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Protection Order Washington State

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Protection Order Washington State Powered By Docstoc
					                                                         State of Washington
                                                     Current Contract Information
                                                                  Issue Date: April 26, 2011

Contract number:                             05510                                                          Commodity code: 2310

Contract title:                              Vehicles, 2011/2012 Hybrid, Alternative/Flexible Fuel

Purpose:                                     Contract extension for model year 2012 for vehicle Ford Escape Hybrid
Term:                                        October 18, 2010                            through:              October 31, 2012
Ordering Period:                             October 18, 2010 Through March 31, 2012 or Factory Cutoff, whichever is
                                             Later
For use by:                                  See Special Conditions #1
SCOPE OF CONTRACT                            Hybrid, Gas/Electric Vehicles, Flexible Fuel Vehicles

Contractor :                                 See Vehicle Price Sheets

Products available:                          Honda Civic Hybrid Sedan, Honda Insight Hybrid Sedan, Toyota Prius,
                                             and Ford Escape Hybrid SUV
Ordering information:                        See page 2
Ordering procedures:                         See Special Conditions Number 2
Contract exclusions:                         See Special Conditions #1
Special notes:                               Vehicles may be ordered on the Internet at:
                                             https://fortress.wa.gov/ga/inet/vehreq/vehmenu.htm
Related product                              03009 Batteries, 09506 Vehicle Glass, 08805 Partitions & Push Bumpers, 06609
contracts:                                   Tire Chains, 00108 Tires, New, 01809 Automotive, Light Vehicle Parts & Supplies,
                                             07705 Fuel
Reference                                    Contract Amendment no. 1 signed by Columbia Ford (Marie Tellinghiusen)
                                             dated April 26, 2011. IFB 05410/06310, Bids received September 14, 2010

This page contains key contract features. Find detailed information on succeeding pages. For more information
on this contract, or if you have any questions, please contact your local agency Purchasing Office, or you may
contact our office at the numbers listed below.


                  Contractor                 Breann Aggers                          Order                        Christine Schoepfer
                  Administrator:                                                    Placement:
                  Phone Number:              (360) 902-7421                         Phone Number:                (360) 902-7193
                  Fax Number:                (360) 586-2426                         Fax Number:                  (360) 586-2426
                  Email:                     Breann.aggers@ga.wa.gov                Email:                       Christine.schoepfer@ga.wa.gov




Washington State Department of General Administration
Office of State Procurement, PO Box 41017, Olympia, WA 98504-1017

The Department of General Administration provides equal access to its programs, services and employment for all people without regard to race, religion, national
origin, age, gender, sexual orientation, marital status, disability, Vietnam veteran status, or disabled veteran status. To request this information in alternative formats
call (360) 902-7400, or TDD (360) 664-3799.
Current Contract Information
Contract No. 05510
Page 2
Payment address:               See Vehicle Price Sheets
Order placement address:       See Special Conditions Note 2
Minimum orders:                One Vehicle
Delivery time:                 See Vehicle Price Sheets
Payment terms:                 See Vehicle Price Sheets
FOB Point                      FOB Destination – Vehicle will be prepared for delivery and unless otherwise
                               requested driven to purchaser’s in state location by Dealer’s agent at no
                               additional cost. (FOB selling dealership orders for Oregon Political
                               Subdivisions)
Freight:                       Prepaid and included in unit pricing
Contract pricing:              See vehicle price pages.
                               Payment for the total amount of the invoice is due and payable to the dealer
                               within 30 days of delivery of vehicle. Prompt Payment Discount May be
                               Deducted if Paid within 20 Days.
                               NOTE: PURCHASING ADMINISTRATIVE FEE IS NO LONGER
                               INVOICED TO THE CUSTOMER.
Term worth:                    $3,100,000.

                               $0.00 MBE            $0.00 WBE     $3,100,000. OTHER            $0.00 EXEMPT
Current participation:
                               MBE 0%               WBE 0%        OTHER 100%                   EXEMPT 0%

Recovered material :           None
NOTES:
I.    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 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 Contracts Specialist (CS) administering
       the state contract. (Reference paragraph 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.

