SH18-018 FORD WARRANTIES-1805 Service (2)

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F NATIONAL VEHICLE SERVICE CONTRACT APPLICATION, TERMS & CONDITIONS (All vehicles up to and including Transit and F-550) REGISTRATION INFORMATION 1A ❑ + RECEIVED JUN 07 20184i/ k $ LINCOLN KITTITAS COUNTY SHERIFF PROTECT ACCOUNTING Vehicle Identification Number Signature Date 06/06/2018 Warranty Start Date 04/10/2018 El CPO 1 F I M FIFF 1 5 K 8 A R 0 J G B 1 9 8 4 5 Internet Sale Current Mileage Current Hours* IPP Term Incomplete ❑ Yes © No 10 LJ Key Services Opt -In (Used Plans only) ❑ Interior/Exterior Lighting Opt -In (Used Plans only) ❑ PDL (Lincoln Only) ❑ (Cab/Chassis) Surcharges : ❑ 12 Months/12,000 Miles ❑ 36 months/36,000 miles (Ford and Competitive Make or 48 months/50,000 miles (Lincoln vehicles) ❑ Limo/Livery Wrap ❑ Turbocharger/Supercharger ❑ Snowplow ® Commercial Use ❑ Specialty - Emergency (Fire, Ambulance) ❑ Component Wrap IXI Specialty - Emergency (Fire, Ambulance, Police pursuit units - except Ford Police Interceptor), Limo, Livery, Shuttle, Tow Truck) (Non -CPO) ew Plan Coverage : Core - PowertrainCARE, BaseCARE, ExtraCARE, PremiumCARE (Standard Deductible is $100) LeaseCARE - New PremiumCARE with Wear Items - (Standard Deductible is $0) Rental Care - (RentaiCARE- Standard Deductible is $0) Super Duty Coverages - (Diesel EngineCARE, Diesel EngineCARE Plus - Standard Deductible is $100) Used Plan Coverage: Core (PowertrainCARE, BaseCARE, ExtraCARE, PremiumCARE - Standard Deductible is $100) PLAN COVERAGE n New Plan n Used Plan Plan Name A Deductible Plan Term^ Plan Expiration - (Earliest of all 3) Purchase Sales Tax Total Purchase Price _ City Months Mileage Hours* Date Mileage Hours* Price Service Contract Llenholder Name with Sales Tax PremlumCARE $0 60 100000 1 04/10/20231100000 1 $ 2795.00 $ 231.99 $ 3026.99 Options ® First Day Rental Delete ❑X Enhanced Rental [:]Key Services Delete (New Plans only) ❑ Interior/Exterior Lighting Delete (New Plans only) LJ 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 $ $ $ 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 hours for all vehicles with an hour meter. Total $2795.00 $231.99 $ 3026,99 DISCLOSURE INFORMATION: 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 Service Contract titled, What This Agreement Covers and What is Not Covered, Your Responsibilities for Care of the Vehicle, Implied Signature (not valid without Signature) Warranty of Merchantitibility and Your and Our Rights to Cancel Agreement, SF_RVICF CONTRACT NOI ni=R / PI1PrWAC1=R Signature (Not Valid without Signature) Signature Date Dealer Name Columbia Ford, Inc, 06/06/2018 Name Address KITTITAS COUNTY 307 W UMPTANUM RD City State Zip Code E-mail Address Service Contract Llenholder Name ELLENSBURG WA 98926 7 5 DEALERSHIP INFORMATION Dealership Signature Dealer Name Columbia Ford, Inc, Address 1 700 -7th Avenue Address 2 City Longview State WA Zip Code 98632 Telephone No EmployeeSt2 P&A PB O 2 E= O rsld 4 7 7 5 1 4 L^ ESP 8240 -Nat App/Provs W/Key(July 17) (Previous Editions May Not Be Used)