HomeMy WebLinkAboutAgreement_General_05/15/2015 Fully- Executed & Countersigned File Copy
First Capital Equipment Leasing Corp.
Government Obligation Contract Document Set
Village of Tequesta, FL (PD)
Lease Dated: May 15, 2015 1 Lease 3347714
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BANK OF AMERICA es•a
VILLAGE OF TEQUESTA TEQUESTA, FL 098017 63D
GENERAL CORPORATION ACCT. Check Date: 05/15/2015
zc 345 TEOUESTA DRIVE
TEQUESTA, FL 33469
•
$687.00
PAY SIX HUNDRED EIGHTY —SEVEN DOLLARS AND 00 CENTS** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
TO THE
ORDER
KS STATEBANK
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MANHATTAN, KS 66502
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GOVERNME OBLIGATION C O N TRA C T
Obligor Obligee
Village of Tequesta, Florida First Capital Equipment Leasing Corp.
345 Tequesta Drive 32 Wolf Hill Road PO Box 1018
Tequesta, Florida 33469 East Sandwich, Massachusetts 02537 -1981
Dated as of May 15, 2015
This Government Obligation Contract dated as of the date listed above is between Obligee and Obligor listed directly above. Obi gee desires to finance the purchase of the Equipment
described in Exhibit A to Obligor and Obligor desires to have Obligee finance the purchase of the Equ.pment subject to the terms and conditions of this Contract which are set forth below.
I. Definitions
Section 1.01 Definitions. The following terms will have the meanings indicated below unless the context clearly requires otherwise:
"Additional Schedule" refers to the proper execution of additional schedules to Exhibit A and Exhibit 8, as well as other exhibits or documents that may be required by the Obligee all of
which relate to the financing of additional Equipment.
"Budget Year" means the Obligor's fiscal year.
"Commencement Date" is the date when Obligor's obligation to pay Contract Payments begins.
"Contract" means this Government Obligation Contract and all Exhibits attached hereto, all addenda, modifications, schedules, refinancings, guarantees and all documents relied upon by
Obligee prior to execution of this Contract.
"Contract Payments" means the payments Obligor is required to make underthis Contract as set forth on Exhibit B.
"Contract Term" means the Original Term and all Renewal Terms.
"Exhibit" includesthe Exhibits attached hereto, and any "Additional Schedule ", whether now existing or subsequently created.
"Equipment" means all of the items of Equipment listed on Exhibit A and any Additional Schedule, whether now existing or subsequently created, and all replacements, restorations,
modifications and improvements.
"Government" as used in the title hereof means a State or a political subdivision of the State within the meaning of Section 103(a) of the Internal Revenue Code of 1986, as amended
( "Code "), or a constituted authority or district authorized to issue obligations on behalf of the State or political subdivision of the State within the meaning of Treasury Regulation 1.103 -1(b),
or a qualified volunteer fire company within the meaning of section 150(e)(1) of the Code.
"Obligee" means the entity originally listed above as Obligee or any of its assignees.
"Obligor" means the entity listed above as Obligor and which is financing the Equipment through Obligee under the provisions of this Contract.
"Original Term" means the period from the Commencement Date until the end of the Budget Year of 0biigor.
"Partial Prepayment Date" means the first Contract Payment date that occurs on or after the earlier of (a) the twenty -four month (24) anniversary of the Commencement Date or (b) the
date on which Obligor has accepted all the Equipment and all amounts have been disbursed from the Vendor Payable Account to pay forthe Equipment.
"Purchase Price" means the total cost ofthe Equipment, including all delivery charges, installation charges, legal fees, financing costs, recording and filing fees and other costs necessary to
vest full, clear legal title to the Equipment in Obligor, subject to the security interest granted to and retained by Obligee as set forth in this Contract, and otherwise maimed in connection
with the financing of this Equipment.
"Renewal Term" means the annual term which begins at the end ofthe Original Term and which is simultaneous with Obligor's Budget Year and each succeeding Budget Year forthe number
of Budget Years necessary to comprise the Contract Term.
"State" means the state in which Obligor's located.
"Surplus Amount'' means any amount on deposit in the Vendor Payable Account on the Partial Prepayment Date.
"Vendor Payable Account" means the separate account of that name established pursuant to Section X ofthiz Contract.
U. Obligor Warranties
Section 2.01 Obligor represents, warrants and covenants as follows for the benefit of Obligee or its assignees:
(a) Obligor is an "issuer of tax exempt obligations" because Obligor is the State or a political subdivision of the State within the meaning of Section 103(a) of the Internal Revenue Cade of
1986, as amended, (the "Code ") or because Obligor is a constituted authority or district authorized to issue obligations on behalf of the State or political subdivision of the State within
the meaning of Treasury Regulation 1.103 -1(b), or a qualified volunteer fire company within the meaning of section 150(e)(1) of the Code.
(b) Obligor has complied with any requirement for a referendum andjor competitive bidding.
(c) Obligor has complied with all statutory laws and regulations that may be applicable to the execution of this Contract, Obligor, and its officer executing this Contact, are authorized
under the Constitution and laws of the State to enter Into this Contract and have used and followed all proper procedures of its governing body In executing and delivering this
Contract. The officer of Obligor executing this Contract has the authority to execute and deliver this Contract. This Contract constitutes a legal, valid, binding and enforceable
obligation of the Obligor in accordance with its terms.
(d) Obligor s call use the Equipment only for essential, traditional government purposes
(e) Should the IRS disallow the tax-exempt status of the interest portion of the Contract Payments as a result of the failure of the Obligor to use the Equipment for governmental
purposes, or should the Obligor cease to be an issuer of tax exempt obligations, or should the obligation of Obligor creates under this Contract cease to be a tax exempt obligation for
any reason, then Obligor shall be required to pay additional sums to the Obligee or its assignees so as to bring the after tax yiaid on this Contract to the same level as the Obligee or its
assignees would attain if the transaction continued to betax- exempt.
(f) Obligor has never non- appropriated funds under a contract similar to this Contract.
(g) Obligor will submit to the Secretary of the Treasury an information reporting statement as required by the Cede.
(h) Upon request by Obligee, Obligor will provide Obligee with current financial statements, reports, budgets or other relevantfiscal information
(i) Obligor shall retain the Equipment free of any hazardous substances as defined in the Comprehensive Environmental Response, Compensation and Liability Act, 42 U.S.C. 9601 et. seq.
as amended and supplemented.
(j) Obligor hereby warrants the General Fund of the Obligor is the primary source of funds or a backup source of tunds from which the Contract Payments will be made.
(k) Obligor presently intends to continue this Contract for the Original Term and all Renewal Terms as set forth on Exhibit B hereto. The official of Obligor responsible for budge:
preparation will include in the budget request for each Budget Year the Contract Payments to become due in such Budget Year, and will use all reasonable and lawful means available
to secure the appropriation of money for such Budget Year sufficient to pay the Contract Payments coming due therein Obligor reasonably believes that moneys can and will lawfully
be appropriated and made available for this purpose.
(I) Obligor has selected both the Equipment and the vendor(s) from whom the Equipment is to be purchased upon its own judgment and without reliance on any manufacturer,
merchant, vendor or distributor, or agent thereof, of such equipment to the public.
(m) Obligor owns free and clear of any liens any additional collateral pledged, subject only to the I,en described herein; Obligor has net and will not, during the Contract Term, create,
permit, incur or assume any levies, liens or encumbrances of any kind with respect to the Equipment and any additional collateral except those created bythis Contract.
Section 2.02 Escrow Agreement. In the event both Obligee and Obligor mutually agree to utilize an Escrow Account, then immediately following the execution and delivery of this Contract,
Obligee and Obligor agree to execute and deliver and to cause Escrow Agentto execute and deliver the Escrow Agreement. Tnis Contrail shall take effect only upon execution and delivery
of the Escrow Agreement by the parties thereto Obligee shall deposit or cause to be deposited with the Escrow Agent for credit to the Equipment Acquisition Fund the sum of N /A, which
shall be held, invested and disbursed in accordance with the Escrow Agreement.
III. Acquisition of Equipment, Contract Payments and the Purchase Option Price
Section 3.01 Acquisition and Acceptance. Obligor shall be solely responsible for the ordering of the Equipment and for the delivery and installation of the Equipment. The Payment Request
and Equipment Acceptance Form mast he signed by the same authorized indiv ;dual(s) who signed the Signature Card, Exhibit D By making a Contract Payment after its receipt of the
Equipment pursuant to this Contract, Obligor shall be deemed to have accepted the Equipment on the date of such Contract Payment for purposes of this Contract. All Contract Payments
paid prior to delivery of the Payment Request and Equipment Acceptance Form shall be credited to Contract Payments as they become due as shown on the Contract Payment Schedule
attached as Exhibit B hereto.
Section 3.02 Contract Payments. Obligor shall pay contract Payments exclusively to Obligee or its assignees in lawful, legally available money of the United States of America. The Contract
Payments shall be sent to the location specified by the Obligee or its assignees. The Contract Payments shall constitute a current expense of the Obligor and shall not constitute an
indebtedness of the Obligor. The Contract Payments, payable without notice or demand, are due as set forth on Exhibit B. Obligee shall have the option to charge interest at the highest
lawful rate on any Contract Payment received later than the due date for the number of days that the Contract Payments) were late, plus any additional accrual on the outstanding balance
for the number of days that the Contract Payment(s) were late. Obligee shall also have the option, on monthly payments only, to charge a late fee of up to 10% of the monthly Contract
Payment that Is past due. Furthermore, Obligor agrees to pay any fees associated with the use of a payment system other than check, wire transfer, or ACH. Once all amounts due Obligee
hereunder have been received, Obligee will release any and all of its rights, title and interest in the Equipment.
SECTION 3.03 Contract Payments Unconditional. Except as provided under Section 4.01,THE OBLIGATIONS OF OBLIGOR TO MAKE CONTRACT PAYMENTS AND TO PERFORM AND OBSERVE
THE OTHER COVENANTS CONTAINED IN THIS CONTRACT SHALL BE ABSOLUTE AND UNCONDITIONAL IN ALL EVENTS WITHOUT ABATEMENT, DIMINUTION, DEDUCTION, SET -OFF, OR SUBJECT
TO DEFENSE OR COUNTERCLAIM,
Section 3.04 Purchase Option Price. Upon thirty (30) days written notice, Obligor shall have the optior to pay, in addition to the Contract Payment, the corresponding Purchase Option Price
which is listed on the same line on Exhibit B. Th's option is only available to the Obligor on the Contract Payment date and no partial prepayments are allowed. If Obligor chooses this option
and pays the Purchase Option Price to Obligee then Obligee will transfer any and all of its rights, title and interest in the Equipment to Obligor
Section 3.05 Contract Term. The Contract Term shall be the Original Term and all Renewal Terms until all the Contract Payments are paid as set forth on Exhibit B except as provided under
Section 4.01 and Section 9.01 below. If, after the end of the budgeting process which occurs at the end of the Original Term or any Renewal Term, Obligor has not non - appropriated as
provided for in this Contract then the Contract Term shall be extended Into the next Renewal Term and the Obligor shall be obligated to make all the Contract Payments that come due
during such Renewal Term.
Section 3.06 Disclaimer of Warranties. OBLIGEE MAKES NO WARRANTY OR REPRESENTATION, EITHER EXPRESS OR IMPLIED, AS TO THE VALUE, DESIGN, CONDITION, MERCHANTABILITY,
FITNESS FOR PARTICULAR PURPOSE OR ANY OTHER WARRANTY WITH RESPECT TO THE EQUIPMENT. OBLIGEE IS NOT MANUFACTURER, SELLER, VENDOR OR DISTRIBUTER, OR AGENT
THEREOF, OF SUCF EQUIPMENT; NOR IS OBLIGEE A MERCHANT OR 'N THE BUSINESS OF DISTRIBUTING SUCH EQUIPMENT TO THE PUBLIC. OBLIGEE SHALL NOT BE LIABLE FOR ANY
INCIDENTAL, INDIRECT, SPECIAL OR CONSEQUENTIAL DAMAGE ARISING OUTOF THE INSTALLATION, OPERATION, POSSESSION, STORAGE OR USE OFTHE EQUIPMENT BY OBLIGOR.
IV. Non- Appropriation
Section 4.01 Non - Appropriation. If insufficient funds are available in Obligor's budget for the next Budget year to make the Contract Payments for the next Renewal Term and the funds to
make such Contract Payments are otherwise unavailable by any lawful means whatsoever, then Obligor may non-appropriate the funds to pay the Contract Payments for the next Renewal
Term. Such non - appropriation shall be evidenced by the passage of an ordinance or resolution by the governing body of Obligor specifically prohibiting Obligor from performing its
obligations under this Contract and from using any moneys to pay the Contract Payments due under this Contract for a designated Budget Year and all subsequent Budget Years. If Obligor
non - appropriates, then all obligations of the Obligor under this Contract regarding Contract Payments for all remaining Renewal Terms shall be terminated at the end of the then current
Original Term or Renewal Term without penalty or liability to the Obligor of any kind provided that If Obligor has not delivered possession of the Equipment to Obligee as provided herein
and conveyed to Obligee or released its interest in the Equipment by the end of the last Budget Year for which Contract Payments were paid, the termination shall nevertheless be effective
but Obligor shall be responsible for the payment of damages in an amount equal to the amount of the Contract Payments thereafter coming due under Exhibit B which are attributable tothe
number of days after such Budget Year during which Obligor fails to take such actions and fm any other loss suffered by Obligee as a result of Obligor's failure to take such actions as
required. Obligor shall immediately notify the Obligee as soon as the decision to non - appropriate is made. If such non- appropriaton occurs, then Obligor shall deliver the Equipment to
Obligee as provided below in Section 9.04. Obligor shall be liable for all damage to the Equipment other than normal wear and tear. If Obligor fails to deliver the Equipment to Obligee, then
Obligee shall have the right to obtain and enforce a judgment against Obligor in an amount not less than the sum of all Contract Payments then due plus the then applicable Purchase Option
Price.
