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PW Motor Vehicle Buyers OrderRED MCCOMBS FORD DEAL NO.:267584 8333 IH 10 WEST MOTOR VEHICLE BUYERS ORDER SAN ANTONIO TX 78230 PH: (210)349-4949 FAX: (210)357-1479 SalespersonJOSE D RODRIGUEZ JR Date 06/17/2020 Buyer/Co-Buyer CITY OF SAN RAFAEL Address 111 MORPHEW ST City SAN RAFAEL State CA Zip 94901 Cell Plione (415) 726-44_30 Res. Phone Bus. Phone VEHICLE I.D. NUMBER I YEAR I MAKE MODEL I COLOR MILEAGE I STOCK NO. 1FAHP2EB3GG134324 2016 FORD TAURUS SILVER 22726 12536 Buyer offers to purchase from Seller the Sale Unit on the terms and conditions set out below: AT THIS DEALERSHIP: •A customer may obtain their own financing. -The finance charge may be negotiable. • The dealership (Seller) may assign the retail installment contact. •A person may acquire a retail installment contract or an outstanding balance under a contract from another person on the terms, including the price, to which they agree. No person acquiring or assigning a retail installment contract or balance under a contract, has any duty to disclose to any other person the terms on which a contract or balance under a contract is acquired, including any discount, difference between the rates, charges, or balance under the contract and the rates, charges, or balance acquired (Finance Code Sec. 348.301). TRADE-IN INFORMATION SALES PRICE OF VEHICLE AS DESCRIBED ....................... $ 15500.00 $ N/A YEAR MAKE- MODEL MILEAGE $ N/A $ N/A *Cash Down....................................................................................... $ N/A VEHICLE I.D. NUMBER PAY OFF N/A Rebate................................................................................................. S N/A Trade Allowance............................................................................... $ N/A Trade -In Payoff (if any)................................................................... $ N/A OWED TO PHONE NUMBER $ N/A $ N/A If the Buyer's used car trade-in is not delivered to the Seller until delivery of the new vehicle, the trade-in will be reappraised at that time and Buyer agrees that such Debt Waiver ..................................................... $ N/A ................................... reappraised value shall determine the allowance, if any, made for the trade-in. Extended Service Agreement......................................................... $ N/A Buyer agrees to deliver the original bill of sale and the title to any trade-in along with the delivery of the trade-in and further agrees to execute any and all documents Maintenance Plan..............................................................................$ N/A necessary or required to transfer legal title and ownership to Seller or its assigns. I have Credit Life ..................................... ............. $ N/A ......................................... disclosed to the dealer that the above listed payoff amount is correct and represents the Dealer's Inventory Tax ................................. N/A """"""""""""""""""' $ full pay-off of all liens on my trade-in vehicle. If the actual pay-off is greater, I agree to Sales Tax $ N/A pay the difference in cash to the Dealer %within three days of being notified of the ................. difference. Buyer further warrants that the trade-in has not been declared rebuilt salvage, "Documentary Fee ................................... $ 150.00 ....................................... reconditioned nonrepairablc, or flood damaged and that the emission systems and License Fee r E -Tag Fee .................................... .............................. $ 85.75 odometer have not been tampered with and are in the conditions as originally Title Fee,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, $ N/A manufactured, except for ordinary wear, unless so disclosed. Inspection Fee...... $ 7.00 N/A •=' A DOCUMENTARY FEL IS NOT AN OFFICIAL FEC \ DOCUMENTARY FEL IS NOT REQUIRED BY LAW $ BUT MAYBE CI-I,\RGED TO BUYERS FOR HANDLING Unpaid Balance................................................................................$ 15742.75 DOCUMENTS R L L AT I N G TO T I I L SALE. A 'If full or partial payment is made by check which subsequently dishonored, it is agreed that this f Dei C U N I E N TA RY F E E MAY AY NOT EXCEED L C D A dealershiphas the right to repossess the automobile and pursue an and all available legal remedies this R L' A S O N A B L I' AMOUNT \GREED TO BY 'T I -I L that it may have. Further, in the event that the check is dihonored, dealership may retain title to the vehicle purchased until full payment is received. PARTIES. THIS NO I ICE IS REQUIRED B Y LAW. UN If this order involves credit, this form shall authorize the seller to secure any and all information from CARGO DOCUiMENTAL NO LS UN CARGO OFICIAL. any source to determine the credit wnnhinessofthe purchaser. LA LEY NO EXIGE QU,E SE INIPONGA UN CARGO No other contractual relationship is hereby created. Full disclosure required by law will be made prior DOCUtiII,NT-\I_. PERO LSTL PODRIA COBR.ARSL A to consummation ofacredit transaction bypurchaser's execution ofanlnslAmentSale Contrat. DISCLAIMER OF WARRANTIES LOS C 0 N I P R A D O R E S POR EI,_ 1I1 A N L.I 0 D E L A DOC U N -IFN TAT I O N EN R 1 E LAC I ON CON LA V EN TA. The above-describedvehicle sold by Seller is sold us is, without either express or implied warranties or any UN C A RC, O DOC U ti l E N TA I. NO PUEDE L XC E D L R kind by seller, mcluding warranties oFmcmhantability or fitness, and Buyer will bear the entire expense of repairing or correcting any defects that presently exist or that may occur in the vehicle, unless a written UNA CANTIDAD RA701NA,131 E AC_ ORDADA POR LAS -.,,.my by, or service contract with Seller covering the described vehicle is delivered to Buyer in PARTES. e s rf\ N o I I r I e f\ I o N S L I G E POR LEY. conjunction with or within 90 days following the time critic sale, but such vehicle or any of its component pans may be subject to warranty by the manufacturer thereof. The Dealer's Inventory Tax charge is intended to reimburse the Purchaser agrees that this Order cancels and supersedes any prior agreement anti comprises the dealer for ad valorem taxes on its motor vehicle inventory. The complete and exclusive statement of the terms to the agreement relating to the subject matters covered charge, which IS aid b the dealer t0 the conn tax aSSeSSOr g P Y county hereby THIS ORDER SHALL NOT BECOME BINDING UNTIL ACCEPTED BY DEALER + collector, is not a tax imposed on a consumer by the government, OR I i S AUTHORIZED MANAGEMENT REPRESENTATIVES AND IN THE EVENT OF A CREDIT SALE, DEALER SHALL NOT BE OBLIGATED TO SELL UNTIL APPROVAL OF and is not required to be charged by the dealer to the consumer. THE TERMS HEREOF IS GIVEN BY A BANK OR FINANCE COMPANY WILLING TO PURCHASE A RETAIL INSTALLMENT CONTRACT BETWEEN THE PARTIES HERETO BASED ON SUCH TERMS. PURCHASE ORDER NOT VALID IF NOT EXECUTED AND Manufacturer Distributor reserves the right to change the price of neve vehicles to Seller without notice. In the event that the price to Seller of the neve vehicle FUNDED IN FULL WITHIN 7 DAYS FROM ACCEPTANCE BY THE DEALER. The information you see on the window form for this vehicle is part of this contract. Information on ordered hereunder is changed prior to delivery to Buyer, Buyer agrees and accepts that the cash delivered price will be changed accordingly. the window form overrides any contrary provisions in the contract of sale,. La informacion que ve Seller makes no representations concerning fuel economy of the sale unit and en to forma en la ventana de este vchiculo es parte de este contrato_ Informacion contenida en esta any inforination posted ort the sale unit or contained in literature relating to the forma anula provisioner contrarian en cl contrato de venta. Purchaser, by execution of the Order, acknowledges that he/she has read its terms and conditions and same reflect the results of tests performed required or prescribed by government received a true copy of this order, agency, upon which Seller has relied. The Purchaser, Iran individual warrants to Dealer that helshe is over 18 years of age or is married. AS BUYER OF Tjklii ABOVE DESCRIBED iICLE. I UNDERSTAND AND AGREE THAT THE SELLER MAY MAKE A PROFIT ON THE SALE OF THE VEHICLE, ANY ADD- ON EQUIPM INSI ANCE PRJ�CT, F ANCING, WARRANTY OR SERVICE CONTRACT, REPAIR, OR ANY OTHER PRODUCT OR SERVICE SOLD BY SELLER. BUYER _ _ 44 ACCEPTED BY: DEALER OR AUTHORIZED REPRESENTATIVE CO -BUYER DATE 06/17/2020 THE REARE NOWARRANTIES EXPRESS OR IMPLIED AS TO CONTENT OR FITNESS FOR PURPOSE OF THIS FORM CONSULT YOUR GWN LEGAL COUNSE- I \ R \ 1-4 0� E q j § P-:) $ 2 e 2 C10 / A / 2 \ % u d k U— �Rv kCLk 0 Ix LL cr b[_z :3 to CD kr 0 t% $� 3� O'd c�aac uu, � 7 LA °'AQ 0 \bjt! /- c �c %=lk a333ru-0 = 222rE oa®m®a)- &:o &aw �tk�@§£ �>4 uo °gym@©-® #�u�m� cm_Cil »£ru 2578E§{ ee0 woo ®0�Ei-�/ /$J�CL �// #§$EESk � c � E 0rm- y ��gci�m a) 4' LA a/§2@ �= E® a) .ZM M0 C:, > \ [ f 0 ck § k k \k u0 / �ID � ., e I 3 > b k / § q q' q E q q ± ) � . -,., T Ln tn \ k ) k � \ � . 