Pr2634-1\ 0348A



PROCUREMENT INFORMATION MEMORANDUM

Date Issued: March 2nd, 2006 Number: 07-048

Effective Dates: March 2nd, 2006 to June 30, 2007

Subject: MY2007 VEHICLE REQUISITION INSTRUCTIONS: MEDIUM DUTY TRUCKS AND BUSES

A. Reference: Wisc. Stats. 14.06, 16.70-16.75 and 20.915 Wis. Stats. This Procurement Information Memorandum (PIM) supercedes PIM #05-048 dated September 2, 2005.

B. Scope: Use of these "MY2007 Vehicle Requisition Instructions" is mandatory. All State of Wisconsin agencies and University of Wisconsin System, must follow these instructions when requesting any light duty truck, cargo van, medium duty truck or bus. These requisitioning instructions apply to all vehicles 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 specifications.

C. Content: I. VEHICLE COMMODITY CODES

MEDIUM TRUCK

a) 65370-925- Class 5 and larger

b) 65380-100- Buses

II. PURCHASE REQUESTS DUE DATES

A. Medium Duty Truck and Busses TBD

ATTACHMENTS: 1. MY2007 Vehicle Purchase Timetable

2. Alternative Fuel Vehicle Form - For Energy Policy Act (EPACT) & Clean Air Act (CAA)

3. Supplemental Title Information

4. PIM Requirement Checklist

5. Vehicle Worksheet and Instructions

6. 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. New Vehicle Request

A. Attachments to Request

A. Alternative Fuel Form

IV. DONATED VEHICLES…………………………………………………………………………. 4

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

VI. VEHICLE REPLACEMENT CRITERIA……………………………………………………... 4

A. Medium Duty Trucks and Bus Replacement Criteria

VII. JUSTIFICATION OF ANY OPTION…………………….……………………………………. 5

VIII. JUSTIFICATION OF A LARGER VEHICLE (Upgrade From Current Vehicle)………... 5

IX. OBSOLETE/UNWANTED VEHICLES…………………………………….…………………. 6

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

XI. OTHER RELATED ISSUES……………………………………………….…………………... 7

A. Disposal of Surplus Vehicles

B. Cancellation of a Request

C. Emergency Vehicle Requests

D. Alternative Fuel Vehicles

XII. VEHICLE INSPECTION AND ACCEPTANCE………………………………….………… 7

A. Agency Responsibility

B. New Vehicle Check-up and Service

C. Action for Rejecting a Vehicle

XIII. VEHICLE TITLES (Procedure)…………………………………………………….…….….. 8

XIV. MY2007 VEHICLE PURCHASE CHRONOLOGY………………….………………..……. 8

XV. SPECIFICATIONS & SUPPORTING DOCUMENTS …….……………………………… 10-39

IMPORTANT

AN AGENCY MUST Use "New Vehicle Request Explanation" (Form DOA-3016, REV. 9/2005) TO REQUISITION ANY NEW model year VEHICLE.

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

THIS "NEW VEHICLE REQUEST" (DOA-3016) MAY BE OBTAINED THROUGH THE DEPARTMENT OF ADMINISTRATION, BUREAU OF procurement BY CONTACTING LINDA GLADEM at 608-266-3620, OR BY ACCESSING THE DOCUMENT AT: . Type in “3016”, and click “submit”.

The overall procurement procedure is the same as last year. The process will continue to be done electronically by using an Excel spreadsheet (see attached spreadsheet and instructions). Note that 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: DOA-3046): An agency must use one RPA for each of the following vehicle categories:

1. Any replacement medium duty truck;

3. Any replacement bus; or

4. Request for an additional medium duty truck or bus.

B. Vehicle Request (DOA-3016, Rev. 9/2005): This form is submitted along with the RPA. Two submittal methods are available for explanation:

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

OR

2. Identify two or more vehicles of the same commodity code (specification number) on one "New 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, mileage, GVW, engine size and description of equipment on the vehicle.

C. Attachments to Request: Any attachments to a "Vehicle Request" must be identified on each page as to which vehicle it is related. Please use Commodity Code (specification number) and the fleet number of the new vehicle as well as agency name and date of request. ALL MEDIUM TRUCK SPECIFICATIONS MUST BE NEATLY WRITTEN AND SUBMITTED ON MEDIUM DUTY/BUS DESCRIPTION OR THEY WILL BE RETURNED FOR RESUBMITTAL.

