Okaloosa County BOCC — January 7, 2014 — Kansas-Final -Payment — reading text

if mail is not delivered to street address} 302 N. Wilson Street, Suite 203 § City, town, or post office, state. and ZIP cade & Date of i Crestview, FL 32536 7 Name of issue 8 CUSIP number” Government Obligation Contract None® 9 Name and title of officer of tne issuer or other person whom the IRS may cail for more information 10 Telephone number of officer or other person ( } i Part 1] Type of issue (enter the issue price) See instructions and aitach schedule 41 Education 2 14 42 Healthandhospitat LB 43 Transportation. 20 13 14 Publicsafety . . . Ce 14 15 Environment (including sewage bonds), Co 15 16 Housing. 2 0. 16 | 17 Utilities 2. Se 7 48 Other. Describe > Four 4 New Volvo G930 Motor Graders _ 18 19 If obligations are TANs or RANs, check only box 19a ee ie if obligations are BANs, check only box 196 |... re a 20 if obligations are in the form of a lease or installment sale, check box . YY Part Ui Description of Obligations. Complete for the entire issue for which this form is being filed. | {a} Final maturity date tb) Issue price & ponent val neers y {e) ¥ieid 2t 15/2014 § 635,803.00 | $ NIA 3.08 years % Uses of Proceeds of Bond Issue {including underwriters’ discount) 22 Proceeds used for accrued interest. . So ee 22 23 Issue price of entire issue (enter amount from line 24, * column toy) ee ge 23 24 Proceeds used for bond issuance costs (including underwriters’ discount) . [24 28 Proceeds used for credit enhancement 2... , 28 26 Proceeds allocated to reasonably required reserve or replacement fund . . 4-26 27 Proceeds used to currently refund oriorissuss © | wee 27 28 Proceeds used to advance refund prior issues. 2. 2 1 ke 28 29 Total (add lines 24 through 28)... . 29 30 _Nonrefunding proceeds of the issue (subtract line 29 from line. 23 and enter amount here) _. : 30 Description of Refunded Bonds (Complete this part only for refunding bonds) 31 Enter the remaining weighted average maturity of the bonds to be currently refunded... & years 32 Enter the remaining weighted average maturity of the bonds to be advance refunded. , . ® af BATS 33 Enter the last date on which the refunded bonds will be called (MM/DD/YYYY) . 2 6 2 6 34 Enter the date(s) the refunded bonds were issued be MM/DD/YY) For Privacy Act and Paperwork Reduction Act Notice, see separate instructions. Cat. No. 63 Form 8038-G Rev. 5-2010) REFERENCE: PURCHASING'S ONLINE CONTRACTS PRINTED/ATTACHED BY: BCC FINANCE Form 8038-G (Rav, 5-2010} Fea Miscellaneous Enter the arnount of the state volume cap allocated to the issue under section 141(b}(5) . 36a Enter the amount of gross proceeds invested or to be invested in a guaranteed investment cor (GIC) (see instructions) . toe b Enter the final maturity date of the aic > nanan 37 Pooled. financings: a Proceeds of this issue that are to be used to make loans to other governmental units 2. , us b If this issue is a loan made from the proceeds of another tax exempt issue, | check box > oO and enter | issuer and the date of the issue 38 If the issuer has designated the issue under section 265(b)(3)(B) (MI). (small issuer exception), check box . |. . & 39 If the issuer has elected to pay a penalty in lieu of arbitrage rebate, check box. 2. |... 40 If the issuer has identified a hedge, check box, 6 6. ee ee Under penalties of perjury, | declare that | have examined this return and accompanying schedules and statements, and to the best of my knowledge Signature and belief, they are true, correct, and complete. | further declare that | consent to the IRS's disclosure of the issuer's return information, as necessary return, to-the person that | have authorized above. Gor : Jd, Consent a / L fh ‘Z3 hid ‘ath Alen. Drselasig Svices a y. S ghature of igstier's S autnorkal 66 Soresentative Date Type or print name ands Paid Preparer’s > Date i check # Preparer's SSN of of 1 Signature | self-employed [J Preparer’s: , Firm's name jor EIN. Use Only | yours set-employeay, address, and ZIP code: Phone no. if } Form 8038-G (Rev. $-2010) BOARD OF COUNTY COMMISSIONERS REFERENCE: PURCHASING'S ONLINE CONTRACTS PRINTED/ATTACHED BY: BCC FINANCE AGENDA REQUEST DATE; August 3, 2010 TO: Honorable Chairman & Members of the Bo: FROM: Richard Brannon, Purchasing Department SUBJECT: Award Lease of (4) New Motor Graders; Bid #PW 42-10 DISTRICT: All Pe ee a ee a ee ee ee ee ee ee ee ee ee ee 2 ee ee REQUESTING DEPT: Purchasing STATEMENT OF ISSUE: Bids were opened July 25, 2010. Five (5) bids were received. ASC Volvo is the lowest responsive bidder @ a cost of $6,248.61 per month for four (4) units. BACKGROUND; In March 2010, the BCC approved a series of road improvement projects to be accomplished this fiscal year. The Road Division completed all of the projects assigned. The Purchasing Department also solicited bids for surface treatment to two roads, The winning contractor bid lower than expected prices for their work. All together, these projects came in approximately $700,000 under their budgeted costs. In June 2010, Public Works requested, and the BCC approved, the extension of the surface treatment to an additional 6 roads (4.4 miles) and the Public works request to, among other items, lease 4 additional motor graders for 3 years. The Purchasing Department solicited bids for this lease and received bids from 5 different companies, We are requesting that the BCC accept the lowest responsible bid. The money to pay for this lease has been placed into an LOGT account #3202-564402. OPTIONS: Approve or Reject. RECOMMENDATION: Staff has reviewed the bids and recommends awarding to ASC Volvo; they being the lowest responsive bidder. The total annual cost is $74,983.32 and $224,949.96 for 3 years. RECOMMENDED BY: US Purchasing wae Yn i, REVIEWED BY: pO rece Mec. Assistant County Administrator APPROVED BY: County Administrator REFERENCE: PURCHASING' pug 04 10 02: S ONLINE C 2:09p Purchasing DRINTED/ATTACHED EY: BR FINANCE one's NOTICE OF AWARD TO: ASC Construction Equipment, Inc. ATTN: John Edwards 3240 Moffett Road Mobile, Al. 36607 PROJECT DESCRIPTION: RFB# PW 42-10 Equipment Lease of (4) New Motor Graders The OWNER has considered the BID submitted by you for the above-described WORK in response to its Advertisement for Bids dated _July 15, 2010 _ and Information for Bidders. You are hereby notified that your BID has been accepted for items in the amounts of $6,248.61 per month (for ail 4 units). You are required to return an acknowledged copy of this NOTICE OF AWARD to the OWNER: Okaloosa County Purchasing, 602-C North Pearl St., Crestview, FL 32536. If you have any questions, please calf Jack Allen at 850-689-5960. Dated this 3rd day of _August_, 2010. OWNER — 0 COUNTY BOARD OF COUNTY COMMISSIONERS BY: TITLE Purchasing Director Richard L Brannon ACCEPTANCE OF NOTICE Receipt of the above NOTICE OF AWARD is hereby acknowledged. BY: Tehn Eabutard 8 ASé Constraction Ej uipmert _ This the S th day of AusuSst , 2010. BY: QVhn Jha a rite: _Geuerad {‘lasagec REFERENCE: PURCHASING'S ONLINE CONTRACTS sae eae > FINANCE SALES CONTRAG Customer No, County State Date Customer P.O. Salesman Okaloosa Florida 8/5/2010) John Edwards Destination State VIA im Customer x | Comman Pickup Carier Okaloosa County Florida C] otter. S$ Okaloosa County Commission C] ineividua [_Tearnership Jere. oO Terms: C7 Cash on Finance No, months 602 N. Pearl Street Delivery L Crestview Fl 32536 To be financed with Baystone Financial for 36 Months at a lease D payment of 1562.15 per month each and an buy back at the end T of the lease for the amount of $120,808 each i?) PHONE NO. 850-689-5960 Quan. Mfg. Model Serial No. Equipment No. Price 4\Volvo 6930 $158,852 Four Volvo G930 Motor Graders equipped with 14 foot moldboards, cab, a/c, and other items listed in specifications. Units to include Caretrack and subscription for 3 years. To also include one set of fitters for each unit WITH WARRANTY OF: Std machine warranty