0 ru > / ' ) e. _ CLo; : f_ _ t b ' kfu - ( d) I-- _ t5 a � r - § 43 k & - i ru `\k E § ƒ� °[ 2 ® me \t4 \ ƒ - # ' 2 J 0 _ o / / § }� ±� ,M D $5 § § % t % - 2 ? t 2 % N / F CL a( $Q 0 0) 0 r a o 1O a 0 N C4 LO A� W of h� o o N u z EL a` a) a� m m m a Ln tn CD c� in co Q N cli �O 0 LL N w _. in G1 N �L J O ui Ch LL i ¢=w LL a' LL O�� t> m tr,tn m Li -00, rs a� 0 i d W; 3L 3 ca W `o F~- u w vi a1 v > m u T y� L N O a` o m d b CL O m U N u u v a� C'1 IV N O cu O `m m u y i O N N •� i m CL `! O 0 o O m y '0 i 71- 0 O um O CD E u a� -mac :3 m a L n m U N u u v a� vi m cu o `m m y o o L o m � m a 0 o m y w m E tn b C CD E ai m V L o RA d = y CO i o 'c° oy m a) -0 m aa>i m y 3 cr.m (U 0 0 oy o to w V c n CE O u 0 a O w v c m O N d N > C N d m L C `o 0 O a a � a� a L d C � m a m aD E o N� U m E� Q� u m p aai a m m n m cr `o y E 0 E� O o o r a C d Cl E o S Nm > aa) m CL Of i C N E a m a v a� m E!o ki CL S aLn n 0 C7 N ! m E a a 'O m d E c � � S HLn n 0 n N i!F DATE 06/17/2020 CUSTOMER CITY OF SAN RAFAEL STOCK NO. 12536 STATEMENT REGARDING CASH PROCEEDS Seller, RED MCCOMBS FORD 8333 IH 10 WEST of SAN ANTONIO TX 78230 Vehicle Description: Year 2016 Make Body Type 4DR SDN SEL Model TAURUS VIN 1FAHP2E83GG134324 A Federal Trade Commission rule prohibits sellers and lessors of consumer goods and services from accepting from the consumer the proceeds of a purchase money loan unless certain required disclosures were included in the loan contract entered into between the consumer and the lender. To assist us in complying with the Federal rule, the following is required: I hereby certify that one of the funds used in ent for the above described vehicle were obtained as the result of a loan from a creditor. Buyer Signature Co -Buyer Signature (X) Funds for full or partial payment for the above described vehic a were secured from Buyer Signature CHECK ONE: DISCLAIMER THE PARAGRAPH CHECKED BELOW IS APPLICABLE TO THIS TRANSACTION: C edit Co -Buyer Signature 0 NEW VEHICLE, ANY WARRANTIES ON THE PRODUCT SOLD HEREBY ARE THOSE MADE BY THE MANUFACTURER(S) DEALER INSTALLED EQUIPMENT IS NOT COVERED BY THE MANUFACTURERS VEHICLE WARRANTY. WARRANTIES, IF ANY, ON THIS EQUIPMENT ARE THOSE OF THE RESPECTIVE MANUFACTURER(S). THE SELLING DEALER, HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES, EITHER EXPRESS OR IMPLIED, INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, AND THE SELLING DEALER, NEITHER ASSUMES NOR AUTHORIZES ANY OTHER PERSON TO ASSUME FOR IT ANY LIABILITY IN CONNECTION WITH THE SELL OF SAID PRODUCT. INSURANCE DISCLOSURE BY MY SIGNATURE BELOW. I ACKNOWLEDGE THAT I HAVE BEEN ADVISED OF THE FOLLOWING: 1. State law requires me to be covered by liability insurance. 2. Proof of liability insurance must be given to the dealership before title can be transferred to me. 3. My failure to comply with state mandatory liability insurance requirements is a violation of the law. 4. My failure to provide proof of liability insurance to this dealership will prevent title transfer to me. Buyer Signature Co -Buyer Signature rlj STATEMENT REGARDING CASH PROCEEDS / INSURANCE DISCLOSURE DATE 06/17/2020 CUSTOMER CITY OF SAN RAFAEL STOCK NO. 12536 ODOMETER DISCLOSURE STATEMENT Federal law (and State law, if applicable) requires that you state the mileage upon transfer of ownership. Failure to complete or providing a false statement may result in fines and/or imprisonment. Seller, RED MCCOMBS FORD 8333 IH 10 WEST Of SAN ANTONIO TX 78230 Vehicle Description: Year 2016 Make FORD Body Type 4DR SDN SEL Model TAURUS VIN 1FAHP2E83GG134324 State that the odometer now reads 22726 (no tenths) miles and to the best of my knowledge that it reflects the actual mileage of the vehicle described above, unless one of the following statements is checked. ❑ (1) 1 hereby certify that to the best of my knowledge the odometer reading reflects the amount of mileage in excess of its mechanical limits. ❑ (2) 1 hereby certify that the odometer reading is NOT the actual mileage. WARNING—ODOMETER DISCREPANCY. TRANSFEROR'S TRANSFEREE'S NAME RED MCCOMBS FORD NAME CITY OF SAN RAFAEL (PRINTED NAME) (PRINTED NAME) TRANSFEROR'S ADDRESS 8333 IH 10 WEST (STREET) SAN ANTONIO TX 78230 (C'TY) (STATE) (ZIP CODE) 7 TRANSFEROR'S SIGNATURE TRANSFEREE'S ADDRESS 111 MORPHEW ST (STREET) SAN RAFAEL CA 94901 (C(TY) (STATE) (ZIP CODE) TRANSFEREE'S SIGNATURE DATE OF STATEMENT 06/17/2020 VTR40 Dealership RED MCCOMBS FORD VIN # 1FAHP2E83GG134324 Date of Sale 06/17/2020 Description 2016 FORD TAURUS Stock # 12536 Buyer CITY OF SAN RAFAEL VEHICLE MODIFICATION WAIVER 1) Buyer acknowledges and fully understands that the vehicle purchased or leased may have been modified by the Dealership at Buyer's specific request and that the modifications to the manufacturer delivered vehicle are acceptable and approved by Buyer. 2) Buyer acknowledges and fully understands that the vehicle may drive differently after the modifications addressed above. Such differences include, but are not limited to, how the vehicle drives, steers, turns, handles, brakes, and feels as compared to a vehicle that has not been modified. In addition, the fuel efficiency may be affected because of any added weight to the vehicle. Furthermore, any lift kit will affect the vehicle's center of gravity that could increase the chance of a rollover accident. Lift kits may also affect the accuracy or even deactivate certain vehicle safety sensors, which the Buyer acknowledges and fully understands. 3) Buyer acknowledges and fully understands that any modifications may also affect the accuracy of the vehicle's odometer and speedometer that may have been re -calibrated by the Dealership. 4) Buyer acknowledges and fully understands that any abnormal wear or damage to the vehicle may or could void certain warranties. Although any modification to the weight or suspension of the vehicle, or substitution and/or addition of after -market parts should not affect certain warranties, any structural damage caused by such modifications could void certain warranties. Dealership is not responsible or liable for denial of any warranty work by manufacturer despite any effort or action it may take to help ensure that the manufacturer's warranty remains valid. 5) Buyer acknowledges and fully understands to report any problems related to the modifications of the vehicle and allow the Dealership to assist Buyer provided that the vehicle is maintained in accordance with the manufacturer's recommendations. 6) Buyer acknowledges and fully understands that any further modification to the vehicle performed by Buyer after purchase date is at Buyer's risk and Dealership shall not be responsible for any costs or damages whatsoever. Buyer i 0 L�_,� Bu ignature CITY OF SAN RAFAEL Buyer Printed Name Q6/17/2020 Date Co -Buyer Co -Buyer Signature Co -Buyer Printed Name Date V.2 11 12017 Authorized Dealer Rep Dealership Representative BUSINESS MGR Printed Name 06/17/2020 Date RED MCCOMBS FORD 8333 1 H 10 WEST SAN ANTONIO TX 78230 (210)349-4949 DISCLOSURE CONCERNING USED CAR CONDITION CONCERNINGTHE 2016 FORD TAURUS 1FAHP2E83GG134324 22726 YR VEHICLE MAKE & MODEL VIN MILEAGE THIS NOTICE IS MADE TO THE UNDERSIGNED PROSPECTIVE PURCHASER OF THE ABOVE REFERENCED VEHICLE TO NOTIFY SAID PROSPECTIVE BUYER THAT THE ABOVE REFERENCED VEHICLE IS A USED VEHICLE. IT IS TO FURTHER NOTIFY THE PROSPECTIVE PURCHASER THAT MOST, IF NOT ALL, USED VEHICLES HAVE HAD BODY WORK OF SOME NATURE PERFORMED UPON THEM AND ACCORDINGLY, THE ABOVE REFERENCED VEHICLE HAS PROBABLY HAD SOME BODY WORK PERFORMED AT SOME TIME OR OTHER IN THE PAST. THIS NOTICE IS TO FURTHER NOTIFY YOU THAT MANY USED CARS SUFFER DAMAGE AS A RESULT OF HAIL AND OTHER WEATHER RELATED CONDITIONS. THIS NOTICE IS TO FURTHER NOTIFY YOU, THE UNDERSIGNED PROSPECTIVE PURCHASER, THAT YOU SHOULD HAVE THE ABOVE REFERENCED VEHICLE INSPECTED BY A MECHANIC AND/OR A REPAIR SHOP INCLUDING A BODY SHOP OF YOUR OWN CHOICE PRIOR TO PURCHASE. THIS NOTICE IS GIVEN TO YOU SO THAT YOU MAY BE PROPERLY ADVISED AS TO THE CONDITION OF THE VEHICLE AND ANY REPAIRS THAT MAY HAVE BEEN PERFORMED ON THE VEHICLE IN THE PAST. ANY EMPLOYEES, SALESPERSONS OR AGENTS OF RED MCCOMBS AUTO SUPERCENTER THAT YOU ARE DEALING WITH ARE NOT AUTHORIZED TO MAKE OR EXPRESS AN OPINION AS TO WHAT REPAIRS MAY HAVE BEEN PERFORMED IN THE PAST. THE UNDERSIGNED PUHASER HEREBY ACKNOWLEDGES RECEIPT OFTHE FOREGOING NOTICE. 