MEARS LEASE PURCHASE SCHEDULE 09-A0 F
TO: Mears Motor Leasing
3905 El Rey Road
Orlando, FL 32808
407-298-2982
ATTN: Joanne Corneir
FROM: City of Clearwater
RE: Lease Purchase Draw Request
1. Request No.: 09-A
2. Please Pay: $1,217,08393 dollars (see lease term schedules)
We hereby request this disbursement from the line of credit under the Master Lease
Agreement and, in connection therewith, certify and agree as follows:
A. The undersigned has not previously drawn down any amount of the line of credit
for the current expenditures;
B. The items covered by this request have been or are being purchased in accordance
with the terms of the Master Lease Agreement.
PAYMENT INSTRUCTIONS
Banking Information
Bank Name Bank of America
Bank ABA Number 026009593
Account Number 001260030758
Account Name City of Clearwater Consolidated Cash
'v.;A. Y1. Aci(0 { ww)n-,,"
DISBURSEMENT DETAILS
5-Year Lease 'T'erm
Invoice No. Vendor Description Amount
1798 Extensys Network Equip 37,744.74
1833 Extensys Network Equip 3,221.25
IN-7718 Ten-8 Ambulance 155,407.00
184540 Steco Trailer 89,750.00
8EE42862 Duval Ford F450 Cab & Chassis 35,739.00
81225279 Classic Chevrolet Cargo Van 18,985.00
98269332 John Deere Utility Tractor 35,282.16
98320177 John Deere Utility Tractor 29,894.88
40267894 WescoTurf Mower 43,987.90
40267895 WescoTurf Mower 42,607.02
F9R164821 Alan Jay Automotive Suburban 33,432.00
F9R164395 Alan Jay Automotive Suburban 33,43200
12301838 WescoTurf Mowers 50,729.84
803-1474 Rush Truck Center Peterbilt Cab & Chassis 191,850.54
Total 5-Year Term 802,063.33
3-Year Lease Ter
Invoice No. Vendor Description Amount
XD286XCW9C Dell Marketing Computer Equipment 676.60
XD25MDWP8C Dell Marketing Computer Equipment 3,080.00
9X117333 Duval Ford Police Vehicles 25,704.00
9X117325 Duval Ford Police Vehicles 25,704.00
9X117329 Duval Ford Police Vehicles 25,704.00
9X117328 Duval Ford Police Vehicles 25,704.00
9X117332 Duval Ford Police Vehicles 25,704.00
9X117331 Duval Ford Police Vehicles 25,704.00
9X117335 Duval Ford Police Vehicles 25,704.00
9X117334 Duval Ford Police Vehicles 25,704.00
9X117336 Duval Ford Police Vehicles 25,704.00
9X117338 Duval Ford Police Vehicles 25,704.00
9X117330 Duval Ford Police Vehicles 25,704.00
9X117339 Duval Ford Police Vehicles 25,704.00
9X117326 Duval Ford Police Vehicles 25,704.00
9X117327 Duval Ford Police Vehicles 25,704.00
9X117337 Duval Ford Police Vehicles 25,704.00
9X117340 Duval Ford Police Vehicles 25,704.00
Total 3-Year Term 415,020.60
Information Return for Tax-Exempt Governmental Obligations
Form P Under Internal Revenue Code section 149(e) OMB No. 1545-0720
(Rev. November 2000) P See separate Instructions.
ue trial Revofenue the Service Treasury Caution: If the issue price is under $100,000, use Form 8038-GC.
Internal Rev
Reporting Authority If Amended Return, check here ?
1 Issuer's name
City of Clearwater 2 Issuer's employer identification number
59 ; 6000289
3 Number and street (or P.O. box if mail is not delivered to street address)
PC Box 4748 Room/suite 4 Report number
3
5 City, town, or post office, state, and ZIP code
Clearwater, FL 33758-4748 6 Date of issue
January 14, 2009
7 Name of issue
Master Lease Agreement No. 09-A 8 CUSIP number
N/A
9 Name and title of officer or legal representative whom the IRS may call for more information
Clement Vericker, Debt Specialized Accounting Manager 10 Telephone number of officer or legal representative
( 727 ) 562-4520
Type of Issue (check applicable box(es) and enter the issue rice) See 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 11 Various Equipment for City Use 18 415,020.60
19
20 If obligations are TANS or RANs, check box Ill ? If obligations are BANS, check box ? ?
If obligations are in the form of a lease or installment sale, check box ?
11.
sa I Description of Cbliciations. Complete for the entire issue for w
hich this form is being filed.