V. Insurance, Damage, Insufficiency of Proceeds
Section 5.01 Insurance. Obligor shall maintain both property insurance and liability insurance at its own expense with respect to the Equipment. Obligor shall be solely responsible for
selecting the msurer(s) and for making all premium payments and ensurng that all policies are continuously kept in effect during the period when Obligor is required to make Contract
Payments. Obligor shall provide Obligee with a Certificate of Insurance which lists the Obligee and /or assigns as a loss payee and an additional insured on the policies with respect to the
Equipment.
(a) Obligor shall insure the Equipment against any loss or damage by fire and all other risks covered by the standard extended coverage endorsement then in use in the State and any
other risks reasonably required by Obligee in an amount at least equal to the then applicable Purchase Option Price of the Equipment. Alternatively, Obligor may insure the Equipment
under a blanket insurance policy or policies.
(b) The liability insurance shall insure Obligee from liability and property damage in any form and amount satisfactory to Obligee.
(c) Obligor may self- insure against the casualty risks and liability risks described above. If Obligor chooses this option, Obliga must furnish Obligee with a cert.ficate and /or other
documents which evidences such coverage.
(d) All insurance policies issued or affected by this Section shall be so written or endorsed such that the Obligee and its assignee$ are named additional insureds and loss payees and that
all losses are payable to Obligor and Obligee or its assignees as their interests may appear. Each policy issued or affected by this Section shall contain a provision that the insurance
company shall not cancel or materially modify the policy without first giving thirty (30) days advance notice to Obligee or its assignees Obligor shall furnish to Obligee certificates
evidencing such coverage throughoutthe Contract Term.
Section 5.02 Damage to or Destruction of Equipment. Obligor assumes the risk of loss or damage to the Equipment. If the Equipment or any portion thereof is lost, stolen, damaged, or
destroyed by fire or other casualty, Obligor will immediately report all such losses to all possible insurers and take the proper procedures to obtain all insurance proceeds. At the option of
Obligee, Obligor shall either (1) apply the Net Proceeds to replace, repair or restore the Equipment or (2) apply the Net Proceeds tb the applicable Purchase Option Price For purposes of
this Section and Section 5.03, the term Net Proceeds shall mean the amount of insurance proceeds collected from all applicable insurance policies after deducting all expenses incurred in the
collection thereof.
Section 5.03 insufficiency of Net Proceeds. if there are no Net Proceeds for whatever reason or If the Net Proceeds are insufficient to pay in full the cost of any replacement, repair,
restoration, modification or improvement of the Equipment, then Obligor shall, at the option of Obligee, either (1) complete such replacement, repair, restoration, modification or
improvement and payany costs thereof in excess of the amount of the Net Proceeds or (2) apply the Net Proceeds to the Purchase Option Price and pay the deficiency, if any, to the Obligee.
Section 5.04 Obligor Negligence. Obligor assumes all risks and liabilities, whether or not covered by insurance, for loss or damage to the Equipment and for Injury to or death of any person
or damage to any property whether such injury or death be with respect to agents or employees of Obligor or of third parties, and whether such property damage be to Obligor's property or
the property of others (including, without limitation, liabilities for loss or damage related to the release or threatened release or hazardous substances under the Comprehensive
Environmental Response, Compensation and Liability Act, the Resource 'Conservation and Recovery Actor similar or successor law or any State or local equivalent now existing or hereinafter
enacted which in any manner arise out of or are incidentto any possession, use, operation, condition or storage of any Equipment by Obligor), which is proximately caused by the negligent
conduct of Obligor, its officers, employees and agents.
Section 5.05 Indemnification. Obligor hereby assumes responsibility for and agrees to reimburse Obligee for all liabilities, obligations, losses, damages, penalties, claims, actions, costs and
expenses (including reasonable attorneys' fees) of whatsoever kind and nature, imposed on, incurred by or asserted against Obligee that in any way relate to or arise out of a claim, suit or
proceeding, based in whole or in part upon the negligent conduct of Obligor, its officers, employees and agents, or arose out of installation, operation, possession, storage or use of any item
of the Equipment, to the maximum extent permitted by law. Nothing contained in the Contract shall be deemed to waive Obligor's sovereign immunity beyond the waiver provided at Sec.
768.28, Florida Statutes. Further, Obligor's duty to indemnify, defend and hold Obligee harmless shall be limited to the amounts set forth in Sec. 768.28, Florida Statutes, including limits on
attorneys fees. Nothing contained in the Contractshall be deemed as Obligee's consentto be sued,
VI. Title
Section 6.01 Title. Title to the Equipment shall vest in Obligor when Obligor acquires and accepts the Equipment. Title to the Equipment will automatically transfer to the Obligee in the
event Obligor non - appropriates under Section 4 01 or in the event Obligor defaults under Section 9.01. In such event, Obligor shall execute and deliver to Obligee such documents as Obligee
may requestto evidence the passage of legal title to the Equipment to Obligee and Obligor will peaceably surrender possession of the Equipment to Obligee.
VII. Assignment
Section 7.01 Assignment by Obligee. All of Obligee's rights, title and /or interest in and to this Contract may be assigned and reassigned in whole or in part to one or more assignees or sub -
assignees by Obligee at any time without the consent of Obligor. No such assignment shall be effective as against Obligor until the assignor shall have filed with Obligor written notice of
assignment identifying the assignee. Obligor shall pay all Contract payments due hereunder relating to such Equipment to or at the direction of Obligee or the assignee named in the notice
of assignment. Obligor shall keep a complete and accurate record of all such assignments.
Section 7.02 Assignment. Sale or Transfer by Obligor. None of Obligor's right, title and interest under this Contract and /or in the Equipment may be assigned, sold or transferred by Obligor
unless Obligee approves of such assignment, sale or transfer in writing before such assignment, sale or transfer occurs and only after Obligor first obtains an opinion from nationally
recognised cuunsal stating that such assignment, sale or transfer will not Jeopaidr -e the tax - exempt status of the obligation.
