fz , Contract Date
wmGACBuy soos Seuntind Pain on Pacheee mee No.: SwOrle Prepared: S/B/2018
This Worksheet is prepared by Contractor and given to End User. If a PO is issued, both documents
MUST be faxed to H-GAC @ 713-993-4548. Therefore please type or print legibly.
face City of Nashua, New Hampshire Contractor: {Johnston North America
Costat! Trepared Todd Parsons
Person: By:
Phone: Phone: 704-658-1333
Fax: Fax: 704-658-1377
Email: Email: jtodd.parsons@johnstonnorthamerica,com
reece swo4-18 Deseription: {Johnston VI651 Vacuum Sweeper
a
A. Product Item Base Unit Price Per Contractor's H-GAC Contract: 154000)
IB. Published Options - Itemize below - Attach additional sheet if necessary - Include Option Code in description if applicable
(Note: Published Options are options which were submitted and priced in Contractor's bid.)
Description Cost Description Cost
'VT651-24 - 125HP JCB Aux. Engine 15800
V1T651-36 - Gutter Broom Dual Tilt 4100
'VT651-40 - Gutter Broom Lateral Control 2100
'VT65 1-48 - Bonded Ducts Dual 2800
1VT65 1-50 - Screen Vibrators 2000
VT651-52 - Hopper Flush Out 1500
VT651-18 - Supa-wash, Wash Down Syst. w/Spray Bars 9800
VT65 1-20 - Service Platform 725
VT651-32 - Gutter Broom Down Pressure 2200
VT651-01 - Camera, Single 1500) Subtotal From Additional Sheet(s):
FLM2-VT651 - 2019 Freightliner MZ Chassis 95000 || Subtotal B: 137525,
C. Unpublished Options - Itemize below - Attach additional sheet if necessary
i(Note: Unpublished options are items which were not submitted and priced in Contractor's bid.)
Description Cost Description Cost
K3768955 - Stainless Steel Engine Cowling 3700
K30186 - Arrow Stick 1600
130153 - Work Lights Rear, (2) 775
Subtotal From Additional Sheet(s):
| || Subtotal C: 6075
| Check: Total cost of eapshed ae Pablhed Oat (ADy, of the total of the Base For this transaction the percentage is: 2%
D. Total Cost before any other applicable Charges, Trade-Ins, Allowances, Discounts, Ete, (AtB+C)
Quantity Ordered: |{ 1 i X Subtotal of A+B+C:|[ 297600 _ || = |] Subtotal D: | 297600
E. Other Charges, Trade-Ins, Allowances, Discounts, Etc, : 4 t :
Description Cost Description Cost
Trade-In Allowance -20000)] Factory Freight 2500
Special Customer Discount -22000|Prep & Make-Ready 500}
| Delivery to Nashua 50q]|
| || Subtotal E: -38500]|
| Delivery Date:
10-19-18] .
F. Total Purchase Price (D+E):
259100)