NOTE: The Vehicle Request Explanation 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.

D. Alternative Fuel Form: Carefully review the supplemental form at the end of this PIM entitled “ALTERNATIVE FUEL FORM”. This form must be completed and attached to the “New Vehicle Request” Form. Failure to complete this form when it is required may result in the delay or denial of vehicle requests.

IV. DONATED VEHICLES

The governor, or his designee must approve all donated vehicles in writing. Secretaries, agency heads or chancellors must submit requests to the Administrator of Enterprise Operations of the Department of Administration, 101 E. Wilson Street, 6th Floor, Madison, WI 53702. The Department of Administration will prepare a case letter on your behalf seeking the governor's written approval. 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. The donated vehicle may also become a replacement to your fleet if you surplus a vehicle.

V. ADDITIONAL VEHICLE JUSTIFICATION: If an agency requests an addition to its fleet, the agency must provide the answers to the following questions. NOTE: Any request for an additional vehicle without answers to these five questions will be denied.

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

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

C. 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.)

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. VEHICLE REPLACEMENT CRITERIA: ALL REQUESTS FOR REPLACEMENT VEHICLES MUST BE REPLACED WITH LIKE TYPE VEHICLE – UNLESS JUSTIFIED (See below)

A. Medium Duty Trucks and Bus Replacement Criteria:

1. Having attained 130,000 miles

2. A vehicle 7 model years or older that does not meet the above disposal criteria may or may not be replaced after considering mileage and condition. The Department of Administration, Transportation Procurement Manager will evaluate each vehicle on a case-by-case basis to determine if a new or used vehicle should be procured.

VII. JUSTIFICATION OF ANY OPTION: An agency is required to furnish complete justification for any and every option requested which would be in addition to the approved options listed on page 11-22. 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.

VIII. JUSTIFICATION OF A LARGER VEHICLE (Upgrade from currently approved vehicle): An agency is required to furnish complete justification requests for new vehicles, which will be 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.

IX. OBSOLETE/UNWANTED VEHICLES

A. Definition: Vehicles which do not meet the mileage disposal criteria but which also no longer fit their intended purpose may be disposed.

B. Procedure:

1. Agencies should submit a list of vehicles that it would like to sell and replace with new vehicles to the Department of Administration, Transportation Procurement by March 31st, 2006.

2. Department of Administration, Transportation Procurement 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 April 3rd, 2006.

3. The buying and selling agencies/campuses may negotiate the sale price for inter-agency sale, or the Department of Administration, Transportation Procurement will assist in establishing a price.

X. INTER-AGENCY VEHICLE SALES REQUEST

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 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. 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 or P.O. Box 7867, Madison, WI 53707-7867. The "Inter-Agency Used Vehicle Sale Report" form and the "Used Vehicle Condition Report" (DOA 3081 Rev 8/2004) form are available from the Department of Administration, Transportation 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 percent (5%) Inter-Agency sales fee.

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

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

XI. 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 its request to purchase a vehicle.

C. Emergency Vehicle Requests: Secretaries, agency heads or chancellors, or their designees must send emergency replacement and additional vehicle request letters to the Administrator of Enterprise Operations of the Department of Administration, 101 E. Wilson Street, 6th Floor, Madison, WI 53702 for approval/denial. If fully justified and approved, DOA will prepare a case letter on your behalf seeking the governor's written authorization. Any new replacement 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, agencies will be instructed to hold back a surplus vehicle or relocate from within the fleet and submit the needed vehicle in the next cycle.

D. Alternative Fuel Vehicles: In compliance with the Energy Policy Act of 1992 (EPACT), with the 1990 Clean Air Act (CAA), and Wisc. S. 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 attached form)

XII. VEHICLE INSPECTION & 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 obligates the successful vendor to:

1. Notify the buying agency of the anticipated delivery date for each vehicle so that an agency representative is available to inspect the vehicle upon delivery.

2. Deliver any vehicle in accordance with the manufacturer's standard new truck "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 motor 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 has been 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 that the vendor 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 the Transportation Procurement Manager, Department of Administration, by FAX (608-267-0600) or e-mail (Robert.Severson@) immediately and before returning the vehicle to the vendor.

XIII. 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 that the title identifies the State of Wisconsin as a part of the name of its State agency. Vehicle fleet number must appear on the Title.