.. Vill. Maintenance of Equipment
S ^tion 8.01 Equipment Obligor shall keep the Equipment In good repair and working order, and as required by manufacturer's and warranty specifications. If Equipment consists of
copiers, Obligor is required to enter into a copier maintenance /service agreement. Obligee shall have no obligation to inspect, test, service, maintain, repair or make improvements or
additions to the Equipment under any circumstances. Obligor will be liable for all damage to the Equipment, other than normal wear and tear, caused by Obligor, its emoloyees or its agents.
Obligor shall pay for and obtain all permits, licenses and taxes related to the ownership, installation, operation, possession, storage or use of the Equipment. If the Equipment includes any
titled vehicle(s), then Obligor is responsible for obtaining such title(s) from the State. Obligor shall not use the Equipment to haul, convey or transport hazardous waste as defined in the
Resource Conservation and Recovery Act, 42 U.S.C. 6901 et. seq. Obligor agrees that Obligee or its Assignee may execute any additional documents including financing statements,
affidavits, notices, and similar instruments, for and on behalf of Obligor which Obligee deems necessary or appropriate to protect Obligee's Interest in the Equipment and in this Contract.
Obligor shall allow Chillies to examine and Inspect the Equipment at all reasonable times.
IX. Default
Section 9.01 Events of Default defined. The following events shall constitute an "Event of Default' underthis Contract:
(a) Failure by Obligorto pay any Contract Payment listed on Exhibit B for fifteen 115) days after such payment is due according to the Payment Date listed on Exhibit B.
(b) Failure to pay any other payment required to be paid under this Contract at the time specified herein and a continuation of said failure for a period of fifteen (15) days after written
notice by Obligee that such payment must be made. If Obligor continues to fail to pay any payment after such period, then Obligee may, but will not be obligated to, make such
payments and charge Obligor for all costs incurred plus Interest at the highest lawful rate.
(c) Failure by Obligor to observe and perform any warranty, covenant, condition, promise or duty under this Contract for a period of thirty (30) days after written notice specifying such
failure is given to Obligor by Obligee, unless Obligee agrees In writing to an extension of time. Obligee will not unreasonably withhold its consent to an extension of time if corrective
action is instituted by Obligor. Subsection (c) does not apply to Contract Payments and other payments discussed above.
(d) Any statement, material omission, representation or warranty made by Obligor in or pursuantto this Contractwhich proves to be false, incorrect or misleading on the date when made
regardless of Obligor's intent and which materially adversely affects the rights or security of Obllgee under this Contract.
(e) Any provision of this Contract which ceases to be valid for whatever reason and the loss of such provision would materially adversely affect the rights or security of Obligee.
;f) Except as provided in Section 4.01 above, Obligor admits in writing its Inability to pay its obligations.
(g) Obligor defaults on one or more of its other obligations.
(h) Obligor becomes insolvent, is unable to pay its debts as they become due, makes an assignment for the benefit of creditors, applies for or consents to the appointment of a receiver,
trustee, conservator, custodian, or liquidator of Obligor, or all or substantially all of its assets, or a petition for relief is filed by Obligor under federal bankruptcy, insolvency or similar
laws, or is filed against Obligor and is not dismissed within thirty (30) days thereafter.
Section 9.02 Remedies on Default. Whenever any Event of Default exists, Obligee shall have the right to take one or any combination of the following remedial steps:
(a) With or without terminating this Contract, Obligee may declare all Contract Payments and other amounts payable by Obligor hereunder to the end of the then current Budget Year to
be immediately due and payable.
(b) With or without terminating this Contract, Obligee may require Obligor at Obligor's expense to redeliver any or all of the Fquipment and any additional collateral to Obligee as
provided below in Section 9.04. Such delivery shall take place within fifteen (15) days after the Event of Default occurs. If Obligor fails to deliver the Equipment and any additional
mlldteral, Obligee may enter the premises where the Equipment and any additional collateial is located and take possession of the Equipment and any additional collateral and charge
Obligor for costs incurred. Notwithstanding that Obligee has taken possession of the Equipment and any additional collateral, Obligor shall still be obligated to pay the remaining
Contract Payments due up until the end of the then current Original Term or Renewal Term. Obligor will be liable for any damage to the Equipment and any additional collateral
caused by Obligoror its employees or agents.
ic) Obligee may take whatever action at law or in equity that may appear necessary or desirable to enforce its rights, including but not limited to all rights listed in Section 4.01 Obligor
shall be responsible to Obligee for all costs incurred by Obligee in the enforcement of its rights under this Contract Including, but not limited to, reasonable attorney fees.
Section 9.03 No Remedy Exclusive. No remedy herein conferred upon or reserved to Obligee Is Intended to be exclusive and every such remedy shall be cumulative and shall be in addition
to every other remedy given under this Contract now or hereafter existing at law or In equity. No delay or omission to exercise any right or power accruing upon any default shall impair any
such righter shall be construed to be a waiver thereof.
Section 9 04 Return of Fouipment and Stnra¢e_
la) Surrender: The Obligor shall, at its own expense, surrender the Equipment, any Additional Collateral and all required documentation to evidence transfer of title from Obligor to the
Obligee in the event of a default or a nun - appropriation by delivering the Equipment and any Additional Collateral to the Obligee to a location accessible by common carrier and
designated by Obligee. In the case that any of the Equipment and any Additional Collateral consists of software, Obligor shall destroy all intangible items consttuting such software
and shall deliver to Obligee all tangible items constituting such software. At Obligee's request Obligor shall also certify in a form acceptable to Obligee that Obligor has complied with
the above software return provisions and that they will Immediately cease using the software and that they shall permit Obligee and /or the vendor of the software to inspect Obligor's
locations to verify compliance with the terms hereto.
Ili) Delivery: The Equipment and any Additional Collateral shall be delivered to the location designated by the Obligee by a common carrier unless the Obligee agrees in writing that a
common carrier is not needed. When the Equipment and any Additional Collateral is delivered into the custody of a common carrier, the Obligor shall arrange for the shipping of the
item and its insurance in transit in accordance with the Obligee's instructions and at the Obligor's sole expense. Obligor at its expense shall completely sever and disconnect the
Equipment and any Additional Collateral or its component parts from the Obligor's property all without liability to the Obligee. Obligor shall pack or crate the Equipment and any
Additional Collateral and all of the component parts of the Equipment and any Additional Collateral carefully and in accordance with any recommendations of the manufacturer. The
Obligor shall deliver to the Obligee the plans, specifications, operation manuals or other warranties and documents furnished by the manufacturer or vendor or the Equipment and
any Additional Collateral and such other documents in the Obligor's possession relating to the maintenance and methods of operation of such Equipment and any Additional Collateral.
(c) Condition: When the Equipment is surrendered to the Obligee it shall be in the condition and repair required to be maintained under this Contract, it will also meet all legal regulatory
conditions necessary for the Obligee to sell or lease it to a third party and be free of all hens. If Obligee reasonably determines that the Equipment or an item Cif the Equipment, once it
is returned, is not in the condition required hereby, Obligee may cause the repair, service, upgrade, modification or overhaul of the Equipment or an item of the Equipment to achieve
such condition and upon demand, Obligor shall promptly reimburse Obligee for all amounts reasonably expended in connection with the forego! ng.