06''1. 7/22020 _ N/A DATE SIGNATURE EC URCHASER DATE SIGNATURE OF PROSPECTIVE PURCHASER REVISED 6/05 Page 2 Who is providing this notice? Red McCombs Ford 8333 1-10 West, San Antonio, TX 78230 How does Red McCombs Ford protect To protect your personal information from unauthorized access my personal information? and use, we use security measures that comply with federal law. These measures include computer safeguards and secured files and buildings. How does Red McCombs Ford collect We collect your personal information, for example, when you my personal information? ■ Give us your income information or apply for financing ■ Provide employment information or apply for a lease ■ Give us your employment information We also collect your personal information from others, such as credit bureaus, affiliates, or other companies. Why can't I limit all sharing? Federal law gives you the right to limit only • sharing for affiliates' everyday business purposes—information about your creditworthiness ■ affiliates from using your information to market to you ■ sharing for nonaffiliates to market to you State laws and individual companies may give you additional rights to limit sharing. What happens when I limit sharing Your choices will apply to everyone on your account. for an account I hold jointly with someone else? Affiliates Companies related by common ownership or control. They can be financial and nonfinancial companies. ■ Our affiliates include companies within McCombs name; Financial Companies such as Great State Finance, Non -Financial Companies and others such as McCombs Partners. Nonaffiliates Companies not related by common ownership or control. They can be financial and nonfinancial companies. ■ Red McCombs Ford does not share with nonaffiliates so they can market to you. Joint marketing A formal agreement between nonaffiliated financial companies that together market financial products or services to you. ■ Our joint marketing partners include Great State Finance, and other McCombs Partners. Red McCombs Ford is subject to the regulatory oversight by the Office of the Consumer Credit Commissioner. Any consumer wishing to file a complaint against Red McCombs Ford should contact the Office of Consumer Credit - in person or by mail - 2601 N. Lamar Blvd., Austin, TX 78705-4207; by calling 1-800-538-1579; by fax 1-512-936-7610; or by email: consumer.complaints@occc.state.tx.us: Website: www.occc.state.tx.us. I hereby acknowledge that I have received a of this Privacy Notice from Red McCombs Ford. Date 06/17/20 Printed NameCITY OF SAN. RAFAEL Printed Name Date 06/17/20 WHAT DOES RED McCOMBS FORD DO WITH YOUR PERSONAL INFORMATION? Rev. 12/2010 Financial companies choose how they share your personal information. Federal law gives consumers the right to limit some but not all sharing. Federal law also requires us to tell you how we collect, share, and protect your personal information. Please read this notice carefully to understand what we do. The types of personal information we collect and share depend on the product or service you have with us. This information can include: ■ Social Security number and transaction history ■ Income and credit history ■ Payment history and credit scores When you are no longer our customer, we continue to share your information as described in this notice. All financial companies need to share customers' personal information to run their everyday business. In the section below, we list the reasons financial companies can share their customers' personal information; the reasons Red McCombs Ford chooses to share; and whether you can limit this sharing. For our everyday business purposes— such as to process your transactions, maintain Yes No your account(s), respond to court orders and legal investigations, or report to credit bureaus For our marketing purposes— Yes No to offer our products and services to you For joint marketing with other financial companies Yes No For our affiliates' everyday business purposes— Yes No information about your transactions and experiences For our affiliates' everyday business purposes— information about your creditworthiness Yes Yes For our affiliates to market to you Yes Yes For nonaffiliates to market to you No We do not share ■ Call 1-866-537-2798 Please note: If you are a new customer, we can begin sharing your information after 30 days from the date we provided this notice. When you are no longer our customer, we continue to share your information as described in this notice. However, you can contact us at any time to limit our sharing. Call 1-866-537-2798 ARBITRATION PROVISION Any controversy of claim arising out of or relating to the Motor Vehicle Retail Installment Sales Contract/ Purchase Order or Lease Contract or the breach thereof shall be settled by binding arbitration in accordance with the Commercial Arbitration Rules of the American Arbitration Association (AAA). Any controversy or claim subject to this arbitration provision shall be decided by one arbitrator, and judgment on the award rendered by the arbitrator may be entered in any court having jurisdiction thereof. Any arbitration proceeding shall be conducted in the city and state where the vehicle purchased hereunder was purchased from RED MCCOMBS FORD The parties agree that this Arbitration Provision inures to the benefit of, and is intended to be for the benefit of, the parties hereto as well as the manufacturer of the vehicle which is the subject of the Motor Vehicle Retail Installment Sales Contract/ Purchase Order or Lease Contract as fully as if the manufacturer was a signatory to the Motor Vehicle Retail Installment Sales Contract/ Purchase Order or Lease Contract. The parties further agree that this Arbitration Provision inures to the benefit of, and is intended for the benefit of, any lender or mortgagee (or assigns) that provides financing for the purchase of the vehicle which is the subject of the Motor Vehicle Retail Installment Sales Contract or Lease Contract, at the sole discretion of that lender of mortgagee. Nothing in this contract requires a lender or mortgagee to invoke this Arbitration Provision, and the lender of mortgagee may do so only if they agree to final and binding determination made by the arbitration process. The parties agree that any contests to the validity or enforceability of this Arbitration Provision, or any other part of the Motor Vehicle Retail Installment Sales Contract/ Purchase Order or Lease Contract or related documentation, will be determined by arbitration in accordance with the terms of the Arbitration Provision. The parties acknowledge and agree that the subject of this agreement involves interstate commerce. The parties understand they have the right to have any disputes between them decided in court, but they choose instead to have any such disputes decided by arbitration in order to avoid the burden, expense and uncertainty of the judicial process. THE PARTIES KNOWINGLY AND VOLUNTARILY WAIVE ANY RIGHT THEY HAVE TO A JURY TRIAL. The parties agree that any arbitration proceedings commenced in accordance with this Arbitration Provision will be held in Bexar County, Texas. PURCHASER N/A PURCHASER BY: DEALER Revision date 10/12 06/17/2020 DATE N/A DATE 06/17/2020 DATE RED MCCOMBS FORD 8333 IH 10 WEST SAN ANTONIO TX 78230 WE OWE NAME CITY OF SAN RAFAEL STK. NO. 12536 NEW USED X ADDRESS 111 MORPHEW ST YEAR 2016 MAKE FORD CITY SAN RAFAEL CA Zlp 94901 MODELTAURUS PHONE SERIAL NO. 1FAHP2E83GG134324 SALESMAN JOSE. D RODRIGUEZ JR DEL.DATE 06/17/2020 QTY NAME OF ITEM PART LABOR No verbal promises or representations have been made except NONE I hereby accept this WE OWE with the understanding that it is valid for only (30) THIRTY DAYS FROM DATE OF ISSUANCE, and that I must make an ADVANCE APPOINTMENT WITH THE SERVICE DEPARTMENT before the above work can be performed. (FOR APPOINTMENT CALL SERVICE DEPT.) YOU OWE YOU OWE TO BE RECEIVED YOU OWE TO BE RECEIVED DATE TIME