Current Contract Information Form - Washington



State of Washington

Current Contract Information

Issue Date: July 11, 2011

|Contract number: |05109 (Replaces 05108) |Commodity code: |2310 |

|Contract title: |Vehicles, 2011/2012 Cab & Chassis Trucks |

|Purpose: |Partial contract extension for Model Year 2012 for vehicle Ford F350, F450 and F550 |

|Term: |March 2, 2010 |through: |March 31, 2011 |

|Ordering Period: |March 2, 2010 Through March 31, 2011 or Factory Cutoff, whichever is later |

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

|Scope of contract |This contract is awarded to one dealer. |

|Contractor : |See Vehicle Price Sheets | | |

|Products available: |Ford Cab & Chassis Trucks (2WD) & (4WD) Regular, Extended, Crew Cabs |

|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: |05308 Batteries, 09506 Vehicle Glass, 08805 Partitions & Push Bumpers, 13303 Tire Chains, 00108 Tires, New, |

| |01809 Automotive, Light Vehicle Parts & Supplies 08806 Various Cab & Chassis, 12304 Dump Bodies, 07705 Fuel |

|Reference |IFB 05109, Bids Received February 9, 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 Administration: | | | |

| |Breann Aggers |Order 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@ga. |Email: |Christine.schoepfer@ga. |

Visit our Internet site:

|Payment address: |See Vehicle Price Sheets |

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

|Minimum orders: |One Vehicle |

|Delivery time: |See Vehicle Price Sheets |

|Payment terms: |See Vehicle Price Sheets |

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

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

|Contract pricing: |See vehicle price pages |

| | |

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

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

|Term worth: |$3,500,000.00 |

|Current participation: |$0.00 MBE |$0.00 WBE |$3,500,000.00 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 Office of State Procurement (OSP) Contract Administrator that the pricing is less costly for such goods or services than the price from the state contractor.

If the non-contract supplier's pricing is less, the state contractor shall be given the opportunity by the state agency to at least meet the non-contractor's price. If the state contractor cannot meet the price, then the state agency may purchase the item(s) from the non-contract supplier, document the transactions on the appropriate form developed by OSP and forward to the Contract Administrator. (Reference Washington Purchasing Manual)

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

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

Special Conditions:

1. This contract contains the following 2011/2012 vehicles:

FOR USE BY

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

| | |(1) | | | |

|2310-133-001 |16,500# GVWR Regular Cab & Chassis (2WD) Ford F450 |Yes |Yes |Yes |No |

|2310-134-001 |19,500# GVWR Regular Cab & Chassis (2WD) Ford F550 |Yes |Yes |Yes |No |

|2310-135-001 |13,000# GVWR Regular Cab & Chassis |Yes |Yes |Yes |No |

| |(4WD) Ford F350 | | | | |

|2310-136-001 |16,500# GVWR Regular Cab & Chassis (4WD) Ford F450 |Yes |Yes |Yes |No |

|2310-137-001 |18,000# GVWR Regular Cab & Chassis (4WD) Ford F550 |Yes |Yes |Yes |No |

After October 31, 2011 the vehicles will no longer be available on contract and will be re-bid.

1) State Agencies, Colleges & Universities

2) Political Subdivisions State of Washington

3) Non Profit Corporations State of Washington

4) Political Subdivisions State of Oregon

NOTE: Extended and Crew Cab Models May be Found under the Option Price Sheets for Each Category Above.

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, with a Form A-15A Purchase Requisition, to the Office of State Procurement for processing. Please make sure you have the most recent contract document prior to ordering as changes may be made at any time.

Users are strongly advised to order as soon as possible due to restrictions on plant capacity and fleet allocations. All orders need to be processed through the Office of State Procurement before March 31, 2011 to assure production. If your purchase order is not received back within 3 days, call (360) 902-7400.

State Purchase Orders will be created and transmitted by the OSP to the Dealer and Customer via Vehicle Rapid Online Ordering Messaging (VROOM) System emails. Emails will be sent from ospvehicles@ga. 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 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)-902-7400). FOR INFORMATION SPECIFIC TO VEHICLES VISIT OUR VEHICLE ACQUISITION TEAM (VAT) WEBSITE AT

Attachments

ONLINE ORDERS MAY BE PLACED AT . TO MINIMIZE PRODUCTION DELAYS ORDER AS EARLY AS POSSIBLE, BEFORE MARCH 31, 2011.

TRUCK

13,000# GVWR REGULAR CAB & CHASSIS (2WD)

VEHICLE TYPE: 13,000# GVWR REGULAR CAB & CHASSIS (2WD) MAKE/MODEL: FORD SUPER DUTY F350XL

EQUIPMENT INCLUDED IN NET PRICE

|- 13,300# GVWR, dual rear wheels |- Non Metallic Headliner, door trim panels, vinyl floor covering |

|- Air Bags, Driver and Passenger Side w/Passenger deactivation switch |- Maximum cooling-radiator, engine oil, transmission |

|- 141” Wheelbase, 60” CA regular Cab & Chassis (No Bed) |- AM/FM radio w/clock |

|- 6.2 liter, V8 cylinder gas engine, FFV |- Power steering |

|- Air Conditioning (CFC Free) |- 155 AMP alternator |

|- Automatic electronic overdrive transmission |- 650 CCA battery |

|- LT 245/75R17E all season radial tires(1) |- Auxiliary power source |

|- Fullsize spare tire and wheel mounted on rear frame |- Oil Pressure, Coolant and Automatic Trans Temp Gauges |

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

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

|(Asbestos Free) |- All factory standard equipment including: |

|- HD shocks, springs, front & rear |3.73:1 rear axle ratio as equipped |

|- Intermittent wipers |Front Tow Hooks |

|- Dome Light, Dual Map Lights |Tilt Steering Wheel |

|- Vinyl 40/20/40, bench seat w/head restraints & recline |Tachometer |

|- Set of Four Keys(Exterior key door on driver & passenger doors) |Upfitter Switches, Electric (4) |

|- Back up Alarm, Electric* |3 yr/36,000 mile w/ 5Yr/60,000 Powertrain |

|- Manually telescoping trailer tow mirrors w/power heated glass & integrated |(Diesel 5 yr/100,000 engine) |

|clearance lamps & turn signals |Owner’s manual |

|- Power Windows, Door Locks, Mirrors (90L/54K) | |

| |Mercury Free Vehicle |

| |Lead Free Wheel Weights |

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

700 7th AVE PHONE: 360-423-4321

Longview, WA 98632 EMAIL: mariet@

FEDERAL ID#: 91-0650166

DELIVERY: 60-120 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% sales tax including a .3% vehicle tax

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

|2310-130-001 |Truck, 13,000# GVWR HD Regular Cab & Chassis, (2WD) 2012 | | | |

| |Ford Super Duty F350 XL (F3G/640A) | |$21,136.00 * |$ |

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

Sterling Grey_____, Black ____, Dark Blue Pearl ____, Forest Green______, School Bus Yellow_____,

Ingot Silver _____, Vermillion Red_____, Pale Adobe_____.

(1) Tire Chain Compatible

* Dealer Installed Option

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

|2310-130-010 |Credit for pickup from selling Dealer (May Require Mud Flaps and | |$(130.00) |$ |

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

|2310-130-011 |Credit for pickup from selling Dealer (May Require Mud Flaps and | |$(30.00) | |

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

|2310-130-012 |Air Conditioning (Delete) (Only avail w/power group delete | |$(680.00) | |

| |2310-130-030) (D572) (Deduct) | | | |

|2310-130-013 |Alternative Diesel Engine, 6.7 Liter V8 (Includes Dual 750 CCA | |$6,845.00 | |

| |Batteries, 200 Amp Alternator, Engine Idle Control Shutdown 3.73 | | | |

| |RAR) (B20 Biodiesel Certified) (99T/44W/63T) | | | |

|2310-130-014 |Alternators, Dual w/ Diesel engine, 320 Amp (67A) | |$321.00 | |

|2310-130-015 |Alternative Long Wheel Base/Cab to Axle (165 inch WB, 84 inch CA)| |$166.00 | |

| |(Not avail w/ Extended or Crew Cab) (F3G/165WB) | | | |

|2310-130-016 |GVWR Decreased (10,200#), Single Rear Wheel (Regular Cab, 141” | |$216.00 | |

| |Wheelbase, 60” CA)(Includes LT275/65Rx18E BSW All-Season Tires, | | | |

| |Trailer Sway Control, 2-Ton Hydraulic Jack)(SRW not available w/ | | | |

| |alternative wheelbases) (F3E/630A/141WB/TCH/68U) | | | |

|2310-130-017 |Decreased (10,600#), Single Rear Wheel (Extended Cab, 162” | |$2,253.00 | |

| |Wheelbase, 60” CA)(Includes LT275/65Rx18E BSW All-Season Tires, | | | |

| |Trailer Sway Control, 2-Ton Hydraulic Jack)(SRW not available w/ | | | |

| |alternative wheelbases) (X3E/630A/162WB/TCH/68U) | | | |

|2310-130-018 |GVWR Decreased (10,700#), Single Rear Wheel (Crew Cab, 176” | |$3,183.00 | |

| |Wheelbase, 60” CA)(Includes LT275/65Rx18E BSW All-Season Tires, | | | |

| |Trailer Sway Control, 2-Ton Hydraulic Jack)(SRW not available w/ | | | |

| |alternative wheelbases)(deletes passenger side airbag | | | |

| |deactivation switch)(W3E/630A/176WB/TCH/68U) | | | |

|2310-130-019 |Back up alarm Delete (Deduct) (DBUA)* | |$(95.00) | |

|2310-130-020 |Cab and Chassis Extended Cab (13,000# GVWR) (162 inch WB, 60 inch| |$2,033.00 | |

| |CA) (X3G/162WB) | | | |

|2310-130-021 |Cab and Chassis, Crew Cab (13,000# GVWR) (176 inch WB, 60 inch | |$3,020.00 | |

| |CA) (Deletes passenger air bag deactivation switch) (W3G/176WB) | | | |

|2310-130-022 |Cruise Control (525) | |$198.00 | |

* Dealer Installed Option

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

|2310-130-023 |Daytime Running Lights (942) | |$37.00 | |

|2310-130-024 |Differential, Limited Slip (4.10 or 4.30 Ratio)(not available w/ | |$296.00 | |

| |Single Rear Wheel options) (X4N/X4L) | | | |

|2310-130-025 |Fuel Capacity Decreased 28.5 Gallon (Midship) (65M) | |$106.00 | |

|2310-130-026 |Heater, Engine Block (41H) | |$63.00 | |

|2310-130-027 |Keys, Set of 2 Instead of 4 (DLR)* (Deduct) | |$(4.00) | |

|2310-130-028 |Manual, Parts & Service, CD (DLR)* | |$221.00 | |

|2310-130-029 |Deleted | |$0.00 | |

|2310-130-030 |Power Group Delete(Deletes Power Windows, Door Locks, Heated | |$(680.00) | |

| |Mirrors w/ Turn Signals, Remote keyless entry) (D90L/D54K) | | | |

| |(Deduct) | | | |

|2310-130-031 |Power Take-Off (PTO) Provision (Requires 2310-130-013 Diesel) | |$236.00 | |

| |(62R) | | | |

|2310-130-032 |Spare Tire & Wheel Delete (No Jack or Lug Wrench) (D512/D61J) | |$(280.00) | |

|2310-130-033 |Spotlight, 6 inch, Clear Lens, Door Mounted, Left (DLR)* | |$337.00 | |

|2310-130-034 |HD Suspension (67H) | |$106.00 | |

|2310-130-035 |Towing Prep Package (Trailer Brake Wiring Kit) (Trailer Brake | |$131.00 | |

| |Controller not Included) (531) | | | |

|2310-130-036 |Undercoating (DLR)* | |$155.00 | |

|2310-130-037 |Warranty, Delayed Start ()* | |$0.00 | |

|2310-130-038 |Window, Sliding Rear (433) | |$106.00 | |

|2310-130-039 |Manufacturer to Dealer Order Acknowledgement Document Faxed to | |$0.00 | |

| |Customer (DLR)* | | | |

|2310-130-040 |Seat Trim, HD Cloth 40/20/40 Split Bench w/ recline (Reg & Ext | |$85.00 | |

| |Cab)(TT1) | | | |

|2310-130-041 |Seat Trim, HD Cloth 40/20/40 Split Bench w/ recline (Crew Cab) | |$266.00 | |

| |(TT1) | | | |

|2310-130-042 |Seat Trim, HD Vinyl 40/40 w/ Center Console (Reg Cab Only) (TTL) | |$300.00 | |

|2310-130-043 |Seat Trim, HD Cloth 40/40 w/ Center Console (Reg & Ext Cab)(TT2) | |$435.00 | |

|2310-130-044 |Seat Trim, HD Cloth 40/40 w/ Center Console (Crew Cab)(TT2) | |$520.00 | |