(d) Storage: Upon written request by the Obligee, the Obligor shall provide free storage for the Equipment and any additional collateral for a period not to exceed 60 days after the
expiration of [he Contract Tenn before returning it to the Obligee. The Obligor shall arrange for the insurance described to continue in full force and effect with respect to such item
during its storage period and the Obligee shall reimburse the Obligor on demand for the incremental premium cost of providing such insurance.
X. Vendor Payable Account
Section 10.01 Establishment of Vendor Payable Account. On the date that the Obligee executed this Contract, which Is on or after the date that the Obligor executes this Contract, Obligee
agrees to (i) make available to Obligor an amount sufficient to pay the total Purchase Price for the Equipment by establishing a separate, non - interest bearing account (:he "Vendor Payable
Account "), as agent for Obligor's account, with a financial institution that Obligee selects that is acceptable to Obligor (including Obligee or any of Its affiliates) and (ii) to deposit an amount
equa to such Purchase Price as reflected on Exhibit B in the Vendor Payable Account. Obligor hereby further agrees to make the representations, warranties and covenants relating to the
Vendor Payable Account as set forth In Exhibit C attd had hereto. Upon Obligor's delivery tc Obligee of a Payment Request and Equipment Acceptance Form in the form set forth in Exhibit C
attached hereto, Obligor authorizes Obligee to withdraw funds from the Vendor Payable Account from time to time to pay the Purchase Price, or a portion thereof, for each Item of
Equipment as it is delivered to Obligor. The Payment Request and Equipment Acceptance Form must be signed by an authorized individual acting on behalf of Obligor. The authorized
individual or individuals designated bythe Obligor must sign the Signature Card which will be kept in the possession of the Obligee.
Section 10.02 Down Payment. Prior to the disbursement of any funds from the Vendor Payable Account, the Obligor must either (1) deposit all tie down payment funds that the Obligor
has committed towards the purchase of the Equipment into the Vendor Payable Account or (2) Obligor must provide written verification to the satisfaction of the Obligee that all the down
payment funds Obligor has committed towards the purchase of the Equipment have already been spent or are simultaneously being spent with the funds requested fron the initial Payment
Request and Equipment Acceptance Form. For purposes of this Section, the down payment funds committed towards the Equipment from the Obligor are the down payment funds that
were represented to the Obligee at the time this transaction was submitted for credit approval by the Obligor to the Obligee.
Section 10.03 Disbursement upon Non - Appropriation or Default If an event of nor - appropriation or default occurs prior to the Partial Prepayment Date, the amount then on deposit in the
Vendor Payable Accountshall be retained by the Obligee and Obligorwill have no interest therein,
Section 10.04 Surplus Amount. Apy Surplus Amount then on deposit in the Vendor Payable Account on the Partial Prepayment Date shall be applied to pay on such Partial Prepayment Date
a portion of the Purchase Option Price then applicable.
Section 10.05 Recalculation of Contract Payments. Upon payment of a portion of the Purchase Option Price as provided in Section 10.04 above, each Contract Paymert thereafter shall be
reduced by an amount calculated by Cbligee based upon a fractior the numerator of which is the Surplus Amount and the denominator of which is the Purchase Option Price on such Partial
Prepayment Date_ Withinl5 days after such Partial Prepayment Date, Obligee shad provide to Obligor a revised Exhibit B to this Contract, which shall take into accourt such payment of a
portion of the Purchase option Price thereafter and shall be and become thereafter Exhibit B to this Contract. Notwithstanding any other provision of this Section 10, this Contract shall
remain in full force and effect with respect to all or the portion of the Equipment accepted by Obligor as provided In this Contract, and the portion of the principal component of Contract
Payments remaining unpaid after the Partial Prepayment Date plus accrued interest thereon shall remain payable in accordance with the terms of this Contract, including revised Exhibit B
hereto which shall be binding and conclusive upon Obligee and Obligor.
Xl. Miscellaneous
Section 11.01 Notices. All notices shall be sufficiently given and shall be deemed given when delivered or mailed by registered mail, postage prepaid, to the parties at their respective places
of business as first set forth herein or as the parties shall designate hereafter in writing.
Section 11.02 Binding Effect. Obligor acknowledges this Contract is not binding upon the Obligee or its assignees unless the Conditions to Funding listed on the Documentation Instructions
have been met to Obligee's satisfaction, and Obligee has executed the Contract. Thereafter, this Contract shall inure to the benefit of and shall be binding upon Obligee and Obligor and
their respective successors and assigns.
Section 11.03 Severabilitv. In the event any provision of this Contract. shall be held nvand or unenforceable by any court of competent jurisdiction, such holding shall not Invalidate or render
unenforceable any other provision hereof.
Section 11.04 Amendments, Addenda, Chanees or Modifications. This Contract may be amended, added to, changed or modified by written agreement duly executed by Obligee and
Obligor. Furthermore, Obligee reserves the right to directly charge or amortize into the remaining balance due from Obligor, a reasonable fee, to be determired at that time, as
compensation to Obligee forthe additional administrative expense resulting from such amendment, addenda, change or modification requested by Obligor.
Section 11.05 Execution in Counterparts. This Contract may be simultaneously executed in several counterparts, each of which shall be an original and all of which shall constitute but one
and the same instrument.
Section 11 -06 Captions. The captions or headings In the Contract do not define, limit or describe the scope or Intent of any provisions or sections of this Contract.
Section 11.07 Master Contract This Contract can be utilized as a Master Contract. This means that the Obligee and the Obligor may agree to the financing of additional Equipment under
this Contract at some point in the future by executing one or more Additional Schedules to Exhibit A and Exhibit B, as well as other exhibits or documents that may be required by Obligee.
Additional Schedules will be consecutively numbered on each of the exhibits which make up the Additional Schedule and all the terms and conditions of the Contract shall govern each
Additional Schedule.
Section 11.08 Entire Wrltlnia. This Contact constitutes the entire writing between Obligee and Obligor. No waiver, consent, modification or change of terms of this Contract shall bind either
party unless in writing and signed by both parties, and then such waiver, consent, modification or change shall be effective only in the specific instance and for the specific purpose given.
There are no understandings, agreements, representations, conditions, or warranties, express or implied, which are not specified herein regarding this Contract, the Equipment or any
additional rnllateral, finanred hereunder. Any terms and conditions of any purchase order or other documents submitted by Obligor in connection with this Contact wh.ch are in addition to
or inconsistent with the terms and conditions of this Contract will not be binding on Obligee and will not apply to this Contract.
