CITY OF FORT WORTH
ATTN: Silva
4200 SOUTH FREEWAY, SUITE#220
FORT WORTH, TX 76115
Dear Silva:
Enclosed you will find the documentation for your conditional sale purchase of 1 YT2ABEVDLX
Yamaha golf cars. The documents enclosed in the package include the following:
Equipment Schedule#117087
Request for Insurance
Certificate of Acceptance
Invoice For First Payment
Please have these documents signed by an Authorized City Official and return them to me in the enclosed prepaid overnight
return envelope.
The insurance form should be forwarded to your insurance company and a copy returned to us with the other documentation.
If the city requires the use of Purchase Orders,please provide one with your documents. However, if they are not required
please include a signed statement on official city letterhead stating that a purchase order will not be required for this
transaction.
We appreciate your continued business and thank you for choosing us to service your financing needs. If you should have
any questions,please give us a call at 800-551-2994.
Sincerely,
La'Trice D Rosser
YAMAHA
Commercial Customer Finance
CONDITIONAL SALE EXHIBIT A
EQUIPMENT SCHEDULE# 117087
Dated April 21,2017
1. This Schedule covers the following property("Equipment"):
1 YT2ABEVDLX GOLF CAR
2. Location of Equipment:
ROCKWOOD GOLF COURSE
1851 JACKSBORO HIGHWAY
FORT WORTH,TX 76114
3. The Terms for the Equipment described herein shall commence on July 01,2017 and shall
consist of 48 months from the first day of the month following said date.
4. The down payment of the Equipment shall be$ $0.00
5. Payments on the Equipment shall be due on the following schedule.
Schedule of Payments:
48 MONTHLY PAYMENTS IN THE AMOUNT OF$192.21(APPLICABLE TAXES TO BE BILLED).
STARTING JULY 2017 AND ENDING JUNE 2021. DUE THE 1ST DAY OF THE MONTH AS FOLLOWS:
Jul-17$192.21 Jan-18$192.21 Jan-19$192.21 Jan-20$192.21 Jan-21$192.21
Aug-17$192.21 Feb-18$192.21 Feb-19$192.21 Feb-20$192.21 Feb-21$192.21
Sep-17$192.21 Mar-18$192.21 Mar-19$192.21 Mar-20$192.21 Mar-21$192.21
Oct-17$192.21 Apr-18$192.21 Apr-19$192.21 Apr-20$192.21 Apr-21$192.21
Nov-17$192.21 May-18$192.21 May-19$192.21 May-20$192.21 May-21$192.21
Dec-17$192.21 Jun-18$192.21 Jun-19$192.21 Jun-20$192.21 Jun-21$192.21
Jul-18$192.21 Jul-19$192.21 Jul-20$192.21
Aug-18$192.21 Aug-19$192.21 Aug-20$192.21
Sep-18$192.21 Sep-19$192.21 Sep-20$192.21
Oct-18$192.21 Oct-19$192.21 Oct-20$192.21
Nov-18$192.21 Nov-19$192.21 Nov-20$192.21
Dec-18$192.21 Dec-19$192.21 Dec-20$192.21
6. The final purchase price for the purchase of the Equipment at the expiration of this Agreement shall be $3,10Q.00
7. Other Terms:
Interest Factor: 4.2 %
Yamaha Motor Corporation,U.S.A.,Seller and their respective subsidiaries are not obligated to perform or provide any
maintenance or service,under any circumstances,under the terms of the Agreement. Maintenance and service are the responsibility
of the Purchaser. Failure by Purchaser to maintain or service the equipment consistent with the terms of the Agreement shall not
relieve Purchaser of the responsibilities under the Agreement.
Signed Counterparts: The parties agree that this Agreement may be signed in counterparts,that delivery of an executed counterpart of the
signature page to this Agreement by fax,email or other electronic means shall be as effective as delivery of a manually executed counterpart,and
any failure to deliver the original manually executed counterpart sent by fax,email or other electronic means shall not affect the validity,
enforceability or binding effect of this Agreement. Notwithstanding any other provision of this Agreement,the sole original of this Agreement
shall be the Agreement bearing the manually executed signature of the Purchaser. The Purchaser,by making any payment required under this
Agreement ratifies all of the terms of this Agreement.
This Equipment Schedule and Acceptance Guidelines are issued pursuant to the Agreement dated April 24,2017
All of the terms and conditions,representations and warranties of the Agreement are hereby incorporated herein and made a part
hereof as if they were expressly set forth in this Equipment Schedule.
CITY OF FORT WORTH YAMAHA MOTOR FINANCE VORPORATION, U.S.A.
r ,
ly By
Signature
/ Signatu e
Name: 2-- /nzz "_ _�)C�/Z f2 L Name: Kim Ruiz
ype or Print Type or Print
Title: Z Title: President
yr�
-
)" MAHA
Rockwood Municipal Golf Club Initialed By:
AMORTIZATION SCHEDULE FOR MUNICIPALITY
CONDITIONAL SALE CONTRACT
PURCHASER: Rockwood Municipal Golf Club
EQUIPMENT SCHEDULE # 117087
Yield: 4.200%
Due Principal
Mon # Date Payment Interest Adiustment Balance
Total Financed ........... 11.130.15
1 07/01/17 192.21 37.64 154.57 10.975.58
2 08/01/17 192.21 37.12 155.09 10.820.50
3 09/01/17 192.21 36.60 155.61 10.664.88
4 10/01/17 192.21 36.07 156.14 10.508.75
5 11/01/17 192.21 35.54 156.67 10.352.08
6 12/01/17 192.21 35.01 157.20 10.194.88
7 01/01/18 192.21 34.48 157,73 10.037.15
8 02/01/18 192.21 33.95 158.26 9.878.89
9 03/01/18 192.21 33.41 158.80 9.720.09
10 04/01/18 192.21 32.88 159.33 9.560.76
11 05/01/18 192.21 32.34 159.87 9.400.89
12 06/01/18 192.21 31.80 160.41 9.240.47
13 07/01/18 192.21 31.25 160.96 9.079.52
14 08/01/18 192.21 30.71 161.50 8.918.02
15 09/01/18 192.21 30.16 162.05 8.755.97
16 10/01/18 192.21 29.61 162.60 8.593.37
17 11/01/18 192.21 29.06 163.15 8.430.23
18 12/01/18 192.21 28.51 163.70 8.266.53
19 01/01/19 192.21 27.96 164.25 8.102.28
20 02/01/19 192.21 27.40 164.81 7.937.47
21 03/01/19 192.21 26.85 165.36 7.772.11
22 04/01/19 192.21 26.29 165.92 7.606.19
23 05/01/19 192.21 25.73 166.48 7.439.70
24 06/01/19 192.21 25.16 167.05 7.272.66
25 07/01/19 192.21 24.60 167.61 7.105.05
26 08/01/19 192.21 24.03 168.18 6.936.87
27 09/01/19 192.21 23.46 168.75 6.768.12
28 10/01/19 192.21 22.89 169.32 6.598.80
29 11/01/19 192.21 22.32 169.89 6.428.91
30 12/01/19 192.21 21.74 170.47 6.258.44
31 01/01/20 192.21 21.17 171.04 6.087.40
32 02/01/20 192.21 20.59 171.62 5.915.78
33 03/01/20 192.21 20.01 172.20 5.743.58
34 04/01/20 192.21 19.43 172.78 5.570.79
35 05/01/20 192.21 18.84 173.37 5.397.43
36 06/01/20 192.21 18.26 173.95 5.223.47
37 07/01/20 192.21 17.67 174.54 5.048.93
38 08/01/20 192.21 17.08 175.13 4.873.80
39 09/01/20 192.21 16.48 175.73 4.698.07
40 10/01/20 192.21 15.89 176.32 4.521.75
41 11/01/20 192.21 15.29 176.92 4.344.83
42 12/01/20 192.21 14.70 177.51 4.167.32
43 01/01/21 192.21 14.09 178.12 3.989.20
44 02/01/21 192.21 13.49 178.72 3.810.49
45 03/01/21 192.21 12.89 179.32 3.631.16
46 04/01/21 192.21 12.28 179.93 3.451.24
47 05/01/21 192.21 11.67 180.54 3.270.70
48 06/01/21 192.21 11.06 181.15 3,089.55
Totals: 9,226.08 1,185.48 8,040.60
YAMAHA MOTOR FINANCE CORPORATION, U.S.A.("Yamaha")
6555 Katella Avenue, Cypress, CA 90630
(800)551-2994, Fax(714) 761-7363
E-MAIL: Donna_Hennessy@yamaha-motor.com
NAME OF INSURANCE AGENT: � April 24, 2017
Seo 13
ADDRESS:
Please Reference our Quote# 117087
PHONE: &)I
FAX: �
RE: ROCKWOOD GOLF COURSE (Customer)Account#
The Customer has purchased and will be financing equipment from Yamaha.
