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Home My WebLink AboutContracts & Agreements_19-2007_CCv0001.pdf t Ford Motor Credit Company 1 American Road P.O.Box 1739 Dearborn,Michigan 48121-1739 January 26, 2007 The Honorable Jon Harrison, Mayor City of Redlands, Police Department 35 Cajon Street Redlands, CA 92373 Subject: Master Equipment Lease-Purchase Agreement- Lease No. 3967200 Dear Mayor Harrison: Enclosed are the subject documents for the Equipment being acquired from Downtown Ford. Please review the following documentation for accuracy: • Amendment- Please sign where indicated. If not appropriate, line through the form and return unsigned. • Schedule 3967214, Page 1 - Please sign where indicated. • Delivery and Acceptance Certificate(s) - Please sign and indicate the date the Equipment was accepted by you or your authorized representative. • Temporary Insurance Form - Please complete and sign where indicated. • 8038-GC - Please review and sign where indicated. On your behalf, we will forward the signed original form to the IRS. • Also, if you haven't already done so, please be sure to forward the original SIGNED Municipal Financing Application upon execution of the documents. Also enclosed is an invoice for the first payment check payable to Ford Motor Credit Company in the amount of $9,684.55 for the first payment. Please return the check and all signed original documents by 02/13/07, preferably to the express mail address below. If documents cannot be returned by this date, or if you have any questions, please call me at 1-800-241-4199, Ext. 172, and refer to Schedule 3967214. Overnight/Express Delivery U.S. Regular Mail Ford Motor Credit Company Ford Motor Credit Company Commercial Lending - MD 7500 Commercial Lending - MD 7500 1 American Road, Suite 2277 P. O. Box 1739, Suite 2277 Dearborn, MI 48126 Dearborn, MI 48121-1739 ATTN: Carol Tom, Municipal Finance ATTN: Carol Tom, Municipal Finance After the documents are signed for Ford Motor Credit Company, a set of copies will be sent to you. Sincerely, Linda Adamus Enclosures Municipal Finance PLEASE NOTE: The interest rate may be subject to a rate increase or require a rate extension fee if the documents are not returned by 04/30/2007. SCHEDULE 3967214 - MASTER EQUIPMENT LEASE-PURCHASE AGREEMENT Lease No. 3967200 AMENDMENT That certain Master Equipment Lease-Purchase Agreement, by and between Ford Motor Credit Company ("Lessor") and City of Redlands ("Lessee"), dated as of 09/20/1995 (the "Lease") is hereby amended as follows: Lessee has not issued, and reasonably anticipates that it and its subordinate entities will not issue, tax-exempt obligations (including this Lease) in the amount of more than $10,000,000 during the current calendar year; hereby designates this Lease as a "qualified tax-exempt obligation" within the meaning of Section 265(b)(3) of the Internal Revenue Code of 1986, as amended, ("Code"); and agrees that it and its subordinate entities will not designate more than $10,000,000 of their obligations as "qualified tax-exempt obligations" during the current calendar year. Except as amended hereby, the Lease shall otherwise remain unchanged and in full force and effect. IN WITNESS WHEREOF, the parties have executed this Amendment as of the 6th day of February, 2007. LESSEE: City of Redlands LESSOR: Ford Motor Credit Company Police Department 91 By: By: Fr IMastre-11a Title: Mayor Title: Operations Manager, Municipal Finance ATTEST: EO, !E POYZE ,/ I CLERK INVOICE January 26, 2007 LESSEE: City of Redlands Police Department 35 Cajon Street Redlands, CA 92373 REMIT PAYMENT TO: FORD MOTOR CREDIT COMPANY MUNICIPAL FINANCE P. O. BOX 1739 - MD 7500 DEARBORN, MI 48121-1739 PLEASE RETURN A COPY OF THIS INVOICE WITH YOUR PAYMENT ACCOUNT FIRST DESCRIPTION PAYMENT NUMBER PAYMENT AMOUNT DUE DATE $9,684.55 3967214 02/06/2007 (1) 2007 Ford Crown Victoria Police w/7.75% Tax & Tire, 2FAHP71 W97X1 29382 PLEASE REMIT: $9,684.55 If you have any questions regarding this invoice, please call Linda Adamus (800- 241-4199, Ext. 