DATE TIME 1) Title to Trade In Vehicle 4) Other 2) All Monies 5) Other 3) Valid Insurance Card 6) Other I hereby agree to provide such items in a timely manner. U CUSTOMER_ CUSTOMER (Co -Buyer) DATE 06/17/2020 APPROVED ' MANAGER THE HE AHE NO WARRANTIES Et FRESS OR IMPLIED AS TO COWENI OR FITNESS FOR PURPOSE OF THIS FORM CONSULT'(OUR O'.tiN l EGAL COU I IS EL FORM BG -3 a (07/17) BUYERS GUIDE The Reynolds and Reynolds Comudtry Page 1 of 2 IMPORTANT. Spoken promises are difficult to enforce. Ask the dealer to put all promises in writing. Keep this form FORD TAURUS 2016 1FAHP2E83GG134324 VEHICLE MAKE MODEL YEAR VEHICLE IDENTIFICATION NUMBER [V N WARRANTIES FOR THIS VEHICLE: [X_1 AS IS - NO DEALER WARRANTY THE DEALER DOES NOT PROVIDE A WARRANTY FOR ANY REPAIRS AFTER SALE. ---------------------------------------------------------------------------- ❑ DEALER WARRANTY ❑ FULL WARRANTY. ❑ LIMITED WARRANTY. The dealer will pay NSA % of the labor and NSA % of the parts for the covered systems that fail during the warranty period. Ask the dealer for a copy of the warranty, and for any documents that explain warranty coverage, exclusions, and the dealer's repair obligations. Implied warranties under your state's laws may give you additional rights. SYSTEMS COVERED: DURATION: NON -DEALER WARRANTIES FOR THIS VEHICLE: ❑ MANUFACTURER'S WARRANTY STILL APPLIES. The manufacturer's original warranty has not expired on some components of the vehicle ❑ MANUFACTURER'S USED VEHICLE WARRANTY APPLIES. ❑ OTHER USED VEHICLE WARRANTY APPLIES. Ask the dealer for a copy of the warranty document and an explanation of warranty coverage, exclusions, and repair obligations. ❑ SERVICE CONTRACT. A service contract on this vehicle is available for an extra charge Ask for details about coverage, deductible, price, and exclusions. If you buy a service contract within 90 days of your purchase of this vehicle, implied warranties under your state's laws may give you additional rights. ASK THE DEALER IF YOUR MECHANIC CAN INSPECT THE VEHICLE ON OR OFF THE LOT. OBTAIN A VEHICLE HISTORY REPORT AND CHECK FOR OPEN SAFETY RECALLS. For information on how to obtain a vehicle history report, visit ftc.govlusedcars. To check for open safety recalls, visit safercar.gov. You will need the vehicle identification number (VIN) shown above to make the best use of the resources on these sites. SEE PAGE 2 for important additional information, including a list of major defects that may occur in used motor vehicles. Si el concesionario gestiona la venta en espanol, pidale una copia de la Guia del Comprador en espanol. THERE ARE NO WARRANT ES. EXPRESS OR IMPLIED AS TO CONTENT OR FITNESS FOR PURPOSE OF THIS FORM CONST ILT YOUR OWN LEGAL COUNSEL FORM BG -3 e(01/17) Here is a list of some major defects that may occur in used vehicles. Frame & Body Frame -cracks, corrective welds, or rusted through Dog tracks -bent or twisted frame Engine Oil leakage, excluding normal seepage Cracked block or head Belts missing or inoperable Knocks or misses related to camshaft lifters and push rods Abnormal exhaust discharge Transmission & Drive Shaft Improper fluid level or leakage, excluding nonnalseepage Cracked or damaged case which is visible Abnormal noise or vibration caused by faulty transmission or drive shaft Improper shifting or functioning in any gear Manual clutch slips or chatters Differential Improper fluid level or leakage, excluding normal seepage Cracked or damaged housing which is visible Abnormal noise or vibration caused by faulty differential Cooling System Leakage including radiator Improperly functioning water pump Electrical System Battery leakage Improperly functioning alternator, generator, battery, or starter Fuel System Visible leakage Inoperable Accessories Gauges or warning devices Air conditioner Healer 8 Defroster Brake System Failure warning light broken Pedal not firm under pressure (DOT spec.) Not enough pedal reserve (DOT spec.) Does not stop vehicle in straight line (DOT spec.) Hoses damaged Drum or rotor too thin (Mfgr. Specs) Lining or pad thickness less than 1/32 inch Power unit not operating or leaking Structural or mechanical parts damaged Air Bags Tho Reynolds and Roynolds Company Page 2 of 2 Steering System Too much free play at steering whee (DOT specs.) Free play in linkage more than 1/4 Inch Steering gear binds or jams Front wheels aligned improperly (DOT specs ) Power unit belts cracked or slipping Power unit fluid level improper Suspension System Ball joint seals damaged Structural parts bent or damaged Stabilizer bar disconnected Spring broken Shock absorber mounting loose Rubber bushings damaged or missing Radius rod damaged or missing Shock absorber leaking or functioning improperly Tires Tread depth less than 2/32 inch Sizes mismatched Visible damage Wheels Visible cracks, damage or repa is Mounting bolts loose or missing Exhaust System Leakage Catalytic Converter DEALER NAME RED MCCOMBS FORD ADDRESS T 8333 IH 10 WEST_ SAN ANTONIO TX 78230 TELEPHONE EMAIL (210)349-4949 FOR COMPLAINTS AFTER SALE, CONTACT: SALES MGR I HEREBY ACKNOAEDGE RECEIPT OF THE BUYERS GUIDE AT THE CLOSING OF THIS SALE BUYER'S SIGN/,4TUfJF: A �� IMPORTANT- The information on this form is part of any contract to buy this vehicle. Removing this label before consumer purchase (except for purpose of test-driving) violates federal law (16 C.F.R. 455). I FORD CERTIFIED PRE -OWNED Congratulations on your purchase of a Ford Certified Pre -Owned vehicle( Our dealership's Quality Commitment is a promise to do our best to satisfy your total transportation needs. As part of our commitment, we certify that all the pre -delivery items on this form have been checked to help ensure your satisfaction with your vehicle. ❑'172 -point inspection performed Recall Status (if applicable) — List any open recall(s) which were not completed due to parts availability, delays or shortages (FSA # and description): No Recalls Reported FSA# and Description I acknowledge that I have been informed of any Signature Req open recall(s) and have been provided a copy of the Sample Owner Letter or Advance Notice Customer's Initials p' Open Recall Sample Owner Letter or Advance Notice (If applicable) Explanation of delivery process Title document/financing documents O,,Registration work progress/procedures p" Optional Ford Protect Extended Service Plan (if applicable) .0 Roadside assistance benefits g Explanation of scheduled maintenance requirements 0' Ownergulde and service guide (scheduled maintenance guide) H Vehicle history report P[ Ford Certified Pre -Owned 172 -point vehicle inspection checklist 0 Ford Certified Pre -Owned Limited Warranty statement ja" Two sets of keys provided [2 Full tank of fuel provided Service Department Introduction if Explanation of service procedures/how to obtain service lar Set the first routine scheduled maintenance appointment Appointment date and time: P- FordPass Rewards Enrollment Some operating features are optional and may not be included with your vehicle ❑ Ambient interior lighting a Door locks/windows (window lock switch/one-touch-up/-down/flip-out windows/autolock/power locks/childproof rear door tock) b Remote keyless entry/key fobs 12 Seatadjustment, memory seat and 3rd row, If applicable 0 Driver's side ordriver's and passenger -side airbags ❑ Supplemental Restraint System (SRS)Aldeairbags/side air curtain 0 Safety belts (adjustable D -rings) 0' Operation of mlrrors/auto-dimming day/night rearview mirror/ heated mirrors E( Visors and front seat SRS warning 0- Internal hood, trunk and fuel -filler door release/operation 1E Verify the driver's floor mat is secured to the floor by the provided hook or snap grommets. Verify that floor mat is not placed on top of an existing floor mat or any other covering. Inform the customer that mats are not to be stacked El' Audio system. set stations; time, speed -sensitive volume/steeringwheel controls/auxiliary audlo Input jack/rear controls/antenna location and operation/audio cassette/CD player/CD changer/DVD player ❑ Activate SiriusXM Satellite Radio by entering the Electronic Serial Number (ESN) online at SiriusXM.com/refresh Vehicle Delivery Checklist 1 FAHP2E83GG134324 VEHICLE IDENTIFICATIDN NUMBER (VIN)" Q SYNC" system orientation (if applicable) p- LCD clusterscreens/MyFord®/MyFord Touch® overview Er Temperature, compass, statistics displays, message center ❑ Navigation System EF Integrated spotter mirror -0- MyKeyafunctionality ❑ Reverse Sensing System Z