9.b) Exhibit A Scandia MN tender HGAC cover sheetContract
No.:
Date
Prepared: 5.8.15
Buying
Agency: Contractor:
Contact
Person:
Prepared
By:
Phone: Phone:
Fax: Fax:
Email: Email:
Product
Code: EE03 Description:
##########
Cost Cost
-$
Subtotal B: 0
Cost Cost
-29060
Subtotal C: -29060
-12%
1 212938 = Subtotal D: 212938
Subtotal E: 2000
Cost Cost
Subtotal F: 0
214938 Delivery Date:
Subtotal From Additional Sheet(s):
Quantity Ordered:
E. H-GAC Order Processing Charge (Amount Per Current Policy)
D. Total Cost Before Any Applicable Trade-In / Other Allowances / Discounts (A+B+C)
F. Trade-Ins / Other Allowances / Special Discounts / Freight / Installation
X Subtotal of A + B + C:
Description
G. Total Purchase Price (D+E+F):
Description
CONTRACT PRICING WORKSHEET
For MOTOR VEHICLES Only
Freightliner, 2-door, single axle, CustomFIRE tanker aluminum body, 500 gpm pump, (2,000 gallons)
A. Product Item Base Unit Price Per Contractor's H-GAC Contract:
651-433-5112 fax 715-294-2168
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.
Scandia, MN 55073
Kristina Handt
651-433-2274 phone
Custom Fire Apparatus, Inc.
Wayde Kirvida
612-325-1366
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.)
wayde@customfire.com
Description
NA
Description
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Check: Total cost of Unpublished Options (C) cannot exceed 25% of the total of the Base Unit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:
SEE ATTACHED
Description Description
C. Unpublished Options - Itemize below / attach additional sheet(s) if necessary.
(Note: Unpublished options are items which were not submitted and priced in Contractor's bid.)