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PROCUREMENT INFORMATION MEMORANDUM

Date Issued: September 2, 2005 Number: 05-053

Effective Dates: September 2, 2005 through June 30, 2006

Subject: MY2006 VEHICLE REQUISITION INSTRUCTIONS: LAW ENFORCEMENT VEHICLES

A. Reference: Wis. Stats. 14.06, 16.70-16.75 and, 20.915. This Procurement Information Memorandum (PIM) supersedes PIM #04-053 dated January 3, 2005.

B. Scope: All State of Wisconsin agencies and University of Wisconsin System must use "MY2006 Vehicle Requisition Instructions" to request law enforcement vehicles. These instructions apply to all vehicles requested/purchased regardless of fund source, including those purchased with federal, donated or grant funds. Amendments to this PIM will be issued as needed to reflect changes in new model year specification.

C. Content:

I. VEHICLE COMMODITY CODES

A. Law Enforcement Vehicles (Undercover)

a) 65550-125-10 - Four Door Sedan, 4-cylinder

b) 65550-175-10 - Four Door Station Wagon, 4-cylinder

c) 65550-195-10 - Small Four Door Sedan, 6-cylinder

d) 65550-200-10 - Four Door Sedan, 6-cylinder

e) 65550-205-10 - Four Door Station Wagon, 6-cylinder

f) 65550-207-10 - 7 or 8 Passenger Mini Van

g) 65550-207-12 - 7 or 8 Passenger Mini Van AWD

h) 65550-207-15 - 7 or 8 Passenger Extended Mini Van

i) 65550-207-17 - 7 or 8 Passenger Extended Mini Van AWD

j) 65550-212-10 - 12 Passenger Van

k) 65550-215-10 - 15 Passenger Van

l) 65550-350-10 - Sport Utility Intermediate

m) 65550-375-10 - Sport Utility Full Size

n) 65550-400-10 – 2-door, 6-cylinder

o) 65550-425-10 – 2-foor, 8-cylinder

p) 65550-450-10 – 4-door, 6-cylinder

q) 65550-475-10 – 4-door, 8 cylinder

C. Law Enforcement Vehicles (Michigan State Police Certified)

a) 65550-300-10 - Rear Wheel Drive (RWD) Law Enforcement Sedan, 8-cylinder

b) 65550-325-10 - Front Wheel Drive (FWD) Law Enforcement-Sedan, 6-cylinder

c) 65550-750-10 - DNR Warden ¾ ton 4X4 Truck

II. PURCHASE REQUESTS DUE DATE

A. Law Enforcement TBD

ATTACHMENTS: 1. DOA-3016 (R02/2005)

2. Supplemental Title Information

3. PIM Requirement Checklist

4. Vehicle Worksheet and Instructions

5. Vehicle Cost Estimate Chart

TABLE OF CONTENTS

Page

I. VEHICLE COMMODITY CODES…………………………………………………………….. 1

II. PURCHASE REQUESTS DUE DATE…………………………………………………………. 1

III. COMPLETION OF VEHICLE REQUEST FORMS…………………………………………. 3

A. Request for Purchasing Authority

B. Vehicle Request

C. Attachments to Request

IV. DONATED VEHICLES…………………………………………………………………………. 3

V. ADDITIONAL VEHICLE JUSTIFICATION (Answer 5 Questions)……………………….. 4

VI. CAFÉ – CORPORATE AVERAGE FUEL ECONOMY……………………………………... 4

A. Legislative Requirement – Fuel Economy

B. CAFÉ

VII. VEHICLE REPLACEMENT CRITERIA……………………………………………………... 4

A. General Vehicle Replacement Criteria

B. High Mileage Newer Model Vehicle Replacement Criteria

C. Vehicle Age and Condition Replacement Criteria

VIII. JUSTIFICATION FOR UPGRADED WORK VEHICLE (From General Fleet Vehicle)… 5

IX. JUSTIFICATION OF ANY OPTION………………………………………………………….. 6

X. JUSTIFICATION OF A LARGER VEHICLE (Upgrade From Current Vehicle)………… 6

XI. OBSOLETE/UNWANTED VEHICLES………………………………………………………. 6

XII. INTER-AGENCY VEHICLE SALE REPORT……………………………………….……… 6

XIII. OTHER RELATED ISSUES…………………………………………………………………... 7

A. Disposal of Surplus Vehicles

B. Cancellation of a Request

C. Emergency Vehicle Requests

D. Alternative Fuel Vehicles

XIV. VEHICLE INSPECTION AND ACCEPTANCE……………………………………………. 8

A. Agency Responsibility

B. New Vehicle Check-up and Service

C. Action for Rejecting a Vehicle

XV. VEHICLE TITLES (Procedure)……………………………………………………………… 9

XVI. 2006 LAW ENFORCEMENT PURCHASES………………………………………………… 9

XVII. SPECIFICATION CLASSES AND TYPICAL VEHICLES……………………………… 10-15

IMPORTANT

ALL AGENCIES MUST Use "Vehicle REQUEST" (Form DOA-3016, Rev. 02/2005) TO REQUISITION ANY NEW model year VEHICLE.

IF THE CURRENT "NEW VEHICLE REQUEST" IS NOT submitted COMPLETELY AND ACCURATELY, THE REQUEST WILL BE DENIED. COPIES OF THE REQUEST form ARE NOT ACCEPTABLE.

THIS "VEHICLE REQUEST" MAY BE OBTAINED FREE THROUGH THE DEPARTMENT OF ADMINISTRATION, Transportation Procurement office at 608-266-3620.

The overall procurement procedures are the same as last year. We will electronically send the Excel spreadsheet again this year to expedite the approval/denial/appeal process. (see attached spreadsheet and instructions). As in previous years, the Agency Head /Chancellor or Secretary approval is only required on the RPA and Form 3016. Follow the PIM and use the checklist at the back.

III. COMPLETION OF VEHICLE REQUEST FORMS

A. Request for Purchasing Authority (RPA): An agency must use one RPA for each of the following vehicle categories:

1. Replacement Law Enforcement vehicles;

2. Additional Law Enforcement vehicles.

B. Vehicle Request (DOA-3016, Rev. 02/2005): This form is submitted along with the RPA. Two submittal methods are available:

1. Identify one vehicle on each "Vehicle Request." Each request must identify the fleet number for the new replacement vehicle and the specific vehicle surplused for a new one. Each vehicle other than a General Fleet vehicle must be justified in writing.

OR

2. Identify two or more vehicles of the same commodity code (specification number) on one "Vehicle Request" only if a data sheet is attached that identifies:

a) A fleet number for each new replacement vehicle requested; and

b) A vehicle surplused, for each new replacement vehicle requested. Data should include fleet #, year, make, model and mileage.

C. Attachments to Request: All "Vehicle Request" attachments must identify the requested vehicle. This identification must include the Commodity Code (specification number), fleet number of the new vehicle, agency name and date of request.

NOTE: Carefully review DOA-3016, Section 5. ALTERNATIVE FUEL INFORMATION FORM”. Section 5 must be completed. Failure to complete this form may result in the delay or denial of vehicle requests.

IV. DONATED VEHICLE

In accordance with Wisconsin Statutes 14.06 and 20.915, the governor must approve all donated vehicles in writing. Secretaries, agency heads or chancellors should submit requests to the Administrator for the Division of Enterprise Operations, Department of Administration, 101 E. Wilson Street, 6th Floor, Madison, WI 53702-0032 or P.O. Box 7867, Madison, WI 53707-7867. The Department of Administration will prepare a case letter on your behalf seeking the governor's written approval prior to accepting the donated vehicle. Donated vehicles do not automatically become a permanent part of your fleet. If your agency wants the donated vehicle to become a permanent addition to its fleet, the vehicle request must follow the State's normal approval procedure per Paragraph V. Additional Vehicle Justification. A donated vehicle may also become permanent part of your fleet if you surplus a vehicle.

