PROCUREMENT INFORMATION MEMORANDUM
___________________________________________________________________
Date Issued:
September 2, 2005
Effective Dates:
September 2, 2005 through June 30, 2006
Number: 05-053
Subject: MY2006 VEHICLE REQUISITION INSTRUCTIONS: LAW ENFORCEMENT VEHICLES
A. Reference:
B. Scope:
Wis. Stats. 14.06, 16.70-16.75 and, 20.915. This Procurement Information Memorandum (PIM)
supersedes PIM #04-053 dated January 3, 2005.
All State of Wisconsin agencies and University of Wisconsin System must use "MY2006 Vehicle
Requisition Instructions" to request law enforcement vehicles. These instructions apply to all
vehicles requested/purchased regardless of fund source, including those purchased with federal,
donated or grant funds. Amendments to this PIM will be issued as needed to reflect changes in
new model year specification.
C. Content:
I.
VEHICLE COMMODITY CODES
A.
Law Enforcement Vehicles (Undercover)
a)
65550-125-10 - Four Door Sedan, 4-cylinder
b)
65550-175-10 - Four Door Station Wagon, 4-cylinder
c)
65550-195-10 - Small Four Door Sedan, 6-cylinder
d)
65550-200-10 - Four Door Sedan, 6-cylinder
e)
65550-205-10 - Four Door Station Wagon, 6-cylinder
f)
65550-207-10 - 7 or 8 Passenger Mini Van
g)
65550-207-12 - 7 or 8 Passenger Mini Van AWD
h)
65550-207-15 - 7 or 8 Passenger Extended Mini Van
i)
65550-207-17 - 7 or 8 Passenger Extended Mini Van AWD
j)
65550-212-10 - 12 Passenger Van
k)
65550-215-10 - 15 Passenger Van
l)
65550-350-10 - Sport Utility Intermediate
m)
65550-375-10 - Sport Utility Full Size
n)
65550-400-10 – 2-door, 6-cylinder
o)
65550-425-10 – 2-foor, 8-cylinder
p)
65550-450-10 – 4-door, 6-cylinder
q)
65550-475-10 – 4-door, 8 cylinder
C.
Law Enforcement Vehicles (Michigan State Police Certified)
a)
65550-300-10 - Rear Wheel Drive (RWD) Law Enforcement Sedan, 8-cylinder
b)
65550-325-10 - Front Wheel Drive (FWD) Law Enforcement-Sedan, 6-cylinder
c)
65550-750-10 - DNR Warden ¾ ton 4X4 Truck
A.
ATTACHMENTS: 1.
2.
3.
4.
5.
II. PURCHASE REQUESTS DUE DATE
Law Enforcement
TBD
DOA-3016 (R02/2005)
Supplemental Title Information
PIM Requirement Checklist
Vehicle Worksheet and Instructions
Vehicle Cost Estimate Chart
_______________________________________________________________________________________________________
David Webb, Manager
Helen McCain, Director
Transportation Procurement
Department of Administration
101 E. Wilson Street, 6th Floor
State Bureau of Procurement
Madison, WI 53702-0032
P.O. Box 7867
Telephone: (608) 266-8024
Madison, WI 53707-7867
FAX: (608) 267-0600
Telephone: (608) 267-9634
Procurement Information Memorandum: 05-053
MY2006 Vehicle Requisition Instructions: Law Enforcement Vehicles
Page No. 2 of 15
TABLE OF CONTENTS
I.
Page
VEHICLE COMMODITY CODES…………………………………………………………….. 1
II.
PURCHASE REQUESTS DUE DATE…………………………………………………………. 1
III.
COMPLETION OF VEHICLE REQUEST FORMS…………………………………………. 3
A. Request for Purchasing Authority
B. Vehicle Request
C. Attachments to Request
IV.
DONATED VEHICLES…………………………………………………………………………. 3
V.
ADDITIONAL VEHICLE JUSTIFICATION (Answer 5 Questions)……………………….. 4
VI.
CAFÉ – CORPORATE AVERAGE FUEL ECONOMY……………………………………... 4
A. Legislative Requirement – Fuel Economy
B. CAFÉ
VII.
VEHICLE REPLACEMENT CRITERIA……………………………………………………... 4
A. General Vehicle Replacement Criteria
B. High Mileage Newer Model Vehicle Replacement Criteria
C. Vehicle Age and Condition Replacement Criteria
VIII.
JUSTIFICATION FOR UPGRADED WORK VEHICLE (From General Fleet Vehicle)… 5
IX.
JUSTIFICATION OF ANY OPTION………………………………………………………….. 6
X.
JUSTIFICATION OF A LARGER VEHICLE (Upgrade From Current Vehicle)………… 6
XI.
OBSOLETE/UNWANTED VEHICLES……………………………………………………….
6
XII.
INTER-AGENCY VEHICLE SALE REPORT……………………………………….………
6
XIII.
OTHER RELATED ISSUES…………………………………………………………………...
A. Disposal of Surplus Vehicles
B. Cancellation of a Request
C. Emergency Vehicle Requests
D. Alternative Fuel Vehicles
7
XIV.
VEHICLE INSPECTION AND ACCEPTANCE…………………………………………….
A. Agency Responsibility
B. New Vehicle Check-up and Service
C. Action for Rejecting a Vehicle
8
XV.
VEHICLE TITLES (Procedure)………………………………………………………………
9
XVI.
2006 LAW ENFORCEMENT PURCHASES…………………………………………………
9
XVII.
SPECIFICATION CLASSES AND TYPICAL VEHICLES……………………………… 10-15
Procurement Information Memorandum: 05-053
MY2006 Vehicle Requisition Instructions: Law Enforcement Vehicles
Page No. 3 of 15
IMPORTANT
ALL AGENCIES MUST USE "VEHICLE REQUEST" (FORM DOA-3016, REV. 02/2005) TO REQUISITION ANY NEW
MODEL YEAR VEHICLE.
IF THE CURRENT "NEW VEHICLE REQUEST" IS NOT SUBMITTED COMPLETELY AND ACCURATELY, THE
REQUEST WILL BE DENIED. COPIES OF THE REQUEST FORM ARE NOT ACCEPTABLE.
THIS "VEHICLE REQUEST" MAY BE OBTAINED FREE THROUGH THE DEPARTMENT OF ADMINISTRATION,
TRANSPORTATION PROCUREMENT OFFICE AT 608-266-3620.
The overall procurement procedures are the same as last year. We will electronically send the Excel spreadsheet again this
year to expedite the approval/denial/appeal process. (see attached spreadsheet and instructions). As in previous years, the
Agency Head /Chancellor or Secretary approval is only required on the RPA and Form 3016. Follow the PIM and use the
checklist at the back.
III.
COMPLETION OF VEHICLE REQUEST FORMS
A.
Request for Purchasing Authority (RPA): An agency must use one RPA for each of the following vehicle
categories:
1.
2.
B.
Replacement Law Enforcement vehicles;
Additional Law Enforcement vehicles.
Vehicle Request (DOA-3016, Rev. 02/2005): This form is submitted along with the RPA. Two submittal
methods are available:
1.
Identify one vehicle on each "Vehicle Request." Each request must identify the fleet number for the
new replacement vehicle and the specific vehicle surplused for a new one. Each vehicle other than a
General Fleet vehicle must be justified in writing.
OR
2.
C.
Identify two or more vehicles of the same commodity code (specification number) on one "Vehicle
Request" only if a data sheet is attached that identifies:
a)
A fleet number for each new replacement vehicle requested; and
b)
A vehicle surplused, for each new replacement vehicle requested. Data should include fleet #,
year, make, model and mileage.
Attachments to Request: All "Vehicle Request" attachments must identify the requested vehicle. This
identification must include the Commodity Code (specification number), fleet number of the new vehicle,
agency name and date of request.
NOTE: Carefully review DOA-3016, Section 5. ALTERNATIVE FUEL INFORMATION FORM”. Section
5 must be completed. Failure to complete this form may result in the delay or denial of vehicle requests.
Procurement Information Memorandum: 05-053
MY2006 Vehicle Requisition Instructions: Law Enforcement Vehicles
Page No. 4 of 15
IV.
