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F_ <br />NATIONAL VEHICLE SERVICE CONTRACT <br />APPLICATION, TERMS & CONDITIONS KITTITAS COUNTY SHERIFF <br />(All vehicles up to and including Transit and F-.550) <br />ACCOUNTING <br />REGISTRATION INFORMATION I`') 6'x <br />1A El + <br />W L I N .. <br />4 N <br />PROTECT <br />Vehicle Identification Number _ <br />1 I F . M 51 K 8 1 A R, 7 1 H G C 8 7 3 3 2 <br />Signature Date <br />07/13/2017 <br />Warranty Start Date <br />05/30/2017 <br />CPO <br />Internet Sale <br />Yes <br />Current Mileage <br />CurrentHours* <br />IPP Term <br />r I Incomplete <br />LJ <br />G] I� No I <br />187 <br />05/30/2022 100000 $ 3450.00 $ 289,80 $ 3739.80 <br />L j <br />(Cab/Chassis) <br />_ F <br />Surcharges <br />12 Months/12,000 Miles Q 36 months/36,000 miles (Ford and Competitive Make or 48 months/50,000 miles (Lincoln vehicles) <br />Limo/Livery Wrap <br />Turbocharger/Supercharger C] Snowplow X Commercial Use [] Specialty - Emergency (Fire, Ambulance) <br />Component Wrap <br />X� Specialty - Emergency (Fire, Ambulance, Police pursuit units - except Ford Police Interceptor), Llmo, Livery, Shuttle, Tow Truck) <br />(Non -CPO) <br />New Plan Coverage : Core - PowertrainCARE, BaseCARE, ExtraCARE, PremiumCARE (Standard Deductible is $100) <br />LeaseCARE - New PremiumCARE with Wear Items - (Standard Deductible is $0) <br />Rental Care - (RentaICARE- Standard Deductible is $0) <br />Super Duty Coverages - (Diesel EngineCARE, Diesel EngineCARE Plus - Standard Deductible is $100) <br />Used Plan Coverage: Core (PowertrainCARE, BaseCARE, ExtraCARE, PremiumCARE - Standard Deductible is $100) <br />PLAN COVERAGE FXJ New Plan F-] Used Plan <br />Plan Name A <br />Deductible <br />Plan Term <br />Plan Expiration - (Earliest of all 3) Purchase Sales Tax Total Purchase Price <br />Columbia Ford, Inc, <br />Months Mileage Hours* <br />Date Mileage Hours* Price with Sales Tax <br />PremiumCARE <br />$0 <br />60 100000 <br />05/30/2022 100000 $ 3450.00 $ 289,80 $ 3739.80 <br />Options XD First Day Rental Delete F� Enhanced Rental F] Key Services Delete (New Plans only) Interior/Exterior Lighting Delete (New Plans only) <br />Key Services Opt -In (Used Plans only) Interior/Exterior Lighting Opt -in (Used Plans only) ❑ PDL (Lincoln Only) <br />Plan Name B <br />Deductible <br />Plan Term <br />Plan Expiration - (Earliest of all 3) <br />Purchase <br />Sales Tax <br />Total Purchase Price <br />Employee Stars Id <br />Months Mileage Hours* <br />Date Mileage Hours* <br />Price <br />7 1 <br />with Sales Tax <br />5 j <br />1 <br />4 <br />Options First Day Rental Delete L_J Enhanced Rental u Key Services Delete (New Plans only) [:] Interior/Exterior Lighting Delete (New Plans only) <br />Key Services Opt -In (Used Plans only) [] Interior/Exterior Lighting Opt -In (Used Plans only) PDL (Lincoln Only) <br />*Super Duty and Incomplete Vehicle Plan Coverages require current hours and expiration <br />Total <br />$ 3450,00 <br />$289,80 <br />$ 3739.80 <br />hours for all vehicles with an hour meter. <br />T <br />DISCLOSURE INFORMATION: <br />THE PURCHASE OF THIS AGREEMENT IS NOT REQUIRED IN ORDER TO PURCHASE, OR OBTAIN FINANCING FOR A MOTOR VEHICLE. YOU MAY <br />PURCHASE THE SERVICE CONTRACT BY CASH OR UNSECURED CREDIT CARD. IF YOU ELECT TO PURCHASE THIS AGREEMENT, IT GIVES YOU <br />SPECIFIC LEGAL RIGHTS, WHICH MAY VARY FROM STATE TO STATE. I acknowledge receipt of a complete copy of this Application and Terms and <br />Conditions (the "Agreement") at signing and agree to all the terms and conditions. I agree to maintain the covered vehicle in accordance with the manufacturer's <br />stated periodic maintenance recommendations as a condition of receiving coverage under this Agreement, except as otherwise provided by law. <br />Mississippi Residents Only: By signing below, 1 agree to the Washington Residents Only: By initialing this box, I acknowledge I have reviewed <br />binding arbitration language in the Mississippi Section. with Dealer the section of this Service Contract titled, What This Agreement Covers <br />and What is Not Covered, Your Responsibilities for Care of the Vehicle, Implied <br />Warranty of Merchantltibility and Your and Our Rights to Cancel Agreement, <br />Signature (not valid without Signature) <br />czpPmr is rr1AITRAr t whit r)i:p / pl iPr`wACFR <br />Signature (Not Valid without Signature)^- <br />Signature Date <br />Columbia Ford, Inc, <br />Name �^y^� <br />Address 1 M <br />- Address <br />KITTITAS COUNTY <br />307 W UMPTANUM RD <br />City <br />State <br />T� <br />_ Zip Code E-mail Address _ Service Contract L.ienholder Name <br />ELLENSBURG <br />WA__l <br />98926 NONE <br />I M&91M1lX0j2 ,i • <br />Dealership Signature. <br />Columbia Ford, Inc, <br />Address 1 M <br />Address 2 <br />700 -7th Avenue <br />City <br />State <br />Longview <br />WA <br />Zip Code iT <br />Telephone No -T <br />98632 <br />Employee Stars Id <br />P&A Code <br />0 8 6 0 _J <br />0 0 <br />2 <br />7 1 <br />7 <br />5 j <br />1 <br />4 <br />ESP 8240 -Nat App/Provs W/Key(July 17) (Previous Editions May Not Be Used) <br />