Contract
No.: FS12-19 Date
Prepared: 01/27/21
Buying
Agency: Contractor:
Contact
Person:
Prepared
By:
Phone: Phone:
Fax: Fax:
Email: Email:
Product
Code: FS19VC08 Description:
#REF!
Cost Cost
#REF!
Subtotal B: #REF!
Cost Cost
#REF!
Subtotal C: #REF!
#REF!
2 #REF! = Subtotal D: #REF!
Subtotal E: $2,000.00
Cost Cost
$3,550.80 $119,166.80
-$40,496.00 $21.00
Subtotal F: $82,242.60
#REF!Delivery Date: 12 - 15 months G. Total Purchase Price (D+E+F):
F. Trade-Ins / Other Allowances / Special Discounts / Freight / Installation Description Description
Performance bond Sales tax
100% Pre-Payment Discount Tire Fee
E. H-GAC Order Processing Charge (Amount Per Current Policy) Subtotal From Additional Sheet(s):
Check: Total cost of Unpublished Options (C) cannot exceed 25% of the total of the Base Unit Price plus Published Options (A+B). For this transaction the percentage is:
D. Total Cost Before Any Applicable Trade-In / Other Allowances / Discounts (A+B+C) Quantity Ordered: X Subtotal of A + B + C:
Description Description
Subtotal From Additional Sheet(s):
C. Unpublished Options - Itemize below / attach additional sheet(s) if necessary 909-685-5402 9096739900
[email protected] [email protected]
Pierce Velocity, 4 door, full tilt aluminum cab and body, 1250 GPM pump mid mount pumper A. Product Item Base Unit Price Per Contractor's H-GAC Contract:
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.) Description Description
CONTRACT PRICING WORKSHEET
For MOTOR VEHICLES Only
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.
City of Rialto South Coast Fire Equipment/Pierce Manufacturing Craig Hauenstein Kevin Newell