173). Page 1 SCHEDULE 3967214 - MASTER EQUIPMENT LEASE-PURCHASE AGREEMENT Lease No. 3967200 This Equipment Schedule dated as of 02/06/2007, is being executed by Ford Motor Credit Company("Lessor"), and City of Redlands ("Lessee"), as a supplement to, and is hereby made a part of that certain Master Equipment Lease- Purchase Agreement dated as of 09/20/1995 ("Lease"), between Lessor and Lessee. Lessor hereby leases to Lessee under and pursuant to the Lease, and Lessee hereby accepts and leases from Lessor under and pursuant to the Lease, subject to and upon the terms and conditions set forth in the Lease and upon the terms set forth below, and following items of Equipment: FEQUANTITY DESCRIPTION (MANUFACTURER, MODEL AND SERIAL NO.) SUPPLIER 1 2007 Ford Crown Victoria Police w/7.75% Tax & Tire, Downtown 2FAHP71 W97X129382 Ford EQUIPMENT LOCATION: City of Redlands Police Department 35 Cajon Street Redlands, CA 92373 Initial Term: 36 Months Commencement Date: 02/06/2007 Periodic Rent: 3 Consecutive Annual in Advance Payments of $9,684.55 each (including interest), due under this Lease. The Periodic Rent Payment also includes any applicable sales/use tax due and payable on the Lease Payment Dates, set forth in Schedule 3967214, Page 2.California Tire Fee and 7.75% State Sales Tax are due and payable at Schedule signing. EXECUTED as of the date first herein set forth. LESSEE: City of Redlands LESSOR: Ford Motor Credit Company Police Department By: By: , , .. . J n Harrison Fran astrella Title: ayor Title: operations Manager, Municipal Finance ATTEST: �IE LObYZE , CLERIC. Counterpart No. 1 of 1 manually executed and serially numbered counterparts. To the extent this Schedule constitutes chattel paper, no security interest herein may be perfected through the possession of any counterpart other than Counterpart No. 1. Page 2 Payment Schedule Schedule Number: 3967214 Master Lease Number: 3967200 APR: 6. 80% Lease Lease LeasLease Interest Principal Concluding ent Payment Number Date Payment Portion Portion Payment 1 2 / 6/ 2007 9, 684 .55 0.00 9,684 .55 17, 558 .49 2 2 / 6 / 2008 9, 684.55 1, 193 . 98 8,490.57 9, 067 .92 3 2 / 6 / 2009 9, 684 .55 616 .63 9, 067.92 1.00 6 TOTALS 29,053 .65 1, 810.61 27, 243 .04 t LESSOR: FORD MOTOR CREDIT COMPANY P.O. Box 1739 Dearborn, MI 48121-1739 DELIVERY AND ACCEPTANCE CERTIFICATE The undersigned Lessee hereby acknowledges receipt of the Equipment described below ("Equipment") as fully installed and in good working condition; and Lessee hereby accepts the Equipment after full inspection thereof as satisfactory for all purposes of the Master Equipment Lease-Purchase Agreement("Lease") executed by Lessee and Lessor. MASTER LEASE MASTER LEASE SCHEDULE DELIVERY PURCHASE PURCHASE DATE NUMBER 3967214 NUMBER DATE ORDER NO. DATE 09/24/1995 3967200 02/06/2007 1 EQUIPMENT INFORMATION QUANTITY DESCRIPTION (MANUFACTURER, MODEL AND SERIAL NO.) SUPPLIER 1 2007 Ford Crown Victoria Police w/7.75%Tax & Tire, Downtown Ford 2FAHP71 W97X129382 LESSEE: City of Redlands BY: '° -- Police Department 35 Cajon Street (Title) Redlands,CA 92373 IV DATE ACCEPTED: This form is to be signed, dated and returned to Ford Motor Credit Company, Attn: Carol Tom, upon delivery and acceptance of the above equipment. INSURANCE FACT SHEET We require a Certificate of Insurance or Declaration Page shown in the name of the Municipality listed below. if more than one insurance company is used, indicate each and for what type coverage. Per the Master Equipment Lease-Purchase Agreement, Lease No. 3967200, we require Liability and Physical Damage on all vehicles, Liability and Property Damage on all other Equipment and FORD MOTOR CREDIT COMPANY named as Loss Payee and Additional Insured. RETURN TO: Ford Motor Credit Company, Municipal Finance, PO Box 1739-MD 7500, Dearborn, MI 48121-1739. SCHEDULE NO. 3967214 PLEASE NOTE: FORD MOTOR CREDIT COMPANY REQUIRES A MINIMUM OF$1,000,000 PUBLIC LIABILITY COVERAGE; OR THE STATE MAXIMUM (IF LOWER) IS REQUIRED MUNI: City of Redlands ADDRESS: Police Department 35 