3. Forward the original Title and window sticker (original or copy) to the Department of Administration, Transportation Procurement, 101 E. Wilson Street, 6th Floor, Madison, WI 53702-0032; Interdepartmental Mail or 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. Titles are available to an agency upon request as needed.

XIV. MY2007 VEHICLE PURCHASE CHRONOLOGY

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.

F. INSPECTION & ACCEPTANCE: Agencies inspect all vehicles upon delivery and notify vendor of any problems within three work days.

G. TITLE: Agencies 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 notify Department of Administration, Transportation Procurement, of the availability of the replaced (surplused) vehicle within 60 days of the new vehicle delivery.

XV. SPECIFICATIONS

SCHEDULE I

PREPARATION OF NEW VEHICLE REQUEST (FORM DOA 3016 REV. 9/2005)

Explanation

1. The specifications attached describe the standard line of State fleet trucks. Schedule I (Preparation of Request) explains the request process, describes terminology and describes typical vehicles. Schedule II (Truck Body Specifications) describes the standard bodies available. Schedule II is applied primarily to medium trucks. These basic specifications will provide the State agencies with new trucks fully equipped. Schedule III (Options) describes the options, factory installed, that are available.

A. DETERMINE:

First, agency's truck body requirements.

Second, agency's payload requirements.

Third, combine one and two to determine the correct specification meeting the agency's need: 65360-100 through 65360-950, 65370-925 and 65380-100.

B. ENTER: The chosen specification number on the New Vehicle Request (Form DOA 3016 (9/2005) and indicate body type and size required (Schedule II will detail a description of bodies).

C. SELECT: The options shown in Schedule III which are required to supplement A and B and enter these on the New Vehicle Request Form in the space for 'OPTIONS'.

D. EXCEPTIONS: If the options required are nonstandard, list those options in the space for 'OPTIONS', and provide complete justification and whether that option was available on the truck being surplused against the new one requested. If the truck is a nonstandard, non-classified vehicle, enter a full justification in the space designated on Form DOA 3016 (Rev. 9/2005) or attach separate memo.

2. In reading the specifications, the following explanation will clarify the classification.

A. G.V.W.: Gross Vehicle Weight is the total weight of the truck including the body, payload, fuel and driver. NOTE: The GVW rating on many new light trucks has been reduced to reflect better fuel economy. This has not affected the net payload of the vehicle.

B. W.B.: Wheelbase, the distance between the centerlines of the front and the rear axle.

C. C.A.: The distance from the back of the cab to the centerline of the rear axle.

D. TRANS.: Automatic Transmissions are required and are standard.

E. AXLE, REAR, 2 SPEED: This means the number of forward speeds are doubled. With two rear end gear ratios available the driver can choose the one best for each set of conditions. The numerically high ratio may be selected when maximum torque and extra pulling power are needed. For highway cruising, the numerically lower gear ratio may be selected. This gives adequate pulling power for highway speeds and operates with better economy.

F. ENGINE, LITERS: Liters of displacement. The standard engine is fully rated for the truck specified. In medium trucks, the horsepower rating is used rather than Liters.

G. TIRES: Tires are selected to fully carry the GVW. Standard tires will be steel belted all season tubeless radials.

H. PAYLOAD: Equals the difference between the GVW and the curb weight or is the weight of the cargo that can be safely carried.

I. 4x4: Four-wheel drive. Clearly specify "4x4" when it is required. This option is not available on medium duty trucks.

3. If the agency needs to depart from the standard specifications and needs any elective options listed, such departure must be justified on the New Vehicle Request (Form DOA 3016 Rev. 9/2005).

MEDIUM TRUCKS

The "Medium Duty Truck/Bus Description" (Form on pages 11 & 12 of these instructions) must be completed for each medium truck or bus requested. The complete description form must be attached to the New Vehicle Request and the Medium Truck/Bus RPA and submitted to Transportation Procurement. Please feel free to ask for help on these vehicles. A brief description of the vehicle's use and the operating conditions that it will encounter, as well as any unusual configurations that are requested, must be included at item 20. This description must include an explanation as to how this truck is used, i.e., what function does it perform, how much weight does it carry, at what speeds is it operated. The name and telephone number of the agency contact for each vehicle must be provided at the bottom of the form.