* Dealer Installed Option

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

|2310-130-045 |Tires, All-Terrain, Set of 6, LT245/75Rx17E BSW (Not available w/| |$106.00 | |

| |SRW options)(TBM) | | | |

|2310-130-046 |Trailer Brake Controller (n/a w 2310-130-035 Towing Prep | |$195.00 | |

| |Package)(52B) | | | |

|2310-130-047 |Flare Kit 3 Piece Triangle w/storage box for roadside emergency | |$38.00 | |

| |use, Delivered w/vehicle uninstalled (DLR)* | | | |

|2310-130-048 |Extra Heavy Service Suspension (Inc. upgraded front springs & | |$106.00 | |

| |steering damper)(67X) | | | |

|2310-130-049 |Stakeside Bed, 12 Foot, (Requires 84in CA)(inc. 40in Bulkhead, | |$4,405.00 | |

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

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

|2310-130-050 |Stakeside Bed, 9 Foot, 60 in CA)(inc. 40in Bulkhead, Stakesides | |$3,895.00 | |

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

| |AMC-HD126-WOOD) (DLR)* | | | |

|2310-130-051 |Platform Bed, 12 Foot, (Requires 84in CA)(inc. 40in Bulkhead, | |$3,374.00 | |

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

|2310-130-052 |Platform Bed, 9 Foot, 60 in CA(inc 40in Bulkhead, Pine | |$3,130.00 | |

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

|2310-130-053 |Winch, 12,000# w/Fixed Transformer Mount (Not avail w/Setina Push| |$2,675.00 | |

| |Bumpers)(Warn)(DLR)* | | | |

|2310-130-054 |Push Bumper, HD w/Horizontal Rubber Push Pads, Installed (not | |$289.00 | |

| |avail w/Winch) (Setina PB400)(DLR)* | | | |

|2310-130-055 |Fire Extinguisher, 2.5# Dry Chemical ABC Rated w/ mounting | |$35.00 | |

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

|2310-130-056 |Cab Steps (Reg. Cab)(18B) | |$271.00 | |

|2310-130-057 |Cab Steps (Ext or Crew Cab (18B) | |$313.00 | |

|2310-130-058 |Engine Idle Control Shutdown Delete when ordered w/ Diesel engine| |$(208.00) | |

| |(for emergency vehicles) (Deduct) (D63T) | | | |

* Dealer Installed Option

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

|2310-130-059 |Duel Fuel Tanks (40 & 28.5 gal.)(only avail w/Diesel DRW) (also | |$622.00 | |

| |requires 2310-130-063 Am/Fm/Single CD or #2310-130-062 XL Value | | | |

| |Group) (65C) | | | |

|2310-130-060 |Power Group Delete (also deletes RKE w/2 fobs, power heated | |$(848.00) | |

| |mirrors w/integrated clearance lamps/turn signals(Crew | | | |

| |Cab)(Deduct)(D90l/54K) | | | |

|2310-130-061 |Electronic Locking rear Axle (3.73 or 4.10 RAR)(only avail w/SRW)| |$330.00 | |

| |(X3E/X4M) | | | |

|2310-130-062 |XL Value Package(chrome bumper)(inc. 2310-130-022 Cruise Control | |$504.00 | |

| |& 2310-130-063 Am/Fm/Single CD) (96V) | | | |

|2310-130-063 |Am/Fm/Single CD/MP3 Player (585) | |$233.00 | |

|2310-130-064 |Rapid Heat Supplement Cab Heater (also requires 2310-130-013 | |$212.00 | |

| |Diesel Engine and 2310-130-014 Dual Alternators) (41A) | | | |

|2310-130-065 |Seat Side Airbags & Safety Canopy Delete (Deduct) (556) | |$(160.00) | |

|2310-130-066 |Frontal Passenger, Seat Side Airbags & Safety Canopy Delete | |$(160.00) | |

| |(Deduct)(557) | | | |

|2310-130-067 |Double-Acting Bed Hoist, 7-13 ton capacity (available with 9-12 | |$2,784.00 | |

| |ft beds) (Reading RTB-813) DLR* | | | |

|2310-130-068 |Wiring Diagram, Paper (DLR)* | |$87.00 | |

| | | |SUBTOTAL | |

| | | |8.2% SST | |

| | | |TOTAL | |

* Dealer Installed Option

ONLINE ORDERS MAY BE PLACED AT . TO MINIMIZE PRODUCTION DELAYS ORDER AS EARLY AS POSSIBLE, BEFORE MARCH 31, 2011.

TRUCK

16,500# GVWR REGULAR CAB & CHASSIS (2WD)

VEHICLE TYPE: 16,500# GVWR REGULAR CAB & CHASSIS (2WD) MAKE/MODEL: FORD SUPER DUTY F450XL

EQUIPMENT INCLUDED IN NET PRICE

|- 16,500# GVWR, dual rear wheels |- Non Metallic Headliner, door trim panels, vinyl floor covering |

|- Air Bags, Driver and Passenger Side w/Passenger deactivation switch (include |- Maximum cooling-radiator, engine oil, transmission |

|front seat airbags & Canopy) |- AM/FM/Clock Radio |

|- 165” Wheelbase, 84” CA regular Cab & Chassis (No Bed) |- Power steering |

|- 6.8 liter, 10 cylinder gas engine |- 155 AMP alternator |

|- Air Conditioning (CFC free) |- Dual 750 CCA batteries |

|- Automatic electronic 5 Speed overdrive transmission |- Auxiliary power source/Cigarette Lighter |

|- LT 225/70R19.5G BSW tires (1) |- Oil Pressure, Coolant and Automatic Trans Temp Gauges |

|- Matching full spare tire and wheel mounted on rear frame |- 40 gallon fuel capacity, aft axle tank |

|- Hydraulic jack, lug wrench |- Light Tinted glass all around |

|- HD power disc brakes, four wheel anti lock (Asbestos free) |- Tilt Steering Wheel |

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

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

|- Dome Light, Dual Map Lights |Front Tow Hooks |

|- Vinyl 40/20/040, bench seat w/head restraints & recline |Tachometer |

|- Remote Keyless entry, 2 FOBS, Set of 4 Keys |Upfitter Switches, Electric |

|- Back up Alarm, Electric* |3 yr/36,000 mile with 5Yr/60,000 mile powertrain |

|- Manually telescoping trailer tow mirrors w/power heated glass, heated convex |Owner’s manual |

|spotter mirror & integrated clearance lamps & turn signals | |

|- Power Windows, Door locks, Mirrors (90L/54K) |Mercury Free Vehicle |

| |Lead Free Wheel Weights |

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

700 7th AVE PHONE: 360-423-4321

Longview, WA 98632 EMAIL: mariet@

FEDERAL ID#: 91-0650166

DELIVERY: 60-120 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% sales tax including a .3% vehicle tax

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

|2310-133-001 |Truck, 16,500# GVWR HD Regular Cab & Chassis, (2WD) 2012 | | | |

| |Ford Super Duty F450 XL (F4G/650A) | |$26,585.00 * |$ |

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

Vermillion Red , Black_______, Dark Blue Pearl ______, Ingot Silver _____, Forest Green______,

Sterling Gray______, Pale Adobe_____, School Bus Yellow______.

(1) Tire Chain Compatible

* Dealer Installed Option

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

|2310-133-010 |Credit for pickup from selling Dealer (May Require Mud Flaps and | |$(130.00) |$ |

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

|2310-133-011 |Credit for pickup from selling Dealer (May Require Mud Flaps and | |$(30.00) | |

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

|2310-133-012 |Air Conditioning Delete (only avail w/Power Group Delete, | |$(680.00) | |

| |2310-133-032) (D572) | | | |

|2310-133-013 |Alternative Diesel Engine, 6.7 Liter V8 (Includes Dual 750CCA | |$6,710.00 | |

| |Batteries, Engine Idle Control Shutdown, 200 Amp Alternator, 4.10| | | |

| |RAR, B20 Biodiesel Certified)(99T/44W/63T) | | | |

|2310-133-014 |Alternators, Dual w/ Diesel engine, 200 Amp (67A) | |$321.00 | |

|2310-133-015 |Alternative Short Wheelbase/Cab to Axle (141 inch WB, 60 inch | |$(165.00) | |

| |/CA) (Not Avail. For Over 10 Foot Beds) (Not avail w/ Extended or| | | |

| |Crew Cab) (F4G/141WB) (Deduct) | | | |

|2310-133-016 |Alternative Long Wheel Base/Cab to Axle (189 inch WB, 108 inch | |$111.00 | |

| |CA)(Not avail w/ Extended or Crew Cab) (F4G/189WB) | | | |

|2310-133-017 |Alternative Long Wheelbase/Cab to Axle (201 inch WB, 120 inch CA)| |$183.00 | |

| |(Not avail w/ Extended or Crew Cab) (F4G/201WB) | | | |

|2310-133-018 |Back up alarm Delete (DBUA) (Deduct) | |$(95.00) | |

|2310-133-019 |Cab and Chassis, Crew Cab (16,500# GVWR) (176 inch WB, 60 inch | |$805.00 | |

| |CA) (Deletes passenger air bag deactivation switch) (Crew | | | |

| |Cab)(W4G/176WB) | | | |

|2310-133-020 |Cab and Chassis, Crew Cab (16,500# GVWR) (200 inch WB, 84 inch | |$951.00 | |

| |CA) (Deletes passenger air bag deactivation switch) (Crew | | | |

| |cab)(W4G/200WB) | | | |

|2310-133-021 |Cab and Chassis Extended Cab (16,500# GVWR) (162 inch WB, 60 inch| |$1,855.00 | |

| |CA) (Extended Cab) (X4G/162WB) | | | |

|2310-133-022 |Cab and Chassis Extended Cab (16,500# GVWR) (186 inch WB, 84 inch| |$2,037.00 | |

| |CA) (Extended Cab) (X4G/186WB) | | | |

* Dealer Installed Option

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

|2310-133-023 |Cruise Control (525) | |$198.00 | |

|2310-133-024 |Daytime Running Lights (942) | |$37.00 | |

|2310-133-025 |Differential, Limited Slip (4.10/4.30 w/diesel, 4.88 w/gas | |$305.00 | |

| |(X4N/X4L/X8L) | | | |

|2310-133-026 |Fuel Capacity Decreased (28.5 Gal. Midship)(65M) (Not avail w/ | |$106.00 | |

| |2310-133-016 Alternative Wheelbase or 2310-133-020 Crew Cab) | | | |

| |(when ordered with gasoline) (65M) | | | |

|2310-133-027 |Heater, Engine Block (41H) | |$63.00 | |

|2310-133-028 |Keys, Set of 2 Instead of 4 (DLR)* (Deduct) | |$(4.00) | |

|2310-133-029 |Manual, Parts & Service, CD (DLR)* | |$221.00 | |

|2310-133-030 |Deleted | |$0.00 | |

|2310-133-031 |Power Group Delete (Deletes Power Windows, Door Locks, Heated | | $(680.00) | |

| |Mirrors w/integrated Turn Signals, RKE w/2 Fobs) (D90L/D54K) | | | |

|2310-133-032 |Power group Delete (also deletes RKE w/2fobs, power heated | | $(848.00) | |

| |mirrors w/integrated clearance lamps/turn signals (Crew | | | |

| |Cab)(DEDUCT) (D90L/54K) | | | |

|2310-133-033 |PTO Provision (62R) | |$236.00 | |

|2310-133-034 |Trailer Brake Controller (not available with 2310-133-038 Towing | |$198.00 | |