Cajon Street CITY: Redlands, CA 92373 CONTACT: Julie Gilbert,798-7530,Accts. Payable PHONE: (909) 798-7525 EQUIP DESC: (1) 2007 Ford Crown Victoria Police w/7.75% Tax &Tire, 2FAHP71 W97X1 29382 INSURANCE COMPANY: INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA ADDRESS: c/o DAVIS & GRAEBER INSURANCE SERVICES, po BOX 40 CITY: REDLANDS STATE: CA Zip: 92373 PHONE: 909-793-2373 —CONTACT PERSON: _PQ'_nV-14'PA REEVES POLICY NO: 87766677 EXPIRATION DATE: 07101/07 LIABILITY AMT: $10,000,000 PROPERTY DAMAGE AMT: PHYSICAL DAMAGE AMT: COMPREHENSIVE DEDUCTIBLE: COLLISION DEDUCTIBLE: INSURANCE COMPANY: ADDRESS: CITY: STATE: —ZIP: PHONE: CONTACT PERSON: POLICY NO: EXPIRATION DATE: LIABILITY AMT: PROPERTY DAMAGE AMT: PHYSICAL DAMAGE AMT: COMPREHENSIVE DEDUCTIBLE: COLLISION DEDUCTIBLE: THIS SECTION ONLY TO BE, COMPLETE IF SELF-INSURED: IF YOU ARE SELF-INSURED FOR ANY COVERAGE, PLEASE PROVIDE THE NAME OF YOUR INSURANCE POOL/FUND. NAME OF INSURANCE POOUFUND: II Self-insuredFor,!LIABILITY: $ !j00,000 PROPERTY: $ PHYSICAL: $ i CONTINUOUS COVERAGE: FROM: TO: ATTEST: Af PLEASE SIGN: C ___77 ion Harrison, Mayor LoY/rie Poyiqj� , rity lerk I Information Return for Small Tax-Exempt Form 8038-GC Governmental Bond Issues, Leases, and Installment Sales "Rn ► Under Internal Revenue Code section 149(e) (Rev.11-2000) Department of the Treasury Caution: Use Form 8038-G if the issue price of the issue is$100,000 or more. Internal Revenue Service Re ortin Authorit Check box if A MOM 2 Issuers employer identification number 1 Issuers name 95-6000766 City of Redlands Room/Suite 3 Number and street(or P.O.box if mail is not delivered to street address) Police Department, 35 Cajon Street s Report number 4 City,town,or post office,state,and ZIP code GC 2007-3967214 Redlands, CA 92373 7 Telephone number of officer or legal representative 6 Name and title of officer or legal representative whom the IRS may call for more information p Descri tion of Obli ation, Check if re ortin : a sin le issue or on a consolidated basis . 8a $17,558.49 8a Issue price of obligation(s)(see instructions). . b Issue date(single issue)or calendar year(consolidated)(see instructions)-_--------------_-_ 9 Amount of the reported obligation(s)on line 8a: 9a a Used to refund prior issue(s). . b Representing a loan from the proceeds of another tax-exempt obligation (e.g., bond bank) 9b 10 If the issuer has designated any issue under section 265(b)(3)(B)(1)(III)(small issuer exception),check this box ►❑ 11 If any obligation is in the form of a lease or installment sale, check this box . . . ►a 12 If the issuer has elected to pay a penalty in lieu of arbitrage rebate, check this box . . . Under penalties of perjury,I declare that I have examined this return and accompanying schedules and statements,and to the best of my knowledge PLEASE and belief,they are true,correct and complete. SIGN , HERE ' Jon Harrison,Mayor suer's authorized representative Date Type or print name and title Thus,an issuer may file a separate Form Other Forms That May Be Required Generali struetions 8038-GC for each of a number of small issues For rebating arbitrage(or paying a penalty in Section references are to the Internal and report the remainder of small issues lieu of arbitrage rebate)to the Federal Revenue Code Unless otherwise noted. issued during the calendar year on one government,use Form 8038-T,Arbitrage consolidated Form 8038-GC. However,a Rebate and Penalty in Lieu of Arbitrage Purpose of Form separate Form 8038-GC must be filed to give Rebate. For private activity bonds,use Form the IRS notice of the election to pay a penalty 8038,Information Return for Tax-Exempt exemptt governmental mental obligations to provide Form is used by issuers of thx' in lieu of arbitrage rebate. Private Activity Bond Issues. ove the IRS with the information required by section 149(e)and to monitor the When to File Rounding to Whole Dollars requirements of sections 141 through 150. To file a separate return,file Form 8038-GC You may show the money items on this return on or before