S.O.S. Post -Crash Alert System' (if applicable) P Security system operation Including SecuriLocksand Perimeter Anti -Theft System ❑ Universal garage door control system E]—Proper tightening of gas cap to seal or Easy Fuer capless fuel filler system operation (as applicable) 1a Tire pressure review, Tire Pressure Monitoring System j] Cargo Management System 0 Emergency Interior trunk release J3 Spare tire/jacklocation and operation ❑ Llftgate operation A Battery charge indicators 0 Fluid filler openings JR Fuel Inertia switch E[ Flexible seating/storagepositions J3 Child seat anchors (a Adjustable steedngwheeland pedal operations ❑ Vehicle starting procedures (starter Interlock) J7' Brake/shift Interlock (automatic transmission) fa'AdvanceTrac® with electronic stability control (ESC) 12 -Anti -Lock Brake System (ABS)/Traction Control System ❑ Auto park overview (if applicable) 12` Operation of headlights, high beam, flasher, parking, inter(orand fog lights Er Climate control and front/rear defroster operation ❑ Moonroof operation ❑ Remote start (if applicable) fa' Wiper and washer operation/rear/rain sensing (if applicable) (a- Speed control operation ❑ Review 4WD/AWD operations [Explained any other operating features that are unique to this vehicle WI have personally explained the Ford Certified Pre -Owned Limited Warranty coverage. Specific warranty coverage provisions are included In the Ford Certified Pre -Owned Limited Warranty statement. DEALER/GENERAL NAGERS NA E DATE SALES/DELI RYPERSONSIGNATURE DATE ❑ l acknowledge that all items checked on this delivery form have been reviewed with me by my delivery person to my satisfaction. c4i'l a� sr.r- �tiP CUSTOAR'S NAME (PLEASE PRINT) t Signature Require `]�� 2 CUSTOMER'S SIGNATURE DATE I FORD CERTIFIED PRE -OWNED Limited Warranty 1 of 2 Fond Certified Pre -Owned Limited Warrantycoverage is provided by Ford Motor Company on eligible pre -owned vehicles underthe Ford Certified Pre -Owned Program. Ford Motor Companywill provide for repair or replacement of covered components on the vehicle during the warranty period in accordance with the following terms, conditions and limitations. 1. Warranty coverage. New -Vehicle Limited Warranty coverage: First, If still In effect, coverage is provided for the remainder of the Ford New -Vehicle Limited Warranty. (Seethe New -Vehicle Limited Warrantyowner's guide fordetalls.) Second, Ford Certified Pre -Owned Comprehensive Limited Warranty coverage is provided for 12 months or12,000 miles (whichever comes first) from the expiration of the Ford New -Vehicle Limited Warranty orthe date of your Certifled Pre -Owned vehicle purchase, whichever comes later. Note: The coverage provided by the Ford Certified Pre -Owned Comprehensive Limited Warranty Is not as extensive as that provided under the New Vehicle Limited Warranty. Powertrain Limited Warranty coverage: Powertrain Limited Warranty coverage is provided by the Ford Certified Pre -Owned Powertrain Limited Warrantyfor7years or 100,000 miles (whichevercomes first) from the original Ford New -Vehicle Limited Warranty start date. 2. Repairs covered under the Ford Certified Pre -Owned Limited Warranty. Your dealer will repair, replace or service all covered components, specified on the reverse, that are found to be defective in factory -supplied materials or workmanship during the applicable warranty periods. What is not covered under the Ford Certified Pre -Owned Comprehensive Limited Warranty and Powertrain Limited Warranty Is specified on the reverse. 3. Deductible. Repairs completed under any remaining Ford New Vehicle Limited Warranty coverage (if applicable) have a $0 standard deductible per repair visit. Repairs completed under Ford Certified Pre -Owned Comprehensive Limited Warranty and Powertrain Limited Warranty coverage have a $100 standard deductible per repair visit. 4. Component protection. Components covered by the Ford Certified Pre -Owned Comprehensive Limited Warranty are shown on the reverse side and Powertraln Limited Warranty component coverage Is shown on the reverse side in bold. 5. Where to go for covered repairs. To obtain repairs or service, Ford requires that you return to your Ford Dealership or any participating Ford or Lincoln Dealership in the continental United States, Alaska, Hawaii, Canada and Mexico, except in an emergency (if your covered vehicle is Inoperable and all participating Ford and Lincoln Dealership service departments are closed). If you require assistance In receiving covered repairs or locating the nearest Ford or Lincoln Dealership, Ford owners may contact the Ford Customer Assistance Center at 800 -392 -FORD. If your vehicle needs an emergency service or repair, the vehicle Is inoperable and all Ford or Lincoln Dealerships within a 25 -mile radius are closed, you may obtain repairs or service from any Ford or Lincoln Dealership or any other repair or service facility in the continental United States, Alaska, Hawaii, Canada and Mexico. 6. Repairs. All warranty repairs of covered components MUST be made with new or remanufactured parts authorized by Ford Motor Company. In some cases, the use of Ford Authorized Remanufactured products Is required after the expiration of the New -Vehicle Limited Warranty. 7. Care of vehicle. Your vehicle must be properly operated and maintained In accordance with the maintenance schedule In the service guide, which Is part of the owner's guide, for the vehicle. Proof of maintenance may be required In the event a question arises as to whether a malfunction is caused by a defect In factory -supplied materials or workmanship or lack of proper maintenance. It Is your responsibility to make sure that all of the scheduled maintenance Is performed and that the materials used meet Ford engineering specifications. Failure to perform scheduled maintenance as specified In the service guide will Invalidate warranty coverage on parts affected bythe lack of maintenance. Make sure that receipts for completed maintenance work are retained with the vehicle and confirmation of maintenance work Is always entered In your scheduled maintenance guide. 8. 24 -Hour Roadside Assistance. Services are provided by either Cross Country Motor Club, Inc., Cross Country Motor Club of California, Inc., orCoach-Net Services Group, Inc. For E and F-350 vehicle series, services will be provided by National Motor Club -RV, Inc., National Motor Club -Group Services, Inc. or National Motor Club of California, Inc. Services Include: • Flat tire change Travel expense reimbursement up to $500 for up to three days' Battery jump starts lodging, meals and rental vehicle for travel expenses accrued • Towing assistance up to $100 when the breakdown occurs 100 miles or more from home • Lockout assistance Destination assistance covers taxi, shuttle or rental car expense Out -of -fuel assistance up to $75 for emergency transportation to the Immediate destination 9. Rental car reimbursement. If yourvehicle is Inoperative and must be kept overnight for a covered repair, including recalls involving a Ford Certified Pre -Owned Comprehensive Limited Warranty covered component or a Ford Certifled Pre -Owned Powertrain Limited Warranty covered component, you will be reimbursed up to $30 per day (Including tax) forup to five days or until repair Is complete, whichever comes first. 10. Transferability. This warranty Is transferable. If you sell your pre -owned vehicle, the remaining Ford Certified Pre -Owned Comprehensive Limited Warranty coverage and the remaining Ford Certified Pre -Owned Powertrain Limited Warranty remain In effectfor the new owner. 