II.    Only authorized purchasers included in the State of Washington Purchasing Cooperative (WSPC)
       listings published and updated periodically by OSP may purchase from this contract. A list of
       Washington members is available on the Internet at https://fortress.wa.gov/ga/apps/coop/default.aspx
       Contractors shall not process state contract orders from other than the Office of State Procurement State
       Procurement Officer.
Current Contract Information
Contract No. 05510
Page 3
SPECIAL CONDITIONS:

1. This contract contains the following model year 2011/2012 vehicles:
                                                                                    FOR USE BY
Order Code                  Vehicle Description                         State     PS/WA    NPC/WA PS/OR
                                                                     Agencies (1)   (2)       (3)   (4)

2311-930-001      Hybrid (Gas/Electric) Compact Sedan                   Yes      Yes       Yes     Yes
                  Honda Civic HEV*
2311-935-001      Hybrid (Gas/Electric) Midsize                         Yes      Yes       Yes     Yes
                  Hatchback Toyota Prius HEV

2312-962-001      Hybrid (Gas/Electric) Small                           Yes      Yes      Yes      No
                  Utility/Crossover Ford Escape HEV

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

       *Contains dedicated CNG Civic GX Option, Insight HEV Option

       All current vehicle contracts are available for viewing at:
       http://www.ga.wa.gov/vehreq/veh-contract.html
Current Contract Information
Contract No. 05510
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.ga.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 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@ga.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 Treasurers Office, contact Wendy
       Kancianich at 360-902-9022. Information on their "LOCAL" funding program may be found at
       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 Commodity Redistribution
       Office at (253) 333-4900.

COPIES OF ALL OSP CONTRACTS ARE AVAILABLE FOR VIEWING, DOWNLOADING AND PRINTING
AT OUR INTERNET WEB SITE AT http://www.ga.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.ga.wa.gov/vehreq/vehacq.html


Attachments
Current Contract Information
Contract No. 05510
Price Sheet Order Form
Page 1
TO ORDER COMPLETE PRICE SHEETS AND SUBMIT WITH STATE FORM A-15A PURCHASE REQUISITION TO
OFFICE OF STATE PROCUREMENT. TO MINIMIZE PRODUCTION DELAYS ORDER AS EARLY AS POSSIBLE AND
NO LATER THAN MARCH 31, 2011.

                      AUTOMOBILE: COMPACT SEDAN, HYBRID (GAS/ELECTRIC)
VEHICLE TYPE: 4 DOOR SEDAN                                  MAKE/MODEL: HONDA CIVIC HYBRID