BACKUP ALARM: Wisconsin Administrative Code Ind. 1000 #1926.601

COVERAGE All trucks will have, as standard equipment, an electrical type back-up alarm installed on rear of truck upon delivery. If this is not practical, depending upon the manufacturer, the alarm will be a gong rear axle (mechanical) type.

BUSES: Due to the unique needs of each bus, an agency's fleet manager should consult with the State Transportation Procurement Manager (608/266-8024) prior to submitting a request.

_____ Units to include: RPA # ___________

1. Cab Type:

2. GVW:

3. Wheelbase:

4. Cab to Axle:

5. Front Axle:

a. Springs:

b. Shock Absorbers:

6. Rear Axle:

a. Springs:

b. Shock Absorbers:

c. Axle Ratio--(explanation):

7. Brake Type:

8. Tires

a. Front:

b. Rear:

c. Rim Type:

9. Frame Type:

10. Engine Type:

a. Engine Cooling:

b. Engine Exhaust:

11. Transmission Type:

12. Electrical Requirements:

a. Alternator:

b. Battery:

c. Radio Suppression:

d. Other

13. Cab Interior:

a. Seating:

b. Gauges:

c. Controls:

d. Other:

14. Cab Exterior:

a. Mirrors:

b. Other:

15. Fuel Tank(s):

16. Front Bumper:

17. Other Options:

18. Color:

19. Body:

20. Explanation of Truck Use:

Include Geographic location, operating condition, nature of work, workloads, work speeds, and assignment (organizationally) within agency.

Prepared By: ___________________________Telephone No.:(___)______________

Delivery to: ___________________________Date Completed:__________________

Weight Classifications

Class 1 – Less than 6,000 GVW

Class 2 – 6,001 to 10,000 GVW

Class 3 – 10,001 to 14,000 GVW

Class 4 – 14,001 to 16,000 GVW

Class 5 – 16,001 to 19,500 GVW (Minimum threshold for Medium-Duty Trucks)

Class 6 – 19,501 to 26,000 GVW

Class 7`- 26,001 to 33,000 GVW

Class 8 – 33,001 and greater GVW

SCHEDULE II - TRUCK BODY SPECIFICATIONS

The following specifications describe the minimum State requirements for the following general classes of truck bodies.

NOTE: Truck Bodies will not be painted to match cab unless so specified.

1. Platform with Removable Stakes - Spare wheel frame mounted at rear under bed on both stake and stake with hoist.

A. 8' and 9' Light Duty: Bodies are those designed for the cab and chassis, and shall be factory warranted. For 3/4 x 1-ton short wheelbase chassis. Stakes are of pressed steel riveted to seasoned hardwood with bolts and recessed nuts. Platform has all steel welded understructure with 1-1/2" thick dense pine floor. Racks are 30" high minimum.

B. 9'6" - Light Duty: Bodies shall be those designed for the cab and chassis and shall be factory warranted. Stakes are of pressed steel riveted to seasoned hardwood with bolts and recessed nuts. Racks of 40" high minimum.

C. 12', 14', 16', 18' - Heavy Duty: Bodies to be installed by body representatives. Floor minimum 1-1/2" dressed or finished boards. Stakes of pressed steel with reinforced shank stake sections. Hardwood slats minimum 4 per section. Side and end rails extra deep press high tensile steel channel sections. Cross sills high tensile steel box channel sections, longitudinal sills heavy steel channel sections. All gates equipped with lock devices.

D. All livestock and grain bodies to be equipped with a metering gate for hauling grain and an interchangeable sliding gate for hauling livestock.

NOTE: State also whether you require all steel slats or wood. Some manufacturers make only all steel stakes and racks.

SCHEDULE II - TRUCK BODY (continued)

Note - All information in Schedule II should be considered approximate

DIMENSIONS OF LIGHT & HEAVY DUTY STAKE BODIES

Platform with Removable Stakes

|Length |Length |Width |Width |Rack |Cab-to-Axle |

|Overall |Inside |Overall |Inside |Height |(C.A.) Dimension |

|*98” |92" |78" |72" |26" |48" to 54" |

|*108" |102" |86" |80" |26" |54" to 60" |

|*114" |108" |92" |86" |40" |60" |

|150" |144" |96" |90" |40" |84" |

|174" |168" |96" |90" |40" |102" |

|196" |190" |96" |90" |40" |114" to 126" |

|216" |210" |96" |90" |40" |40" |

|240" |234" |96" |90" |40" |136" to 148" |

|264" |258" |96" |90" |40" |144" to 156" |

* These body models are designed for light duty trucks. Therefore, material specifications are reduced to fit the needs of light duty hauling.

