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HomeMy WebLinkAbout2018-183-E Emergency Svc - Excellance Ambulance Remount #794DocuSign Envelope ID: 890AB1BA- 173D- 46A1- B569- D7AE7E5CA4F3 [Departmental Use Only] EXCELLANCE, INC. Chassis Remount #794. FY 2017 -18 NORTH CAROLINA SERVICES AGREEMENT OVER $90,000.00 RFP /RFQ ORANGE COUNTY This Services Agreement (hereinafter "Agreement "), made and entered into this 1St day of May, 2018, ( "Effective Date ") by and between Orange County, North Carolina a political subdivision of the State of North Carolina (hereinafter, the "County ") and Excellance, INC., (hereinafter, the "Provider" or "Bxcellance "). WITNESSETH: That the County and Provider, for the consideration herein named, do hereby agree as follows: 1. Services a. Scope of Work. i) This Services Agreement ( "Agreement ") is for professional services to be rendered by Provider to County with respect to remounting an existing Orange County Ambulance onto a Ford Type -1 chassis to include refurbishment as outlined in attachment "A ": See Attachment "A" Chassis Remount quote. ii) By executing this Agreement, the Provider represents and agrees that Provider is qualified to perform and fully capable of performing and providing the services required or necessary under this Agreement in a fully competent, professional and timely manner. iii) Time is of the essence with respect to this Agreement. iv) The services to be performed under this Agreement consist of Basic Services, as described and designated in Section 3 hereof. Compensation to the Provider for Basic Services under this Agreement shall be as set forth herein. 2. Responsibilities of the Provider a. Services to be provided. The Provider shall provide the County with all services required in Section 3 to satisfactorily complete the Project within the time limitations set forth herein and in accordance with the highest professional standards. b. Standard of Care. DocuSign Envelope ID: 890AB1BA- 173D- 46A1- B569- D7AE7E5CA4F3 i) The Provider shall exercise reasonable care and diligence in performing services under this Agreement in accordance with the highest generally accepted standards of this type of Provider practice throughout the United States and in accordance with applicable federal, state and local laws and regulations applicable to the performance of these services. Provider is solely responsible for the professional quality, accuracy and timely completion and/or submission of all work related to the Basic Services. ii) Provider shall be responsible for all errors or omissions of its agents, contractors, employees, or assigns in the performance of the Agreement. Provider shall correct any and all errors, omissions, discrepancies, ambiguities, mistakes or conflicts at no additional cost to the County. iii) The Provider shall not, except as otherwise provided for in this Agreement, subcontract the performance of any work under this Agreement without prior written permission of the County. No permission for subcontracting shall create, between the County and the subcontractor, any contract or any other relationship. iv) Provider is an independent contractor of County. Any and all employees of the Provider engaged by the Provider in the performance of any work or services required of the Provider under this Agreement, shall be considered employees or agents of the Provider only and not of the County, and any and all claims that may or might arise under any workers compensation or other law or contract on behalf of said employees while so engaged shall be the sole obligation and responsibility of the Provider. v) If activities related to the performance of this Agreement require specific licenses, certifications, or related credentials Provider represents that it and/or its employees, agents and subcontractors engaged in such activities possess such licenses, certifications, or credentials and that such licenses certifications, or credentials are current, active, and not in a state of suspension or revocation. vi) In the event a term or condition in any document or attachment conflict with a term or condition of this Agreement the term or condition in this Agreement shall control. Should such conflict arise the priority of documents shall be as follows: This Agreement, Attachment A, the County's RFP /RFQ together with attachments, Provider's Proposal together with attachments. 3. Basic Services a. Basic Services. The Services to be rendered pursuant to this Agreement are as follows: See Attachment A, Remount Pricing Version 15. 1, which is hereby incorporated into this Agreement as if set forth herein. In addition, Provider warrants the following: See Attachment B, Ten -Year (100,000 Mile) Remount Electrical Warranty covering all work performed by Provider during the remount /refurbishment; Attachment C, Seven -Year DocuSign Envelope ID: 890AB1BA- 173D- 46A1- B569- D7AE7E5CA4F3 (Unlimited Mileage) Remount Paint Performance Warranty; Attachment D, Twenty Four Month (24,000 Mile) remount Conversion Warranty; Attachment E, Twenty Five - Year (Unlimited Mileage) Remount Structural Warranty; and Attachment F, Remount Warranty Quick Facts all of which are attached and hereby incorporated herein. b. The chassis to be used for this remount /refurbishment project is being supplied and paid for separately by County. Delivery and payment for chassis is the responsibility of the County. The chassis specifications and condition shall be the responsibility of the County prior to EXCELLANCE accepting them. 4. Duration of Services a. Term. The term of this Agreement shall start from the latter date of (A) RECEIPT AND ACCEPTANCE OF CHASSIS BY PROVIDER, OR (B) RECEIPT OF ALL PARTS SUPPLIED BY THE COUNTY, OR (C)RECEIPT OF WRITTEN PURCHASE ORDER WITH A COMPLETE COPY OF THE SIGNED AND APPROVED "ATTACHMENT A" (Remount Pricing 15.1). Once all documents and equipment provided by the County are received by Provider, there will be a maximum of 120 -Days for completion of the remount process by Provider. b. Scheduling of Services i) Should the County determine that the Provider is behind schedule, it may require the Provider to expedite and accelerate its efforts, including providing additional resources and working overtime, as necessary, to perform its services in accordance with the approved project schedule at no additional cost to the County. ii) The Commencement Date for the Provider's Basic Services shall be determined by the latest date of event occurring as outlined under "Duration of Services Item a." 5. Compensation a. Compensation for Basic Services. Compensation for Basic Services shall include all compensation due the Provider from the County for all services under this Agreement. The maximum amount payable for Basic Services One Hundred nine thousand two hundred and eighty nine dollars and thirty one cents ($109,289.31) of which Three thousand five hundred dollars ($3,500.00) will be credited in trade for the take -off chassis. The cash balance due after trade -in credit of the take -off chassis will be One Hundred five thousand seven hundred eighty nine dollars and thirty one cents ($105,789.31). Payment for Basic Services shall become due and payable within thirty (30) days of