                                          EQUIPMENT INCLUDED IN NET PRICE

-   Air Bags, Driver & Front Passenger w/Side Curtain             - Tires, Low Rolling Resistance (set 4)
    Airbags Front & Rear                                          -  Cap, Locking Gas (Internal Release)
-   1.3 Liter 4 Cylinder Gas Engine/Permanent Magnet              -  AM/FM Radio w/CD
    Electric Motor                                                -  Set of 4 Keys (RKE w/2 Masters, 2 Valet)
-   Automatic Transmission, Continuously Variable                 - Mirrors, Dual Power
-   Power Steering                                                - Electric Rear Window Defroster
-   Cruise Control                                                - All Factory Standard Equipment Including:
-   P195/65R15 Steel Belted Radial All Season Tires (1)                  Cloth Bucket Front Seats, Drivers Seat Height
-   Compact Spare Tire and Wheel                                         Adjustable,
-   Power Regenerative Brakes, 4 Wheel Anti Lock Brake                   Electronic Stability Control(Hybrid Only)
    System                                                               Rear Bench Seat
-   Power Door Locks/Windows                                             Inside Emergency Trunk Release
-   Power Mirrors                                                        Child Protection Rear Door Locks
-   Traction Control                                                     Energy Monitoring Display Panel
-   Intermittent Wipers                                                  Daytime Running Lights
-   Air Conditioning                                                     Tire Pressure Monitoring System
-   Carpeted Floormats (F &R)                                            3 yr/36,000 mile warranty, 5Yr/60,000 mile
-   Light Tinted Glass All Around                                        Powertrain, 8Yr/100,000 mile IMA
-   Tilt Steering Wheel                                           NHTSA CRASH TEST RATINGS (2010)
-   Auxiliary Power Source                                          FRONTAL (D/P)           5/5
                                                                    SIDE (F/R)              4/5
                                                                     ROLLOVER               4
CA EMISSION CERTIFICATION AT-PZEV GAS MILEAGE 40 CITY 45 HWY    MERCURY FREE VEHICLE
                                      “High MPG” Vehicle     COATED LEAD WHEEL WEIGHTS
DEALER:         HONDA AUTO CENTER OF BELLEVUE                  DEALER CONTACT:             Mick Hanlon or Mike Lavigne
                (W11732)
                13291 SE 36th ST                               PHONE:                       1-425-643-3770
                BELLEVUE, WA 98006                             EMAIL:                       mickh@bellevuehonda.com
DELIVERY:       60-90 Days                                     FEDERAL TAX ID NO.:          91-1088631
                                                               PAYMENT TERMS:               $200 discount for payment within 20
                                                                                            days of delivery, net 30 *
NET PRICE:       (Vehicle equipped as above, delivered to any point within the State of Washington, exclusive of Federal Excise and
before 9.8% sales tax)
ORDER CODE               VEHICLE DESCRIPTION                              ORDER QTY        PRICE EACH        PRICE EXTENSION
2311-930-001             Automobile, Compact 4 Door Sedan, 2011
                         Honda Civic Hybrid (FA3F2B)                                     $23,509.00 * $
NO COST EXTERIOR COLORS                    INDICATE QUANTITY OF COLOR(S) SELECTED Spectrum White            ,
Alabaster Silver     , Crystal Black______, Polished Metal (Gray)______ , Atomic Blue _____.
NO COST EXTERIOR COLORS (Civic GX) (Available only w/ Option 2311-930-012) INDICATE QUANTITY OF
COLOR(S) SELECTED Black______, White______, Silver______, Polished Metal______, Royal Blue_____.
NO COST EXTERIOR COLORS (Insight) (Available only w/ Option 2311-930-017 or 018) INDICATE QUANTITY OF
COLOR(S) SELECTED Alabaster Silver_____, Polished Metal______, Crystal Black_____, Mediterranean Blue_____, Clear
Sky Blue____, Crimson____.
Taffeta White (EX Model Only) (Available only w/ Option 2311-930-015 or 016) _____.
(Complimentary standard interior color will be selected by Dealer)
(1) Tire Chain Compatible
NOTE: IF NATIONAL ENERGY BILL FEDERAL TAX CREDITS ARE PROVIDED TO THE SELLING DEALER FOR THE
SALE OF HYBRID GOVERNMENT FLEET VEHICLES ON THIS CONTRACT, DEALER WILL PAY THE STATE AT LEAST
50% OF THE PER VEHICLE CREDIT RECEIVED.
Current Contract Information
Contract No. 05510
Price Sheet Order Form
Page 2

 ORDER CODE                      OPTION DESCRIPTION                       ORDER QTY   PRICE EACH      PRICE EXTENSION
2311-930-010        Credit for pickup from selling Dealer instead of                   $(100.00)         $
                    vehicle being driven to customer (Orders for
                    Eastern WA,) (DLR) (Deduct)*
2311-930-011        Credit for pickup from selling Dealer instead of                     $(50.00)
                    vehicle being driven to customer (Orders for
                    Western WA, (DLR) (Deduct)*
2311-930-012        Alternative Sedan, Civic GX Dedicated Natural                       $1,880.00
                    Gas Vehicle (Includes CNG 1.8L 4 Cylinder
                    Engine, (24 MPG CITY, 36 MPG HWY 200 Mile
                    Range) (Fuel Tank in Trunk Reduces Cargo
                    Space) (7.8 Gas Equivalent Gallons at 3600 psi)
                    (FA4F58) (Sales tax exempt)
2311-930-013        Remote Keyless Entry, Additional Transmitter                         $140.00
                    coded to vehicle (DLR)*
2311-930-014        Undercoating (DLR)*                                                  $299.00
2311-930-015        Alternative seat Trim, Vinyl Instead of Cloth (only                 $1,300.00
                    applies to the base Honda Civic Hybrid (2311-
                    930-001) (ZB2H5B)
2311-930-016        Alternative Hybrid Compact Sedan 2011 Honda                         $(1,906.00)
                    Insight EX (40mpg City 43 Hwy) includes
                    15”Alloy Wheels, Heated Side Mirrors w/Turn
                    Indicators, Variable Wipers, Audio Controls on
                    Steering Wheel, AM/FM/CD w/6 Speakers
                    (ZE2H7B) (Deduct)
2311-930-017        Alternative Hybrid Compact Sedan 2011 Honda                         $(3309.00)
                    Insight LX Hatchback (40 mpg city 43 Hwy)
                    includes Vehicle Stability Assist, cruise control,
                    center console with usb port (deduct)
2311-930-018        Stock Vehicle Upcharge, Dealer Stock Vehicle                         $100.00
                    with all contract required equipment (Call dealer
                    for availability)(No other factory options
                    available)(Delivery within 7 Days when
                    available)(DLR)*

