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RECEIVED
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Quarterly Reporting
$50,000. ARPA Subrecipient Grant Agreement
Town of Southold with Southold Fire District
January 15, 2024
The Southold Fire District has issued a Purchase Order, No. 0357,to Polaris Sales, Inc to purchase One (1)
Ranger Crew XP1000 Gator for$49,973.77. (see attached)
No monies have been expended at this time
Expected time of delivery is approximately April 30, 2024
The undersigned, hereby certifies that, as of such reporting date and at all times since the date of the
Grant Agreement dated September 27, 2023,the Grantee is and has been in full compliance with all
terms of the Grant Agreement, including, without limitation,the antidiscrimination requirements
described on Schedule B.
Southold Fire District, by:
Dated: April 15, 2024
Carol A. Miller, District Secretary
SOUTHOLD FIRE DISTRICT
Main Road,P.O.Bog 908
Southold,N.Y. 11971 O 0357
a
PURCHASE ORDER
e
Vendors Date � µ �
Name and - Contact
Address _!
Tel.# 6,r
Fax
SHIP TO.
ADDRESS: �
VIA DELIVERY DATE
NYS Contract# ifAPP1.)
Quantity Unit Description Unit Price Amount
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PURC CASE AUTHORIZATION
Deliver the items to the places and �
on dates indicated above.
dt'y plle-eLlt, 5
Oficial L) �
White-District�1fice
Yellow-Purchaser Pink lecuing
Polaris Sales Inc.,Medina,MN 55340
gov.info@polaris.com
P '[34LRRIS Phone:866-468-7783 Fax:763-847-8288
www,polaris.com/gov
Contact Information
Name: Carlisle Cochran Quote Number: QUO-52178-W9QU9
Email: ccochran56@gmail.com Revision#: 4
Phone: 6317672939 Date: 10/25/2023 1:30 PM
Fax: Quote Expires: 11/23/2023
Bill To: Southold Fire District Contract Name: Sourcewell
P.O.Box 1463 9®V Contract#: 122220-PSI
Southold, NY 11971 Expiration Date: 1/29/2025
Ship To: Southold Fire Department Cage: 3FP69
P�Q ,�;5j3S- A Duns#: 123399383
Tax ID#: 41-1921490
Southold, NY 11971 Customer#:
Er iyery T+ rms `, � k; ay e
nt
"Tear t s
FOB Destination-CONUS Visa
US Continental(CONUS)Only 180 Days Prepay-Other Mastercard
_u Wire Check
. Extended
Item .
� Q°l � � -�r,,�. esprio�� ~I ;S � �Discotmt,Pnce
R24RSU99AK 1 RANGER Crew XP 1000 $30,799.00 $29,028.83 $29,028.83
NorthStar Premium- Super
Graphite-49 State
9990007 1 jUpgrade to Red Body Panels $649.99 $649.99
2889241 1 Door Mounted Sideview Mirrors $179.99 $154.15 $154.15
2883870 1 Turn Signals with Horn $667.99 $572.08 $572.08
2882529 1 Full-Size Rear Brushguard $259.99 $222.66 $222.66
2882787 1 Full-Size HMW Poly Rear A- $214.99 $184.12 $184.12
Arm Guards
5416347 4 Pro Armor HarvesterTire(28x10 $229.99 $196.97 $787.88
-14)-each
2883979 1 Action-XP 1000's/Pro XD $8,529.99 $7,305.28 $7,305.28
Deluxe Emergency Light Kit
2883980 1 lAction-XP 1000's/Pro XD $769.99 $659.44 $659.44
30W Siren&PA System(works
with Std or Dlx light package)
Quote: Page 1 of 3
"
Polaris Sales Inc.,Medina,MN 55340
gov.info@polaris.com
-
Phone:866-468-7783 Fax:763-847-8288
www.polaris.com/gov
t
F1hi It~ ' • � P �
t
FOB Destination-CONUS Ti
Visa
US Continental(CONUS)Only 180 Days Prepay-Other Mastercard
i Wire Check
QTY mmDiSe6uni"PrIce, Extended
2883874 1 RKO-XP 1000/Crew XP 1000 $7,819.99 $6,697.22 $6,697.22
Compact Rescue Skid
w/Attendant Seat
2889790 1 Pro Armor Dual Row 31 in $429.99 $368.25 $368.25
Combo Bar(13500 lumens)
2883122 1 Rigid SR-Series Single Row 10 $339.99 $291.18 $291.18
in.Flood Bar(7920 lumens)
2883230 2 Full-Size Single Dash Light Bar $99.99 $85.63 $171.26
Wire Harness(for rear lights-
Crew req extension)
2883854 1 Full-Size Crew Dash Rear $29.99 $25.68 $25.68
Facing Light Bar Harness
2890583 =JFU
ll-Size Front Hood Storage $299.99 $298.25 $298.25
ck(2024 Availability)
Comments: Mount light bars on roof: 31"forward and 10'rearward facing SUBTOTAL $47,416.27
INSTALL* $1,057.50
FREIGHT $1,500.00
0
Vehicle model year and color are subject to change dependent upon delivery date. TAX $0.0
TOTAL $49,973.77
, M
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To accept the above quotation,please provide a purchase order via email( ov,i i'ofa ol�orn)and
include the following:
• Bill to Address
• Billing Phone Number
• Ship to Address
• Point of Contact for Delivery
• Point of Contact E-Mail
• Point of Contact Phone
• Quote Number
• Alternate Point of Contact(Required)
Quote:Page 2 of 3