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Home My WebLink About6730 Plan (Updated)MAINTENANCE PLAN APPLICATION, TERMS & CONDITIONS NEW AND USED VEHICLES REGISTRATION INFORMATION Vehicle Identification Number ("VIN") (17 Digits) I 11 F I MI 5 1 K 1 8 1 A I R 1 9 1 F I G 1 C 1 1 I 6 1 7 1 3 1 0 I Internet Sale D Yes ~ No Surcharges 0 12 Month112 ,0 00 Miles (PMP Only -Not applicable for CPO ) Signature Date 12/28 /201 5 Current Mileage 29 87 0 Snow Plo w (PMP Only -Not applicable for PMP E, PMP L, PMP BL or CPO) ~ Specialty -Emergency (fire , ambulance, all police), limo, livery, shuttle, tow trucks - (Gas /Hybrid, Diesel and lincoln Premium Maintenance Plans Only) ~ I ffi L I NCOLN PROTECT I Warranty Start Date k8J Gas/Hybrid 03/25 /201 5 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 Expirat ion (Earlier of) Purchase Price Sales Tax Total Purchase Months Mileage Date Mileage Price with Sales Tax Premium Maintenance 72 1100000 03 /25 /2021 1100000 $ 2,4 80 .00 $ 198.40 $ 2,678.40 Premium Mai~tenance I 0 First Da y Rental (Not availab le on Incomplete or Plan Options Medium Duty Plans) Mainten~nce I D Full Sy nthetic Oil (Not available on Lincoln, Black Label, Electric, Plan Options CP Incomplete Plans and Medium Duty) Service Intervals Service visits o 3,000' k8J 5,000 o 7,500 o 10,000+ 20 'Not available on PMP Plans. + onl y 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 Signature (Not Valid without Signature) Original Signed by: STEVE PANATIONI 'KITIITAS COUNTY City ELLENSBURG I /" DEALERSHIP INFORM~TION State WA Dealership Sigj.atur~~~ Original SigneX JENN FER \A~~LE ~. Dealer Namedy \J ~ Columbia Ford, c. Address 1 700-7th Avenue City Longview Zip Code 98632 Employee Stars Id I o I 0 I 2 I 1 I S I 4 I 9 I 9 I 6 I ESP 8324 -MNTC (Oct 15) (Previous Editions May Not be Used) Zip Code 98926 Address 2 State WA Telephone No P&A Code I o I 8 I 6 I E-mail Address o I 2 I Signature Date 12 /28/2015 Maintenance Plan lienholder Name NA FOR OFFICE USE ONLY NATIONAL VEHICLE SERVICE CONTRACT APPLICATION, TERMS & CONDITIONS (All Vehicles up to and including Transit and F 550 series) REGISTRATION INFORMATION Vehicle Identification Number 1 1 1 F I M I s iKI s i A I R I 9 1 F I G I C I 1 1 61 7 1 3 1 0 1 Internet Sale ~ I ffi L I NC O LN PROTECT Signature Date Warranty Start Date 12 /28 /20 15 03/25/2015 D CPO Current Hours* IPP Term I Current Mileage D Incomplete (Cab/Chassis) D Yes ~ No 2,987 D D D Limo/Livery Wrap Surcharges : D 12 Months/12 ,00 0 Miles D Turbocharger/Supercharger D Sno w pl ow ~ Commercial Use ~ Specialty -Emergency (Fire, Ambulance, Police pursuit units - exc ept Ford police Interceptor), Limo, Li v ery, Shuttle, To w Truck) D Component Wrap (Non-CPO) New Plan Coverage : Core -Po w ertramCARE, BaseCARE, ExtraCARE, PremiumCARE (Standard Deductible IS $ 100) LeaseCARE -New PremiumCARE w ith 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 (Po w ertrainCARE , BaseCARE , ExtraC ARE , 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 Total $ 2,495.00 $ 199.60 $ 2,694 .60 Expiration Hours for all vehicles with an hour meter. 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 v ehicle in accordance w ith the manufacturer's stated periodic maintenance recommendations as a condition of receiving coveraqe under this Aqreement except as otherwise prov ided by law. Mississippi Residents Only: By signing below, I agree to _ Washington Residents Only: By initialing this box, I acknowl edge I ha ve reviewed with Dealer the the binding arbitration language in the Mississippi Section. ~ction 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) II'" SERVICE CONTRACT HOLDER I PURCH ~ER .-- Signature (Not Valid without Signat1ui.j.re) ~ /""I, ~ Original Signed by : STEVE PANATIONI ~ " J ~ '.l1 ~ "./ L. -= ~ A ~-~k"'-;:;;::=~_--____ ---../ Name I L-" -V Address KITIITAS COUNTY City ELLENSBURG I State If'{ WA DEALERSHIP INFORMATION ) (' I Zip Code 98926 Dealership Signature,~ ! / ~\j Original Signed by: JENNIFE CASTLE, V . ~ 1 f\ .r--.. !'--/ i\.!~ '~, Dealer Name \\ 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/Pravs (Oct 15) (Previous Editions May Not be Used) 307 W UMPTANUM ROAD E-mail Address Signature Date 12/28/2015 Service Contract Lienholder Name NA FOR OFFICE USE ONLY