                                                                                      SUBTOTAL
                                                                                       +9.8% SST
                                                                                          TOTAL




*DEALER INSTALLED OPTION
Current Contract Information
Contract No. 05510
Price Sheet Order Form
Page 3
TO ORDER COMPLETE PRICE SHEETS AND SUBMIT WITH STATE FORM A-15A PURCHASE REQUISITION TO
OFFICE OF STATE PROCUREMENT. TO MINIMIZE PRODUCTION DELAYS ORDER AS EARLY AS POSSIBLE AND
NO LATER THAN MARCH 31, 2011.

                           AUTOMOBILE: MIDSIZE HATCHBACK, HYBRID (GAS/ELECTRIC)

VEHICLE TYPE: 4 DOOR HATCHBACK                                                                   MAKE/MODEL: TOYOTA PRIUS
                             EQUIPMENT INCLUDED IN NET PRICE

-   Air Bags, Driver & Front Passenger w/Side Curtain                -   AM/FM Radio w/CD
    Airbags Front & Rear                                             -   Remote Keyless Entry, 2 Smart Keys
-   1.8 Liter 4 Cylinder Gas Engine/Permanent Magnet                 -   Mirrors, Dual Power
    Electric Motor                                                   -   Electric Rear Window Defroster
-   Automatic Transmission, Continuously Variable                    -   All Factory Standard Equipment Including:
-   Power Steering                                                           Cloth Bucket Front Seats, 4-way Manual Adjustable,
-   Cruise Control                                                           Split Folding 60/40 Rear Bench Seat
-   P195/65R15 Steel Belted Radial Tires (1)                                 Power Outlets
-   Compact Spare Tire and Wheel                                             Rear Window Wiper/Washer
-   Power Regenerative Brakes, 4 Wheel Anti Lock Brake                       Inside Emergency Trunk Release
    System                                                                   Child Protection Rear Door Locks
-   Power Door Locks                                                         Energy Monitoring Display Panel
-   Power Windows                                                            Tire Pressure Monitoring System
-   Intermittent Wipers                                                       3 yr/36,000 mile warranty, 5Yr/60,000 mile Powertrain
-   Air Conditioning (CFC Free)                                              8Yr/100,000 Hybrid Componet
-   Carpeted Floormats (F &R)(CF)
-   Light Tinted Glass All Around                                    NHTSA CRASH TEST RATINGS (2010)
-   Tilt Steering Wheel                                                FRONTAL (D/P)   4/4
                                                                       SIDE (F/R)      4/4
                                                                        ROLLOVER       4
2011 CA EMISSION CERTIFICATION AT-PZEV-1             GAS MILEAGE 51 CITY 48 HWY              MERCURY FREE VEHICLE
                                                      “High MPG” Vehicle (2011)              LEAD WHEEL WEIGHTS
DEALER:         TOYOTA OF YAKIMA (W6870)                       DEALER CONTACT:              Justin Russell or John Slater
                914 S. FIRST ST                                PHONE:                       1-509-575-4868 or 509-833-7066
                YAKIMA, WA 98901                               EMAIL:                       jrussell@toyotaofyakima.com
DELIVERY:       90 Days ARO                                    FEDERAL TAX ID NO.:          91-2164306
                                                               PAYMENT TERMS:               $200 per vehicle discount for payment
                                                                                            within 20 days of delivery, net 30 *
NET PRICE:       (Vehicle equipped as above, delivered to any point within the State of Washington, exclusive of Federal Excise and
and before 8.1% sales tax).
ORDER CODE               VEHICLE DESCRIPTION                                ORDER QTY        PRICE EACH       PRICE EXTENSION
2311-935-001       Automobile, Midsize 4 Door Hatchback, 2011
                   Toyota Prius Hybrid (1223)                                     $22,603.00 *         $
NO COST EXTERIOR COLORS (Prius) INDICATE QUANTITY OF COLOR(S) SELECTED
 Silver  , Black  , Barcelona Red        , Sandy Beach____, Blue Ribbon_____ Blizzard Pearl(White) (Requires 2311-
935-019)    .