| |package)(52B) | | | |

|2310-133-035 |Spare Tire & Wheel Delete (No Jack or Lug Wrench) (D12/61J) | |$(280.00) | |

|2310-133-036 |Spotlight, 6 inch, Clear Lens, Door Mounted, Left (DLR)* | |$337.00 | |

|2310-133-037 |Tires, All Terrain Tread, Rear (Set 4) (THB) | |$161.00 | |

|2310-133-038 |Towing Prep Package (Aftermarket Trailer Brake Wiring Kit) | |$131.00 | |

| |(Trailer Brake Controller not Included) (531) | | | |

|2310-133-039 |Undercoating (DLR)* | |$155.00 | |

|2310-133-040 |Warranty, Delayed Start ()* | |$0.00 | |

|2310-133-041 |Window, Sliding Rear (433) | |$106.00 | |

|2310-133-042 |Manufacturer to Dealer Order Acknowledgement Document Faxed to | |$0.00 | |

| |Customer (DLR)* | | | |

|2310-133-043 |Seat Trim , HD Cloth 40/20/40 Split Bench w/recline (Reg & Ext | |$85.00 | |

| |Cab) (TTI) | | | |

|2310-133-044 |Vinyl 40/40 w/center console (Reg Cab Only) (TTI) | |$300.00 | |

* Dealer Installed Option

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

|2310-133-045 |Cloth 40/40 w/center console (Reg & Ext Cab) (TT2) | |$435.00 | |

|2310-133-046 |Cloth 40/40 w/center console (Crew Cab)(TT2) | |$520.00 | |

|2310-133-047 |Seat Trim, HD Cloth 40/20/40 Split Bench w/recline | |$266.00 | |

| |(Crew Cab) (TTI) | | | |

|2310-133-048 |Flare Kit 3 Piece Triangle w/storage box for roadside emergency | |$38.00 | |

| |use, Delivered w/vehicle uninstalled (DLR)* | | | |

|2310-133-049 |Fire Extinguisher, 2.5# Dry Chemical ABC Rated w/ mounting | |$35.00 | |

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

|2310-133-050 |Stakeside Bed, 14 Foot, (requires 108in-120in CA)(inc. 40in | |$4,720.00 | |

| |Bulkhead, Stakesides and Liftout Rear Section, Pine | | | |

| |Decking)(DLR*) | | | |

|2310-133-051 |Stakeside Bed, 12 Foot, (requires 84in CA)(inc. 40in Bulkhead, | |$4,406.00 | |

| |Stakesides and Liftout Rear Section, Pine Decking) (DLR*) | | | |

|2310-133-052 |Stakeside Bed, 9 Foot, (requires 60in CA)(inc. 40in Bulkhead, | |$3,895.00 | |

| |Stakesides and Liftout Rear Section, Pine Decking) (DLR*) | | | |

|2310-133-053 |Platform Bed, 14 Foot, (requires 108in-120in CA)(inc. 40in | |$3,688.00 | |

| |Bulkhead, Pine Decking)(DLR*) | | | |

|2310-133-054 |Platform Bed, 12 Foot,(requires 84in CA)(inc. 40in Bulkhead, Pine| |$3,374.00 | |

| |Decking) (DLR*) | | | |

|2310-133-055 |Platform Bed, 9 Foot, (requires 60in CA)(inc. 40in Bulkhead, | |$3.130.00 | |

| |Yellow Pine Decking) (DLR*) | | | |

|2310-133-056 |Cab Steps (Reg. Cab)(18B) | |$271.00 | |

|2310-133-057 |Cab Steps (Ext or Crew Cab)(18B) | |$313.00 | |

|2310-133-058 |Engine Idle Control Shutdown Delete when ordered w/ Diesel engine| |$(208.00) | |

| |(for emergency vehicles) (Deduct) (63T) | | | |

|2310-133-059 |Dual Fuel Tanks 40 & 28.5 gallon) (only available w/diesel)(also | |$622.00 | |

| |requires 2310-133-062 AM/FM/Single CD or 2310-133-060 XL Value | | | |

| |Group) (65C) | | | |

|2310-133-060 |XL Value Package (Chrome Bumper) (inc. 2310- 133-023 Cruise | |$504.00 | |

| |Control and 2310-133-062 AM/FM/Single CD) (96V) | | | |

|2310-133-061 |Extra Heavy Suspension (inc. upgraded front springs & steering | |$106.00 | |

| |damper) (67X) | | | |

* Dealer Installed Option

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

|2310-133-062 |AM/FM/Single CD/MP3 Player (585) | |$233.00 | |

|2310-133-063 |Rapid-Head Supplemental Cab Heater (also requires 2310-133-013 | |$212.00 | |

| |diesel engine and 2310-133-014 Dual Alternators) (41A) | | | |

|2310-133-064 |Seat Side Air Bags & Safety Canopy Delete (Deduct) (556) | |$(160.00) | |

|2310-133-065 |Frontal Passenger, Seat Side Air Bags & Safety Canopy Delete | |$(160.00) | |

| |(Deduct) (557) | | | |

|2310-133-066 |Push Bumper, HD w/horizontal Push Pads, installed (Setina | |$289.00 | |

| |PB400)(not available with 2310-133-067 Winch)(DLR)* | | | |

|2310-133-067 |Winch, 12,000# Transformer Mount (WARN)(not available with | |$2,675.00 | |

| |2310-133-066 Push Bumper) (DLR)* | | | |

|2310-133-068 |Trailer Tow Pkg – High Capacity (Inc. upgraded rear axle and | |$296.00 | |

| |aftermarket Trailer brake wiring kit unless trailer brake | | | |

| |controller is ordered) (Must also order 2310-133-013 Diesel and | | | |

| |2310-133-025 Limited Slip Axle) (535) | | | |

|2310-133-069 |Double-Acting Bed Hoist, 7-13 ton capacity (available with 9-12 | |$2,784.00 | |

| |ft beds) (Reading RTB-813) DLR* | | | |

|2310-133-070 |Wiring Diagram, Paper (DLR)* | |$87.00 | |

| | | |SUBTOTAL | |

| | | |8.2% SST | |

| | | |TOTAL | |

* Dealer Installed Option

ONLINE ORDERS MAY BE PLACED AT . TO MINIMIZE PRODUCTION DELAYS ORDER AS EARLY AS POSSIBLE, BEFORE MARCH 31, 2011.

TRUCK

19,500# GVWR REGULAR CAB & CHASSIS (2WD)

VEHICLE TYPE: 19,500# GVWR REGULAR CAB & CHASSIS (2WD) MAKE/MODEL: FORD SUPER DUTY F550 XL

EQUIPMENT INCLUDED IN NET PRICE

|- 165” Wheelbase, 84” CA regular Cab & Chassis (No Bed) |- Maximum cooling-radiator, engine oil, transmission |

|- 19,500# GVWR, dual rear wheels |- Non Metallic Headliner, door trim panels, vinyl floor |

|6.7 liter, 8 cylinder turbo diesel engine, B20 Biodiesel Certified, Engine idle|covering |

|control shutdown |- AM/FM/Clock Radio |

|Air Conditioning (CFC free) |- Power Steering |

|Air bags, driver and passenger side w/passenger deactivation switch (including |- 200 AMP alternator |

|front seat side airbags & canopy) |Dual 750 CCA Batteries |

|- Automatic electronic 6 Speed overdrive transmission |Engine block heater |

|- LT225/70R19.5G all season radial tires(1) |- Auxiliary power source |

|- Matching full spare tire and wheel mounted on rear frame |- Oil Pressure, Coolant and Automatic Trans Temp, Turbo Boost Gauges |

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

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

|- HD shocks, springs, front & rear stabilizer bars |- Tilt Steering Wheel |

|- Intermittent wipers |- All factory standard equipment including: |

|- Dome Light, Dual Maplights |4.88:1 rear axle ratio w/limited slip differential |

|- Vinyl 40/20/40,bench seat w/head restraints & recline |Tachometer |

|- Remote Keyless Entry, 2 FOBS, Set of 4 Keys |Upfitter Electric Switches |

|- Backup Alarm, Electric* |Front Tow Hooks |

|- Manually telescoping trailer tow mirrors w/power heated glass, heated |3 yr/36,000 mile w/ 5 yr/60,000 mile powertrain, |

|convex spotter mirror & integrated clearance lights & turn signals |(including 5 yr/ 100,000 diesel engine) Owner’s manual |

|- Power windows, door locks, mirrors (90L/54K) | |

| |Mercury Free Vehicle |

| |Lead Free Wheel Weights |

| | |

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

700 7th AVE PHONE: 360-423-4321

Longview, WA 98632 EMAIL: mariet@

FEDERAL ID#: 91-0650166

DELIVERY: 60-120 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% sales tax including a .3% vehicle tax

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

|2310-134-001 |Truck, 19,500# GVWR HD Regular Cab & Chassis, (2WD) 2012 | | | |

| |Ford Super Duty F550 XL (F5G/660A) | |$35,684.00 * |$ |

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

Ingot Silver , Black ____, Dark Blue Pearl ____, Vermillion red _____, Forest Green______, Pale Adobe_____, Sterling Gray_____, School Bus Yellow ______.

(1) Tire Chain Compatible

* Dealer Installed Option

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

|2310-134-010 |Credit for pickup from selling Dealer (May Require Mud Flaps and | |$(130.00) |$ |

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

|2310-134-011 |Credit for pickup from selling Dealer (May Require Mud Flaps and | |$(30.00) | |

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

|2310-134-012 |Air conditioning Deleted (D572) (Deduct) (Also Requires | |$(680.00) | |

| |2310-134-029 power group delete) | | | |

|2310-134-013 |Alternative Gasoline Engine, 6.8 Liter V10 (includes 19,500# | |$(6,676.00) | |

| |GVWR, 155-Amp Alternator, Dual 750CCA Batteries, 4.88 RAR w/ | | | |

| |Limited Slip)(deletes high capacity trailer tow)(99Y/44T/68M/X8L)| | | |

|2310-134-014 |Alternative Wheelbase/Cab to Axle (141 inch WB, 60 inch /CA) (Not| |$(170.00) | |

| |Avail. For Over 10 Foot Beds) (Regular Cab) (F5G/141WB) (Deduct) | | | |

|2310-134-015 |Alternative Wheelbase/Cab to Axle (189 inch WB, 108 inch | |$102.00 | |

| |CA)(F5G/189WB)(Reg Cab) | | | |

|2310-134-016 |Alternative Wheelbase/Cab to Axle (201inch WB, 120inch | |$168.00 | |

| |CA)(F5G/201WB)(Reg Cab) | | | |

|2310-134-017 |Alternators Dual, 200 Amp (not available w/ gas engine) (67A) | |$321.00 | |

|2310-134-018 |Cab and Chassis, Crew Cab (19,500# GVWR) (176 inch WB, 60 inch | |$538.00 | |

| |CA) (Deletes passenger air bag deactivation switch) (Crew | | | |

| |Cab)(CW5G/176WB) | | | |

|2310-134-019 |Cab and Chassis, Crew Cab (19,500# GVWR) (200 inch WB, 84 inch | |$698.00 | |

| |CA) (Deletes passenger air bag deactivation switch) (Crew | | | |

| |Cab)(W5G/200WB) | | | |

|2310-134-020 |Cab and Chassis Extended Cab (19,500# GVWR) (162 inch WB, 60 inch| |$1,854.00 | |

| |CA) (Extended Cab) (X5G/162WB) | | | |

|2310-134-021 |Cab and Chassis Extended Cab (19,500# GVWR) (186 inch WB, 84 inch| |$2,036.00 | |

| |CA) (Extended Cab) (X5G/186WB) | | | |

|2310-134-022 |Cruise Control (525) | |$198.00 | |

|2310-134-023 |Daytime Running Lights (942) | |$37.00 | |

|2310-134-024 |Differential, Limited Slip (4.88,4.10 and 4.30) (X4N/X4L/X8L) | |$305.00 | |

|2310-134-025 |Fuel Capacity Decreased (Mid-ship 28.5 Gal) (Not available w/ | |$106.00 | |

| |189”WB Reg Cab or 200”WB Crew Cab if ordered w/ gas engine) (65M)| | | |

|2310-134-026 |Keys Set of 2 Instead of 4 (DLR)* (Deduct) | |$(4.00) | |

* Dealer Installed Option

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

|2310-134-027 |Deleted | |$0.00 | |

|2310-134-028 |Manual, Service, CD (DLR)* | |$221.00 | |

|2310-134-029 |Power Group Delete (Deletes Power Windows, Door Locks, Heated | |$(680.00) | |

| |Mirrors w/Integrated turn signals RKE w/Fobs) (D90L/D54K)(Deduct)| | | |

|2310-134-030 |Power Group Delete (also deletes RKE w/2 fobs, power heated | |$(848.00) | |

| |mirrors w/integrated clearance lamps/turn signals) (Crew Cab) | | | |

| |(Deduct) (D90L/54K) | | | |

|2310-134-031 |PTO Provision (62R) | |$236.00 | |

|2310-134-032 |Spotlight, 6 inch, Clear Lens, Door Mounted, Left (DLR)* | |$337.00 | |

|2310-134-033 |Tires, All Terrain Tread Rear, (Set 4) (THB) | |$161.00 | |

|2310-134-034 |Towing Prep Package (Aftermarket Trailer Brake Wiring Kit) | |$131.00 | |

| |(Trailer Brake Not Included) (531) | | | |

|2310-134-035 |Undercoating (DLR)* | |$155.00 | |

|2310-134-036 |Warranty, Delayed Start ()* | |$0.00 | |

|2310-134-037 |Window, Sliding Rear (Rear Privacy Glass)(433) | |$106.00 | |

|2310-134-038 |Manufacturer to Dealer Order Acknowledgement Document Faxed to | |$0.00 | |

| |Customer (DLR)* | | | |

|2310-134-039 |Seat 40/20/40 Cloth Split Bench w/recline (Reg. & Ext Cab) (TTI) | |$85.00 | |

|2310-134-040 |Seat 40/20/40 Cloth Split Bench w/recline (Crew Cab) (TTI) | |$266.00 | |

|2310-134-041 |Vinyl 40/40 w/center console (Reg Cab Only) (TTL) | |$300.00 | |

|2310-134-042 |Cloth 40/40 w/center console (Reg & Ext Cab) (TT2) | |$435.00 | |

|2310-134-043 |Cloth 40/40 w/center console (Crew Cab)(TT2) | |$520.00 | |

|2310-134-044 |Cab Steps (Regular Cab)(18B) | |$271.00 | |

|2310-134-045 |Cab Steps (Ext or Crew Cab)(18B) | |$313.00 | |

|2310-134-046 |Stakeside Bed, 14 Foot, (requires 108in-120in CA)(inc. 40in | |$4,720.00 | |

| |Bulkhead, Stakesides and Liftout Rear Section, Pine | | | |

| |Decking)(DLR)* | | | |

|2310-134-047 |Stakeside Bed, 12 Foot, (requires 84in CA)(inc. 40in Bulkhead, | |$4,406.00 | |

| |Stakesides and Liftout Rear Section, Pine Decking)(DLR)* | | | |

|2310-134-048 |Stakeside Bed, 9 Foot, (requires 60in CA) (inc. 40in Bulkhead, | |$3,895.00 | |

| |Stakesides and Liftout Rear Section, Pine Decking)(DLR)* | | | |

* Dealer Installed Option

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

|2310-134-049 |Platform Bed, 14 Foot, (requires 108in-120in CA)(inc. 40in | |$3,688.00 | |

| |Bulkhead, Pine Decking)(DLR)* | | | |

|2310-134-050 |Platform Bed, 12 Foot, (requires 84in CA)(inc. 40in Bulkhead, | |$3,374.00 | |

| |Pine Decking)(DLR)* | | | |

|2310-134-051 |Platform Bed, 9 Foot, (requires 60in CA)(inc. 40in Bulkhead, Pine| |$3,130.00 | |

| |Decking)(DLR)* | | | |

|2310-134-052 |Fire Extinguisher, 2.5# Dry Chemical ABC Rated w/ mounting | |$35.00 | |

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

|2310-134-053 |Flare Kit 3 Piece Triangle w/storage box for roadside emergency | |$38.00 | |

| |use, Delivered w/vehicle uninstalled (DLR)* | | | |

|2310-134-054 |Engine Idle Control Shutdown Delete when ordered w/ Diesel engine| |$(208.00) | |

| |(for emergency vehicles)(Deduct)(63T) | | | |

|2310-134-055 |Alternative Engine, 6.8L, V10 gasoline (with 19,000# GVWR when | |$(7,418.00) | |

| |ordered with 2310-0134-014 Alternative Wheelbase) (deduct) | | | |

|2310-134-056 |Backup Alarm, Delete (Deduct)(DBUA) | |$(95.00) | |

|2310-134-057 |Spare tire and wheel delete (no jack or lug wrench) (Deduct) | |$(280.00) | |

| |(D512/61J) | | | |

|2310-134-058 |Trailer Brake Controller (Not available w/ #2310-134-031) (52B) | |$198.00 | |

|2310-134-059 |GVWR decreased, 18,000 GVWR, 165WB. 84CA (deletes max trailer tow| |$(1,490.00) | |

| |&2310-134-024 limited slip axle) (Deduct) (D68M/X8L/535) | | | |

|2310-134-060 |Dual Fuel Tanks (40&28.5 gallon)(not available with gas engine) | |$622.00 | |

| |(also requires 2310-134-063 AM/FM/Single CD or 2310-134-061 XL | | | |

| |Value Group)(65C) | | | |

|2310-134-061 |XL Value Package (Chrome Bumper)(inc. 2310-134-022 cruise control| |$504.00 | |

| |and 2310-134-063 AM/FM/Single CD) (96V) | | | |

|2310-134-062 |Extra Heavy Suspension (inc. upgraded front springs & steering | |$106.00 | |

| |damper)(67X) | | | |

|2310-134-063 |AM/FM/Single CD (585) | |$233.00 | |

|2310-134-064 |Rapid Head Supplemental Cab Heater (not available with gas engine| |$212.00 | |

| |and requires 2310-134-017 Dual Alternators)(41A) | | | |

|2310-134-065 |Seat Side air bags & safety Canopy Delete (Deduct) (556) | |$(160.00) | |

* Dealer Installed Option

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

|2310-134-066 |Frontal Passenger, Seat Side air bags & safety Canopy Delete | |$(160.00) | |

| |(Deduct) (557) | | | |

|2310-134-067 |Push Bumper, HD w/horizontal push pads, installed (Setina | |$289.00 | |

| |PB400)(not available with 2310-134-068)(DLR)* | | | |

|2310-134-068 |Winch, 12,000# transformer Mount (WARN)(Not available with | |$2,675.00 | |

| |2310-134-067 Push Bumper) (DLR)* | | | |

|2310-134-069 |Double-Acting Bed Hoist, 7-13 ton capacity (available with 9-12 | |$2,784.00 | |

| |ft beds) (Reading RTB-813) DLR* | | | |

|2310-134-070 |Wiring Diagram, Paper (DLR)* | |$87.00 | |

| | | | | |

| | | |SUBTOTAL | |

| | | |8.2% SST | |

| | | |TOTAL | |

* Dealer Installed Option

ONLINE ORDERS MAY BE PLACED AT . TO MINIMIZE PRODUCTION DELAYS ORDER AS EARLY AS POSSIBLE, BEFORE MARCH 31, 2011.

TRUCK

13,000# GVWR REGULAR CAB & CHASSIS (4WD)

VEHICLE TYPE: 13,000# GVWR REGULAR CAB & CHASSIS (4WD) MAKE/MODEL: FORD SUPER DUTY F350 XL

EQUIPMENT INCLUDED IN NET PRICE

|- 141” Wheelbase, 60” CA regular Cab & Chassis (No Bed) |- Backup Alarm, Electric * |

|- 13,300# GVWR, dual rear wheels |- Manually telescoping trailer tow mirrors w/power heated glass, & integrated clearance |

|6.2 liter, 8 cylinder gas engine, FFV |lights & turn signals |

|Air Conditioning(CFC Free) |- Non Metallic Headliner, door trim panels, vinyl floor covering |

|Air bags, driver’s and Passenger side w/passenger deactivation switch |- Maximum cooling-radiator, engine oil, transmission |

|Automatic electronic overdrive transmission |- AM/FM radio w/clock |

|Manual Shift Transfer Case, Manual Locking Hubs |- Power steering |

|- LT 245/75RX17E All Terrain(1) |- 155 AMP alternator |

|- Matching full spare tire and wheel mounted on rear frame(512) |650 CCA battery |

|- Skid Plate Package (41P/DLR* on Reg. Cab) |- Auxiliary power source |

|- Hydraulic jack, lug wrench |- Oil Pressure, Coolant and Automatic Trans. Temp Gauges |

|- HD power brakes, four wheel anti lock, disc(Asbestos free) |- 40 gallon fuel capacity, aft axle tank |

|- HD shocks, springs, front stabilizer bar |- Light Tinted glass all around |

|- Intermittent wipers |- Tilt Steering Wheel |

|- Dome Light, Dual Maplights |- All factory standard equipment including: |

|Vinyl 40/20/40 bench seat w/head restraints & recline |3.73:1 rear axle ratio as equipped |

|- Set of Four Keys, Remote Keyless Entry w/Two Transmitters |Tachometer |

|- Power Group(Windows, Doorlocks, Mirrors)(90L/54K) |Upfitter Electric Switches |

| |Front Tow Hooks |

| |3 yr/36,000 Mile Warranty w/5Yr/60,000 Mile Powertrain (Diesel 5yr/100,000 Engine) |

| |Owner’s Manual |

| |Mercury Free Vehicle |

| |Lead Free Wheel Weights |

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

700 7th AVE PHONE: 360-423-4321

Longview, WA 98632 EMAIL: mariet@

FEDERAL ID#: 91-0650166

DELIVERY: 60-120 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% sales tax including a .3% vehicle tax

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

|2310-135-001 |Truck, 13,000# GVWR HD Regular Cab & Chassis, (4WD) 2012 | | | |

| |Ford Super Duty F350 XL (F3H/640A) | |$23,976.00 * |$ |

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

Vermillion Red , Black ____, Dark Blue Pearl ____, Ingot Silver _____, Forest Green______, Sterling Gray____, Pale Adobe____.

(1) Tire Chain Compatible

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

|2310-135-010 |Credit for pickup from selling Dealer (May Require Mud Flaps | |$(130.00) |$ |

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

|2310-135-011 |Credit for pickup from selling Dealer (May Require Mud Flaps | |$(30.00) | |

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

|2310-135-012 |Alternative Diesel Engine, 6.7 Liter 8 Cylinder (Includes Dual | |$6,845.00 | |

| |750 CCA Batteries, 200 Amp Alternator, 3.73 RAR Engine Idle | | | |

| |Control Shutdown )(B20 Biodiesel Certified) (99T/44W/63T) | | | |

|2310-135-013 |Alternative Wheelbase/Cab to Axle (165 inch WB, 84 inch | |$204.00 | |

| |/CA)(Not avail w/ Extended or Crew Cab) (F3H/165WB) | | | |

|2310-135-014 |GVWR Decreased (10,200#), Single Rear Wheel (Regular Cab, 141” | |$258.00 | |

| |Wheelbase, 60” CA)(Includes LT275/70Rx18E BSW All-Terrain | | | |

| |Tires, Trailer Sway Control, 2-Ton Hydraulic Jack)(SRW not | | | |

| |available w/ alternative wheelbases) (F3F/630A/141WB/TDX/68U) | | | |

|2310-135-015 |GVWR Decreased (10,600#), Single Rear Wheel (Extended Cab, 162”| |$2,350.00 | |

| |Wheelbase, 60” CA)(Includes LT275/70Rx18E BSW All-Terrain | | | |

| |Tires, Trailer Sway Control, 2-Ton Hydraulic Jack)(SRW not | | | |

| |available w/ alternative wheelbases)(X3F/630A/162WB/TDX/68U) | | | |

|2310-135-016 |GVWR Decreased (10,700#), Single Rear Wheel (Crew Cab, 176” | |$3,288.00 | |

| |Wheelbase, 60” CA)(Includes LT275/70Rx18E BSW All-Terrain | | | |

| |Tires, Trailer Sway Control, 2-Ton Hydraulic Jack)(SRW not | | | |

| |available w/ alternative wheelbases)(deletes passenger side | | | |

| |airbag deactivation switch)(W3F/630A/176WB/TDX/68U) | | | |

|2310-135-017 |Alternators, Dual w/Diesel Engine, 320 Amp (67A) | |$321.00 | |

|2310-135-018 |Back up alarm Delete (DLR)(DBUA)(Deduct)* | |$(95.00) | |

|2310-135-019 |Cab & Chassis, Crew Cab (176 inch WB, 60 inch | |$3,097.00 | |

| |CA)(W3H/176WB/41P) | | | |

|2310-135-020 |Cab & Chassis, Extended Cab w/ Rear Bench Seat (162 inch WB, 60| |$2,105.00 | |

| |inch CA (X3H/162WB/41P) | | | |

|2310-135-021 |Air Conditioning Delete (Requires 2310-135-030 Power Group | |$(680.00) | |

| |Delete) (Deduct) (D572) | | | |

|2310-135-022 |Cruise Control (525) | |$198.00 | |

|2310-135-023 |Daytime Running Lights (942) | |$37.00 | |

* Dealer Installed Option

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

|2310-135-024 |Differential, Limited Slip (4.10 RAR w/Gas 4.30 RAR w/Diesel) | |$296.00 | |

| |(NA with SRW) | | | |

|2310-135-025 |Fuel Capacity Decreased (28.5 Ga. Midship) (65M) | |$106.00 | |

|2310-135-026 |Heater, Engine Block (41H) | |$63.00 | |

|2310-135-027 |Keys, Set of 2 Instead of 4 (DLR)* (Deduct) | |$(4.00) | |

|2310-135-028 |Manual, Service, CD (DLR)* | |$221.00 | |

|2310-135-029 |Deleted | |$0.00 | |

|2310-135-030 |Power Group Delete (Deletes Power Windows, Door Locks, Heated | |$(680.00) | |

| |Mirrors w/integrated turn signals, RKE w/ 2 Fobs) (90L/D54K) | | | |

| |(Deduct) | | | |

|2310-135-031 |Spare Tire & Wheel Delete , (no Jack or Lug wrench) (D512/D61J)| |$(280.00) | |

| |(Deduct) | | | |

|2310-135-032 |Spotlight, 6 inch, Clear Lens, Door mounted, Left (DLR)* | |$337.00 | |

|2310-135-033 |Towing Prep Pkg. (Trailer Brake wiring kit) (Trailer Brake Not | |$131.00 | |

| |Included) (531) | | | |

|2310-135-034 |Transfer Case, Electronic Shift (Auto-manual locking hubs & | |$157.00 | |

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

|2310-135-035 |Undercoating (DLR)* | |$155.00 | |

|2310-135-036 |Warranty, Delayed Start () (DRL)* | |$0.00 | |

|2310-135-037 |Window, Sliding Rear (Includes Privacy Glass) (433) | |$106.00 | |

|2310-135-038 |Manufacturer to Dealer Order Acknowledgement Document Faxed to | |$0.00 | |

| |Customer (DLR)* | | | |

|2310-135-039 |Seat Trim, HD Cloth 40/20/40 Split Bench w/ recline (Reg & Ext | |$85.00 | |

| |Cab)(TT1) | | | |

|2310-135-040 |Seat Trim, HD Cloth 40/20/40 Split Bench w/ recline (Crew | |$266.00 | |

| |Cab)(TT1) | | | |

|2310-135-041 |Seat Trim, HD Vinyl 40/40 w/ Center Console (Reg Cab Only)(TTL)| |$300.00 | |

|2310-135-042 |Seat Trim, HD Cloth 40/40 w/ Center Console (Reg & Ext | |$435.00 | |

| |Cab)(TT2) | | | |

|2310-135-043 |Seat Trim, HD Cloth 40/40 w/ Center Console (Crew Cab)(TT2) | |$520.00 | |

* Dealer Installed Option

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

|2310-135-044 |Heavy Service Suspension Package (400-500# increase) (67H) | |$106.00 | |

|2310-135-045 |Tires, All-Season Tread, Set of 6 (Not available w/ SRW | |$(104.00) | |

| |options)(TBK) | | | |

|2310-135-046 |Stakeside Bed, 12 Foot, (requires 84in CA)(inc. 40in Bulkhead, | |$4,406.00 | |

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

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

|2310-135-047 |Stakeside Bed, 9 Foot, (requires 60in CA)(inc. 40in Bulkhead, | |$3,895.00 | |

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

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

|2310-135-048 |Platform Bed, 12 Foot, (requires 84in CA)(inc. 40in Bulkhead, | |$3,374.00 | |

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

|2310-135-049 |Platform Bed, 9 Foot, (requires 60in CA)(inc. 40in Bulkhead, | |$3,130.00 | |

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

|2310-135-050 |Winch, 12,000# w/fixed Transformer Grill Mount(Warn) (Not | |$2,675.00 | |

| |Available w/ 2310-135-071 Snow Plow or 2310-135-053 Push | | | |

| |Bumper) (DLR)* | | | |

|2310-135-051 |Fire Extinguisher, 2.5# Dry Chemical ABC Rated w/ mounting | |$38.00 | |

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

|2310-135-052 |Flare Kit 3 Piece Triangle w/storage box for roadside emergency| |$35.00 | |

| |use, Delivered w/vehicle uninstalled (DLR)* | | | |

|2310-135-053 |Push Bumper, HD w/Horizontal Push Pads, Installed (Setina | |$289.00 | |

| |PB400) (Not Available w/ 2310-135-050 Winch or 2310-135-071 | | | |

| |Snow Plow) (DLR)* | | | |

|2310-135-054 |Cab Steps (Reg. Cab)(18B) | |$271.00 | |

|2310-135-055 |Cab Steps (Ext or Crew Cab) (18B) | |$313.00 | |

|2310-135-056 |Engine Idle Control Shutdown Delete when ordered w/ Diesel | |$(208.00) | |

| |engine (for emergency vehicles) (Deduct) (D63T) | | | |

|2310-135-057 |Duel Fuel Tanks (40 & 28.5 gal.)(only avail w/Diesel DRW)(also | |$622.00 | |

| |requires 2310-135-062 Am/Fm/Single CD or 2310-135-060V XL Value| | | |

| |Group) (65C) | | | |

* Dealer Installed Option

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

|2310-135-058 |Power Group Delete (also deletes RKE w/2 fobs, power heated | |$(848.00) | |

| |mirrors w/integrated clearance lamps/turn signals (Crew Cab) | | | |

| |(Deduct) (D90l/54K) | | | |

|2310-135-059 |Electronic Locking rear Axle (3.73 or 4.10 RAR)(only avail | |$330.00 | |

| |w/SRW) (X3E/X4M) | | | |

|2310-135-060 |XL Value Package(chrome bumper)(inc. 2310-135-022 Cruise | |$504.00 | |

| |Control & 2310-135-062 Am/Fm/Single CD) (96V) | | | |

|2310-135-061 |Extra Heavy Suspension (inc. upgraded front springs & steering | |$106.00 | |

| |damper)(N/A w 2310-135-044 HD Suspension) (67X) | | | |

|2310-135-062 |Am/Fm/Single CD/MP3 Player(585) | |$233.00 | |

|2310-135-063 |Rapid Heat Supplement Cab Heater(also requires2310-135-012 | |$212.00 | |

| |Diesel Engine and 2310-135-017 Dual Alternators)(41A) | | | |

|2310-135-064 |Seat Side Airbags & Safety Canopy Delete (Deduct) (556) | |$(160.00) | |

|2310-135-065 |Frontal Passenger, Seat Side Airbags & Safety Canopy Delete | |$(160.00) | |

| |(Deduct)(557) | | | |

|2310-135-066 |Double-Acting Bed Hoist, 7-13 ton capacity (available with 9-12| |$2,784.00 | |

| |ft beds) (Reading RTB-813) DLR* | | | |

|2310-135-067 |Snow Plow Package, Power Up & Angle (8 1/2 Foot, 102 inches ) | |$5,700.00 | |

| |(Meyer EZ Plus Pro) (Not Available w/ 2310-135-050 Winch or | | | |

| |#2310-135-053 Push Bumper) (473/DLR) | | | |

|2310-135-068 |Trailer Brake Controller (not available w/ #2310-135-033, | |$195.00 | |

| |Towing Prep Pkg)(52B) | | | |

|2310-135-069 |Wiring Diagram, Paper (DLR)* | |$87.00 | |

| | | |SUBTOTAL | |

| | | |8.2% SST | |

| | | |TOTAL | |

* Dealer Installed Option

ONLINE ORDERS MAY BE PLACED AT . TO MINIMIZE PRODUCTION DELAYS ORDER AS EARLY AS POSSIBLE, BEFORE MARCH 31, 2011.

TRUCK

16,500# GVWR REGULAR CAB & CHASSIS (4WD)

VEHICLE TYPE: 16,500# GVWR REGULAR CAB & CHASSIS (4WD) MAKE/MODEL: FORD SUPER DUTY F450 XL

EQUIPMENT INCLUDED IN NET PRICE

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

|- 16,500# GVWR, dual rear wheels |- Manually telescoping trailer tow mirrors w/power heated glass, heated convex spotter |

|6.8 liter, 10 cylinder gas engine |mirror & integrated clearance lamps & turn signals |

|Air Conditioning (CFC Free) |- Non Metallic Headliner, door trim panels, vinyl floor covering |

|Air bags, driver’s and Passenger side w/passenger deactivation switch(includes |- Maximum cooling-radiator, engine oil, transmission |

|front seat airbags & canopy) |- AM/FM/Clock radio |

|Automatic electronic 5 Speed overdrive transmission |- Power steering |

|Manual Shift Transfer Case, Manual Locking Hubs |- 155 AMP alternator |

|- LT 225/70R19.5G All terrain rear, BSW(4) rear traction & 2 all season front |Dual 750 CCA Batteries |

|- Matching full spare tire and wheel mounted on rear frame |- Auxiliary power source/Cigarette Lighter |

|- Skid Plate Package (41P/DLR* on Reg. Cab) |- Oil Pressure, Coolant and Automatic Trans. Temp Gauges |

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

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

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

|- Intermittent wipers |Tilt Steering |

|- Dome Light, Dual Maplights |4.88:1 rear axle ratio as equipped |

|Vinyl 40/20/40 bench seat w/head restraints & recline |Tachometer |

|- Set of Four Keys, Remote Keyless Entry w/Two Transmitters |Upfitter Electric Switches |

|- Power Group (Windows, Doorlocks, Mirrors)(includes RKE w/2 |Front Tow Hooks |

|FOB’s)(90L/54K) |3 yr/36,000 mile w/5 yr 60,000 powertrain |

|- Headlamps, halogen dual beams |(inc. 5 yr/100,000 diesel engine) |

| |Owner’s manual |

| |Mercury Free Vehicle |

| |Lead Free Wheel Weights |

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

700 7th AVE PHONE: 360-423-4321

Longview, WA 98632 EMAIL: mariet@

FEDERAL ID#: 91-0650166

DELIVERY: 60-120 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% sales tax including a .3% vehicle tax

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

|2310-136-001 |Truck, 16,500# GVWR HD Regular Cab & Chassis, (4WD) 2012 | | | |

| |Ford Super Duty F450 XL (F4H/650A) | |$30,182.00 * |$ |

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

Vermillion red , Black ____, Dark Blue Pearl ____, Forest Green______, Sterling Gray____, Ingot Silver____, Pale Adobe____, School Bus Yellow______.

(1) Tire Chain Compatible

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

|2310-136-010 |Credit for pickup from selling Dealer (May Require Mud Flaps | |$(130.00) |$ |

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

|2310-136-011 |Credit for pickup from selling Dealer (May Require Mud Flaps | |$(30.00) | |

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

|2310-136-012 |Air conditioning Deleted (also requires 2310-136-026 Power | |$(680.00) | |

| |group delete)(D572) (Deduct) | | | |

|2310-136-013 |Alternative Diesel Engine, 6.7 Liter 8 Cylinder Includes Dual | |$6,710.00 | |

| |750CCA Batteries, Engine Idle Control Shutdown, 200 Amp | | | |

| |Alternator, 4.10 RAR, B20 Biodiesel Certified)(99T/44W/63T) | | | |

|2310-136-014 |Alternative Wheelbase/Cab to Axle (141 inch WB, 60 inch | |$(165.00) | |

| |CA)(Regular Cab)(F4H/141WB) | | | |

|2310-136-015 |Alternative Wheelbase/Cab to Axle (189 inch WB, 108 inch CA) | |$111.00 | |

| |(Regular Cab) (F4H/189WB) | | | |

|2310-136-016 |Alternative Wheelbase/Cab to Axle (201 inch WB, 120 inch | |$173.00 | |

| |CA)(Regular Cab) (F4H/201WB) | | | |

|2310-136-017 |Alternators, Dual w/Diesel Engine, 200 Amp (67A) | |$321.00 | |

|2310-136-018 |Back up alarm Delete (DBUA)(Deduct)* | |$(95.00) | |

|2310-136-019 |Cab and Chassis, Crew Cab (16,500# GVWR) (176 inch WB, 60 inch | |$891.00 | |

| |CA) (Deletes passenger air bag deactivation switch) (Crew Cab) | | | |

| |(W4H/176WB/41P) | | | |

|2310-136-020 |Cab and Chassis, Crew Cab (16,500# GVWR) (200 inch WB, 84 inch | |$1,028.00 | |

| |CA) (Deletes passenger air bag deactivation switch) (Crew Cab) | | | |

| |(W4H/200WB/41P) | | | |

|2310-136-021 |Cab and Chassis Extended Cab (16,500# GVWR) (162 inch WB, 60 | |$1,923.00 | |

| |inch CA) (Extended Cab) (X4H/162WB/41P) | | | |

|2310-136-022 |Cab and Chassis Extended Cab (16,500# GVWR) (186 inch WB, 84 | |$2,105.00 | |

| |inch CA) (Extended Cab) (X4H/186WB/41P) | | | |

|2310-136-023 |Cruise Control(525) | |$198.00 | |

|2310-136-024 |Daytime Running Lights (942) | |$37.00 | |

|2310-136-025 |Differential, Limited Slip (4.10,4.30 w/diesel & 4.88 with | |$305.00 | |

| |Gasoline) (X4N/X4L/X8L) | | | |

|2310-136-026 |Power Group Delete (Delete Power Windows, Door Locks, Heated | |$(680.00) | |

| |Mirrors w/integrated turn signals, RKE w/ 2 | | | |

| |Fobs)(D90L/D54K)(Deduct) | | | |

* Dealer Installed Option

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

|2310-136-027 |Fuel Capacity Decreased (28.5 Ga. Mid-ship) (Not avail with | |$106.00 | |

| |2310-136-015 189”WB regular cab and 2310-136-020 200”WB Crew | | | |

| |Cab when ordered w/gasoline engine) (65M) | | | |

|2310-136-028 |Heater, Engine Block (41H) | |$63.00 | |

|2310-136-029 |Keys, Set of 2 Instead of 4 (DLR)* (Deduct) | |$(4.00) | |

|2310-136-030 |Manual, Service, CD (DLR)* | |$221.00 | |

|2310-136-031 |Deleted | |$0.00 | |

|2310-136-032 |PTO Provision (62R) | |$236.00 | |

|2310-136-033 |Snow Plow Package, Power Up & Angle (8 1/2 Foot Meyer EZ Plus | |$5,700.00 | |

| |Pro)(473/DLR)* | | | |

|2310-136-034 |Spare Tire & Wheel Delete, (no Jack or Lug wrench) (D512/61J) | |$(280.00) | |

| |(Deduct) | | | |

|2310-136-035 |Spotlight, 6 inch, Clear Lens, Door mounted, Left (DLR)* | |$337.00 | |

|2310-136-036 |Towing Prep Pkg (Aftermarket Trailer Brake wiring kit) (Trailer| |$131.00 | |

| |Brake Not Included)(531) | | | |

|2310-136-037 |Transfer Case, Electronic Shift (Auto-manual locking hubs & | |$156.00 | |

| |rotary control on instrument panel)(only avail with | | | |

| |2310-136-013 Diesel)(213) | | | |

|2310-136-038 |Undercoating (DLR)* | |$155.00 | |

|2310-136-039 |Warranty, Delayed Start () (DWS)* | |$0.00 | |

|2310-136-040 |Manufacturer to Dealer Order Acknowledgement Document Faxed to | |$0.00 | |

| |Customer (DLR)* | | | |

|2310-136-041 |Trailer Brake Controller (Not avail with 2310-136-036 Trailer | |$195.00 | |

| |wiring kit) (52B) | | | |

|2310-136-042 |14-ft Stakeside Bed w/40” steel Stakeside & lift-out rear (must| |$4,720.00 | |

| |order 108” or 120” CA)(DLR)* | | | |

|2310-136-043 |12-ft Stakeside Bed w/40” steel Stakesides & lift out Rear | |$4,406.00 | |

| |(must order 84” CA)(DLR)* | | | |

|2310-136-044 |9-ft Stakeside bed w/40” steel Stakesides & lift –out Rear | |$3,895.00 | |

| |(must order 60” CA)(DLR)* | | | |

|2310-136-045 |14-ft platform bed (must order 108” or 120” CA)(DLR)* | |$3,688.00 | |

|2310-136-046 |12-ft platform bed (must order 84” CA)(DLR)* | |$3,2374.00 | |

|2310-136-047 |9-ft platform Bed (must Order 60”CA)(DLR)* | |$3,130.00 | |

|2310-136-048 |Double-Acting Bed Hoist, 7-13 ton capacity (available with 9-12| |$2,784.00 | |

| |ft beds) (Reading RTB-813) DLR* | | | |

* Dealer Installed Option

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

|2310-136-049 |Fire Extinguisher, 2.5# Dry Chemical ABC Rated w/ mounting | |$35.00 | |

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

|2310-136-050 |Flare Kit 3 Piece Triangle w/storage box for roadside emergency| |$38.00 | |

| |use, Delivered w/vehicle uninstalled (DLR)* | | | |

|2310-136-051 |Cab Steps (Reg. Cab)(18B) | |$271.00 | |

|2310-136-052 |Cab Steps (Ext or Crew Cab)(18B) | |$313.00 | |

|2310-136-053 |Engine Idle Control Shutdown Delete when ordered w/ Diesel | |$(208.00) | |

| |engine (for emergency vehicles)(Deduct)(D63T) | | | |

|2310-136-054 |Window, Sliding Rear (433) | |$106.00 | |

|2310-136-055 |Tires, Max Traction (off-road application) (set of 7) (225-70R | |$20.00 | |

| |x 19.5 BSW set of 6 all season spare) (not recommended for over| | | |

| |the road application) (TGB) | | | |

|2310-136-056 |Tires, All season Tread (set 7)(225-70R x 19.5G BSW all | |$(158.00) | |

| |Season)(Deduct) | | | |

|2310-136-057 |Dual Fuel Tanks (40 & 28.5 gallon)(only avail with 2310-136-013| |$622.00 | |

| |Diesel)(also requires 2310-136-061 AM/Fm/Single CD or | | | |

| |2310-136-059 XL Value Group)(65C) | | | |

|2310-136-058 |Power Group Delete (Also Deletes RKE w/2FOB’s, power heated | |$(848.00) | |

| |mirrors w/integrated clearance lamps/turn signals) (Crew Cab) | | | |

| |(D90L/54K) (Deduct) | | | |

|2310-136-059 |XL Value Package (chrome Bumper) (inc. 2310-136-023 Cruise | |$504.00 | |

| |Control and 2310-136-061 AM/FM/Single CD) (96V) | | | |

|2310-136-060 |Extra Heavy Suspension (inc. upgraded front springs & steering | |$106.00 | |

| |damper) (67X) | | | |

|2310-136-061 |AM/FM/Single CD/MP3 Player (585) | |$233.00 | |

|2310-136-062 |Rapid-Head Supplemental Cab Heater (also requires 2310-136-013 | |$212.00 | |

| |Diesel engine and 2310-136-017 Dual Alternators) (41A) | | | |

|2310-136-063 |Seat Side Air Bags & Safety Canopy Delete (DEDUCT) (556) | |$(160.00) | |

|2310-136-064 |Frontal Passenger, Seat Side Air Bags & Safety Canopy Delete | |$(160.00) | |

| |(DEDUCT)(557) | | | |

|2310-136-065 |Push Bumper, HD w/Horizontal Push Pads, installed(Setina PB400)| |$289.00 | |

| |(Not available with 2310-136-066 Winch) (DLR)* | | | |

* Dealer Installed Option

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

|2310-136-066 |Winch, 12,000# Transformer Mount (WARN)(Not available with | |$2,675.00 | |

| |2310-136-065 Setina Push Bumper) (DLR)* | | | |

|2310-136-067 |Trailer Tow Pkg – High Capacity (Inc. upgraded rear axle and | |$296.00 | |

| |aftermarket trailer brake wiring kit unless trailer brake | | | |

| |controller is ordered)(Must also order 2310-136-013 Diesel and | | | |

| |2310-136-025 Limited Slip Axle) (535) | | | |

|2310-136-068 |Cloth 40/20/40 Split Bench (Reg Cab & Ext Cab)(TT1) | |$85.00 | |

|2310-136-069 |Cloth 40/20/40 Split Bench (Crew Cab)(TT1) | |$266.00 | |

|2310-136-070 |Vinyl 40/40 W/Center Console (Reg Cab Only) (TTL) | |$300.00 | |

|2310-136-071 |Cloth 40/40 w/Center Console (Reg & Ext Cab) (TT2) | |$435.00 | |

|2310-136-072 |Cloth 40/40 w/Center Console (Crew Cab) (TT2) | |$520.00 | |

|2310-136-073 |Wiring Diagram, Paper (DLR)* | |$87.00 | |

| | | |SUBTOTAL | |

| | | |8.2% SST | |

| | | |TOTAL | |

* Dealer Installed Option

ONLINE ORDERS MAY BE PLACED AT . TO MINIMIZE PRODUCTION DELAYS ORDER AS EARLY AS POSSIBLE, BEFORE MARCH 31, 2011.

TRUCK

18,000# GVWR REGULAR CAB & CHASSIS (4WD)

VEHICLE TYPE: 18,000# GVWR REGULAR CAB & CHASSIS (4WD) MAKE/MODEL: FORD SUPER DUTY F550 XL

EQUIPMENT INCLUDED IN NET PRICE

|- 165” Wheelbase, 84” CA regular Cab & Chassis (No Bed) |- Manually telescoping trailer tow mirrors w/power heated glass, & integrated clearance |

|- 18,000# GVWR, dual rear wheels |lights & turn signals |

|6.7 liter, 8 cylinder turbo diesel engine w/ Engine Idle Shutdown Timer, B20 |- Non Metallic Headliner, door trim panels, vinyl floor covering |

|Biodiesel Certified |- Maximum cooling-radiator, engine oil, transmission |

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

|Air Conditioning (CFC free) |- Power steering |

|Automatic electronic overdrive transmission |- 200 AMP alternator |

|Manual Shift transfer case, Manual Locking Hubs |Dual 750 CCA batteries |

|- LT 225/70R19.5G all terrain rear, All season front tires(1) |Engine block heater (41H) |

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

|- Hydraulic jack, lug wrench |- Oil Pressure, Coolant and Automatic Trans Temp Gauges |

|- HD power disc brakes, four wheel anti lock (Asbestos free) |- 40 gallon fuel capacity, aft axle |

|- Intermittent wipers |- Light Tinted glass all around |

|- Skid Plate Package (41P/DLR* on Reg. Cab) |- All factory standard equipment including: |

|- Dome Light, Dual Maplights |Tilt Steering Wheel |

|- Vinyl 40/20/40 bench seat w/head restraints & recline |4.10:1 rear axle ratio as equipped |

|- Set of Four Keys, Remote Keyless Entry w/Two Transmitters |HD shocks, springs, front stabilizer bar |

|- Backup Alarm, Electric* |Tachometer |

|- Power Group (Windows, Doorlocks, Mirrors)(90L/54K) |Upfitter Electric Switches |

| |Front Tow Hooks |

| |3 yr/36,000 mile warranty, Gas 5 yr/60,000 Powertrain (5Yr/100,000 Mile |

| | |

| |Diesel Engine) |

| |Owner’s manual |

| |Mercury Free Vehicle |

| |Lead Free Wheel Weights |

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

700 7th AVE PHONE: 360-423-4321

Longview, WA 98632 EMAIL: mariet@

FEDERAL ID#: 91-0650166

DELIVERY: 60-120 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% sales tax including a .3% vehicle tax

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

|2310-137-001 |Truck, 18,000# GVWR HD Regular Cab & Chassis, (4WD) 2012 | | | |

| |Ford Super Duty F550 XL (F5H/660A) | |$37,763.00 * |$ |

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

Vermillion Red , Black ____, Dark Blue Pearl ____, Ingot Silver _____, Forest Green______,

School Bus Yellow_____, Sterling Gray______, Pale Adobe_____.

(1) Tire Chain Compatible

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

|2310-137-010 |Credit for pickup from selling Dealer (May Require Mud Flaps | |$(130.00) |$ |

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

|2310-137-011 |Credit for pickup from selling Dealer (May Require Mud Flaps | |$(30.00) | |

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

|2310-137-012 |Air Conditioning Delete (Also requires Power Group Delete | |$(680.00) | |

| |2310-137-029)(D572)(Deduct) | | | |

|2310-137-013 |Alternative Gasoline Engine, 6.8 Liter V10 (Dual 750 CCA | |$(6,396.00) | |

| |Batteries, 155 Amp Alternator,4.88 RAR)(No Engine Idle Shutdown| | | |

| |Timer)(99Y/44T)(Deduct) | | | |

|2310-137-014 |Alternative Wheelbase/Cab to Axle (141 inch WB, 60 inch /CA) | |$(169.00) | |

| |(Not Avail. For Over 10 Foot Beds) (Not avail w/ extended or | | | |

| |Crew Cabs)(F5H/141WB) (Deduct) | | | |

|2310-137-015 |Alternative Wheelbase/Cab to Axle (189 inch WB, 108 inch CA) | |$98.00 | |

| |(Not avail w/ extended or Crew Cabs) (F5H/189WB) | | | |

|2310-137-016 |Alternative Wheelbase/Cab to Axle (201 inch WB, 120 inch CA) | |$160.00 | |

| |(Not avail w/ extended or Crew Cabs) (F5H/201WB) | | | |

|2310-137-017 |Alternators, Dual w/ Diesel, 320 Amp(Not avail w/2310-137-013 | |$321.00 | |

| |Alternative Gasoline Engine)(67A) | | | |

|2310-137-018 |Back up alarm Delete (DBUA)*(Deduct) | |$(95.00) | |

|2310-137-019 |Cab & Chassis, Crew Cab (200 inch WB, 84 inch CA) (deletes | |$779.00 | |

| |passenger side airbag deactivation switch) (W5H/200WB/41P) | | | |

|2310-137-020 |Cab and Chassis Extended Cab (186in WB, 84in CA)(X5H/186WB/41P)| |$2,092.00 | |

|2310-137-021 |Cruise Control (525) | |$198.00 | |

|2310-137-022 |Daytime Running Lights (942) | |$37.00 | |

|2310-137-023 |Differential, Limited Slip (X8L/X4L/X5L) | |$305.00 | |

|2310-137-024 |Fuel Capacity Decreased, 28.5 Gal.(Midship Tank) (not avail w/ | |$106.00 | |

| |2310-137-015 189” WB Regular Cab or 2310-137-019 20” WB Crew | | | |

| |Cab when ordered with gas eng)(65M) (Deduct) | | | |

|2310-137-025 |GVWR Increased, 19,500# ((4.88 RAR w/ limited slip, upgraded | |$1,579.00 | |

| |high capacity trailer tow)(68M/X8L/535) (Not available w/ | | | |

| |#2310-137-014 141”WB or 2310-137-013 Gas Engine) | | | |

|2310-137-026 |Keys, Set of 2 Instead of 4 (DLR)* (Deduct) | |$(4.00) | |

|2310-137-027 |Manual, Service, CD (DLR)* | |$221.00 | |

|2310-137-028 |Deleted | |$0.00 | |

* Dealer Installed Option

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

|2310-137-029 |Power Group Delete (Deletes Power Windows, Door Locks, Heated | |$(680.00) |$ |

| |Mirrors w/integrated turn signals, RKE w/ 2 Fobs) | | | |

| |(D90L/D54K)(Deduct) | | | |

|2310-137-030 |PTO Provision (62R) | |$236.00 | |

|2310-137-031 |Spare Tire & wheel Delete (no Jack or Lug wrench) (D512/D61J) | |$(280.00) | |

| |(Deduct) | | | |

|2310-137-032 |Spotlight, 6 inch, Clear Lens, Includes door mounted, Left | |$337.00 | |

| |(DLR)* | | | |

|2310-137-033 |Undercoating (DLR)* | |$155.00 | |

|2310-137-034 |Warranty, Delayed Start () * | |$0.00 | |

|2310-137-035 |Window, Sliding Rear (Includes Privacy Glass) (433) | |$106.00 | |

|2310-137-036 |Manufacturer to Dealer Order Acknowledgement Document Faxed to | |$0.00 | |

| |Customer (DLR)* | | | |

|2310-137-037 |Tires, All Season Tread Instead of All Terrain (Set 7) (Deduct)| |$(158.00) | |

| |(TFB) | | | |

|2310-137-038 |Tires, Max Traction front & rear (Not recommended for over the | |$20.00 | |

| |road application)(Set 6)(TGB) | | | |

|2310-137-039 |Seat Trim, HD Cloth 40/20/40 Split Bench w/ recline (Reg & Ext | |$85.00 | |

| |Cab)(TT1) | | | |

|2310-137-040 |Seat Trim, HD Cloth 40/20/40 Split Bench w/ recline (Crew | |$266.00 | |

| |Cab)(TT1) | | | |

|2310-137-041 |Seat Trim, HD Vinyl 40/40 w/ Center Console (Reg Cab Only)(TTL)| |$300.00 | |

|2310-137-042 |Seat Trim, HD Cloth 40/40 w/ Center Console (Reg & Ext | |$435.00 | |

| |Cab)(TT2) | | | |

|2310-137-043 |Seat Trim, HD Cloth 40/40 w/ Center Console (Crew Cab)(TT2) | |$520.00 | |

|2310-137-044 |Fuel Tanks, Dual Diesel (40 & 28.5 gal) (only available with | |$622.00 | |

| |diesel) (also requires either 2310-137-062 AM/FM/Single CD or | | | |

| |2310-137-060 XL Value Pkg)(65C) | | | |

|2310-137-045 |Stakeside Bed, 14 Foot, (requires 108in-120in CA)(inc. 40in | |$4,720.00 | |

| |Bulkhead, Stakesides and Liftout Rear Section, Pine | | | |

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

|2310-137-046 |Stakeside Bed, 12 Foot, (requires 84in CA)(inc. 40in Bulkhead, | |$4,406.00 | |

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

| |American AMC-HD126-WOOD)*(DLR) | | | |

|2310-137-047 |Stakeside Bed, 9 Foot, (requires 56in-60in CA)(inc. 40in | |$3,895.00 | |

| |Bulkhead, Stakesides and Liftout Rear Section, Pine | | | |

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

* Dealer Installed Option

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

|2310-137-048 |Platform Bed, 14 Foot, (requires 108in-120in CA)(inc. 40in | |$3,688.00 |$ |

| |Bulkhead, Pine Decking)(Rugged American AMC-HD146-WOOD)*(DLR) | | | |

|2310-137-049 |Platform Bed, 12 Foot, (requires 84in CA)(inc. 40in Bulkhead, | |$3,374.00 | |

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

|2310-137-050 |Platform Bed, 9 Foot, (requires 56in-60in CA)(inc. 40in | |$3,130.00 | |

| |Bulkhead, Pine Decking)(Rugged American AMC-HD096-WOOD)*(DLR) | | | |

|2310-137-051 |Fire Extinguisher, 2.5# Dry Chemical ABC Rated w/ mounting | |$38.00 | |

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

|2310-137-052 |Flare Kit 3 Piece Triangle w/storage box for roadside emergency| |$35.00 | |

| |use, Delivered w/vehicle uninstalled (DLR)* | | | |

|2310-137-053 |Winch, 12,000# w/fixed Transformer Grill Mount (Warn) (Not | |$2,675.00 | |

| |avail w/ 2310-137-054 Setina Push Bumpers and #2310-137-076 | | | |

| |Snow Plow) (DLR)* | | | |

|2310-137-054 |Push Bumper, HD w/Horizontal Push Pads, Installed (Setina | |$289.00 | |

| |PB400) (Not available with 2310-137-053 Winch and not available| | | |

| |w/ #2310-137-076 Snow Plow) (DLR)* | | | |

|2310-137-055 |Cab Steps (Reg Cab)(18B) | |$271.00 | |

|2310-137-056 |Cab Steps (Ext or Crew Cab)(18B) | |$313.00 | |

|2310-137-057 |Engine Idle Control Shutdown Delete when ordered w/ Diesel | |$(208.00) | |

| |engine (for emergency vehicles)(Deduct)(D63T) | | | |

|2310-137-058 |Towing Prep Package (aftermarket trailer brake wiring kit)(not | |$131.00 | |

| |available w/trailer brake controller)(531) | | | |

|2310-137-059 |Power Group Delete (also deletes RKE w/2 fobs, power heated | |$(848.00) | |

| |mirrors w/integrated clearance lamps/turn signals(Crew | | | |

| |Cab)(Deduct)(D90l/54K) | | | |

|2310-137-060 |XL Value Package(chrome bumper)(inc. 2310-137-021 Cruise | |$504.00 | |

| |Control & 2310-137-062 Am/Fm/Single CD)(96V) | | | |

|2310-137-061 |Extra Heavy Suspension (Inc. upgraded front springs & steering | |$106.00 | |

| |damper) (67X) | | | |

* Dealer Installed Option

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

|2310-137-062 |Am/Fm/Single CD/MP3 Player(585) | |$233.00 | |

|2310-137-063 |Rapid Heat Supplement Cab Heater(also requires 2310-137-017 | |$212.00 | |

| |Dual Alternators) (41A) | | | |

|2310-137-064 |Seat Side Airbags & Safety Canopy Delete (Deduct) (556) | |$(160.00) | |

|2310-137-065 |Frontal Passenger, Seat Side Airbags & Safety Canopy Delete | |$(160.00) | |

| |(Deduct)(557) | | | |

|2310-137-066 |Transfer Case, Electronic Shift (Only avail w/Diesel engine) | |$156.00 | |

| |(213) | | | |

|2310-137-067 |Cab and Chassis, Extended Cab (162 inch WB, 60” CA)(X5H/162WB) | |$1,910.00 | |

|2310-137-068 |Cab and Chassis, Crew Cab (176 inch WB, 60” CA)(W5H/176WB) | |$624.00 | |

|2310-137-069 |Trailer Brake Controller (not available w/ 2310-137-058) (52B) | |$195.00 | |

|2310-137-070 |Double-Acting Bed Hoist, 7-13 ton capacity (available with 9-12| |$2,7844.00 | |

| |ft beds) (Reading RTB-813) DLR* | | | |

|2310-137-071 |Wiring Diagram, Paper (DLR)* | |$87.00 | |

|2310-137-072 |Snow Plow Package, Power Up & Angle (8 1/2 Foot Meyer EZ Plus | |$5,700.00 | |

| |Pro)(473/DLR)* | | | |

| | | |SUBTOTAL | |

| | | |8.2% SST | |

| | | |TOTAL | |

* Dealer Installed Option

AFTERMARKET EQUIPMENT SPECIFICATIONS

The following specifications are to be incorporated into specific options identified elsewhere in the contract:

1. Stakeside Bed, ______ foot long platform with stake holes. Equipped with 40 inch tall, spring loaded latching black steel stake racks with steel slats, steel 40 inch tall heavy duty bulkhead with punched window or expandrd metal, plain mudflaps, recessed LED lights, reflectors, extended arm mirrors, certified weight slip and all documentation required for a completed vehicle(____”CA) Knapheide “PVMX”____ or equal.

1. Platform Bed, ______foot long platform with stake holes. Equipped with steel 40 inch tall heavy duty bulkhead with punched window or expanded metal , plain mudflaps, recessed LED lights, reflectors, extended arm mirrors, certified weight slip and all documentation required for a completed vehicle(______”CA) Knapheide “PVMX” or equal.

2. Hoist, Double acting, electric hydraulic conversion hoist for____ foot stakeside or platform body, NTEA class C, single cylinder, 7 ton minimum capacity at 45 degrees, Knapheide “KH-1412E” or equal for 8 to 12 foot beds, Knapheide “KH-1416LE” or equal for 14 foot beds.

3. Winch, 6000 pound, electric planetary winch with series wound motor. To be equipped with black replacement winch front bumper unless manufacturer only makes a grille guard mount for the application. To be equipped with 100 feet of 1/4: galvanized aircraft wire cable, roller fairlead, cover, installed, Ramsey “Pro 6000” or equal.

4. Winch, 8000 pound, Electric planetary winch with series wound motor. To be equipped with black replacement winch front bumper unless manufacturer only makes a grille guard mount for the application. To be equipped with 100 feet of 5/16” galvanized aircraft wire cable, roller fairlead, cover, installed, Ramsey “Pro 8000” or equal.

5. Snowplow Package, to include vehicle manufacturer’s snow plow prep package if available from the manufacturer for that model. Plow to be steel. If steel is not available for the application polymer is acceptable. Electric hydraulic power angling, power up and down, installed. Plow to be controlled from cab mounted toggle switch. Package shall include the addition of separate headlights and turn signals mounted high enough to be used with the plow in the raised position. Plow length shall be sufficient to allow the blade to plow at least the width of the tires of the truck when at full angle.Meyer “ST” or “C” series or equal.

OFFICE OF STATE PROCUREMENT

PERFORMANCE REPORT

To OSP Customers:

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

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

|Timeliness of contract actions | | | | |

|Professionalism and courtesy of staff | | | | |

|Services provided met customer needs | | | | |

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

|Responsiveness/problem resolution | | | | |

|Timely and effective communications | | | | |

Comments:

Agency: Prepared by:

Title:

Contract No.: 05109 Date:

Contract Title: Vehicles, 2011/2012 Cab & Chassis Trucks Phone:

Send to:

Purchasing Manager

Office of State Procurement

PO Box 41017

Olympia, Washington 98504-1017

PRODUCT/SERVICE PERFORMANCE REPORT

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

Contract number and title: 05109 Vehicles, 2011/2012 Cab & Chassis Trucks

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

STATE PROCUREMENT OFFICER

OFFICE OF STATE PROCUREMENT

PO BOX 41017

OLYMPIA WA 98504-1017

Vehicle Contract Ordering Procedures (Non Automated)

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

(12) Body of Requisition - Identify Organization name/ address for title application (Legal & registered owner) exactly as you want it to appear on the title. Street Address is required, not a PO Box, for registered owner

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

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

Once completed, you may mail your requisition and price sheet/ order form to the address in the upper right corner of the form or, preferably, fax it to (360) 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 e-mail you a copy of the State Purchase Order for your vehicle(s) at the same time the dealer is sent their copy. Remember, a confirming hard copy will not be mailed. (When received, please check your order for any errors or duplication of any previous order. Advise this office of any errors or discrepancies immediately.) If you do not receive your order back within 3 days, notify this office at (360) 902-7284).

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

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

|FORM |[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. |COMMODITY | | | |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 address to send 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” |

CONTINUED

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

|ITEMS ABOVE | |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

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

|2319-138-001 |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

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

|2319-138-010 |Credit for pickup from Dealer (May Require Mud Flaps and Trip | |$(135.00) |$ |

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

|2319-138-011 |Credit for pickup from Dealer (May Require Mud Flaps and Trip | |$(60.00) | |

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

|2319-138-012 |Air Conditioning (Delete) (D572)(Deduct) | |$(680.00) | |

|2319-138-013 |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) | | | |

|2319-138-014 |Alternative Wheelbase/Cab to Axle (141 inch WB, 60 inch | |$(166.00) | |

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

|2319-138-015 |Alternative Wheelbase/Cab to Axle (189 inch WB, 108 inchCA)(Not|2 |$109.00 |218.00 |

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

|2319-138-016 |Alternative Wheelbase/Cab to Axle (201 inch WB, 120 inch | |$169.00 | |

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

|2319-138-017 |Alternators, Dual w/Diesel Engine, 320 Amp (67A) | |$315.00 | |

|2319-138-018 |Back up alarm Delete (DBUA)(Deduct)* | |$(44.00) | |

|2319-138-019 |Cab & Chassis, Crew Cab (176 inch WB, 60 inch CA) (16,000# | |$2,867.00 | |

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

|2319-138-020 |Cab & Chassis, Crew Cab (200 inch WB, 84 inch CA)(16,000# GVWR)| |$3,002.00 | |

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

|2319-138-021 |Cab & Chassis, Extended Cab w/ Rear Bench Seat (162 inch WB, 60| |$1,793.00 | |

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

|2319-138-022 |Cruise Control/Tilt Steering Wheel (525/524) | |$320.00 | |

|2319-138-023 |Daytime Running Lights (942) | |$37.00 | |

|2319-138-024 |Differential, Limited Slip (X4L/X8L/X5L) | |$299.00 | |

|2319-138-025 |Fuel Capacity Decreased (19 Ga. Midship) (Deduct) (65M) | |$(92.00) | |

|2319-138-026 |Heater, Engine Block (included w/Diesel) (41H) | |$29.00 | |

|2319-138-027 |Keys, Set of 2 Instead of 4 (DLR)* (Deduct) | |$(4.00) | |

|2319-138028 |Manual, Service, Paper (DLR)* | |$238.00 | |

|2319-138-029 |Manual, Service, CD (DLR)* | |$241.00 | |

|2319-138-030 |Power Group (Windows, Door Locks, Heated Mirrors)(Not avail w/ | |$440.00 | |

| |2310-137-012) (90L) | | | |

|2319-138-031 |Power Group w/ Crew Cab (90L) |2 |$585.00 |1,170.00 |

|2319-138-032 |PTO Provision (inc. w/Man. Transmission) (62R) | |$208.00 | |

|2319-138-033 |Rear Axle Ratio 5.38:1 Gas, 4.30:1 Diesel(X53/X43) | |$42.00 | |

|2319-138-034 |Snow Plow Package, Power Up & Angle (9 Foot Western | |$6369.00 | |

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

|2319-138-035 |Spare Tire & Wheel Delete , (w/o Jack or Lug wrench) (D512) | |$(280.00) | |

| |(Deduct) | | | |

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

|2319-138-036 |Spotlight, 6 inch, Clear Lens, Door mounted, Left (DLR)* | |$337.00 |$ |

|2319-138-037 |Towing Prep Pkg (Trailer Brake wiring kit) (Trailer Brake Not | |$129.00 | |

| |Included) (Not Avail w/2310-137-058) (531) | | | |

|2319-138-038 |Transfer Case, Electronic Shift (Auto-manual locking hubs & | |$154.00 | |

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

|2319-138-039 |Transmission 6 Speed Manual(Includes | |$(1,192.00) | |

| |2310-137-032)(445/447)(Deduct) | | | |

|2319-138-040 |Undercoating (DLR)* | |$127.00 | |

|2319-138-041 |Warranty, Delayed Start () (DWS)* |2 |$0.00 |0.00 |

|2319-138-042 |Window, Sliding Rear (433) | |$104.00 | |

|2319-138-043 |Manufacturer to Dealer Order Acknowledgement Document Faxed to | |$0.00 | |

| |Customer (DLR)* | | | |

|2319-138-044 |Tires, All Season Tread Instead of All Terrain (set 7) (Deduct)| |$(200.00) | |

| |(TFB) | | | |

|2319-138-045 |Tires, All Position Michelin XZE (on road application)(set | |$48.00 | |

| |7)(TVB) | | | |

|2319-138-046 |Tires, Max Traction (Not recommended for over the road | |$(28.00) | |

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

|2319-138-047 |Seat Trim , HD Cloth Full Bench w/recline (Reg & Ext Cab)(TTC) | |$133.00 | |

|2319-138-048 |Seat Trim , HD Cloth Full Bench w/recline (Crew Cab)(TTC) | |$216.00 | |

|2319-138-049 |Seat Trim, HD Vinyl Buckets (include console)(TTJ) | |$295.00 | |

|2319-138-050 |Seat Trim, HD Cloth Buckets (inc.floor console)(Reg & Ext | |$427.00 | |

| |Cab)(TTG) | | | |

|2319-138-051 |Seat Trim, HD Cloth Buckets (inc.floor console)(Crew Cab)(TTG) | |$510.00 | |

|2319-138-052 |Seat Trim, Vinyl 40/20/40 Split Bench (TTT) | |$332.00 | |

|2319-138-053 |Seat Trim, Cloth 40/20/40 Split Bench (Reg & Ext Cab)(TT3) | |$353.00 | |

|2319-138-054 |Seat Trim, Cloth 40/20/40 Split Bench (Crew Cab)(TT3) | |$593.00 | |

|2319-138-055 |Rapid Heat Supplemental Cab Heater (req.diesel & air | |$208.00 | |

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

|2319-138-056 |Fuel Tanks, Dual Diesel (59 Gal)(65C) | |$506.00 | |

|2319-138-057 |SecuriLock Anti-theft Ignition (inc. programmed PATS keys) | |$92.00 | |

| |(52P) | | | |

|2319-138-058 |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) | | | |

|2319-138-059 |Traction Control (60T) | |$108.00 | |

|2319-138-060 |Am/Fm/Single CD/MP3 Player/Clock/4 Speakers (585) | |$228.00 | |

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

|2319-138-061 |Heavy Service Suspension Package (400-500# increase) (not avail| |$104.00 |$ |

| |w/ 2310-137-062)(67H) | | | |

|2319-138-062 |Extra Heavy Service Suspension Package (800-1000# increase) | |$104.00 | |

| |(not avail w/ 2310-137-061) (67X) | | | |

|2319-138-063 |Low Deflection Package (for rear-biased loading, such as | |$91.00 | |

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

| |avail w/ 2310-137-014)(86S) | | | |

|2319-138-064 |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) | | | |

|2319-138-065 |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)* | | | |

|2319-138-066 |Stakeside Bed, 12 Foot, 84” CA(inc. 40” Bulkhead, Stakesides | |$4,287.00 | |

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

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

|2319-138-067 |Stakeside Bed, 9 Foot, 56”-60” CA(inc. 40” Bulkhead, Stakesides| |$3,932.00 | |

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

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

|2319-138-068 |Platform Bed, 14 Foot, 108”-120” CA(inc. 40” Bulkhead, Pine | |$3,100.00 | |

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

|2319-138-069 |Platform Bed, 12 Foot, 84” CA(inc. 40” Bulkhead, Pine | |$3,000.00 | |

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

|2319-138-070 |Platform Bed, 9 Foot, 56”-60” CA(inc. 40” Bulkhead, Pine | |$2,800.00 | |

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

|2319-138-071 |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)* | | | |

|2319-138-072 |Fire Extinguisher, 2.5# Dry Chemical ABC Rated w/ mounting | |$30.00 | |

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

|2319-138-073 |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 GENERAL ADMINISTRATION |

|FORM | |STATE OF WASHINGTON | |OFFICE OF STATE PROCUREMENT |

|A15-A | |PURCHASE REQUISITION | |Room 201, General Administration Building |

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

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

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

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

|      |CONTACT PERSON | | |EMAIL |      |PHONE |

|      |      | | |ADDRESS | |NUMBER |

| | | | |      | |      |

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

| |NO. |LOCATION | |NO. |LOCATION |

|      |      |      |      |      |      |

| | | | | | | | | |

| | | | | | | | | |

|REQ. |COMMODITY | | | |ESTIMATED |

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

| | | | | |UNIT PRICE |

|Total |$ |

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

| |ADDRESS ONLY) |

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

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

| | |Please ensure that your vehicles are correctly ordered, once placed|

| | |they may not be cancelled without compensating costs. |

| | | |

| | |(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 | |

| | |M |FUND |

|REF |TRANS |O | |

|DOC |CODE |D | |

|SUF | | | |

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