the 15th day of the second as whole-dollar amounts. To do so,drop any Who Must File calendar month after the close the calendar amount less than 50 cents and increase any quarter in which the issue is issued. Issuers of tax-exempt governmental To file a consolidated return,file Form amount from 50 cents through 99 cents to the obligations with issue prices of less than 8038-GC on or before February 15th of the next higher dollar. $100,000 must file Form 8038-13C. Issuers of a tax-exempt governmental calendar year following the year in which the issue is issued. Definitions obligation with an issue price of$100,000 or Late filing. An issuer may be granted an Obligations.This refers to a single more must file Form 8038-G, Information extension of time to file Form 8038-GC under Return for Tax-Exempt Governmental Section 3 of Rev.Proc.88-10, 1988-1 C.B. tax-exempt govemmental obligation if Form Obligations. 635,if it is determined that the failure to file on 8038-GC is used for separate reporting or to Filing a separate return.Issuers have the time is not due to willfulatfType or multiple tax-exempt governmental obligations option to file a separate Form 8038-GC for neglect. yp any tax-exempt governmental obligation with print at the top of the form,"This Statement is if the form is used for consolidated reporting. an issue price of less$100,000. Submitted in Accordance with Rev.Proc.88- Tax-exempt obligation.This is a bond, 10." Attach to the Form 8038-GC a letter installment purchase agreement,or financial An issuer of a tax-exempt bond used to briefly stating why Form 8038-GC was not lease,on which the interest is excluded from finance construction expenditures must file a submitted to the IRS on time. Also indicate income under section 103. separate Form 8038-GC for each issue to whether the obligation in question is under Tax-exempt governmental obligation.A give notice to the IRS that an election was examination by the IRS. Do not submit made to pay a penalty in lieu of arbitrage copies of any bond documents,leases,or tax-exempt obligation that is not a private rebate(see line 12 instructions). installment sale documents. activity bond see below)is a tax-exempt Filing a consolidated return.For all tax- Where to File governmentallobligation.This includes a bond er fire department exempt governmental obligations with issue issued by a qualified volunte prices of less than$100,000 that are not File Form 8038-GC,and any attachments, under section 150(e). reported on a separate Form 8038-GC,an with the Intemal Revenue Service Center, Private activity bond.This includes an issuer must file a consolidated information Ogden,UT 84201. obligation issued as part of an issue of which: return including all such issues issued within e More than 10%of the proceeds are to be the calendar year. used for any private business use, and Cat,No 641088 Form 8038-GC(Rev.11-2000) Ford Motor Credit Company Municipal Finance Application-Schedule No.: 3 9 6 7 214 Department Using Equipment(`Vchicler'Equipincnt") Legal Name of Municipality("Lessee") CITY-_OF...REDLANDS.. Federal ID Number County BERNARDINO 95-6000766 AN S 11-11. I i Stre-e-t A-d–d-r-c-ss-------- City,State and Zip 35 CAJON STREET REDLANDS, CA 92373 --—–------ Billing Address(if different from above) I City,State and Zip PO BOX 3005REDLANDS, CA 92373 Accounts Payable Contact Person: Accounts Payable Phone Number JULIE GILBERT 909-798-7530 ' How will Vehicle/Equipment be used? Does this equipment replace previous equipment? i POLICE OPERATIONS 'XYes,replaces equipment purchased in (year(s) How many units currently perform this function? No;explain If more space is needed, continue on additional sheet. 