DONATED VEHICLE
In accordance with Wisconsin Statutes 14.06 and 20.915, the governor must approve all donated vehicles in writing.
Secretaries, agency heads or chancellors should submit requests to the Administrator for the Division of Enterprise
Operations, Department of Administration, 101 E. Wilson Street, 6 th Floor, Madison, WI 53702-0032 or P.O. Box
7867, Madison, WI 53707-7867. The Department of Administration will prepare a case letter on your behalf
seeking the governor's written approval prior to accepting the donated vehicle. Donated vehicles do not
automatically become a permanent part of your fleet. If your agency wants the donated vehicle to become a
permanent addition to its fleet, the vehicle request must follow the State's normal approval procedure per Paragraph
V. Additional Vehicle Justification. A donated vehicle may also become permanent part of your fleet if you surplus
a vehicle.
V.
VI.
ADDITIONAL VEHICLE JUSTIFICATION: If an agency requests an additional fleet vehicle(s), the agency
must answer the following questions on the DOA-3016. Note: Any request for an additional vehicle(s)
without answers to these five questions will be denied.
A.
Would an internal reallocation of vehicles be possible and practical? If not, why not?
B.
What level of staffing does the agency have now in comparison to prior years?
C.
Has legislation been passed which expands the scope of the agency, thereby necessitating additional vehicles?
If yes, how? (Please attach a copy of the legislation.)
D.
What is the total mileage, as well as annual mileage for the prior fiscal or calendar year, for each vehicle in
the agency's fleet? (Please provide miles for each vehicle by its assigned fleet number, distinguishing
between business and any personal miles, and identify the make, model and year of each vehicle as well as its
assigned location and function; provide the month and year of delivery for each vehicle.)
E.
What other information supports the need for an additional vehicle?
CAFE - CORPORATE AVERAGE FUEL ECONOMY
A.
Legislative Requirement - Fuel Economy: State agencies have a legislative obligation to promote energy
conservation in the State of Wisconsin's vehicle fleets. The legislation reads as follows:
"S. 20.915. State motor vehicles and aircraft. (1) PURCHASE. Each state agency, upon written approval
of the governor, may purchase necessary aircraft, trucks and automobiles for its general use. All aircraft,
trucks and automobiles shall be purchased through the department of administration under ss. 16.70 to 16.82.
The department of administration shall ensure that each general fleet passenger automobile at the time of
procurement has a fuel economy rating of no less miles per gallon than the fleet average miles per gallon
required of automobile manufacturers by the federal government at that time. Law enforcement vehicles and
work vehicles for heavy passenger or equipment loads are exempt from the mileage requirement."
B.
CAFE: Based on the above statute, all 2006 model year General Fleet sedans must have a combined
unadjusted mileage rating of no less than 27.5 miles per gallon (MPG) as established by the U.S.
Environmental Protection Agency.
Procurement Information Memorandum: 05-053
MY2006 Vehicle Requisition Instructions: Law Enforcement Vehicles
Page No. 5 of 15
VII.
VEHICLE REPLACEMENT: All requests for replacement vehicles will be considered general fleet vehicles
(65540-125-10, 175-10) no matter what the current surplus vehicle is – unless justified (see below)
A.
B.
General Vehicle Replacement Criteria:
1.
Law Enforcement vehicles with 85,000 miles may be replaced with a new MY2006 vehicle. Your
vehicle must have 85,000 miles when the DOA-3016 is signed.
2.
DNR Warden Trucks with 95,000 miles may be replaced with new a new MY2006 truck. Your vehicle
must have 95,000 miles when the DOA-3016 is signed.
High Mileage Newer Vehicle(s) - 2 Model Years or Less Replacement Criteria:
1.
This vehicle should be:
a)
b)
2.
C.
Rotated within an agency's fleet to a low mileage position.
OR
Sold to another state agency with a lower mileage use requirement (Inter-agency Sale).
This practice balances the miles per vehicle in the overall fleet.
Condition Replacement Criteria:
The Department of Administration, Transportation Procurement Manager will consider replacing any vehicle
justified as unsafe and/or uneconomical, e.g., rust perforated fenders, floors and/or doors or poor mechanical
condition, if the cost of repair exceeds 50% of the current value of the vehicle. The Department of
Administration will use the National Auto Research Black Book Value Guide, auction results, and the
agency's two written cost estimates from repair/body shops to evaluate a request to replace such a vehicle.
While not required, photographs of the vehicle will help to evaluate the vehicle's condition.
VIII.
JUSTIFICATION FOR UPGRADED WORK VEHICLE (From small car): All agencies are required to furnish
complete justification (Wis. Stats., see Page 1, Section A) when requesting any vehicle (replacement or additional)
larger than a General Fleet sedan, i.e., Commodity Codes (specification numbers): 65540-125-10, 4-door sedan, 4
cylinder and 65540-175-10, 4-door station wagon, 4 cylinder or the vehicle will be denied and reclassified as a
general fleet vehicle.
1.
A work vehicle is defined as having one of the following commodity codes (specification
numbers):
65540-195-xx
65540-200-10
65540-205-10
65540-207-10
65540-212-10
65540-215-10
2.
-
Small four door sedan, 6 cylinder
Four door sedan, 6 cylinder
Four door station wagon, 6 cylinder
7 or 8 passenger van
12 passenger van
15 passenger van
All requests for an upgraded work vehicle must outline its specific needs to include:
Procurement Information Memorandum: 05-053
MY2006 Vehicle Requisition Instructions: Law Enforcement Vehicles
Page No. 6 of 15
a)
b)
c)
Purpose/use of the work vehicle.
Explanation why you cannot use a General Fleet vehicle.
Explanation why you cannot reallocate another vehicle from within the agency fleet when a
work vehicle is requested that replaces a General Fleet vehicle.
If a request for an updated work vehicle is not justified, Department of Administration,
Transportation Procurement will reclassify the vehicle to meet the legislative criteria.
IX.
JUSTIFICATION OF ANY OPTION: Agencies must furnish complete justification for any option(s) requested
not listed on the Standard Equipment pages 10-14. Each option must be specifically requested from and approved
by Transportation Procurement. An explanation of the need must be attached to the DOA-3016. A vehicle request
from an agency may be returned without consideration if this information is not provided.
X.
JUSTIFICATION OF A LARGER VEHICLE (Upgrade from currently approved vehicle): An agency must
furnish complete justification requests for new vehicles larger than the proposed surplus vehicles. Each upgrade
must be requested specifically from and approved by Transportation Procurement . An explanation of the need must
be attached to the DOA-3016 or the upgrade will be denied.
NOTE: THE "VEHICLE REQUEST" MUST IDENTIFY THE FLEET NUMBER(S) FOR EACH
REQUISITIONED NEW REPLACEMENT AND ADDITIONAL VEHICLE. THEREFORE, AN AGENCY
MUST PROVIDE BOTH THE FLEET NUMBER OF THE NEW VEHICLE REQUESTED FOR PURCHASE
AND THE FLEET NUMBER OF THE VEHICLE PROPOSED FOR SURPLUS.
XI.
XII.
OBSOLETE/UNWANTED VEHICLES
A.
Definition: Vehicles that do not meet the mileage disposal criteria, are obsolete, are not suitable for their
intended use or are unneeded may be disposed.
B.
Procedure:
1.
Agency(s) will submit a list of vehicles it would like to sell and replace with new vehicles to the
Department of Administration, Transportation Procurement Manager by September 20, 2005.
2.
Department of Administration, Transportation Procurement Manager will:
a)
Review the vehicles and compile a list of those approved for interagency sale; and
b)
Distribute the list to all agencies for review and purchase consideration on September 20, 2005.
3.
The buying and selling agencies/campuses will negotiate the sale price for inter-agency sale. The
Department of Administration, State Surplus Property Manager, 608-266-1719, will assist in
establishing a price.
INTER-AGENCY VEHICLE SALE REPORT
A.
Definition: An agency may replace, at anytime, a vehicle which will not meet replacement criteria due to age
or mileage. This vehicle may be replaced with a comparable (size, type) surplus vehicle from another
agency/university by using the following procedure.
Procurement Information Memorandum: 05-053
MY2006 Vehicle Requisition Instructions: Law Enforcement Vehicles
Page No. 7 of 15
XIII.