Provider properly invoicing County. Payment shall be subject to provisions of Section 5(b). EXCELLANCE will invoice the County a minimum of thirty days prior to the completion of each Orange County ambulance remount /refurbishment project. Payment of each remount /refurbished ambulance shall follow the compensation guidelines outlined in section 5(a). DocuSign Envelope ID: 890AB1BA- 173D- 46A1- B569- D7AE7E5CA4F3 b. Disputes. In the event the amount stated on an invoice is disputed by the County, the County may withhold payment of all or a portion of the amount stated on an invoice until the parties resolve the dispute. Should Provider fail to perform its duties under the terms of this Agreement, County may, without fault or penalty, withhold any payment associated with the work to be performed until such time as said work is completed. c. Additional Services. County shall not be responsible for costs related to any services in addition to the Basic Services performed by Provider unless County requests such additional services in writing and such additional services are evidenced by a written amendment to this Agreement. d. The County agrees that: (1) The delivery of the chassis ordered by the County is the responsibility of the County, (2) Delivery of the ambulances to be remounted and refurbished to EXCELLANCE at 453 Lanier Road, Madison Alabama 35758, is the responsibility of the County (3) Travel and expenses related to travel of the County's personnel to perform an on -site inspection of the completed project will be the responsibility of the County, (4) The return of the completed remount projects to Orange County EMS is the responsibility of the County. 6. Responsibilities of the County a. Cooperation and Coordination. The County has designated (Dinah Jeffries) to act as the County's representative with respect to the Project and shall have the authority to render decisions within guidelines established by the County Manager and/or the County Board of Commissioners and shall be available during working hours as often as may be reasonably required to render decisions and to furnish information. 7. Insurance a. General Requirements. Provider shall obtain, at its sole expense, Commercial General Liability Insurance, Automobile Insurance, Workers' Compensation Insurance, and any additional insurance as may be required by County's Risk Manager as such insurance requirements are described in the Orange County Risk Transfer Policy and Orange County Minimum Insurance Coverage Requirements (each document is incorporated herein by reference and may be viewed at http: / /www.oran eg counter og v/ departments / purchasing_ division/contracts.php.) If County's Risk Manager determines additional insurance coverage is required such additional insurance shall consist of N/A (if no additional insurance required mark N/A as being not applicable). Provider shall not commence work until such insurance is in effect and certification thereof has been received by the County's Risk Manager. 8. Indemnity a. Indemnity. The Provider agrees to defend, indemnify and hold harmless the County from all loss, liability, claims or expense, including attorney's fees, arising out of or related to the Project and arising from property damage or bodily injury including death to any DocuSign Envelope ID: 890AB1BA- 173D- 46A1- B569- D7AE7E5CA4F3 person or persons caused in whole or in part by the negligence or misconduct of the Provider except to the extent same are caused by the negligence or willful misconduct of the County. It is the intent of this provision to require the Provider to indemnify the County to the fullest extent permitted under North Carolina law. 9. Amendments to the Agreement a. Changes in Basic Services. Changes in the Basic Services and entitlement to additional compensation or a change in duration of this Agreement shall be made by a written Amendment to this Agreement executed by the County and the Provider. The Provider shall proceed to perform the Services required by the Amendment only after receiving a fully executed Amendment from the County 10. Termination a. Termination for Convenience of the County. This Agreement may be terminated without cause by the County and for its convenience upon seven (7) days prior written notice to the Provider, subject to Attachment "A" reference line #2801 through line #2806. b. Other Termination. The Provider may terminate this Agreement based upon the County's material breach of this Agreement; provided, the County has not taken all reasonable actions to remedy the breach. The Provider shall give the County seven (7) days' prior written notice of its intent to terminate this Agreement for cause. c. Compensation After Termination. i) In the event of termination, the Provider shall be paid that portion of the fees and expenses that it has earned to the date of termination, less any costs or expenses incurred or anticipated to be incurred by the County due to errors or omissions of the Provider and subject to "Attachment A" reference line #2801 through Line #2806. ii) Should this Agreement be terminated, the Provider shall deliver to the County within seven (7) days, at no additional cost, all deliverables including any electronic data or files relating to the Project as outlined in this agreement under "Compensation Item d ". d. Waiver. The payment of any sums by the County under this Agreement or the failure of the County to require compliance by the Provider with any provisions of this Agreement or the waiver by the County of any breach of this Agreement shall not constitute a waiver of any claim for damages by the County for any breach of this Agreement or a waiver of any other required compliance with this Agreement. e. Suspension. County may suspend the Basic Services and this Agreement at any time for County's convenience and without penalty to County upon three (3) days' notice to Provider. Upon any suspension by County, Provider shall discontinue the Basic DocuSign Envelope ID: 890AB1BA- 173D- 46A1- B569- D7AE7E5CA4F3 Services and shall not resume the Basic Services until notified to proceed by County. In the event that "Suspension" is requested, the Provider shall invoice the County for all expenses incurred and progress made on the remount /refurbishment projects. Payment shall be made by the County within 30 -days of invoicing. 