V. ADDITIONAL VEHICLE JUSTIFICATION: If an agency requests an additional fleet vehicle(s), the agency must answer the following questions on the DOA-3016. Note: Any request for an additional vehicle(s) without answers to these five questions will be denied.

A. Would an internal reallocation of vehicles be possible and practical? If not, why not?

B. What level of staffing does the agency have now in comparison to prior years?

C. Has legislation been passed which expands the scope of the agency, thereby necessitating additional vehicles? If yes, how? (Please attach a copy of the legislation.)

D. What is the total mileage, as well as annual mileage for the prior fiscal or calendar year, for each vehicle in the agency's fleet? (Please provide miles for each vehicle by its assigned fleet number, distinguishing between business and any personal miles, and identify the make, model and year of each vehicle as well as its assigned location and function; provide the month and year of delivery for each vehicle.)

E. What other information supports the need for an additional vehicle?

VI. CAFE - CORPORATE AVERAGE FUEL ECONOMY

A. Legislative Requirement - Fuel Economy: State agencies have a legislative obligation to promote energy conservation in the State of Wisconsin's vehicle fleets. The legislation reads as follows:

"S. 20.915. State motor vehicles and aircraft. (1) PURCHASE. Each state agency, upon written approval of the governor, may purchase necessary aircraft, trucks and automobiles for its general use. All aircraft, trucks and automobiles shall be purchased through the department of administration under ss. 16.70 to 16.82. The department of administration shall ensure that each general fleet passenger automobile at the time of procurement has a fuel economy rating of no less miles per gallon than the fleet average miles per gallon required of automobile manufacturers by the federal government at that time. Law enforcement vehicles and work vehicles for heavy passenger or equipment loads are exempt from the mileage requirement."

B. CAFE: Based on the above statute, all 2006 model year General Fleet sedans must have a combined unadjusted mileage rating of no less than 27.5 miles per gallon (MPG) as established by the U.S. Environmental Protection Agency.

VII. VEHICLE REPLACEMENT: All requests for replacement vehicles will be considered general fleet vehicles (65540-125-10, 175-10) no matter what the current surplus vehicle is – unless justified (see below)

A. General Vehicle Replacement Criteria:

1. Law Enforcement vehicles with 85,000 miles may be replaced with a new MY2006 vehicle. Your vehicle must have 85,000 miles when the DOA-3016 is signed.

2. DNR Warden Trucks with 95,000 miles may be replaced with new a new MY2006 truck. Your vehicle must have 95,000 miles when the DOA-3016 is signed.

B. High Mileage Newer Vehicle(s) - 2 Model Years or Less Replacement Criteria:

1. This vehicle should be:

a) Rotated within an agency's fleet to a low mileage position.

OR

b) Sold to another state agency with a lower mileage use requirement (Inter-agency Sale).

2. This practice balances the miles per vehicle in the overall fleet.

C. Condition Replacement Criteria:

The Department of Administration, Transportation Procurement Manager will consider replacing any vehicle justified as unsafe and/or uneconomical, e.g., rust perforated fenders, floors and/or doors or poor mechanical condition, if the cost of repair exceeds 50% of the current value of the vehicle. The Department of Administration will use the National Auto Research Black Book Value Guide, auction results, and the agency's two written cost estimates from repair/body shops to evaluate a request to replace such a vehicle. While not required, photographs of the vehicle will help to evaluate the vehicle's condition.

VIII. Justification for UPGRADED Work Vehicle (From small car): All agencies are required to furnish complete justification (Wis. Stats., see Page 1, Section A) when requesting any vehicle (replacement or additional) larger than a General Fleet sedan, i.e., Commodity Codes (specification numbers): 65540-125-10, 4-door sedan, 4 cylinder and 65540-175-10, 4-door station wagon, 4 cylinder or the vehicle will be denied and reclassified as a general fleet vehicle.

1. A work vehicle is defined as having one of the following commodity codes (specification numbers):

65540-195-xx - Small four door sedan, 6 cylinder

65540-200-10 - Four door sedan, 6 cylinder

65540-205-10 - Four door station wagon, 6 cylinder

65540-207-10 - 7 or 8 passenger van

65540-212-10 - 12 passenger van

65540-215-10 - 15 passenger van

2. All requests for an upgraded work vehicle must outline its specific needs to include:

a) Purpose/use of the work vehicle.

b) Explanation why you cannot use a General Fleet vehicle.

c) Explanation why you cannot reallocate another vehicle from within the agency fleet when a work vehicle is requested that replaces a General Fleet vehicle.

If a request for an updated work vehicle is not justified, Department of Administration, Transportation Procurement will reclassify the vehicle to meet the legislative criteria.

IX. JUSTIFICATION OF ANY OPTION: Agencies must furnish complete justification for any option(s) requested not listed on the Standard Equipment pages 10-14. Each option must be specifically requested from and approved by Transportation Procurement. An explanation of the need must be attached to the DOA-3016. A vehicle request from an agency may be returned without consideration if this information is not provided.

X. JUSTIFICATION OF A LARGER VEHICLE (Upgrade from currently approved vehicle): An agency must furnish complete justification requests for new vehicles larger than the proposed surplus vehicles. Each upgrade must be requested specifically from and approved by Transportation Procurement . An explanation of the need must be attached to the DOA-3016 or the upgrade will be denied.

NOTE: THE "VEHICLE REQUEST" MUST IDENTIFY THE FLEET NUMBER(S) FOR EACH REQUISITIONED NEW REPLACEMENT AND ADDITIONAL VEHICLE. THEREFORE, AN AGENCY MUST PROVIDE BOTH THE FLEET NUMBER OF THE NEW VEHICLE REQUESTED FOR PURCHASE AND THE FLEET NUMBER OF THE VEHICLE PROPOSED FOR SURPLUS.

XI. OBSOLETE/UNWANTED VEHICLES

A. Definition: Vehicles that do not meet the mileage disposal criteria, are obsolete, are not suitable for their intended use or are unneeded may be disposed.

B. Procedure:

1. Agency(s) will submit a list of vehicles it would like to sell and replace with new vehicles to the Department of Administration, Transportation Procurement Manager by September 20, 2005.

2. Department of Administration, Transportation Procurement Manager will:

a) Review the vehicles and compile a list of those approved for interagency sale; and

b) Distribute the list to all agencies for review and purchase consideration on September 20, 2005.

3. The buying and selling agencies/campuses will negotiate the sale price for inter-agency sale. The Department of Administration, State Surplus Property Manager, 608-266-1719, will assist in establishing a price.

XII. Inter-Agency Vehicle Sale Report

A. Definition: An agency may replace, at anytime, a vehicle which will not meet replacement criteria due to age or mileage. This vehicle may be replaced with a comparable (size, type) surplus vehicle from another agency/university by using the following procedure.

B. The selling agency initiates the "Inter-Agency Used Vehicle Sale Report" and forwards it to the buying agency along with completed Odometer Statement, Certificate of Title and Used Vehicle Condition Report when delivering the vehicle to the buying agency. The selling Agency will obtain the Certificate of Title from the Department of Administration, State Bureau of Procurement.

C. The buying agency/campus must complete and submit an "Inter-Agency Used Vehicle Sale Report," along with a "Used Vehicle Condition Report" (DOA 3081), within fifteen (15) work days of accepting delivery of the vehicle, to the Department of Administration, Transportation Procurement , 101 E. Wilson Street, 6th Floor, Madison, WI 53702-0032. The "Inter-Agency Used Vehicle Sale Report" form and the "Used Vehicle Condition Report" (DOA 3081 Rev 08/2004) forms are available from the Department of Administration, State Bureau of Procurement without charge upon request (608) 266-3620.

D. Failure by the buying agency/campus to submit these Reports on time will result in an assessment of a late fee of seven percent (7%) of the vehicle's sale price in addition to the usual five (5%) Inter-Agency sales fee.

