OHIO BID AWARD NO. 249-11– Modified Minivan
Vendor: Gollings Arena CJD, Inc.

Vehicle Model - Dodge Caravan

POST-DELIVERY BUY AMERICA COMPLIANCE CERTIFICATION

As required by Title 49 of the CFR, Part 663, Subpart C, the Ohio Department of Transportation, (the recipient) certifies that it is satisfied that ______(number) modified minivans (s) (type of vehicle) received, from Gollings Arena CJD. Inc. (the manufacturer), meet the requirements of Section 165(b)(3) of the Surface Transportation Assistance Act of 1982, as amended. The recipient __X__, or its appointed analyst ___, ______,(the analyst - not the manufacture or its agent) has reviewed documentation provided by the manufacturer, which lists (1) the actual component and subcomponent parts of the light transit narrow body and light transit wide body vehicles identified by the manufacturer, country of origin, and cost: and 2) the actual location of the final assembly point for the light transit narrow body and light transit wide body vehicles, including a description of the activities that took place at the final assembly point and the cost of final assembly. Buy America not applicable, blanket FTA waiver for minivans.

POST DELIVERY FMVSS REQUIREMENTS CERTIFICATION

As required by Title 49 CFR, Part 663 – Subpart D,

the Ohio Department of Transportation, (the recipient), certifies that it received, at the post-delivery stage, a copy of Chrysler., (the manufacturer) self-certification information stating that the unknown quantity (number of vehicles) modified minivan(type of vehicles), listed vehicle(s) comply with relevant Federal Motor Vehicle Safety Standards (FMVSS) issued by the National Highway Transit Safety Administration in Title 49 Code of Federal Regulations, Part 571.

POST DELIVERY PURCHASER’S REQUIREMENTS CERTIFICATION

As required by Title 49 of the CFR, Part 663, Subpart C, after visually inspecting and road testing the contract unknown quantity (number of vehicles)modified minivan from the Braun Corporation (manufacturer) meet the contract specifications.

______

The Recipient analyst __X_ or it’s appointed analyst ___ Date

Grants Coordinator

Title

Vin # ______Vin # ______

Vin # ______Vin # ______

Vin # ______Vin # ______