B.
The selling agency initiates the "Inter-Agency Used Vehicle Sale Report" and forwards it to the buying
agency along with completed Odometer Statement, Certificate of Title and Used Vehicle Condition Report
when delivering the vehicle to the buying agency. The selling Agency will obtain the Certificate of Title from
the Department of Administration, State Bureau of Procurement.
C.
The buying agency/campus must complete and submit an "Inter-Agency Used Vehicle Sale Report," along
with a "Used Vehicle Condition Report" (DOA 3081), within fifteen (15) work days of accepting delivery of
the vehicle, to the Department of Administration, Transportation Procurement , 101 E. Wilson Street, 6th
Floor, Madison, WI 53702-0032. The "Inter-Agency Used Vehicle Sale Report" form and the "Used Vehicle
Condition Report" (DOA 3081 Rev 08/2004) forms are available from the Department of Administration,
State Bureau of Procurement without charge upon request (608) 266-3620.
D.
Failure by the buying agency/campus to submit these Reports on time will result in an assessment of a late fee
of seven percent (7%) of the vehicle's sale price in addition to the usual five (5%) Inter-Agency sales fee.
E.
For further details on Inter-Agency Used Vehicle Sales refer to State Procurement Manual PRO-F-1, Revision
3/2004.
F.
The buying agency must forward the Certificate of Title to Transportation Procurement upon its receipt from
the Department of Transportation.
OTHER RELATED ISSUES
A.
Disposal of Surplused Vehicles: Please refer to State Procurement Manual PRO-F-1, State Surplus Property
Disposal: Vehicles, and Procurement Information Memorandum. Fleet Managers must select and advise
SSPP, within 60 days after receipt of each new vehicle, the auction date that each vehicle will be sold.
Written requests for summer use/temporary programs should be sent to SSPP no later than May 1 st of
each year. Your written request should specify the using agency, vehicle use, start date, end date,
current mileage and estimated mileage at end date.
B.
Cancellation of a Request: Department of Administration, Transportation Procurement must receive written
notification from an agency canceling any request to purchase a vehicle.
C.
Emergency Vehicle Requests: Secretaries, chancellors or agency heads must send letters requesting
emergency replacement or additional vehicle requests to the Administrator for the Division of Enterprise
Operations of the Department of Administration, 101 E. Wilson, 6th Floor, Madison, WI 53702-0032 for
approval/denial. If fully justified and approved, DOA will prepare a case letter on your behalf seeking the
governor's authorization. Any new replacement or additional vehicle request submitted after the initial
vehicle request due date must provide complete justification and description of the situation to warrant
consideration. Usually, the only emergency situation approved for replacing a vehicle occurs when:
1.
A vehicle is damaged beyond economical repair, or;
2.
An unanticipated, major initiative or development of a new program occurs.
If the need occurs late in the procurement process, an agency may be instructed to hold back a surplus
vehicle or reallocate from within its fleet and then submit a request for the needed vehicle in the next
procurement cycle.
Procurement Information Memorandum: 05-053
MY2006 Vehicle Requisition Instructions: Law Enforcement Vehicles
Page No. 8 of 15
D.
XIV.
Alternative Fuel Vehicles: In compliance with the Energy Policy Act of 1992 (EPACT), with the 1990 Clean
Air Act (CAA), and with Wisc. Stat. 16.045(4), “The department shall require all state employees to utilize
gasohol or alternative fuel for the operation of all state-owned or state-leased motor vehicles whenever such
utilization is feasible”. Agencies are encouraged to request authorization to purchase alternative fueled
vehicles. However, an agency may not acquire or convert vehicles to operate on alternative fuels unless
specifically authorized by the Department of Administration. (See DOA-3016 ) (Law Enforcement vehicle
are exempt from this requirement.)
VEHICLE INSPECTION AND ACCEPTANCE
A.
Agency Responsibility: Each agency is responsible for accepting or rejecting a vehicle at the time of delivery.
B.
New Vehicle Check-up and Service: The Request for Bid requirements obligate the successful vendor to:
1.
Notify the buying agency of the anticipated delivery date for each vehicle so agency representatives
are available to accept delivery of the vehicle.
2.
Deliver all vehicles in accordance with the manufacturer's standard new car "Make Ready"
recommendations.
3.
Supply, with the vehicle at time of delivery, a check-off sheet noting the service checks made on the
vehicle during preparation for delivery including:
4.
C.
a)
Crankcase, differential, transmission and transfer case, if applicable, must be filled to capacity
as recommended by the manufacturer.
b)
Vehicle must contain 1/4 tank of gasoline/fuel when delivered.
c)
Vehicles must be clean with all stickers removed from the glass prior to delivery with the
exception of any sticker required by law (Manufacturer's Suggested Retail Price Label).
d)
Vehicle must have been hoisted on a lift rack at the dealership and the underside inspected
completely prior to delivery. The vendor must note that this inspection was performed on the
pre-delivery check-off sheet.
e)
Dealer nameplates, decals, etc. denoting the selling dealer may not be affixed in any manner
whatsoever to any vehicle delivered.
The buying agency is responsible for completing its inspection of a new vehicle within three (3) work
days of its delivery. If the buying agency does not inform the vendor of any problem with the vehicle
within three (3) working days, the vendor may conclude that the vehicle was acceptable as delivered.
Action for Rejecting a Vehicle: When a vehicle is delivered that does not satisfy the Purchase Order or
delivery requirements:
1.
The agency should not accept the vehicle and should require the vendor to properly remedy the
discrepancy. If the location of the vendor, who initially serviced the vehicle, makes it impractical to
perform subsequent check-up service, it remains the responsibility of the vendor to arrange for any
corrective action.
2.
The agency must notify in writing the Department of Administration, Transportation Procurement
Manager, by FAX (608-267-0600) or e-mail (David.Webb@doa.state.wi.us) immediately and before
returning the vehicle to the vendor.
Procurement Information Memorandum: 05-053
MY2006 Vehicle Requisition Instructions: Law Enforcement Vehicles
Page No. 9 of 15
XV.
VEHICLE TITLES
A.
B.
XVI.
Procedure: Each agency must:
1.
Title its own vehicle(s) by forwarding the motor vehicle registration information to
Department of Transportation, Motor Vehicles, 4802 Sheboygan Avenue, Room 201A,
Madison, WI 53705 or Interdepartmental Mail; (608) 266-7135.
2.
Specify the Title identify the State of Wisconsin as a part of the name of its state agency. The vehicle
fleet number must appear on the Title.
3.
Forward the original Title and the window sticker (original or copy) to the Department of
Administration, Transportation Procurement , 101 E. Wilson Street, 6 th Floor, Madison, WI 537020032 or by mail at P.O. Box 7867, Madison, WI 53707-7867 immediately upon receipt of the title
from the Department of Transportation. A complete submittal of Supplemental Title Information
Form must accompany all titles. A copy of this form can be found at the end of this PIM.
Custodianship: Department of Administration, Transportation Procurement will maintain the State's vehicle
titles. The vehicle titles are available to agencies upon request as needed.
2006 MODEL YEAR VEHICLE PURCHASES
A.
REVIEW & APPROVALS: Transportation Procurement will review all RPA's and notify agencies of changes
or deletions. Agencies will have the opportunity to appeal any changes or deletions. After final decisions
have been made, Transportation Procurement will seek the Governor’s approval per Wis. Stats. 20.915.
B.
BIDS: Transportation Procurement will conduct bid procedures and make awards to vendors.
C.
BULLETINS: After resolution of any appeal, Transportation Procurement will issue State Procurement
Purchasing Bulletins to State agencies with detailed instructions for submittal of vehicle purchase orders.
D.
PURCHASE ORDERS: Each agency submits its purchase order(s) to the Transportation Procurement
Manager for final review and approval. Transportation Procurement will forward purchase orders to the
appropriate vendors. Agencies will not submit POs directly to vendors.
E.
DELIVERY: Vendors will deliver vehicles to the buying agencies as specified in the bid.
F.
INSPECTION & ACCEPTANCE: Agencies will inspect all vehicles upon delivery, notify vendor of any
problems within three workdays and notify Transportation Procurement of the delivery date.
G.