The Customer is required to provide Yamaha with the following insurance coverage:
"All Risk" Property Insurance covering the property owned by or in which Yamaha has a security interest, in an
amount not less than the full replacement cost of the property, with Yamaha Motor Finance Corp., U.S.A., It's
successors and assigns as LOSS PAYEE.
Each policy shall provide that: (i) Yamaha will be given not less than thirty(30)days prior written notice of cancellation
or non-renewal, (ii) it is primary insurance and any other insurance covering Yamaha shall be secondary or excess
of the policy and (iii)in no event shall the policy be invalidated as against Yamaha or its assigns for any violation of
any term of the policy or the Customer's application therefore.
A Certificate evidencing such coverage should be mailed to Yamaha at the following address.
YAMAHA MOTOR FINANCE CORPORATION, U.S.
Attn: Commercial Finance Group
6555 Katella Ave
Cypress, CA 90630
Your prompt attention will be appreciated. Very Truly Yours,
Equipment Covered: CITY OF FORT WORTH
1 YT2ABEVDLX GOLF CAR (Customer)
Equipment Location: By: P
1851]ACKSBORO HIGHWAY ignature of Autho ed Officer)
FORT WORTH,TX 76114 //
Title: 61. 1 6,xe 4Z
FORT WORTH
Yamaha Motor Finance Corporation,U.S.A.
ADDENDUM TO CONDITIONAL SALE AGREEMENT
BETWEEN
THE CITY OF FORT WORTH
AND
Yamaha Motor Finance Corporation,U.S.A.
This ADDENDUM TO CONDITIONAL SALE AGREEMENT is entered into by and
between Yamaha Motor Finance Corporation, U.S.A., ("Seller") and the City of Fort Worth
("Purchaser"), collectively the "parties", for lease of golf, utility, and beverage carts
("equipment lease")utilizing Buyboard Cooperative Contract No. 447-14.
The Contract documents shall include the following:
1. The Conditional Sale Agreement
2. This Addendum to the Conditional Sale Agreement
3. Equipment Schedule#117080 QTY: 72 DESCRIPTION DR2A GOLF CARS
4. Equipment Schedule#117087 QTY: 1 YT2A BEV DLX
8. Buyboard Cooperative Contract No. 447-14
Notwithstanding any language to the contrary in the attached Conditional Sale Agreement
or BuyBoard Contract No. 447-14 (collectively the"Agreement"), the Parties hereby stipulate
by evidence of execution of this Addendum ("Addendum") below by a representative of each
party duly authorized to bind the parties hereto, that the parties hereby agree that the provisions
in this Addendum below shall be applicable to the Agreement as follows:
1. Term: The Parties wish to provide for a contract term that extends beyond the one in effect
for the BuyBoard Contract No. 447-14. Therefore, the terms of the Agreement shall continue in
effect so long as the attached Equipment Schedules No 117080, No. 117087 entered into by the
Parties remains in effect, unless terminated earlier by either party pursuant to Section 6 and 9 of
this Addendum or the Agreement.
2. Attorneys' Fees, Penalties, and Liquidated Damages: To the extent the attached Agreement
requires the Purchaser to pay attorneys' fees for any action contemplated or taken, or penalties or
liquidated damages in any amount, the Purchaser objects to these terms and any such terms are
hereby deleted from the Agreement and shall have no force or effect.
3. Law and Venue: This Agreement and the rights and obligations of the parties hereto shall be
governed by, and construed in accordance with the laws of the United States and state of Texas,
exclusive of conflicts of laws provisions. Venue for any suit brought under this Agreement shall
be in a court of competent jurisdiction in Tarrant County, Texas. To the extent this Agreement is
required to be governed by any state law other than Texas or venue in Tarrant County, the
Purchaser objects to such terms and any such terms are hereby deleted from this Agreement and
shall have no force or effect.
