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Home My WebLink AboutPW Fleet ManagementDISCLOSURE RE: OPEN RECALL VIN: 3FA6POH74ER177834 Manufacturer Recall Number: 16542 Recall Date: January 25, 2017 Campaign Description: Front Seatbelt Pretensioner The vehicle described is subject to a safety recall notice from its manufacturer which is open. Further information about the recall may be obtained at the website maintained by NHTSA (www.safercar.gov) Please Print and Sign Below in Acknowledgement of the Open Recall Name: Signature: c\_I-%A0A Dear City Of San Rafael , Attached you will find the requested Bill of Sale; please verify the name, address and phone number are correct and the address is the same place you would like the title mailed. Please also update the mileage and confirm vehicle color. If everything appears to be correct, please find instructions below for proceeding. If anything does NOT appear to be correct, please provide the appropriate corrections when the documents are submitted. The title will be assigned EXACTLY as it states on the Bill of Sale. ***Please note, we request funds to be a certified check. If we receive a company or personal check, we will hold all paperwork for an additional 7-10 business days for processing.*** 1. Complete the odometer disclosure statement and sign at the bottom of the page. 2. Write a certified check in the amount of $8,907.46 for the Bill of Sale made payable to: Enterprise Fleet Management Exchange, Inc. (Preferred Method) OR Enterprise FM Exchange ***Our bank will only accept checks made out to these payable names, no abbreviations or variances will be accepted. If we receive a certified check made out incorrectly, we will return to you to have it corrected.*** 3. Please mail Bill of Sale, certified check, and completed Odometer Statement to the following: Enterprise FM Exchange Attn: Purchase Option Team 9315 Olive Boulevard St. Louis, MO 63132 ***Please note, if the vehicle is paid off and sale price is $1.00, this is for documentation purposes only. The purchaser will not need to provide a physical check for this transaction. Please email or mail the completed documents using the contact information below.*** As a reminder, the Selling Price does not include the Accounts Receivable balance due including any current month charges. The title will only be released, once the Accounts Receivable balance has been paid. Please refer to your most recent Billing Statement on https://efmfleetaccess.efleets.com/fleetweb/login. Once we receive the signed Bill of Sale, payment for the selling price, and completed Odometer Statement, we will begin to process the transaction and the title will be received in approximately 10-14 business days. We will need to be in receipt of the Bill of Sale, payment, and Odometer Statement no later than 05/01/17. The figures provided are only valid through 04/30/17. If we do not receive the requested documents by 05/01/17, please contact your Account Fleet Coordinator to provide new payoff figures. Please let us know if you have any questions. FLEET MANAGEMENT Enterprise Fleet Management Purchase Option Team 1-800-543-8226 direct EFM—Car—Sales@efleets.com 9315 Olive BLVD Saint Louis, MO 63132 BILL OF SALE Please mall to: FLEET Enterprise FM Exchange MANAGEMENT 9315 Olive Blvd St. Louis, MO 63132 1-800-543-8226 EFM—Car_Sales@efleets.com DATE BUYER CAR SALE# City Of San Rafael FED TAX ID # A SALE PRICE Payoff good through 04/30/17 Printed as of 04/18/17 GPBR 1XL1.DIM UNITNO. WA7H88 $8,907.46 CO BUYER B ADDmONAL EQUIPMENT DRIVER'S LICENSE STATE STREET ADDRESS APT 0 C SUBTOTAL (A PLUS B) 58,907.46 1400 Fifth Ave. DSALES TAX cm/STATE/zIP $0.00 San Rafael /California / 94901 'syr THERX-_H DAYPHONE EVENING PHONE (000) 000-0000 E TITLE FEE FAX $0.00 ' DOCUMENTARY FEE ,��y ``.:..i'U IF YMAkE 1 G ACCUMULATED PERSONAL PROPERTY TAX 0.00 2014 Ford Fusion SE 4dr Front -wheel Drive Sedan (2872429) ACCUMULATED LICENSE FEES tb.00 VIN# IH I 3jFIA161P0H74E 1 7 7 8 3 4 s MILEAGE x I' L L COLOR M Ingot Silver Metallic N The vehicle is sold "As Is - not expressly warranted or guaranteed" with All Faults: O' BUYER UNDERSTANDS THATTHIS VEHICLE 15 BEING SOLD "A515 NOT P TOTAL OTHER (ETHRU O) 50.00 EXPRESSLY WARRANTED OR GUARANTEED WITH ALL FAULTS AND IS NOT QSELUNG PRICE ([PLUS D PLUS P) 58.907.46 COVERED BY DEALER WARRANTIES. I UNDERSTAND THATTHE SELLER IS NOT REQUIRED TO MAKE ANY REPAIRS AFTER BUYER BUYS THIS VEHICLE AND BUYER WILL HAVE TO PAY FOR REPAIRS THIS VEHICLE WILL NEED." r��e�. `-��r` ' • :, `-� a'' ,a�*� yyy� ,��, �ir.:�- .��,A�'..��.1751��£Zai`•'�'F%'�'3"s"i^ii�.��P��Y`�.'.-'i� 'tl s. �k'a£�.s��.ir�yss-a}e � Enterprise Fleet Management, Inc., Enterer se Trust and Sales�LLf`o herebysfer, set over and assign all of its rights (but not Its obligat ons to sell t e Vehicles) described herein to Enterprise Fleet Management Exchange, Inc pursuant to the Master Exchange Agreement between Enterprise Fleet Management, Inc, Enterprise FM Trust and EC Sales, LLC and Enterprise Fleet Management Exchange, Inc. Notice Is hereby given that all of Enterprise Fleet Management, Inc, Enterprise FM Trust and EC Sales, LLC rights (but not its obligations) to sell the vehicle(s) have been assigned to Enterprise Fleet Management Exchange, Inc. pursuant to the Master Exchange Agreement between Enterprise Fleet Management, Inc., Enterprise FM Trust and EC Sales, LLC and Enterprise Fleet Management Exchange, Inc. Payments for the vehicle(s) are to be made payable to "Enterprise Fleet Management Exchange, Inc." Buyer is responsible for obtaining any necessary Insurance coverage on the purchased vehicle. Any coverage maintained by seller does not transfer with the purchased vehicle. There may be additional charges outstanding that are not Included in the Selling Price. Please refer to your most recent Billing Statement on https://efmfleetaccess.efleets.com/fleetweb/login. The title for the vehicle will only be released once all outstanding charges have been cleared. Please remit payment by certified check. UENHOLDER I UENHOLDER ADDRESS ILIEN DATE UENHOLDER PHONE BUYER City Of San Rafal� SIGNATURE 1 Jim Schutz CO -BUYER SIGNATURE SELLER DEALER # Enterprise Fleet Management Exchange DATE} �7 ADDRESS / 9315 Olive Boulevard CITY/STATE/ZIP St. Louis / MO / 63132 (DATE APPROVED BY (DATE LESSEE ODOMETER (MILEAGE) DISCLOSURE STATEMENT Federal Law (and State Law if applicable) requires that the lessee disclose the mileage to the lessor in connection with the transfer of ownership. Failure to complete or making a false statement may result in fines and/or imprisonment. Complete disclosure form below and return to lessor. I, -rale' _ $/y, Vi (Name of person making disclosure) state that the odometer now reads q (y SCP (PRINT) (no tenths) miles and to the best of my knowledge that it reflects the actual mileage of the vehicle described below, unless one of the following statements is checked. iL 1. 1 hereby certify that to the best of my knowledge the odometer reading as stated above reflects the amount of mileage in excess of the designed mechanical odometer limit of the vehicle described below. Y 2. 1 hereby certify that to the best of my knowledge the odometer reading as stated above is not the actual mileage. n -el hereby certify that to the best of my knowledge the vehicle described above does not have an air bag on or off switch which has been installed by someone other than the vehicle manufacturer and any existing air bag has not been deactivated. YMMS Unit Number 2014 Ford Fusion SE 4dr Front -wheel Drive Sedan (2872429) WA71188 VEHICLE IDENTIFICATION NUMBER 3FA6POH74ER177834 LESSEE'S NAME City of San Rafael STREET ADDRESS 1400 Fifth Ave. CITY STATE ZIP CODE San Rafael California 94901 LESSEE'S S NATURES Tim�ch Z DATE X c� x X1-2=(7 LESSOR'S LLEG L NAME ENTERPRISE FLEET MANAGEMENT STREET ADDRESS 9315 Olive Blvd CITY STATE ZIP CODE St. Louis MO 63146 DATE DISCLOSURE FORM SENT TO LESSEE DATE COMPLETED FORM RECEIVED FROM LESSEE 4/1812017 LESSOR'S SIGNATURE Please return to: Enterprise FM Exchange 9315 Olive Blvd St. Louis, MO 63132 1-800-543-8226 EFM—Car—Sales@efleets.com 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: Public Works Project Manager: Talia Smith Extension: 3354 Contractor Name: Enterprise Fleet Management Exchange, Inc Contractor's Contact: Andrea Hunter Contact's Email: Andrea.M.Hunter@efleets.com ❑ FPPC: Check if Contractor/Consultant must file Form 700 Step RESPONSIBLE DESCRIPTION COMPLETED REVIEWER DEPARTMENT DATE Check/Initial 1 Project Manager a. Email PINS Introductory Notice to Contractor Click here to ❑ enter a date. b. Email contract (in Word) & attachments to City 4/18/2017 Atty c/o Laraine.Gittens@cityofsanrafael.org NTS 2 City Attorney a. Review, revise, and comment on draft agreement 4/19/2017 N LAG and return to Project Manager Click here to b. Confirm insurance requirements, create Job on enter a date. N LAG PINS, send PINS insurance notice to contractor N/A 3 Project Manager Forward three (3) originals of final agreement to ❑ contractor for their signature 4 Project Manager When necessary, * contractor -signed agreement N N/A agendized for Council approval *PSA > $20,000; or Purchase > $35,000; or Or ❑ Public Works Contract > $125,000 Click here to Date of Council approval enter a date. PRINT CONTINUE ROUTING PROCESS WITH HARD COPY 5 Project Manager Forward signed original agreements to City Attorney with printed copy of this routing form 6 City Attorney Review and approve hard copy of signed agreement 7 City Attorney Review and approve insurance in PINS, and bonds (for Public Works Contracts) N 8 City Manager/ Mayor Agreement executed by Council authorized official 9 City Clerk Attest signatures, retains original agreement and 1 forwards copies to Project Manager �� I