11. Additional Provisions a. Limitation and Assignment. The County and the Provider each bind themselves, their successors, assigns and legal representatives to the terms of this Agreement. Neither the County nor the Provider shall assign or transfer its interest in this Agreement without the written consent of the other. b. Governing. This Agreement and the duties, responsibilities, obligations and rights of respective parties hereunder shall be governed by the laws of the State of North Carolina. c. Compliance with Laws. Provider shall at all times remain in compliance with all applicable local, state, and federal laws, rules, and regulations including but not limited to all state and federal anti - discrimination laws, policies, rules, and regulations and the Orange County Non - Discrimination Policy and Orange County Living Wage Policy (each policy is incorporated herein by reference and may be viewed at http://www.orangecountync.gov/de]2arttnents/purchasing division/contracts.php.) Any violation of this requirement is a breach of this Agreement and County may immediately terminate this Agreement without further obligation on the part of the County. This paragraph is not intended to limit and does not limit the definition of breach to discrimination. By executing this Agreement Provider affirms that Provider and any subcontractors of Provider are and shall remain in compliance with Article 2 of Chapter 64 of the North Carolina General Statutes. By executing this Agreement Provider certifies that Provider has not been identified, and has not utilized the services of any agent or subcontractor, on the list created by the State Treasurer pursuant to G.S. 147- 86.58. By executing this Agreement Provider certifies that Provider has not been identified, and has not utilized the services of any agent or subcontractor identified, on the list created by the State Treasurer pursuant to G. S. 147 - 86.81. d. Dispute Resolution. Any and all suits or actions to enforce, interpret or seek damages with respect to any provision of, or the performance or non - performance of, this Agreement shall be brought in the General Court of Justice of North Carolina sitting in Orange County, North Carolina. It is agreed by the parties that no other court shall have jurisdiction or venue with respect to such suits or actions. Binding arbitration may not be initiated by either Party, however, the Parties may agree to nonbinding mediation of any dispute prior to the bringing of a suit or action. e. Entire Agreement. This Agreement, together with the RFP and its attachments and the Proposal and its attachments, represents the entire and integrated agreement between the County and the Provider and supersedes all prior negotiations, representations or agreements, either written or oral. This Agreement may be amended only by written DocuSign Envelope ID: 890AB1BA- 173D- 46A1- B569- D7AE7E5CA4F3 instrument signed by both parties. Modifications may be evidenced by facsimile signatures. f. Severability. If any provision of this Agreement is held as a matter of law to be unenforceable, the remainder of this Agreement shall be valid and binding upon the Parties. g. Ownership of Work Product. Should Provider's performance of this Agreement generate documents, items or things that are specific to this Project such documents, items or things shall become the property of the County and may be used on any other project without additional compensation to the Provider. The use of the documents, items or things by the County or by any person or entity for any purpose other than the Project as set forth in this Agreement shall be at the full risk of the County. h. Non - Appropriation. Provider acknowledges that County is a governmental entity, and the validity of this Agreement is based upon the availability of public funding under the authority of its statutory mandate. In the event that public funds are unavailable and not appropriated for the performance of County's obligations under this Agreement, then this Agreement shall automatically expire without penalty to County immediately upon written notice to Provider of the unavailability and non - appropriation of public funds. It is expressly agreed that County shall not activate this non - appropriation provision for its convenience or to circumvent the requirements of this Agreement, but only as an emergency fiscal measure during a substantial fiscal crisis. In the event of a change in the County's statutory authority, mandate and/or mandated functions, by state and/or federal legislative or regulatory action, which adversely affects County's authority to continue its obligations under this Agreement, then this Agreement shall automatically terminate without penalty to County upon written notice to Provider of such limitation or change in County's legal authority. Signatures. This Agreement together with any amendments or modifications may be executed electronically. All electronic signatures affixed hereto evidence the consent of the Parties to utilize electronic signatures and the intent of the Parties to comply with Article I IA and Article 40 of North Carolina General Statute Chapter 66. Notices. Any notice required by this Agreement shall be in writing and delivered by certified or registered mail, return receipt requested to the following: Orange County Provider's Name & Address Attention: Kirby Sanders Excellance, Inc. P.O. Box 8181 453 Lanier Road Hillsborough, NC 27278 Madison, Alabama 35758 DocuSign Envelope ID: 890AB1BA- 173D- 46A1- B569- D7AE7E5CA4F3 IN WITNESS WHEREOF, the Parties, by and through their authorized agents, have hereunder set their hands and seal, all as of the day and year first above written. ORANGE COUNTY: DocuSigned by: f jb j)u*(, %imm(Au By: PROVIDER: DocuSigned by: By.��� ^ ^ €.. NATIONAL SALES MANAGER Printed Name and Title DocuSign Envelope ID: 890AB1BA- 173D- 46A1- B569- D7AE7E5CA4F3 REMOUNT PRICING Version 15.1 AttarhmPnt "A" EXCELLANCE, Inc 453 Lanier Road, Madison, Alabama 35758 1- 800 - 882 -9799 CUSTOMER INFORMATION NAME: Orange County Emergency Services ADDRESS: P.O. Box 8181 Hillsborough, NC 27278 PHONE: (919) 245 -6126 FAX: CONTACT: Alton Matthews E -MAIL: amatthews @orangecountync.gov REMOUNT VERSION 15.1 11/30/2017 9:44 UNIT NUMBER: TBD QUOTED BY: LB /TP ORIGINAL EXCELLANCE UNIT NUMBER: TBD ORIGINAL DATE OF QUOTE: REV. 11/29/2017 This person is authorized to make changes to the vehicle and/ or contract that may affect the final design, configuration and cost of the unit. SALES SUMMARY FILE NAME Type I Ford F -550 4x4 NAME OF REP: Factory Direct ADDRESS: Excellance, Inc. 453 Lanier Road Madison, AL 35758 PHONE # (256) 772 -9321 FAX # (256) 772 -8792 CHASSIS: $0.00 BASE PRICE FOR CONVERSION (Includes all standard items): $26,615.00 PRICE FOR OPTIONS: $49,000.27 CUSTOMER NOTES AND SPECIAL REQUESTS: $31,674.04 MANUFACTURING CREDIT: $0.00 "LOOSE" EQUIPMENT: $0.00 FACTORY PAID TRANSPORTATION: $0.00 CONTINGENCY ALLOWANCE: $2,000.00 DEALER PROVIDED / INSTALLED ITEMS: $0.00 LESS PRE - PAYMENT DISCOUNT: $0.00 OEM CONCESSION: $0.00 COST OF UNIT: $109,289.31 How "Cost of Unit" will be paid: DEPOSIT WITH ORDER: $0.00 CHASSIS TRADE -IN CREDIT: ($3,500.00) BALANCE DUE UPON DELIVERY: $105,789.31 Rev:082013 1 of 14 11 /30/2017 9:44 AM DocuSign Envelope ID: 890AB1BA- 173D- 46A1- B569- D7AE7E5CA4F3 REMOUNT PRICING Version 15.1 THIS QUOTE IS VALID ONLY IF ACCEPTED BY BOTH PURCHASER AND EXCELLANCE WITHIN 60 DAYS OF: ANY ITEM NOT "SELECTED" ON THIS ORDER WILL NOT BE INCLUDED IN THE PRICE FOR THE VEHICLE. AFTER THIS ORDER HAS BEEN ACCEPTED BY EXCELLANCE, ALL CHANGES MUST BE APPROVED BY EXCELLANCE AND EACH CHANGE WILL BE ASSESSED A $250.00 ENGINEERING CHARGE. COMPLETION OF VEHICLE IS ANTICIPATED TO BE 120 DAYS FROM THE LATTER OF: (A) RECEIPT OF CHASSIS, OR (B) RECEIPT OF ALL PARTS SUPPLIED BY PURCHASER (e.g., CUSTOMER AND /OR DEALER), OR (C) RECEIPT OF WRITTEN PURCHASE ORDER WITH A COMPLETE COPY OF THIS ORDER (WITH ALL QUESTIONS ANSWERED AND EXECUTED BY PURCHASER). ALL ENGINEERING DRAWINGS IF APPLICABLE MUST BE INITIALED BY THE CUSTOMER BEFORE WORK IS BEGUN OR BEFORE PARTS WILL BE ORDERED BY EXCELLANCE. 