11. Warrantylnformation. You may contact Ford Motor Company about this warranty at: Ford Motor Company, P.O. Box 6045, Dearborn, MI 48121. THISLIMITED WARRANTYGIVESYOU SPECIFICLEGALRIGHTS.YOU MAYALSO HAVEOTHERRIGHTS WHICHMAY VARY FROMSTATETOSTATE. TOTHE EXTENTALLOWED BYLAW, ANY IMPLIED WARRANTYOF MERCHANTABILITYOR FITNESS FOR A PARTICULAR PURPOSE APPLICABLETOTHIS VEHICLE IS LIMITED IN DURATION TOTHE TERM OFTHIS WRITTEN WARRANTY. FORD MOTORCOMPANYAND YOUR DEALERSHIP SHALL NOT BE LIABLEFOR LOSS OFTIME, INCON VENIENCE, COMMERCIAL LOSS OR FOR ANYOTHER INCIDENTALORCONSEQUENTIALDAMAGES. SOMESTATES DO NOTALLOW LIMITATIONSON HOW LONGAN IMPLIED WARRANTY WILL LASTORTHE EXCLUSION OR LIMITATION OF INCIDENTAL OR CONSEQUENTIAL DAMAGES. -SO THE ABOVE LIMITATIONS OR EXCLUSIONS MAY NOT APPLY TO YOU. FORD CERTIFIED PRE -OWNED COMPREHENSIVE LIMITED WARRANTY COVERAGEAND THE POWERTRAIN LIMITED WARRANTY, IF APPLICABLE, ARE IN ADDITION TO ANY REMAINING NEW -VEHICLE BUMPER TO -BUMPER LIMITED WARRANTY COVERAGE. FORD MOTOR COMPANYDOES NOTAUTHORIZEANYPERSONTO CREATE FORITANYOBLIGATION OR LIABILITY IN CONNECTION WITH THIS LIMITEDWARRANTY. VALID ONLY IN THE CONTINENTAL UNITED STATES,ALASKA, HAWAII. CANADA.AND MEXICO. This Limited Warranty statement is valid for: 1 FAHKE83GG134324 MAKE/MODEL Ford/Taurus DELIVERYDATE: = �MILEAAGGEATTIMEOFDELIVERY: OWNER NAME ` �`I I+�A� S Qn rADDRESS: !1 t�rA�P�.1 ST CITY: STATE -ZIP.' DEALER SIGNATURE: OWNER SIGNATURE: "M� PNY Orlginal:Owner Copy: Dealer Fca0-LW5-17 RM 91V 1 I FORD CERTIFIED PRE -OWNED COMPONENT COVERAGE UNDER FORD CERTIFIED PRE -OWNED VEHICLES The following Items represent a partial Ust of covered components under the terms of the Ford Certified Pre -Owned Comprehensive Limited Warranty. The items in BOLD type are covered under the Ford Certified Pre -Owned Powertraln Limited Warranty.' ENGINE Kingpinsandflushings • All irltemailyLubrlatedParts Unkageandeushings • CyUnderBlock Load LevelerSuspension System • Cylinderifeads MacPherson Struts (Front and Rear) DieselFuellnjectars Roll5ta6RflyConlrolry DiesellnjectorLlnes Spindle and Spindle 5upportSprings DiesellnjectorPump StablitzerBar OleselUftPump Tie -Rods EnglneMounts • Flywheel ELECTRICAL Flywheel Ring GearFue kaectors lUnes Alternator AudlophgeSound System Gas Fuel GasFuellnfUneS Charge and Volt Gauges GarmanIcBalans Clack Electric • HannonkBExhaustandBo ControI7rac'4WDSystem • Manifold ExhaustandBolts) DdversSeat Position Sensor • Manifold Intake and Bolts) Dual -Zone Electronic Automatic • OIIPan Temperature[ontroi Oli Pump Electronic Ignition Module Powertraln Control Module Fuel Pump Radiator Heated Backglass (Electrical Only - Radiator Fan (Clutch orMoto r) Not Glass Damage or Breakage) • Sealsond6askets IgnitlonCollandl-ack • Thermostat Ignition Module (Electric) • Thermostat Housing Ignitlon5witch • TimingChalnCover Intelllgent4WDSystems • Timing Chain (Gears or Bait) Power Mirrors (Electrical Only -Not • Turbocharger/SuperchargerUnit Minor or Glass Damage or Bulbs) (Factory -Installed) PowerRunningBoards • VelvaCovers Radiator Fan Relay • WaterPump Rear Window Power Sunshade TRANSMISSION Speedometer/Odometer(Electrical and Mechanical) • All lntemgllyLubricatodParts Starter Motor Release Hubs and Bearingser Stitches( • SealsandGaskets anally Op • Torquaeanverter EleSwcches(Manua11y0perated • Transfarease (Including All Internal Temperature Temperature6auge Parts) Parts) Voltage Regulator • nCase TranTransmission Casae Wiper-ActivatedHeadlamps Transmission Module (External) rMotors WlpegHarne WugWlrernesses(ExdudingSpark Transmission Mounts Plug Wires) REAR/FRONT-WHEEL AIRCONDITIONING DRIVE • Axle Shafts AND HEATING Beadngs(FrontandRear) ACAccumulator ACClutch • Driveshaft • Front: Final Drive/RearAxleHousing AC[IutchBearings Bearings forAWO(Including AllintemaiParts) Hutu, AutomaticFrontLocking(4W0) ACClutchB or - ACCompressor[IutchSwltch Locking Rings (4WD) ACCompressorCead • Rear. Drive Axle/Front Axle Housing ACCompressor5eats for AM (Including Ali Internal Parts) ndense r • SealsandGaskets Automatic Universal and ConstantVelotity tor Evaporator pora Joints HeaterBlowerMotw STEERING Heater control Assembly Column Lack (Tilt Wheel) Heater care Assembly Control Valve Instrument Panel Registers and Cooler and Metal Lines AlrDucts Electronic Power -Assisted Steering Pulley IdlerAim Power Steering Pump/Electrlc Power HIGH-TECH SteedagActuator Active Park Assist PulleyAssembly Adaptive Cruise Control SealsanclGaskels Adaptive Headlamp System SteedngColumn (Excluding Lamp Housing and Bulbs) Steering Gear Housing, Manual, Power • Air Suspension (Selected Electronic (Including All Internal Par IS) Components) SteeringShaft Antl-Theft Alarm (Factory -installed) Underbody Unkages and Couplings Auto Lock and Auto Unlock system Blind Spot Information System (BLIS') B RA RAKES (Electrical Only- Not Minor or Glass • LndrBrakeModuleand5ensor ArdlBackfin ckBras DamageorBulbs) Callis knwamingsystem Brake Booster (Pawer) Cross frafftcAlert Calipers FardUATm Mobile office alve Ca lonValve Ford Work SalutionslfiAsset Security ETA Pump HoseAs bly MasterCyilnder Fo(IfrwardSystem Metal Lines and Fittings Parking Brake Linkage and Cables FuelForward r(Alte RetalnersandCUps nD shGarmin"V ice) In-Dash Navigatiem (Factory and avighGarmin System Navigation Self-Adjusters Shaft (Brake Pedal) Dealer-Installed)enCluster Springs ust • Instrument Cluster(Ezcluding Wheeleylinders Dash Pad) . Intelligent Oft Life Monitar'System FRONTANOREAR Keyless Entrysystem(Excluding SUSPENSION DoorHandles) BaltJolyds(Upper and Lower) Lane-KeepingAlert Control Arms (UPperandLower) Message Center Control Arm Shafts and Bushings Parallel Park Assist System PowerAntenna Power Door Locks and Retainer Clips (ExcludingDocrHandles) Power Seat Motors Power Window Motors/Regutators RafnSensingWfpers Rear Console Refrigeration Reverse Camera System Reverse Sensing System SecudCoden Keyless Entry Keypad SecudLack' Passive Anti -Theft Engine Immohllizer System Sensor(Alcohol) SOS Post -Crash Alert System"' Speed Control Stationary Elevated Ride Control SYNC' with MyFord Touch' (Excludes Software Upgrades) Trailer Brake Module Unique Hybrld/Etechic Vehicle Components (Excluding Hlgh-Voltage Battery and Cables) EMISSIONS Air Check Valve Assembly AlrControlValve AIrldleVacuumValve Air Supply Valve (Hose and Tube) Barometric Pressure sensor DEF System (Excludes Catalyst) ECC Relay Assembly EGRCanlrolValve EGR Pressure Sensor EGR RegulatorAssembly EGR VaiveAdapter Electronic Throttle Control EVAP Vapor Storage Canister Idler AlrControlValve Knack Sensor Mass Airflow/Intake Air Temperature Sensor OxygenSensor PCV Hose Assembly PCVValve PCVVapwFJIter Reductant Urea System Temperature Sensor (Engine Coolant) Vacuum Restrictor VAFSensw VariableCamshaftTlming (VCT) Phasers AUDIO Antenna, Radio (Base Assembly) Brackets CablesandVAdng Cellular Phone, Receiver. Handset, Speaker Assembly and Antenna (Factory -Installed) Compass and Thermometer Readout Displays Contrats (RearSeat) Radio (AM, AM/FM), Speakers, Cassette Player, Digital CO Player, Graphic Equalizer. Premium Sound Ampllffer (Factory -Installed) Rear Entertainment System (Factory -Installed) SAFETY AkbagModule Assembly Diagnostic Madule Assembly (Ahbag) Dow Ajar Warning Switch Assembly Guides, Bezels, Brackets and Supports (Safely Belts/ShoulderStraps) Head Restraint Retainers and Sleeves (Safety8eit) LockCylinder(Door) Lock Lever Assembly (Door) Lock Lever Assembly (Tallgate) Lack Lem Retainers, [Ups and Brackets Passive Restraint Module Safety Belt Buckle (Front and Rear) 5afety Belt MotarDdveAssembly Safety Belt Restralnt Carder Safety Belt Retractors SafetyBeltTrackAssembly Safety Belt Waming chlme Assembly SafetyCanopy'System • SecuriLockMlcrochlp-EncodedKey Sensors (Alubag) Shoulder5trap TrackAssembly Wiring Assembly (Alrbag) Limited Warranty 2of2 WHAT IS NOT COVERED 1) Repakscovemdbyanyln-force warranty (other than tire manufarturerswarrantles or warranty provided by an Insolvent manufacturer or Insurer), manufactuierrecalls or Insurance. 2) Service adjustments andcleaningexceptinconjunctianwlthacovered repalrand softwareupgrades. 3) REPAIRSTO ANY ENGINE.TRANSMISSION AND RNALDRIVECOMPONENTS FOR DAMAGES CAUSED BYANAFfERMARKET(NON-FACTORYINSTALLED)COMPONENT, INCLUDINGBUT NOTUMITEOTU:TURBOCHARGER, SUPERCHARGER•COMPRESSEDNATURALGAS (CNG), UQUIDPROPANEGAS (LPG).NITROUSOXIDE FUELSYSTEM MODIFICATION ORANYOTHER PERFORMANCE -ENHANCING POWERTRAIN COMPONENTS, INCLUDING BUTNOT UMiTEDTO, FORDRACINGPARTS ORACCESSORIES. 4) Repalrscausedbylmpropercrunautharliedserviceprocedures,iossoflubilcantorfluldsor contamination of ol4 fluids arfuel and repalrscaused by conUnued operation of the vehkle afterlossoftubdcantorfluldsorcontaminattan ofoll,fluids orfuelorcontinued usewith an obvious failure. 