E. For further details on Inter-Agency Used Vehicle Sales refer to State Procurement Manual PRO-F-1, Revision 3/2004.

F. The buying agency must forward the Certificate of Title to Transportation Procurement upon its receipt from the Department of Transportation.

XIII. OTHER RELATED ISSUES

A. Disposal of Surplused Vehicles: Please refer to State Procurement Manual PRO-F-1, State Surplus Property Disposal: Vehicles, and Procurement Information Memorandum. Fleet Managers must select and advise SSPP, within 60 days after receipt of each new vehicle, the auction date that each vehicle will be sold. Written requests for summer use/temporary programs should be sent to SSPP no later than May 1st of each year. Your written request should specify the using agency, vehicle use, start date, end date, current mileage and estimated mileage at end date.

B. Cancellation of a Request: Department of Administration, Transportation Procurement must receive written notification from an agency canceling any request to purchase a vehicle.

C. Emergency Vehicle Requests: Secretaries, chancellors or agency heads must send letters requesting emergency replacement or additional vehicle requests to the Administrator for the Division of Enterprise Operations of the Department of Administration, 101 E. Wilson, 6th Floor, Madison, WI 53702-0032 for approval/denial. If fully justified and approved, DOA will prepare a case letter on your behalf seeking the governor's authorization. Any new replacement or additional vehicle request submitted after the initial vehicle request due date must provide complete justification and description of the situation to warrant consideration. Usually, the only emergency situation approved for replacing a vehicle occurs when:

1. A vehicle is damaged beyond economical repair, or;

2. An unanticipated, major initiative or development of a new program occurs.

If the need occurs late in the procurement process, an agency may be instructed to hold back a surplus vehicle or reallocate from within its fleet and then submit a request for the needed vehicle in the next procurement cycle.

D. Alternative Fuel Vehicles: In compliance with the Energy Policy Act of 1992 (EPACT), with the 1990 Clean Air Act (CAA), and with Wisc. Stat. 16.045(4), “The department shall require all state employees to utilize gasohol or alternative fuel for the operation of all state-owned or state-leased motor vehicles whenever such utilization is feasible”. Agencies are encouraged to request authorization to purchase alternative fueled vehicles. However, an agency may not acquire or convert vehicles to operate on alternative fuels unless specifically authorized by the Department of Administration. (See DOA-3016 ) (Law Enforcement vehicle are exempt from this requirement.)

XIV. VEHICLE INSPECTION AND ACCEPTANCE

A. Agency Responsibility: Each agency is responsible for accepting or rejecting a vehicle at the time of delivery.

B. New Vehicle Check-up and Service: The Request for Bid requirements obligate the successful vendor to:

1. Notify the buying agency of the anticipated delivery date for each vehicle so agency representatives are available to accept delivery of the vehicle.

2. Deliver all vehicles in accordance with the manufacturer's standard new car "Make Ready" recommendations.

3. Supply, with the vehicle at time of delivery, a check-off sheet noting the service checks made on the vehicle during preparation for delivery including:

a) Crankcase, differential, transmission and transfer case, if applicable, must be filled to capacity as recommended by the manufacturer.

b) Vehicle must contain 1/4 tank of gasoline/fuel when delivered.

c) Vehicles must be clean with all stickers removed from the glass prior to delivery with the exception of any sticker required by law (Manufacturer's Suggested Retail Price Label).

d) Vehicle must have been hoisted on a lift rack at the dealership and the underside inspected completely prior to delivery. The vendor must note that this inspection was performed on the pre-delivery check-off sheet.

e) Dealer nameplates, decals, etc. denoting the selling dealer may not be affixed in any manner whatsoever to any vehicle delivered.

4. The buying agency is responsible for completing its inspection of a new vehicle within three (3) work days of its delivery. If the buying agency does not inform the vendor of any problem with the vehicle within three (3) working days, the vendor may conclude that the vehicle was acceptable as delivered.

C. Action for Rejecting a Vehicle: When a vehicle is delivered that does not satisfy the Purchase Order or delivery requirements:

1. The agency should not accept the vehicle and should require the vendor to properly remedy the discrepancy. If the location of the vendor, who initially serviced the vehicle, makes it impractical to perform subsequent check-up service, it remains the responsibility of the vendor to arrange for any corrective action.

2. The agency must notify in writing the Department of Administration, Transportation Procurement Manager, by FAX (608-267-0600) or e-mail (David.Webb@doa.state.wi.us) immediately and before returning the vehicle to the vendor.

XV. VEHICLE TITLES

A. Procedure: Each agency must:

1. Title its own vehicle(s) by forwarding the motor vehicle registration information to

Department of Transportation, Motor Vehicles, 4802 Sheboygan Avenue, Room 201A,

Madison, WI 53705 or Interdepartmental Mail; (608) 266-7135.

2. Specify the Title identify the State of Wisconsin as a part of the name of its state agency. The vehicle fleet number must appear on the Title.

3. Forward the original Title and the window sticker (original or copy) to the Department of Administration, Transportation Procurement , 101 E. Wilson Street, 6th Floor, Madison, WI 53702-0032 or by mail at P.O. Box 7867, Madison, WI 53707-7867 immediately upon receipt of the title from the Department of Transportation. A complete submittal of Supplemental Title Information Form must accompany all titles. A copy of this form can be found at the end of this PIM.

B. Custodianship: Department of Administration, Transportation Procurement will maintain the State's vehicle titles. The vehicle titles are available to agencies upon request as needed.

XVI. 2006 MODEL YEAR VEHICLE PURCHASES

A. REVIEW & APPROVALS: Transportation Procurement will review all RPA's and notify agencies of changes or deletions. Agencies will have the opportunity to appeal any changes or deletions. After final decisions have been made, Transportation Procurement will seek the Governor’s approval per Wis. Stats. 20.915.

B. BIDS: Transportation Procurement will conduct bid procedures and make awards to vendors.

C. BULLETINS: After resolution of any appeal, Transportation Procurement will issue State Procurement Purchasing Bulletins to State agencies with detailed instructions for submittal of vehicle purchase orders.

D. PURCHASE ORDERS: Each agency submits its purchase order(s) to the Transportation Procurement Manager for final review and approval. Transportation Procurement will forward purchase orders to the appropriate vendors. Agencies will not submit POs directly to vendors.

E. DELIVERY: Vendors will deliver vehicles to the buying agencies as specified in the bid.

F. INSPECTION & ACCEPTANCE: Agencies will inspect all vehicles upon delivery, notify vendor of any problems within three workdays and notify Transportation Procurement of the delivery date.

G. TITLE: Agencies will immediately secure vehicle titles and forwards to Department of Administration, Transportation Procurement along with the original or a copy of the window sticker.

H. SURPLUS VEHICLE: Agencies will notify the Department of Administration, SSPP, of the availability of the replaced (surplused) vehicle within 60 days of the new vehicle delivery.

XVII. SPECIFICATION CLASSES AND TYPICAL VEHICLES

Standard Fleet Vehicle

COMMODITY PASSENGER EXAMPLE ENGINE .