4. Sovereign Immunity: Nothing herein constitutes a waiver of the Purchaser's sovereign
immunity. To the extent this Agreement requires the Purchaser to waive its rights or immunities
as a government entity; such provisions are hereby deleted and shall have no force or effect.
5. No Debt: In compliance with Article 11 § 5 of the Texas Constitution, it is understood and
agreed that all obligations of the Purchaser hereunder are subject to the availability of funds. If
such funds are not appropriated or become unavailable, the Purchaser shall have the right to
terminate this Agreement except for those portions of funds which have been appropriated prior
to termination.
6. Confidential Information: The Purchaser is a government entity under the laws of the State
of Texas and all documents held or maintained by the Purchaser are subject to disclosure under
the Texas Public Information Act. To the extent the Agreement requires that the Purchaser
maintain records in violation of the Act, the Purchaser hereby objects to such provisions and
such provisions are hereby deleted from the Agreement and shall have no force or effect. In the
event there is a request for information marked Confidential or Proprietary, the Purchaser shall
promptly notify Seller. It will be the responsibility of Seller to submit reasons objecting to
disclosure. A determination on whether such reasons are sufficient will not be decided by the
Purchaser, but by the Office of the Attorney General of the State of Texas or by a court of
competent jurisdiction.
7. Addendum Controlling: If any provisions of the attached Agreement, conflict with the terms
herein, are prohibited by applicable law, conflict with any applicable rule, regulation or
ordinance of the Purchaser, the terms in this Addendum shall control.
8. Fiscal Funding Limitation: In the event no funds or insufficient funds are appropriated and
budgeted or are otherwise unavailable by any means whatsoever in any fiscal period for
payments due under this Agreement, then the Purchaser will immediately notify Seller of such
occurrence and this Agreement shall be terminated on the last day of the fiscal period for which
appropriations were received without penalty or expense to the Purchaser of any kind
whatsoever, except to the portions of annual payments herein agreed upon for which funds shall
have been appropriated.
9. Right to Audit: Seller agrees that the Purchaser shall, until the expiration of three (3) years
after final payment under this Agreement, have access to and the right to examine any directly
pertinent books, documents, papers and records of Seller involving transactions relating to this
Agreement. Seller agrees that Purchaser shall have access during normal working hours to all
necessary Seller facilities and shall be provided adequate and appropriate workspace in order to
conduct audits in compliance with the provisions of this section. The Purchaser shall give Seller
reasonable advance notice of intended audits.
,.a
Executed this the day of 1 20
CFW/Addendum to Yamaha Motor Finance Corporation,U.S.A.Conditional Sale Agreement Page 2 of 3
CITY OF FORT WORTH:
CONTRACT COMPLIANCE MANAGER:
By signing I acknowledge that I am the person
responsible for the monitoring and administration
By: of this contract,including ensuring all performance
Nam Susan Alani and reporting requirements.
Title: Assistant City Manager
Date:
By:
APPROVAL RECOMMENDED: Name: Nanc ton
Title:
tcll�� APPROVED AS TO FORM AND LEGALITY:
By:
me: 1C fid- 0A-L6
Title: PAr GV,• c '4ce=N
By:
ATTEST: arae: John B. Str g
Title: Assistan ity Attorney
CONTRACT AUTHORIZATION:
By: M&C:
a : Mary Kyseross
Title: City Secretary of FO
•y
0
SELLER:
Yamaha Motor Finance C or
s
By:
Name: Kim Ieuiz
Title: Vice President/Treasurer
Date:
OFFICIAL RECORD
CITY S ICROTARY
It W OWT14,TX
CFW/Addendum to Yamaha Motor Finance Corporation,U.S.A.Conditional Sale Agreement Page 3 of 3
City of Fort Worth, Texas
Mayor and Council Communication
COUNCIL ACTION: Approved on 10/18/2016
DATE: Tuesday. October 18, 2016 REFERENCE NO.: **P-11952
LOG NAME: 13P16-0387 GOLF VEHICLES LSJ PAR
SUBJECT:
Authorize Agreements with Yamaha Motor Finance Corporation, U.S.A. to Lease Golf, Utility and Beverage
Carts and, with Yamaha Golf-Car Company, to Provide Service of Leased Vehicles, Using a Cooperative
Contract for an Amount Up to $273,192.00 for the Park and Recreation Department at Rockwood Golf
Course (COUNCIL DISTRICT 2)
RECOMMENDATION:
It is recommended that the City Council authorize Agreements with Yamaha Motor Finance Corporation,
U.S.A. to lease golf, utility and beverage carts and, with Yamaha Golf-Car Company, to provide service of
leased vehicles using Buyboard Cooperative Contract No. 447-14 for an amount up to $273,192.00 for the
Park and Recreation Department. These leased items will be used at the Rockwood Golf Course.