TITLE: Agencies will immediately secure vehicle titles and forwards to Department of Administration,
Transportation Procurement along with the original or a copy of the window sticker.
H.
SURPLUS VEHICLE: Agencies will notify the Department of Administration, SSPP, of the availability of
the replaced (surplused) vehicle within 60 days of the new vehicle delivery.
Procurement Information Memorandum: 05-053
MY2006 Vehicle Requisition Instructions: Law Enforcement Vehicles
Page No. 10 of 15
XVII.
A.
SPECIFICATION CLASSES AND TYPICAL VEHICLES
Standard Fleet Vehicle
GENERAL FLEET
COMMODITY
CODE 65540-
1. Four Door Sedan
125-10
2. Four Door Wagon
175-10
PASSENGER
CAPACITY
EXAMPLE
VEHICLES
ENGINE
TYPE
4
Grand Am
Cavalier/Cobalt
Neon
Focus
Saturn Ion
I4
I4
I4
I4
I4
4
Focus
Vibe
I4
I4
VEHICLES LISTED BELOW REQUIRE SPECIFIC WRITTEN JUSTIFICATION,
REGARDLESS OF REPLACEMENT OR ADDITIONAL VEHICLE REQUEST
B.
WORK VEHICLE
1. Small Four Door Sedan
195-10
4
Stratus
Malibu
Grand Prix
V6
V6
V6
2. Four Door Sedan
200-10
5/6
Taurus
Impala
Bonneville
Intrepid
Saturn Ion
V6
V6
V6
V6
V6
3. Four Door Wagon
205-10
5
Taurus
Saturn Relay
V6
V6
4. Mini Van
Mini Van AWD
207-10
207-12
7
7
Caravan
Town & Country
Freestar
Venture
Montana
V6
V6
V6
V6
V6
5. Extended Mini Van
Extended Mini Van AWD
207-15
207-17
7-8
7-8
Grand Caravan
Town & Country
Venture Extended
Montana Extended
V6
V6
V6
V6
6. Van Fleet
212-10
12
Club Wagon
Express
Savana
V8
V8
V8
7. Van Fleet
215-10
15
Super Wagon
Express Extended
Savana Extended
V8
V8
V8
.
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MY2006 Vehicle Requisition Instructions: Law Enforcement Vehicles
Page No. 11 of 15
VEHICLES LISTED BELOW REQUIRE SPECIFIC WRITTEN JUSTIFICATION,
REGARDLESS OF REPLACEMENT OR ADDITIONAL VEHICLE REQUEST
C.
LAW ENFORCEMENT
7. RWD Sedan
FWD Sedan
Sport Utility Intermediate
300-10
325-10
350-10
Sport Utility Full Size
375-10
5
5
5
5
5
5
DNR Warden Truck
750-10
3
Crown Victoria/Charger
Impala
Explorer
TrailBlazer
Durango
Tahoe/Yukon
Suburban/Yukon LX
Expedition
Sierra 2500
Ram 2500
Silverado 2500
F250
V8
V6
V8
V6
V8
V8
V8
V8
V8
V8
V8
V8
STANDARD CLASSIFICATION DESCRIPTION:
1.
Spec. 65540-125-10 - Four (4) Door Fleet Sedan; 102 inch wheelbase or more
Vehicles in this group, with 4 cylinder engines, are General Fleet cars. Passenger capacity: 1-4 including driver.
Typical Vehicles: Pontiac Grand Am, Chevrolet Cavalier, Ford Focus, Chrysler Neon, Saturn Ion or similar
Standard Equipment
Automatic Transmission
Power Steering
Power Brakes
Cruise Control
Air Conditioning
AM/FM Stereo
Tilt Steering Wheel
2.
Dual Mirrors - Manual
Intermittent Wipers
Rear Window Defroster
Full Wheel Cover
Body Side Molding
Floor Mats, Front and Rear
Antilock Brake System (4 wheel)
Spec. 65540-175-10 - Four (4) Door Station Wagon
Vehicles in this group, with 4 cylinder engines, are General Fleet cars. Passenger capacity: 1-4 including driver.
Typical Vehicles:
Standard Equipment
Automatic Transmission
Power Steering
Power Brakes
Cruise Control
Air Conditioning
AM/FM Stereo
Tilt Steering Wheel
Ford Focus, Pontiac Vibe, Saturn LW200, Vibe or similar
Dual Mirrors - Manual
Intermittent Wipers
Rear Window Defroster
Full Wheel Cover
Body Side Molding
Floor Mats, Front and Rear
Antilock Brake System (4 wheel)
Procurement Information Memorandum: 05-053
MY2006 Vehicle Requisition Instructions: Law Enforcement Vehicles
Page No. 12 of 15
3.
Spec. 65540-195-10 - Four (4) Door Small Sedan
Vehicles in this group, with 6 cylinder engines, are General Fleet cars. Passenger capacity: 1-4 including driver.
Typical Vehicles:
Saturn L200, Dodge Stratus, Chevrolet Malibu or similar
Standard Equipment
Automatic Transmission
Power Steering
Power Brakes
Cruise Control
Air Conditioning
AM/FM Stereo
Tilt Steering Wheel
4.
Dual Mirrors - Manual
Intermittent Wipers
Rear Window Defroster
Full Wheel Cover
Body Side Molding
Floor Mats, Front and Rear
Antilock Brake System (4 wheel)
Spec. 65540-200-10 - Four (4) Door Sedan
Vehicles in this group are intended for long distance inter-city travel. Their primary use is pool duty for five or six
persons including the driver. The engine will be a V6 minimum. Proper justification is required or the request for this
specification will be changed automatically to Spec. 65540-125, 175, or 195.
Typical Vehicles:
Ford Taurus, Chevrolet Impala, Pontiac Grand Prix, Dodge Intrepid or similar
Standard Equipment
Automatic Transmission
Power Steering
Power Brakes
Cruise Control
Air Conditioning
AM/FM Stereo
Tilt Steering Wheel
5.
Dual Mirrors - Manual
Intermittent Wipers
Rear Window Defroster
Full Wheel Cover
Body Side Molding
Floor Mats, Front and Rear
Antilock Brake System (4 wheel)
Spec. 65540-205-10 - Four (4) Door Station Wagon
Vehicles in this group have a six passenger maximum carrying capacity including the driver plus a cargo area. The
engine will be V6 minimum.
Typical Vehicles:
Ford Taurus, Century, Saturn LW300 or similar
Standard Equipment
Automatic Transmission
Power Steering
Power Brakes
Cruise Control
Air Conditioning
AM/FM Stereo
Tilt Steering Wheel
Note: Available is a third 2 passenger seat.
Dual Mirrors - Manual
Intermittent Wipers
Rear Window Defroster
Full Wheel Cover
Body Side Molding
Floor Mats, Front and Rear
Antilock Brake System (4 wheel)
Procurement Information Memorandum: 05-053
MY2006 Vehicle Requisition Instructions: Law Enforcement Vehicles
Page No. 13 of 15
6.
Spec. 65540-207-10 – 7 Passenger Van or Spec 6550-207-12 - 7 Passenger Van AWD
Vehicles in this group are intended for transporting a total of 7 or 8 passengers including the driver. The engine will be
a minimum V6 engine.
Typical Vehicles:
Dodge Caravan, Chrysler Voyager, Ford Windstar, Chevrolet Venture, Pontiac Montana
or similar.
Standard Equipment
Automatic Transmission
Power Steering
Power Brakes
Cruise Control
Air Conditioning
AM/FM Stereo
Tilt Steering Wheel
7.
Dual Mirrors – Manual
Intermittent Wipers
Rear Window Defroster
Full Wheel Cover
Body Side Molding
Floor Mats, Front and Rear
Antilock Brake System (4 wheel)
Spec. 65540-207-15 – 7 or 8 Passenger Van Extended (Minimum floor length = 99”)
Spec. 65540-207-17 – 7 or 8 Passenger Van Extended AWD (Minimum floor length = 99”)
Vehicles in this group are intended for transporting a total of 7 or 8 passengers including the driver. The engine will be
a minimum V6 engine.
