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MEARS LEASE PURCHASE SCHEDULE 10-ACITY OF CLEARWATER P[n'r 0i;Il( i- Box =748, CLEAR1Vid'ER, RoRIDA 33758-4748 Mi NIC IVAL Si:HVHJ:ti Bt1ILDING, 100 SMITH MYRTU; Avit,\' i;, G- AHlk'XFFR, I'I.(mm 33756 I'INANCIAL SERVi(TS TO: Mears Motor Leasing 3905 El Rey Road Orlando, FL 32808 407-298-2982 ATTN: Joanne Cornier FROM: City of Clearwater RE: Lease Purchase Draw Request 1. Request No.: 14-A February 23, 2010 2. Please Pay: $881,285.00 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 Dated: a 1 ;13 f av 10 Signed by: ' 7' Margaret immons, Finance Direr "Ii,wm. E%wi-oymhNF AVl) AFnIn'QA-rvi`. Ac nos E+crl.uvhe" DISBURSEMENT DETAILS 5-Year Lease Term Invoice No. Vendor Description Amount AFA43447 Duval Ford 2009 Ford F150 Pick Up Truck 19,899.00 AS10845 Kenworth of Central FL 2010 AutoCar ACX-R 232,872.00 8088478 Altec Industries Inc 2009 Ford F660 Cab & Chassis 82,982.00 FAU109351 Alan Jay Automotive 2010 Toyota Camry 23,989.00 FAZ135230 Alan Jay Automotive 2010 Chevrolet Siverado Pick Up Truck 23,606.00 73006 Maroone Dodge 2010 Dodge Grand Caravan 19,869.00 AX117390 Duval Ford 2010 Ford Crown Victoria 25,810.00 AS10867 Kenworth of Central FL 2010 Kenworth T800 297,398M Total 5 -Year Temp $ 726,425.00 3-Year Lease Term Invoice No. Vendor Description Amount AX117395 Duval Ford 2010 Ford Crown Victoria 25,810.00 AX117394 Duval Ford 2010 Ford Crown Victoria 25,810.00 AX117392 Duval Ford 2010 Ford Crown Victoria 25,810.00 AX117389 Duval Ford 2010 Ford Crown Victoria 25,810.00 AX117393 Duval Ford 2010 Ford Crown Victoria 25,810.00 AX117391 Duval Ford 2010 Ford Crown Victoria 25,810.00 Total 3-Year Term $154,860.00 Residual Value Yearly Interest Rate 3.02% Number of Years 3 Payment Terms Quarterly Payment Type Arrears Compound Type Equal Payment Principal Start Date 2/24110 First Payment 4/4/2010 Payment # date Payment Interest Principal Reduction Principal Totals 12 162,565 7,705 154,860 Schedule 1 4/1/2010 $ 43,547.04 $ 1,169.49 $ 12,377.85 $ 142,482.15 2 7/1/2010 $ 13,547.04 $ 4,075.74 $ 12,474.30 $ 130,010.84 3 10/112010 $ 13,547.04 $ 981.58 $ 12,565.46 $ 117,445.38 4 1/112011 $ 13,547.04 $ 886.71 $ 12,660.33 $ 104,785.05 5 41112011 $ 13,547.04 $ 791.13 $ 12,755.92 $ 92,029.13 6 71112041 $ 13,547.04 $ 694.82 $ 12,852.22 $ 79,176.91 7 101112011 $ 13,547.04 $ 597.79 $ 12,949.26 $ 66,227.65 8 11112012 $ 13,547.04 $ 500.02 $ 13,047.03 $ 53,180.62 9 41112012 $ 13,547.04 $ 401.51 $ 13,445.53 $ 40,035.49 10 7/112012 $ 13,547.04 $ 302.26 $ 13,244.78 $ 26,790.31 11 10/112012 $ 13,547.04 $ 202.27 $ 13,344.78 $ 13,445.53 12 1/112013 $ 13,547.04 $ 401.51 $ 13,445.53 $ (0.00) $ - $ - $ - $ - Principal Residual Value Yearly Interest Rate Number of Years Payment Terms Payment Type Compound Type Principal Start Date First Payment Payment # ate Payment Interest Princi pal Reduction Principal Totals 20 787, 60,757 726,425 Schedule 1 4/1/2010 39,359.12 5,647.95 33,711.17 $ 692,713.83 2 7/112010 $ 39,359.12 $ 5,385.85 $ 33,973.27 $ 658,740.57 3 1011/2010 $ 39,359.12 $ 5,121.71 $ 34,237.41 $ 624,503.15 4 1/1/2011 $ 39,359.12 $ 4,855.51 $ 34,503.61 $ 569,999.55 5 4/1/2011 $ 39,359.12 $ 4,587.25 $ 34,771.87 $ 555,227.67 6 7/1/2011 $ 39,359.12 $ 4,316.90 $ 35,042.22 $ 520,185.45 7 1011/2011 $ 39,359.12 $ 4,044.44 $ 35,314.68 $ 484,870.77 8 1/1/2012 $ 39,359.12 $ 3,769.87 $ 35,589.25 $ 449,281.52 9 4/1/2012 $ 39,359.12 $ 3,493.16 $ 35,865.96 $ 413,415,56 10 7/112012 $ 