F.0.B. Equipment Price $635,408 Used Equipment sold on an “AS IS WHERE !S" basis unless specifically noted on the face of this contract Freight Less Trade in Trade ins are F.0.B. our branch Sub Total $635,408 BILE. OF SALES FOR TRADE IN: For value received, Customer sells and delivers unto ASC Construction Equipment USA, Inc. Sales Tax oGNIA Mig. Model Serial No. Attachments Carrying Charge Less Down Payment Caminer warrants that there is no Ken, debt, mortgage, oF eucumbrance of any Kind, nature, or description Against this property now existing, or record of otherwise, and that sane ig free und clear and is his sole Trade Payoft land absolute property Unpaid Balance $635,408 “Ail shipiaants subject 10 unforeseen contingencies or the Gllest of priorihes or olber regulations of the United States government, or delays occasioned by sinikes, weather, ov aay other occurrence beyond our contsol. Prices are F.O.B. factory uniless utheswise noted ase subjeat to any change in current list prices nt the time of shipment from factory. Onthe purchase of new equipment, the warranties, including all limitations, of the manufacturer of that equipment are transferred by ASC Construction Equipment, USA, Ine, 10 the customer. These warranties are incorponuted by reference. You are entitled to & copy of these warrsnties prior to signing this contract. Thare are no understandings, cepreseniations, of agreements outside the terms of this contract. This contract is aot binding, upon ASC Construction Equipment, USA, Ine. until approved and ancepted by the management of ASC Construction Equipment, USA, Inc. Order cancellation changes assessed ( ASC Construction Equipment, USA, Inc. by the supplier or manufacturer, if any, will be paid to the customer." SUBJECT TO TERMS AND CONDITIONS ON REVERSE SIDE INCLUDING WARRANTY LIMITATIONS Accepted Credit Approved Purchasing Company ASC Construction Equipment By hea gf SaGUSES it Bat Signalure’ al mer le ie ha / cheraele Date P-S -20¢8 Ope Juteltasty Sovite feel s/ea Tite ff Signature of Salesman in ~~" {Date General Manager Date 8/5/2010 REFERENCE: PURCHASING'S ONLINE CONTRACTS PRINTED/ATTACHED BY: BCC FINANCE BID SHEET Date:__July 14 2010 BID #: PW 42-10 BID ITEM: BID ITEM: EQUIPMENT LEASE FOR (4) NEW MOTOR GRADERS Please complete all columns that your company can bid. Okaloosa County reserves the right to select the pricing/proposal that best meets its needs. Please include details with your bid. $ Per Unit Total 4 Units 4,—Purchase Price i. Straight Lease Price per month (3 years) $1,562.45 $6,248.61 2. Gast-te-purehase Purchasing Option Price @ end of 3 year lease $120,808.00 $483,232.00 3. Cost to return units @ end of lease * see attached *see attached Do not include maintenance in your pricing. ANTI-COLLUSION STATEMENT: The below signed bidder has not divulged to, discussed or compared his bid with other bidders and has not colluded with any other bidder or parties to bid whatever. (Note: No premiums, rebates, or gratuities permitted either with, prior to, or after any delivery of materials. Any such violation will result in the cancellation and/or return of material (as applicable) and the removal from bid list(s). ASC Construction Equipment OL. Ebarke Bidder’s Company Name Asthorized Signature ~ Manual 3240 Moffett Road John Edwards Authorized Signature - Typed Mobile Alabama 36607 General Manager Address Title 850-685-7055 251-473-6119 Phone # Fax # 20-1862082 John.edwards@ascvolvo.com Federal 1D # or SS # E-mail address REFERENCE: PURCHASING'S ONLINE CONTRACTS PRINTED/ATTACHED BY: BCC FINANCE construction Equipment _ USAING. oo Mr. Richard Brannon July 14, 2010 Purchasing Director Okaloosa County Fl. Dear Richard, We sincerely appreciate the opportunity to offer the Volvo G930 for your consideration. In conjunction with our offer, we are pleased to be able to offer competitive leasing solutions with Baystone Financial. With these leases, it requires Okaloosa County to take possession of the