Okaloosa County BOCC — February 3, 2015 — TRUCKS BID SHEET

BID SHEET BID #: WS 13-15 Date Submitted: M BID # ITEM(S): Four (4) New % Ton (4X4) Extended Cab SWB Pickup Truck s FORD Make Model F-150 Year_2015 Total Price $ 25,799.00 EACH X 4=$103,196.00 DELIVERY TIME MAXIMUM: _90-120 BID PRICE DELIVERED:_$25,799.00 EACH X 4=$103,196.00 Remarks: 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). HUB CITY FORD INC Bidder’s Company Name 4060 SOUTH FERDON BLVD CRESTVIEW FLA 32536 Address 850-398-6810 Phone # 59-2617784 Federal ID # or SS # 20 RFEB# WS 13-15 Four (4) New % Ton Pickup Trucks //\/ Au‘d}/{rized Signature — Manual JOSEPH WINDROW Authorized Signature — Typed FLEET SALES MGR Title 850-398-6827 Fax # WINDROW1@WINDROWFLEETSALES.COM E-mail address OKALOOSA COUNTY