11/30/2017 STATUS OF THIS ORDER PLEASE FILL IN THE DATE AND TIME THE QUOTE WAS GENERATED: 1 11/29/2017 ( 1 ) C. This order reflects the final contract. All items have been "priced ", specifications and "drawings" of all items provided, all pre- construction data provided, and all questions have been answered. ADDITIONAL TERMS AND CONDITIONS AT END OF THIS DOCUMENT ARE INCORPORATED HERE IN BY REFERENCE. APPROVED AND ACCEPTED BY: ,,uSigned by: PURCHASER: %rGUMI�tWS 0637994B755E477... TITLE: County Manager DATE: 5/18/2018 SALESMAN: EXCELLANCE: 83 84 85 86 87 88 89 90 91 92 93 94 DATE: P.O. #: DATE: DATE: REMOUNT UNIT DESCRIPTION TYPE OF UNIT: Type I- EHD ORIGINAL BODY MANUFACTURER: Excellance MODEL/ MAKE/ YEAR: Year -TBD Freightliner M2 CHASSIS VEHICLE IDENTIFICATION NUMBER: TBD CAB TO AXLE MEASUREMENT: 102" Rev:082013 2 of 14 11/30/2017 9:44 AM DocuSign Envelope ID: 890AB1BA- 173D- 46A1- B569- D7AE7E5CA4F3 REMOUNT PRICING Version 15.1 95 96 WHEELBASE MEASUREMENT: TBD 97 98 CURRENT CHASSIS ODOMETER READING (Required if Excellance takes ownership of the take -off chassis): Over 200,000 99 100 DESCRIPTION OF ANY CHASSIS DAMAGE (Required if Excellance takes ownership of the take -off chassis): TBD 101 102 103 Excellance to take ownership of Take -Off Chassis- Enter as a negative number the amount for the chassis 104 credit here: - 3,500.00 - 3,500.00 105 106 MAKE THE CHASSIS ROADWORTHY 107 ( 1 ) THERE WILL BE NO ADDED WORK PERFORMED TO THE TAKE -OFF CHASSIS. 0.00 0.00 120 CHASSIS 121 ( 1 ) Dealer or Customer supplied chassis 400.80 400.80 THE FOLLOWING FIELDS DESCRIBING THE NEW CHASSIS MUST BE FILLED OUT REGARDLESS OF WHO IS 125 SUPPLYING IT 129 ENTER MODELYEAR FOR NEW CHASSIS: 2018 130 ENTER MODEL OF NEW CHASSIS: F550 4x4 131 ENTER MAKE OF NEW CHASSIS: Ford 132 ENTER CAB TO AXLE MEASUREMENT OF NEW CHASSIS: 108" 133 ENTER WHEELBASE MEASUREMENT OF NEW CHASSIS: 189" 134 135 136 THE REMOUNT WILL HAVE THE FOLLOWING WORK INCLUDED IN THE STANDARD BASE CONVERSION: 137 CHASSIS INSPECTION 138 Inspected for damage and defects upon delivery 139 Test Drive The chassis shall be inspected against (A) Excellance's Chassis order, and (B) the specifications supplied by 140 the customer/ dealer. 141 All loose equipment received with the chassis shall be inventoried and stored. All chassis functions shall be tested for proper operation (accelerator, brakes, headlights, wipers, horn, radio, 142 air conditioner, gauges, dome lights, turn signals, parking lights, etc.). 143 144 CHASSIS WORK TO BE PERFORMED 145 Heat Shields shall be installed above the exhaust system. 146 Chassis shall have undercoating applied. 147 Exhaust modifications shall be performed as necessary. 148 Air valve extensions shall be installed on the rear inner tires. 149 New mounting hardware shall be installed including: Grade 8 bolts, washers, nylon lock -nuts, spacers, outriggers (Type I units only) 150 New mounting bracket for the rear bumper shall be installed to the chassis frame. 151 Chassis high idle system shall be connected and operational. 152 Chassis electrical charging/ battery system shall be connected to the module electrical system. 153 New Chassis emergency light wiring shall be installed (Grille, Intersection lights, etc.) Rev:082013 3 of 14 11/30/2017 9:44 AM DocuSign Envelope ID: 890AB1BA- 173D- 46A1- B569- D7AE7E5CA4F3 REMOUNT PRICING Version 15.1 154 All power cables connecting the chassis electrical system to the modular electrical system shall be replaced. 155 The chassis fuel fill shall be installed in accordance with current QVM standards. Modular Air conditioning system shall have a vacuum performed and shall be recharged with 134A Freon with 156 ultra - violet leak identification air conditioning oil dye installed into the system. 157 The module to chassis heater valves shall be replaced. Chassis to module attachment shall be finished off via Excellance fabricated close out panels and a rubber seal on a Type III units. A cab to module rubber accordion style boot shall be installed on EHD and Type I units. 158 159 New Front module mounted stone guards. 160 New back -up alarm Reattach all existing Radio wiring disconnected from the chassis by Excellance during the remount process. THIS IS LIMITED TO TWO (2) RADIO SYSTEMS - ADDITIONAL PRICING WILL BE ADDED FOR VEHICLES WITH 161 MORE THAN TWO RADIO SYSTEMS. 162 "No Smoking" Fasten Your Seatbelt" sticker shall be installed in the chassis cab. 163 164 ADDITIONAL ITEMS TO BE PROVIDED 165 A professional Front End Alignment shall be performed on the chassis upon completion of the remount process. 166 The Fuel tank shall be full of fuel upon completion of the remount process. 167 All chassis engine fluid levels shall be inspected and adjusted as necessary. 168 Chassis tire pressure shall be inspected and adjusted as needed. 169 All hinges, latches, locks, door hold open devices etc. shall be lubricated. 170 Headlights shall be adjusted to the proper level. 171 The interior and exterior of the ambulance body and chassis cab shall be professionally washed and detailed. 173 174 DOCUMENTS AND CERTIFICATIONS TO BE PROVIDED 175 Excellance shall provide electrical diagrams for all circuits added during the remount process. 176 Vehicle shall have a weight certificate documented and installed on the unit. 177 Air Conditioning shall have a certificate documenting Freon capacity. 178 Oxygen leak test and verification sticker shall be installed on the unit. 179 Upon full payment a "Bill of Sale ", "Odometer Statement" and receipt shall be provided. 180 181 UNLESS OTHERWISE SPECIFIED IN THIS ORDER, ITEMS THAT ARE REMOVED DURING THE REMOUNT PROCESS SHALL BE REINSTALLED IN THE SAME MANNER WITH WHICH THEY WERE ORIGINALLY INSTALLED ONTO THE NEW CHASSIS AND MODULE BODY. VEHICLES WITH EXCESSIVE 182 EQUIPMENT MAY INCUR ADDED CHARGES FOR EQUIPMENT TO BE TRANSFERRED. 183 184 ALSO INCLUDED IN THE BASE PRICE FOR "REMOUNTING" AN AMBULANCE: 185 EXCELLANCE WILL PERFORM THE FOLLOWING TASKS UPON THE UNIT ARRIVING AT THE FACTORY: 186 Physical Inspection of the Exterior body to include: 187 Structural Damage 188 Condition of paint 189 Condition of striping and lettering 190 light housings 191 Door hardware (handles, hinges & door frames) 192 Window Frames 193 Walk- Through or Pass - Through rubber boots (if applicable) Rev:082013 4 of 14 11/30/2017 9:44 AM DocuSign Envelope ID: 890AB1BA- 173D- 46A1- B569- D7AE7E5CA4F3 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 233 234 235 246 250 255 256 257 264 265 266 REMOUNT PRICING Version 15.1 Bumper step (hinges, screws, rivets, rubber dock bumpers) Compartment doors (handles, hinges, skins, drains, venting, etc.) Physical inspection of the Interior Patient Compartment to include: Floor Covering Formica IV hangers Cot Hardware 02 outlets Trim (upholstery, aluminum and Trim Lock ") Cabinetry (hinges, slides, unistrut, shelves, Plexiglas) Upholstery (seats, head - knockers, arm - rests, etc) Countertops Attendant Seat and seat base Drawers (slides, latches, etc) Lighting (lenses, switches, outlets, etc) Electrical Cabinet (blown fuses, loose wiring, wire chafing, missing components, etc.) ALL LOOSE EQUIPMENT ARRIVING WITH THE VEHICLE SHALL BE INVENTORIED, DOCUMENTED AND STORED