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36a
b
37
b
38
39
40
(a) Final maturity date
I
I (b) Issue price
(c) Stated redemption
price at maturity
(d) Weighted
average maturity
(e) Yield
01/01/2012 $ 415,020.60 $ 415,020.60 3 ears 3.02 %
Uses of Proceeds of Bond Issue (including underwriters` discount)
Proceeds used for accrued interest . . . . . . . . . . . . . . . 22
Issue price of entire issue (enter amount from line 21, column (b)) . . . . , 23 415,020.60
Proceeds used for bond issuance costs (including underwriters' discount) . 24
Proceeds used for credit enhancement . . . . . . . . . . . . 25
Proceeds allocated to reasonably required reserve or replacement fund . . 26
Proceeds used to currently refund prior issues .
. . 27
. . .
. . .
Proceeds used to advance refund prior issues . . . . . . 28
Total (add lines 24 through 28) . . . . . . . . . . . . . . . . . . . 29
Nonrefundin proceeds of the issue (subtract line 29 from line 23 and enter amount here) . 30 415,020.60
Description of Refunded Bonds (Complete this part only for refunding bonds.)
Enter the remaining weighted average maturity of the bonds to be currently refunded . . N/A years
Enter the remaining weighted average maturity of the bonds to be advance refunded . . . li NIA years
Enter the last date on which the refunded bonds will be called . . . . . .
Enter the date(s) the refunded bonds were issued 110
41 Miscellaneous
Enter the amount of the state volume cap allocated to the issue under section 141(b)(5) 35
Enter the amount of gross proceeds invested or to be invested in a guaranteed investment contract (see instructions) 36a
Enter the final maturity date of the guaranteed investment contract Ill W///
Pooled financings: a Proceeds of this issue that are to be used to make loans to other governmental units 37a
If this issue is a loan made from the proceeds of another tax-exempt issue, check box 1, ? an d enter the name of the
issuer 1- and the date of the issue li
If the issuer has designated the issue under section 265(b)(3)(13)(i)(III) (small issuer exception), check box . . . ?
If the issuer has elected to pay a penalty in lieu of arbitrage rebate, check box . . . . . . ?
If the issuer has identified a hedge, check box . . . . . . . . . . . ?
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge
and belief, they are true, correct, and complete.
Sign
ere tt
Signature of is uer's authorized representative Date"
Margaret L. Simmons, Finance Directo
Type or print name and title
For Paperwork Reduction Act Notice, see page 2 of the Instructions. Cat. No. 63773S Form 8038-G (Rev. 11-2000)
Infor ation eturn for Tax-Exempt Governmental Obligations
Form ? Under Internal Revenue Code section 149(e) OMB No. 1545-0720
(Rev. November 2000) ? See separate Instructions.
Department of the Treasury Caution: If the issue price is under $100,000, use Form 8038-GC.
Internal Revenue Service
r? ?. Reportinq Authority If Amended Return, check here Ill ?
1 Issuer's name
City of Clearwater
3 Number and street (or P.O. box if mail is not delivered to street address)
PO Box 4748
2 Issuer's employer identification number
59 ; 6000289
4 Report number
3
5 City, town, or post office, state, and ZIP code 6 Date of issue
Clearwater, FL 33758-4748 January 14, 2009
7 Name of issue 8 CUSIP number
Master Lease Agreement No. 09-A N/A
9 Name and title of officer or legal representative whom the IRS may call for more information 10 Telephone number of officer or legal representative
Clement Vericker, Debt Specialized Accounting Manager ( 727 ) 562-4520
Tvae of Issue (check aoolicable box(es) and enter the issue price) See 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 Various Equipment for City Use 18 802,063.33
19 If obligations are TANs or RANs, check box 6? ? If obligations are BANS, check box 00- ?
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 bein filed.
(a) Final maturity date O b Issue rice
p (c) Stated redemption
price at maturity (d) weighted
average maturity
(e} Yield
21 01/01/2014 $ 802,063.33 $ 802,063.33 5 ears 2.80 %
- 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)) . . . . . . 23 802,063.33
24 Proceeds used for bond issuance costs (including underwriters' discount) 24
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
30 Nonrefundin proceeds of the issue (subtract line 29 from line 23 and enter amount here) . 30 802,063.33
T `1, , 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 . . . N/A years
32 Enter the remaining weighted average maturity of the bonds to be advance refunded . . . N/A years
33 Enter the last date on which the refunded bonds will be called Ir
34 Enter the date(s) the refunded bonds were issued
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 (see instructions) 36a
b Enter the final maturity date of the guaranteed investment contract Ill
37 Pooled financings: a Proceeds of this issue that are to be used to make loans to other governmental units 37a
b If this issue is a loan made from the proceeds of another tax-exempt issue, check box Ir ? and enter the name of the
issuer 0- and the date of the issue i-
38 If the issuer has designated the issue under section 265(b)(3)(13)(i)(III) (small issuer exception), check box . . . ?
