Warranties - Laserfiche WebLink

Home Browse Search

F + 1A ❑ + NATIONAL VEHICLE SERVICE CONTRACT APPLICATION, TERMS & CONDITIONS (All vehicles up to and including Transit and F-550) RFni.RTRATICIN INMIRMATlr]N DECEIVED JUL 16 201/ KITTITAS COUNTY SHERIFF ACC0UNTIf4G I7„ W L I N C O L N PROTECT Vehicle Identification Number Signature Date 07/13/2017 Warranty Start Date 05/30/2017 ❑CPO 1 F M 5 K 8 A R 7 H G C 8 7 3 3 2 Internet Sale Current Mileage Current Hours* IPP Term ❑Incomplete Q Yes © No 187 $ 3739.80 El E771(Cab/Chassis) ❑ Key Services Opt -In (Used Plans only) ❑ Interior/Exterior Lighting Opt -In (Used Plans only) ❑ PDL (Lincoln Only) Surcharges : ❑ Limo/Livery Wrap ❑ 12 Months/12,000 Miles ❑ 36 months/36,000 miles (Ford and Competitive Make or 48 months/50,000 miles (Lincoln vehicles) Plan Expiration - (Earliest of all 3) ❑ Turbocharger/Supercharger ❑ Snowplow ❑X Commercial Use ❑ Specialty - Emergency (Fire, Ambulance) ❑ Component Wrap X❑ Specialty - Emergency (Fire, Ambulance, Police pursuit units - except Ford Police Interceptor), Limo, Livery, Shuttle, Tow Truck) (Non -CPO) PMUW x1011 VUVWJ QUW . \ WFW - ruwlrlpelu�nrt �, ppyrk., yn{c, CXIIGw%MC, rlg1lHUPPIWI [C t.7larivar? uelau Lu le Is .'� luuf LeaseCARE -New PremiumCARE with Wear Items -(Stan dard Deduct is $0) Rental Care - (RentaICARE- Standard Deductible is $0) Super Duty Coverages - (Diesel EnglneCARE, Diesel EnglneCARE Plus - Standard Deductible is $100) Used Plan Coverage: Core (Powertra in CARE, BaseCARE, ExtraCARE, PremiumCARE - Standard Deductible is $100) PI AN rOVFRAr,F n New Plan n Used Plan Plan Name A Deductible Plan Term Plan Expiration - (Earliest of all 3) Purchase Sales Tax Total Purchase Price Months Mileage Hours* Date Mileage Hours* Price with Sales Tax PremiumCARE $0 60 100000 05/30120221100000 S3450.00 $ 289.80 $ 3739.80 Options X❑ First Day Rental Delete ❑ Enhanced Rental [:]Key Services Delete (New Plans only) ❑ Interior/Exterior Lighting Delete (New Plans only) ❑ Key Services Opt -In (Used Plans only) ❑ Interior/Exterior Lighting Opt -In (Used Plans only) ❑ PDL (Lincoln Only) Plan Name B Deductible Plan Term Plan Expiration - (Earliest of all 3) Purchase Sales Tax Total Purchase Price Months Mileage Hours* Date Mileage Hours* Price with Sales Tax j I $ $ $ Options ❑ First Day Rental Delete ❑ Enhanced Rental [:]Key Services Delete (New Plans only) ❑ Interior/Exterior Lighting Delete (New Plans only) ❑ Key Services Opt -In (Used Plans only) ❑ Interior/Exterior Lighting Opt -In (Used Plans only) ❑ PDL (Lincoln Only) *Super Duty and Incomplete Vehicle Plan Coverages require current hours and expiration Total $3450.00 $289.80 $ 3739.80 hours for all vehicles with an hour meter. UfJlaLUSUKt INI-L)KMAI IUN: THE PURCHASE OF THIS AGREEMENT IS NOT REQUIRED IN ORDER TO PURCHASE, OR OBTAIN FINANCING FOR A MOTOR VEHICLE. YOU MAY PURCHASE THE SERVICE CONTRACT BY CASH OR UNSECURED CREDIT CARD. IF YOU ELECT TO PURCHASE THIS AGREEMENT, IT GIVES YOU SPECIFIC LEGAL RIGHTS, WHICH MAY VARY FROM STATE TO STATE. I acknowledge receipt of a complete copy of this Application and Terms and 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 stated periodic maintenance recommendations as a condition of receiving coverage under this Agreement, except as otherwise provided by law. Mississippi Residents Only: By signing below, I agree to the Washington Residents Only: By initialing this box, I acknowledge I have reviewed binding arbitration language in the Mississippi Section.with Dealer the section of this Servlce Contract titled, What This Agreement Covers nd Covered, Your Responsibilities for Care of the Vehicle, Implied ranty of Merchantitibllfty and Your and Our Rights to Cancel Agreement. Signature (not valid without Signature) Signature) Signature Date Name— `—� — Address KITTITAS COUNTY 307 W UMPTANUM RD City State Zip Code E-mail Address Service Contract Lienholder Name ELLENSBURG WA 98926 1 NONE DEALERSHIP INFORMATION Dealership Signature Columbia Ford, Inc Address 1 700 -7th Avenue City Longview Zip Code 98632 Em to ee Stars Id 0 1 0 1 2 1 4 7 1 7 1 5 1 1 1 4 Address 2 WA Telephone No P&A Code 0 1 8 1 6 1 0 1 2