UPON THE UNIT ARRIVAL TO THE VEHICLE. PHOTOGRAPHS TO DOCUMENT THE CONDITION OF THE UNIT SHALL BE TAKEN UPON THE UNIT ARRIVAL TO THE FACTORY. ANYADDITIONAL COSTS DUE TO WORK DEEMED NECESSARY BYEXCELLANCE TO THE MODULAR BODY OR CUSTOMER /DEALER SUPPLIED CHASSIS SHALL BE ASSESSED AS EARL YAS POSSIBLE DURING THE REMOUNT PROCESS. THE CUSTOMER/ DEALER SHALL BE NOTIFIED OF THE NECESSARY WORK AND ASSOCIATED COSTS FOR THEIR WRITTEN APPROVAL. MANUFACTURING CREDIT., The above excludes: "Trade -in" value for any used unit, Loose Equipment,Transportation, and Performance Bonds. BASE REMOUNT IF CHANGING TO A DIFFERENT BRAND AND MODEL CHASSIS NOTE: USE THE FOLLOWING CONVERSIONS ONLY IF THE NEW CHASSIS WILL MATE UP TO THE AMBULANCE BODY WITHOUT MAJOR MODIFICATION. PROPER CONVERSION SELECTION AND PRICING SHALL BE AT THE DISCRETION OF EXCELLANCE, INC. 1 ) Excellance EHD EXAMPLE: INTERCHANGING INTERNATIONAL FRIEGHTLINER OR CHEVY C -4500 FULL CAB. OEM CHASSIS OPTIONS OEM LITERATURE CUSTOMER NOTES AND SPECIAL REQUESTS ** Modify module front to accommodate a Ford F550 chassis. The unit will become a Type I with an 8" gap between the cab and the module and a pass -thru opening. Rev:082013 5of14 26,615.00 26,615.00 11/30/2017 9:44 AM 1,728.86 DocuSign Envelope ID: 890AB1BA- 173D- 46A1- B569- D7AE7E5CA4F3 Rev:082013 6 of 14 3,475.32 554.77 554.77 REMOUNT PRICING 117.08 258.60 Version 15.1 0.00 A cab extension is necessary due to the module changing from a Freightliner M2 chassis with a 102" CA to a Ford F- 0.00 550 chassis with a 108" CA. Install an Excellance fabricated aluminum cab extension flange with an open back around -43.46 -43.46 the back of the cab to shorten the gap from 8" to 4 ". The extension flange shall be bolted on the rear of the cab and 460.12 painted to match the module. Extend the chassis rear window boot panel to allow for the Excellance standard 4" rubber 267 0.00 pass- through boot. 268 272 273 EXCELLANCE CAB & CHASSIS OPTIONS 280 EXCELLANCE LITERATURE 281 ( 1 ) Wiring diagram of all conversion circuits and Excellance changes & additions 284 285 CAB SIDE RUNNING BOARDS and LIGHTS New Diamond plate running boards w /Excellance open grip inserts (Ford Type 1, Dodge Type 1, Chevy or Ford Type 288 ( 1 )III ) 291 296 317 MUD FLAPS 319 ( 1 ) Mud Flaps, 2 Rear 321 322 CAB INTERIOR 323 INTERIOR CAB 326 ( 1 ) Install new Ignition security system, anti -theft device, #ETISSO ( IF COMPATIBLE WITH THE NEW CHASSIS) 328 329 CUSTOMER NOTES AND SPECIAL REQUESTS 330 The module disconnect circuit shall be enabled and disabled by the ignition circuit. 331 332 Ref.326: The anti -theft device shall not be wired to the OEM horn. 333 334* Install customer - supplied plymovent adapter /bracket to the exhaust pipe. 335 337 338 SUSPENSION / DRIVE TRAIN 402 CHASSIS WHEEL COVER OPTIONS 405 ( 1 ) DELETION CREDIT- Do not paint the outer rims of the chassis with white Krylon paint. 410 ( 1 ) Wheel Inserts for F -450, 'Phoenix" stainless steel with rear air valve extension 415 416 Air Horn Options (IF NOT PROVIDED ON NEW CHASSIS) 464 CUSTOMER NOTES AND SPECIAL REQUESTS ** Install a Liquid Spring Suspension system on the F550 chassis. The rear of the module shall lower automatically when the left rear entry door is opened. The override switch shall be located on the right rear entry door. The control 465 head shall be located below the steering column. 466 471 ** REF. Line 410: The stainless steel wheel covers shall be ordered for the F550 chassis. 472 526 MODULE /CAB PAINT Rev:082013 6 of 14 3,475.32 554.77 554.77 117.08 117.08 258.60 258.60 0.00 0.00 120.64 -43.46 -43.46 460.12 460.12 10,949.05 0.00 11/30/2017 9:44 AM DocuSign Envelope ID: 890AB1BA- 173D- 46A1- B569- D7AE7E5CA4F3 REMOUNT PRICING Version 15.1 532 Module Exterior Paint Module painted with pure white polyurethane enamel and clear coat painted - includes exterior paint and buffing, Paint and new door seals, new drip rail over compartment and entry doors, new front stone guards. This option does not 533 ( 1 ) include exterior compartment paint or a stripe of any kind. Please select these options separately. 534 679 680 686 689 690 691 692 693 694 695 696 697 698 701 702 703 707 708 709 710 711 712 713 714 715 735 736 784 788 801 849 853 866 914 918 REFLECTIVE "SCOTCHLITE" STRIPING. NOTE: Specify the number of Scotchlite stripes in the column next to the correct width of the stripe. Attach a diagram of the desired stripe layout to this order. ( 2 ) 1 inch Reflective Stripe ( 1 ) 8 inch Reflective Stripe Specify the color of the 1st reflective stripe: 1" Blue Specify the Location of the 1st reflective stripe: Beltline Specify the color of the 2nd reflective stripe: 8" Blue Specify the Location of the 2nd reflective stripe: Beltline Specify the color of the 3rd reflective stripe: 1" Blue Specify the Location of the 3rd reflective stripe: Beltline 1 ATTACH A DIAGRAM OF THE DESIRED REFLECTIVE STRIPE LAYOUT TO THIS ORDER. CUSTOMER NOTES AND SPECIAL REQUESTS ** REF. Lines 680 -697: The reflective striping shall be installed at the beltline as follows - 1" Blue reflective, 1" white paint space, 8" Blue reflective, 1" white paint space, and 1" Blue reflective. Also reference paint drawings. ** Install alternating 8" blue and yellow reflective striping as Chevrons in an inverted "V" pattern on the rear of the module. Drawings of placement will be available. ** Install customer - supplied decals on cab doors. Re- install the placard brackets after module has been painted. ** Install lettering and graphics (to include large SOL on both sides of the module and blue & yellow checkered pattern for the skirtline) per Orange County's layout. Drawings will be provided. This also includes window pert film in blue /yellow for the rear personnel entry door windows that will be in line with the reflective scotchlite chevrons on the rear of the module and white window perf film for the side entry door window. MODULAR BODY: L -1 COMPARTMENT ( 1 ) Stainless Steel Door Sill protector for compartment door sill L -3 Compartment ( 1 ) Stainless Steel Door Sill protector for compartment door sill L -4 Compartment ( 1 ) Stainless Steel Door Sill protector for compartment door sill Rev:082013 7of14 9,429.94 9,429.94 429.95 859.90 1,021.68 1,021.68 'ex$TolmmmlFoy$To, 0.00 1,122.84 153.89 4,697.65 114.42 114.42 114.42 114.42 114.42 114.42 11/30/2017 9:44 AM DocuSign Envelope ID: 890AB1BA- 173D- 46A1- B569- D7AE7E5CA4F3 REMOUNT PRICING Version 15.1 931 R -1 Compartment 979 ( 1 ) Stainless Steel Door Sill protector for compartment door sill 114.42 114.42 983 996 R -2 Compartment 1044 ( 1 ) Stainless Steel Door Sill protector for compartment door sill 114.42 114.42 1048 1061 R -4 Compartment 1109 ( 1 ) Stainless Steel Door Sill protector for compartment door sill 114.42 114.42 1113 1246 R -3 Side Entry Personnel Door 1267 ( 1 ) Door Sill protector for side personnel door 84.26 84.26 1279 1324 Miscellaneous Module Exterior 1333 ( 2 ) Replace cast fenderette with one of the same style -Enter the number of fenderettes to be replaced 234.43 468.87 1334 Specify fenderette to be replaced: Both - Rubber -style 1335 1359 ( 1 ) Replace (4 total) diamondplate rub rails with 1" x 1" tubular support & plastic spacers off body 428.42 428.42 1360 1361 ( 1 ) Replace diamondplate rear kick plate with full width overlay style 317.52 317.52 1377 Rear Bumper 1378 ( 1 ) New Aluminum diamondplate trimmed rear bumper with folding step and one dock bumper per side 1,010.26 1,010.26 1384 1394 PATIENT COMPARTMENT 1395 Miscellaneous Module Interior Replace all interior MICA with new MICA. THIS OPTION INCLUDES ENTRY DOORS AND INTERIOR CABINET 1422 ( 1 ) DOORS. 