HomeMy WebLinkAboutCORRESPONDENCE - PURCHASE ORDER - 9201252 (2)Fill out form template then SAVE AS a .doc file using a file name of your choice, such as Example.doc
Close form template WITHOUT saving and it will be blank when you open it again.
Form last updated:11-2013 Submit form to Operations Services.
EQUIPMENT REQUEST FORM Date: 3-21-2020
Light & Medium Duty VehiclesTAB to the next field. SHIFT-TAB to return to a previous field.
Dept Parks Division Parks
Domicile/
Dept Code M1532
Funding year 2020
Budgeted
Amount $47,000.00
Business Unit Acct # 703010.565100.6197.1000.A
Funded as: Capital purchase Lease Purchase
Touch the spacebar or
enter "X" to select the
Quantity requested: correct check boxes
New
unit Used unit
Describe intended use and reason for purchase: This truck is intended to haul large mowing equipment
on a trailer for various duties in the Northside Parks. It will haul a Toro 580D during the grow
season and plow snow in winter.
Anticipated usage: Miles per year: 4,000 Hours per year:
If this is a replacement unit, which unit(s) will be replaced? Unit # 24036
Model year of unit to be replaced: 2003 Current meter reading: 82,832
Reason for replacement: It has met it's 15 point criteria in Faster, and was budgeted for replacement in 2020.
$18,042 in repair costs over the decades.
Description of vehicle requested:
Item: Make selection using drop-down boxes:
Vehicle Type Pickup
Body Style Full size
Cab Type Extended cab
Drivetrain Four wheel drive
Engine Standard equipment
Transmission Standard equipment
Fuel Type Hybrid
Added Vehicle Information: hybrid would be ok if necessary (CNG)
Requested options: (power windows/locks, cruise/tilt, towing package, opt. axle ratio)
Enter your requests: 3/4 ton pick up 4x4 with max tow pkg (ex cab)
Other accessories: (Snow plows, winches, tool boxes, utility body, crane, etc.)
Enter your requests: snow plow, utility body
Name of contact person in your department:
Name: Peter Robertson Phone/email: 970-416-2604 probertson@fcgov.com