DISCUSSION:
The Park and Recreation Department will use the Lease Agreement with Yamaha Motor Finance
Corporation, U.S.A. to lease golf, utility and beverage carts that will be rented to patrons and utilized by
Rockwood Golf Course staff. The requested contract amount provides funding for two Yamaha
Adventurer fuel injected utility units, one Yamaha Adventurer Deluxe fuel injected beverage cart, one
Personal Transportation Vehicle (PTV) with rear-facing seat, one Adventurer One Range Picker and 72
Yamaha DRIVE golf cars.
The utility units, beverage cart, personal transportation vehicle and range picker will be leased for a period
of 48 months with a 4.2 percent finance charge. The lease for the golf cars will be for a period of 60
months with a 4.6 percent finance charge beginning on or about June 1, 2017 with the opening of
Rockwood Golf Course. At the conclusion of the leases, the Park and Recreation Department plans to
acquire the range picker and the two utility units by paying the lease acquisition fee totaling $3,801.00 for
all three units.
In addition, a Service Agreement with Yamaha Golf-Car Company will be executed for repairs,
maintenance and parts not covered under the standard manufacturer's warranty.
DELIVERY - Delivery of the golf carts and beverage cart will occur on or about June 1, 2017. All other
units will be delivered on or about November 1, 2016.
ANNUAL COST-The total vehicle lease cost is estimated at $49,512.00 per year(see attached Total
Cost of Ownership (TCO)). For Fiscal Year 2017, the total vehicle lease cost is estimated at $20,842.00
due to the June 1, 2017 delivery of the golf carts and beverage cart.
TOTAL OWNERSHIP COST- $524,658.00 over service life (See Attached TCO).
PRICE ANALYSIS -Yamaha is offering a 10 percent discount off the catalog pricelist for golf vehicles and
Logname: 13P16-0387 GOLF VEHICLES LSJ PAR Page 1 of 3
services. The prices are the same as the prices previously awarded in 2015 (M&C P-11805). Prices have
been reviewed by Staff and deemed to be fair and reasonable based on current market pricing.
COOPERATIVE PURCHASE - State law provides that a local government purchasing an item(s) under a
Cooperative Purchasing Agreement satisfies state laws requiring that the local government seek
competitive bids for purchase of the item(s). Buyboard contracts have been competitively bid to increase
and simplify the purchasing power of government entities.
ADMINISTRATIVE CHANGE ORDER -An administrative change order or increase may be made by the
City Manager in the amount up to $50,000.00 and does not require specific City Council approval as long
as sufficient funds have been appropriated.
M/WBE OFFICE -A waiver of the goal for MBE/SBE subcontracting requirements was requested by the
Purchasing Division and approved by the M/WBE Office, in accordance with the BDE Ordinance, because
the purchase of goods or services is from sources where subcontracting or supplier opportunities are
negligible.
LEASE TERM -The 48-month lease of utility units, beverage carts, personal transportation vehicle and
range picker; and the 60-month lease of golf cars will begin on execution of the Agreements.
REVENUE NOTE -The majority of the contract costs will be offset by revenue. The City anticipates cart
and car rental(s) income of$293,081.00 annually. In addition, the City anticipates sales and refreshments
income in the amount of$50,000.00 annually. The golf courses are classified as Citywide Special Use
Facilities.
Rockwood Golf Course is located in COUNCIL DISTRICT 2.
FISCAL INFORMATION /CERTIFICATION:
The Director of Finance certifies that funds are available in the current operating budget, as appropriated
of the Municipal Golf Fund and that, prior to expenditures being made, the participating department has
the responsibility to validate the availability of funds.