141 Gen—era-1 Liability Insurance coverage limits in the amount of$1 million is required-or the State maximum(if lower): Self Insured: ONo IKYes Name of Insurance Provider: DAVIS & GRAEBER 1 General Liability Coverage Limits: $ 500 000 Telephone No. 909-379-1347 Date of most recent Audited Financial Statement: Fiscal Year-End: Source of funds for proposed Fund Balance: payments: 17 $__2,_9_Z2,5AU_ ov_")�_ General Fund ONo A,of 06/30/06 Funds have been appropriated for the current year: X(es Fund CERTIFICATION 1,the undersigned,certify that: I Lessee has followed all required purchasing procedures regarding the award of the proposed contract. I Lessee has the requisite authority to execute,deliver and perform its obligations under the proposed contract. 3 The execution,delivery and performance by Lessee of the proposed contract have been duly authorized by all necessary actions on behalf of the Lessee. THE SIGNATURE LINE BELOW IS TO BE SIGNED BY A PERSON AUTHORIZED BY THE GOVERNING BODY TO EXECUTE THE PROPOSED CONTRACT ON BEHALF OF THE LESSEE: Print Name AND Title of Authorized Official to sign Contract: signa3w(pof Authoriz Official to sign Contract: JON HARRISON, MAYOR 2-6-07 C Date ,ATTEST by LORRIE POYZ77E�R, CITY CLE �l will e p F lease�n�nam An executed Opinion of Counsel will be required,please p�rfnt name beto Print Name of Attorney for Lessee: Attomey's'relephone Number: DANIEL J. MC HUGH Revised December 2005 PLEASE NOTE: Please fax an advance copy to(313).390-3783; and mail original to: Ford Motor Credit Co., PO Box 1739-MD 7500, Dearborn, MI 48121-1739;ATTN: Municipal Finance. i' Ford Motor Credit Company 1 American Road P.O.Box 1739 Dearborn,Michigan 48121-1739 January 25, 2007 The Honorable Jon Harrison, Mayor City of Redlands, Police Department 35 Cajon Street Redlands, CA 92373 Subject: Master Equipment Lease-Purchase Agreement- Lease No. 3967200 Dear The Honorable Harrison: Thank you for selecting Ford Motor Credit Company as your Lease-Purchase Finance source. We, at Ford Credit, care about our customers and have a special interest in your continuous satisfaction with our services. For your records, we have enclosed a copy of the signed Master Equipment Lease-Purchase Agreement. Your Schedule (account number) is 3967214. Be sure to refer to Schedule 3967214 should you require assistance. To assist us with the timely processing of your payments, please: • allow seven mail days time to avoid late charges; • include Schedule 3967214 (account number) on your check, and • make check payable to "Ford Motor Credit Company" to our Lockbox: DEPT 67-434 FORD MOTOR CREDIT- MUNICIPAL P. O. BOX 67000 DETROIT, MI 48267-0434 If I can be of any assistance, please contact me at 1-800-241-4199, Ext. 173. Sincerely, Linda Adamus Municipal Finance Enclosures FORD MOTOR CREDIT COMPANY MUNICIPAL FINANCE DEPARTMENT PO BOX 1739—MD 7500 DFARBORN, MI 48121-1739 R4111licipal Finance Dear Sir or Madam: Ford Motor Credit Company has not yet received all of the required documentation for the attached Lease-Purchase Agreement, which was recently executed. At the time this lease was funded, photocopies of the original signatures were provided. 'I'o ensure that our files are in compliance with our legal department, we need original documents with original signatures for the following document(s): [ ] MASTER LEASE AGREEMENT [ j EQUIPMENT LEASE-PURCHASE AGREEMENT SCHEDULE ( ] AMENDMENT [ ] OPINION OF COUNSEL DELIVERY AND ACCEPTANCE CERTIFICATES [ 8038 G/GC IRS TAX FORM * INSURANCE FACT SHEET [ ] ADDENDUM [ MUNICIPAL FINANCE APPLICATION—be sure it is signed. TITLE APPLICATION(s) [ ] CORRECT ION LETTER- be sure that it is signed Please sign the attached document(s) and forward the original signatures as soon as possible in the self addressed postage paid envelope provided. Thank you in advance for your quick response and for doing business with Ford Motor Credit Company. Sincerely, Janet Doty Municipal Finance t71s) 323-1243 If the 8038 G/(;C box is marked, it is I?\IPERA`I'IYE that Ford Credit receive this document ININIEDIATELY—Nve can not Fite VOUr tas information with the IRs untit we have an original signature. !