5) Repairs caused bycollisions orcither physical damage accidents, unreasonable use (inciudingdrlving overcurbs, overloading•orusingthevehkleasastatlonarypowersource), damage from fire•exploslonsorforeign objects, madhazudsarathercasualtylosses•or tossesduetonegUgence,radng,orfaguresausedby either. (a) alterationsormodifimtkxss tothevehlde (Including the body, chassis,arcomponents) afterthevehkleleavesthe controlafthemanufacturer(any partaraccessorythatIsnotpermanenttyaf edtothe vehicle at paint of sale), (b) tampering with the vehicle or the emissions systems and components, (c) thefnstailationaruseofanymechanicaloreledricalpart not approved, certified,arauthorized by the vehicle'smanufacturerorariympaircaused hyaftermarket (non -factory) approved PCM reprogramming,or(d) anypartdesignated for"off-road only" that is not installed by the manufacturer, Including, but not limited to, lift kits• oversized Ures, aftenneuketwheels thatcla riot provide equkalentfltand function as the original equlpment Installed by the manufacturer, Rill ban; cellular phones, alarm systems• automatic starting systems and perfarmance-enhancing powertraln components. 6) Damage from the emimnment (airborne fallout.corrosion, chemicals, debris,treesap, salt, hall,vdndstorm,lightning, freezing, etc) orfrom floods, earthquakes, snow arice,or damage caused by theft, vandalism, riot• acts afwarorterrorism 7) Repairs resulting from the lack of required orrecommended maintenance. 8) AnyMANUFACTURERSRECOMMENDED SCHEDULEDMAINTENANCESERVICES. 9) Repairs needed to a covered part caused by the failure of a non -covered part. 10) Repairs to the vehicle If the odometerorhour meterisaltered, broken, repaired arreplaced such that actual mileage or hours cannot bedetermined. 11) Loss of use afthe vehicle. loss of Income, special orconsequentlat damages, and personal expensessudlasmotels, food, gas and mileage (other Ow Is provided under the Roadside Assistance benefit). NOTE Some states do not allawtheexclusion or11mltation of Incidental or cansequentlaldamages,sothe above thrittatlons or exclusions may notapplytoyou. 12) Rental vehicle charges or fees such as mileage charge -%drop-off fees, Insurance, gasoline orstate or local taxes for rental car reimbursement. 13) VehiclesmanufacturedforsaleoutsideoftheUnitedStates,theDistrictofColumbia, MexlcoarCanada. 14) Repairs to the vehicle performed outside of the United States, the District ofCalumbla, Guam, Mexico, Puerto Rico, Canada, Virgin Islands orAmedcan Samoa; and repairs required because ofopemtionoutside ofthe United States, the DisMctofealumbia, Guam,Puerto Rico, Canada, Vlrgin Islands orAmedcan Samoa. 15) Repairs made to the vahldethat are required due toamndidonthat existed prior tothe purchase ortransferof the vehicle and would ham been obvious during a presale Inspection. 16) Shop supplies and emironmentalwastedisposal or fuel used duringthe repakofyour vehicle orstorage fees. 17) Vehicles are excluded from coverage If, an the Signature Date (and this Agreement Is automatically terminated, Ifat any time during the term of thisAgreement), the new -vehicle limited warranty far the vehicle or specified components is voided,lnwhole Orin part, or thevehlcle Is branded, stolen orsalvaged, orff the VIN cannot be established. iB) Ineligible Vehicle and Uses: Ali tompetltivemakevehicles. Ford FooseF-15D,GT, Mustang Cob m R, all Roush PerformanceMadlfledVehicles (except Stage I and Shelby' 2), Shelby GTSDOKRn GTS an d Super Snake. all Sateen modified vehicles, Transit Connect Electric, taxis, limousines, livery vehicles, electric vehicles, vehicles used for competitive driving• racing, off-road use, performance -modified vehicles, 02 equipped vehicles modified for 4x4/AWO capabilities, police, fire. ambulances, vehlclesto be used as rental vehicles, tow trucks, shuttles, vehicles equipped with snowplows and all incompletevehletes (Including vehicles built with the first three VIN positions oflFB,IFC. 1FD,1P6,2L1,2U, 3FRand SLO). 19) Maintenance/Mechanical-Service adjustments and cleaning,batteries ofall types and cables• belts• hoses and hose clamps• brakes (front hub, churmshoes, UninIM dlscrotors, pads), manualbansmlssionclutch ftexhaustsystem (includes catalytic converter), filters, flulds. lubricants, all lampsand tights (LED and HID bulbs, seated beam. and lenses). spark plugs,squeaks and rattles,Ure-%tune-ups,whealbalanWg,wheel allgnment and shockabsorbers 20) Exterior Seal&TrimItems-Fixed(noq-moving)bodyparts,bumpers,glass,moldings, ornamentation, paint, rust, sheet metal,structuralunderbodyframework,sidedew and rear miffors (glassandhousing), water leaks, wind nolse,weatherstrips, wheels, wheelstuds,wheel covers, convertible top and bow, fabric, liners, fasteners,wlperblades andphyslalclamage. 21) lntedorTdm Items- Carpets, dash pad, knobs, trini, upholstery and cosmetic Issue& 22) Costs or expenses for the teardown, rental expense, Inspection ordlagnoslsoffailures. 'Coverage basedon a Si00deducUhle. Seedealufardelags. FCPo•LWS-17 Rev. 9/17 1 I FORD CERTIFIED PRE -OWNED Prior to delivery of this vehicle, the following checks and Inspections were performed. Any items) that did not pass the 172 -point Inspection have been replaced or repaired. 172 -Point Vehicle Inspection Checklist Dealership Name. �J Dealership Code: Red McCombs Ford ❑ 1. Service Recalls (OASIS) Performed Passed Repaired Replaced N/A LlstAnyOpenRecall(s)-FSA#andDescdptiorr. ® ❑ ❑ ❑ No Recalls Reported VIN # fRn 12536 1FAHP2E83GG934324 2. VINinspection ® ❑ ❑ ❑ 3. Vehicle History Report Obtained ® ❑ ❑ ❑ 4.Scheduled Maintenance Performed ® ❑ ❑ ❑ 5. Vehicle EmissionsSticker(Applicab(eStates) ❑ ❑ ❑ ❑ 2.ROADTEST 6. EngineStartsand ldlesPropedy 50 ❑ ❑ ❑ 7. RemoteStart System Operation ❑ ❑ ❑ R) 8. EnglneAcceleratesandCrulsesProperly/Smoothly 5 ❑ ❑ ❑ 9. EngineNoiseNormat(Cold/Hotand High/LowSpeeds)J ❑ ❑ ❑ 10. Auto/ManualTransmission/Transaxte0peraflan- ❑ 52- ManualCutsideRearvlewMlrrors,Power Coldand Hot 5h1(tQuality 5) ❑ ❑ ❑ 11. Auto/ManualTransmisslon/TransaxleNoise RearviewMlrror ® ❑ Normal -Cold and Hot R) ❑ ❑ ❑ 12. Shit Interlock Operates Properly R) ❑ ❑ ❑ 13. Drive Axle/TransferCase Operation Noise Normal R) ❑ ❑ ❑ 14. Clutch Operates Properly ❑ ❑ ❑ 50 15. SteersNormally(Response,CentedngandFree Play) 5d ❑ ❑ ❑ 16. Body and5uspenslonSqueaksandRattles ❑ ❑ ❑ ❑ 17. Struts/Shocks Operate Properly ❑ ❑ ❑ 18. Brakes/ABSOperateProperly ❑ ❑ ❑ ❑ 19. CrulseControl KI ❑ ❑ ❑ 20. GaugesOperateProperly ❑ ❑ ❑ ❑ 21. DrlverSelect/Memory Profile Systems ❑ ❑ ❑ ❑ 22. No Abnormal Wind Noise ] ❑ ❑ - 3. VEHICLE EXTERIOR 64.lntedor0dor-Free �J ❑ 3 3A -BODY PANELS AND BUMPERS ❑ 65. Carpet, FloorMats ❑ 23. NoEvldenceofFlood. Fire, MajororHallDamage ❑ ❑ ❑ ❑ 24. Body Panel Inspection ❑ ❑ ❑ ❑ 25. Bumper/Fascialnspection ❑ ❑ ❑ ❑ 38 -DOORS, HOOD, DECKLID, TAILGATE 68. Seat Upholstery ❑ 26. Doors, Hood,Deckild/TallgateandRooflnspectlon ® ❑ ❑ ❑ 27. Doors, Hood,Decklid/TailgateAllgnment ® ❑ ❑ ❑ 28. Automatic/Manual Release Mechanisms. ❑ 71. Heated5eats/CootedSeats ❑ ❑ Hinges, Prop Rod/GasStrutsOperateProperly R) ❑ ❑ ❑ 29. PowerLtftgate,Power-SIIdingDoorOperatlon ❑ ❑ ❑ 50 3C-GRILLE,TRIM AND ROOF RACK 73. Sunroof/Moonroof ❑ ❑ ❑ 30. Grille,TrimandRoof Rack Inspection ® ❑ ❑ ❑ 31. Deployable Running Boards ❑ ❑ ❑ 313 -GLASS AND OUTSIDE MIRRORS 75. Door Handlesand Release Mechanisms �j ❑ ❑ 32. Windshield,SideandRear-Window6lassInspection 50 ❑ ❑ ❑ 33. WlperBladeReplacement ❑ ❑ 50 ❑ 3E -EXTERIOR LIGHTS 78. Child SafetyLocks ® ❑ ❑ 34. ExtedorLlghts(Back/Side/Front) 79. WlndowControls ❑ ❑ ❑ 35. TrallerLampConnectorOperatlon ❑ ❑ ❑ 10 4,VEHICLE INTERIOR __ 41 -LUGGAGE COMPARTMENT I 4A -AIRBAG AND SAFETY BELTS 81. Carpet, TrlmandCargo Net ❑ ❑ 36. Airbags ® ❑ ❑ ❑ 37. SafetyBelts ® ❑ ❑ ❑ 4B -AUDIO ANDALARM SYSTEMS 84. SpareTlreSize/TypeandSidewallInspection ❑ ❑ 38. Radio. RadloAntenna,Cassette. CDandSpeakers ] ❑ ❑ ❑ Sl►(usXM°SatelBteRadloESN (Electronic Serial Number): 86.TlrelnflatorKR ❑ ❑ Fal ooFal aaFal aa©©© 87. EmergencyTrunk LldRelease R) 39. Alarm/Theft DeterrentSystem ® ❑ ❑ ❑ 40. Navigation System ❑ ❑ ❑ In 172 -Point Vehicle Inspection Checklist Dealership Name. �J Dealership Code: Red McCombs Ford ❑ 04544 Year/Make/Model- O Color. age: 2016/Ford/Taurus id INGOT SILVE684 ❑ StockNumber. VIN # fRn 12536 1FAHP2E83GG934324 9003 4C-HEAT/VENT/AC/DEFOG/DEFROST Passed Repaired Replaced WA 41. Air Conditioning System �J ❑ ❑ ❑ 42. Heating System �( O O ❑ 43. Befog/Defrost id ❑ ❑ ❑ 4D -INTERIOR AMENITIES 44. Clock ® ❑ ❑ ❑ 45. Tilt/TelescopkSteeringWheel ® ❑ ❑ ❑ 46. Steering Column Lock ® ❑ ❑ ❑ 47. SteeringWheelControls ® ❑ ❑ ❑ 48.Hom,WamingChimes ® ❑ ❑ ❑ 49. Instrument Panel and Warning Lights ® ❑ ❑ ❑ 50. Wipers/Washers ® ❑ ❑ ❑ 51. InterlorCourtesy,Dome and MapLights ® ❑ ❑ ❑ 52- ManualCutsideRearvlewMlrrors,Power Outside Rearview Mirrors and Auto -Dimming RearviewMlrror ® ❑ ❑ ❑ 53. BUSa (Blind Spot Information System) ❑ ❑ ❑ 91 54. RearVlewCamera ® ❑ ❑ ❑ 55. SYNC°System ® ❑ ❑ ❑ 56. MyFordTouch•/MasterReset ® ❑ ❑ ❑ 57. Active ParkAssist ® ❑ ❑ ❑ 58. RearEntertainment System ❑ ❑ ❑ 59. PowerOutletsand Lighter ® ❑ ❑ ❑ 60. Ashtrays ❑ ❑ ❑ KI 61. Glove Box anclCenterAmwest/Console ® ❑ ❑ ❑ 62. Sun Visors, Vanity Mirrorand Light ® ❑ ❑ ❑ 63. Adjustable Pedals (if Equipped) ❑ ❑ ❑ 4E -CARPET, TRIM AND MATS 64.lntedor0dor-Free �J ❑ ❑ ❑ 65. Carpet, FloorMats ❑ ❑ ❑ 66. DoorTrim and DoorPanels 5d ❑ ❑ ❑ 67. Headliner ❑ ❑ ❑ 4F -SEATS 68. Seat Upholstery ❑ ❑ ❑ 69. Seat and Head RestraintAdjustment 50 ❑ ❑ ❑ 70. FoldingSeats R( ❑ ❑ ❑ 71. Heated5eats/CootedSeats ❑ ❑ ❑ k( 72. Integrated ChlldSafety5eats ❑ ❑ ❑ k( 4G-SUNROOF/MOONROOF/CONVERTIBLE TOP 73. Sunroof/Moonroof ❑ ❑ ❑ 50 74. ConvertlbleTop ❑ ❑ ❑ 50 4H -WINDOWS AND DOOR LOCKS 75. Door Handlesand Release Mechanisms �j ❑ ❑ ❑ 76. RemoteEntrySystemandPush-ButtonStartSystem ❑ ❑ ❑ 77. DoorLorks 35153 R1 ❑ ❑ ❑ 78. Child SafetyLocks ® ❑ ❑ ❑ 79. WlndowControls ® ❑ ❑ ❑ 80. Remote Decklldand Fuel FlllerpoorRelease ® ❑ ❑ ❑ 41 -LUGGAGE COMPARTMENT 81. Carpet, TrlmandCargo Net ❑ ❑ ❑ 82. LuggageCompartment/CargoAreaUght 55 ❑ ❑ ❑ 83. Vehiclelackand Tool Kit W ❑ ❑ ❑ 84. SpareTlreSize/TypeandSidewallInspection ❑ ❑ ❑ 85.SpareTireTreadDepth/AlrPressurelnspectton ❑ ❑ ❑ 86.TlrelnflatorKR ❑ ❑ ❑ 87. EmergencyTrunk LldRelease R) ❑ ❑ ❑ 5A -MODULE SYSTEM TEST 88. Perform SeIFTestforall CMDTCs Orlglnal:Owner Copyl:Dealer copy2: Service Dept. F09404M.9 6. ... fa,JMvW Gmpu„ 6A -FLUIDS Passed Repaired Replaced N/A 89. Engine OlVFilterChangeand Chassis Lube ❑ ❑ 91 ❑ 90. Coolant 9 ❑ ❑ ❑ 91. Brake Fluid 61 ❑ ❑ ❑ 92. Automatic Transaxle/TransmissionFluid W ❑ ❑ ❑ 93. TransferCase Fluid ❑ ❑ ❑ JZI 94. Drive Axle Fluid ❑ ❑ ❑ 0 95. Power Steering Fluid ❑ ❑ ❑ JIB 96. Manual Transaxle/TransmissionHydraulic Oil Soaked) ❑ ❑ Clutch Fluid ❑ ❑ ❑ 5_0 97. WasherFluld 8D TIRES AND WHEELS ❑ ❑ ❑ 6B -ENGINE 149. Tires and Wheels Match and Are Correct Size ❑ ❑ 98. FIuldLeaks 150. Tire Tread Depth R32No4.742NDS ❑ ❑ ❑ 99. Hoses, Unes and Fittings JK -I ❑ ❑ ❑ 100. Belts �] ❑ ❑ ❑ 101. Wiring 153. Tire Pressure Monitoring5ystem ❑ ❑ ❑ 102.0IIInAirCleanerHousing SCJ ❑ ❑ ❑ 103. Water, Sludge or Engine Coolant In Oil 155. Rack-and-Pinion,Unkage and Boots ❑ ❑ ❑ 104. Oil Pressure 156.0ontrolAnns,Bushings and Baliloints ❑ ❑ ❑ 105. RelaUveCyUnderCompressionTest/Power 157. Tie -Rods and Idler Arm ❑ ❑ ❑ Balance Readings (Check lfNecessary) ® ❑ ❑ ❑ 106. Timing Belt JJ ❑ ❑ ❑ 107. EngineMounts 50 ❑ ❑ ❑ 108. InspectTurbochargerAirCooler ❑ ❑ ❑ J0 6C -COOLING SYSTEM 162. PowerSteering Pump ❑ ❑ ❑ 109. Radiator JX� ❑ ❑ ❑ 110. Pressure -Test RadlatorCap and Radiator �1 ❑ ❑ ❑ 111. Cooling Fans, Clutches and Motors �j ❑ ❑ ❑ 11Z Water Pump 165. Rotors and Drums ❑ ❑ ❑ 113. Coolant Recovery Tank 166.BrakeUnes, Hoses and Fittings ❑ ❑ ❑ 114. CabinAlrFllter ❑ ❑ 51 ❑ 6D-FUELSYSTEM 168. MasterCylinderand Booster ❑ ❑ 115, Fuel Pump Noise Normal Jd ❑ ❑ ❑ 116. Fuel Pump Pressure 51 ❑ ❑ ❑ 117. Fuel Filter ❑ ❑ ❑ id 118. EngineAirFilter ❑ ❑j ❑ ❑ ISE -ELECTRICAL SYSTEM 119. StarterOperation ® ❑ ❑ ❑ 120. Ignition System ® ❑ ❑ ❑ 121. Battery ® ❑ ❑ ❑ 122. AlternatorOutput ® ❑ ❑ ❑ 123. Diesel Glow Plug System ❑ ❑ ❑ Jl] 7. HYBRID/ELECTRIC VEHICLES 124. HybridCoolingSystem ❑ ❑ ❑ J� 125. Switchable PowertrainMount ❑ ❑ ❑ KI 126. Hybrid Entertainment and Information Display ❑ ❑ ❑ 10 127. Cargo Management System ❑ ❑ ❑ R1 128. High-VoltageThermalSystem ❑ ❑ ❑ F1 129. High -Voltage Service Disconnect ❑ ❑ ❑ J1 130. Charging Components Testi ❑ ❑ ❑ 91 131. Charging ComponentsTest 2 ❑ ❑ ❑ JO 132. Cell Variation Check ❑ ❑ ❑ 10 133. DCDC ❑ ❑ ❑ i1 134. MyFordeMobile Reset ❑ ❑ ❑ JO 135. Vehicle Instrument Cluster Lifetime Summary andTrIpResets ❑ ❑ ❑ 10 136. EVDrIveModes ❑ ❑ ❑ 137. PHEV Heating System Modes ❑ ❑ ❑ X1 138. BEV HeatlngSystemModes ❑ ❑ ❑ ELLINDERBODY BA -FRAME 139. Frame Damage ❑ ❑ ❑ 140. Fuel Supply System ❑ ❑ ❑ BB-EXHAUSTSYSTEM 141. Exhaust System Condition ® ❑ ❑ ❑ 142. Emissions Control TestJX� ❑ ❑ ❑ S. UNDERSODY (Continued) fa,JMvW Gmpu„ BC TRANSMISSION, TRANSAXLE, Passed Repaired Replaced WA DIFFERENTIAL AND TRANSFER CASE VIM= _Q Technician Signature Date certify that all mechanical Items have been Inspected. 143. AutomaticTransmission/Transaxle 50 ❑ ❑ ❑ 144. ManualTransmisslon/Transaxle, Differential anclTransferCase ❑ ❑ ❑ 0 145.4x4Hub Operation ❑ ❑ ❑ 10 146. Universalloints,CVJointsand CVJointBoots NJ ❑ ❑ ❑ 147. Transmission Mounts (Not Cracked, Broken or Oil Soaked) ❑ ❑ ❑ 148. Differential/DriveAxle ❑ ❑ ❑ 8D TIRES AND WHEELS 149. Tires and Wheels Match and Are Correct Size ❑ ❑ ❑ 150. Tire Tread Depth R32No4.742NDS ❑ ❑ ❑ 151. NormalTlreWear ❑ ❑ ❑ 152. Tire Pressure ❑ ❑ ❑ 153. Tire Pressure Monitoring5ystem ❑ ❑ ❑ 154. Wheels, Wheel Covers and CenterCaps ❑ ❑ ❑ 155. Rack-and-Pinion,Unkage and Boots ❑ ❑ ❑ 156.0ontrolAnns,Bushings and Baliloints ❑ ❑ ❑ 157. Tie -Rods and Idler Arm ❑ ❑ ❑ 9 158. Sway Bars, Links and Bushings ❑ ❑ ❑ 159. Springs ❑ ❑ ❑ 160. Struts and Shocks HCl ❑ ❑ ❑ 161. Wheel Alignment (Check If Necessary) ❑ ❑ ❑ 162. PowerSteering Pump ❑ ❑ ❑ JO BE -BRAKES 163. Calipers and Wheel Cylinders J ❑ ❑ ❑ 164. Brake Pads and ShoesJK-1 ❑ ❑ ❑ 165. Rotors and Drums ❑ ❑ ❑ 166.BrakeUnes, Hoses and Fittings ❑ ❑ ❑ 167. Parking Brake ❑ ❑ ❑ 168. MasterCylinderand Booster ❑ ❑ ❑ SIXONVENIENCE 169. Owner's Manual ❑ ❑ ❑ 170. Keys and Remote Controls ❑ ❑ ❑ 171. UniversalTransmitter (Garage DoorOpener) ❑ ❑ ❑ JO 172. Full Fuel Level W ❑ ❑ ❑ Origlnal:Owner Copyl:Dealer Copy 2: Service Dept. FUGGK ECT•n fa,JMvW Gmpu„ 1FAHP2E83GG134324 VIN VIM= _Q Technician Signature Date certify that all mechanical Items have been Inspected. 3/20/2020 Service ManagerSignature Date I certify that all mechanical and appearance standards have been met. 3/20/2020 Certified Pre -Owned Vehicle Manager Date I certify that all mechanical and appearance standards have been met. Origlnal:Owner Copyl:Dealer Copy 2: Service Dept. FUGGK ECT•n ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Marin On %'7 p o 97-696 before me, Brenna Kathleen Nurmi, Notary Public /� f (insert name and title of the officer) personally appeared lir/(% � �%Gt P/O VI -Cl who proved to me on the basis of satisfactory evidence to be the pe on whose name i a sus ibed to the within instrument and acknowled 9/thyrr me that h /t y executed he same in e th r authorized capacity(i�), and that by Is/signature ' on the instrument the persons' or the entity upon behalf of which the erson( racted, executed the instrument. 7' 1 certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature , •A,jA,,�i BRENNA KATHLEEN NURMI Notary Public • California Marin County Commission N 2297544 (Seal) My Comm. Expires Jul 13, 2023 CONTRACT ROUTING FORM INSTRUCTIONS: Use this cover sheet to circulate all contracts for review and approval in the order shown below. TO BE COMPLETED BY INITIATING DEPARTMENT PROJECT MANAGER: Contracting Department: DPW Project Manager: Thomas Wong Contractor Name: Red McCombs Ford Contractor's Contact: Ricky Dominguez Extension: 726-4430 Contact's Email: rdominguez@redmac.net ❑ FPPC: Check if Contractor/Consultant must file Form 700 Step RESPONSIBLE DEPARTMENT DESCRIPTION COMPLETED DATE REVIEWER Check/InitialProject 1 Manager a. Email PINS Introductory Notice to Contractor N/A ❑ b. Email contract (in Word) and attachments to City 6/16/2020 TW Attorney C/o Laraine.Gittens@cityofsanrafael.org N 2 City Attorney a. Review, revise, and comment on draft agreement 6/19/2020 0 LG and return to Project Manager 6/19/2020 ® LG b, Confirm insurance requirements, create Job on CN11a� PINS, send PINS insurance notice to contractor 3 Department Director Approval of final agreement form to send to 6/16/2020 N BG contractor N/A ❑ 4 Project Manager Forward three (3) originals of final agreement to contractor for their signature 5 Project Manager When necessary, contractor -signed agreement Z N/A agendized for City Council approval * *City council approval required for Professional Services ❑ Agreements and purchases of goods and services that exceed $75,000; and for Public Works Contracts that exceed $175,000 Or Date of City Council approval PRINT CONTINUE ROUTING PROCESS WITH HARD COPY 6 Project Manager Forward signed original agreements to City Attorney with printed copy of this routing form 7 City Attorney Review and approve hard copy of signed agreement I� 8 City Attorney Review and approve insurance in PINS, and bonds (for Public Works Contracts) I 61z2f2PW 9 City Manager/ Mayor Agreement executed by City Council authorized official 0 b a �b 10 City Clerk Attest signatures, retains original agreement and forwards copies to Project Manager 1 06