HomeMy WebLinkAbout07.a.02 Disposal of Assets AGENDA ITEM 7-a.2
REQUEST FOR SURPLUS DECLARATION AND/OR
ASSET DISPOSAL AUTHORIZATION
10/20/26
Asset# Year Make /Model
10254 2006 FORD F-1504WD From Duval Ford -Sales
11774 2008 GMC 2500 SIERRA 4WD
11777 2008 FORD F-350 4WD
13228 2011 FORD F-250
13689 2012 FORD F-250
14419 2015 GMC SIERRA 2500 HD 4WD
14759 2016CHEVROLETSILV ERA DO 2500HD
14787 2016 GMC SIERRA 2500HD
14823 2016 GMC SIERRA 2500 HD
15220 2017 CHEVROLET SI LV ERA DO 3500
15533 2018CHEVROLETSILV ERA DO CK25903
15659 2018 CHEVROLET SI LVERADO
Clay County Utility Authority
Equipment Update Form
Disposal/Surplus Section:
* Dispose I I Surplus Placement ❑ Surplus Removal
Placement Location:
(If Requesting Disposal, please indicate reason below)
[ I Lost Ill Obsolete Date Agenda Approved
ri Cannibalized I I Stolen / Vandalized * 20 Oct 2026
I I Damaged I l Returned to Vendor
* If Stolen / Vandalized, please provide a copy of the police report.
Asset # Item Description (Make/Model) Serial #
Multiple See attached list of 8 assets scheduled for disposal. See Attachment
Dept Name:
Fleet Mai t Requested by: Jim Moore
Dept Head Approval: Date: 14 Oct 2026
Final Disposal Details
Method of Disposal: Be mm ial Sales Date: 20 Oct 2026
Details/Comments: Asset Disposal
Person Disposing: Date:
Witness: Date:
Transfer/Loan Section (Between departmental offices):
❑ Transfer ❑ Loan
Asset # Item Description (Make/Model) Serial # Est Rtm Date
I acknowledge receipt of the above referenced equipment. I will return this equipment
when it is no longer required in the same condition, or better than I received it.
Grantor (from) Grantee (to)
Dept Name: Dept Name:
Custodian: Custodian:
Today's Date: Today's Date:
Asset # Item Description (Make/Model) Serial #
13689 2012 Ford F250, Utility Body 1 FTBF2A6XCEC95590
14419 2015 GMC Sierra, Pickup 1GT22YEG4FZ516938
14759 2016 Chevrolet Silverado, Utility Body 1 GCOCUEG4GZ181730
14787 2016 GMC Sierra 2500 HD, Utility Body 1 GT02RE88GZ243462
14823 2016 GMC Sierra, Utility Body 1 GT02RE89GZ241526
15220 2017 Chevrolet Silverado, Utility Body 1 GC3KYCG8HZ202378
15533 2018 Chevrolet Silverado 1GBOKUEG3JZ288346
15659 2018 Chevrolet Silverado 1GBOKUEG4JZ289232
Clay County Utility Authority
Equipment Update Form -
Disposal/Surplus Section:
■❑ Dispose ❑ Surplus Placement ❑ Surplus Removal
Placement Location:
(If Requesting Disposal, please indicate reason below)
Lost 0 Obsolete Date Agenda Approved
Cannibalized ❑Stolen / Vandalized * 20 Oct 2026
I Damaged ❑Returned to Vendor
* If Stolen / Vandalized, please provide a copy of the police report.
Asset # Item Description (Make/Model) Serial #
10254 2006 Ford F-150 4WD, Pickup 1FTRX14W16NB14754
11774 2008 GMC Sierra 4WD, Pickup 1GTHK29K18E130140
11777 2008 Ford F-350, Utility Body, Pipe Rack 1FDWF37528EC31200
13228 2011 Ford F-250, Utility Body 1 FTBF2A6OBEB66708
Dept Name: Fleet Mai Requested by: Jim Moore
Dept Head Approval: / Date: 14 Oct 2026
Final Disposal Details '
Method of Disposal: ,.J Kane Ab ions Date:
Details/Comments: - - posal
Person Disposing: Date:
Witness: Date:
Transfer/Loan Section (Between departmental offices):
❑ Transfer ❑ Loan
Asset # Item Description (Make/Model) Serial # Est Rtrn Date
I acknowledge receipt of the above referenced equipment. I will return this equipment
when it is no longer required in the same condition, or better than I received it.
Grantor (from) Grantee (to)
Dept Name: Dept Name:
Custodian: Custodian:
Today's Date: Today's Date: