STATE OF WASHINGTON
Field Order

# 204803

5/8/2021(19:38)


FROM
AGENCY NO
225
LOC
002
Washington State Patrol
WSP SUPPLY (MAIL)
WA STATE PATROL SUPPLY SECTION
PO BOX 42625
OLYMPIA, WA 98504-2625 
Ship To :
1026 WSP FACILITIES 
ATTN: Kevin Drake 
8623 ARMSTRONG RD SW 
PO BOX 42626, OLYMPIA, 98504 
TO :Vendor F.I.N: 41-0948415 SWV0006945
Fastenal Company 
PO BOX 978
 WINONA, MN  55987-0978
MAIL INVOICE TO :
WA STATE PATROL SUPPLY SECTION
PO BOX 42625
OLYMPIA, WA 98504-2625 
Deliver The Articles Ordered Below In Accordance With The Instructions Below And The Terms And Conditions Of The State of Washington that can be found at https://www.wsp.wa.gov/budget-vendor-information/ under Supply Section.
AUTHORITY OR CONTRACT NUMBER
01018 
PRICE F.O.B
 
PAYMENTS TERMS
Net 30 F.O.B 
Line Item Vendor Part# Description Quantity Price Tax1 Tax2 Total
1 Cummins Diesel Generator Set model# C20 D6; 20KW with the below specifications 1  EA $28,164 $394 $1,831 $30,388
2 Install-US-Stat U.S. EPA, Stationary Emergency Application 1  EA $0 $0 $0 $0
3 C20 D6 20KW, 60HZ, Standby, Diesel Genset 1  EA $0 $0 $0 $0
4 A331-2 Duty Rating-Standby Power 1  EA $0 $0 $0 $0
5 L090-2 Listing-UL 2200 1  EA $0 $0 $0 $0
6 L193-2 NFPA 110 Type 10 Level 1 Capable 1  EA $0 $0 $0 $0
7 L228-2 Certification-Seismic, IBC2000, IBC2003, IBC2006, IBC2009, IBC2012 1  EA $0 $0 $0 $0
8 L222-2 Emissions Certification, EPA, Tier 4i, NSPS CI Stationary Emergency 1  EA $0 $0 $0 $0
9 F217-2 Enclosure-Aluminum, Sound Att, Level 2, w/Exh system 1  EA $0 $0 $0 $0
10 R104-2 Voltage-120/240, 1 Phase, 3 Wire 1  EA $0 $0 $0 $0
11 B949-2 Alternator-60Hz, 4L, 240/120V, 1Ph, 120C, 40C amb 1  EA $0 $0 $0 $0
12 H700-2 Generator Set Control-Power Command 1.1 1  EA $0 $0 $0 $0
13 B979-2 Exciter/Regulator - EBS 1  EA $0 $0 $0 $0
14 A366-2 Engine Governor-Electronic, Isochronous Only 1  EA $0 $0 $0 $0
15 H536-2 Display Language-English 1  EA $0 $0 $0 $0
16 H012-2 Guage-Oil Pressure 1  EA $0 $0 $0 $0
17 KS52-2 Relays-Auxilliary, Quantity 2, (25A-15V DC)/(10A-30V DC) 1  EA $0 $0 $0 $0
18 H608-2 Control Mounting-Right Facing 1  EA $0 $0 $0 $0
19 KV03-2 Load Connection-Single 1  EA $0 $0 $0 $0
20 KX26-2 CB, Loc A, 70A-250A, 3P, LSI, 600VAC, 100%, UL 1  EA $0 $0 $0 $0
21 P178-2 Enclosure Color-Sandstone, Aluminum Enclosure 1  EA $0 $0 $0 $0
22 F252-2 Enclosure - Wind Load 180MPH, ASCE7-10 1  EA $0 $0 $0 $0
23 F179-2 Skidbase-Housing Ready 1  EA $0 $0 $0 $0
24 A422-2 Engine Starter - 12 VDC Motor 1  EA $0 $0 $0 $0
25 A333-2 Battery Charging Alternator-Normal Output 1  EA $0 $0 $0 $0
26 E125-2 Engine Cooling-High Ambient Air Temperature 1  EA $0 $0 $0 $0
27 H389-2 Shutdown-Low Coolant Level 1  EA $0 $0 $0 $0
28 E089-2 Extension - Engine Coolant Drain 1  EA $0 $0 $0 $0
29 H669-2 Engine Coolant-50% Antifreeze, 50% Water Mixture 1  EA $0 $0 $0 $0
30 D036-2 Engine Air Cleaner-Heavy Duty 1  EA $0 $0 $0 $0
31 H706-2 Engine Oil 1  EA $0 $0 $0 $0
32 L189-2 ST 5YR 2500HR Parts + Labor + Travel 1  EA $0 $0 $0 $0
33 L050-2 Literature-English 1  EA $0 $0 $0 $0
34 A322-2 Packing - Skid, Poly Bag 1  EA $0 $0 $0 $0
35 L259-2 Ship Loose-Sandstone SL2 Baffle 1  EA $0 $0 $0 $0
36 H268-2 Extension-Oil Drain 1  EA $0 $0 $0 $0
37 CP01-2 Common Parts Listing 1  EA $0 $0 $0 $0
38 FastTrackOff Lead Time-Not Fast Track, All Options 1  EA $0 $0 $0 $0
39 SPEC-A Product Revision - A 1  EA $0 $0 $0 $0
40 A043J733 Enclosure Kit-Polymer Sandstone, Sound Level 1 to Sound Level 2 1  EA $0 $0 $0 $0
41 20 C20 D6:Install Batteries (grp 31 down), Start & Test, 2 Hour Load Bank Test 1  EA $0 $0 $0 $0
42 E153-2 Coolant Heater, Cold Ambient 1  EA $0 $0 $0 $0
43 F0652-2 Rack-Battery 1  EA $0 $0 $0 $0
 
