State of Washington



State of Washington

Current Contract Information

Issue Date: May 25, 2011

|Contract number: |06210(Replaces 05208) |Commodity code: |2310 |

|Contract title: |Vehicles, 2011/2012 Cargo Vans |

|Purpose: |Contract extension for model year 2012/2013 for vehicle Chevrolet Express |

|Term: |October 15, 2011 |through: |October 31, 2012 |

|Ordering Period: |October 15, 2010 Through March 31, 2012 or factory cutoff, whichever is later |

|For use by: |See Special Conditions #1 |

|Scope of contract |This contract is awarded to Two dealers |

|Contractor : |See Vehicle Price Sheets |

|Products available: |Cargo Van (Chevrolet Express) |

|Ordering information: |See page 2 |

|Ordering procedures: |See Special Conditions Number 2 |

|Special notes: |Vehicles may be ordered on the Internet at: |

|Related product contracts: |03009 Batteries, 09506 Vehicle Glass, 08805 Vehicle Partitions & Push Bumpers, 06609 Tire Chains, 00108 Tires, |

| |New, 01809 Automotive, Light Vehicle Parts & Supplies. 00311 Fuel. |

|Reference |Contract Amendment no. 1 signed by Bud Clary Chevrolet (John Slater) dated May 28, 2011. IFB 05410/06310, Bids |

| |Received September 14, 2010. |

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

|Contractor | |Order | |

|Administrator: |Breann Aggers |Placement: |Christine Schoepfer |

|Phone Number: |(360) 407-9416 |Phone Number: |(360) 407-9404 |

|Fax Number: |(360) 586-2426 |Fax Number: |(360) 586-2426 |

|Email: |Breann.aggers@des. |Email: |Christine.schoepfer@des. |

|Payment address: |See Vehicle Price Sheets |

|Order placement address: |See Special Conditions Note 2 |

|Delivery time: |See Vehicle Price Sheets |

|Payment terms: |See Vehicle Price Sheets |

|FOB Point |FOB Destination – Vehicle will be prepared for delivery and unless otherwise requested driven to purchaser’s in |

| |state location by Dealer’s agent at no additional cost. |

|Contract pricing: |See vehicle price sheets |

| | |

| |Payment for the total amount of the invoice is due and payable to the dealer within 30 days of delivery of vehicle. |

| |NOTE: PURCHASING ADMINISTRATIVE FEE IS NO LONGER INVOICED TO CUSTOMER |

|Contract Term worth: |$1,290,000. |

|Current participation: |$0.00 MBE |$0.00 WBE |$1,290,000. OTHER |$0.00 EXEMPT |

| |MBE 0% |WBE 0% |OTHER 100% |Exempt 0% |

|Recovered material : |None |

Notes:

I. This contract is subject to RCW 43.19.190(2) & RCW 43.19.1905(7): which authorizes state agencies to purchase materials, supplies, services, and equipment of equal quantity and quality to those on state contract from non-contract suppliers. Provided that an agency subsequently notifies the Contracts and Legal Services and the Contracts Specialist that the pricing is less costly for such goods or services than the price from the state contractor.

If the non-contract supplier's pricing is less, the state contractor shall be given the opportunity by the state agency to at least meet the non-contractor's price. If the state contractor cannot meet the price, then the state agency may purchase the item(s) from the non-contract supplier, document the transactions on the appropriate form developed by Contracts and Legal Services and forwarded to Contracts Specialist administering the state contract. (Reference General Authorities document)

If a lower price can be identified on a repeated basis, the state reserves the right to renegotiate the pricing structure of this agreement. In the event such negotiations fail, the state reserves the right to delete such item(s) from the contract.

II. Only authorized purchasers included in the State of Washington Purchasing Cooperative (WSPC) listings published and updated periodically by Contracts and Legal Services may purchase from this contract. A list of Washington members is available on the Internet at . Contractors shall not process state contract orders from other than the Contracts and Legal Services and the Contracts Specialist.

Special Conditions:

This contract contains the following model year 2011/2012 vehicles:

FOR USE BY

|Order Code |Vehicle Description |State Agencies (1) |PS/WA (2) |NPC/WA (3) |PS/OR (4) |

|2311-167-001 |High Roof/High MPG Cargo Van Mercedes-Benz Sprinter |Yes |Yes |Yes |No |

* Includes Option for Cargo Maxivan

1) State Agencies, Colleges & Universities

2) Political Subdivisions State of Washington

3) Non Profit Corporations State of Washington

4) Political Subdivisions State of Oregon

All current vehicle contracts may be viewed at

2. You may submit your orders via automated interactive requisition forms where you create your order on-line via the internet and transmit the requisition directly to OSP via e-mail. Templates for each vehicle classification are located at .

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

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

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

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

4. For information regarding lease/purchase financing through the State Treasurers Office, contact Wendy Kancianich at 1-360-902-9022. Information on their "LOCAL" funding program may be found on or for State Agencies.

5. For information regarding the sale or purchase of surplus vehicles contact the Commodity Redistribution Office at (253) 333-4900.

COPIES OF ALL OSP CONTRACTS ARE AVAILABLE FOR VIEWING, DOWNLOADING AND PRINTING AT OUR INTERNET WEB SITE AT (HELP DESK IS AT (360)-902-7459). FOR INFORMATION SPECIFIC TO VEHICLES VISIT OUR VEHICLE ACQUISITION TEAM (VAT) WEBSITE AT

Attachments

TO ORDER COMPLETE PRICE SHEETS AND SUBMIT WITH STATE FORM A-15A PURCHASE REQUISITION TO OFFICE OF STATE PROCUREMENT BEFORE MARCH 31, 2012. ONLINE ORDERS MAY BE PLACED AT . TO MINIMIZE PRODUCTION DELAYS ORDER AS EARLY AS POSSIBLE.  CARGO VAN

VEHICLE TYPE:  CARGO VAN, REGULAR WHEELBASE                        MAKE/MODEL:  CHEVROLET EXPRESS

EQUIPMENT INCLUDED IN NET PRICE

 

|-      Air Bags, Driver & Front Passenger |-      Electronic Stability Control System |

|- 135 inch WB, 224 Inch OL |- Set of Four Keys |

|-      8600# GVWR |- Closeable Glove Box |

|-      4.8 Liter, 8 cylinder FFV E85 or gas Engine (280hp)(1) |- Daytime Running Lights |

|-   600 CCA Battery, 105 AMP Alternator |-      Tinted Glass Windshield & Front Doors |

|-      Automatic Overdrive Transmission, 6 Speed |- HD Shocks/Springs (F & R), Front Stabilizer Bar |

|-      LT245/75R16E Steel Belted All Season Radial |- Maximum Factory Cooling (Trans, Eng Oil, Radiator) |

|Tires(2) |-       Power Brakes, 4 Wheel Antilock (Asbestos Free) |

|-      Full size Spare Tire & Wheel, Outside Mounted(underbody), Jack & Lug |-       Power Steering |

|Wrench |- Black outside manual below eye line mirrors |

|-      Air Conditioning(CFC Free) |-       Dual Rear Doors w/Inside Rear Door Release, Light Tinted |

|-      Auxiliary Power Source or Cigarette Lighter |Fixed Glass |

|-      Maximum Fuel Capacity (33 gal) |-       Sliding Right Side Door w/Light Tinted Fixed Glass |

|-      Intermittent Wipers |-       Rear Bumper |

|-      AM/FM Radio -     Vinyl Reclining Bucket Seats, Driver & Passenger |-       All Factory Standard Equipment including: |

|-      Driver Compartment Headliner, Door Panels, Rear Step Bumper, Floor Mat|Engine Cover Console |

|- Exterior Key Door Locks, Driver & Passenger |3.42:1 Rear Axle Ratio |

|Doors  |              3 year/36,000 Mile Warranty, Bumper to Bumper, |

| |5Yr/ 100,000 Mile Drivetrain |

| |Mercury Free Vehicle |

| |Lead Wheel Weights |

DEALER:   Bud Clary Chevrolet (W262)                  DEALER CONTACT:  John Slater or Katie Vincent              1030 Commerce Ave.                                   PHONE:                          1-800-899-1926

                   Longview, WA 98632                      EMAIL: jslater@

FEDERAL TAX ID NO.: 91-0699054

DELIVERY:   90-120 Days                                                 PAYMENT TERMS:    *$200 Discount Per Vehicle if Paid

Within 20 Days of Delivery, Net 30

NET PRICE:   Vehicle equipped as above, delivered to any point within the State of Washington, exclusive of Federal

Excise and before 8.2% State Sales Tax including .3% vehicle tax:

 

|ORDER CODE |VEHICLE DESCRIPTION |ORDER QTY |PRICE EACH |PRICE EXTENSION |

|2312-160-001 |Express Cargo Van, Regular Wheelbase, 2013 Chevrolet |  |  |  |

| |Express (CG23405) |                    |$17,371.00 * |$                    |

       

NO COST EXTERIOR COLORS:               INDICATE QUANTITY OF COLOR(S) SELECTED

White        , Red            , Black           .

(1) Capable of operating solely on Ethanol (E85), unleaded gasoline or a mixture of the two from the same tank.

(2) Tire Chain Compatible

|ORDER CODE |OPTION DESCRIPTION |ORDER QTY |PRICE EACH |PRICE EXTENSION |

|2312-160-010 |Credit for pickup from selling Dealer (Orders for Eastern WA, Area|  |$(50.00) |$ |

| |Code 509) (DLR) (Deduct)* | | | |

|2312-160-011 |Credit for pickup from selling Dealer (Orders for Western WA, Area|  |$(50.00) |  |

| |Codes 206, 253, 360, 425) (DLR) (Deduct)* | | | |

|2312-160-012 |Air Bags, Side Impact (ASF) | |$310.00 | |

|2312-160-013 |Air Conditioning, (Delete)(Deduct)(AJ3) | |$(150.00) | |

|2312-160-014 |Air Conditioning, Rear (Includes 2312-160-018, 145 Amp Alt. & | |$756.00 | |

| |2312-160-057 Rear heat) (C69) | | | |

|2312-160-015 |Alternative Engine, 6.0 FFV Liter V8 Gas (L96) (not available with| |$875.00 | |

| |2312-160-055 All Wheel Drive Model) | | | |

|2312-160-016 |Alternative Engine, 6.6 Liter V8 Diesel (ISD) | |$11,155.00 | |

|2312-160-017 |Alternative Seat Trim, Cloth Instead of Vinyl, Include inboard | |$21.00 | |

| |armrest (AS5) | | | |

|2312-160-018 |Alternator, HD 145AMP (KG3) | |$66.00 | |

|2312-160-019 |Backup Alarm, Electric, 97 dba Min.(853) |  |$85.00 |  |

|2312-160-020 |Battery, Auxiliary HD 770 CCA (only available with 2312-160-016, | |$53.00 | |

| |Diesel) (UA1) | | | |

|2312-160-021 |Cruise Control, includes Tilt Steering (ZQ3) |  |$348.00 | |

|2312-160-022 |Defroster, Electric Rear Window Includes Deep Tint Swing Out | |$517.00 | |

| |Glass(C49) | | | |

|2312-160-023 |Differential Limited Slip (3.42 ratios for gas engine, 3.54 ratios| |$280.00 |  |

| |for diesel engine)(G80) | | | |

|2312-160-024 |Doors, Left Side, Hinged/Swing Out w/Vented/Flip-out Glass | |$590.00 | |

| |Requires Swing Out Passenger Side Door, includes 2312-160-043, | | | |

| |(not available with 2312-160-036, Extended Length Van and | | | |

| |2312-160-049, GVWR MAXI) (E26) | | | |

|2312-160-025 |Floor Mats, cargo Area (B31) | |$80.00 |  |

|2312-160-026 |Heater Engine Block (KO5) | |$66.00 | |

|2312-160-027 |Keys, Set of 2 Instead of 4 (5H1) (DLR)* (Deduct) |  |$(35.00) | |

|2312-160-028 |Mirrors, Tow Alternative, Black heated power w/turn signal, | |$102.00 |  |

| |requires PDN upgrade from PDN mirrors (DE5) | | | |

|2312-160-029 |Power Group (Power Door Locks, Windows, Power Mirrors, Heated | |$405.00 | |

| |Mirrors) (PDN) | | | |

|2312-160-030 |Screen, Full width Protective Metal mesh w/ Center Door (Adrian | |$525.00 | |

| |S1-M2-C2) | | | |

|2312-160-031 |Spotlight 6 inch Clear Lens, Pillar Mounted, Left (DLR) * | |$395.00 |  |

|2312-160-032 |Factory trailering package which includes 7 pin wiring (Z82)   |  |$233.20 | |

|ORDER CODE |OPTION DESCRIPTION |ORDER QTY |PRICE EACH |PRICE EXTENSION |

|2312-160-033 |Warranty, Delayed Start (DLR)* |  |$0.00 | |

|2312-160-034 |Windows All Around, Tinted Fixed Glass, Rear Door Windows, Side |  |$168.00 |$ |

| |Cargo Door Window(s); Tinted Fixed Glass, Right Rear Quarter | | | |

| |Window, and Left Front and Rear Quarter Windows (ZW6) | | | |

|2312-160-035 |Tilt Steering Wheel (9J6) | |$131.00 | |

|2312-160-036 |Extended Length Van, Maxi Van, 230 inch, 155” WB, 4300# Front | |$2,000.00 | |

| |Axle, 6084 Rear Axle, 8600#GVWR (Side cargo door not available) | | | |

| |(CG23705) | | | |

|2312-160-037 |Manufacturer to Dealer Order Acknowledgement Document Faxed to | |$0.00 | |

| |Customer (DLR)* | | | |

|2312-160-038 |Privacy Glass (when ordered w/ Windows all around) (AJ1) | |$388.00 |  |

|2312-160-039 |Window and Door Option, Delete Side Door Glass, Sliding Side or | |$(70.00) |  |

| |Hinged Swinging Doors (deduct) (ZW2) | | | |

|2312-160-040 |Window and Door Option, Hinged Swinging Side Doors instead of | |$(125.00) |  |

| |Sliding Side Door, Tinted Fixed Glass (E24) (deduct) | | | |

|2312-160-041 |Window and Door Option, Delete Rear and Side Door Glass (NA with | |$(110.00) |  |

| |other options) (deduct) (ZW9) | | | |

|2312-160-042 |Window & Door Option, Vented/Flip-out Rear Door Tinted Glass(Dual | |$71.00 | |

| |or Single Doors) Instead of Fixed Glass (A18) | | | |

|2312-160-043 |Window & Door Option, Vented/Flip-out Side Door Tinted Glass | |$141.00 | |

| |(Sliding or Hinged) Instead of Fixed Glass, (includes option | | | |

| |2312-160-042, Window and Door Option) (A19) | | | |

|2312-160-044 |Fire Extinguisher, 2.5# Dry Chemical ABC Rated w/ mounting | |$30.00 | |

| |Bracket, Delivered w/ Vehicle uninstalled (DLR)* | | | |

|2312-160-045 |Flare Kit, 3 Piece Triangle w/storage box for roadside emergency | |$35.00 | |

| |use delivered w/vehicle, uninstalled (OEM 5H6) (DLR)* | | | |

|2312-160-046 |Stock Vehicle Upcharge, Dealer Stock Vehicle w/all contract | |$250.00 |  |

| |required equipment (call Dealer for availability)(No other factory| | | |

| |options available) (Delivery within 7 days when available) (DLR)* | | | |

|2312-160-047 |GVWR Decrease 7300# Include 4.3 Liter V6 Engine (CG13405) (not | |$(500.00) |  |

| |available with 2312-160-055 All Wheel Drive Model) | | | |

|ORDER CODE |OPTION DESCRIPTION |ORDER QTY |PRICE EACH |PRICE EXTENSION |

|2312-160-048 |GVWR Package, Maximum (Non Maxi) 9600#, 4300# front axle, 6084# | |$3,000.00 |  $ |

| |rear axle (CG33405) | | | |

|2312-160-049 |GVWR (MAXI) 9600# (155" WB, 4300# Front Axle, 6084# Rear Axles) | |$3,800.00 |  |

| |(not available with 2312-160-024, left hand side cargo | | | |

| |Door)(CG33705) | | | |

|2312-160-050 |Insulation Package (Complete Wall, Side & Rear Door Panels, | |$2,400.00 | |

| |Headliner, Floor Mats, Polyliner Interior w/E Track Strips)(Adrian| | | |

| |3056G) | | | |

|2312-160-051 |Para transit Mobility (6.0 Engine, 770 Battery, 145 Amp Alt., Full| |$1,000.00 | |

| |Body) (Door trim panels, incomplete vehicle document) Glass, Floor| | | |

| |Covering (Y3H) | | | |

|2312-160-052 |Racks & Bins Package (Includes Full Partion, see Adrian 4136G Base| |$1,950.00 | |

| |Package, Rubber Floor Mats)(Adrian 4316G) | | | |

|2312-160-053 |Screen, Protective Metal mesh behind Driver Only (Adrian) | |$325.00 | |

|2312-160-054 |Trailer Hitch Receiver, Class IV (no wiring hitch only)(DLR) | |$225.00 | |

|2312-160-055 |All Wheel Drive Model (#7300 GVWR)(CH13405) | |$5,800.00 | |

|2312-160-056 |Heater, Auxiliary Rear Includes Rear Air(C36) | |$756.00 | |

|2312-160-057 |Trim Panels, Cargo Doors (Installed)(PPV) | |$84.00 | |

|2312-160-058 |Fuel operated auxiliary heat generator (K08) (requires | |$770.00 | |

| |2312-160-014 Air Conditioning, Rear) | | | |

| | | |  | |

| | | |SUBTOTAL | |

| | | |  | |

| | | |+8.2% SST | |

| | | |  | |

| | | |TOTAL | |

CONTACT DEALER FOR OTHER AVAILABLE INTERIOR UPFIT OPTIONS.

CONTRACTS AND LEGAL SERVICES

PERFORMANCE REPORT

To OSP Customers:

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

|Procurement services provided: |Excellent |Good |Acceptable |Unacceptable |

|Timeliness of contract actions | | | | |

|Professionalism and courtesy of staff | | | | |

|Services provided met customer needs | | | | |

|Knowledge of procurement rules and regulations | | | | |

|Responsiveness/problem resolution | | | | |

|Timely and effective communications | | | | |

Comments:

Agency: Prepared by:

Title:

Contract No.: 06210 Date:

Contract Title: Vehicles, 2011 Cargo Vans Phone:

Send to: Chief Procurement Officer

Contracts and Legal Services

PO Box 41017

Olympia, Washington 98504-1011

PRODUCT/SERVICE PERFORMANCE REPORT

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

Contract number and title: 06210 Vehicles, 2011 Cargo Vans

Supplier’s name: Supplier’s representative:

|PRODUCT/SERVICE: |

| |Contract item quality higher than required | |Damaged goods delivered |

| |Contract item quality lower than required. | |Item delivered does not meet P.O./contract specifications |

| |Other: | | |

|SUPPLIER/CONTRACTOR PERFORMANCE: |

| |Late delivery | |Slow response to problems and problem resolution |

| |Incorrect invoice pricing. | |Superior performance |

| |Other: | | |

|CONTRACT PROVISIONS: |

| |Terms and conditions inadequate | |Additional items or services are required. |

| |Specifications need to be revised | |Minimum order too high. |

| |Other: | | |

Briefly describe situation:

|Agency Name: |Delivery Location: |

|Prepared By: |Phone Number: |Date: |Supervisor: |

| | | | |

Send To:

Breann Aggers

CONTRACT SPECIALIST

CONTRACTS AND LEGAL SERVICES

PO BOX 41017

OLYMPIA WA 98504-1011

Vehicle Contract Ordering Procedures (Non Automated)

NOTE: For internet subscribers, with E-Mail capability, an automated on line requisition form for each vehicle classification is at web site “”.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

(11) Body of Requisition - Organization delivery contact person and phone numbers for the dealer to coordinate delivery. Indicate receiving hours/ days contact person is available. Note: The Department of Licensing now requires a street address, not a PO Box for the registered owner’s address.

(12) Body of Requisition - Identify Organization name/ address for title application (Legal & registered owner) exactly as you want it to appear on the title.

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

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

Once completed, you may mail your requisition and price sheet/ order form to the address in the upper right corner of the form or, preferably, fax it to (360) 586-2426 (to avoid possible duplication of your faxed order, please do not send a confirming hard copy). After processing, the Office of State Procurement (OSP) will transmit a copy of the State Purchase Order for your vehicle(s) at the same time the dealer is sent their copy. Remember, a confirming hard copy will not be mailed. (When received, please check your order for any errors or duplication of any previous order. Advise this office of any errors or discrepancies immediately.) If you do not receive your order back within 3 days, notify this office at (360) 902-7193.

After the purchase order is issued completion of the order is the responsibility of the dealer and yourself. Please do not, however, unnecessarily contact the dealer during the delivery time period. Also, if you have a requirement for general information or equipment changes please contact this office. In case of a late delivery exceeding 14 calendar days, contact both the dealer and this office. The dealers have been instructed to notify customers via email or fax, of any delay beyond the purchase order due date.

Upon delivery, your payment is to be made directly to the dealer within 30 days of receipt/ acceptance of the vehicle(s). (If you are able to pay even sooner after delivery you may be able to reduce the price of your vehicle as some of our dealers have a Prompt Payment Discount.) It is important that payment be made within the 30-day time period as the dealers must pay significant interest charges for financing vehicles. The number of firms bidding and bid prices received in the future will be directly related to the timeliness of your payments on this contract. Additionally, the contract has a provision for a 1% late payment penalty.

|FORM |[pic] | |SUBMIT TO: |DEPARTMENT OF GENERAL ADMINISTRATION |

|A15-A | |STATE OF WASHINGTON | |OFFICE OF STATE PROCUREMENT |

|(REV 5/93) | |PURCHASE REQUISITION | |Room 201, General Administration Building |

| | | | |PO Box 41017 |

| | | | |Olympia, Washington 98504-1017 |

|ORDERING AGENCY NAME |AGENCY NO. |LOCATION |MAIL STOP |DATE ORDERED |DATE NEEDED |REQUISITION NO. |

| | | | |MO DAY YR |MO DAY YR | |

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

| |CONTACT | PERSON |(6) |FAX: | |PHONE: |

|SHIP GOODS TO: |AGENCY | |MAIL |MAIL INVOICES TO: |COPIES |AGENCY | |MAIL |

| |NO. |LOCATION |STOP | |REQD. |NO. |LOCATION |STOP |

|(7) | | | |(8) | | | | |

| | | | | | | | | |

| | | | | | | | | |

|REQ. |ORDER | | | |ESTIMATED |

|ITEM NO. |CODE |DESCRIPTION |QUANTITY |UNIT | |

| | | | | |UNIT PRICE |

| | | | | |TOTAL COST |

| | |2009 STATE VEHICLE CONTRACT ORDER PER THE ATTACHED CONTRACT PRICE SHEETS/ORDER FORM | | | |

| | | | | | |

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

| |(9) | | | | |

| | |EMAIL STATE PO TO | | | |

| | | | | | |

| |(10) |DELIVERY CONTACT PERSON: | | | |

| | | | | | |

| |(11) |TELEPHONE# ( ) | | | |

| | |Fax # ( ) | | | |

| | |RECEIVING HOURS/DAY | | | |

(12)

|ORGANIZATION NAME/ ADDRESS FOR THE TITLE APPLICATION “LEGAL OWNER” |ORGANIZATION NAME/ ADDRESS FOR THE TITLE APPLICATION “Registered OWNER” (STREET |

| |ADDRESS ONLY) |

CONTINUED

|IDENTIFY PREVIOUS REQUISITIONS FOR |NAME OF AUTHORIZING OFFICIAL |I hereby certify that the goods or services requested are |

|ITEMS ABOVE | |necessary for the work and transaction of business of this |

| | |agency |

| | | |

| | |(SIGNATURE) |

| |(Type or | |(13) |

| |Print) | | |

|1. DATE/REQ. NO. |TITLE | | |

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

| | | | | | |TAX | |

| | |M |FUND |

|REF |TRANS |O | |

|DOC |CODE |D | |

|SUF | | | |

SAMPLE

TO ORDER COMPLETE PRICE SHEETS AND SUBMIT WITH STATE FORM A-15A PURCHASE REQUISITION TO OFFICE OF STATE PROCUREMENT BEFORE MARCH 31, 2007. ONLINE ORDERS MAY BE PLACED AT . TO MINIMIZE PRODUCTION DELAYS ORDER AS EARLY AS POSSIBLE.

TRUCK

16,000# GVWR REGULAR CAB & CHASSIS (4X4)

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

EQUIPMENT INCLUDED IN NET PRICE

|- 165” Wheelbase, 84” CA regular Cab & Chassis (No Bed) |- Backup Alarm, Electric * |

|- 16,000# GVWR, dual rear wheels |- Telescoping trailer tow mirrors |

|6.8 liter, 10 cylinder gas engine |- Headliner, door trim panels, vinyl floor covering |

|Air Conditioning |- Maximum cooling-radiator, engine oil, transmission |

|Air bags, driver’s and Passenger side w/passenger deactivation switch |- AM/FM radio w/clock |

|Automatic electronic overdrive transmission |- Power steering |

|Manual Shift Transfer Case |- 115 AMP alternator |

|- LT 225/70R19.5G All terrain rear, All season front,tires(1) |750 CCA battery |

|- Matching spare tire and wheel mounted on frame |- Auxiliary power source |

|- Skid Plate Package (413/DLR* on Reg Cab) |- Oil Pressure, Coolant and Automatic Trans. Temp Gauges |

|- Hydraulic bottle jack, lug wrench |- 40 gallon fuel capacity, aft axle tank |

|- HD power brakes, four wheel anti lock, disc |- Light Tinted glass all around |

|- HD shocks, springs, front & rear stabilizer bars |- All factory standard equipment including: |

|- Intermittent wipers |4.88:1 rear axle ratio as equipped |

|- Dome Light, Dual Maplights |Engine Hour Meter |

|Vinyl bench seat w/head restraints & recline |Inside Hood Release |

|- Set of Four Keys |Tachometer |

| |Upfitter Electric Switches |

| |Front Tow Hooks |

| |3 yr/36,000 mile warranty, 5Yr/60,000 Mile |

| |Powertrain, owner’s manual |

| |Mercury Free Vehicle |

DEALER: COLUMBIA FORD (W403) DEALER CONTACT: Marie Tellinghiusen or Steve Sari

700 7th AVE PHONE: 360-423-4321

Longview, WA 98632 EMAIL: marie@

FEDERAL ID#: 91-0650166

DELIVERY: 120 Days PAYMENT TERMS: $200 Discount Per Vehicle if Paid

Within 20 Days of Delivery (1)

NET PRICE: Vehicle equipped as above, delivered to any point within the State of Washington, exclusive of Federal Excise and before 8.0% sales tax including a .3% vehicle tax

|ORDER CODE |VEHICLE DESCRIPTION |ORDER QTY |PRICE EACH |PRICE EXTENSION |

|2318-136-001 |Truck, 16,000# GVWR HD Regular Cab & Chassis, (4x4) 2008 | | | |

| |Ford Super Duty F450 XL (F47/650A) |2 |$26,515.00 * |$ 53,030.00 |

NO COST EXTERIOR COLORS: INDICATE QUANTITY OF COLOR(S) SELECTED Oxford White 2 ,

Pueblo Gold , Black ____, Dark Shadow Grey , Dark Stone , Dark Blue Pearl ____, Silver , Red _____,

Forest Green______, School Bus Yellow_____.

(1) Tire Chain Compatible

|ORDER CODE |OPTION DESCRIPTION |ORDER QTY |PRICE EACH |PRICE EXTENSION |

|2318-136-010 |Credit for pickup from Dealer (May Require Mud Flaps and Trip | |$(135.00) |$ |

| |Permit) (Orders for Eastern WA) (DLR) (DEDUCT) * | | | |

|2318-136-011 |Credit for pickup from Dealer (May Require Mud Flaps and Trip | |$(60.00) | |

| |Permit) (Orders for Western WA) (DLR) (DEDUCT)* | | | |

|2318-136-012 |Air Conditioning (Delete) (D572)(Deduct) | |$(680.00) | |

|2318-136-013 |Alternative Diesel Engine, 6.4 Liter 8 Cylinder (Includes Dual | |$5,265.00 | |

| |750 CCA Batteries, 135 Amp Alternator, Engine block | | | |

| |heater)(99R/44B/41H) | | | |

|2318-136-014 |Alternative Wheelbase/Cab to Axle (141 inch WB, 60 inch | |$(166.00) | |

| |/CA)(Not avail w/ Extended or Crew Cab) (141WB) (DEDUCT) | | | |

|2318-136-015 |Alternative Wheelbase/Cab to Axle (189 inch WB, 108 inchCA)(Not|2 |$109.00 |218.00 |

| |avail w/ Extended or Crew Cab) (189WB) | | | |

|2318-136-016 |Alternative Wheelbase/Cab to Axle (201 inch WB, 120 inch | |$169.00 | |

| |CA)(Not avail w/ Extended or Crew Cab) (201WB) (DBUA) | | | |

|2318-136-017 |Alternators, Dual w/Diesel Engine, 320 Amp (67A) | |$315.00 | |

|2318-136-018 |Back up alarm Delete (DBUA)(Deduct)* | |$(44.00) | |

|2318-136-019 |Cab & Chassis, Crew Cab (176 inch WB, 60 inch CA) (16,000# | |$2,867.00 | |

| |GVWR) (W47/650A/176WB/41P) | | | |

|2318-136-020 |Cab & Chassis, Crew Cab (200 inch WB, 84 inch CA)(16,000# GVWR)| |$3,002.00 | |

| |(W47/650A/200WB/41P) | | | |

|2318-136-021 |Cab & Chassis, Extended Cab w/ Rear Bench Seat (162 inch WB, 60| |$1,793.00 | |

| |inch CA) (16,000# GVWR) (X47/650A/162WB/41P) | | | |

|2318-136-022 |Cruise Control/Tilt Steering Wheel (525/524) | |$320.00 | |

|2318-136-023 |Daytime Running Lights (942) | |$37.00 | |

|2318-136-024 |Differential, Limited Slip (X4L/X8L/X5L) | |$299.00 | |

|2318-136-025 |Fuel Capacity Decreased (19 Ga. Midship) (Deduct) (65M) | |$(92.00) | |

|2318-136-026 |Heater, Engine Block (included w/Diesel) (41H) | |$29.00 | |

|2318-136-027 |Keys, Set of 2 Instead of 4 (DLR)* (Deduct) | |$(4.00) | |

|2318-136-028 |Manual, Service, Paper (DLR)* | |$238.00 | |

|2318-136-029 |Manual, Service, CD (DLR)* | |$241.00 | |

|2318-136-030 |Power Group (Windows, Door Locks, Heated Mirrors)(Not avail w/ | |$440.00 | |

| |2318-136-012) (90L) | | | |

|2318-136-031 |Power Group w/ Crew Cab (90L) |2 |$585.00 |1,170.00 |

|2318-136-032 |PTO Provision (inc. w/Man. Transmission) (62R) | |$208.00 | |

|2318-136-033 |Rear Axle Ratio 5.38:1 Gas, 4.30:1 Diesel(X53/X43) | |$42.00 | |

|2318-136-034 |Snow Plow Package, Power Up & Angle (9 Foot Western | |$6369.00 | |

| |Proplus)(473/WN/1UTPP90) | | | |

|2318-136-035 |Spare Tire & Wheel Delete , (w/o Jack or Lug wrench) (D512) | |$(280.00) | |

| |(Deduct) | | | |

|ORDER CODE |OPTION DESCRIPTION |ORDER QTY |PRICE EACH |PRICE EXTENSION |

|2318-136-036 |Spotlight, 6 inch, Clear Lens, Door mounted, Left (DLR)* | |$337.00 |$ |

|2318-136-037 |Towing Prep Pkg (Trailer Brake wiring kit) (Trailer Brake Not | |$129.00 | |

| |Included) (Not Avail w/2318-136-058) (531) | | | |

|2318-136-038 |Transfer Case, Electronic Shift (Auto-manual locking hubs & | |$154.00 | |

| |rotary control on instrument panel)(213/TTV) | | | |

|2318-136-039 |Transmission 6 Speed Manual(Includes | |$(1,192.00) | |

| |2318-136-032)(445/447)(Deduct) | | | |

|2318-136-040 |Undercoating (DLR)* | |$127.00 | |

|2318-136-041 |Warranty, Delayed Start () (DWS)* |2 |$0.00 |0.00 |

|2318-136-042 |Window, Sliding Rear (433) | |$104.00 | |

|2318-136-043 |Manufacturer to Dealer Order Acknowledgement Document Faxed to | |$0.00 | |

| |Customer (DLR)* | | | |

|2318-136-044 |Tires, All Season Tread Instead of All Terrain (set 7) (Deduct)| |$(200.00) | |

| |(TFB) | | | |

|2318-136-045 |Tires, All Position Michelin XZE (on road application)(set | |$48.00 | |

| |7)(TVB) | | | |

|2318-136-046 |Tires, Max Traction (Not recommended for over the road | |$(28.00) | |

| |application)(Set 6)(TGB)(Deduct) | | | |

|2318-136-047 |Seat Trim , HD Cloth Full Bench w/recline (Reg & Ext Cab)(TTC) | |$133.00 | |

|2318-136-048 |Seat Trim , HD Cloth Full Bench w/recline (Crew Cab)(TTC) | |$216.00 | |

|2318-136-049 |Seat Trim, HD Vinyl Buckets (include console)(TTJ) | |$295.00 | |

|2318-136-050 |Seat Trim, HD Cloth Buckets (inc.floor console)(Reg & Ext | |$427.00 | |

| |Cab)(TTG) | | | |

|2318-136-051 |Seat Trim, HD Cloth Buckets (inc.floor console)(Crew Cab)(TTG) | |$510.00 | |

|2318-136-052 |Seat Trim, Vinyl 40/20/40 Split Bench (TTT) | |$332.00 | |

|2318-136-053 |Seat Trim, Cloth 40/20/40 Split Bench (Reg & Ext Cab)(TT3) | |$353.00 | |

|2318-136-054 |Seat Trim, Cloth 40/20/40 Split Bench (Crew Cab)(TT3) | |$593.00 | |

|2318-136-055 |Rapid Heat Supplemental Cab Heater (req.diesel & air | |$208.00 | |

| |conditioning)(41A) | | | |

|2318-136-056 |Fuel Tanks, Dual Diesel (59 Gal)(65C) | |$506.00 | |

|2318-136-057 |SecuriLock Anti-theft Ignition (inc. programmed PATS keys) | |$92.00 | |

| |(52P) | | | |

|2318-136-058 |Tow Command Intergrated Brake Controller (verified to be | |$191.00 | |

| |compatiable w/electricactuated drum brakes (one to four axles) | | | |

| |and not hydraulic surge or electric-over hydraulic types)(52B) | | | |

|2318-136-059 |Traction Control (60T) | |$108.00 | |

|2318-136-060 |Am/Fm/Single CD/MP3 Player/Clock/4 Speakers (585) | |$228.00 | |

|ORDER CODE |OPTION DESCRIPTION |ORDER QTY |PRICE EACH |PRICE EXTENSION |

|2318-136-061 |Heavy Service Suspension Package (400-500# increase) (not | |$104.00 |$ |

| |avail w/ 2318-136-062)(67H) | | | |

|2318-136-062 |Extra Heavy Service Suspension Package (800-1000# increase) | |$104.00 | |

| |(not avail w/ 2318-136-061) (67X) | | | |

|2318-136-063 |Low Deflection Package (for rear-biased loading, such as | |$91.00 | |

| |wrecker/retriever applications)(inc. 2-inch spacer blocks)(not| | | |

| |avail w/ 2318-136-014)(86S) | | | |

|2318-136-064 |Trailer Tow Package- High capacity (req. diesel and 4.88 | |$291.00 | |

| |Limited slip)(inc. aftermarket trailer brake wiring kit unless| | | |

| |Tow Command Brake Controller is ordered, upgraded rear | | | |

| |axle)(increases GCWR to 28,000# w/manual trans or 30,000# | | | |

| |w/automatic trans)(535) | | | |

|2318-136-065 |Stakeside Bed, 14 Foot, 108”-120” CA(inc. 40” Bulkhead, | |$4,388.00 | |

| |Stakesides and Liftout Rear Section, Pine Decking)(Rugged | | | |

| |American AMC-HD146-WOOD)* | | | |

|2318-136-066 |Stakeside Bed, 12 Foot, 84” CA(inc. 40” Bulkhead, Stakesides | |$4,287.00 | |

| |and Liftout Rear Section, Pine Decking)(Rugged American | | | |

| |AMC-HD126-WOOD)* | | | |

|2318-136-067 |Stakeside Bed, 9 Foot, 56”-60” CA(inc. 40” Bulkhead, | |$3,932.00 | |

| |Stakesides and Liftout Rear Section, Pine Decking)(Rugged | | | |

| |American AMC-HD096-WOOD)* | | | |

|2318-136-068 |Platform Bed, 14 Foot, 108”-120” CA(inc. 40” Bulkhead, Pine | |$3,100.00 | |

| |Decking)(Rugged American AMC-HD146-WOOD)* | | | |

|2318-136-069 |Platform Bed, 12 Foot, 84” CA(inc. 40” Bulkhead, Pine | |$3,000.00 | |

| |Decking)(Rugged American AMC-HD126-WOOD)* | | | |

|2318-136-070 |Platform Bed, 9 Foot, 56”-60” CA(inc. 40” Bulkhead, Pine | |$2,800.00 | |

| |Decking)(Rugged American AMC-HD096-WOOD)* | | | |

|2318-136-071 |Stakeside/Platform Bed Hoist, Electric/Hydraulic Single Acting| |$2,860.00 | |

| |Hoist (Includes 9-11 ton capacity)(9’-14’ 16K GVW or larger | | | |

| |Chassis Cab Applications)(Crysteel LB510SE)* | | | |

|2318-136-072 |Fire Extinguisher, 2.5# Dry Chemical ABC Rated w/ mounting | |$30.00 | |

| |Bracket, Delivered w/ Vehicle uninstalled (DLR)* | | | |

|2318-136-073 |Skid Plate Pkg Delete (DLR)(Deduct)* | |$(83.00) | |

| | | |SUBTOTAL |54,418.00 |

| | | |8.0% SST |4353.44 |

| | | |TOTAL |58,771.44 |

| |[pic] | |SUBMIT TO:|DEPARTMENT OF ENTERPRISE SERVICES |

|FORM | |STATE OF WASHINGTON | |CONTRACTS AND LEGAL SERVICES |

|A15-A | |PURCHASE REQUISITION | |1500 Jefferson Street SE |

|(DRAFT 6/06) | | | |PO Box 41017 |

| | | | |Olympia, Washington 98504-1011 |

|ORDERING AGENCY NAME: |AGENCY NO. |LOCATION |MAIL STOP |DATE ORDERED |DATE NEEDED |REQUISITION NO. |

| | | | |MO DAY YR |MO DAY YR | |

|      |CONTACT PERSON |EMAIL ADDRESS |PHONE NUMBER |

|      |      |      |      |

|SHIP GOODS TO: |AGENCY | |MAIL |MAIL INVOICES TO: |COPIES |AGENCY | |MAIL |

| |NO. |LOCATION |STOP | |REQD. |NO. |LOCATION |STOP |

|      |      |

|      |      |

|REQ. |COMMODITY | | | |ESTIMATED |

|ITEM NO. |CODE |DESCRIPTION |QUANTITY |UNIT | |

| | | | | |UNIT PRICE |TOTAL COST |

| | | | | |Total |      |

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

| |Required” |

|IDENTIFY PREVIOUS |NAME OF AUTHORIZING OFFICIAL |I hereby certify that the goods or services requested |

|REQUISITIONS FOR | |are necessary for the work and transaction of |

|ITEMS ABOVE | |business of this agency |

| | | |

| | |(SIGNATURE) |

| |(Type or | | |

| |Print) | | |

|1. DATE/REQ. NO. |TITLE | | |

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

| | | | | | |TAX | |

|REF |TRANS |M |FUND |

|DOC |CODE |O | |

|SUF | |D | |

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download