(Complimentary standard interior color will be selected by Dealer)
   (1)   Not Tire Chain Compatible

NOTE: IF NATIONAL ENERGY BILL FEDERAL TAX CREDITS ARE PROVIDED TO THE SELLING DEALER
FOR THE SALE OF HYBRID GOVERNMENT FLEET VEHICLES ON THIS CONTRACT, DEALER WILL PAY
THE STATE AT LEAST 50% OF THE PER VEHICLE CREDIT RECEIVED.




*DEALER INSTALLED OPTION
Current Contract Information
Contract No. 05510
Price Sheet Order Form
Page 4

 ORDER CODE                      OPTION DESCRIPTION                    ORDER QTY   PRICE EACH    PRICE EXTENSION
2311-935-010        Credit for pickup from selling Dealer instead of                 $(50.00)       $
                    vehicle being driven to customer (Orders for
                    Eastern WA) (DLR) (Deduct)*
2311-935-011        Credit for pickup from selling Dealer instead of                  $(50.00)
                    vehicle being driven to customer (Orders for
                    Western WA (DLR) (Deduct)*
2311-935-012        Fire Extinguisher, 2.5# Dry Chemical ABC Rated                     $30.00
                    w/mounting Bracket, Delivered w/vehicle,
                    Uninstalled(DLR)*
2311-935-013        Flare Kit, 3 Piece Triangle w/storage box for                      $35.00
                    roadside emergency use, Delivered w/vehicle,
                    Uninstalled (DLR)*
2311-935-014        Remote Keyless Entry, 1 Additional, Set of 3                      $352.00
                    Smart Keys (DLR)* Max of 5 keys.
2311-935-015        Spare Tire, Full Size (DLR)*                                      $175.00
2311-935-016        Quantity Discount 10 or more like Vehicles,                       $(50.00)
                    Single Destination, Multiple Vehicle order
                    (DLR)*(Deduct)
2311-935-017        Floor Mats Delete (Deduct) (CF)                                  $(150.00)
2311-935-018        2 Additional Smart Keys (4) Sets of Keys                          $704.00
                    Instead of Two (2)(DLR)* Max of 5 keys
2319-935-019        Extra Cost Paint, Blizzard Pearl (White)                          $176.00
                                                                                   SUBTOTAL
                                                                                    +8.1% SST
                                                                                       TOTAL




*DEALER INSTALLED OPTION
Current Contract Information
Contract No. 05510
Price Sheet Order Form
Page 5
TO ORDER COMPLETE PRICE SHEETS AND SUBMIT WITH STATE FORM A-15A PURCHASE REQUISITION TO
OFFICE OF STATE PROCUREMENT BEFORE MARCH 31, 2012. ONLINE ORDERS MAY BE PLACED AT
https://fortress.wa.gov/ga/inet/vehreq/vehmenu.htm. TO MINIMIZE PRODUCTION DELAYS ORDER AS EARLY AS
POSSIBLE
                                         HYBRID SMALL UTILITY VEHICLE
VEHICLE TYPE: UTILITY VEHICLE, FRONT WHEEL DRIVE                  MAKE/MODEL: FORD ESCAPE HEV FWD