BQN\16-0387\LSJ
FUND IDENTIFIERS (FIDs):
TO
Fund, Department ccoun Project ProgramActivityr Budget Reference # mount
ID _ ID ._ i i Year (Chartfield 2)
FROM
Fund Department ccoun Project Program ctivity Budget Reference # moun
ID ID Year (Chartfield 2)
CERTIFICATIONS:
Submitted for City Manager's Office by: Susan Alanis (8180)
Logname: 13P16-0387 GOLF VEHICLES LSJ PAR Page 2 of 3
Originating Department Head: Aaron Bovos (8517)
LaKita Slack (8314)
Additional Information Contact: Jack Dale (8357)
ATTACHMENTS
1. 16-0387 BUYBOARD 447-14 CONTRACT.pdf (CFW Internal)
2. 16-0387 FIDS.pdf (CFW Internal)
3. 16-0387 GOLF CAR TABULATION .Pa (Public)
4. 16-0387 PRICING.pdf (CFW Internal)
5. 16-0387 REQUISITION FIDS.pdf (CFW Internal)
6. Waiver.pdf (CFW Internal)
7, Yamaha 1295.pdf (Public)
Logname: 13PI6-0387 GOLF VEHICLES LSJ PAR Page 3 of 3
CERTIFICATE OF INTERESTED PARTIES FORM 1295
101`1
Complete Nos.1-4 and 6 if there are interested parties. OFFICE USE ONLY 7
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. 2016-96038
Yamaha
Cypress,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 08/08/201
being filed.
City of Fort Worth 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.
16-0387
72 YDR2A Golf Cars, I YDR2A Golf cars,1 YT1A Golf Cars,2 YT2A, 1 YT2ABEV2
Nature of interest
4 Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling I intermediary
5 Check only if there is NO Interested Party. FXI
6 AFFIDAVIT I swear,or affirm,under penalty of perjury,that the above disclosure is true and correct.
, P
Signature of a Vd agent of contracting business entity
AFFIX NOTARY STAMP/SEAL ABOVE
Sworn
to s r before
m , yt this the day of
worn to and subscribed before me,by the said
20 to certify which,witness my hand and seal of office.
n C7 FO
LP—C7 � � N \(2 �-77
Signature of officer administering oath Printed name of officer administering oath tle of officer administering oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.277
CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE§8202
A See Attached Document (Notary to cross out lines 1-6 below)
See Statement Below(Lines 1-6 to be completed only by document signer[s], not Notary)
Signature of Document Signer No. 1 Signature of Document Signer No. 2(if any)
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document.
State of California Subscribed and sworn to (or affirmed) before me
County of Orange on this 8 day of August . 2016
by Date Month Year
(1) Latrice Rosser
- - --- - -- - - a (and (2) N/A
EVA R0164S Name(s)of Signer(s)
Comynission#20301-80
Notary Public-California
z
z Orange County proved to me on the basis of satisfactory evidence
IsMy Comm.Expires Jun 21,2017 to be tP"erson(s)/4fio eared before me.
Signatr 0- -
94igckinature of Notary
Seal
Place Notary Seal Above
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document Certificae of Interested Parties Form 1295
Title or Type of Document:TX, City of Fort Worth Document Date:
Number of Pages:-Signer(s)Other Than Named Above:
@2014 National Notary Association- www.NationalNotary.org - 1-800-US NOTARY(1-800-876-6827) Item#5910
CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE§8202
S�76a�Q�?6a�y
A See Attached Document (Notary to cross out lines 1-6 below)
El See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary)
Signature of Document Signer No. 1 Signature of Document Signer No. 2 (if any)
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document.
State of California Subscribed and sworn to (or affirmed) before me
County of Orange
on this 23 day of August 20 16 ,
by Date Month Year
(1) Latrice Rosser
EVA ROJAS (and (2) N/A )
Commission#E 2030180 Name(s) of Signer(s)
z Notary Public-California
Orange nter proved to me on the basis of satisfactory evidence
a--. My Comm.Expires Jun 21,2017 t to be th erson(s) o eared before me.
Signat
Signature of Notary Public
Seal
Place Notary Seal Above
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document City of Fort Worth Purchasing Division. Certificate of
Title or Type of Document: Interested Parties Document Date:
Number of Pages: 1 Signer(s)Other Than Named Above: N/A
02014 National Notary Association -www.NationaiNotary.org - 1-800-US NOTARY(1-800-876-6827) Item #5910