A. GENERAL FLEET CODE 65540- CAPACITY VEHICLES TYPE

1. Four Door Sedan 125-10 4 Grand Am I4

Cavalier/Cobalt I4

Neon I4

Focus I4

Saturn Ion I4

2. Four Door Wagon 175-10 4 Focus I4

Vibe I4

VEHICLES LISTED BELOW REQUIRE SPECIFIC WRITTEN JUSTIFICATION,

REGARDLESS OF REPLACEMENT OR ADDITIONAL VEHICLE REQUEST

B. WORK VEHICLE

1. Small Four Door Sedan 195-10 4 Stratus V6

Malibu V6

Grand Prix V6

2. Four Door Sedan 200-10 5/6 Taurus V6

Impala V6

Bonneville V6

Intrepid V6

Saturn Ion V6

3. Four Door Wagon 205-10 5 Taurus V6

Saturn Relay V6

4. Mini Van 207-10 7 Caravan V6

Mini Van AWD 207-12 7 Town & Country V6

Freestar V6

Venture V6

Montana V6

5. Extended Mini Van 207-15 7-8 Grand Caravan V6

Extended Mini Van AWD 207-17 7-8 Town & Country V6

Venture Extended V6

Montana Extended V6

6. Van Fleet 212-10 12 Club Wagon V8

Express V8

Savana V8

7. Van Fleet 215-10 15 Super Wagon V8

Express Extended V8

Savana Extended V8

VEHICLES LISTED BELOW REQUIRE SPECIFIC WRITTEN JUSTIFICATION,

REGARDLESS OF REPLACEMENT OR ADDITIONAL VEHICLE REQUEST

C. LAW ENFORCEMENT

7. RWD Sedan 300-10 5 Crown Victoria/Charger V8

FWD Sedan 325-10 5 Impala V6

Sport Utility Intermediate 350-10 5 Explorer V8

5 TrailBlazer V6

5 Durango V8

Sport Utility Full Size 375-10 5 Tahoe/Yukon V8

Suburban/Yukon LX V8

Expedition V8

DNR Warden Truck 750-10 3 Sierra 2500 V8

Ram 2500 V8

Silverado 2500 V8

F250 V8

STANDARD CLASSIFICATION DESCRIPTION:

1. Spec. 65540-125-10 - Four (4) Door Fleet Sedan; 102 inch wheelbase or more

Vehicles in this group, with 4 cylinder engines, are General Fleet cars. Passenger capacity: 1-4 including driver.

Typical Vehicles: Pontiac Grand Am, Chevrolet Cavalier, Ford Focus, Chrysler Neon, Saturn Ion or similar

Standard Equipment

Automatic Transmission Dual Mirrors - Manual

Power Steering Intermittent Wipers

Power Brakes Rear Window Defroster

Cruise Control Full Wheel Cover

Air Conditioning Body Side Molding

AM/FM Stereo Floor Mats, Front and Rear

Tilt Steering Wheel Antilock Brake System (4 wheel)

2. Spec. 65540-175-10 - Four (4) Door Station Wagon

Vehicles in this group, with 4 cylinder engines, are General Fleet cars. Passenger capacity: 1-4 including driver.

Typical Vehicles: Ford Focus, Pontiac Vibe, Saturn LW200, Vibe or similar

Standard Equipment

Automatic Transmission Dual Mirrors - Manual

Power Steering Intermittent Wipers

Power Brakes Rear Window Defroster

Cruise Control Full Wheel Cover

Air Conditioning Body Side Molding

AM/FM Stereo Floor Mats, Front and Rear

Tilt Steering Wheel Antilock Brake System (4 wheel)

3. Spec. 65540-195-10 - Four (4) Door Small Sedan

Vehicles in this group, with 6 cylinder engines, are General Fleet cars. Passenger capacity: 1-4 including driver.

Typical Vehicles: Saturn L200, Dodge Stratus, Chevrolet Malibu or similar

Standard Equipment

Automatic Transmission Dual Mirrors - Manual

Power Steering Intermittent Wipers

Power Brakes Rear Window Defroster

Cruise Control Full Wheel Cover

Air Conditioning Body Side Molding

AM/FM Stereo Floor Mats, Front and Rear

Tilt Steering Wheel Antilock Brake System (4 wheel)

4. Spec. 65540-200-10 - Four (4) Door Sedan

Vehicles in this group are intended for long distance inter-city travel. Their primary use is pool duty for five or six persons including the driver. The engine will be a V6 minimum. Proper justification is required or the request for this specification will be changed automatically to Spec. 65540-125, 175, or 195.

Typical Vehicles: Ford Taurus, Chevrolet Impala, Pontiac Grand Prix, Dodge Intrepid or similar

Standard Equipment

Automatic Transmission Dual Mirrors - Manual

Power Steering Intermittent Wipers

Power Brakes Rear Window Defroster

Cruise Control Full Wheel Cover

Air Conditioning Body Side Molding

AM/FM Stereo Floor Mats, Front and Rear

Tilt Steering Wheel Antilock Brake System (4 wheel)

5. Spec. 65540-205-10 - Four (4) Door Station Wagon

Vehicles in this group have a six passenger maximum carrying capacity including the driver plus a cargo area. The engine will be V6 minimum.

Typical Vehicles: Ford Taurus, Century, Saturn LW300 or similar

Standard Equipment

Automatic Transmission Dual Mirrors - Manual

Power Steering Intermittent Wipers

Power Brakes Rear Window Defroster

Cruise Control Full Wheel Cover

Air Conditioning Body Side Molding

AM/FM Stereo Floor Mats, Front and Rear

Tilt Steering Wheel Antilock Brake System (4 wheel)

Note: Available is a third 2 passenger seat.

6. Spec. 65540-207-10 – 7 Passenger Van or Spec 6550-207-12 - 7 Passenger Van AWD

Vehicles in this group are intended for transporting a total of 7 or 8 passengers including the driver. The engine will be a minimum V6 engine.

Typical Vehicles: Dodge Caravan, Chrysler Voyager, Ford Windstar, Chevrolet Venture, Pontiac Montana or similar.

Standard Equipment

Automatic Transmission Dual Mirrors – Manual

Power Steering Intermittent Wipers

Power Brakes Rear Window Defroster

Cruise Control Full Wheel Cover

Air Conditioning Body Side Molding

AM/FM Stereo Floor Mats, Front and Rear

Tilt Steering Wheel Antilock Brake System (4 wheel)

7. Spec. 65540-207-15 – 7 or 8 Passenger Van Extended (Minimum floor length = 99”)

Spec. 65540-207-17 – 7 or 8 Passenger Van Extended AWD (Minimum floor length = 99”)

Vehicles in this group are intended for transporting a total of 7 or 8 passengers including the driver. The engine will be a minimum V6 engine.

Typical Vehicles: Dodge Grand Caravan, Chrysler Town and Country, Chevrolet Venture Extended, Pontiac Montana Extended or similar

Standard Equipment

Automatic Transmission Dual Mirrors – Manual

Power Steering Intermittent Wipers

Power Brakes Rear Window Defroster

Cruise Control Full Wheel Cover

Air Conditioning Body Side Molding

AM/FM Stereo Floor Mats, Front and Rear

Tilt Steering Wheel Antilock Brake System (4 wheel)

8. Spec. 65540-212-10 – 12 Passenger Van

Vehicles in this group are intended for transporting a total of 12 passengers including the driver. The engine will be a V8 minimum, and the van will include hinged side doors, and 2 hinged rear doors.

Typical Vehicles: Ford Club Wagon, Chevrolet Express, GMC Savana or similar

Standard Equipment

Automatic Transmission Dual Mirrors – Manual

Power Steering Full Wheel Covers

Power Brakes Body Side Molding

Cruise Control Insulation Package – Factory Installed

Air Conditioning/Heat, Front & Rear Floor Mats, all Seat Positions

AM/FM Stereo Vented Glass, rt. Side & rear doors

Tilt Steering Wheel Antilock Brake System (4 wheel)

Intermittent Wipers

9. Spec. 65540-215-10 – 15 Passenger Van

Vehicles in this group are intended for transporting a total of 15 passengers including the driver. The engine will be a V8, minimum, and the van will include hinged side doors and 2 hinged rear doors.