Section 11.09 Designation as Qualified Tax - Exempt Obligation. Pursuant to Section 265(b)(3)(B)(i) of the Internal Revenue Code of 1986 as amended (the "Code"), the Obligor hereby
specifically designates the Contract as a "qualified tax - exempt obligation" for purposes of Section 265(b)(3) of the Code. In compliance with Section 265(b)(3)(D) of the Code, the Obligor
hereby represents that the Obligor will not designate more than $10,000,000 of obligations issued by the Obligor in the calendar year during which the Contact is executed and delivered as
such "qualified tax - exempt obligations ". In compliance with the requirements of Section 265(b)(3)(C) of the Code, the Obligor hereby represents that the Obligor ;including all subordinate
entities of the Obligor within the meaning of Section 265(b)(3)(E) of the Code) reasonably anticipates not to issue in the calendar year during which the Contract is executed and delivered,
obligations bearing interest exempt from federal income taxation under Section 103 of the Code (other than "private activity bonds" as defined in Section 141 of the Code) in an amount
greater than $10,000,000.
Section 11 -10 Acceptance of Obligation to Commence Contract Payments Under Exhibit B. By signing and attesting directly below, Obligor hereby warants and certifies that: The Equipment
described on Exhibit A has not been delivered, installed or available fur use as of the Curnmencement date of this Contract. Obligor acknowledges that Obligee has agreed to deposit into a
Vendor Payable Account an amount sufficient to pay the total purchase price (the "Purchase Price ") for the Equipment so identified in such Exhibit A, The principal amount of the Contract
Payments in the Exhibit 8 accurately reflects the Purchase Price; Obligor agrees to execute a Payment Request and Equipment Acceptance Form authorizing payment of the Purchase Price,
or portion thereof, for each withdrawal of funds from the Vendor Payable Account
Section 11.11 Obligor further warrants and certifies that: Obligor's obligation to commence Contract Payments as set forth in Exhibit B is absolute and unconditional as of the
Commencement Date and on each date set forth in Exhibit B thereafter, subject to the terms and conditions of the Contact; immediately upon delivery and acceptance of all the
Equipment, Obligor will notify Obligee of Obligor's final acceptance of the Equipment by delivering to Obligee the Payment Request and Equipment Acceptance Form in the form set forth in
_xhibit C attached to the Contract; in the event that any Surplus Amount is on deposit in the Vendor Payable Account when an event of non - appropriation or default under the Contract
occurs, then those amounts shall be applied as provided in Section 10 of the Contract; regardless of whether Obligor delivers a final Payment Request and Equipment Acceptance Form, all
Contract Payments paid prior to delivery of all the Equipment shall be credited to Contract Payments as they become due under the Contract as set forth in Exhibit B
Section 11.12 Resolution and Authorization. By signing and attesting directly below, Obligor hereby warrants and certifies that the Governing Body of the Obligor at either a special or
regular meeting or through some other approved method of authorization has determined that this Contract is in the best interests of the Obligor and the Governing Body did at such
meeting or through some other approval method approve the entering into of the Contract by the Obligor and specifically designated and authorized the individuals) who have signed
directly below to execute this Contract on Obligor's behalf along with any related documents (including any Escrow Agreement) necessary to the consummation of the transaction
contemplated by the Contract.
Obligee and Obligor have caused this Contract to be executed in their names by their duly auth ed representatives listed 6elow-
Village of Tequesta, Florida First Ca quipment Leasing Corp.
Signature _ S' na
Michael R. Couzzo, Jr., A p
Printed Name and Title Printed Name and Title
Village of Tequesta, Florida
Atte ted By Authorized Individual:
��
„
Signature A
Lori McWilliams, Village arli ••
Printed Name and Title : Co ••� o �Q'•
>V C7
,✓� ' �
IDA
P't� it fffltitsttC't,',+
Schedule (01)
EXHIBIT A
DESCRIPTION OF EQUIPMENT
RE: Government Obligation Contract dated as of May 15, 2015, between First Capital Equipment Leasing Corp. (Obligee) and Village of
Tequesta, Florida (Obligor)
Below is a detailed description of all the items of Equipment including quantity, model number and serial number where applicable:
Seven (7) 2015 Ford Police Interceptors with Upfitting
Physical Address of Equipment after Delivery: 357 Tequesta Dr., Tequesta, F_ 33469
Schedule (01)
EXHIBIT B
PAYMENT SCHEDULE
RE: Government Obligation Contract dated as of May 15, 2015, between First Capital Equipment Leasing Corp. (Obligee) and Village of
Tequesta, Florida (Obligor)
Date of First Payment: June 1, 2015
Original Balance: $240,657,82
Total Number of Payments: Thirty -Six (36)
Number of Payments Per Year: Twelve (12)
Actual Rate: 3.0079
Effective Annual Rate: 3.0499
Pmt Due Contract Applied to Applied to *Purchase
No. Date Payment Interest Principal Option Price
1 1- Jun -15 $6,991.80 $341.75 $5,650.05 $238,190.88
2 1- Jul -15 $6,991.80 $586.42 $6,405.38 $231,SS8.35
3 1- Aug -15 $6,991.80 $570.37 $6,421.43 $224,915.82
4 1- Sep -15 $6,991.80 $554.28 $6,437.52 $218,263.27
5 1- Oct -15 $6,991.80 $538.14 $6,453.66 $211,600.68
6 1- Nov -15 $6,991.80 $521.97 $6,469.83 $204,928.04
7 1- Dec -15 $6,991.80 $505.76 $6,486.04 $198,245.34
8 1- Jan -16 $6,991.80 $489.50 $6,502,30 $191,552.56
9 1- Feb -16 $6,991.80 $473.21 $6,518.59 $184,849.69
10 1- Mar -16 $6,991.80 $456.87 $6,534.93 $178,136.70
11 1- Apr -16 $6,991.80 $440.50 $6,551.30 $171,413.59
12 1- May -16 $6,991.80 $424.08 $6,567.72 $164,680.34
13 1- Jun -16 $6,991.80 $407.62 $6,584.18 $157,936.93
14 1- Jul -16 $6,991,80 $391.12 $6,600.68 $151,183.35
15 1- Aug -16 $6,991.80 $374.58 $6,617.22 $144,419.58
16 1- Sep -16 $6,991.80 $358.00 $6,633.80 $137,645.61
17 1- Oct -16 $6,991.80 $341.37 $6,650.43 $130,861.43
18 1- Nov -16 $6,991.80 $324.71 $6,667.09 $124,067.01
19 1- Dec -16 $6,991.80 $308.00 $6,683.80 $117,262.34
20 1- Jan -17 $6,991.80 $291.25 $6,700.SS $110,447.41
21 1- Feb -17 $6,991.80 $274.46 $6,717.34 $103,622,20
22 1- Mar -17 $6,991.80 $257.62 $6,734.18 $96,786.70
23 1- Apr -17 $6,991.80 $240.75 $6,751.05 $89,940.89
24 1- May -17 $6,991.80 $223.83 $6,767.97 $83,084.75
25 1- Jun -17 $6,991.80 $206.87 $6,784.93 $75,218.27
26 1- Jul -17 $6,991.80 $189.87 $6,801.93 $69,341.43
27 1- Aug -17 $6,991.80 $172.82 $6,818.98 $62,454.22
28 1- Sep -17 $6,991.80 $155,73 $6,836.07 $55,556.62
29 1- Oct -17 $6,991.80 $138.60 $6,853.20 $48,648.62
30 1- Nov -17 $6,991.80 $121,43 $6,870.37 $41,730.20
31 1- Dec -17 $6,991.80 $104.21 $6,887.59 $34,801.34
32 1- Jan -18 $6,991.80 $86.95 $6,904.85 $27,862.03
33 1- Feb -18 $6,991.80 $69.65 $6,922.15 $20,91126
34 1- Mar -18 $6,991.80 $52.30 $6,939.50 $13,952.00
35 1- Apr -18 $6,991.80 $34.91 $6,956.89 $6,981.24
36 1- May -18 $6,991.80 $17.4 $6,974.32 $0.00
Village of Tequesta, Florida
Signature
Printed Name and Title
*Assumes all Contract Payments due to date are pai
Please list the Source of Funds (Fund Item in Budget) for the Contract Payments that come due under Exhibit B of this Contract.
