Dms Form Mp6301 - Request For Acquisition Of Motor Vehicle(S) And Mobile Equipment Page 2
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4DMS Fleet Management
Request for Acquisition of Motor Vehicle(s) and Mobile Equipment
Essential Options Requested to Support Agency Mission:
Agency approver indicates no options were selected
Original Equipment Manufacturer (OEM) Option Codes and Description(s) with detailed justification:
Identified Aftermarket Option Description(s) with detailed justification:
Non-Identified Aftermarket Option Description(s) with detailed justification:
Other State Term Contract Option, Order or Product Codes and Descriptions with detailed justification:
See attached awarded Contract Price Quote (PQF)
By selecting this box, Agency approver certifies they have approved the requested representative model and options (if applicable).
C. STATUS OF MOTOR VEHICLE(S) AND MOBILE EQUIPMENT IN AGENCY FLEET
Does your agency have specific Legislative approved funding authority to purchase additional fleet vehicle(s) and
equipment?
Yes
Requires copy of the specific funding authority (e.g., D3A; Legislative Budget Request Approval; Grant; Designated Federal or
Trust Funding Appropriation for Acquisition of Motor Vehicles and Mobile Equipment; or, Equipment & Furniture Document, Etc.)
attached to the purchase requisition.
No
Requires completed entries in section F. Description of Replaced Equipment for Automobiles, Light Trucks, Buses, Motorcycles
and other vehicles designed primarily for transporting persons, Watercraft and Aircraft. Exemptions include Mobile Equipment: (e. g.,
Commercial Trucks (Class 4-8), Heavy Equipment and other related equipment.)
D. ASSIGNMENT OF MOTOR VEHICLE(S) AND MOBILE EQUIPMENT
Title: _________________________________
Assignee: ____________________________
DOT Cost Center: ______________________ DOT Shop #:________
Estimated Annual Miles/Hours: ________________
(For Department of Transportation Use Only)
Note: Projected entries less than 10,000 miles require agency head annually written justification for the need of the
assignment of a motor vehicle. Reference Florida Statutes 287.17 Limitation on use of motor vehicles and aircraft (4),(a).
A-1 POOL ASSIGNMENT:
Pool vehicles for general use by employees that do not have a vehicle assigned to them.
B-1 LIMITED USE PASSENGER CARRYING VEHICLES:
Employee has requirements for a full-time use of a vehicle during regular
working hours, but vehicle remains parked at office overnight and when not in use.
B-2 LIMITED USE NON-PASSENGER CARRYING VEHICLES:
Employee has requirement for full-time use of vehicle during regular
working hours but vehicle remains parked at office overnight and when not in use.
C-1 PERQUISITE:
Employee is entitled to use of vehicle by virtue of his position and is so approved and authorized as a perquisite
by the Department of Management Services.
C-2 LAW ENFORCEMENT:
Employee is subject to special emergency calls from his residence for law enforcement.
C-3 EMERGENCY SERVICE:
Employee is subject to emergency calls from his residence for the protection of life or property.
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DMS FORM MP6301
Revised 2016
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