Typical Vehicles: Ford Super Wagon, Chevrolet Express Extended, GMC Savana Extended or similar

Standard Equipment

Automatic Transmission Dual Mirrors – Manual

Power Steering Full Wheel Covers

Power Brakes Body Side Molding

Cruise Control Insulation Package – Factory Installed

Air Conditioning/Heat, Front & Rear Floor Mats, all Seat Positions

AM/FM Stereo Vented Glass, rt. Side & rear doors

Tilt Steering Wheel Antilock Brake System (4 wheel)

Intermittent Wipers

FACTORY INSTALLED OPTIONAL EQUIPMENT:

In specifying requirements, use the commodity code numbers and option description below. Requesting any of these options requires written justification when submitting a request for a vehicle. If the vehicle surplused against a request for a replacement vehicle has the same option provide that information also.

|Option |Description |

| | |

|Limited Slip Rear Axle |Rear drive vehicles only |

| | |

|Third 2 Passenger Seat |Spec. 65540-205 |

| | |

|Sliding Door, Driver Side |Spec. 65540-207 |

| | |

|Sliding Door, Passenger Side |Spec. 65540-212, 215 |

| | |

|Sunscreen Glass (Privacy) |Spec. 65540-207, 212, 215 |

| | |

|Engine Block Heater |Spec: 65540-125, 175, 195, 200, 205, 207, 212, 215, 65550-750 |

| | |

|Trailer Towing Package |Spec. 65540-207, 212, 215, 65550-750 |

| | |

|Power Driver Seat |Spec. 65540-300 |

| | |

| | |

| | |

|Commodity Code |Make |Model |Engine |Emissions |CCF |EPAct (Alt Fuel) |

|65540-125 |Dodge |Neon |2.0L |LEV |Yes |No |

|65545-195 |Dodge |Stratus |2.7L |LEV |Yes |E85 |

|65545-207 |Dodge |Caravan |3.3L |LEV |No |E85 |

|65545-207-15 |Dodge |Grand Caravan |3.3L |LEV |No |E85 |

|65545-207-10 |Chrysler |Voyager |3.3L |LEV |No |E85 |

|65545-207-15 |Chrysler |Town&Country |3.3L |LEV |No |E85 |

|65540-200 |Dodge |Intrepid |2.7L |LEV |No |No |

|65540-125 |Ford |Focus |2.0L |LEV |Yes |No |

|65540-175 |Ford |Focus SW |2.0L |LEV |Yes |No |

|65545-200 |Ford |Taurus FFV |3.0L |LEV |Yes |E85 |

|65545-205 |Ford |Taurus SW FFV |3.0L |LEV |Yes |E85 |

|65540-200 |Ford |Taurus |3.0L |LEV |Yes |No |

|65540-205 |Ford |Taurus SW |3.0L |LEV |Yes |No |

|65545-300 |Ford |Crown Victoria |4.6L |LEV |Yes |CNG |

|65540-212/215 |Ford |E-Series |5.4L |LEV |Yes |No |

|65545-212/215 |Ford |E-Series |5.4L |LEV |Yes |CNG Dedicated & Bi-Fuel |

|65540-125 |Chevrolet |Cavalier |2.2L |LEV |No |No |

|65545-125 |Chevrolet |Cavalier |2.2L |LEV |Yes |CNG Bi-Fuel |

|65540-195 |Chevrolet |Malibu |3.1L |LEV |Yes |No |

|65540-195 |Buick |Century |3.1L |LEV |Yes |No |

|65540-200 |Chevrolet |Impala |3.4L |LEV |Yes |No |

|65540-200 |Pontiac |Grand Prix |3.1L |LEV |Yes |No |

|65540-207-15 |Chevrolet |Venture |3.4L |LEV |Yes |No |

|65540-207-15 |Pontiac |Montana |3.4L |LEV |Yes |No |

|65540-207-15 |Chevrolet |Astro |4.3L |LEV |Yes |No |

|65545-212/215 |Chevrolet |Express |5.3L |LEV |Yes |E85 |

|65545-212/215 |GMC |Savana |5.3L |LEV |Yes |E85 |

|65545-212/215 |Chevrolet |Express |6.0L |LEV |Yes |CNG Dedicated & Bi-Fuel |

|65545-212/215 |GMC |Savana |6.0L |LEV |Yes |CNG Dedicated & Bi-Fuel |

| | | | | | | |

The above chart lists alternative fuels currently available and tentatively projected to be available for MY2006. The specifications and availability are subject to change.

|State of Wisconsin |[pic] |State Bureau of Procurement |

|Department of Administration | |101 E. Wilson Street 6th Fl |

|s. 16.70-75 & s. 20.915 Wis. Stats. | |PO Box 7867 |

|DOA-3016 (R02/2005) | |Madison, WI 53707-7867 |

| | |(608) 266-8024 |

| | |Fax (608) 267-0600 |

|1. REQUEST FOR VEHICLE |VEHICLE REQUEST | |

| |SEE INSTRUCTIONS ON REVERSE SIDE | |

|Agency |Quantity | Additional |New Fleet # |Estimated Annual Miles |

|      | |Replacement | | |

| |      | |      |      |

|City for Delivery | | | | |

|      | | | | |

|Law Enforcement Vehicles | 65550-350 Special Serv Intermed |Options: |

|65550-300 Law Enforcement Sedan |65550-375 Special Serv Full Size |Marked Unmarked |

|65550-325 Law Enfor Intermediate |65550-750 DNR Warden Vehicle |Spotlight: Driver Passenger |

|Passenger Vehicles | 65540-195 4 dr, 6 cyl Small Sedan | 65540-207 7 pass, 6 cyl Mini Van |

|65540-125 4 dr, 4 cyl Sedan |65540-200 4 dr, 6 cyl Sedan |65540-212 12 pass, 8 cyl Van |

|65540-175 4 dr, 4 cyl Station Wagon |65540-205 4 dr, 6 cyl Station Wagon |65540-215 15 pass, 8 cyl Van |

|Light Duty Trucks and Work Vans | | 65360-350 |Cutaway Cube Van | 65360-600 |½ Ton Pickup Truck |

| | |65360-400 |Small Utility |65360-650 |½ Ton Pickup Truck 4x4 |

| | |65360-450 |Small Utility 4x4 |65360-700 |¾ Ton Pickup Truck |

| | |65360-475 |Large Utility 4x4 |65360-750 |¾ Ton Pickup Truck 4x4 |

| | |65360-500 |½ Ton Utility |65360-800 |1 Ton Pickup Truck |

| | |65360-525 |½ Ton Utility 4x4 |65360-850 |1 Ton Pickup Truck 4x4 |

| | |65360-550 |¾ Ton Utility |65360-900 |Class 4 Truck |

| | |65360-575 |¾ Ton Utility 4x4 |65360-950 |Class 4 Truck 4x4 |

| 65360-100 |Mini Pickup Truck | | | | | |

|65360-150 |Mini Pickup Truck 4x4 | | | | | |

|65360-200 |Cargo Van | | | | | |

|65360-207 |Mini Cargo Van | | | | | |

|65360-300 |Long W.B. HD Cargo Van | | | | | |

|65360-310 |Step Van 10 Ft | | | | | |

|65360-314 |Step Van 14 Ft | | | | | |

|Medium Duty Trucks and Buses |

| 65370-925 |Class 5 and larger | 65380-100 |Bus |

|Body Type – Explanation of body types see PIMs |

|5 10 12 15 17 20 25 30 35 40 45 50 55 60 65 70 75 85 |

|Check Yes if vehicle(s) in these counties: Douglas, St. Croix, Pierce, Outagamie, Winnebago, Calumet, Dane (alt fueled) |

|Check Yes if vehicle(s) in these counties: Washington, Ozaukee, Waukesha, Milwaukee, Racine, Kenosha (alt fueled/LEV) |

|Option: Asterisk options need justification (attached sheet) |

| Block Heater* | Glass All Around (Cargo Van) | Rear Heat/AC* | |Trailer Hitch* |

|Cloth Vinyl Interior |Glass in Rear Door (Cargo Van) |Sliding Side Door | | |

|Crew Cab 4Dr * |Glass Right Side & Rear Door |Snowplow Prep Package* | | |

|DRW or SRW |Limited Slip Rear Axle* |Snowplow       Width* | | |

|Extended Wheelbase* |Power Locks* |Third Passenger Seat* | | |

|Extended Cab Pickup* |Power Windows* |Towing/Suspension Pkg* | | |

| | | | |      |

| | | | |      |

| | | | |      |

| | | | |      |

| | | | |      |

| | | |

|2. IDENTIFY SURPLUS VEHICLE |

|Fleet # |Commodity Code |Mileage as of the date form was signed       |Body Condition |

|      |      |      |Good Fair Poor |

|Year |Make |Model |Vehicle Identification Number |Mechanical Condition |

|     |      |      |      |Good Fair Poor |

|Fleet Managers must select and advise the State Surplus Property Program, within 60 days after receipt of each new vehicle, the auction date that each surplus vehicle |

|will be sold. |

The undersigned certifies that this request for Governor's approval meets all applicable state and federal statutes, rules, regulations, and guidelines. This certification is based upon a thorough and complete analysis of this request.

