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									                           2012/2013 CARGO VANS
      State of Washington: Current Contract Information (CCI)
Revision Date:        May 24, 2012
Effective Date:       May 24, 2012
Award Date:           October 19, 2011
Contract #            04211 (Replaces 05509)
Scope:                This contract is awarded to one dealer
Office of State       Breann Aggers, (360) 407-9416 breann.aggers@des.wa.gov
Procurement           ALTERNATE: Christine Schoepfer (360) 407-9404
Coordinator:          christine.schoepfer@des.wa.gov
CCI Purpose:          Contract extension for Model Year 2013 for vehicle Ford Transit Connect.
                      Current Term: October 19, 2011 through October 31, 2013.
Ford Transit
                      Ordering Period: October 19, 2011 through March 31, 2013 or factory cutoff,
Connect:
                      whichever is later.
                      Current Term: October 17, 2011 through October 31, 2012.
Nissan NV 2500:       Ordering Period: October 17, 2011 through March 31, 2012 or factory cutoff,
                      whichever is later.
Contractor:           See Vehicle Price Sheets
                      Mini Cargo Van-Ford Transit Connect and High Roof, High Mpg Cargo Van-
Products Available:
                      Nissan NV 2500
                      Vehicles may be ordered online at:
Online Ordering:
                      https://fortress.wa.gov/ga/apps/VehicleOrdering/VehicleMenu.aspx
                      Contract Amendment no. 1 signed by Columbia Ford Nissan (Marie Tellinghiusen)
Reference:
                      dated May 24, 2012.
Current Contract Information
Contract No. 04211, Cargo Vans
Page 2
                       This contract is subject to RCW 43.19.190(2) & RCW 43.19.1905(7): which authorizes
                       state agencies to purchase materials, supplies, services, and equipment of equal quantity
                       and quality to those on state contract from non-contract suppliers. Provided that an agency
                       subsequently notifies the Office of State Procurement (OSP) State Procurement Officer
                       (SPO) that the pricing is less costly for such goods or services than the price from the state
                       contractor.

                       If the non-contract supplier's pricing is less, the state contractor shall be given the
For the use by:        opportunity by the state agency to at least meet the non-contractor's price. If the state
                       contractor cannot meet the price, then the state agency may purchase the item(s) from the
                       non-contract supplier, document the transactions on the appropriate form developed by
                       OSP and forwarded to the SPO administering the state contract. (Reference para 6.11 State
                       Purchasing Manual)

                       If a lower price can be identified on a repeated basis, the state reserves the right to
                       renegotiate the pricing structure of this agreement. In the event such negotiations fail, the
                       state reserves the right to delete such item(s) from the contract.
                       Only authorized purchasers included in the State of Washington Purchasing Cooperative
                       (WSPC) listings published and updated periodically by OSP may purchase from this
Authorized Users:      contract. A list of Washington members is available at
                       https://fortress.wa.gov/des/apps/coop/Default.aspx Contractors shall not process state
                       contract orders from other than the Office of State Procurement State Procurement Officer.
Minimum Order:         One Vehicle
Delivery/Payment:      See Vehicle Price Sheets
                       FOB Destination – Vehicle will be prepared for delivery and unless otherwise
FOB Point:             requested delivered to purchaser’s in state location by Dealer’s agent at no
                       additional cost.
Freight:               Prepaid and included in unit pricing
Term Worth:            $1,150,000/2-year term.
                                           Other, $1,150,000/ 2-
Current                MBE, WBE, MBE, WBE,                                                Exempt, $0
                                           year (estimate)
Participation:         $0   $0   $0   $0
                                           Other, 100%                                    Exempt, 0%
Current Contract Information
Contract No. 04211, Cargo Vans
Page 3
SPECIAL CONDITIONS:

      1. This contract contains the following model year 2012/2013 vehicles:
                                                                                FOR USE BY

Order Code                    Vehicle Description                   State       PS/WA   NPC/W    PS/O
                                                                 Agencies (1)     (2)    A (3)   R (4)
2313-142-001     Cargo Van Mini-Ford Transit Connect XL              Yes         Yes     Yes      No

2312-167-001     High Roof, High MPG, Cargo Van                      Yes         Yes     Yes      No
                 Nissan NV 2500


(1)      State Agencies, Colleges & Universities
(2)      Political Subdivisions State of Washington
(3)      Non Profit Corporations State of Washington
(4)      Political Subdivisions State of Oregon




All current vehicle contracts may be viewed at http://www.des.wa.gov/vehreq/veh-contract.html
Current Contract Information
Contract No. 04211, Cargo Vans
Page 4

2.    You may submit your orders via automated interactive requisition forms where you create your order
      on-line via the internet and transmit the requisition directly to OSP via e-mail. Templates for each
      vehicle classification are located at http://www.des.wa.gov/vehreq/vehmenu.htm.

      You may also order vehicles, by completing contract price sheet/order forms and faxing or mailing
      them, with a Form A-15A Purchase Requisition, to the Office of State Procurement for processing.
      Please make sure you have the most recent contract document prior to ordering as changes may
      be made at any time.

      Users are strongly advised to order as soon as possible due to restrictions on plant capacity and
      fleet allocations. All orders need to be processed through the Office of State Procurement before
      March 31, 2012 to assure production. (To have reasonable assurance your vehicles are received
      by June 30, 2012 you need to order by mid February 2010) If your purchase order is not received
      back within 3 days, call (360) 902-7193.

      State Purchase Orders will be created and transmitted by the OSP to the Dealer and Customer via
      Vehicle Rapid Online Ordering Messaging (VROOM) System emails. Emails will be sent from
      ospvehicles@des.wa.gov with subject lines of Customer Purchase Order or Dealer Purchase Order.
      Within the email a link will be provided to your current vehicle orders.

3.    Note: Customer is to pay all Titles and Licensing fees directly to the Department of Licensing
      (DOL) or their local sub agent. Dealer will not invoice customer for such fees, including the
      trauma care fee which will be paid to DOL per RCW 46.12.042 (2). Dealer check previously made
      out to DOL for a portion of the Licensing Fees will not be provided.