3,512.40 3,512.40 1423 Specify Formica part number and color: Match existing 1424 1625 Floor Covering Options 1631 ( 1 ) Install Lonseal LonPlate flooring up the streetside wall and up the face of squad bench. 1,708.12 1,708.12 1632 Specify the color of the floor covering: 421 Mica 1633 1656 Sharps/ Trash Containers 1657 ( 1 ) Sage #8516 -1 H 5 quart Wall- mounted "Sharps" container with insert 150.97 150.97 1662 1678 CUSTOMER NOTES AND SPECIAL REQUESTS 1679 REF. Line 1657: Sharps bracket will be installed on the streetside wall to the right of the attendant seat at delivery. 0.00 1680 '* Install (1) 6 -point harness at the CPR seat location. This option includes barstock to be welded behind the streetside 1681 wall and into the wall structure for the harness to secure in to. 480.68 1682 * Install (2) 6 -point harnesses at the squad bench seat location. This option includes barstock to be welded behind the 1683 curbside wall and into the wall structure for the harnesses to secure in to. 961.36 1684 1686 1687 Seating/ Upholstery Options Rev:082013 8 of 14 11/30/2017 9:44 AM DocuSign Envelope ID: 890AB1BA- 173D- 46A1- B569- D7AE7E5CA4F3 REMOUNT PRICING Version 15.1 Replace all upholstery with new (this option includes all new upholstery trim, squad bench, CPR seat, backrests, head knockers, center trough panels, cabinet covers, corner pieces ETC). NOTE: This option does not include a new 1688 ( 1 ) attendants seat. 3,789.28 3,789.28 1689 Specify color for upholstery replacement other than the existing color: Ruby Red Wise Brand HiBAC Attendant seat with built -in 5 Point Child Safety Seat - INCLUDES SEAT BASE OF CHOICE - 1713 ( 1 ) PLEASE SELECT THE STYLE SEAT BASE DESIRED: 1,092.21 1,092.21 1714 Specify the seat base style to be used (SWIVEL OR FIXED BOX): Swivel 1730 1740 Specialty Mounting Brackets 1741 ( 1 ) Monitor /Defib Bracket (NCE H7000) counter mount bracket for LifePak 12 or 15 525.82 525.82 1742 Specify the location of the holder and if it is a version 12 or 15 LifePak Monitor: LifePak 15 1743 Replace the existing floor mounting plates with plates of the same brand. This requirement accounts for dual mount Stryker or Ferno style floor plates only. This feature does not include the separate hardware that 1748 1 attaches to the floor plateswhich must be selected as an option. 242.73 242.73 1749 Specify the Brand of floor plates to be replaced: N/A 1762 CUSTOMER NOTES AND SPECIAL REQUESTS 1763 REF. Line 1748: This line does not apply. Credit for replacing floor mounting plates. - 242.73 1764 *' Install barstock into the existing floor structure for installation of a Stryker Power Load system. The customer will 1765 decide if the Power Load system will be supplied by Excellance or will be customer - supplied. 1,306.15 1766 1770 1771 Electrical System 1795 Cab Console Options 1796 Console Type Replace floor console - Type 1 - includes spotlight, switches, meter (volt and amp), map light, indicator lights. DOES 1797 ( 1 ) NOT INCLUDE NEW SIREN OR MAP BOOK STORAGE. 1,556.11 1,556.11 1802 1803 ( 1 ) Install 2 cup holders in the front cab console NOTE: This option is available on new consoles 32.82 32.82 1805 1836 Cab Console Switches 1838 ( 4 ) Spare switch to be installed in front console for future items -enter the number of switches to be added 69.63 278.52 1846 1847 CUSTOMER NOTES AND SPECIAL REQUESTS 1848 Delete the standard map light on the front cab console. -79.37 1849 1850 Install a new personnel "door open" buzzer on the cab console to be activated when in gear. 160.54 1851 " Install a Mermaid Dual Temp unit #MKDUAL TEMP in the ALS compartment. The control head will be installed on 1852 the interior R4 cabinet wall in the bulkhead area. 4,193.26 1853 Cabinet modification may be necessary to install the Mermaid Dual Temp unit into the ALS cabinet. (Some of Orange County's units already have this system installed and would need to replace the Mermaid system only and others will require cabinet modification). If cabinet modification is necessary, the price shown is an estimate only and is 1854 subject to change. 582.31 Rev:082013 9 of 14 11/30/2017 9:44 AM DocuSign Envelope ID: 890AB1BA- 173D- 46A1- B569- D7AE7E5CA4F3 REMOUNT PRICING Version 15.1 1855 2,766.72 246.52 493.04 1890 162.73 CUSTOMER NOTES AND SPECIAL REQUESTS 517.92 1891* 187.14 Transfer existing camera system and monitor to the new chassis. 452.75 1892 223.72 132.14 264.28 1898 264.28 132.14 264.28 2051 115 VAC ELECTRICAL EQUIPMENT 2052 Shoreline Options 2056 ( 2 ) Replace Kussmaul #091 -30WP -120 30 amp Super Auto -Eject Shoreline Plug w /waterproof cover Relocate Existing Shoreline(s)- Enter the number of shorelines to be relocated. This consists of welding old holes and 2058 ( 2 ) running new supply cables. Price is only good for units getting repainted in full. 2059 Specify the new location of the 1st shoreline: SS front of module 2060 Specify the new location of the 2nd shoreline: SS front of module 2061 Vanner 1050 watt inverter (model 20- 1050CUL) with transfer switch WITH battery charger (with IFM1 remote interface 2088 ( 1 ) module installed) with a vented cover. 2090 2098 2099 Specify the location of the Inverter: L3/2 compartment 2100 2106 ( 1 ) Install additional 120 VAC Outlets -Enter the number of additional the 120VAC outlets desired. 2107 Specify the location of the 1st 120VAC outlet: Aft Action Area 2110 2120 EXTERIOR LIGHTS: Excellance will determine what light holes maV need weldinq modifications to accommodate anV new light fixtures specified in this order. The cost for weldinq up anV such liqht holes is 2207 included in the base conversion price. 2229 LED Emergency Lights 2230 ( 12 ) 900 Red LED emergency light w /Flange (includes the lens) 4- Front, CS, SS, 4 -Rear 2232 ( 2 ) 900 series Amber LED emergency light w /Flange (includes the lens) Rear Mid -Level 2234 2237 ( 1 ) 700 series Amber LED emergency light w /Flange (includes the lens) Rear upper center 2239 2245 ( 4 ) 500 Red LED emergency light w /Flange (includes the lens) Grille & Intersection 2249 2255 ( 1 ) Wire Auxiliary Mid -Level rear emergency lights to act as brake lights when not in emergency mode 2258 2268 Scene/ Load Lights 2269 ( 4 ) 900 series halogen scene light w /Flange (8 -32 degree clear lens included) 2 -CS & 2 -SS 2273 ( 2 ) 600 series halogen scene light w /Flange (8 -32 degree clear lens included) Rear 2284 Brake/ Tail, Turn Signals, Back -Up lights 2303 600 Series Lights 2308 ( 2 ) 600 series Red LED Brake/ Tail light w/ Flange (includes the lens) Both 2309 ( 2 ) 600 Series Amber LED Turn signal light w /Flange (includes the lens) Both 2310 ( 2 ) 600 series Clear LED Back -up Light w /Flange (includes the lens) Both 2311 190.70 857.74 1,715.49 371.19 742.38 1,456.51 1,456.51 274.96 274.96 230.56 2,766.72 246.52 493.04 162.73 162.73 129.48 517.92 187.14 187.14 113.19 