�tE ;sly"�I in 'ipul rA;liiiristruiundf rttcrs ^ SCHEDULE 39M7214 - MASTER EQUIPMENT LEASE-PURCHASE AGREEMENT Lease No. 3887200 AMENDMENT That certain Master Equipment Lease-Purchase Agreement, by and between Ford Motor Credit Company ("LesSO[") and City OfRedlands ("L8SSe8")' dated @s [fO9/20/1S95 (the "LeaS8") ishereby amended as follows: Lessee has not issued, and reasonably anticipates that itand its subordinate entities will not issue, tax-exempt obligations (including this Lo@Se\ inth8arnOUDtOfnnOneth8n $10.00O.00OdUr\ngtheCu[nent ' calendar year; hereby h b designates thioLe8se a5u "qualified tax-exempt Ob|ig8Uon" within the meaning VfSection 2O5(b)(3) Ofthe Internal Revenue Code Of1QOO. @samended, ("Code"); and agrees that iiand its subordinate entities will not designate more than $10.000.000 of their obligations as "qualified tax-exempt obligations" during the current calendar year. Except as amended hereby, the Lease shall otherwise remain unchanged and in full force and effect. |NWITNESS WHEREOF, the parties have executed this Amendment 8s0fthe 6th day of February, 2007. LESSEE: City ofRedlands LESSOR: Ford Motor Credit Company Police Department By: By: Jon Harrison Frank Mastrella ' Title: [}der@10O� W18n��r Municipal Finance T|d�� '' K��y0r . . . ATTEST: LOP,R IE Poy CLERK �� P8g9l SCHEDULE 38G7214 ~ MASTER EQUIPMENT LEASE-PURCHASE AGREEMENT Lease No. 3807200 This Equipment Schedule dated as of 02/06/2007, is being executed by Ford Motor Credit Company ("Lessor"), and City of Redlands (^Lessmy"), as a supplement . | n� to and is hereby made a partof that certainMaster Equipment Lease- Purchase Agreement dated as of 09/20/1995 ("Lease"), between Lessor and Lessee. uume-Pu/ohaseAgreementdatedasufO0/2O/1QAG (^Leesa^). bebweenLeuyorandLomsee. Lessor hereby leases tm Lessee under and pursuant tuthe Lease, and Lessee hereby accepts and leases from Loesu/ under and pursuant to the Loame, subject to and upon the terms and conditions set forth in the Lease and upon the terms set forth be|mm, and following items ofEquipment: MODEL AND SERIAL NO.) SUPPLIER QUANTITY DESCRIPTION (MANUFACTURER 2007 Ford Crown Victoria Police w/7.75% Tax & Tire, Downtown 2FAHP71W97X129382 Ford 7EQUIPMENTT LOCATION: City of Redlands Police Department 35 Cajon Street Redlands, CA 92373 Initial Term: 36 Months Commencement Date: 02/06/2007 Periodic Rent3 Consecutive Annual in Advance Payments of S9.684.55 each (including interes\), due under this Lease. The Periodic Rent Payment also includes any applicable sales/use tax due and payab|eonth* LuasoPoymeniDat*o. oetforthinSoh*du|e3967214. Page2,Co|ifo/niaTi/eFee and 775% State Sales Tax are due and payable atSchedule signing. EXECUTED asnfthe date first herein set forth. LESSOR:� Ford ��otorCredit Company LESSEE: CityofRed|�ndm Police Department By: Jon Harrison By: ~— Title: Mayor Title: Uperations Manager, ^xuumFinance,u. . ATTEST: Counterpart No. 1 of manually executed and serially numbered counterparts. Tothe extent this Schedule constitutes chattel popm/, no security interest herein may be perfected through the possession of any counterpart other than Counterpart No. 1 ` | | Page 2 Payment Schedule Schedule Number: 3967214 Ot 111ast— Lease 1,.Tumber: 396 7 200 APR: Lease Lease Payment Payment, Lease Interest, Princi-oal concluding Number. Date Payment Portion Portion Payment 1 2 / 61/ 2007 9, 684 .55 0. 00 9, 684 .55 17, 558 .49 2 2 / 61/ 2008 9, 684 .55 1, 193 . 98 8,490 .57 9, 067. 92 3 2 / 6/ 2009 9,684 .55 616 .63 9, 067 . 92 1.00 6 TOT7-,,'-S 29, 053 ,65 1, 810.61 27, 243 .04 LESSOR-, FORD MOTOR CREDIT COMPANY P.O. Box 1739 Dearborn, MI 48121-1739 DELIVERY AND ACCEPTANCE CERTIFICATE The undersigned Lessee hereby acknowledges receipt of the Equipment described below ("Equipment") as fully installed and in good working condition; and Lessee hereby accepts the Equipment after full inspection thereof as satisfactory for all purposes of the Master Equipment Lease-Purchase Agreement ("Lease") executed by Lessee and Lessor. r MASTER LEASE LEASE MASTER LEASE SCHEDULE DELIVERY PURCHASE PURCHASE DATE NUMBER 3967214 NUMBER DATE ORDER NO. DATE 09/20/1995 3967200 1 02/0612007 EQUIPMENT INFORMATION QUANTITY DESCRIPTION (MANUFACTURER, MODEL AND SERIAL NO.) SUPPLIER 2007 Ford Crown Victoria Police w/7.75% Tax & Tire, Downtown Ford 2FAHP71W97X129382 '4- LESSEE.