Typical Vehicles:
Dodge Grand Caravan, Chrysler Town and Country, Chevrolet Venture Extended,
Pontiac Montana Extended or similar
Standard Equipment
Automatic Transmission
Power Steering
Power Brakes
Cruise Control
Air Conditioning
AM/FM Stereo
Tilt Steering Wheel
8.
Dual Mirrors – Manual
Intermittent Wipers
Rear Window Defroster
Full Wheel Cover
Body Side Molding
Floor Mats, Front and Rear
Antilock Brake System (4 wheel)
Spec. 65540-212-10 – 12 Passenger Van
Vehicles in this group are intended for transporting a total of 12 passengers including the driver. The engine will be a
V8 minimum, and the van will include hinged side doors, and 2 hinged rear doors.
Typical Vehicles:
Ford Club Wagon, Chevrolet Express, GMC Savana or similar
Standard Equipment
Automatic Transmission
Power Steering
Power Brakes
Cruise Control
Air Conditioning/Heat, Front & Rear
AM/FM Stereo
Tilt Steering Wheel
Intermittent Wipers
Dual Mirrors – Manual
Full Wheel Covers
Body Side Molding
Insulation Package – Factory Installed
Floor Mats, all Seat Positions
Vented Glass, rt. Side & rear doors
Antilock Brake System (4 wheel)
Procurement Information Memorandum: 05-053
MY2006 Vehicle Requisition Instructions: Law Enforcement Vehicles
Page No. 14 of 15
9.
Spec. 65540-215-10 – 15 Passenger Van
Vehicles in this group are intended for transporting a total of 15 passengers including the driver. The engine will be a
V8, minimum, and the van will include hinged side doors and 2 hinged rear doors.
Typical Vehicles:
Ford Super Wagon, Chevrolet Express Extended, GMC Savana Extended or similar
Standard Equipment
Automatic Transmission
Power Steering
Power Brakes
Cruise Control
Air Conditioning/Heat, Front & Rear
AM/FM Stereo
Tilt Steering Wheel
Intermittent Wipers
Dual Mirrors – Manual
Full Wheel Covers
Body Side Molding
Insulation Package – Factory Installed
Floor Mats, all Seat Positions
Vented Glass, rt. Side & rear doors
Antilock Brake System (4 wheel)
Procurement Information Memorandum: 05-053
MY2006 Vehicle Requisition Instructions: Law Enforcement Vehicles
Page No. 15 of 15
FACTORY INSTALLED OPTIONAL EQUIPMENT:
In specifying requirements, use the commodity code numbers and option description below. Requesting any of these options
requires written justification when submitting a request for a vehicle. If the vehicle surplused against a request for a
replacement vehicle has the same option provide that information also.
Option
Description
Limited Slip Rear Axle
Rear drive vehicles only
Third 2 Passenger Seat
Spec. 65540-205
Sliding Door, Driver Side
Spec. 65540-207
Sliding Door, Passenger Side
Spec. 65540-212, 215
Sunscreen Glass (Privacy)
Spec. 65540-207, 212, 215
Engine Block Heater
Spec: 65540-125, 175, 195, 200, 205, 207, 212, 215, 65550-750
Trailer Towing Package
Spec. 65540-207, 212, 215, 65550-750
Power Driver Seat
Spec. 65540-300
Commodity Code
65540-125
65545-195
65545-207
65545-207-15
65545-207-10
65545-207-15
65540-200
65540-125
65540-175
65545-200
65545-205
65540-200
65540-205
65545-300
65540-212/215
65545-212/215
65540-125
65545-125
65540-195
65540-195
65540-200
65540-200
65540-207-15
65540-207-15
65540-207-15
65545-212/215
65545-212/215
65545-212/215
65545-212/215
Make
Dodge
Dodge
Dodge
Dodge
Chrysler
Chrysler
Dodge
Ford
Ford
Ford
Ford
Ford
Ford
Ford
Ford
Ford
Chevrolet
Chevrolet
Chevrolet
Buick
Chevrolet
Pontiac
Chevrolet
Pontiac
Chevrolet
Chevrolet
GMC
Chevrolet
GMC
Model
Neon
Stratus
Caravan
Grand Caravan
Voyager
Town&Country
Intrepid
Focus
Focus SW
Taurus FFV
Taurus SW FFV
Taurus
Taurus SW
Crown Victoria
E-Series
E-Series
Cavalier
Cavalier
Malibu
Century
Impala
Grand Prix
Venture
Montana
Astro
Express
Savana
Express
Savana
Engine
2.0L
2.7L
3.3L
3.3L
3.3L
3.3L
2.7L
2.0L
2.0L
3.0L
3.0L
3.0L
3.0L
4.6L
5.4L
5.4L
2.2L
2.2L
3.1L
3.1L
3.4L
3.1L
3.4L
3.4L
4.3L
5.3L
5.3L
6.0L
6.0L
Emissions
LEV
LEV
LEV
LEV
LEV
LEV
LEV
LEV
LEV
LEV
LEV
LEV
LEV
LEV
LEV
LEV
LEV
LEV
LEV
LEV
LEV
LEV
LEV
LEV
LEV
LEV
LEV
LEV
LEV
CCF
Yes
Yes
No
No
No
No
No
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
EPAct (Alt Fuel)
No
E85
E85
E85
E85
E85
No
No
No
E85
E85
No
No
CNG
No
CNG Dedicated & Bi-Fuel
No
CNG Bi-Fuel
No
No
No
No
No
No
No
E85
E85
CNG Dedicated & Bi-Fuel
CNG Dedicated & Bi-Fuel
The above chart lists alternative fuels currently available and tentatively projected to be available for
MY2006. The specifications and availability are subject to change.
State of Wisconsin
Department of Administration
s. 16.70-75 & s. 20.915 Wis. Stats.
State Bureau of Procurement
101 E. Wilson Street 6th Fl
PO Box 7867
Madison, WI 53707-7867
(608) 266-8024
Fax
(608) 267-0600
DOA-3016 (R02/2005)
VEHICLE REQUEST
SEE INSTRUCTIONS ON REVERSE SIDE
1. REQUEST FOR VEHICLE
Agency
Quantity
New Fleet #
Estimated Annual Miles
Additional
Replacement
City for Delivery
Law Enforcement Vehicles
65550-350 Special Serv Intermed
65550-375 Special Serv Full Size
65550-750 DNR Warden Vehicle
65550-300 Law Enforcement Sedan
65550-325 Law Enfor Intermediate
Options:
Marked
Spotlight:
Unmarked
Driver
Passenger
Passenger Vehicles
65540-125 4 dr, 4 cyl Sedan
65540-175 4 dr, 4 cyl Station Wagon
65540-195 4 dr, 6 cyl Small Sedan
65540-200 4 dr, 6 cyl Sedan
65540-205 4 dr, 6 cyl Station Wagon
65540-207 7 pass, 6 cyl Mini Van
65540-212 12 pass, 8 cyl Van
65540-215 15 pass, 8 cyl Van
Light Duty Trucks and Work Vans
65360-100 Mini Pickup Truck
65360-150 Mini Pickup Truck 4x4
65360-200 Cargo Van
65360-207 Mini Cargo Van
65360-300 Long W.B. HD Cargo Van
65360-310 Step Van 10 Ft
65360-314 Step Van 14 Ft
65360-350
65360-400
65360-450
65360-475
65360-500
65360-525
65360-550
65360-575
Cutaway Cube Van
Small Utility
Small Utility 4x4
Large Utility 4x4
½ Ton Utility
½ Ton Utility 4x4
¾ Ton Utility
¾ Ton Utility 4x4
65360-600
65360-650
65360-700
65360-750
65360-800
65360-850
65360-900
65360-950
Medium Duty Trucks and Buses
65370-925 Class 5 and larger
65380-100
Bus
½ Ton Pickup Truck
½ Ton Pickup Truck 4x4
¾ Ton Pickup Truck
¾ Ton Pickup Truck 4x4
1 Ton Pickup Truck
1 Ton Pickup Truck 4x4
Class 4 Truck
Class 4 Truck 4x4
Body Type – Explanation of body types see PIMs
5
10
Check Yes
Check Yes
12
15
17
20
25
30
35
40
45
50
55
60
65
70
75
85
if vehicle(s) in these counties: Douglas, St. Croix, Pierce, Outagamie, Winnebago, Calumet, Dane (alt fueled)
if vehicle(s) in these counties: Washington, Ozaukee, Waukesha, Milwaukee, Racine, Kenosha (alt fueled/LEV)
Option: Asterisk options need justification (attached sheet)
Block Heater*
Glass All Around (Cargo Van)
Cloth
Vinyl Interior
Glass in Rear Door (Cargo Van)
Crew Cab 4Dr *
Glass Right Side & Rear Door
DRW or
SRW
Limited Slip Rear Axle*
Extended Wheelbase*
Power Locks*
Extended Cab Pickup*
Power Windows*
Rear Heat/AC*
Sliding Side Door
Snowplow Prep Package*
Snowplow
Width*
Third Passenger Seat*
Towing/Suspension Pkg*
Trailer Hitch*
2. IDENTIFY SURPLUS VEHICLE
Fleet #
Year
Commodity Code
Make
Model
Mileage as of the date form was
signed
Body Condition
Vehicle Identification Number
Mechanical Condition
Good
Good
Fair
Fair
Poor
Poor
Fleet Managers must select and advise the State Surplus Property Program, within 60 days after receipt of each new
vehicle, the auction date that each surplus vehicle will be sold.
The undersigned certifies that this request for Governor's approval meets all applicable state and federal statutes, rules,
regulations, and guidelines. This certification is based upon a thorough and complete analysis of this request.
Agency Head Signature or Designee if applicable
DOA Review:
Signed
Approved as Requested
Date (mm/dd/ccyy)
Phone Number
Approved with Changes
Noted
Not Approved, Explanation Attached
Date (mm/dd/ccyy)
Instructions for Completing "Vehicle Request"
The Department of Administration, Transportation and Travel uses four separate bid procedures annually to purchase new model
year vehicles: law enforcement vehicles, passenger vehicles, light duty trucks and work vans, and medium duty trucks and buses.
Detailed information for requisitioning vehicles is provided annually to agency fleet managers and purchasing directors, in t he State
Procurement Manual and the Current Procurement information Memorandum. For additional assistance, call (608) 266-8024.
Instructions for Submittal
1. REQUEST FOR VEHICLE
A. Request for Replacement Vehicle(s): An agency submits this “Vehicle Request” along with the Request for Purchasing
Authority (RPA), using one of two submittal methods for requesting replacement vehicles. The “Vehicle Request” form
must be signed and dated by the agency head or designee.
1. Identify one vehicle on each “Vehicle Request” (DOA 3016). Each Request must identify the fleet number for the new
replacement vehicle and the specific vehicle surplused for the replacement vehicle requested.
OR
2. Identify two or more vehicles of the same commodity code on one “Vehicle Request” (DOA 3016) and attach a data
sheet that identifies:
a) A fleet number for each replacement vehicle requested; and
b) A vehicle surplused for each replacement vehicle requested. The data sheet for the surplused vehicle must
include fleet number, year, make, model and mileage.
B. Request for Additional Vehicle(s): An agency must submit a separate “Vehicle Request” (DOA 3016) along with its
justification for each vehicle requested that would increase the number of vehicles in its fleet. The “Vehicle Request” must
identify a fleet number for the requested vehicle. A separate RPA noting “Additional Vehicle” must be used for each vehicle
class, i.e. Law Enforcement, Passenger, Light Duty Truck and Work Van, and Medium Duty Truck and Bus.
C. Request for Non-Standard Light Duty Truck and all Medium and Heavy Duty Trucks and Buses: Provide complete
vehicle specifications, in the format prescribed in the current PIM for requisitioning trucks, and attach to this “Vehicle
Request”. A detailed explanation must be attached to this “Vehicle Request” for each non-standard option requested.
Include an explanation of how the vehicle will be used and under what work conditions will it be used i.e. off road, highway.
2. IDENTIFY SURPLUS VEHICLE
Complete information as requested.
3. VEHICLE REQUEST JUSTIFICATION
/
4. ADDITIONAL VEHICLE JUSTIFICATION
Use attached sheet to justify vehicle request upgrades and options. If requesting additional vehicle(s) use the backside
of the Vehicle Request Justification sheet.
5. ALTERNATIVE FUEL VEHICLE INFORMATION.
The attached sheet needs to be filled out for the Energy Policy Act (EPACT) and Clean Air Act (CAA).
DISTRIBUTION OF FORMS
An agency submits the original of the “New Vehicle Request” via interdepartmental mail to the Department of Administration,
Enterprise Programs, 101 E. Wilson St., Madison, or via first class mail to PO Box 7867, Madison, WI 53707-7867. An
agency may make copies for its own internal distribution.
3. Vehicle Request Justification
ss. 20.915: Each state agency, upon written approval of the governor, may purchase necessary aircraft, trucks and automobiles
for its general use. All aircraft, trucks and automobiles shall be purchased through the department of administration under s s. 16.70
to 16.82. The department of administration shall ensure that each general fleet passenger automobile at the time of procurement
has a fuel economy rating of no less miles per gallon than the fleet average miles per gallon required of automobile manufact urers
by the federal government at that time. Law enforcement vehicles and work vehicles for heavy passenger or equipment loads are
exempt from the mileage requirement.
Describe Vehicle Use:
Check all that apply; attach a separate sheet if necessary.
Law Enforcement, explain vehicle type and use:
Passenger work vehicle: Normal passenger load:
Estimated annual miles with this # of occupants:
Comments:
Cargo Loads: Normal cargo weight:
lbs.
Volume of cargo:
Comments:
Trailer towing: Trailer weight empty:
Weight of cargo in tow vehicle:
Trailer weight loaded:
Trailer length in feet:
Justification for all asterisk options requested:
Option:
Justification:
Option:
Justification:
Option:
Justification:
Option:
Justification:
Option:
Justification:
See the reverse side of this form if requesting additional vehicle(s).
cubic feet
4. Additional Vehicle Justification
Answer the following questions (MANDATORY):
1.
Would an internal reallocation of similar vehicles be possible? If not, why not?
2.
What level of staffing does the agency have now in comparison to prior years to justify this additional vehicle(s)?
3.
Has legislation been passed which expands the scope of the agency, thereby necessitating additional vehicles of
the type requested? If yes, how? (Please attach a copy of the legislation.)
4.
What is the total mileage, as well as annual mileage for the prior fiscal or calendar year, for each vehicle in the
agency's fleet? (Please provide miles for each vehicle by its assigned fleet number, distinguishing between
business and any personal miles, and identify the make, model and year of each vehicle as well as its assigned
location and function; Provide the month and year of delivery for each vehicle.)
< Attach Excel spreadsheet, include owned and leased vehicles >
5.
What other information supports the need for an additional vehicle?
5. ALTERNATIVE FUEL VEHICLE INFORMATION
ENERGY POLICY ACT (EPACT) & CLEAN AIR ACT (CAA)
NOTE: This form is required – unless your agency attaches proof of separate compliance with the laws.
IDENTIFICATION: This sheet needs to be included with the “Vehicle Request” Form DOA 3016. In the table below, fill in your agency,
your name and number, and the vehicle commodity code found on the related Form DOA 3016.
AGENCY
AGENCY CONTACT
(Name & Phone)
COMMODITY CODE
(8 Digits)
BACKGROUND: The purpose of this sheet is to gather information to determine your agency’s requirements, compliance, and credits, under
the Federal Energy Policy Act of 1992 (EPACT), and under the 1990 Clean Air Act (CAA) EPACT requires that a specified percentage of state
government fleet new acquisitions of “light duty”, non-“excluded” vehicles used primarily within specified “MSA’s” (Metropolitan Statistical
Areas) and “CMSA’s” (Consolidated Metropolitan Statistical Areas) be “alternative fueled vehicles”. The CAA requires that a specified
percentage of new acquisitions of “light duty”, and “medium duty” non-“excluded” vehicles used primarily within specified MSA’s and CMSA’s
be certified to meet CAA standards. Call Transportation and Travel at 608-266-1558 for further details.
DEFINITIONS:
“Light duty” – vehicles with a gross vehicle weight (GVW) rating of 8,500 pounds or less. (Covered by EPACT & CAA)
“Medium duty” – vehicles with a GVW rating of between 8,500 pounds and 26,000 pounds. (Only covered by CAA)
“Excluded Vehicles” - 1) Law enforcement vehicle. 2) Emergency motor vehicle. 3) Non-road vehicle. 4) Vehicles which, under normal
operations are parked at personal residences when not in use. 5) Vehicles used for motor vehicle manufacturer product evaluations or tests. 6)
Motor vehicles exempt for national security reasons. 7) Vehicles held for sale, lease, or rental. 8) Vehicles used at industrial, commercial,
marine, rail, or airport facilities.
“Alternative Fueled Vehicle” – Alternative fuel includes dual-fuel, bi-fuel, and flexible-fuel vehicles designed to be operated on a least one of
the following fuels: 100% methanol, denatured ethanol, and other alcohols; mixtures containing 85% or more by volume of methanol, denatured
ethanol, and other alcohols with gasoline or other fuels; natural gas (compressed or liquefied); liquefied petroleum gas (propane); electricity
(including solar energy); hydrogen; coal-derived liquid fuels; and fuels (other than alcohol) derived from biological materials including “neat”
(100%) biodiesel. Since EPACT is aimed at energy independence, gasoline/diesel-powered vehicles do NOT satisfy the requirements of the law
– only alternative fueled vehicles. Since CAA is aimed at clean fuel fleets, alternative fueled vehicles and clean-burning gasoline/diesel vehicles
can satisfy the law.
“CAA-Clean Fuel Fleets Certified Vehicles” – These are vehicles that have been certified to meet the CAA Clean Fuel Fleet standards. They
include Low-Emission Vehicles (LEV), Inherently Low-Emission Vehicles (ILEV), Ultra Low-Emission Vehicles (ULEV), and Zero-Emission
Vehicles (ZEV).
PART – A INSTRUCTIONS (This is needed to determine your agency’s requirements under the EPACT and CAA.)
1.
Will the requested vehicle be primarily used in any of the following counties? Douglas, St. Croix, Pierce, Outagamie, Winnebago, Calumet,
Dane, Washington, Ozaukee, Waukesha, Milwaukee, Racine, or Kenosha?
Yes
No If yes, go on to the next line. If no, go on to
Part B of this form.
2.
Does the requested vehicle(s) qualify as “excluded” under the laws? (See above definition)
If yes, go on to Part B. If no, go on to the next question.
3.
Is the requested vehicle(s) less than 8,500 pounds gross vehicle weight?
attachment, and go on to Part B. If no, go on to the next question.
4.
Is the requested vehicle(s) between 8,500 and 26,000 pounds gross vehicle weight?
or on an attachment, and go on to Part B. If no, go on to Part B.
Yes
Yes
No
No If yes, list the fleet number(s) here or on an
Yes
No
If yes, list the fleet number(s) here
PART – B INSTRUCTIONS (This is needed to ensure compliance with the EPACT and CAA, and to calculate credits.)
1.
Is the requested vehicle alternatively fueled?
Yes
No If yes, list their fleet number(s) here or on an attached sheet, and provide a
description of the type of alt fuel vehicle. If no, go on to the next question.
2.
Is the requested vehicle a CAA-Clean Fuel Fleets Certified Vehicle as defined above?
Yes
No If yes, list their fleet number(s)
here or on an attached sheet, and provide a description of the type of certified vehicle. If no, no further information is needed.
ATTACHMENT TO “WISCONSIN CERTIFICATE OF TITLE FOR A VEHICLE”
SUPPLEMENTAL TITLE INFORMATION
PURPOSE OF THIS FORM:
The purpose of this form is to document information that is not available on the “Wisconsin Certificate of Title for a Vehicle”
(vehicle title) Form.
WHEN TO USE THIS FORM: Use this form whenever a vehicle title is forwarded to the Department of Administration, State
Bureau of Procurement, 101 E. Wilson Street, 6 th Floor, Madison, WI 73702-0032, Interdepartmental Mail or P.O. Box 7867,
Madison WI 53707-7867.
REQUIRED INFORMATION: (Fill in below information as it relates to the attached vehicle title.)
Purchase Order Number: ________________________
Fleet Number: ________________________________
Make: _______________________________________
Model: _______________________________________
Body Style (sedan, wagon, minivan, etc.) _______________________________________
Transmission (Circle one.):
Automatic
Manual
Engine (Fill in):
Number of Cylinders:
______________
Size in Liters:
______________
Fuel Type: _______________________________
CONTACT: For questions or comments on this form, contact Transportation Procurement at (608) 266-3620.
PIM REQUIREMENT CHECKLIST
Be sure the RPA and DOA–3016 forms have all of the required signatures (including Agency Head) or the paperwork will be returned.
Do You Have or Did You Do?
COMPLETION OF VEHICLE REQUESTS FORMS:
A. Request For Purchasing Authority (RPA) enclosed?
B. Fully completed New Vehicle Request Form and the county of the vehicle location checked (DOA-3016)?
C. Do all attachments have Commodity Code, Agency Name and Fleet Number information?
D. Alternative fuel form enclosed with Commodity Code and Fleet Number information?
E. Email Excel spreadsheet to linda.gladem@doa.state.wi.us
and attach hard copies to requests
DONATED VEHICLE:
If so, be sure to include documentation to include the name of the donating party and the
reasons for making the donation.
ADDITIONAL VEHICLE:
If yes; did you include properly formatted attachments answering the five-(5) questions listed
below?
A.
Would an internal reallocation of vehicles be possible and practical? If not, why not?
B.
What level of staffing does the agency have now in comparison to prior years?
C.
Has legislation been pasted which expands the scope of the agency, thereby necessitating
additional vehicles? If yes, how? (Please attach copy of the legislation.)
D.
What is the total mileage, as well as annual mileage for the fiscal or calendar year, for each
vehicle in the agency’s fleet? (Please provide miles for each vehicle by its assigned fleet
number, distinguishing between business and any personal miles, and identify the make,
model and year of each vehicle as well as its’ assigned location and function; provide the
month and year of delivery for each vehicle.)
E.
What other information supports the need for an additional vehicle?
ARE YOU REQUESTING TO UPGRADE FROM A GENERAL FLEET
VEHICLE TO THE LARGER, WORK VEHICLE (from 100 to 200 series)?
If yes; did you include properly formatted and neatly written attachments outlining specific
needs to include those listed below?
A.
Purpose/use of the work vehicle.
B.
Explanation as to why not using a General Fleet vehicle.
Explanation for not allocating another vehicle from the agency fleet when a work vehicle is
requested that replaces a General Fleet vehicle.
JUSTIFICATION OF ANY OPTIONS:
Enclosed neatly written justifications for any options checked on the DOA-3016 form?
REQUEST FOR A LARGER VEHICLE OR 4x4 FROM CURRENT
ONE?
If yes; did you include properly formatted and neatly written attachments outlining
specific needs to include those listed below?
A.
Purpose/use of the larger vehicle.
B.
Explanation as to what has changed and why larger vehicle is needed.
C.
Explanation for not allocating another vehicle from the agency fleet when a larger vehicle
is requested.
N/A
YES
Instructions for completing and submitting the Vehicle Request Detail Excel Worksheet
Excel Spreadsheet. The Excel spreadsheet sent to you is to be filled in by the Fleet Managers and returned to
Linda Gladem (linda.gladem@doa.state.wi.us) via email. This sheet should contain all of the vehicle requests from the
3016s and reflect the information from that form. The Procurement Manager will then indicate the decision made
for those vehicles and will send the sheet back to the manager with the approvals/denials marked on it. This sheet
system improves the communication of the decisions. Individual meetings with the fleet managers will still be
recommended but the reports to the Governor's Office will be greatly expedited. Secretaries/Chancellors do not
need to sign the spreadsheets.
After all of the form 3016 requests are collected and thoroughly reviewed by the Fleet Manager, the vehicles and
their respective fleet numbers and requested equipment options are to be entered into the Vehicle Request Detail
Excel Worksheet by the Fleet Manager and emailed to Transportation Procurement . The Fleet Manager is
responsible for completing and submitting one (1) worksheet for each vehicle category.
1. Fill out top section.
2. Submit one (1) worksheet for each vehicle category (Passenger, Lt. Duty, etc.) and separate the
replacement vehicles from the additional vehicles for each category (Passenger Replacement, Additional,
etc.).