452.75 111.86 223.72 132.14 264.28 132.14 264.28 132.14 264.28 Rev:082013 10 of 14 11/30/2017 9:44 AM DocuSign Envelope ID: 890AB1BA- 173D- 46A1- B569- D7AE7E5CA4F3 2312 2313 2433 2434 2435 2436 2437 2438 2439 2440 2441 2442 2443 2465 2469 2470 2471 2477 2498 2509 2510 2512 2516 2517 2518 2519 2520 2521 2525 2526 2532 2533 2555 2596 2599 2607 2608 2609 2617 2749 2750 REMOUNT PRICING Version 15.1 Install Rear tail lights in a set of two Horizontal CPI castings (this option will automatically delete the 600 light flanges 1 ) and is only available with 600 series lights) 197.01 197.01 Grill EmergencV and Intersection Light Housings: Grill Light Housing: 1 ) 2 - alum. grill housings (lights without speakers) 123.26 123.26 MODEL OF CHASSIS THAT HOUSING WILL BE INSTALLED ON: F550 4x4 TYPE OF LIGHT THAT HOUSING WILL NEED TO FIT: 500 Series Intersection Light Housing: 1 ) 2 - alum. Intersection light housings 96.66 96.66 MODEL OF CHASSIS THAT HOUSING WILL BE INSTALLED ON: F550 4x4 TYPE OF LIGHT THAT HOUSING WILL NEED TO FIT: 500 Series LIGHT BARS & LIGHT BAR OPTIONS CUSTOMER NOTES AND SPECIAL REQUESTS ** Install a Whelen 8 -lamp LED Traffic Advisor #TAM83 on the rear of the module above the rear doors. The control head shall be installed in the cab console. 1,033.10 EMERGENCY AUDIBLE WARNING SYSTEM 0.00 0.00 Speaker Options 1 ) Two CPI through the bumper speakers (for F350 or F450). 928.50 928.50 CUSTOMER NOTES AND SPECIAL REQUESTS ** REF. Line 2512: Speakers shall be for the F550 chassis. 0.00 ** Install a Whelen Howler siren system. 839.78 OXYGEN AND SUCTION SYSTEMS: 1 ) Zico hydraulic cylinder lift / bracket 2,759.05 2,759.05 SPECIFY CYLINDER SIZE: TBD HVAC SYSTEMS: FORD TYPE I CHASSIS 115 / 12 Dual Volt HVAC systems: Dual voltage heavy duty combination heater / air conditioner system with digital electronic thermostat with digital temperature display. WITH dual compressors (One 12VDC OEM chassis compressor and one 115VAC auxillary 1 ) compressor) AND 1 ) * 12VDC and 115VAc auxillary A/C condensors mounted Under the module body. CONTINGENY ALLOWANCE ( PORTION NOT USED WILL BE DEDUCTED FROM THE FINAL INVOICE). ** Contingency allowance, which shall be used to replace D -ring handles, door latches, etc. that may be found during the remount process. Rev:082013 11 of 14 0.00 0.00 6,165.35 6,165.35 ENTER PRICE 2,000.00 2,000.00 11/30/2017 9:44 AM DocuSign Envelope ID: 890AB1BA- 173D- 46A1- B569- D7AE7E5CA4F3 REMOUNT PRICING Version 15.1 2773 2774 2775 ADDITIONAL TERMS AND CONDITIONS FOR THIS CONTRACT 2776 PAYMENT TERMS ARE COD /FOB EXCEL LANCE, INC. MADISON, AL. 2777 The effective date of this contract is the day this order is accepted by Excellance as 2778 evidenced by the date this contract is executed by an officer of Excellance. 2779 2780 Construction will begin only after all questions have been resolved. Once the unit is in production, 2781 changes will result in an engineering fee of $250 in addition to the price for the change. 2782 2783 Failure to select an option on this order form will result in: (i) no charge to the customer, 2784 (ii) no obligation by Excellance for that item, and (iii) the possibility of a $250 charge for 2785 changes or additions that occur after production begins on a vehicle. To select any option 2786 you must either: (a) enter "1" in the "( ) ", OR (b) enter a specific number in the 2787 when instructed to do so. 2788 2789 Review this order carefully. Changes, alterations or additional work ordered shall be charged 2790 for at current rates with additional time being allowed Excellance for delivery. 2791 2792 Price is exclusive of taxes, licenses, etc. which shall be the responsibility of purchaser. 2793 All delivery dates are approximate unless otherwise indicated and are subject to and dependent 2794 upon the Purchaser furnishing all required information to Excellance in a timely manner. 2795 2796 Fulfillment of this order by Excellance shall be contingent upon strikes, lock -outs, fires, 2797 accidents, Government regulations, inability to secure materials or other causes beyond 2798 Excellance's control. Excellance may substitute comparable parts if the specified part is not available. 2799 If colors are not specified, Excellance retains the right to assign colors based upon availability. 2800 2801 In the event Purchaser cancels this order prior to Excellance beginning production on the unit(s) covered 2802 hereunder, then Excellance shall be entitled to receive from Purchaser the greater of (a) 15% of the 2803 contract price, or (b) all deposits paid by Purchaser hereunder. In the event Purchaser cancels this 2804 order after Excellance begins production on the unit(s) covered hereunder, then Excellance shall 2805 be entitled to receive from Purchaser the full contract price less the amount of money saved by 2806 Excellance by reason of the cancellation (e.g., actual costs incurred) plus 15% of the contract price. 2807 2808 Any warranties on the products sold hereunder are those made by the manufacturer of said products. 2809 Excellance, as the seller of such products, expressly disclaims all warranties, either expressed or 2810 implied, including any implied warranty of merchantability or fitness for a particular purpose, and 2811 neither assumes nor authorizes any other person to assume for it any liability in connection with 2812 the sale of such products. 2813 2814 In the event there is a "trade -in" unit that Excellance agreed to take "in trade" as partial consideration of 2815 the purchase price hereunder, Excellance shall be under no obligation to tender the MSO /title for the new 2816 unit to the purchaser until Excellance (a) receives the MSO /title for the unit to be "traded in ", and (b) has 2817 possession of the unit "traded in ". 2818 2819 This contract contains the entire understanding between the parties, supersedes any previous agreement or Rev:082013 12 of 14 11/30/2017 9:44 AM DocuSign Envelope ID: 890AB1BA- 173D- 46A1- B569- D7AE7E5CA4F3 REMOUNT PRICING Version 15.1 2820 understanding, and any changes to this contract must be in writing and signed by Purchaser and Excellance. 2821 2822 Arbitration provision: The laws of the state of Alabama, as applicable to contracts to be 2823 performed entirely within that state, shall govern this agreement. Any controversy or claim 2824 arising out of or relating to this agreement, or the breach thereof, shall be settled by binding 2825 arbitration in accordance with the rules of the American Arbitration Association and any judgment 2826 on the award rendered by the arbitrator may be entered in any court having jurisdiction thereof. 