Source of Funds : Vehicle Account
Schedule (01)
EXHIBIT D
SIGNATURE CARD
RE: Government Obligation Contract dated as of May 15, 2015, between First Capital Equipment Leasing Corp. (Obligee) and Village of
Tequesta, Florida (obligor)
The below signatures will be used for purposes of verifying the signature on a Paymert Request and Equipment Acceptance Form prior to making
payments from the Equipment Acquisition Fund or Vendor Payahle Account. By signing below, the undersigned represents and warrants that s /he
has received all appropriate authority from Village of Tequesta, Florida.
Villa o Tecluest , Florida
Oi
�g
Chr'Mopher L. Fig, Chi P01
S re
Printed game and Title
Signat of a ditional authorized individual (optional) of Obligor
Sign re
Donald J_ Rirr_.iardi, Asst. Chief of Police
Printed Name and Title
Schedule (01)
EXHIBIT E
OBLIGOR ACKNOWLEDGEMENT
RE: Government Obligation Contract dated as of February 13, 2015, between First Capital Equipment Leasing Corp. (Obligee) and
Village of Tequesta, Florida (Obligor)
Obligor hereby acknowledges that it has ordered or caused to be ordered the equipment that Is the subject of the above - mentioned
Contract. (Only one entry per vendor)
Please complete the vendor & equipment information below for each EQUIPMENT VENDOR.
(Attach additional pages as needed)
Vendor Name: _ Do p��isi F�rd —
Address: R0. Box 940005
Cit state & Zip: Maitland, Flor'da 32794 -00 5._
Vendor Phone: (407 (344-8111 Ext:
Contact /Sales Rep: Brooke Heath Please Provide Email: hrookehC5�dnnrtaidford -cam _
Brief Equip. Description: Seven (7) 2015 Ford Police Interceptor Ut' ' V Vehicles
Equipment Amount ($): $183,050-00 Est. Delivery Date: Ma v 20 7 ___ 15
Vendor Name: Darla Safety Supply, Inc.-
Address: 48:19 V Orqnqp RIOssom Trail
City, State & Zip: Orlando, Florida 32810
Vendor Phone: _( 407) 401 -0605 Ext:
Contact /Sales Rep: Jeff BOBbIn gC'[' _____ —.__ _ Provide Email: IbClger 1 dss cOm
Brief Equip, Description: Police Ve i FClidlimpnt
Equipment Amount ($): $57, Est, Delivery Date: _ 11 y 2015
Vendor Name: -
Address:
City, State & Zip:
Vendor Phone: Ext:
Contact /Sales Rep: Please Pro Email
Brief Equip. Description:
Equipment Amount ($): Est. Delivery er D
Obligor will immediately notify Obligee if any of the information listed above is changed
NOTICE OF ASSIGNMENT
MAY 15, 2015
First Capital Equipment Leasing Corp. (Obligee /Assignor) hereby gives notice of an Assignment between Obligee /Assignor and KS StateBank
(Assignee) of the Government Obligation Contract (Contract) between Obligee /Assignor and Village of Tequesta, Florida dated as of May 15, 2015.
All Contract Payments coming due pursuant to the Contract shall be made to:
KS StateBank
1010 Westloop, P.O. Box 69
Manhattan, Kansas 66505 -0069
Fi Capital Eq ment Leasing Corp., Obligee /Assignor
sign
grow TTY P
Printed Name and Tltle
ACKNOWLEDGEMENT OF AND CONSENTTO ASSIGNMENT
Village of Tequesta, Florida (Obligor) as parry to a Government Obligation Contract dated as of May 15, 2015 between Obligor and First Capital
Equipment Leasing Corp. (Obligee), hereby acknowledges receipt of a Notice of Assignment dated May 15, 2015 whereby Obligee gave notice of its
assignment to KS StateBank of its right to receive all Contract Payments due from Obligor under the Contract and hereby consents to that
Assignment. Pursuant to the Notice of Assignment frorn Obligee, Obligor agrees to deliver all Contract Payments caning due under the Contract
to:
KS StateBank
1010 Westloop, P.O. Box 69
Manhattan, Kansas 66505 -0069
Village of Tequesta, Florida
— Oo * o
-07 -A
S:gnabure
Michael R. I a C—
Printed Name and Title
INSURANCE REQUIREMENTS
Pursuant to Article V of the Government Obligation Contract, you have agreed to provide us evidence of insurance covering the
Equipment.
A Certificate of Insurance listing the information stated below should be sent to us no later than the date on which the equipment is
delivered.
Insured: Certificate Holder:
Village of Tequesta, Florida KS StateBank
345 Tequesta Drive 1010 Westloop, P.O. Box 69
Tequesta, Florida 33469 Manhattan, Kansas 66505 -0069
1. Equipment Description
4 Seven (7) 2015 Ford Police Interceptors with Upfitting
® Please include all applicable VIN'S, serial numbers, etc.
2. Deductible
♦ The deductible amounts on the insurance policy should not exceed $15,000.00.
3. Physical Damage
® All risk coverage to guarantee proceeds of at least $240,657.82.
4. Liability
Minimum Combined Single Limit of $1,000,000.00 on bodily injury and property damage.
5. Additional Insured and Loss Payee
o KS StateBank and /or Its Assigns MUST be listed as additional insured and loss payee.
