Okaloosa County BOCC — June 7, 2016 — RequisitionR1600937

Okaloosa County Crestview, FL 32536 Board of County Commissioners REQ"IS[TION 850-689-5960 VENDOR 1. This form DOES NOT constitute an order. PAGE 1 NOTE: 2. Please quote unit and extended price. 3. Indicate availability. - 4. Print or stamp company name, address and phone number on each page. REQUISITION 1600937 REQUESTED | REQUIRED APPROVAL GM 05/03/16 05/13/16 GROWTH MGMT. SHIP TO FLEET-N VENDOR FLEET OPERATIONS 2798 GOODWIN AVENUE CRESTVIEW FL 32539 ATTN: J WILLIS FL=90=X76L=00 FRETGHT LN/ST COMMODITY STOCK NO QUANTITY UOM UNIT PRICE EXTENSION 5 2~ 00T EX 50,662 0000 T 32800 O | FORD TRANSIT X2C 9,250 GVWR 20' GAS 3.[/L V-6 DOHC 02 2.00| EA 1 85250000 3,750, 00 O | UPGRADE ROOF HEIGHT FROM MED TO HIGH ROOF 03 2.00| EA 4,480.0000 8,960.00 O | WHEELCHAIR LIFT/RAMP - MANUFACTURER: BRAUN MODEL: VISTA 2 800 LBS 04 2.00 EA 83.0000 166.00 O | INDIVIDUAL READING LAMPS, CdUP HOLDER AND ELECTRICAL ACCESSORY OUTLET 05 2.00 EA 1,057.0000 2,114.00 O | FOLD-AWAY SEAT 06 2.00 EA 190.0000 380.00 O | DRIVER SAFETY PARTITION 07 2.00] EA 645.0000 1,290.00 O | SECUREMENT DEVICES - MANUFACTURER: Q-STRAING MODEL QRT DELUXE 08 2.00 EA 1,880.0000 3,760.00 O | SECURITY CAMERA SYSTEM, SEON 09 4.00] EA 320.0000 1,280.00 O | ADDITIONAL CAMERA 10 2.00 EA 1,090.0000 2,180.00 O | BYK RAK il 2.00 EA 1,080.0000 2,160 .00 O | STRETCHER SECUREMENT 701241 564404 127,368.00 PAGE TOTAL 127,368.00 PAGE 1 REQUISITION 1600937 REQUESTED REQUIRED APPROVAL oM BUYER ~ 05/03/16 05/13/16 GROWTH MGMT. ‘ SHIP TO FLEET-N VENDOR FLEET OPERATIONS 2798 GOODWIN AVENUE CRESTVIEW FL 32539 ATTN: J WILLIS FL-90-X761-00 FREIGHT ! i LN/ST COMMODITY STOCK NO QUANTITY UOM UNIT PRICE EXTENSION ; 01 2.00 EA 50,664.0000 101,328.00 . O FORD TRANSIT X2C 9,250 GVWR 20’ GAS 3.7L V-6 DOHC 02 2.00 EA 1,875.0000 3,750.00 | O TUPGRADE ROOF HEIGHT FROM MED TO HIGH ! ROOF 03 2.00 EA 4,480,0000 8,960.00 O WHEELCHAIR LIFT/RAMP - MANUFACTURER: BRAUN MODEL: VISTA 2 800 LBS 04 2.00 EA 83.0000 166.00Q O INDIVIDUAL READING LAMPS, CUP HOLDER AND ELECTRICAL ACCESSORY OUTLET 05 2.00 BEA 1,057.0000 2,114.00 QO FOLD-AWAY SEAT 06 2.00 EA 190.0000 380.00 O DRIVER SAFETY PARTITION 07 2.00 EA 645.0000 1,290.00 O SECUREMENT DEVICES -~ MANUFACTURER: Q-STRAING MODEL QRT DELUXE 08 2.00 EA 1,880.0000 3,760.00 O SECURITY CAMERA SYSTEM, SEON 09 4,00 EA 320.0000 1,280.00 ¢ ADDITIONAL CAMERA 10 2.00 EA 1,090.0000 2,180.00 0 BYK RAK 11 2.00 EA 1,080.0000 2,160.00 O STRETCHER SECUREMENT 701241 564404 127,368.00 PAGE TOTAL 127,368.00 Updated May 2016 Florida Department of Transporfahon Public Transit Office ORDER FORM CONTRA -15-MB-NB MiniBus with ADA Option Order Packet Nations Bus Sales AGENCY NAME: D]‘( {IJZDZJ ) &U\}'I/\ DATE: PURCHASE ORDER NUMBER; CONTACT PERSON: (Name, Telaphona Number and Emall Address) Ford Transit X2C May 2616 Total Item Unit Cost | Quantity Cost Base Vehicle Type Ford Model X2C 9,250 GVWR 20' Gas 3.7L V-6 DOHC $50 664 =} Diesel 3.2L I-5 DOQHC $56,153 3.5L V-8 Eco Boost Englne | +32075 CNG Option N/A SEATS Base Seats $599 Child Seats $261 Upgraded AC Gasoline Engine Standard with Base NC Dlesel Engine Standard with Base NC Paint Choices White $0 Paint Scheme A $120 Paint Scheme B $940 Paint Scheme C $2450 Other Options Dual Swing Entry Door "DELETE" option ($3925) Upgrade roof height from Med. to high roof. $1875 A Wheelchalr lifttramp Manufacturer; Braun Model: Vista 2 800 Ibs 34480 AN Wheelchair liftramp Manufacturer: Ricon Model; $4580 Klearview Series 800 Ibs All glternative wheel options N/A 2-way radio prep package. $157 A 110V power inverter with accessory outiet {per position) $295 Individual reading lamps, cup holder and electrical $83 9‘ accessory outlet Fold-away Seat $1057 a TRIPS-15-MB-NB December 2015 Updated May 2016 Florida Department of Transporfation Public Transit Office Order Packet Optional floor covering material $250 Driver safety partition $190 A Securement Devices Manufacturer: Q-Straint Model: $645 QRT Deluxe 2 Q-Straint WC 18 QRT Deluxe Sy