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F <br />-I- <br />NATIONAL VEHICLE SERVICE CONTRACT <br />APPLICATION, TERMS & CONDITIONS <br />(All vehicles up to and including Transit and F-550) <br />REGISTRATION INFORMATION <br />1A + <br />RECEIVED 1��JJJ <br />n9uN () 1 20141ok $ L I N C O L N <br />KITTITAS COUNTY SHENIF6ROTECT <br />ACCOUNTING <br />Vehicle Identification NumberT� <br />Signature Date <br />06/06/2018 <br />Warranty Start Date <br />04/03/2018 <br />CPO <br />1 I <br />F <br />M <br />1 5 <br />K <br />S <br />1 A I R <br />� 2 <br />J <br />G <br />6 <br />1 <br />918 <br />100000 <br />4 <br />6 <br />Internet Sale <br />Current Mileage <br />Current Hours* <br />IPP Term <br />n Incomplete <br />[—] Yes 0 No <br />10 <br />Plan Name B <br />Deductible <br />(Cab/Chassis) <br />Surcharges : <br />Limo/Livery Wrap <br />[] 12 Months/12,000 Miles [] 36 months/36,000 miles (Ford and Competitive Make or 48 months/50,000 miles (Lincoln vehicles) <br />Total Purchase Price <br />Turbocharger/Supercharger [] Snowplow X Commercial Use [] Specialty - Emergency (Fire, Ambulance) <br />Component Wrap <br />n Specialty - Emergency (Fire, Ambulance, Police pursuit units - except Ford Police Interceptor), Limo, Livery, Shuttle, Tow Truck) <br />(Non -CPO) <br />New Plan Coverage : Core - PowertralnCARE, 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 [_X1 New Plan F-1 Used Plan <br />Plan Name A <br />Deductible <br />Plan Term <br />Plan Expiration - (Earliest of all 3) <br />Purchase <br />Sales Tax <br />Total Purchase Price <br />700 -7th Avenue <br />City T State Zip Code E-mail Address <br />Months Mileage Hours* <br />Date Mileage Hours* <br />Price <br />Longview <br />with Sales Tax <br />PremiumCARE <br />$0 <br />60 <br />100000 <br />04/03/20231100000 <br />Employee Stars Id_ _ <br />0 0 2 4 7 7 5 1 n <br />P&A Code <br />�0� 8 6 1 0 2 <br />$ 2795,00 <br />$ 231.99 <br />$ 3026.99 <br />Options [X:] First Day Rental Delete 0 Enhanced Rental :I 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 />Months Mileage Hours* <br />Date Mileage Hours* <br />Price <br />with Sales Tax <br />$ <br />$ <br />$ <br />Options First Day Rental Delete Enhanced Rental 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 />hours for all vehicles with an hour meter, <br />Total <br />$2796.00 <br />$231,99 <br />$ 3026,99 <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, I 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 />Signature (not valid without Signature) Warranty of Merchantitibility and Your and Our Rights to Cancel Agreement, <br />SFRVIrF CnKITRAr.T Hni nFR / PI IRCHaCFR <br />Signature (Not Valid without Signature) <br />Signature Date <br />Dealer Name T <br />06/06/2018 <br />Name Address <br />Address 1 a <br />KITTITAS COUNTY 307 W UMPTANUM RD <br />700 -7th Avenue <br />City T State Zip Code E-mail Address <br />Service Contract Lienholder Name <br />ELLENS BURG WA 98926 <br />State <br />DEALERSHIP INFORMATION <br />Dealership Signature <br />Dealer Name T <br />Columbia Ford, Inc, <br />Address 1 a <br />Address 2 <br />700 -7th Avenue <br />City <br />State <br />Longview <br />WA <br />Zip Code <br />Telephone No <br />98632 <br />^ <br />Employee Stars Id_ _ <br />0 0 2 4 7 7 5 1 n <br />P&A Code <br />�0� 8 6 1 0 2 <br />ESP 8240 -Nat App/Provs W/Key(July 17) (Previous Editions May Not Be Used) <br />