4.    For information regarding lease/purchase financing through the State Treasurer’s Office, contact Wendy
      Kancianich at 1-360-902-9022. Information on their "LOCAL" funding program may be found on
      http://tre.wa.gov/LOCAL/local.htm or http://tre.wa.gov/BondDebt/bnd_state-lp.htm for State Agencies.

5.    For information regarding the sale or purchase of surplus vehicles contact the Surplus Operations at
      (360) 753-3508.

COPIES OF ALL OSP CONTRACTS ARE AVAILABLE FOR VIEWING, DOWNLOADING AND PRINTING
AT OUR INTERNET WEB SITE AT http://www.des.wa.gov/Purchase/contracts.htm (HELP DESK IS AT (360)-
902-7400). FOR INFORMATION SPECIFIC TO VEHICLES VISIT OUR VEHICLE ACQUISITION TEAM
(VAT) WEBSITE AT http://www.des.wa.gov/vehreq/vehacq.html

Attachments
Current Contract Information
Contract No. 04211, Cargo Vans
Price Sheet Order Form
Page 1
ONLINE ORDERS MAY BE PLACED AT https://fortress.wa.gov/ga/inet/vehreq/vehmenu.htm. TO MINIMIZE
PRODUCTION DELAYS ORDER AS EARLY AS POSSIBLE, BEFORE MARCH 31, 2013.

                                                    MINI CARGO VAN
      VEHICLE TYPE: MINI CARGO VAN                                    MAKE/MODEL:        FORD TRANSIT CONNECT XL


                                             EQUIPMENT INCLUDED IN NET PRICE
-   Air Bags, Driver & Front/side Passenger                   -    Sliding Side Door Left and Right w/ Privacy Glass
-   5,005# GVWR                                               -    Reclining Bucket Seats, Driver & Passenger, Vinyl
-   1600# Payload Capacity (130 CF Cargo Space)               -    Driver Compartment headliner front door panels, front
-   500 CCA Battery,150 Amp Alternator                             carpet rear vinyl floor
-   181 Inch Overall Length, 115 Inch Wheelbase               -    Front/Center/Rear Dome Lights
-   2.0 Liter, Gas 4 Cylinder Engine (15 gal fuel tank)       -    Inside Rearview Mirror
-   Automatic Overdrive Transmission, 4spd automatic          -    Power Steering
-   P205/65R15 BSW All Season Radial Tires                    -    Power Brakes, 4 Wheel Anti Lock
-   Full Size Spare Tire & Wheel, Underbody Carrier,          -     Electronic Stability Control
    Jack & Lug Wrench                                         -     All Factory Standard Equipment including:
-   Air Conditioning (CFC Free)                                          Dome and Cargo Lights
-   Auxiliary Power Sources (12V Front)                                 (3 lights,1st row dome and 2 cargo)
-   Front & Rear Stabilizer Bars, Front Wheel Drive                      Tilt Steering Wheel (tilt/telescoping)
-   Glove box Center Console                                             Driver’s seat, manual lumbar adjust
-   Intermittent Wiper, 2 speed rear wiper/washer                        Tire Pressuring Monitoring System (TPMS)
-   AM/FM Radio (2 Speakers)                                             Locking Exterior Hood Release
-   Set of Four Keys                                                     6 Spoke Full Wheel Covers
-   Dual Rear Door w/ Privacy Glass                                      Rear Step Bumper (Grey)
-   Light Tinted Glass, Windshield and Doors                             3 yr/36,000 Mile, 5 yr/60,000 Power train
-   Standard Exterior Mirrors, Manual LH and RH                                 NHTSA CRASH TEST RATINGS
-   Cap, locking gas                                                              FRONTAL (D/P)                 5/4
                                                                                  SIDE (F/R)                    5/5
                                                                                 ROLLOVER                         3

Mercury Free Vehicle                               Gas Mileage: 21 City 27 Hwy
Lead Free Wheel Weights                       California Emission Certification ULEV 2

DEALER:       Columbia Ford (W403)                          DEALER CONTACT:           Marie Tellinghiusen or Steve Sari
              700 7th Ave                                   PHONE:                    360-423-4321
              Longview, WA 98632                            EMAIL:                    mariet@colford.com
                                                            FEDERAL ID#:              91-0650166
                                                            PAYMENT TERMS:            *$200 Discount Per Vehicle if Paid Within
                                                                                      20 Days of Delivery, Net 30

DELIVERY: 120-150 Days ARO or beginning of model year production (2013 model year start-up is July 30, 2012)

NET PRICE:     Vehicle equipped as above, delivered to any point within the State of Washington, exclusive of Federal Excise
               and before 8.2% sales tax including a .3% vehicle tax.

COMMODITY CODE          VEHICLE DESCRIPTION                             ORDER QTY         PRICE EACH        PRICE EXTENSION
2313-142-001            Mini Cargo Van, 2013 Ford Transit Connect       ____________      $19,718.00 *         $___________
                        XL (S6A/300A)

