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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 wayde@customfire.com Description NA Description Subtotal From Additional Sheet(s): Check: Total cost of Unpublished Options (C) cannot exceed 25% of the total of the Base Unit Price plus Published Options (A+B). For this transaction the percentage is: SEE ATTACHED Description Description C. Unpublished Options - Itemize below / attach additional sheet(s) if necessary. (Note: Unpublished options are items which were not submitted and priced in Contractor's bid.)