Selection of body and chassis C.A. dimension must keep within load restrictions of GAWR (Gross Axle Weight Rating) and GVWR (Gross Vehicle Weight Rating) for total vehicle.

Also available as platforms only.

When requesting state:

A. Length

B. Type - Light duty or Heavy duty

C. Platform: Wooden floor, smooth steel floor or treadplate steel floor.

Example: 12 Ft. Heavy Duty with wooden floor.

SCHEDULE II - TRUCK BODY (continued)

DIMENSIONS OF STEEL AND WOOD HINGE DOWN GRAIN AND LIVESTOCK BODIES

|OVERALL |OUTSIDE |INSIDE |INSIDE |HEIGHT |OVERALL | |

|LENGTH |WIDTH |LENGTH |WIDTH |GRAIN SIDE |HEIGHT |C.A. |

|96" |84" |90" |78" |40" |59" |48" |

|108" |88" |102" |82" |40" |59" |54"-57" |

|120" |88" |112" |82" |40" |59" |60" |

|120" |94" |112" |88" |40" |66" |60" |

|144" |94" |138" |88" |40" |66" |84" |

|156" |94" |150" |88" |40" |66" |84" |

|162" |94" |156" |88" |40" |66" |84" |

|168" |94" |162" |88" |40" |66" |84"-102" |

|180" |94" |174" |88" |40" |66" |102" |

|186" |94" |180" |88" |40" |66" |102"-108" |

|192" |94" |186" |88" |40" |66" |102"-120" |

|204" |94" |198" |88" |40" |66" |108"-128" |

|216" |94" |210" |88" |40" |66" |120"-134" |

Note: New option available - 52" solid sides in addition to 40" on 161" overall length and larger.

HOISTS FOR PLATFORM STAKE TRUCK BODIES

C.A. G.V.W.

"B" Performance Range to and including 9' 60" 10,000#

"B" Performance Range to and including 10' 60" 10,000 to 16,000#

"C" Performance Range to and including 13'5" 84" 10,000 to 16,000#

"E" Performance Range to and including 16' 102" 16,000 to 21,000#

"E" Performance Range to and including 18' 120" 21,000 to 28,000#

2. Grain and Livestock Body Combination, Hinge (fold) down type.

A. Steel Sides - one piece rust and corrosion resistant lightweight smooth steel grain sides, with sliding grain gate, recessed bolted or riveted to pressed steel stakes. Steel deck or tongue and grooved yellow pine.

B. Wood Sides - pressed steel stakes and solid kiln dried wood sides or solid oak slats recessed bolted or riveted to prevent injury to livestock, with sliding grain gate. (Ventilator slats optional.)

C. Wooden or Steel Top - Steel or Oak slats and stakes recessed bolted or riveted together with steel corner angles.

Note: When ordering a combination of the above, specify as to whether the agency requires a sliding stock gate, sliding steel grain gate or both.

SCHEDULE II - TRUCK BODY (continued)

Dump Bodies - Bodies and hoists to be of the same manufacturer or guaranteed design match by the supplier. To be completely mounted with hoist, hydraulic pump, P.T.O. and dash mounted controls. Standard colors to match cab and chassis.

1. Tailgate shall be hinged top and bottom with conventional tailgate release.

2. All capacities based on 12" overhang (hinge to end of body) and including weight of body.

3. Body Longitudinal Minimum

Up to 12,000 GVW - 4" channel

Over 12,000 GVW - 5" channel

Hoists for Dump Trucks

C.A. G.V.W.*

Class 10 to and including 8' 60 up to 10,000#

Class 20 8' 60" 10,000 to 21,000#

Class 20 9' 72" 13,000 to 18,000#

Class 20 10' 84" 12,000 to 19,000#

Class 30 9' 72" 18,000 to 24,000#

Class 30 10 84" 16,000 to 21,000#

Class 40 9' 72" 24,000 to 31,000#

Class 40 10' 84" 21,000 to 28,000#

SCHEDULE II - TRUCK BODY (continued)

