Laserfiche WebLink
CONTRACT PRICING WORKSHEET <br />HGACBuy For MOTOR VEHICLES Only <br />Contract <br />No.: <br />AM04 -10 <br />Date <br />Prepared: <br />p` <br />09/01/11 <br />This Worksheet is prepared by Contractor and given to End User. If a PO is issued, both the PO and the <br />Worksheet MUST be faxed to H -GAC @ 713- 993 -4548. Therefore please type or print legibly. <br />Ageing <br />:lgence: <br />Cit y of La Porte EMS <br />Contractor: <br />Ctt <br />Sterli Call Ford <br />� g <br />Contact <br />Person: <br />Jason Peugeot <br />Prepared <br />Av: <br />Tim Kettle <br />Phone: <br />281- 470 -0066 <br />Phone: <br />281 -588 -5049 <br />P 11,1111 <br />1 281-471-0688 <br />Fax: <br />281- 588 -5150 <br />ail: <br />peu�.eotj(c�laportetx.gov <br />Email: <br />d <ett le(c�sterlingmccallford.com <br />Pr odu c t <br />C ode: : <br />C <br />LA08 <br />Description: <br />Type I 14' on Ford F -450 Diesel DRW Cab/ Chassis, Gen Pwrd Mod <br />Product Item Base Unit Price Per Contractor's H -GAC Contract: 12200( <br />B. Published Options - Itemize below - Attach additional sheet(s) if necessary - Include Option Code in description if applicable. <br />(N ote; Published Options are options which were submitted and priced in Contractor's bid.) <br />Description <br />Cost <br />Description <br />Cost <br />6 - Granning air suspension system for Ford F -450 w/ compre <br />5500 <br />602 - This unit gets a second shelf in the rear storage compartln <br />150 <br />1 - Heat shielding for diesel chassis <br />1500 <br />106 - Running boards for Ford F -350, F -450 or F -550 <br />45( <br />1171- Double 8" 3M reflective stripe with non - reflective pinstri <br />2700 <br />465 - (1) set Helms automotive manual on disk <br />35( <br />1167 - 3M diamond grade conspicuity tape in Chevron pattern <br />1500 <br />16 - Arm rests on the console <br />20( <br />22 - This (non Chevy) unit gets electric locks on module door. <br />300 <br />277 - Air Liquide electric 02 panel with monitor at the action V <br />127 <br />31 - There is an electric lock actuator on the side main door <br />300 <br />368 - Grey EVS captain's chair with built -in child safety seat <br />70( <br />32 - There is an electric lock actuator on the rear main door <br />300 <br />28 - 3 receptacle 12VDC outlet, no medical diode isolator on p• <br />10( <br />33 - There is an electric lock actuator on the front I/O door <br />300 <br />1209 - Lighting modification from base (each) (x 10) <br />500( <br />41 - There is an electric lock actuator on the 02 compartment <br />300 <br />1303 — All products listed in the current Whelen Automotive D <br />67 <br />1147 - Install a Voyager quad view monitor in the truck cab nea <br />800 <br />1305 — All products listed in the current Stryker "List Price Bo <br />15381 <br />9 - Buell dual 10" & 12" air horns through front bumper <br />800 <br />Subtotal From Additional Sheet(s): <br />4301( <br />)9 - Mount a fast recovery compressor for the air horn system t <br />1200 <br />Subtotal B: <br />4408( <br />C. Unpublished Options - Itemize below / attach additional sheet(s) if necessary. <br />ote: Unpublished options are items which were not submitted and priced in Contractor's bid.) <br />Description <br />Cost <br />Description <br />Cost <br />urnish & install Knox MedVault <br />1775 <br />urnish &install Camber Johnson mounting base and pole arse <br />370 <br />Subtotal From Additional Sheet(s): <br />nstall your Lind power Supply inside console, charge guard ins <br />700 <br />Subtotal C: <br />284 <br />C al cost of Unpublished Options (C) cannot exceed 25% of the total of the Base Unit <br />Price plus Published Options (A -F). <br />For this transaction the percentage is: <br />2% <br />Total Cost Before Any Applicable Trade -In / Other Allowances l Discounts (A +B +C) <br />Quantity Ordered: I x Subtotal of A+ B + C: <br />168925 <br />= <br />Subtotal D: <br />16892 <br />H -GAC Order Processing Charge (Amount Per Current Policy) IF Subtotal E: <br />100( <br />F . Trade -Ins / Special Discounts / Other Allowances / Freight / Installation / Miscellaneous Charges <br />Description <br />Cost Description Cost <br />Delivery Dater <br />G. Total Purchase Price (D +E +F) :, 16992 <br />