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MAINTENANCE PLAN APPLICATION,
<br />TERMS & CONDITIONS
<br />NEW A~AO USEO VEHICLES
<br />RECE\VED I
<br />MlS I '1 2ms RE9EIVE• 1 a""'" ~ cour TY S HE.niff JUN O 7 2018 ·
<br />Kli11TAS 1 , , ~ I PROTECT
<br />AC COt:, • T\,,...,. KITTITAS CG>UNTY SHERIFF
<br />1 9 8 4 4
<br />8Ignatllro Dato
<br />06/06/2018
<br />Internet Sale IPP Term Current MIieage
<br />18] Oas/Hybrid
<br />QDleael
<br />0 Yea Iv! No O I" 10. iaJ • D Electric t----,----;::::=-------,---.--------------------'----..--1 Surcharges O 12 Month/12,000 Milos {PMP Only• Not appllaable for CPO) ! D D 38 monlha/3.~,ooo mllea (Ford and Compollllve Make o~ 48 monlhl50,000 mlle9 (Unco!n vohlcles) {PMP Only. Not CPO
<br />applicable for CPO) D 0 Snow Plow (PMP Only· Not applicable fotPMP E, PMP L, PMP BL .or PMP CPO) . Incomplete
<br />~Specialty· Ernerg1m13Y. tflre 1 ambulance, poflce (BXCf!Pl Ford_ Pollco Interceptor)), llmo, llvary, shutlle, tow OM di "-•ty tiiJcks • (Gas/HyJJild 1 Dlosel and Unboln Pramfum Melntan!ince Plana Only) : e um .,.,
<br />PREMIUM ;INTENANCE PLANS : Gas/Hyb~d, Electrlc, Diesel, Llncoln, Black Label, Incomplete (Cab/Chassis), Medium Duty,
<br />cPo
<br />1
<br />ggtan ard $0 DeducUble\ · 1
<br />LIMI , B SIC AND Ef.!GlNe MAgTENANCE PLANS : Gas/Hybrid and Dl~sel-(standard $Cl Deduotlbleb
<br />For Premium Mafntenan-9e P_li!n& PMP.) ,cover:age BEGIN_S at lhe New v _ehlole Limited War.rantv Start 1:1te and Zero MIies,
<br />·coverage ENDS at THE l:ARLIER. F the Number of Years Puroh_a.sed, the Number of MIies Purcnased or uP,on completlon of
<br />the MaXlmum Number of Service Intervals Purchase9 from the New V:ehlcle Utnlted WarrantM Start Date or Zero Miles.
<br />For LIMITED BASIC AND ENGINE Maintenance Plans coverage 6EGINS at the S ~nature Date and Current MIieage.
<br />Coverage ENbs al THE EARLIER
<br />1
<br />OF the Number of Years Pllro.hased 1 the Number of M es Purchased or upon completioh of
<br />the Ma~mum Number of Service ntervals Purchased ft_oin the Signature Date or Current Ml eage. ·
<br />PLAN COVERAGE ;
<br />Plan Name Plan Torm Plan Expiration (Ea rH at of) Purc;hase Sain Tax Total Purchase
<br />Montha MIieage Dato MIieage ~flco I Price with Sales Tax
<br />Premium Maintenance 72 1100000 04/10/2024 1100000
<br />, I
<br />$ 2680.00 I $ 222.44 8 2902.44
<br />Premium Maintenance D First Day Ranlal (Not appHaable on Bleck Label 2016 Model Maintenance -• Ful Synthetic OIi .(Not spplfoab/e qn fully Plan Options Years fll1d Prior, Incomplete or Medium Duty Plans) Plan Options Elactlfo, CPO, BMP and E:MP)
<br />D Pick Up and Delivery Option (Lincoln only-excluding Fleet
<br />vehicles) · I
<br />Service Intervals D s,ooo• ·igi _6,000 0 7,600 0 10,000+ Service visits
<br />"Not avall11ble on PMP .Plans. +only service Interval avallable for PMP Electric 20 I
<br />DISCLOSURE INFORMATION · . -!
<br />NO_' TE: THE PURCHASE OF T1J:IIS MAINTE_NANCE PLAN IS NOT REQUIRED IN ORDER TO PURCHASE, OR OBTAIN
<br />FINANCING FOR ·A MOTOR VEnlCLE , . I .
<br />kfa~~i?f~tga~r:8fl;PJt°lh_ i 9frff'lbt:,ggf,Yg ~£Aa1~:,:kntn, :ow:t1::ut:n~Cl:i~tl£1Ji/1':J!l~~ns{._t<:,gg,~!1f!R8th°~ii~:J:Jh:e;;fcrt;~ acoo . ffnpe wilh' t e manuliii:turo, :p 13ta.lk pert.owe; ma ntenanoa recommenclaVons as S" conclli,on o?'reoefv,ng coverage under mis etnc,mance tan ex<;ept as otne,w/se provldea tiy law. , .
<br />MAINTEN P URCHASER . , .
<br />Signature (Not «lid wl o lgnatu ) Signature Date
<br />Name
<br />KITTITAS COUNTY
<br />Olly
<br />ELLENSBURG
<br />Jll)llet-Name
<br />e'olumble Ford, lno.
<br />Address 1
<br />700-7th Avenue
<br />City
<br />Longview ·
<br />pCode
<br />98632
<br />Employee Siers Id
<br />Zip Code
<br />98928
<br />Address 2
<br />Slate
<br />WA
<br />Te!ephone No
<br />P&ACode
<br />Address
<br />307 W UMPTANUM RD
<br />E•mall Address
<br />I O I 8 I 6 I O I 2
<br />FPI P R."1?4 • MNT~ IOrJ 17, IPrR\llnllR Ftllllnn<i MAV Nnl h .. 1 laDtl\
<br />06/06/2018
<br />Malntsnance Plan Uenholder am11
<br />FOR OFFICE USE ONLY
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