DUMP BODIES FOR USE WITH ARM TYPE HOISTS - (Approximate dimensions)

|CUB YARDS | | |HEIGHT |TAILGATE FRONT |RECOMMENDED |

|CAPACITY |LENGTH |WIDTH |SIDES |HEAD HEIGHT |C/A |

|2 |96" |78" |13" |19" |60" |

|2.5 |96" |78" |15" |21" |60" |

|3 |96" |78" |19" |25" |60" |

|4 |96" |84" |25" |31" |60" |

|2.5 |108" |84" |15" |21" |72" |

|3 |108" |84" |17" |23" |72" |

|4 |108" |84" |21" |31" |72" |

|5 |108" |84" |29" |35" |72" |

|2.5 |120" |84" |13" |19" |84" |

|3 |120" |84" |15" |21" |84" |

|4 |120" |84" |21" |27" |84" |

|5 |120" |84" |25" |31" |84" |

Cab Protectors - Optional Equipment and must be specifically requested.

1. 1/4 size 10 gauge

2. 1/2 size 10 gauge

Recommended Snow Plow Blade Length - Minimum

For Spec. 65360-150 and 450 6 Ft. Plow Blade

For Spec. 65360-650 7 1/2 Ft. Plow Blade

For Spec. 65360-750 and 850 8 Ft. Plow Blade

SCHEDULE II - TRUCK BODY (continued)

1. POWER LIFTGATES

A. Basic Types

1. Conventional - Stores in the vertical position behind truck.

2. Flipaway (fold under) - Stores underneath the truck body when not in use: Always order with dock bumpers.

3. Railgates - Mount to the truck body - suited for cart operations or carrying unstable loads - Level Ride.

B. Platform Actions

1. Conventional Liftgates

a. Ramping Action (Standard) - Platform is level at truck floor but slopes toward ground when lowering for easy loading.

b. Level Ride (Non-ramping) is available - Ramp edge will not touch the ground, unless an optional (longer) ramp is ordered. Specify "optional ramp equipped to touch ground when gate is in lowered position".

2. Fold Under (Flipaway)

a. Ramping Action (Standard) - Except certain liftgates designed for level ride (example: Waltco FSL Series of flipaway gates).

b. Level Ride (non-ramping) is available - Note - Ramp edge will not touch the ground. Specify FSL Series Gates only if Level Ride is required and ramp must touch ground.

3. Railgates: All railgates are standard with level ride--no other platform is available.

C. Types of Drives

1. Conventional Gates

a. 12 volt electric/hydraulic is standard

b. P.T.O. operation available

2. Fold Under (Flipaway) Gates

a. 12 volt electric/hydraulic is standard

b. P.T.O. operation available

3. Railgates

a. 12 volt electric/hydraulic available only

b. P.T.O. NOT AVAILABLE

Lifting Capacity/Platform Loading Areas

Note Below: D Depth of platform (back of truck to leading edge)

W Width of platform (side to side)

R Ramp

SCHEDULE II - TRUCK BODY (continued)

2. Conventional Gates

Minimum Floor to

Ground Measurement

Required to Mount

Capacity Sample Model Platform Sizes Liftgate

1,000 lbs Tommygate* D 27 or 34" 24"

(Bolton) W 44, 64, 72, 84"

1,000 lbs P-80 D 30" 24"

(Frame Mount) W 50, 54, 65"

R 5"

1,250 lbs LD-80 D 30 or 36" 34"

W 84"

R 6"

1,600 lbs K-16 D 30 or 36" 36"

W 84 or 90"

R 6"

2,000 lbs K-20 D 30 or 36" 36"

W 84 or 90"

R 6"

3,000 lbs 1093 D 30, 36, 42, 48" 36"

W 84 or 90"

R 9"

4,000 lbs 1094 D 42, 48, 54, 60" 36"

W 90"

R 9"

*Or comparable

SCHEDULE II - TRUCK BODY (continued)

3. Flipaway Gates

Minimum Floor to

Ground Measurement

Required to Mount

Capacity Sample Model Platform Sizes Liftgate

(Waltco*)

1,600 lbs C-15 D 32" 36"

W 72 or 84"

R 4"

2,000 lbs C-20 D 32" 36"

W 72 or 84"

R 4"

2,500 F-20 D 38 or 42" 42"

W 72"

R 4"

2,500 lbs FSL-25 D 38 or 42" 42"

(Level Ride) W 72"

R 4"

3,000 lbs F-30 D 38 or 42" 42"

W 72"

R 4"

3,000 lbs FSL-30 D 48" 46"

(Level Ride) W 80"

R 8"

4,000 lbs F-40 D 38 or 42" 42"

W 72"

R 4"

4,000 lbs FSL-40 D 48" 48"

(Level Ride) W 80"

R 12"

5,000 lbs FSL-50 D 48 or 60" 53"

(Level Ride) W 77"

R 12"

*Or comparable

Note: These platforms require ordering an optional 8" or 12" folding ramp.