3. Enter Agency or institution abbreviation in first column.
4. Enter surplus fleet number & new fleet number in the correct column(s).
5. Enter commodity code of surplused vehicle(s).
6. Enter commodity code of new vehicle request with the two-digit suffix (a complete list of commodity codes is
located on the second, COMMODITY CODE tab of the Excel Worksheet).
7. Put an "X" in the appropriate column for the equipment that was requested.
8. Completed worksheets are to be sent via Email to Linda Gladem (linda.gladem@doa.state.wi.us). Hard copies of the
spreadsheets (8.5x14 legal size) are to be turned in to Transportation Procurement with the Vehicle Request
paperwork for each type of Vehicle Category (Lt. Duty, Passenger, etc.).
9. Transportation Procurement Manager will review the requests.
10. Procurement Manager and Fleet Managers will discuss the requests.
11. Procurement Manager reviews and enters dates of approval/denials and inserts changes in the
spreadsheet. Worksheet is to be emailed to Fleet Managers.
12. Fleet Managers consider DOA recommendations and will discuss with Procurement Manager.
13. Fleet Managers develop appeals where deemed necessary, and submit them to the Procurement Manager.
14. Procurement Manager considers appeals. A final determination is sent to Fleet Managers via email.
15. Final recommendations (with reconsideration letters attached) in hard copy form, are sent to the DOA bureau
management for final review.
NOTE:
Be sure to put all equipment upgrade requests on the front page of the Form 3016. DOA will not "research" requested equipment by
searching through any attached justifications. DOA will not be responsible for omitting any option that it isn't on the front of the
Form 3016
Worksheet Example:
VEHICLE REQUEST DETAIL WORKSHEET MODEL YEAR 2006
Fleet Mgrs are to fill out & submit one worksheet for each vehicle category
AGENCY Corrections
Submit Date 5/30/03 1st Denial Date __/__/__ Appeal Date __/__/__ Final Appr Date __/__/__
Check: Additional__ Replacement X Law__ LtTrk__ MdTrk__ Pass X
OLD
FLEET #
OLD
COMMODITY
3800 65540-207-10
3900 65540-212-10
NEW
COMMODITY
207-15
212-10
NEW
FLEET #
BH CC EW EC GA GR GRS LS PL PW RAH SRW SD SL SG TS TP VS DENY APPR
3883 X
3985 X
X
X
X
BH
BLOCK HEATER
RAH
CC
CREW CAB 4DR
SRW
EW
EXTENDED WB
SD
EC
EXTENDED CAB (PU)
GA
GLASS ALL AROUND
SP
GR
GLASS REAR DOOR
SL
REAR AIR/HEAT
SINGLE REAR WHEEL
SLIDING DOOR
SPOT LIGHT
SNOWPLOW PKG W/PLOW SIZE
SG
SUNSCREEN GLASS
GRS GLASS RIGHTSIDE&REAR
TS
THIRD SEAT (SW)
LS
LIMITED SLIP REAR AXLE
TP
TOWING PKG
PL
POWER LOCKS
VS
VINYL SEAT
PW
POWER WINDOWS
DOA COMMENTS
Stanadard Optional Equipment.
Vehicle Type
125-10 Base Vehicle: 4 Door 4cyl Sedan
(air, auto, tilt, cruise, AM/FM, rear dfg, power
steering & brakes)
Cost
10,900
Blk Htrs Rear Dfg
Wiper
Tilt
Cruise
Ltd Slip
Dark
Glass
Premium Equipment
HD
Tow
Plow
35
Class III
Hitch
Rear
Air/Heat
Extra
Pass
Seat
NA
Aniti-Lock
Brakes
Bucket
Seats
Power
Drivers
Seat
std
Std
NA
Power
Windows
Power
Locks
Deluxe
Interior
Inc Deluxe Interior
2,000
Work Vehicles Listed Below: Vehicles that are justified for upgrade based on nature of work, need to transport 4 or more people and / or unusual weight or load requirements.
Cars (air, auto, tilt, cruise, AM/FM, rear dfg, power steering & brakes)
175-10
4 Door 4cyl Wagon
14,400
35
195-10
4 Door 6 Cyl Small Sedan
13,500
35
NA
200-10
4 Door 6cyl Sedan
14,900
35
NA
205-10
4 Door 6cyl Wagon
16,900
35
NA
207-10
7 Passenger Minivan
17,000
35
400
207-12
7 Passenger Minivan AWD
19,000
35
400
207-15
7 Passenger Extended Minivan
19,000
35
400
396
207-17
7 Passenger Extended Minivan AWD
876
275
std
Std
NA
Inc Deluxe Interior
2,000
std
Std
601
300
1,000
std
Std
1300
300
1,000
NA
1,000
std
Std
700
693
2,000
NA
1,000
Std
Std
700
600
2,000
NA
409
std
Std
700
600
2,000
23,000
35
NA
400
396
NA
409
Std
Std
700
600
2,000
212-10 12 Passenger Fullsize Van
20500
35
250
400
Incl
250
Incl
std
Std
350
Inc
Inc
215-10 15 Passenger Fullsize Van
21000
35
250
400
Incl
250
Incl
std
Std
350
Inc
Inc
Lt. Duty Trucks (air, auto, AM/FM, power steering & brakes)
65360-100 Mini Pickup Truck
14,500
35
std
std
250
105
100
185
2,000
std
305
NA
500
500
65360-150 4x4 Mini Pickup Truck
16,800
35
std
std
250
105
100
185
2,000
std
305
NA
500
500
65360-200 9ft. Full Size Cargo Van
16,000
35
NA
std
std
250
250
325
200
300
1,200
std
Std
NA
600
200
65360-207 Mini cargo Van
17,600
35
NC
std
std
217
325
100
200
NA
NA
Std
Std
NA
300
NA
400-65 2 Door Small Sport Utility
17,299
35
280
std
std
250
250
280
180
std
Std
1000
450
1,000
65360-450 4x4 Small Utility Vehicle
22,000
35
280
std
std
250
250
280
180
std
Std
1000
450
6,000
65360-475 4x4 Large Utility Vehicle
26,514
35
Inc
std
std
250
250
350
Inc
In Deluxe
std
Std
Inc
Inc Deluxe Interior
6,000
65360-500 4 Door 6 Pass Suburban
28,500
35
240
std
std
265
265
150
185
280
1,000
std
350
200
Inc Deluxe Interior
6,000
65360-525 4x4 4 Door 6 Pass Suburban
29,800
35
240
std
std
265
265
150
185
280
1,000
std
350
200
Inc Deluxe Interior
6,000
65360-550 4 Door 6 Pass HD Suburban
31,000
35
240
std
std
265
265
150
185
280
1,000
std
350
200
Inc Deluxe Interior
6,000
65360-575 4x4 4 Door 6 Pass HD Suburban
29,789
35
240
std
std
265
265
150
185
280
1,000
std
350
200
Inc Deluxe Interior
6,000
65360-600 Standard 1/2 Ton Pickup
23,200
35
std
std
250
200
300
Inc
2,000
std
800
500
Inc Deluxe Interior
3,000
65360-650 4x4 Standard 1/2 Ton Pickup
25,147
35
std
std
250
200
300
Inc
2,000
std
800
500
Inc Deluxe Interior
3,000
65360-700 HD 3/4 Ton Pickup
19,637
35
std
std
250
200
300
Inc
2,000
std
800
500
Inc Deluxe Interior
3,000
65360-750 4x4 HD 3/4 Ton Pickup
24,000
35
std
std
250
200
300
Inc
2,000
std
800
500
Inc Deluxe Interior
3,000
65360-800 HD 1 Ton Pickup
24,900
35
std
std
250
200
300
Inc
2,000
std
800
500
Inc Deluxe Interior
3,000
65360-850 4x4 HD 1 Ton Pickup
26,500
35
std
std
250
200
300
Inc
2,000
std
800
500
Inc Deluxe Interior
3,000
65550-300-10 8-cylinder, RWD Sedan
20,500
35
400
65550-325-10 6-cylinder, FWD Sedan
17,000
35
400
Estimated Base Prices = Crown Victoria $20,500, Impala $17,000, Charger $22,000