Please forward certificate as soon as possible to: : °� TB III
wivi
Please complete the information below and return this form along with the Contract
p g . „
Village of Tequesta, Florida
Insurance Company: FM I I __—
Agent's Name: Dorothy Rollins —.__—
Telephone #: (407) 367 -1798
Fax #: (407) 425 -9378 (Routing #1798)
Address: 301 S_ Br onon u h Stre Sui 30 0_ _
City, state zip: T allahassee, FL 32301
Email: d rollins @ficitie __
Form 8038-0 Information Return for Tax - Exempt Governmental Obligations
(Rev. September 2011)
► Under Internal Revenue Code section 149(e) ONB No. 1545 -0720
Department of the Treasury ► See separate instructions.
Internal Revenue Service Caution: If the issue price is under $ 100,000 ; use Form 8036 -GC.
Reporting Authority If Amended Return, check here ® ❑
1 Issuer's name 2 Issuer's employer identification number (EIN)
Village of Tequesta, Florida
3a Name of person (other than issuer) with whom the IRS may communicate about this return (see instructions) 3b Telephone number of other person shown on 3a
4 Number and street (or P.O. box if mail is not delivered to street address) Room /suite 5 Report number (For IRS Use Only)
345 Tequesta Drive 3
6 City, town, or post office, state, and ZIP code 7 Date of issue
Tequesta, Florida 33469 05/15/2015
8 Name of issue 9 CUSIP number
Government Obligation Contract None
10a Name and title of officer or other employee of the issuer whom the IRS may call for more infconation (set 10b Telephone number of officer or other
Instructions) employee shown on 10a
Jodi Forsythe, Finance Director (561) 768 -0424
Type of Issue (enter the issue price). See the instructions and attach schedule.
11 Education . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
12 Health and hospital . . . . . . . . . . . . . . . . . . . . . . 12
13 Transportation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
14 Public safety . . . . . . . . . . . . . . . . . . . . 14
15 Environment (including sewage bonds) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
16 Housing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
17 Utilities . . . . . . . . . . . . . . . . . . . . . . . 17
18 Other. Describe ► Seven (7) 2015 Ford Police Interceptors with Upfitting 18 243,157 82
19 If obligations are TANS or RANs, check only box 19a . . . . . . . . . . . . . . . . . . ► ❑
If obligations are BANs, check only box 19b . . . . . . . . . . . . . . . . . . . . . . . . . ► ❑
20 If obligations are in the form of a lease or installment sale, check box . . ► ❑
Description of Obligations. Complete for the entire issue for which this form is being filed.
(a) Final maturity date (b) issue price (c) Stated redemption (d) Weighted (e) Yield
price at maturity average maturity
21 05/01/2018 $ 243,157.82 $ 240 657.82 1.563 years 3.025 %
JUM Uses of Proceeds of Bond Issue (including underwriters' discount)
22 Proceeds used for accrued interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
23 Issue price of entire issue (enter amount from line 21, column (b)) . . . . . . . . . 23 243,157 82
24 Proceeds used for bond issuance costs (including underwriters' discount) . . . . 24 2,500 00
25 Proceeds used for credit enhancement . . . .. . . . . . . . . . . . . 25
26 Proceeds allocated to reasonably required reserve or replacement fund . . . 26
27 Proceeds used to currently refund prior issues . . . 27
28 Proceeds used to advance refund prior issues . . . . . . . 28 _
29 Total (add lines 24 through 28) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 2,500 00
30 Nonrefunding proceeds of the issue subtract line 29 from line 23 and enter amount here 30 240 82
Description of Refunded Bonds. Complete this part only for refunding bonds.
31 Enter the remaining weighted average maturity of the bonds to be currently refunded _ ► years
32 Enter the remaining weighted average maturity of the bonds to be advance refunded . . . . . . . . . .. ► years
33 Enter the last date on which the refunded bonds will be called (MM /DDIYYYY) . . . . . . . . . . . . . . ►
34 Enter the date(s) the refunded bonds were issued ► (MM /DD /YYYY)
For Paperwork Reduction Act Notice, see separate instructions. Cat. No 63773S Form 8038 -G (Rev. 9 -2011)
• Form 8038 -G (Rev. 9 -2011) Page 2
Miscellaneous _
35 Enter the amount of the state volume cap allocated to the issue under section 141(b)(5) . . . . . . . . 35
36a Enter the amount of gross proceeds invested or to be invested in a guaranteed investment contract (GIC)
(see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36a
b Enter the final maturity date of the GIC ►
c Enter the name of the GIC provider
37 Pooled financings: Enter the amount of the proceeds of this issue that are to be used to make loans
to other governmental units . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
38a If this issue is a loan made from the proceeds of another tax - exempt issue, check box ► ❑ and enter the following information:
b Enter the date of the master pool obligation ►
c Enter the EIN of the issuer of the master pool obligation Po-
d Enter the name of the issuer of the master pool obligation I-
39 If the issuer has designated the issue under section 265(b)(3)(B)(i)(III) (small issuer exception), check box . . . . . . . . . . . 0 (�
40 If the Issuer has elected to pay a penalty in lieu of arbitrage rebate, check box . . . . . . . . . . . . . . . . . ► ❑
41a If the issuer has identified a hedge, check here ► ❑ and enter the following information:
b Name of hedge provider ►
c Type of hedge Po-
d Term of hedge b-
42 If the issuer has superintegrated the hedge, check box . . . . . . . . . . . . . . . . . . . . . . . . . . . . ► ❑
43 If the issuer ties established written procedures to ensure that all nonqualified bonds of this issue are remediated
according to the requirements under the Code and Regulations (see instructions), check box . . . . . . . . . . . . . . . ► ❑
44 If the issuer has established written procedures to monitor the requirements of section 148, check box . . . . . ► ❑
45a If some portion of the proceeds was used to reimburse expenditures, check here ► ❑ and enter the amount
of reimbursement. . . . . . . . ►
b Enter the date the official intent was adopted go-
Under penalties of perjury, I declare that I have exam'ned this return and accompanying schedules and stet ments, and to the best of my knowledge
Signature a nd bellef, they are true, correct, and complete. I further declare that I consent to the IRS's disclosure e issuer' �um information, as necessaryto
and process this return, to the person that I have athorized above.
Consent l ® .•►tto
Signature of issu s au d epresenta a Date Type or print name and title
Print/Type preparers name parer'S Sig lure Date
Paid o,a env, eye =brH Ew..... Check ❑ If
w+�i oue zais os ,3 i s:sc3z -nsoo self - employed
Preparer H. Evan Howe 05104/2015 P014 2994
Use Only Firm's Name ► Ba stone Financial LLC Firm's El ► 48- 1223987
Firm's Address ► 12980 Metcalf, Suite 310, Overland Park, KS 66213 Phone no. 800 752 -3562
Form 8038 -G (Rev. 9- 2011))