Options available for above:

a. Motor Weather Covers

b. Push button controls with removable cord and socket (electric).

c. Snubber Kit - rubber bumpers to hold gate tight in stored position.

SCHEDULE II - TRUCK BODY (continued)

3. Railgates

Minimum Floor to

Ground Height for

Capacity Sample Model Platform Sizes Dock Loading

(Waltco*)

1,250 lbs MDR 125.MDR 125*AF D 30" 32"

W 86"

R 6"

1,600 lbs MDR 160/MDR 160*AF D 30 or 36" 38"

W 90"

R 6"

2,000 RGL II-20 D 36 or 42" 44"

W 90"

R 6"

3,000 lbs RGL II-30 D 36, 42, 60" 44"

W 90"

R 6" on 36 & 44"D

12" on 60"D

4,000 RGL II-40 D 36, 42, 60" 44"

W 90"

R 6" on 36 & 42"D

12" on 60"D

5,000 RGL II-50 D 60 or 72" 44"

W 90"

R 12"

6,000 lbs RGL II-60 D 60 or 72" 44"

W 90"

R 12"

*Or comparable

Options for above.

a. MDR Series only - AF (Above Floor) available - travels up past the floor of the truck to 52" height - for dock loading capability on low floor trucks - order with toggle switch remote cord and socket (electric control).

Note on railgates: May only be installed on trucks with overhead rear doors or on stake bodies. Can NOT be used with swing open rear doors. Railgates lend themselves well to food cart operations or any operation handling unstable loads. Level Ride is a standard feature.

|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 (R09/2005) | |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: DOA-3046), 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 miles per gallon less 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, Transportation Procurement, 101 E. Wilson Street, 6th Floor, Madison, WI 53702, 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@ | | |

|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 (11x17 Tabloid).

Excel Spreadsheet. The Excel spreadsheet sent to you is to be filled in by the Fleet Managers and returned to Linda Gladem (linda.gladem@) 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@). Hard copies of the spreadsheets (8.5x14 tabloid 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 2007 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |BH BLOCK HEATER RAH REAR AIR/HEAT | |Fleet Mgrs are to fill out & submit one worksheet for each vehicle category | | | | | | | | | | | | | |CC CREW CAB 4DR SRW SINGLE REAR WHEEL | | | | | | | | | | | | | | | | | | | | | | | | | |EW EXTENDED WB SD SLIDING DOOR | | | | | | | | | | | | | | | | | | | | | | | | | |EC EXTENDED CAB (PU) SL SPOT LIGHT | |AGENCY Natural Resources | | | | | | | | | | | | | | | | | | | | |GA GLASS ALL AROUND SP SNOWPLOW PKG W/PLOW SIZE | | | | | | | | | | | | | | | | | | | | | | | | | |GR GLASS REAR DOOR SG SUNSCREEN GLASS | |Submit Date 5/30/03 1st Denial Date __/__/__ Appeal Date __/__/__ Final Appr Date __/__/__ | | | | | | | | | |GRS GLASS RIGHTSIDE&REAR TS THIRD SEAT (SW) | | | | | | | | | | | | | | | | | | | | | | | | | |LS LIMITED SLIP REAR AXLE TP TOWING PKG | |Check: Additional__ Replacement X Law__ LtTrk __ MdTrk_X_ Pass__ | | | | | | | | | | | | | |PL POWER LOCKS VS VINYL SEAT | | | | | | | | | | | | | | | | | | | | | | | | | |PW POWER WINDOWS | |OLD FLEET # |OLD COMMODITY |NEW COMMODITY |NEW FLEET # |BH |CC |EW |EC |GA |GR |GRS |LS |PL |PW |RAH |SRW |SD |SL |SG |TS |TP |VS |DENY |APPR |DOA COMMENTS | |NR994638 |65360-450-65 |450-65 |NR034834 |X | | | | | | | |X |X | | | | |X | | | | | | | |NR983638 |65360-750-25 |750-35 |NR034200 |X |X | |X | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |

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