39,359.12 $ 3,214.31 $ 36,144.81 $ 377,270.75 11 1011/2012 $ 39,359.12 $ 2,933.28 $ 36,425.84 $ 340,844.91 12 1/1/2013 $ 39,359.12 $ 2,650.07 $ 36,709.05 $ 304,135.86 13 4/112013 $ 39,359.12 $ 2,364.66 $ 36,994.46 $ 267,141.40 14 71112013 $ 39,359.12 $ 2,077.02 $ 37,282.10 $ 229,859.34 15 10/1/2013 $ 39,359.12 $ 1,787.16 $ 37,571.96 $ 192,287.34 16 1/1/2014 $ 39,359.12 $ 1,495.03 $ 37,864.09 $ 154,423.25 17 4/1/2014 $ 39,359.12 $ 1,200.64 $ 38,158.48 $ 116,264.77 18 7/1/2014 $ 39,359.12 $ 903.96 $ 38,455.16 $ 77,809.61 19 10/1/2014 $ 39,359.12 $ 604.97 $ 38,754.15 $ 39,055.46 20 1/1/2015 $ 39,359.12 $ 303.66 $ 39,055.46 $ 0.00 Fes„ 8038-G Information Return for Tax-Exempt Governmental Obligations 1 Under Internal Revenue Code section 149(e) pnAB No. 1545-0720 {Rev. November 2000} IN- See separate instructions. oPpral er,t of the r Caution: If the issue price is under $100 000, use Form 8036-GC. Internal Revm,ue Service y cur rl? Reporting Authority If Amended Return, check here ¦ E 1 Issuer's name 2 Issuer's employer identification number City of Clearwater 59 ; 6000289 3 Number and street (or P.O. box if mail is not delivered to street address) Roomisuite 4 Report number Po Box 4748 3 10-01 S City, town, or post office, state, and ZIP code 6 Date of issue Clearwater, FL 3375$4748 T Name of issue 8 CUSIP number Master Lease Agreement No. 10-A NIA 9 Name and title of officer or legal representative whom the IRS may call for more irrformatian 10 Telephone rwmtfer of ofFces or log representative Clement Vericker, Debt Specialized Accounting Manager ( 727 ) 562-4520 Type of Issue [check applicable box(es) and enter the issue price See instructions and attach schedule 11 ? Education . . . . . . . . . . . . . . 11 12 El health and hospital . . . . . . . . . . . . . • . . . . . . . . . 12 13 ? Transportation . . . . . . . . . . . . _ . . . . . 13 14 Cl Public safety . . . . . . . . . . . . . . _ . . . . . . . . 14 15 E..) Environment (including sewage bonds) . . . , . . , , . _ , _ . . . . 15 16 E] Housing . . . . _ . . . . . . _ . 16 17 ? Utilities . . . . . . . . . . . . . . . . . . . . . . . 17 18 ? Other. Describe ¦ 18 154,860 19 if obligations are TANS or RANs, check box. ¦ ? If obligations are BANS, check box ¦ ? : R/17 20 If obligations are in the form of a lease or installment sale, check box ¦ ? LZ_ bescri tion 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 01101/2013 $ 154,860 $ 154,860 3 ears 3.02 % 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)) . . _ , _ . . . . 23 154.860 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 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 ¦ NIA years 32 Enter the remaining weighted average maturity of the bonds to be advance refunded ¦ NIA years 33 Enter the last date on which the refunded bonds will be called . _ _ . ? 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) . . . _ 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 ¦ WIN 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 ¦ ? and enter the name of the issuer ¦ _ - and the date of the issue ¦ _ 38 If the issuer has designated the issue under section 265(b)(3)(B)(i)(11[0 (small issuer exception), check box ¦ ? 