- City of Redlands BY: -Al Police Department 35 Cajon Street Redlands,CA 92373 DATE ACCEPTED: This form is to be signed, dated and returned to Ford Motor Credit Company, Attn: Carol Tom, upon delivery and acceptance of the above equipment. Form 8038-GC Information Return for Small Tax-Exempt Governmental Bond Issues, Leases, and Installment Sales (Ren 11-20001 01 Under Internal Revenue code section 149(e) OMB No,' `' Department of }ury caution: Use Fora,8038-G if the issue prig of the issue is$100.000 or more. lriten,ai Revenue 5 v''e ` : Re ortirt Authorit Check box if Amended Return I # ssuer's name1 2 Issuer's employer identification number City of Redlands 05-6000766 3 Nuniber arra:street. or P.C.box if trail is not delivered to street address) �,a n?Suite Police Department,35 Cajon Street l 4 City,town;.or post office,state,and ZIP code 5 Report number Redlands,CA 92373 GC 2007-3967214 6 Mame and title of officer or legal representative whore the IRS may ca:;for more information 7 Telephone number of officer or legal representative Daniel - Description of Obligations Check if reporting: a sin le issue or on a consolidated basis 8a Issue price of obligation(s) (see instructions). 8a $17,558.49 b Issue date(single issue)or calendar year(consolidated)(see instructions)------------------------ 9 Amount of the reported obligation(s)on line 8a: a Used to refund prior issue(s). 9a b Representing a loan from the proceeds of another tax-exempt obligation (e.g., bond bank) 9b 10 If the issuer has designated any issue under section 265(b)(3)(8)(1)(111)(small issuer exception), check this box ►❑ 11 if any obligation is in the form of a lease or installment sale, check this box . . . . . ►® 12 If the issuer has elected to pay a penalty in lieu of arbitrage rebate,check this box . . . ►❑ Under penalties of perjury.I declare that I have examined this return and accompanying schedules and statements,and to the best of my knowledge and belief,they are true,correct and complete. PEASE SIGN HERE r r Jon Harrison,Mayor Issuer's autrized representative Date Tripe or print name and title General Instructions Thus,an issuer may file a separate Form Other Forms That May Be Required Section references are to the Interna! 8038-GC for each of a number of small issues For rebating arbitrage(or paying a penalty in and report the remainder of small issues lieu of arbitrage rebate)to the Federal Revenue Code Unless otherwise noted. issued during the calendar year on one government,use Form 8038-T,Arbitrage consolidated Form 8038-GC. However,a Rebate and Penalty in Lieu of Arbitrage Purpose of Form separate Form 8038-GC must be filed to give the IRS notice of the election to pay a penalty Rebate. For private activity bonds,use Form Form 8038-GC is used by issuers of tax- 8038, Information Return for Tax-Exempt exempt governmental obligations to provide in lieu of arbitrage rebate. private Activity Bond Issues. the IRS with the information required by section 149(e)and to monitor the When to File requirements of sections 141 through 150. To file a separate return,file Form 8038-GC Rounding to Whole Dollars on or before the 15th day of the second You may shove the money items on this return Who Must File calendar month after the close of the calendar as whole-dollar amounts. To do so,drop any Issuers of tax-exempt governmental quarter in which the issue is issued. amount less than 50 cents and increase any obligations with issue prices of less than To file a consolidated return.file Form amount from 50 cents through 99 cents to the S1,00,000 must file Farm 8038-GC. 8038-GC on or before February 1511h of the next higher dollar. Issuers of a tax-exempt governmental calendar year following the year in which the obligation with an issue price of$100,000 or issue is Issued. Definitions more must file Form 8038-G, information Late filing An Issuer may be granted an Obligations.This refers to a single Return for Tax-Exempt Governmental extension