                                           EQUIPMENT INCLUDED IN NET PRICE
-   4 door, 5 passenger seating                              - Dome Light w/Map Lights and Rear Cargo Light
-   Front bucket seats w/ adjustable seat backs, split bench - Tinted glass, front, privacy glass rear
    rear seat, cloth material manufactured from 100%         - Remote keyless entry w/ two key FOBS w/Integrated Keys
    recycled materials.                                        plus Two separate Keys
-   2.5 liter, 4 Cylinder Hybrid Gas/Electric engine         - All Factory Standard Equipment including:
-   Airbags, driver and front passenger, side air cushions         Power door locks/windows
    w/ rollover sensor & front & second row side bags              Power Driver’s seat, Height adjustable
-   Automatic transmission, electronically controlled,             Power Outlet 110V w/front console
    continuously variable                                          3.04:1 Rear Axle Ratio
-   P235/70R16 all season steel belted radial tires,                Washer/wiper, rear window
    Aluminum wheels (SAE Class “S” Cables-Front Only)              Tachometer
-   Compact size spare tire & wheel, underbody mounted              HD Rear Bumper
-   Full length hardtop, cloth headliner(Non Metallic)              Compass/Outside Temp.
-   Carpeted floor covering                                         Overhead Console
-   Cruise control/Tilt Steering Wheel                              Fog Lamps
-   Air conditioning (CFC free)                                    Height Adjustable Front Seat Belts
-   Power brakes, four wheel anti lock, disc, regenerative         AM/FM/Single disc CD w/MP3 Capability
    braking                                                        3 yr/36,000 mile warranty (8 yr/100,000 on hybrid
-   Power steering                                                 system & battery pack)
-   Auxiliary power sources                                        Rear lift gate door
-   Dual power exterior mirrors, black                              Engine Oil Cooler
-   Electric rear window defroster                                  Sync Communications System
-   Intermittent wipers                                            Carpeted Floor Mats, front & rear
-   Electronic Stability Control                                    Tire Pressure Monitoring System
                                                                    My Key, Programmable Key System
                                                               NHTSA Crash Test Ratings(2010)
                                                                Frontal (D/P)          5/5
                                                                Side (F/R)            5/5
                                                                Rollover               3
SULEV II CA EMISSION CERTIFICATION, GAS MILEAGE 34 CITY 31 HWY                   MERCURY FREE VEHICLE
                                                                                 LEAD FREE WHEEL WEIGHTS
VEHICLE MEETS DEPARTMENT OF ECOLOGY SPECIFICATIONS FOR LOW EMISSION VEHICLES
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
DELIVERY:       60-120 days ARO                               FEDERAL TAX ID NO.:           91-0650166
                                                              PAYMENT TERMS:                *$200 per vehicle discount for payment
                                                                                            within 20 days of delivery, Net 30
NET PRICE:       (Vehicle equipped as above, delivered to any point within the State of Washington, exclusive of Federal Excise and
before 8.2% State Sales Tax):
ORDER CODE               VEHICLE DESCRIPTION                              ORDER QTY         PRICE EACH PRICE EXTENSION
2312-962-001             Hybrid Small Utility Vehicle, 2012 Ford                              $27,860.00 *         $
                         Escape HEV FWD (U4K/500A)

NO COST EXTERIOR COLORS: INDICATE QUANTITY OF COLOR(S) SELECTED                         Oxford White           ,
Black (UH) _____,      Steel Blue_____, Lime Squeeze (SQ)_____, White Suede_____, Ingot Silver_____.
(Complimentary standard interior color will be selected by Dealer)
(1) Tire Chain Compatible




*DEALER INSTALLED OPTION
Current Contract Information
Contract No. 05510
Price Sheet Order Form
Page 6