|Agency Head Signature or Designee if applicable |Phone Number |Date (mm/dd/ccyy) |

|      |      |      |

|DOA Review: |    |Approved as Requested |    |Approved with Changes Noted |    |Not Approved, Explanation Attached |

|Signed | | |Date (mm/dd/ccyy) |      |

Instructions for Completing "Vehicle Request"

The Department of Administration, Transportation and Travel uses four separate bid procedures annually to purchase new model year vehicles: law enforcement vehicles, passenger vehicles, light duty trucks and work vans, and medium duty trucks and buses.

Detailed information for requisitioning vehicles is provided annually to agency fleet managers and purchasing directors, in the State Procurement Manual and the Current Procurement information Memorandum. For additional assistance, call (608) 266-8024.

Instructions for Submittal

1. REQUEST FOR VEHICLE

A. Request for Replacement Vehicle(s): An agency submits this “Vehicle Request” along with the Request for Purchasing Authority (RPA), using one of two submittal methods for requesting replacement vehicles. The “Vehicle Request” form must be signed and dated by the agency head or designee.

1. Identify one vehicle on each “Vehicle Request” (DOA 3016). Each Request must identify the fleet number for the new replacement vehicle and the specific vehicle surplused for the replacement vehicle requested.

OR

2. Identify two or more vehicles of the same commodity code on one “Vehicle Request” (DOA 3016) and attach a data sheet that identifies:

a) A fleet number for each replacement vehicle requested; and

b) A vehicle surplused for each replacement vehicle requested. The data sheet for the surplused vehicle must include fleet number, year, make, model and mileage.

B. Request for Additional Vehicle(s): An agency must submit a separate “Vehicle Request” (DOA 3016) along with its justification for each vehicle requested that would increase the number of vehicles in its fleet. The “Vehicle Request” must identify a fleet number for the requested vehicle. A separate RPA noting “Additional Vehicle” must be used for each vehicle class, i.e. Law Enforcement, Passenger, Light Duty Truck and Work Van, and Medium Duty Truck and Bus.

C. Request for Non-Standard Light Duty Truck and all Medium and Heavy Duty Trucks and Buses: Provide complete vehicle specifications, in the format prescribed in the current PIM for requisitioning trucks, and attach to this “Vehicle Request”. A detailed explanation must be attached to this “Vehicle Request” for each non-standard option requested. Include an explanation of how the vehicle will be used and under what work conditions will it be used i.e. off road, highway.

2. IDENTIFY SURPLUS VEHICLE

Complete information as requested.

3. Vehicle Request JUSTIFICATION / 4. Additional Vehicle Justification

Use attached sheet to justify vehicle request upgrades and options. If requesting additional vehicle(s) use the backside of the Vehicle Request Justification sheet.

5. ALTERNATIVE FUEL VEHICLE INFORMATION.

The attached sheet needs to be filled out for the Energy Policy Act (EPACT) and Clean Air Act (CAA).

DISTRIBUTION OF FORMS

An agency submits the original of the “New Vehicle Request” via interdepartmental mail to the Department of Administration, Enterprise Programs, 101 E. Wilson St., Madison, or via first class mail to PO Box 7867, Madison, WI 53707-7867. An agency may make copies for its own internal distribution.

3. Vehicle Request Justification

ss. 20.915: Each state agency, upon written approval of the governor, may purchase necessary aircraft, trucks and automobiles for its general use. All aircraft, trucks and automobiles shall be purchased through the department of administration under ss. 16.70 to 16.82. The department of administration shall ensure that each general fleet passenger automobile at the time of procurement has a fuel economy rating of no less miles per gallon than the fleet average miles per gallon required of automobile manufacturers by the federal government at that time. Law enforcement vehicles and work vehicles for heavy passenger or equipment loads are exempt from the mileage requirement.

|Describe Vehicle Use: |      |

|      |

Check all that apply; attach a separate sheet if necessary.

| Law Enforcement, explain vehicle type and use: |

| |      |

| Passenger work vehicle: Normal passenger load: |   |Estimated annual miles with this # of occupants: |      |

| Comments: |      |

| |      |

| Cargo Loads: Normal cargo weight: |      lbs. |Volume of cargo: |      cubic feet | |

| Comments: |      |

| |      |

| Trailer towing: Trailer weight empty: |      |Trailer weight loaded: |      |

| Weight of cargo in tow vehicle: |      |Trailer length in feet: |      |

| Justification for all asterisk options requested: |

|Option: |      |

|Justification: |      |

|Option: |      |

|Justification: |      |

|Option: |      |

|Justification: |      |

|Option: |      |

|Justification: |      |

|Option: |      |

|Justification: |      |

| |

See the reverse side of this form if requesting additional vehicle(s).

4. Additional Vehicle Justification

Answer the following questions (MANDATORY):

1. Would an internal reallocation of similar vehicles be possible? If not, why not?

|      |

2. What level of staffing does the agency have now in comparison to prior years to justify this additional vehicle(s)?

|      |

3. Has legislation been passed which expands the scope of the agency, thereby necessitating additional vehicles of the type requested? If yes, how? (Please attach a copy of the legislation.)

|      |

4. What is the total mileage, as well as annual mileage for the prior fiscal or calendar year, for each vehicle in the agency's fleet? (Please provide miles for each vehicle by its assigned fleet number, distinguishing between business and any personal miles, and identify the make, model and year of each vehicle as well as its assigned location and function; Provide the month and year of delivery for each vehicle.)

< Attach Excel spreadsheet, include owned and leased vehicles >

5. What other information supports the need for an additional vehicle?

|      |

5. ALTERNATIVE FUEL VEHICLE INFORMATION

ENERGY POLICY ACT (EPACT) & CLEAN AIR ACT (CAA)

NOTE: This form is required – unless your agency attaches proof of separate compliance with the laws.

IDENTIFICATION: This sheet needs to be included with the “Vehicle Request” Form DOA 3016. In the table below, fill in your agency, your name and number, and the vehicle commodity code found on the related Form DOA 3016.

|AGENCY |AGENCY CONTACT |COMMODITY CODE |

| |(Name & Phone) |(8 Digits) |

|      |      |      |

BACKGROUND: The purpose of this sheet is to gather information to determine your agency’s requirements, compliance, and credits, under the Federal Energy Policy Act of 1992 (EPACT), and under the 1990 Clean Air Act (CAA) EPACT requires that a specified percentage of state government fleet new acquisitions of “light duty”, non-“excluded” vehicles used primarily within specified “MSA’s” (Metropolitan Statistical Areas) and “CMSA’s” (Consolidated Metropolitan Statistical Areas) be “alternative fueled vehicles”. The CAA requires that a specified percentage of new acquisitions of “light duty”, and “medium duty” non-“excluded” vehicles used primarily within specified MSA’s and CMSA’s be certified to meet CAA standards. Call Transportation and Travel at 608-266-1558 for further details.