39 If the issuer has elected to pay a penalty in lieu of arbitrage rebate, check box . . . , _ _ _ ¦ El 40 If the issuer has identified a hedge, check box . . ¦ ? Under penalties of perjury, r 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 y n2 F? A Margaret L. Simmons, Finance direct Signature of issuer's authorized representative ?at Type or print name and title For Paperwork Reduction Act Notice, see page 2 of the Instructions. Gat. No- 63773s Form 8038-G (Rev. 11-20M Form 8038-G I Information Return for Tax-Exempt Governmental Obligations (Rev. November 2000) 0, Under Internal Revenue Code section 149(e) aria NO 1545-0720 neaartmom of the Traasury 0, See separate Instructions. Internal Rev©nur. Sorvic,, Caution: If the issue price is under $700,000, use Form 8038-GC. ' Reportin>hority ? If Amended Return, check here ¦ ? i issuer's name 2 Issuer's employer identification number City of Clearwater 59 : 6000289 3 Number and street (or P.O. box if mail is not delivered to street address) Room/suite 4 Report number PO Box 4748 3 10-02 5 City, town, or post office, state, and ZIP code S Date of issue Clearwater, FL 33758-4748 7 Name of issue Master Lease Agreement No 10-A 8 CUSIP number . NIA 9 Name and title of officer or legal representative whom the IRS may call for more information 10 Telephone number of officer or legal representative Clement Vericker, Debt Specialized Accounting Manager I 727 1562-4520 Type of Issue (check applicable box(es) and enter the issue price) See instructions and attach schedule 11 ? Education . . . . . . . . . . . . . 11 12 El Health and hospital . . . . . . . . . . . . . . . 12 13 . . ? Transportation . . . . . . . . . . . . . . 13 - 14 . . . . ? Public safety. . . . . . . . . . . . . . . . . 14 - 15 _ _ _ ? Environment (including sewage bonds) . . . . . . . . . 15 16 . . El Housing . . . . . . . . • . . • . . . . . . . 16 17 ? Utilities . . . . . . . . . . . . . . . 17 18 . . . ? Other. Describe ¦ 1$ 725,425 19 If obligations are TA.Ns or RANs, check box ¦ ? If obligations are BANS, check box ¦ ? 20 If obligations are in the form of a lease or installment sale, check box ¦ ? Descri tion of Obligations. Complete far the entire issue for which this form is bein filed. Final maturity date (h) Issue price le) Stated redemption (d) Weighted price at maturity average maturity (e) Yield : 21 0110i/205 $ 726,425 726,425 5 % ears 3.11 Uses of Proceeds of Bond Issue includin underwriters' discount 22 Proceeds used for accrued interest . . , . . . , . . . , 22 23 Issue price of entire issue (enter amount from line 21, column (b)) . . _ _ . 23 726,425 . 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 Description of Refunded Bonds (Complete this art only for refunding bonds.) 31 Enter the remaining weighted average maturity of the bonds to be currently refunded . . . ¦ _. IN FA years 32 Enter the remaining weighted average maturity of the bonds to be advance refunded . _ _ ¦ NIA years 33 Enter the last date on which the refunded bonds will be called . . _ _ . ¦ 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 ¦ 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 ¦ ? and enter the name of the issuer ¦ and the date of the issue ¦ 38 If the issuer has designated the issue under section 265(b)(3)(B)(i){1111} (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 , , . . , , . . _ . . ¦ rl uiiuM Pei 'allies or penury, t ueciare tnat 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 Hers ?{s Margaret L. Simmons, Finance DirecJ3 Signature of issuer s authorized representative ate `Type or print name and title For Paperwork Reduction Act Notice, see page 2 of the Instructions. Cat. No. 63773S Form 8038-G (Rev. 11-2ooo)