of time to file Form 80.38-GC under Obligations. Section 3 of Rev. Proc.88-10, 1988-1 C.O. tax-exempt governmental obligation if Form Filing a separate return. Issuers have the 635,if it is determined that the failure to file on 8038-GC is used for separate reporting or to option to file a separate Form 8038-GC for time is not due to willful neglect.Type or multiple tax-exempt governmental obligations any tax-exempt governmental obligation with print at the top of the form,"This Statement,is if the form is used for consolidated reporting. an issue price of less$100,000. Submitted in Accordance with Rev. Proc.88- Tax-exempt obligation.This is a bond, An issuer of a tax-exempt bond used to briefly stating why Form 8038-GC was not 10."" Attach to the Form 8038-GC a letter installment purchase agreement,or financial finance construction expenditures must file a submitted to the IRS on time. Also indicate lease,on which the interest is excluded from separate Form 8038-GC for each issue to whether the obligation in question is under income under section 103. give notice to the IRS that an election was examination by the IRS. Do not submit Tax-exempt governmental obligation.A made to pay a penalty in lieu of arbitrage copies of any bond documents,leases,or tax-exempt obligation that is not a private rebate(see line 12 instructions). installment stale documents. activity bond(see Below)is a tax-exempt Filing a consolidated return. For all tax- governmental obligation.This Includes a bond exempt t'oVer n, tP„ntal obligations with;issue Where to File issued by a yUa'ified volunteer fare department c, ce of less than,$100,000 that are not File Form 8038-GC and any attachmentS. under section. 150(e). eported on a separate Form.8038-GC,an with the internai Revenue Service Center, Private activitybond This ncludes artrt issuer roust filea cons dated inlormati€o n Og-den, UT 842=0?, return inclu ding ail such;Issues issued within oblication issued as part of an issue of 6w ch- the !erdar year. • Mona than10%cf the proceeds are to be used for any private business use, and .let No 641ndB Finn 8038-GC(Re 1-2000) INSURANCE FACT SHEET We require a Certificate of Insurance or Declaration Page shown in the name of the Municipality listed below. If more than one insurance company is used, indicate each and for what type coverage. Per the Master Equipment Lease-Purchase Agreement, Lease No. 3967200, we require Liability and Physical Damage on all vehicles, Liability and Property Damage on all other Equipment and FORD MOTOR CREDIT COMPANY named as Loss Payee and Additional Insured. RETURN TO: Ford Motor Credit Company, Municipal Finance, PO Box 1739- MID 7500, Dearborn, MI 48121-1739. SCHEDULE NO: 3967214 PLEASE NOTE: FORD MOTOR CREDIT COMPANY REQUIRES A MINIMUM OF$1,000,000 PUBLIC LIABILITY COVERAGE; OR THE STATE MAXIMUM (IF LOWER) IS REQUIRED MUNI: City of Redlands ADDRESS: Police Department 35 Cajon Street CITY: Redlands, CA 92373 CONTACT: Julie Gilbert, 798-7530, Accts. Payable PHONE: (909) 798-7525 EQUIP DESC: (1) 2007 Ford Crown Victoria Police w?17.75% Tax & Tire, 2FAHP71 W97X1 29382 INSURANCE COMPANY: INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA ADDRESS: /o DAVIS & GRAEBER INSURANCE SERVICES, PO BOX 40 CITY: REDLANDS STATE: CA ZIP: 92373 PHONE: 909-793-2373 CONTACT PERSON: ROBERTA REEVES POLICY NO: 87766677 EXPIRATION DATE: 071()1/07 LIABILITY AMT: $10,000,000 PROPERTY DAMAGE AMT: PHYSICAL DAMAGE AMT: COMPREHENSIVE DEDUCTIBLE: COLLISION DEDUCTIBLE: INSURANCE COMPANY: ADDRESS: CITY: STATE: ZIP: PHONE: CONTACT PERSON: POLICY NO: EXPIRATION DATE: LIABILITY AMT: PROPERTY DAMAGE AMT.- PHYSICAL DAMAGE AMT: COMPREHENSIVE DEDUCTIBLE: COLLISION DEDUCTIBLE: THIS SECTION ONLY TO BE COMPLETE IF SELF-INSURED. i IF YOU ARE SELF-INSURED FOR ANY COVERAGE, PLEASE PROVIDE THE NAME OF YOUR INSURANCE POOLIFUND, NAME OF INSURANCE POOL/FUND: Self-Insured Forl LIABILITY: $ 500,000 PROPERTY: $ PHYSICAL: $ CONTINUOUS COVERAGE: FROM: TO: ATTEST: ----------- PLEASE SIGN: JonHarrison, Mayor P torr ("Vz ' C4"L'y Clerk