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CONTRACT PRICING WORKSHEET <br />ContractDate <br />09/11/12 <br />AM04-10 <br />No.:Prepared: <br />For MOTOR VEHICLES Only <br />This Worksheet is prepared by Contractor and given to End User. <br />Worksheet MUST be faxed to H-GAC @ 713-993-4548. Therefore please type or pri <br />Buying <br />City of La Porte EMSDallas Dodge Quote #7600C-HGAC <br />Contractor: <br />Agency: <br />ContactPrepared <br />Jason PeugeotTim Middlebrooks <br />Person:By: <br />281-471-9244214-319-1336 <br />Phone:Phone: <br />281-471-0688214-319-1306 <br />Fax:Fax: <br />peugeotj@laportetx.govtmiddlebrooks@kag-1.net <br />Email:Email: <br />Product <br />Description: <br />Code: <br />A. Product Item Base Unit Price Per Contractor's H-GAC Contract: <br />B. Published Options - Itemize below - Attach additional sheet(s <br />(Note: Published Options are options which were submitted and pr <br />DescriptionCostDescriptionCost <br />433-2 high powder coated aluminum jumbo ÅDÆ cylinder hplder in f$175.00531-There is an electric lock actuator on the side main door$300.00 <br />439-Install a (2) high ÅDÆ cylinder holder in the O2 compartment$175.00532-There is an electric lock actuator on the rear main door$300.00 <br />337-Extra overhead grab rails on a 14' unit$275.00541-There is an electric lock actuator on the O2 compartment doo$300.00 <br />199-22 pocket acrylic organizer above the squad bench$450.001210-(x4)Exterior compartment and/ or structure modification (ea$2,000.00 <br />365-175-4 dual position cot mount$100.001211-(x4)Inter compartment/ cabinet modification (each)$2,000.00 <br />289-Mount an MDT swivel on the action wall countertop in front o$425.001191-Foam insulation in walls$1,500.00 <br />38-(2)Furnish and install a Streamlight SL-20XP flashlight on th$400.00 <br />327-Install a digital clock in the cushions above the rear doors$375.00 <br />340-Install an extra O2 outlet in the ceiling raceway above the $350.00 <br />244-This unit gets an Engel 34 qt. Refrigerator with a hasp abov$1,400.00 <br />503-This unit gets a 3M Opticom Install a GPS antenna system (Op$6,000.00 <br />Subtotal From Additional Sheet(s): <br />533-There is an electric lock actuator on the front I/O door$300.00$16,825.00 <br /> Subtotal B: <br />C. Unpublished Options - Itemize below / attach additional sheet <br />(Note: Unpublished options are items which were not submitted an <br />DescriptionCostDescriptionCost <br />Subtotal From Additional Sheet(s): <br />0 <br />Subtotal C: <br /> Total cost of Unpublished Options (C) cannot exceed 25% of the <br />Check: <br />0% <br />For this transaction the percentage is: <br />Price plus Published Options (A+B). <br />D. Total Cost Before Any Applicable Trade-In / Other Allowances <br />$16,825.00$0.00 <br />Quantity Ordered: X Subtotal of A + B + C: =Subtotal D: <br />E. H-GAC Order Processing Charge (Amount Per Current Policy)Subtotal E: <br />F. Trade-Ins / Special Discounts / Other Allowances / Freight / <br />DescriptionCostDescriptionCost <br />0 <br />Subtotal F: <br />Delivery Date: G. Total Purchase Price (D+E+F): <br />$0.00 <br /> <br />