DEFINITIONS:

“Light duty” – vehicles with a gross vehicle weight (GVW) rating of 8,500 pounds or less. (Covered by EPACT & CAA)

“Medium duty” – vehicles with a GVW rating of between 8,500 pounds and 26,000 pounds. (Only covered by CAA)

“Excluded Vehicles” - 1) Law enforcement vehicle. 2) Emergency motor vehicle. 3) Non-road vehicle. 4) Vehicles which, under normal operations are parked at personal residences when not in use. 5) Vehicles used for motor vehicle manufacturer product evaluations or tests. 6) Motor vehicles exempt for national security reasons. 7) Vehicles held for sale, lease, or rental. 8) Vehicles used at industrial, commercial, marine, rail, or airport facilities.

“Alternative Fueled Vehicle” – Alternative fuel includes dual-fuel, bi-fuel, and flexible-fuel vehicles designed to be operated on a least one of the following fuels: 100% methanol, denatured ethanol, and other alcohols; mixtures containing 85% or more by volume of methanol, denatured ethanol, and other alcohols with gasoline or other fuels; natural gas (compressed or liquefied); liquefied petroleum gas (propane); electricity (including solar energy); hydrogen; coal-derived liquid fuels; and fuels (other than alcohol) derived from biological materials including “neat” (100%) biodiesel. Since EPACT is aimed at energy independence, gasoline/diesel-powered vehicles do NOT satisfy the requirements of the law – only alternative fueled vehicles. Since CAA is aimed at clean fuel fleets, alternative fueled vehicles and clean-burning gasoline/diesel vehicles can satisfy the law.

“CAA-Clean Fuel Fleets Certified Vehicles” – These are vehicles that have been certified to meet the CAA Clean Fuel Fleet standards. They include Low-Emission Vehicles (LEV), Inherently Low-Emission Vehicles (ILEV), Ultra Low-Emission Vehicles (ULEV), and Zero-Emission Vehicles (ZEV).

PART – A INSTRUCTIONS (This is needed to determine your agency’s requirements under the EPACT and CAA.)

1. Will the requested vehicle be primarily used in any of the following counties? Douglas, St. Croix, Pierce, Outagamie, Winnebago, Calumet, Dane, Washington, Ozaukee, Waukesha, Milwaukee, Racine, or Kenosha? Yes No If yes, go on to the next line. If no, go on to Part B of this form.

2. Does the requested vehicle(s) qualify as “excluded” under the laws? (See above definition) Yes No

If yes, go on to Part B. If no, go on to the next question.

3. Is the requested vehicle(s) less than 8,500 pounds gross vehicle weight? Yes No If yes, list the fleet number(s) here or on an attachment, and go on to Part B. If no, go on to the next question.

4. Is the requested vehicle(s) between 8,500 and 26,000 pounds gross vehicle weight? Yes No If yes, list the fleet number(s) here or on an attachment, and go on to Part B. If no, go on to Part B.

PART – B INSTRUCTIONS (This is needed to ensure compliance with the EPACT and CAA, and to calculate credits.)

1. Is the requested vehicle alternatively fueled? Yes No If yes, list their fleet number(s) here or on an attached sheet, and provide a description of the type of alt fuel vehicle. If no, go on to the next question.

2. Is the requested vehicle a CAA-Clean Fuel Fleets Certified Vehicle as defined above? Yes No If yes, list their fleet number(s) here or on an attached sheet, and provide a description of the type of certified vehicle. If no, no further information is needed.

ATTACHMENT TO “WISCONSIN CERTIFICATE OF TITLE FOR A VEHICLE”

SUPPLEMENTAL TITLE INFORMATION

PURPOSE OF THIS FORM:

The purpose of this form is to document information that is not available on the “Wisconsin Certificate of Title for a Vehicle” (vehicle title) Form.

WHEN TO USE THIS FORM: Use this form whenever a vehicle title is forwarded to the Department of Administration, State Bureau of Procurement, 101 E. Wilson Street, 6th Floor, Madison, WI 73702-0032, Interdepartmental Mail or P.O. Box 7867, Madison WI 53707-7867.

REQUIRED INFORMATION: (Fill in below information as it relates to the attached vehicle title.)

Purchase Order Number: ________________________

Fleet Number: ________________________________

Make: _______________________________________

Model: _______________________________________

Body Style (sedan, wagon, minivan, etc.) _______________________________________

Transmission (Circle one.): Automatic Manual

Engine (Fill in):

Number of Cylinders: ______________

Size in Liters: ______________

Fuel Type: _______________________________

CONTACT: For questions or comments on this form, contact Transportation Procurement at (608) 266-3620.

PIM REQUIREMENT CHECKLIST

Be sure the RPA and DOA–3016 forms have all of the required signatures (including Agency Head) or the paperwork will be returned.

|Do You Have or Did You Do? |N/A |YES |

|COMPLETION OF VEHICLE REQUESTS FORMS: | | |

| A. Request For Purchasing Authority (RPA) enclosed? | | |

| B. Fully completed New Vehicle Request Form and the county of the vehicle location checked (DOA-3016)? | | |

| C. Do all attachments have Commodity Code, Agency Name and Fleet Number information? | | |

| D. Alternative fuel form enclosed with Commodity Code and Fleet Number information? | | |

| E. Email Excel spreadsheet to linda.gladem@doa.state.wi.us | | |

|and attach hard copies to requests | | |

| | | |

|DONATED VEHICLE: | | |

|If so, be sure to include documentation to include the name of the donating party and the reasons for making | | |

|the donation. | | |

| | | |

|ADDITIONAL VEHICLE: | | |

|If yes; did you include properly formatted attachments answering the five-(5) questions listed below? | | |

|Would an internal reallocation of vehicles be possible and practical? If not, why not? | | |

|What level of staffing does the agency have now in comparison to prior years? | | |

|Has legislation been pasted which expands the scope of the agency, thereby necessitating additional vehicles?| | |

|If yes, how? (Please attach copy of the legislation.) | | |

|What is the total mileage, as well as annual mileage for the fiscal or calendar year, for each vehicle in the| | |

|agency’s fleet? (Please provide miles for each vehicle by its assigned fleet number, distinguishing between | | |

|business and any personal miles, and identify the make, model and year of each vehicle as well as its’ | | |

|assigned location and function; provide the month and year of delivery for each vehicle.) | | |

|What other information supports the need for an additional vehicle? | | |

| | | |

|ARE YOU REQUESTING TO UPGRADE FROM A GENERAL FLEET VEHICLE TO THE LARGER, WORK VEHICLE (from 100 to 200 | | |

|series)? | | |

| | | |

|If yes; did you include properly formatted and neatly written attachments outlining specific needs to include| | |

|those listed below? | | |

|Purpose/use of the work vehicle. | | |

|Explanation as to why not using a General Fleet vehicle. | | |

|Explanation for not allocating another vehicle from the agency fleet when a work vehicle is requested that | | |

|replaces a General Fleet vehicle. | | |

| | | |

|JUSTIFICATION OF ANY OPTIONS: | | |

|Enclosed neatly written justifications for any options checked on the DOA-3016 form? | | |

| | | |

|REQUEST FOR A LARGER VEHICLE OR 4x4 FROM CURRENT ONE? | | |

|If yes; did you include properly formatted and neatly written attachments outlining specific needs to include| | |

|those listed below? | | |

|Purpose/use of the larger vehicle. | | |

|Explanation as to what has changed and why larger vehicle is needed. | | |

|Explanation for not allocating another vehicle from the agency fleet when a larger vehicle is requested. | | |

Instructions for completing and submitting the Vehicle Request Detail Excel Worksheet

Excel Spreadsheet. The Excel spreadsheet sent to you is to be filled in by the Fleet Managers and returned to Linda Gladem (linda.gladem@doa.state.wi.us) via email. This sheet should contain all of the vehicle requests from the 3016s and reflect the information from that form. The Procurement Manager will then indicate the decision made for those vehicles and will send the sheet back to the manager with the approvals/denials marked on it. This sheet system improves the communication of the decisions. Individual meetings with the fleet managers will still be recommended but the reports to the Governor's Office will be greatly expedited. Secretaries/Chancellors do not need to sign the spreadsheets.