Subtotal :  $28,164
Tax1 Total :  $394
UseTax Total :  $1,831
Freight :  $0.00
PO Total :  $30,388
Description:
Cummins diesel generator set model# C20 D6 for facilities. Shipping to PMD/FACILITIES Kevin Drake 10/26 but Site address for generator is: Lat 47.5525194444 with Long 124.332843746 
RECEIVED BY
 
DATE
 
INSTRUCTIONS 1.SHOW BOTH AUTHORIZATION NO. & FIELD ORDER NO. ON ALL INVOICES,PACKAGES & SHIPPING DOCUMENTS.
TO VENDOR: 2.WASHINGTON STATES SALES TAX APPLIES TO THIS ORDER. 
3. BY ACCEPTING AND PROCESSING THIS PURCHASE ORDER, VENDOR CERTIFIES THEY ARE NOT DEBARRED, SUSPENDED, PROPOSED FOR DEBARMENT, DECLARED INELIGIBLE, OR VOLUNTARILY EXCLUDED FROM PARTICIPATING IN ANY CONTRACT (THIS PURCHASE ORDER IS A CONTRACT) BY ANY FEDERAL DEPARTMENT OR AGENCY (www.epls.gov).
PREPARED BY
JEANINE MURRAY 
TELEPHONE NUMBER
 
DATE
10/21/2019 
AGENCY APPROVAL
 
DATE
 
DOC. DATE
 
PMT DUE DATE
 
CURRENT DOC. NO.
 
REF. DOC. NO.
 
VENDOR NUMBER
 
VENDOR MESSAGE
 
OMWBE CODE
 
TRAN M FUND AI PI PROJECT SUB/SUB OBJECT SUBS DR/CR INVOICE DATE USE TAX CODE AMOUNT
    081 J01 00914 914 JC   3/20/2020    $0
    081 J01 00914 914 JC  C120   3/20/2020    $30,388
INVOICE
NUMBER
WA1314935 
Approval for Payment Processing
 
DATE
 
 
ACCOUNTING APPROVAL FOR PAYMENT
 
DATE
 
WARRANT TOTAL
 
WARRANT NUMBER