 ORDER CODE                        OPTION DESCRIPTION                          ORDER   PRICE EACH       PRICE
                                                                                QTY                  EXTENSION
2312-962-010        Credit for pickup from selling dealer instead of vehicle             $(130.00)     $
                    being driven to customer (Orders for Eastern WA Area
                    Code 509) (DLR) (Deduct)*
2312-962-011        Credit for pickup from selling dealer instead of vehicle              $(30.00)
                    being driven to customer (Orders for Western WA Area
                    Codes 206, 253, 360, 425, (DLR) (Deduct)*
2312-962-012        Cargo Area Cover (DLR)*                                               $140.00
2312-962-013        Cargo Area Tray (DLR)*                                                $129.00
2312-962-014        Daytime Running Lights (942)                                           $38.00
2312-962-015        Heater, Engine Block (41H)                                              $30.00
2312-962-016        Keys, Set of 2 Instead of 4(Deduct)(DLR)*                             $(20.00)
2312-962-017        Manuals, Parts and Service, CD (DLR)*                                 $225.00
2312-962-018        Mud Flaps, Set of 4 (DLR)*                                              $80.00
2312-962-019        Roof Rack Cross Bars (Black)(61X)                                       $38.00
2312-962-020        Remote Keyless Entry, Additional Transmitter                            $59.00
                    (No Key) (DLR)*
2312-962-021        Remote keyless Entry, Additional Key w/Integrated Key                 $113.00
                    FOB (DLR)*
2312-962-022        Spotlight, 6 inch, Clear Lens, Pillar Mounted, Left                   $335.00
                    (DLR)*
2312-962-023        Tires, All Terrain, LT225/75R16,Set/5 (DLR)*                         $807.00
2312-962-024        Four Wheel Drive Model instead of Front Wheel Drive                 $1,572.00
                    with all other contract required equipment (30 mpg city
                    and 27 Hwy) (Intelligent 4WD System) (U5K/500A)
2312-962-025        Undercoating (DLR)*                                                   $145.00
2312-962-026        Warranty Delayed Start (www.fordwsd.com) (DLR)*                         $0.00
2312-962-027        Manufacturer to Dealer Order Acknowledgement                            $0.00
                    Document Faxed to Customer (DLR)*
2312-962-028        Stock Vehicle Up Charge, Dealer Stock Vehicle with All                $250.00
                    Contract Required Equipment, Delivery Within 7 Days
                    When Available (DLR)*
2312-962-029        Fire Extinguisher, 2.5# Dry Chemical ABC Rated w/                      $38.00
                    Mounting Bracket, Delivered w/ Vehicle,
                    Uninstalled (DLR)*
2312-962-030        Push Bumper Steel w/ Horizontal Rubber Push Pads                      $288.00
                    Installed (Setina PB400)(DLR)*
2312-962-031        Floor Mats, HD Rubber (Set 4)(Also retains Std Carpeted                $80.00
                    Mats)(DLR)*
2312-962-032        Full size Spare (DLR)*                                                $259.00
2312-962-033        Step Bars (187)                                                       $299.00
2312-962-034        Flare Kit, 3 Pc Triangle w/storage box for roadside                    $38.00
                    emergency use, Delivery w/vehicle, uninstalled (DLR)*
2312-962-035        deleted                                                                 $0.00
2312-962-036        Service Manual, Wiring Diagram Only, Paper (DLR)*                       $87.00
                                                                                       SUBTOTAL
                                                                                       +8.2% SST
                                                                                           TOTAL
                                 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.: 05510                                          Date:

Contract Title: Vehicles, 2011/2012 Hybrid, Alternative/Flexible Fuel     Phone:




                                             Send to:

                                             Purchasing Manager
                                             Office of State Procurement
                                             PO Box 41017
                                             Olympia, Washington 98504-1017




                                                        17
Current Contract Information
Contract No. 05510
Price Sheet Order Form
Page 6
                                    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: 05510 Vehicles, 2011/2012 Hybrid, Alternative/Flexible Fuel

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
                                           CONTRACTS 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 and/or if a separate invoice for each vehicle 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, not PO Box, for registered owner.

    (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.” (Please download a current copy of the document before proceeding.) 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) 586- 2426 (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 transmit 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. The dealers have been instructed to notify customers via email or fax, of
any delay beyond the purchase order due date.

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, by statute 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

                                            2010 STATE VEHICLE CONTRACT ORDER PER THE ATTACHED
                                            CONTRACT PRICE SHEETS/ORDER FORM

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

                            (9)


                                            EMAIL STATE PO TO
                           (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” (STREET ADDRESS REQUIRED)




                                                                                                                                                                                       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 _____.
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
                                                        SAMPLE
                                                                                                  SUBMIT                  DEPARTMENT OF GENERAL ADMINISTRATION
    FORM                                                                                          TO:
                                                            STATE OF WASHINGTON                                               OFFICE OF STATE PROCUREMENT
    A15-A                                                                                                                              Room 201, General Administration Building
 (DRAFT 6/06)                                    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




                                                              CONTACT PERSON                                  EMAIL ADDRESS                             PHONE NUMBER


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




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

                                     2011 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

				
DOCUMENT INFO
Description: Protection Order Washington State document sample