After all of the form 3016 requests are collected and thoroughly reviewed by the Fleet Manager, the vehicles and their respective fleet numbers and requested equipment options are to be entered into the Vehicle Request Detail Excel Worksheet by the Fleet Manager and emailed to Transportation Procurement . The Fleet Manager is responsible for completing and submitting one (1) worksheet for each vehicle category.

1. Fill out top section.

2. Submit one (1) worksheet for each vehicle category (Passenger, Lt. Duty, etc.) and separate the replacement vehicles from the additional vehicles for each category (Passenger Replacement, Additional, etc.).

3. Enter Agency or institution abbreviation in first column.

4. Enter surplus fleet number & new fleet number in the correct column(s).

5. Enter commodity code of surplused vehicle(s).

6. Enter commodity code of new vehicle request with the two-digit suffix (a complete list of commodity codes is located on the second, COMMODITY CODE tab of the Excel Worksheet).

7. Put an "X" in the appropriate column for the equipment that was requested.

8. Completed worksheets are to be sent via Email to Linda Gladem (linda.gladem@doa.state.wi.us). Hard copies of the spreadsheets (8.5x14 legal size) are to be turned in to Transportation Procurement with the Vehicle Request paperwork for each type of Vehicle Category (Lt. Duty, Passenger, etc.).

9. Transportation Procurement Manager will review the requests.

10. Procurement Manager and Fleet Managers will discuss the requests.

11. Procurement Manager reviews and enters dates of approval/denials and inserts changes in the spreadsheet. Worksheet is to be emailed to Fleet Managers.

12. Fleet Managers consider DOA recommendations and will discuss with Procurement Manager.

13. Fleet Managers develop appeals where deemed necessary, and submit them to the Procurement Manager.

14. Procurement Manager considers appeals. A final determination is sent to Fleet Managers via email.

15. Final recommendations (with reconsideration letters attached) in hard copy form, are sent to the DOA bureau management for final review.

NOTE:

Be sure to put all equipment upgrade requests on the front page of the Form 3016. DOA will not "research" requested equipment by searching through any attached justifications. DOA will not be responsible for omitting any option that it isn't on the front of the Form 3016

Worksheet Example:

|VEHICLE REQUEST DETAIL WORKSHEET MODEL YEAR 2006 |

| | | | | | | | | | | | | | | | | | |Cars (air, auto, tilt, cruise, AM/FM, rear dfg, power steering & brakes) | | | | | | | | | | | |175-10 4 Door 4cyl Wagon |14,400 |35 | | | | | | |NA | | |std |Std |NA |Inc Deluxe Interior |2,000 | |195-10 4 Door 6 Cyl Small Sedan |13,500 |35 | | | | | | | | | | | | | | | |200-10 4 Door 6cyl Sedan |14,900 |35 | | | | | | |NA | | |std |Std |601 |300 | |1,000 | |205-10 4 Door 6cyl Wagon |16,900 |35 | | | | | | |NA | |275 |std |Std |1300 |300 | |1,000 | |207-10 7 Passenger Minivan |17,000 |35 | | | | |400 |876 |NA |1,000 | |std |Std |700 |693 | |2,000 | |207-12 7 Passenger Minivan AWD |19,000 |35 | | | | |400 | |NA |1,000 | |Std |Std |700 |600 | |2,000 | |207-15 7 Passenger Extended Minivan |19,000 |35 | | | | |400 |396 |NA |409 | |std |Std |700 |600 | |2,000 | |207-17 7 Passenger Extended Minivan AWD |23,000 |35 | | | |NA |400 |396 |NA |409 | |Std |Std |700 |600 | |2,000 | |212-10 12 Passenger Fullsize Van |20500 |35 | | | |250 |400 |Incl |250 |Incl | |std |Std |350 |Inc | |Inc | |215-10 15 Passenger Fullsize Van |21000 |35 | | | |250 |400 |Incl |250 |Incl | |std |Std |350 |Inc | |Inc | | | | | | | | | | | | | | | | | | | | |Lt. Duty Trucks (air, auto, AM/FM, power steering & brakes) | | | | | | | | | | | | | | | |65360-100 Mini Pickup Truck |14,500 |35 | |std |std |250 |105 |100 |185 | |2,000 |std |305 |NA |500 | |500 | |65360-150 4x4 Mini Pickup Truck |16,800 |35 | |std |std |250 |105 |100 |185 | |2,000 |std |305 |NA |500 | |500 | |65360-200 9ft. Full Size Cargo Van | 16,000 |35 |NA |std |std |250 |250 |325 |200 |300 |1,200 |std |Std |NA |600 | |200 | |65360-207 Mini cargo Van |17,600 |35 |NC |std |std |217 |325 |100 |200 |NA |NA |Std |Std |NA |300 | |NA | |400-65 2 Door Small Sport Utility |17,299 |35 |280 |std |std |250 |250 |280 |180 | | |std |Std |1000 |450 | |1,000 | |65360-450 4x4 Small Utility Vehicle |22,000 |35 |280 |std |std |250 |250 |280 |180 | | |std |Std |1000 |450 | |6,000 | |65360-475 4x4 Large Utility Vehicle |26,514 |35 |Inc |std |std |250 |250 |350 |Inc |In Deluxe | |std |Std |Inc |Inc Deluxe Interior |6,000 | |65360-500 4 Door 6 Pass Suburban |28,500 |35 |240 |std |std |265 |265 |150 |185 |280 |1,000 |std |350 |200 |Inc Deluxe Interior |6,000 | |65360-525 4x4 4 Door 6 Pass Suburban |29,800 |35 |240 |std |std |265 |265 |150 |185 |280 |1,000 |std |350 |200 |Inc Deluxe Interior |6,000 | |65360-550 4 Door 6 Pass HD Suburban | 31,000 |35 |240 |std |std |265 |265 |150 |185 |280 |1,000 |std |350 |200 |Inc Deluxe Interior |6,000 | |65360-575 4x4 4 Door 6 Pass HD Suburban |29,789 |35 |240 |std |std |265 |265 |150 |185 |280 |1,000 |std |350 |200 |Inc Deluxe Interior |6,000 | |65360-600 Standard 1/2 Ton Pickup |23,200 |35 | |std |std |250 |200 |300 |Inc | |2,000 |std |800 |500 |Inc Deluxe Interior |3,000 | |65360-650 4x4 Standard 1/2 Ton Pickup |25,147 |35 | |std |std |250 |200 |300 |Inc | |2,000 |std |800 |500 |Inc Deluxe Interior |3,000 | |65360-700 HD 3/4 Ton Pickup |19,637 |35 | |std |std |250 |200 |300 |Inc | |2,000 |std |800 |500 |Inc Deluxe Interior |3,000 | |65360-750 4x4 HD 3/4 Ton Pickup |24,000 |35 | |std |std |250 |200 |300 |Inc | |2,000 |std |800 |500 |Inc Deluxe Interior |3,000 | |65360-800 HD 1 Ton Pickup |24,900 |35 | |std |std |250 |200 |300 |Inc | |2,000 |std |800 |500 |Inc Deluxe Interior |3,000 | |65360-850 4x4 HD 1 Ton Pickup |26,500 |35 | |std |std |250 |200 |300 |Inc | |2,000 |std |800 |500 |Inc Deluxe Interior |3,000 | | | | | | | | | | | | | | | | | | | |65550-300-10 8-cylinder, RWD Sedan |20,500 |35 | | | | | | | | | | | |400 | | | |65550-325-10 6-cylinder, FWD Sedan |17,000 |35 | | | | | | | | | | | |400 | | | | | | | | | | | | | | | | | | | | | |Estimated Base Prices = Crown Victoria $20,500, Impala $17,000, Charger $22,000

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