2827 2828 IMPORTANT INFORMATION REGARDING CHASSIS: 2829 The $350 charge for handling each customer / dealer supplied chassis covers only the following 2830 items: unloading and storing the chassis, test driving and checking the chassis against the specifications 2831 supplied by the customer, inventory and store loose parts delivered with the chassis, electrical 2832 tests on all chassis power circuits, tire alignment, washing, detailing & polishing, fueling, 2833 checking gauges, brakes, all fluid levels and air in the tires prior to final delivery. THE CUSTOMER IS 2834 STILL RESPONSIBLE FOR ALL COSTS ASSOCIATED WITH (A) MODIFYING, REPAIRING AND /OR 2835 REPLACING DAMAGED AND MISSING PARTS DELIVERED WITH THE CHASSIS; AND (B) 2836 CORRECTING ANY CHASSIS THAT WAS NOT ORDERED CORRECTLY. t 56 57 58 59 60 62 63 64 65 66 13 36 12 n 35 11 Rev:082013 EMERGENCY LIGHTS LAYOUT 8 31 13 of 14 68 30 7 P1 P4 71 33 19 Ell 11/30/2017 9:44 AM DocuSign Envelope ID: 890AB1BA- 173D- 46A1- B569- D7AE7E5CA4F3 0 15 17 do 0 14 16 49 45 O REMOUNT PRICING Version 15.1 ON4 w o' 24 EXCELLANCE, INC. —2013 Rev:082013 14 of 14 11 /30/2017 9:44 AM DocuSign Envelope ID: 890AB1BA- 173D- 46A1- B569- D7AE7E5CA4F3 1 EXCELLANCE, INC. TEN -YEAR (100,000 Mile) REMOUNT ELECTRICAL WARRANTY Subject to the provisions, limitations, and conditions set forth in this warranty, Excellance, Inc., hereby warrants to each original purchaser only, that the Excellance supplied electrical equipment as listed below, are sound and free of all defects of both materials and workmanship, for 10 years or 100,000 miles, whichever occurs first, providing it remains in possession of the original purchaser and is in operation by said purchaser. This electrical equipment includes: magnetic door switches, all wire terminals, main vehicle wiring harnesses and battery harness cables, Bosch relays, switches, automatic and /or manual reset circuit breakers, voltmeters, ammeters, shunts, battery disconnect switches, solenoids, diodes, rectifiers, heat sinks, all terminal strips, and AMP multi -pin electrical connectors. Items not covered under this warranty are batteries, generators, sirens, inverters, light bulbs, flashers, lightbars or any component thereof, and third party electrical components or systems. Batteries, light bars, third party electrical components or system and alternator systems are covered by representative warranties. The above warranty is transferable upon changeover of the body to a new chassis, providing Excellance, Inc. performs the work. In the case of the sale of the vehicle, the warranty is also transferable to the new owner, providing that an inspection and registration of the vehicle is performed by Excellance or an Excellance approved representative. Not withstanding anything to the contrary herein, • only those items replaced or repaired by Excellance, Inc. at the time of the remount are covered by this warranty, and • the original warranty shall remain in effect from the original date of purchase for those items that are not replaced or repaired by Excellance, Inc. at the time of the remount. Both time and mileage from all chassis will be accumulated and debited against the original 10 year / 100,000 mileage limit. Should repairs become necessary under the terms of this warranty, the extent of that repair shall be determined solely by Excellance and shall be performed by Excellance or a repair facility designated by Excellance. The expense of any transportation to or from such repair facility shall be the responsibility of the purchaser, and is not an item covered by this warranty. This warranty is conditioned upon normal use and reasonable maintenance of such equipment; prompt written notice of all defects to Excellance or one of its then authorized dealers in the area; not repairs or additions thereto except by Excellance or authorized by it; said defect not resulting from misuse, negligence, accident, abnormal wear and tear, and alteration of the original parts or adjustments by customer or third parties. Improper radio equipment installation will void the electrical warranty. If any such conditions are not complied with, this warranty shall become void and unenforceable. Excellance reserves the unrestricted right at any time to make changes in the design of and /or improvements on its products without thereby imposing any obligations on itself to make corresponding changes or improvements in or on its products previously manufactured. Exclusions and Limitations: This manufacturers warranty is provided in place of any and all other representations, expressed or implied warranties. Note that components manufactured by others and installed by Excellance shall be covered by representative warranties. No person is authorized to make any representations of warranty on behalf of Excellance or any of its distributors other than set forth in this manufacturer's warranty. Your right to service and replacement of parts on the terms expressly set forth herein are you exclusive remedies and neither the manufacturer nor any of its distributors shall be liable for damages, whether ordinary, incidental or consequential. The vehicle chassis, chassis components, and applicable body of cab will be warranted in accordance with the standard chassis warranty policy by the manufacturer, normal or extended. UNIT # DATE / !_ SIGNED WARRANTY REPRESENTATIVE �A DocuSign Envelope ID: 890AB1BA- 173D- 46A1- B569- D7AE7E5CA4F3 EXCELLANCE, INC. SEVEN -YEAR (UNLIMITED MILEAGE) REMOUNT PAINT PERFORMANCE WARRANTY (I C V Excellance, Inc. warrants the integrity of the paint on each completely painted remounted ambulance for a period of seven years from the date of delivery to the original purchaser by an authorized Excellance, Inc, dealer to be free of defects in materials and workmanship under normal use and service. The obligation of Excellance, Inc. under this warranty is to repair the unit at Excellance with the transportation cost prepaid by the customer after the initial 12 month period. After the initial 12 month period, the following percentages apply: * 0 to 12 months 100% - Coverage and Transportation * 49 to 60 months — 50$ Coverage * 13 to 48 months 100% - Coverage * 61 to 84 months — 25% Coverage ITEMS SPECIFICALLY COVERED ARE: • Cracking, checking, or peeling or delaminating of top coat and other layers of paint • Loss of gloss caused by cracking, checking or hazing • Any paint failure caused by improperly applied finishes by Excellance, Inc. ITEMS EXCLUDED ARE: • Hazing, chalking or loss of gloss caused by improper care, abrasive polishes, cleaning agents, heavy duty pressure washing, or aggressive mechanical wash systems (see owners manual for proper cleaning instructions) • Paint deterioration caused by abuse, misuse, accidents, acid rain, chemical fall out or act of nature • Accidents, scratches, chips, bruises, and gloss reduction due to normal vehicle use and maintenance • Custom finishes, exotic finishes, or any finish other than standard refinish procedures • Finishes on vehicles used for competitive purposes • Repairs done over previously refinished areas, unless stripped to bare metal or appropriate substrate by Excellance, Inc. or an authorized agent. • The installation of additional parts on the unit after it leaves the Excellance, Inc, factory • The installation of any graphics installed by non - Excellance, Inc. technicians • The removal of any components where a protective coating of a corrosion inhibitor has been applied without the re- application of a corrosion inhibitor, approved by Excellance, Inc. prior to re- installation of the component • Claims requested without proper guarantee documentation • Finishes performed by non - Excellance, Inc. authorized repair center • Finishes performed by non - Excellance, Inc. technicians THREE -YEAR (UNLIMITED MILEAGE) CORROSION WARRANTY Excellance, