Contract Pricing Worksheets
Rev 02-05-07
NOTE: Purchase Orders are not valid unless
a copy of the completed worksheet and the
customer's order are faxed to HGACBuy at:
713-993-4548
This Workbook contains three versions of HGACBuy's Contract Pricing Worksheet. One is for Standard Equipment / Services, one is for Catalog or Price Sheet type purchases, and the third is for Motor Vehicles only. See tabs at bottom to select appropriate Worksheet.
Please contact H-GAC staff about use of the worksheets if you have any questions.
Contract
No.: AM10-20 Date
Prepared:8/24/2023
Buying
Agency: Contractor:
Contact
Person:
Prepared
By:
Phone: Phone:
Fax: Fax:
Email: Email:
Product
Code: AM20RA16Description:
160,213.00
Cost Cost
68,292
Subtotal B: 68292
Cost Cost
5,081
Subtotal C: 5081.125
2%
2 233586.125 = Subtotal D: 467172.25
Subtotal E: 1000
Cost Cost
57000 40871.35
3200 124.5
Subtotal F: 101195.85
569368.1
Please See Attached
Description Description
C. Unpublished Options - Itemize below / attach additional sheet(s) if necessary. (Note: Unpublished options are items which were not submitted and priced in Contractor's bid.) Subtotal From Additional Sheet(s):
B. Published Options - Itemize below - Attach additional sheet(s) if necessary - Include Option Code in description if applicable. (Note: Published Options are options which were submitted and priced in Contractor's bid.) [email protected]
E. H-GAC Order Processing Charge (Amount Per Current Policy) D. Total Cost Before Any Applicable Trade-In / Other Allowances / Discounts (A+B+C) F. Trade-Ins / Other Allowances / Special Discounts / Freight / Installation X Subtotal of A + B + C:
Description
Please See Attached
Description
CONTRACT PRICING WORKSHEET
For MOTOR VEHICLES Only
Type I Metro Express RP90ES Ford F350 -Gas
A. Product Item Base Unit Price Per Contractor's H-GAC Contract:
This Worksheet is prepared by Contractor and given to End User. If a PO is issued, both documents MUST be faxed to H-GAC @ 713-993-4548. Therefore please type or print legibly.
Orange City Fire Department
Bryan Johnson
714-288-2503
[email protected]
Southwest Ambulance Sales
Bobby Davis
806-336-3949
G. Total Purchase Price (D+E+F): Delivery Date: 120-150 Days Subtotal From Additional Sheet(s):
Quantity Ordered:
For this transaction the percentage is: Check: Total cost of Unpublished Options (C) cannot exceed 25% of the total of the Base Unit Price plus Published Options (A+B).
Description Description
DMV and Tire Fees
Sales Tax 7.75%Stryker Power Pro 2 Cot, High Config for (2) Chassis changed from Gas to Diesel for (2)
PUBLISHED OPTIONS
1 200090 Compartment #6: Spare tire aft of curb side wheel well on RP-90 ES with seat belt strap.
$2401.00
2 200200 Power Door Locks: All Entry and Compartment Doors, wired to OEM door lock system
$1,725.00
3 99-0678 Power Door Locks: Stealth Switch. $127.00
4 99-0717 Shoreline: Auto Eject, 125 VAC, 20-Amp, 60 Hz straight-blade inlet w/hinged, weatherproof cover-ILOS
$882.00
5 500118 All LED Light Package $5096.00
6 500127 Light, Scene/Load, Whelen 9x7 LED w/8-32-degree optics- ILOS x(4)
$2572.00
7 95-0511 Cargo Net @ head of squad bench $854.00
8 800168 EVS Technician's Seat w/Child Restraint System with 4 point seat belt.
$686.00
9 800170 Glove Box Holder, 3-Slots $343.00
10 1000082 Paint: Type 1 module & chassis custom color. $13,720.00 11 99-0522 Dome Light: LED (8) $2016.00
12 99-0678 Power Door Locks: Stealth Switch. $127.00
13 99-1086 Stryker Power Load system $37,100.00
14 99-1098 Privacy tint applied to all 3 entry module door windows. $643.00 Total$68292.00
UNPUBLISHED OPTIONS
1 Custom Graphics Package $3496.13
2 AC System upgrade $1585.00
Total$5081.13