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Okaloosa County BOCC — November 17, 2015 — MX164E-15 FORD Okaloosa 2016 Options — reading text

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$0.00 4 1 Additional "M" tank and pluming $250.00 $250.00 5 1 SOL pack $190.00 $190.00 6 1 Cabinet over mobility head and gloves over mobility seat ( same as last Okaloosas) $0.00 7 1 Buell air horns thru front bumper $430.00 $430.00 8 1 5 point retractable hasness on mobility seat $895.00 $895.00 9 1 brake turn signals over rear doors $175.00 $175.00 10 1 IV pole in forward section of cardiac monitor area $120.00 $120.00 11 1 Add 1 shelf in D3 compartment and ship spare tire loose $90.00 $90.00 12 1 Add 110 volt outlet and 12 volt hot outlet in cabinet under drug locker $130.00 $130.00 13 Lettering to match last vehicles (by QEV) $0.00 14 $0.00 15 $0.00 16 $0.00 17 $0.00 18 $0.00 19 $0.00 20 $0.00 * Specification subject to change without notice • Not responsable for errors or omissions • All trademarks are the properties of their respective companies * Copy of MX164E-15 FORD INGENIERIE V15.04 okaloosa 2016dnet - 10 - Initial : ______ V15.04 Date: 22/10/2015 3 Area Development Dr., Plattsburgh, NY 12901 Tel.: 800.363.7591 fax: 450.467.6526 Contact : Fred Allegretti BASE PRICE & STANDARD $128,660.00 OPTIONS $42,300.00 CUSTOM ITEMS $2,780.00 FREIGHT (Refer to separate quotation) CUSTOMS ADMINISTRATION FEE $125.00 SUBTOTAL USD $173,865.00 VOLUME DISCOUNT (if applicable) negative value $1,000.00 TOTAL: USD $172,865.00 Total Cost USD $172,865.00 Valid for 30 days only Payment Terms: Ex-Works This quote is prepared in accordance to your specifications and will become an integral part of your contract. The buyer acknowledges that by accepting this quote, he commits to take possession of the vehicle according to the delivery agreement between himself and Demers Ambulance USA Inc. (dba Demers Ambulances.) All sales have ex-works factory terms, are final, are payable upon delivery by certified cheque, pre-approved electronic bank transfer and/or by financing contract prepared and signed on the acceptance or delivery date whichever is sooner. Title of the vehicle will be issued to the buyer once payment of the invoice has been received in full. PROJECTED DELIVERY DATE TBD Date of the final approbation Quality Emergency Vehicle Buyer The parties acknowledge that the Demers Ambulances employee, in performing his duties, is solely acting as an employee of Demers Ambulances and is not authorized to assume any liabilities, duties or obligations, enter into any transaction in the name of Demers Ambulances nor bind Demers Ambulances in any way. Any and all transactions entered into on behalf of Demers Ambulances shall be authorized by a director, officer or any other representative of Demers Ambulances at the head office of Demers Ambulance USA Benoit Lafortune Date of the final approbation Demers Ambulance USA Inc. * Specification subject to change without notice • Not responsable for errors or omissions • All trademarks are the properties of their respective companies * Copy of MX164E-15 FORD INGENIERIE V15.04 okaloosa 2016dnet - 11 - Initial : ______

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