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Home My WebLink About6729 Plan (Updated)NATIONAL VEHICLE SERVICE CONTRACT APPLICATION, TERMS & CONDITIONS (All Vehicles up to and including Transit and F 550 series) REGISTRATION INFORMATION Vehicle Identification Number 1 11 F 1 MI51 K 181 A I R 121 FIG I C I 1 I 61 71 21 9 Internet Sale I Current Mileage D Yes ~ No 3,124 ~ I ill LINCOLN PROTECT I Signature Date 12/28/2015 Warranty Start Date 03/25/2015 DCPO Current Hours* IPP Term D Incomplete (CabIChassis) D I I D Limo/Livery Wrap Surcharges: D 12 Months/12,000 Miles D Turbocharger/Supercharger D Snowplow ~ Commercial Use ~ Specialty -Emergency (Fire, Ambulance, Police pursuit units -except Ford police Interceptor), Limo, Livery, Shuttle, Tow Truck) D Component Wrap (Non-CPO) New Plan Coverage: Core -PowertramCARE, BaseCARE, ExtraCARE, Premium CARE (Standard Deductible IS $100) LeaseCARE -New PremiumCARE with Wear Items on Ford and Lincoln vehicles -(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 ~ New Plan D Used Plan Plan Name A Deductible Plan Term Plan Expiration -(Earliest of all 3) Purchase Months Mileage Hours* Date Mileage Hours* Price PremiumCARE $0 60 1100,000 1 03/25/2020 1100,000 1 $ 2,495.00 Sales Tax Total Purchase Price with SalesTax $ 199.60 $ 2,694.60 Options D First Day Rental Delete D Enhanced Rental D Interior/Exterior Lighting Delete 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 SalesTax 1 1 1 1 $ $ $ Options D First Day Rental Delete D Enhanced Rental D Interior/Exterior Lighting Delete *Super Duty Coverages and Incomplete Vehicle Plan Coverages require Current Hours and I Expiration Hours for all vehicles with an hour meter. Total $ 2,495.00 $ 199.60 $ 2,694.60 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 the Terms and Conditions (the "Entire Agreement") at the time of 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 coveraae under this Aareement exceot as otherwise orovided bv law. Mississippi Residents Only: By signing below, I agree to Washington Residents Only: By initialing this box, I acknowledge I have reviewed with Dealer the the binding arbitration language in the Mississippi Section. ~section of this Service Contract titled, What This Agreement Covers and What is Not Covered, Your Responsibilities for Care of the Vehicle, Implied Warranty of Merchantitibility and Your and Our Rights __ to Cancel Agreement. Signature (not valid without Signature) SERVICE CONTRACT HOLDER I PURCHASER Signature (Not Valid without Sign~.t~) .D?i~ /? Original Signed by: STEVE PANATI0T' Vr,-IJ "} r)~_ (,,7 -'( A Name KITIITAS COUNTY City ELLENSBURG /'1 State I ,WA DEALERSHIP INFORMATION I {\ I Zip Code 98926 Dealership Signature : C~STI \ J \ ,\ Original Signed by: JENNIFER ~ .A-J... v I~ Dealer Name \..J V ~ Columbia Ford, Inc. Address 1 700-7th Avenue City Longview Zip Code 98632 Employee Stars Id Address 2 State WA Telephone No P&A Code ESP 8240-Nat App/Provs (Oct 15) (Previous Editions May Not be Used) Address 307 W UMPTANUM ROAD E-mail Address Signature Date 12/28/2015 Service Contract Lienholder Name NA FOR OFFICE USE ONLY MAINTENANCE PLAN APPLICATION, TERMS & CONDITIONS NEW AND USED VEHICLES REGISTRATION INFORMATION Vehicle Identification Number (nVINn) (17 Digits) I 1 I F I M I 5 I K I 8 I A I R I 2 I FIG I C I 1 I 6 I 7 I 2 I 9 I Internet Sale D Yes [8J No Surcharges D 12 Month/12,000 Miles (PMP Only -Not applicable for CPO) Signature Date 12/28/2015 Current Mileage 3124 D Snow Plow (PMP Only -Not applicable for PMP E, PMP L, PMP BL or CPO) [8J Special%,-Emergency (fire, ambulance, all police). limo, livery, shuttle, tow trucks - (Gas/Hy rid, Diesel and Lincoln Premium Maintenance Plans Only) ~ I ffi LINCOLN PROTECT I Warranty Start Date [8J Gas/Hybrid 03/25/2015 D Diesel D Electric DCPO D Incomplete D Medium Duty PREMIUM MAINTENANCE PLANS: Gas/Hybrid, Electric, Diesel, Lincoln, Black Label, Incomplete (Cab/ChasSIS), Medium Duty, CPO - (Standard $0 Deductible) LIMITED, BASIC AND ENGINE MAINTENANCE PLANS: Gas/Hybrid and Diesel-(Standard $0 Deductible) For Premium Maintenance Plans (PMP) coverage BEGINS at the New Vehicle Limited Warranty Start Date and Zero Miles. Coverage ENDS at THE EARLIER OF the Number of Years Purchased, the Number of Miles Purchased or upon completion of the Maximum Number of Service Intervals Purchased from the New Vehicle Limited Warranty Start Date or Zero Miles. For LIMITED, BASIC AND ENGINE Maintenance Plans coverage BEGINS at the Signature Date and Current Mileage. Coverage ENDS at THE EARLIER OF the Number of Years Purchased, the Number of Miles Purchased or upon completion of the Maximum Number of Service Intervals Purchased from the Signature Date or Current Mileage. PLAN COVERAGE Plan Name Plan Term Plan Expiration (Earlier of) Purchase Price Sales Tax Total Purchase Months Mileage Date Mileage Price with Sales Tax Premium Maintenance 72 1100000 03/2512021 1100000 $ 2,480.00 $ 198.40 $ 2,678.40 Premium Mai~tenance I D First Day Rental (Not available on Incomplete or Plan Options Medium Duty Plans) Mainten~nce I D Full Synthetic Oil (Not available on Lincoln, Black Label, Electric, Plan Options CP Incomplete Plans and Medium Duty) Service Intervals Service visits D 3,000* [8J 5,000 D 7,500 D 10,000+ 20 *Not available on PMP Plans. + only service interval available for PMP Electric DISCLOSURE INFORMATION NOTE: THE PURCHASE OF THIS MAINTENANCE PLAN IS NOT REQUIRED IN ORDER TO PURCHASE, OR OBTAIN FINANCING FOR A 'MOTOR VEHICLE. I acknowledge receipt of a complete copy of this Maintenance Plan (the Application, Terms and Conditions constitute the "Entire Maintenance Plan") at the time of 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 Maintenance Plan except as otherwise provided by law. MAINTENANCE PLAN/PURCHASER Original Signed by: ST Name KITIIT AS COUNTY City ELLENSBURG DEALERSHIP INFORMATION Dealership Signature Original Signed by : JEN NIFER CASTLE Dealer Name Columbia Ford, Inc. Address 1 700-7th Avenue lity Longview Zip Code 98632 Employee Stars Id ESP 8324 -MNTC (Oct 15) (Previous Editions May Not be Used) Address 307 W UMPTANUM ROAD Zip Code 98926 Address 2 St at e WA Telephone No P&ACode E-mail Address Signature Date 12/28/2015 Maintenance Plan Lienholder Name NA FOR OFFICE USE ONLY