39 If the issuer has elected to pay a penalty in lieu of arbitrage rebate, check box . . . . . ?
40 If the issuer has identified a hedge, check box ?
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge
and belief, they are true, correct, and complete.
Sign
Here 1 !ZV,,g Margaret L. Simmons, Finance Directo
Signature of iss er's authorized representative Date Type or print name and title
For Paperwork Reduction Act Notice, see page 2 of the Instructions. Cat. No. 63773S Form 8038-G (Rev. 11-2000)
MUNICIPAL PAYMENT SCHEDULE
Citv of Clearwater 3 Year
t-rincipai
Residual Value
Yearly Interest Rate
Number of Years
Payment Terms
Payment Type
Compound Type
First Payment
3.02%
3
Quarterly
Arrears
Equal Payment
4/1/2009
Payment Date Payment Interest Principal Reduction Principal
Totals
12 $ 435,669 $ 20,648 $ 415,021
Schedule
1 4/1/2009 $ 36,305.71 $ 3,13141 $ 33,172.31 $ 381,848.29
2 7/1/2009 $ 36,305.71 $ 2,882.95 $ 33,422.76 $ 348,425.53
3 10/1/2009 $ 36,305.71 $ 2,630.61 $ 33,675.10 $ 314,750.43
4 1/1/2010 $ 36,305.71 $ 2,376.37 $ 33,92935 $ 280,821.09
5 4/1/2010 $ 36,305.71 $ 2,120.20 $ 34,185.51 $ 246,635.57
6 7/1/2010 $ 36,305.71 $ 1,862.10 $ 34,443.61 $ 212,191.96
7 10/1/2010 $ 36,305.71 $ 1,602.05 $ 34,703.66 $ 177,488.30
8 1/1/2011 $ 36,305.71 $ 1,340.04 $ 34,965.68 $ 142,522.62
9 4/1/2011 $ 36,305.71 $ 1,076.05 $ 35,229.67 $ 107,292.95
10 7/1/2011 $ 36,305.71 $ 810.06 $ 35,495.65 $ 71,797.30
11 10/1/2011 $ 36,305.71 $ 542.07 $ 35,763.64 $ 36,033.66
12 1/1/2012 $ 36,305.71 $ 272.05 $ 36,033.66 $ (0.00)
Principal $ 802,063
Residual Value $ -
Yearly Interest Rate 2.80%
Number of Years 5
Payment Terms Quarter!
Payment Type Arrears
Compound Type Equal Payment
First Payment 4/1/2009
I Payment # Date Payment Interest Principal Reduction Principal I
1 4/1/2009 $ 43,115.84 $ 5,614.44 $ 37,501.40 $ 764,561.93
2 7/1/2009 $ 43,115.84 $ 5,351.93 $ 37,763.90 $ 726,798.03
3 10/1/2009 $ 43,115.84 $ 5,087.59 $ 38,028.25 $ 688,769.78
4 1/1/2010 $ 43,115.84 $ 4,821.39 $ 38,294.45 $ 650,475.33
5 4/1/2010 $ 43,115.84 $ 4,553.33 $ 38,562.51 $ 611,912.82
6 7/1/2010 $ 43,115.84 $ 4,283.39 $ 38,832.45 $ 573,080.37
7 10/1/2010 $ 43,115.84 $ 4,011.56 $ 39,104.28 $ 533,976.09
8 1/1/2011 $ 43,115.84 $ 3,737.83 $ 39,378.01 $ 494,598.09
9 4/1/2011 $ 43,115.84 $ 3,462.19 $ 39,653.65 $ 454,944.43
10 7/1/2011 $ 43,115.84 $ 3,184.61 $ 39,931.23 $ 415,013.21
11 10/1/2011 $ 43,115.84 $ 2,905.09 $ 40,210.75 $ 374,802.46
12 1/1/2012 $ 43,115.84 $ 2,623.62 $ 40,492.22 $ 334,310.24
13 4/1/2012 $ 43,115.84 $ 2,340.17 $ 40,775.67 $ 293,534.57
14 7/1/2012 $ 43,115.84 $ 2,054.74 $ 41,061.10 $ 252,473.48
15 10/1/2012 $ 43,115.84 $ 1,76731 $ 41,348.52 $ 211,124.95
16 1/1/2013 $ 43,115.84 $ 1,477.87 $ 41,637.96 $ 169,486.99
17 4/1/2013 $ 43,115.84 $ 1,186.41 $ 41,929.43 $ 127,557.56
18 7/1/2013 $ 43,115.84 $ 892.90 $ 42,222.94 $ 85,334.62
19 10/1/2013 $ 43,115.84 $ 597.34 $ 42,518.50 $ 42,816.13
20 1/1/2014 $ 43,115.84 $ 299.71 $ 42,816.13 $ (0.00)