QUOTATION SCHEDULE C (Make copies as required for multiple submissions) RFQ Title: Vehicle Lease, Four (4) Nissan Leaf Electric Vehicles________________________________ RFQ No.: 1220-040-2013-005 CONTRACTOR CITY OF SURREY Legal Name: __________________________________________ Kam Grewal, Purchasing & AP Manager Address: _____________________________________________ 6645 – 148 St., Surrey, BC V3S 3C7 Phone:_____________________ Fax: ______________________ Phone: 604-590-7274 Fax: 604-599-0956 Email: _______________________________________________ E-mail for PDF Files: purchasing@surrey.ca 1. The Contractor offers to supply to the City of Surrey the Goods, outlined in Schedule A, for the prices plus applicable taxes as follows: QUOTATION PACKAGE 1 F.O.B. Payment Terms: Ship Via: Destination A cash discount of ____% will be allowed if Freight Prepaid invoices are paid within ___ days, or the ___ day of the month following, or net 30 days, on a best effort basis. Item Name Quantity Monthly lease payment Total Amount (36 months term) (includes: Battery, Tire, and Air Conditioning Environmental Levies) non-maintained Vehicle 1: ____________________ 1 ____________________________ ____________________________ Vehicle 2: ____________________ 1 ____________________________ ____________________________ Vehicle 3: ____________________ 1 ____________________________ ____________________________ Vehicle 4: ____________________ 1 ____________________________ ____________________________ Other Taxes or Fees 4 N/A ____________________________ Vehicle Incentive: 4 N/A ____________________________ Vehicle Incentive: 4 N/A ____________________________ Vehicle Incentive: 4 N/A ____________________________ RFQ Vehicle Lease, Four (4) Nissan Leaf Electric Vehicles No.: 1220-040-2013-005 Page 13 of 16 Subtotal: GST: PST: TOTAL: CURRENCY: Canadian Lead time ___________________________________________________________ Kilometre allowance per vehicle per year: 10,000km (preferred) or _______________ Extra charge per additional kilometre used: $__________ Rebate per kilometre below stipulated: $__________ Extra charge for excessive wear and tear $__________ OPTIONAL: End of Lease Liability Please describe the amount or method used to calculate end of lease liability, if any. ____________________________________________________________________________ ____________________________________________________________________________ Residual Value (per vehicle) $ __________________________________________________ Full Maintenance Options The Contractor is to provide costing and details to Full Maintenance Options available. The City reserves the rights to exercise any of the Full Maintenance Options with price(s) listed below. The Full Maintenance Options are an addition to the Total Quotation Price and do not include GST. DO NOT state a revised Total Quotation Price. Description of Full Maintenance Options Price Option 1. _____________________________________ $[ ] $[ ] $[ ] _____________________________________________ _____________________________________________ Option 2. _____________________________________ _____________________________________________ _____________________________________________ Option 3. _____________________________________ _____________________________________________ _____________________________________________ Early Termination Please provide your policy on termination notice, and disclosure of any early termination or default charges: ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ RFQ Vehicle Lease, Four (4) Nissan Leaf Electric Vehicles No.: 1220-040-2013-005 Page 14 of 16 The Contractor is to provide costing and details to Early Termination penalties for periods outstanding. The City reserves the rights to exercise any of the prices listed below. Description of Early Termination Costs Price Early Termination Penalty by Months: ______________ $[ ] per Month $[ ] per Week _____________________________________________ _____________________________________________ Early Termination Penalty by Weeks:________________ _____________________________________________ _____________________________________________ Warranties Provided Please list any express warranties on the vehicles to be leased. If you are providing multiple vehicles with differing warranties please clearly list each vehicle and their express warranties on separate lines. The written explanation should include a breakdown and description of specific parts covered under the warranty and the period of time that the parts are covered under the warranty. ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Licensing Provide a breakdown of responsibility for licensing and annual licensing of the vehicles provided. Please clearly list the vehicle, the licensing required, the party responsible, the pricing, and any other related information. ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ 2. If this offer is accepted by the City, such offer and acceptance will create a contract as described in: (a) (b) (c) (d) (e) the RFQ; the specifications set out above and in Schedule A of the RFQ; the General Terms and Conditions; and this Quotation; and other terms, if any, that are agreed to by the parties in writing. RFQ Vehicle Lease, Four (4) Nissan Leaf Electric Vehicles No.: 1220-040-2013-005 Page 15 of 16 SCHEDULE C – QUOTATION 3. Capitalized terms used and not defined in this Quotation will have the meanings given to them in the RFQ. Except as specifically modified by this Quotation, all terms, conditions, representations, warranties and covenants as set out in the RFQ will remain in full force and effect. 4. I/We the undersigned duly authorized representatives of the Contractor, having received and carefully reviewed the RFQ including without limitation the Specifications and the General Terms and Conditions, submit this Quotation in response to the RFQ. This Quotation is offered by the Contractor this ___________ day of ___________________, 20___. CONTRACTOR I/We have the authority to bind the Contractor. ________________________________________ (Legal Name of Contractor) _________________________________________ (Signature of Authorized Signatory) ________________________________________ (Signature of Authorized Signatory) _________________________________________ (Print Name and Position of Authorized Signatory) ________________________________________ (Print Name and Position of Authorized Signatory) This Quotation is accepted by the City of Surrey this _____ day of _______________, 20__. CITY OF SURREY _______________________________________________ (Signature of Authorized Signatory) _______________________________________________ (Print Name and Position of Authorized Signatory) _______________________________________________ (Signature of Authorized Signatory) _______________________________________________ (Print Name and Position of Authorized Signatory) RFQ Vehicle Lease, Four (4) Nissan Leaf Electric Vehicles No.: 1220-040-2013-005 Page 16 of 16