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 />Ctt <br />Contractor: <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 />tkettle (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 />S - (2) large aluminum map holders on rear of console <br />350 <br />380 - Install a Sharps container and bracket on the rear wall abc <br />7 <br />- 2 high glove box holder on back wall of truck cab <br />125 <br />89 - 3 high glove box holder above the squad bench cushions <br />150 <br />30 - 2 high powder coated aluminum jumbo "D" cylinder hold <br />175 <br />39 - Install a (2) high "D" cylinder holder in the 02 compartm <br />175 <br />65 - 175 -4 dual position cot mount <br />100 <br />188 - Squad bench cabinet w/ padding on end <br />600 <br />37 - Extra overhead grab rails on a 14' unit <br />275 <br />199 - 22 pocket acrylic organizer above the above squad bench <br />450 <br />185 - Netting at the head of the squad bench <br />750 <br />1151 - Install an extra fire extinguisher and bracket on the shelf <br />125 <br />Subtotal From Additional Sheet(s): <br />1195 - Install used remote radio head(s) and base and related e <br />950 <br />Subtotal B: <br />430( <br />C. Unpublished Options - Itemize below / attach additional sheet(s) if necessary. <br />(N ote; Unpublished options are items which were not submitted and priced in Contractor's bid.) <br />Description <br />Cost <br />Description Cost <br />Subtotal From Additional Sheet(s): <br />Subtotal C: <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 />-14 <br />Total Cost Before Any Applicable Trade -In / Other Allowances l Discounts (A +B +C) <br />Quantity Ordered: x Subtotal of A+ B + C: = Subtotal D: <br />H -GAC Order Processing Charge (Amount Per Current Policy) Subtotal E: <br />F . Trade -Ins / Special Discounts / Other Allowances / Freight / Installation / Miscellaneous Charges <br />Description <br />Cost Description Cost <br />s, Subtotal F: <br />Delivery Dater G. Total Purchase Price (D +E +F) :, <br />