NO COST EXTERIOR COLORS:         INDICATE QUANTITY OF COLOR(S) SELECTED
Torch Red    , Silver______, Black_______, Dark Blue ______, Frozen White______.
 Current Contract Information
 Contract No. 04211, Cargo Vans
 Price Sheet Order Form
 Page 3
ORDER CODE      OPTION DESCRIPTION                                             ORDER   PRICE EACH   PRICE
                                                                               QTY                  EXTENSION
2313-142-010    Credit for pickup from Selling Dealer (Orders for Eastern               $(130.00)       $
                WA) (Deduct) (DLR)*
2313-142-011    Credit for pickup from Selling Dealer (Orders for Western               $(30.00)
                WA) (206/253/360/425) (Deduct) (DLR)*
2313-142-012    5-Passenger crew XLT Wagon (inc. 2nd row 3-passenger                   $1,222.00
                bench seat, rear defroster, heated mirrors, AM/FM/CD, dual
                front map lights, Power locks/windows/mirrors, RKE w/2
                fobs, 12V power Point behind 2nd row seat, cruise control,
                electronic passive anti-theft systems, body color bumpers
                (S9B/510A/87R)
2313-142-013    Backup Alarm Electric 97dba (DLR)*                                       $95.00
2313-142-014    Base Shelving Pkg. (also requires 2313-142-037 Wire Mesh,               $339.00
                2313-142-032, Steel Bulkhead or 2313-142-033 Steel Bulkhead)
                 (BSP)
2313-142-015    Cargo Management Package (also requires #2313-142-037 Wire              $184.00
                Mesh, 2313-142-032, Steel Bulkhead or 2313-142-033 Steel
                Bulkhead) (CMP)
2313-142-016    Carpeted Floor Mats(front & center row) (only available                  $56.00
                2313-142-012, 5 passenger XLT Wagon) (163)
2313-142-017    Daytime Running Lights (942)                                             $38.00
2313-142-018    Delete Rear and Side Door Glass (not available with 2313-              $(224.00)
                142-012 5 Passenger, or 2313-142-039 XLT Van)
                (S7A/100A) (deduct)
2313-142-019    Delete Side Door Glass, Sliding or Hinged Swinging Doors                $(63.00)
                (not available with 2313-142-012 5 passenger) (S7C/57D)
                (deduct)
2313-142-020    Engine Prep Package, CNG/LPG Gaseous (Includes                          $266.00
                hardened engine intake valves, exhaust valves and valve
                seats) (90G)
2313-142-021    Fire Extinguisher, 2.5# Dry Chemical ABC Rated with                      $35.00
                mounting bracket, delivered with vehicle,
                Uninstalled(DLR)*
2313-142-022    Flare Kit, 3 Piece Triangle with storage for roadside                    $45.00
                emergency use, delivered with vehicle, Uninstalled (DLR)*
2313-142-023    Heater, Engine Block (41H)                                               $30.00
2313-142-024    Keys, Set of 2 instead of 4 (DLR)(Deduct)*                              $(15.00)
2313-142-025    Manufacturer to Dealer Order Acknowledgement                             $0.00
                Document Faxed or emailed to Customer (DLR)*
2313-142-026    Quiet Flex Racks & Bins Pkg. (also requires 2313-142-037                $731.00
                Wire Mesh, 2313-142-032 or Steel Bulkhead or 2313-142-033
                Steel Bulkhead) (OFRB)
2313-142-027    Rear Cargo Doors, 255-Degree Hinged Opening (also                       $204.00
                requires 2313-142-039 XL Van, 2313-142-012 XLT 5
                Passenger Wagon or 2313-142-038 XL Power Group)
                (66B)
2313-142-028    Reverse Sensing System (only Available with 2313-142-                   $234.00
                039 XLT Van, 2313-142-012 XLT 5 Passenger Wagon or
                2313-142- 012 5 Passenger Wagon) (76R)
 Current Contract Information
 Contract No. 04211, Cargo Vans
 Price Sheet Order Form
 Page 1
ORDER           OPTION DESCRIPTION                                          ORDER   PRICE EACH   PRICE
CODE                                                                        QTY                  EXTENSION
2313-142-029    Rubber Floor Mats (front Row) (not available with 2313-              $48.00         $
                142-012 5 passenger) (16V)
2313-142-030    Rubber Floor Mats (front & center row) (only available               $65.00
                2313-142- 012 5 Passenger Wagon) (164)
2313-142-031    Spotlight 6 inch, clear lens Post mounted Left (DLR)*                $300.00
2313-142-032    Steel Bulkhead (requires one of the following: 2313-142-             $436.00
                015 Cargo Management Package, 2313-142-014 Base
                Shelving Pkg. or 2313-142-034 Steel Racks or 2313-142-
                026 Quiet Flex Racks) (SB)
2313-142-033    Steel Bulkhead w/Windows (requires one of the following:             $528.00
                2313-142-015 Cargo Management Package, 2313-142-014
                Base Shelving Pkg, 2313-142-034 Steel Racks or 2313-
                142-026 Quiet Flex Racks) (SBW)
2313-142-034    Steel Racks & Bins Pkg. (requires one of the following:              $493.00
                2313-142-037 Wire Mesh, 2313-142-032 Steel Bulkhead,
                or 2313-142-033 Steel Bulkhead) (SRBP)
2313-142-035    Undercoating (DLR)*                                                  $155.00
2313-142-036    Warranty, Delayed Start www.fordwsd.com                               $0.00
2313-142-037    Wire Mesh Bulkhead (requires one of the following: 2313-             $263.00
                142-015 Cargo Management Package, 2313-142-014 Base
                Shelving Pkg., 2313-142-034 Steel Racks or 2313-142-026
                Quiet Flex Racks) (WMB)
2313-142-038    XL Power Group (includes Power Door Locks, Windows,                  $576.00
                Mirrors and Cruise Control) (86L)
2313-142-039    XLT Van (inc. rear defroster, heated mirrors, AM/FM/CD,             $1,127.00
                Dual front map lights, power locks/windows/mirrors ,RKE
                w/2 fobs, cargo area 12V power point, cruise control,
                electronic, passive anti-theft system, body color bumpers
                (S6B/310A/87R)
                                                                                    SUBTOTAL
                                                                                    +8.2% SST
                                                                                      TOTAL
Current Contract Information
Contract No. 04211, Cargo Vans
Price Sheet Order Form
Page 4

ONLINE ORDERS MAY BE PLACED AT https://fortress.wa.gov/ga/inet/vehreq/vehmenu.htm. TO MINIMIZE
PRODUCTION DELAYS ORDER AS EARLY AS POSSIBLE, BEFORE MARCH 31, 2012.

                                                        CARGO VAN
VEHICLE TYPE: HIGH ROOF, HIGH MPG CARGO VAN                            MODEL: NISSAN NV 2500 SV

                                           EQUIPMENT INCLUDED IN NET PRICE
-   Driver & Front Passenger Air Bags (includes side          - Maximum Cooling: Radiator, Eng Oil, Trans
    curtain)                                                  - Intermittent Wipers
- 9,100# GVWR 2,866# Payload                                  - Backup alarm, Electric
- 146 WB 241” OAL (76.9” Inside Height, 70.2” Inside          - Mud Flaps
    Width)                                                    - 650 CCA Battery
-   LT245/75Rx17 All Season Radial Tires(1)                   - Maximum Fuel Capacity (28 Gal)
- Matching Fullsize Spare Tire & Wheel, Spare Tire            - HD Power Disc Brakes, 4 Wheel Anti Lock
    Carrier located under vehicle, jack and lug wrench        - Power Steering
- 4.0 Liter, DOHC 24V 6 cylinder (261 HP)                     - Set of 4 keys (4 Keys/ 2 RKE FOBS)
-   Air Conditioning , Front                                  - Steel step bumper
-   Automatic Overdrive Transmission, 5 speed                 - Sliding side door, RH, (No Glass)
-   Electric Stability System, Traction Control (VDC and TCS) - Hinged Split Rear Doors w/ Glass, Defroster and
-   High Back Cloth Bucket Seats, Driver & Passenger with       Day/Night Rear View Mirror (includes rear door privacy
      Manual Lumbar Adjust (includes 8 way power driver’s       glass) (F01/501)
      seat)                                                   - All Factory Standard Equipment including:
-   Cigarette Lighter/ Auxiliary Power Source                       Tachometer, Temperature Gauges: fuel, coolant, oil
-   AM/FM/CD                                                         and pressure
-   Tinted Glass, Windshield & Front Doors                           Power Door Locks
-   Manual Adjustable Arm Mirrors (L & R)                            Power Windows
-   Driver Compartment Rubber Floor Covering,                        Tire Pressure Monitoring System
    Vinyl in cargo area                                              Remote Keyless Entry
- Driver and Cargo Area Dome Lights                                  Height Adjustable Front Seat Belts
- 130 AMP Alternator                                                 Height Adjustable Driver’s Seat
- Tie Down tracks (6-D rings, mounting points)                       Tilt Steering Wheel
- Cruise Control                                                     3.36:1 Rear Axle Ratio
- Daytime Running Lights                                             3 Yrs/36,000 Mile Base, 5 Yr/60,000 Mile
                                                                     Powertrain
California Emission Certification ULEV 2
Mercury Free Vehicle
Steel/zinc Wheel Weights

DEALER:         Columbia Ford Nissan (W403)                  DEALER CONTACT:
Tellinghiusen or Steve Sari
                700 7th Ave                                  PHONE:                     360-423-4321
                Longview, WA 98632                           EMAIL:                    mariet@colford.com
                                                             FEDERAL ID#:              91-0650166
                                                             PAYMENT TERMS:            *$200 Discount Per Vehicle if Paid Within
                                                                                       20 Days of Delivery,
                                                                                       Net 30
DELIVERY: 60-120 Days ARO

NET PRICE:       (Basic model equipped as above, delivered to any point within the State of Washington, exclusive of Federal
Excise and before 8.2% State Sales Tax including a .3% vehicle tax):
Current Contract Information
Contract No. 04211, Cargo Vans
Price Sheet Order Form
Page 5
ORDER CODE           VEHICLE DESCRIPTION                              ORDER QTY    PRICE EACH          PRICE EXTENSION

2312-167-001         High Roof, High MPG Cargo Van, 2012                               $26,979*
                     Nissan NV 2500 SV (62212)                                                            $

NO COST EXTERIOR COLORS:                  INDICATE QUANTITY OF COLOR(S) SELECTED             White
Blue       , Red _______, Silver _______, Black _______, Bright Red_____.
(1) Tire Chain Compatible

                                   OPTION DESCRIPTION                          ORDER      PRICE EACH            PRICE
 ORDER CODE                                                                     QTY                           EXTENSION
2312-167-010     Credit for pickup from Dealer instead of vehicle being                    $(130.00)           $
                 driven to customer (Orders for Eastern WA) (EW) Deduct)*
2312-167-011     Credit for pickup from Dealer instead of vehicle being                     $(30.00)
                 driven to customer (Orders for Western WA) (WW)
                 (Deduct)*
2312-167-012     Alternative Gas Engine, 5.6L DOHC, 32V, V8, 3.54 RAR                       $810.00
                 (62412)
2312-167-013     Cargo Group, cargo mgmt system (includes bulkhead)                         $700.00
                 (4519)
2312-167-014     Cargo Group, cargo utility package (includes bulkhead)                     $700.00
                 (4520)
2312-167-015     Flare Kit (3 Piece Triangle w/Storage Box for Roadside                      $45.00
                 Emergency use. Delivered w/Vehicle, Uninstalled)(DLR)*
2312-167-016     Fire extinguisher (2.5# Dry Chemical ABC rated                              $35.00
                 w/Mounting Bracket. Delivered w/Vehicle, Uninstalled)
                 (DLR)*
2312-167-017     Front Bulkhead with center and passenger side perforated                   $444.00
                 windows (DLR)*
2312-167-018     GVWR Increased 9,900#, 3,852# Payload, LT245/75x17 All                   $2,386.00
                 Season Tires (Includes 5.6L DOHC, 32V, V8, 317 HP, 3.54
                 RAR) (NV 3500SV) (62612)
2312-167-019     Keys, set of 2 instead o f 4 (DLR)* (Deduct)                               $(20.00)

2312-167-020     Manufacturer to Dealer Order Acknowledgment Document                         $0.00
                 Faxed or emailed to Customer Delivery Address (DLR)*
2312-167-021     Stock Vehicle Upcharge Dealer Stock Vehicle w/ all Contract                $250.00
                 Required Equipment (Delivery within 7 Days when available,
                 call Dealer) (Stock)*
2312-167-022     Warranty, Delayed Start (Fax or email Dealer) (WDS)*                          $0.00
2312-167-023     Window Package, (deletes rear door glass) (DF01/F02)                       $(58.00)
2312-167-024     Window Package, Side door glass (64/F03)                                    $58.00

                                                                                        SUBTOTAL
                                                                                        +8.2% SST
                                                                                          TOTAL


CONTACT DEALER PRIOR TO ORDERING TO ASSURE OPTION EQUIPMENT AVAILABILITY
Current Contract Information
Contract No. 04211, Cargo Vans
Page 6
                                       OFFICE OF STATE PROCUREMENT
                                          PERFORMANCE REPORT

To OSP Customers:
Please take a moment to let us know how our services have measured up to your expectations on this contract.
Please copy this form locally as needed and forward to the Office of State Procurement Purchasing Manager.
For any comments marked unacceptable, please explain in remarks block.


            Procurement services provided:                   Excellent        Good   Acceptable   Unacceptable
    Timeliness of contract actions
    Professionalism and courtesy of staff
    Services provided met customer needs
    Knowledge of procurement rules and regulations
    Responsiveness/problem resolution
    Timely and effective communications

Comments:




Agency:                                                              Prepared by:

                                                                     Title:

Contract No.: 04211                                                  Date:

Contract Title: Vehicles, 2012/2013 Cargo Vans              Phone:




                                                 Send to:

                                                 Purchasing Manager
                                                 Office of State Procurement
                                                 PO Box 41017
                                                 Olympia, Washington 98504-1017
                                    PRODUCT/SERVICE PERFORMANCE REPORT

Complete this form to report problems with suppliers or to report unsatisfactory product or services. You are also
encouraged to report superior performance. Agency personnel should contact suppliers in an effort to resolve problems
themselves prior to completion and submission of this report.

Contract number and title: 04211 Vehicles, 2012/2013 Cargo Vans

Supplier’s name:                                                  Supplier’s representative:

                                                 PRODUCT/SERVICE:

       Contract item quality higher than required            Damaged goods delivered
       Contract item quality lower than required.            Item delivered does not meet P.O./contract specifications
       Other:
                                        SUPPLIER/CONTRACTOR PERFORMANCE:

       Late delivery                                               Slow response to problems and problem resolution
       Incorrect invoice pricing.                                  Superior performance
       Other:
                                               CONTRACT PROVISIONS:

       Terms and conditions inadequate                             Additional items or services are required.
       Specifications need to be revised                           Minimum order too high.
       Other:

Briefly describe situation:



                      Agency Name:                                               Delivery Location:
      Prepared By:              Phone Number:                        Date:                       Supervisor:




                                                       Send To:




                                           Breann Aggers
                                           CONTRACT SPECIALIST
                                           OFFICE OF STATE PROCUREMENT
                                           PO BOX 41017
                                           OLYMPIA WA 98504-1017
                     Vehicle Contract Ordering Procedures (Non Automated)

NOTE:     For internet subscribers, with E-Mail capability, an automated on line requisition form for each
          vehicle classification is at web site “http://www.ga.wa.gov/vehreq/vehmenu.htm”.

The step by step directions below with attached sample requisition and Price Sheet/ Order Form are provided as a
guideline to assist you in manually placing your vehicle order on the State of Washington Automobile/ Police
Vehicle/ Light Trucks & Vans contracts. The manual ordering procedure is as follows:

TO ORDER YOU NEED TO BE A SUBSCRIBER TO THE STATE PURCHASING COOPERATIVE and
all orders are to be submitted on a State of Washington Purchase Requisition Form A15-A (copy attached).

NOTE: DEALERS WILL NOT ACCEPT ORDERS DIRECTLY FROM YOUR ORGANIZATION. YOUR
      REQUISITION IS TO BE SENT DIRECTLY TO THE OFFICE OF STATE PROCUREMENT
      FOR PROCESSING. FAILURE TO DO SO MAY RESULT IN THE LOSS OF YOUR ORDER
      AND/OR DELAY IN THE ORDERING AND DELIVERY OF YOUR VEHICLE.

To complete a manual purchase requisition, refer to the numbers below with the corresponding numbers on the
attached sample requisition. You need only fill in the areas listed below.

   (1)     Ordering Agency Name - Enter your organization name and address

   (2)     Agency Number - Political Subdivisions enter the Intergovernmental Cooperative Purchasing Agreement
           Identification Number previously furnished to you. (if unknown call (360) 902-7415) Location and mail stop
           blocks may be left blank for political subdivisions and non-profit organizations.

   (3)     Date Ordered - Enter today’s date.

   (4)     Date Needed - Leave blank or enter number of days allowed for delivery as shown on the contract.

   (5)     Requisition Number - Enter internal requisition number assigned by your organization.

   (6)     Contact Person - Enter your agency contact person and phone numbers for the State Procurement Officer to
           call if there are any questions on your order.

   (7)     Ship Goods To - Enter the address where the vehicle is to be delivered (not a PO Box). If vehicle is to be
           picked up, enter selling dealer’s address or state “Agency will pick up”. Enter agency number, location and
           mail stop codes if known.

   (8)     Mail Invoices To - Enter the organization name/ address where bill should be sent. Indicate if more than one
           copy of the invoice is required. Enter agency number, location and mail stop codes if known.

   (9)     Body of Requisition - Organization internal Requisition/ Purchase Order and/ or vehicle numbers, if any that
           you want referenced on the state PO.

   (10)    Body of Requisition – Email Address to send PO to. Email address of the person you want us to send your
           copy of the PO to. (Alternatively, if no email address provide a fax #)

   (11)    Body of Requisition - Organization delivery contact person and phone numbers for the dealer to coordinate
           delivery. Indicate receiving hours/ days contact person is available.

   (12)    Body of Requisition - Identify Organization name/ address for title application (Legal & registered owner)
           exactly as you want it to appear on the title. Street Address is required, not a PO Box, for registered owner
Current Contract Information
Contract No. 04211, Cargo Vans
Price Sheet Order Form
Page 5

    (13)    Signature Line - Identify person authorizing this purchase, their title in your organization , and obtain their
            signature.

To order the specific vehicle(s) and the options you require, make a copy and then complete the appropriate vehicle
contract “price sheet/ order form.” Simply enter the quantity of each color and all commodity codes required in the spaces
provided. (See Sample) You may order more than one vehicle per classification with like equipment, but do not mix
vehicles with unlike equipment other than color, on the same requisition. To process the order it is not necessary that you
calculate and total price extensions, but spaces are provided should you desire to know your total cost. (The state
purchase order will show all price extensions and a subtotal before sales tax).

Once completed, you may mail your requisition and price sheet/ order form to the address in the upper right corner of the
form or, preferably, fax it to (360) 664-2668 (to avoid possible duplication of your faxed order, please do not send a
confirming hard copy). After processing, the Office of State Procurement (OSP) will e-mail you a copy of the State
Purchase Order for your vehicle(s) at the same time the dealer is sent their copy. Remember, a confirming hard copy will
not be mailed. (When received, please check your order for any errors or duplication of any previous order.
Advise this office of any errors or discrepancies immediately.) If you do not receive your order back within 3 days,
notify this office at (360) 902-7193).

After the purchase order is issued completion of the order is the responsibility of the dealer and yourself. Please do not,
however, unnecessarily contact the dealer during the delivery time period. Also, if you have a requirement for general
information or equipment changes please contact this office. In case of a late delivery exceeding 14 calendar days,
contact both the dealer and this office.

Upon delivery, your payment is to be made directly to the dealer within 30 days of receipt/ acceptance of the vehicle(s).
(If you are able to pay even sooner after delivery you may be able to reduce the price of your vehicle as some of our
dealers have a Prompt Payment Discount.) It is important that payment be made within the 30-day time period as the
dealers must pay significant interest charges for financing vehicles. The number of firms bidding and bid prices received
in the future will be directly related to the timeliness of your payments on this contract. Additionally, the contract has a
provision for a 1% late payment penalty.
     FORM                                                                                          SUBMIT TO:                     DEPARTMENT OF GENERAL ADMINISTRATION
     A15-A
   (REV 5/93)                                                  STATE OF WASHINGTON                                                    OFFICE OF STATE PROCUREMENT
                                                                                                                                               Room 201, General Administration Building
                                                     PURCHASE REQUISITION                                                                                  PO Box 41017
                                                                                                                                                  Olympia, Washington 98504-1017

ORDERING AGENCY NAME                                             AGENCY NO.         LOCATION        MAIL STOP             DATE ORDERED                DATE NEEDED                       REQUISITION NO.
                                                                                                                           MO DAY YR                   MO DAY YR


                             (1)                                      (2)                                                     (3)                           (4)                                 (5)

                                                                CONTACT            PERSON              (6)                               FAX:                                PHONE:

SHIP GOODS TO:                                                       AGENCY                            MAIL                    MAIL INVOICES TO:                   COPIES      AGENCY                         MAIL
                                                                       NO.          LOCATION           STOP                                                        REQD.         NO.         LOCATION         STOP


                             (7)                                                                                                       (8)




   REQ.              ORDER                                                                                                                                                                        ESTIMATED
 ITEM NO.            CODE                                                           DESCRIPTION                                                        QUANTITY               UNIT
                                                                                                                                                                                                  UNIT PRICE
                                                                                                                                                                                                  TOTAL COST

                                      2012 STATE VEHICLE CONTRACT ORDER PER THE ATTACHED
                                      CONTRACT PRICE SHEETS/ORDER FORM

                                      ORGANIZATION INTERNAL REQUISITION/PO# OR VEHICLE(S) #

                      (9)


                                      FAX STATE PO TO FAX # ( )
                     (10)
                                      DELIVERY CONTACT PERSON:

                     (11)             TELEPHONE# (                            )
                                      FAX #                (                  )
                                      RECEIVING HOURS/DAY


                                      (12)
 ORGANIZATION NAME/ ADDRESS                                      FOR          THE     TITLE          ORGANIZATION NAME/ ADDRESS FOR THE TITLE APPLICATION
 APPLICATION “LEGAL OWNER”                                                                           “REGISTERED OWNER”




                                                                                                                                                                                     CONTINUED
IDENTIFY PREVIOUS REQUISITIONS FOR        NAME OF AUTHORIZING OFFICIAL                                                     I hereby certify that the goods or services requested are necessary for the work and
ITEMS ABOVE                                                                                                                transaction of business of this agency

                                                                                                                           (SIGNATURE)
                                          (Type or
                                          Print)                                                                                                                     (13)
1. DATE/REQ. NO.                          TITLE

DOC DATE             PMT DUE DATE             CUR DOC. NO.           REF DOC NO.               VENDOR NO                   VENDOR MESSAGE                    USE     UBI NUMBER
                                                                                                                                                             TAX

                 M   FUND     APPN   PROGRAM SUB     SUB      ORG    WORKCLASS      COUNTY       CITY/TOWN      PROJECT      SUB           PROJ                    AMOUNT                  INVOICE NUMBER
REF   TRANS      O           INDEX     INDEX OBJ     SUB     INDEX     ALLOC        BUDGET          ORG                      PROJ         PHASE      PROJ
DOC   CODE       D                                   OBJ                             UNIT          INDEX
SUF




APPROVED FOR PAYMENT BY                                                                                       DATE                                  WARRANT TOTAL                                WARRANT NUMBER
Price Sheet Order Form
                                                      SAMPLE
TO ORDER COMPLETE PRICE SHEETS AND SUBMIT WITH STATE FORM A-15A PURCHASE
REQUISITION TO OFFICE OF STATE PROCUREMENT BEFORE MARCH 31, 2006 TO MINIMIZE
PRODUCTION DELAYS ORDER AS EARLY AS POSSIBLE.
                                                     TRUCK
                                   16,000# GVWR REGULAR CAB & CHASSIS (4X4)

VEHICLE TYPE: 16,000# GVWR REGULAR CAB & CHASSIS (4X4)                   MAKE/MODEL: FORD SUPER DUTY F450XL

                                        EQUIPMENT INCLUDED IN NET PRICE

-   165” Wheelbase, 84” CA regular Cab & Chassis (No             -   Backup Alarm, Electric *
    Bed)                                                         -   Black fold away trailer tow telescoping mirrors
-   16,000# GVWR, dual rear wheels                               -   Headliner, door trim panels, vinyl floor covering
    6.8 liter, 10 cylinder gas engine                            -   Maximum cooling-radiator, engine oil, transmission
    Air Conditioning                                             -   AM/FM radio w/clock
    Air bags, driver’s and Passenger side w/passenger            -   Power steering
    deactivation switch                                          -   115 AMP alternator
    Automatic electronic overdrive transmission                      750 CCA battery
    2 Speed Transfer Case, Manual locking hubs                   -   Cigarette lighter / Auxiliary power source
-   LT 225/70R19.5F all terrain radial tires                     -   Oil Pressure, Voltmeter, Temp Gauges
-   Matching spare tire and wheel mounted on frame (All          -   40 gallon fuel capacity, aft axle tank
    Season)                                                      -   Light Tinted glass all around
-   Skid Plate Package (413)                                     -   All factory standard equipment including:
-   Hydraulic bottle jack, lug wrench                                              4.88:1 rear axle ratio as equipped
-   HD power brakes, four wheel anti lock, disc                                    Tachometer
-   HD shocks, springs, front & rear stabilizer bars                               Upfitter Electric Switches
-   Intermittent wipers                                                            Front Tow Hooks
-   Dome Light                                                                     3 yr/36,000 mile warranty, owner’s manual
    Vinyl bench seat w/head restraints                                             Mercury Free Vehicle
-   Set of Four Keys

DEALER:         FRONTIER FORD (2045)                        DEALER CONTACT:            Jack Minor or Tami Fetterly
                P O Box 247                                 PHONE:                     1-800-896-5267
                Anacortes, WA 98221                         EMAIL:                     fleet@frontierfordusa.com
                                                            FEDERAL ID#:               91-1496528

DELIVERY:       90-120 Days                                 PAYMENT TERMS:             $100 Discount Per Vehicle if Paid
                                                                                       Within 20 Days of Delivery (1)

NET PRICE:     Vehicle equipped as above, delivered to any point within the State of Washington, exclusive of Federal Excise
               and before 8.2% sales tax including a .3% vehicle tax


ORDER CODE              VEHICLE DESCRIPTION                             ORDER QTY         PRICE EACH         PRICE
                                                                                                             EXTENSION

    2319-136-001        Truck, 16,000# GVWR HD Regular Cab &
                        Chassis, (4x4); 2007 Ford Super Duty F450              2            $24,986.00 (1)         $49,972.00
                        XL (F47/650A)

NO COST EXTERIOR COLORS: INDICATE QUANTITY OF COLOR(S) SELECTED                        Oxford White 2 ,
Dark Green  , Arizona Beige    , Black ____, Dark Shadow Grey     , Dark Toreador Red    ,
Medium Wedgewood Blue ____True Blue______, Silver       , Red _____, School Bus Yellow _____.
                                                       SAMPLE

ORDER CODE     OPTION DESCRIPTION                                ORDER QTY   PRICE EACH   PRICE EXTENSION

2319-136-010   Credit for pickup from Dealer (May Require Mud                 $(100.00)      $
               Flaps and Trip Permit) (Orders for Eastern WA)
               (DLR) (DEDUCT) *
2319-136-011   Credit for pickup from Dealer (May Require Mud                  $(65.00)
               Flaps and Trip Permit) (orders for Western WA)
               (DLR) (DEDUCT)*
2319-136-012   Air Conditioning (Delete) (-572)(Deduct)                       $(686.00)
2319-136-013   Alternative Diesel Engine, 6.0 Liter 8 Cylinder                $4,239.00
               (Includes Dual 750 CCA Batteries, Engine Block
               Heater, (99P)
2319-136-014   Alternative Seating, Cloth Seat Trim Instead Of                 $142.00
               Vinyl (CE)
2319-136-015   Alternative Seating, Vinyl Buckets (JE)               2         $205.00     410.00
2319-136-016   Alternative Wheelbase/Cab to Axle (141 inch                     $(96.00)
               WB, 60 inch /CA) (141WB) (DEDUCT)
2319-136-017   Alternative Wheelbase/Cab to Axle (189 inch WB,                 $104.00
               108 inchCA)(189WB)
2319-136-018   Alternative Wheelbase/Cab to Axle (201 inch WB,                 $198.00
               120 inch CA) (201WB)
2319-136-019   Back up alarm Delete (DLR)* (Deduct)                            $(45.00)
2319-136-020   Cab & Chassis, Crew Cab (176 inch WB, 60 inch                  $2,966.00
               CA) (16,000# GVWR) (W47/176WB)
2319-136-021   Cab & Chassis, Crew Cab (200 inch WB, 84 inch                  $3,110.00
               CA)(16,000# GVWR) (W47/200WB)
2319-136-022   Cab & Chassis, Extended Cab w/ Rear Bench Seat                 $1,863.00
               (162 inch WB, 60 inch CA) (16,000# GVWR)
               (X47)
2319-136-023   Cruise Control/Tilt Steering Wheel (52N)              2         $344.00     688.00
2319-136-024   Daytime Running Lights (942)                                     $39.00
2319-136-025   Differential, Limited Slip (X8L/X5L)                            $267.00
2319-136-026   Fuel Capacity Decreased (19 Ga. Midship)                        $(92.00)
               (Deduct) (65M)
2319-136-027   Heater, Engine Block (included w/Diesel) (41H)                   $31.00
2319-136-028   Keys, Set of 2 Instead of 4 (DLR)* (Deduct)                      $(4.00)
2319-136-029   Manual, Service, Paper (DLR)*                                   $195.00
2319-136-030   Power Group (Windows, Door Locks, Heated                        $478.00
               Mirrors) (903)
2319-136-031   PTO Provision (STD w/Man. Transmission) (62R)                   $223.00
2319-136-032   Rear Axle Ratio 5.38:1 (Not Avail. W/Diesel)                     $43.00
               (X75)
2319-136-033   Snow Plow Package, Power Up & Angle (MEYER                     $4,430.00
               C-8.5) (86M+D)
2319-136-034   Spare Tire & Wheel Delete (-515) (Deduct)                      $(283.00)

2319-136-035   Spotlight, 6 inch, Clear Lens, Left (DLR)*                      $234.00

2319-136-036   Towing Prep Pkg (7 Wire Harness, Trailer Brake                  $138.00
               wiring kit) (Not Avail w/2319-136-054) (531)
                                                      SAMPLE
ORDER CODE     OPTION DESCRIPTION                                     ORDER QTY    PRICE EACH    PRICE EXTENSION

2319-136-037   Transmission 6 Speed Manual (445) (Deduct)                          $(1,203.00)
2319-136-038   Undercoating (DLR)*                                                    $100.00
2319-136-039   Warranty, Delayed Start (Card furnished) (DWS)*            2              $0.00       0.00
2319-136-040   Window, Sliding Rear (433)                                             $112.00
2319-136-041   Stakeside Bed, 14 foot (Includes 2319-136-018                        $3,145.00
               120 inch CA) (Avail Through 12/31/05 Only)
               (Knapheide PVMX143C) (DS14)**
2319-136-042   Stakeside bed, 12 foot (Avail Through 12/31/05 Only)                 $2,952.00
               (Knapheide PVMX123C) (DS12)**
2319-136-043   Stakeside bed, 10 foot, (Includes 2319-136-016                       $2,651.00
               60 inch CA) (Avail Through 12/31/05 Only)
               (Knapheide PVMX103C) (DS10)**
2319-136-044   Platform bed, 14 foot (Includes 2319-136-018 120                     $2,242.00
               inch CA) (Avail Through 12/31/05 Only) (Knapheide
               PVMX143C)(DP14)**
2319-136-045   Platform bed, 12 foot (Avail Through 12/31/05 Only)                  $2,110.00
               (Knapheide PVMX123C) (DP12)**
2319-136-046   Platform bed, 10 foot (Includes 2319-136-016 60                      $1,916.00
               inch CA) (Avail Through 12/31/05 Only) (Knapheide
               PVMX103C)(DP10)**
2319-136-047   Hoist for 10 or 12 foot beds (Avail Through 12/31/05                 $2,774.00
               Only) (Knapheide KH1512SFE) (Power Up/Down,
               remote controls) (DH12)**
2319-136-048   Hoist for 14 foot beds (Avail Through 12/31/05 Only)                 $3,052.00
               (Knapheide KH1520SFE) (DH14)**
2319-136-049   Manufacturer to Dealer Order Acknowledgement                            $0.00
               Document Faxed to Customer (DLR)*
2319-136-050   Tires, All Season Tread Instead of On-Off                             $(165.00)
               Road (set 7) (Deduct) (T91)
2319-136-051   Alternators, Dual 130 Amp (Avail only w/                               $285.00
               Diesel Engine) (G3T)
2319-136-052   Alternative Seating, Vinyl 40/20/40 front                              $357.00
               bench (TE)
2319-136-053   Alternative Seating, Cloth Front Buckets (GE)                          $347.00
2319-135-054   Tow Command System w/Trailer Electric                                  $189.00
               Brake Controller (91T)
                                                                                  SUBTOTAL       51,070.00
                                                                                    8.2% SST      4,187.40
                                                                                      TOTAL      55,257.40
* TREATED YELLOW PINE DECK ON STAKESIDE & PLATFORM BEDS
                                                                                                 SUBMIT          WASHINGTON DEPARTMENT OF ENTERPRISE SERVICES
      FORM                                                                                       TO:
                                                          STATE OF WASHINGTON                                            OFFICE OF STATE PROCUREMENT
      A15-A                                                                                                                                   1500 Jefferson St. SE
                                               PURCHASE REQUISITION                                                                        Olympia, Washington 98501



ORDERING AGENCY NAME:                                        AGENCY NO.          LOCATION                        DATE ORDERED              DATE NEEDED                      REQUISITION NO.
                                                                                                                  MO DAY YR                 MO DAY YR




                                                            CONTACT PERSON                                 EMAIL ADDRESS                             PHONE NUMBER


SHIP GOODS TO:                                                    AGENCY                                            MAIL INVOICES TO:                              AGENCY
                                                                    NO.          LOCATION                                                                            NO.        LOCATION




    REQ.            ORDER                                                                                                                                                   ESTIMATED
  ITEM NO.          CODE                                                 DESCRIPTION                                         QUANTITY           UNIT
                                                                                                                                                                UNIT PRICE           TOTAL COST

                                   2013 State vehicle contract order per the attached contract
                                   price sheets/order form


                                   Email Address to send PO to:_______________________


                                   Delivery Contact Person: ______________________

                                   Telephone# (_______) _____________
                                   Fax# (_______) _____________

                                   Receiving hours/days: __________________________


                                                                                                                                                                       Total

 Organization Name/Address for Title Application “Legal Owner”                                   Organization Name/Address for Title Application “Registered Owner
                                                                                                 (Street Address Required)”




IDENTIFY PREVIOUS                      NAME OF AUTHORIZING OFFICIAL                                                 I hereby certify that the goods or services requested
REQUISITIONS FOR                                                                                                    are necessary for the work and transaction of
ITEMS ABOVE                                                                                                         business of this agency

                                                                                                                    (SIGNATURE)

                                       (Type or Print)

1. DATE/REQ. NO.                       TITLE
DOC DATE           PMT DUE DATE            CUR DOC. NO.            REF DOC NO.              VENDOR NO               VENDOR MESSAGE                  USE    UBI NUMBER
                                                                                                                                                    TAX

REF    TRANS   M   FUND    APPN   PROGRAM SUB    SUB       ORG     WORKCLASS     COUNTY       CITY/TOWN   PROJECT     SUB          PROJ                   AMOUNT               INVOICE NUMBER
DOC    CODE    O          INDEX     INDEX OBJ    SUB      INDEX      ALLOC       BUDGET          ORG                  PROJ        PHASE      PROJ
SUF            D                                 OBJ                              UNIT          INDEX




APPROVED FOR PAYMENT BY                                                                                   DATE                              WARRANT TOTAL             WARRANT NUMBER

								
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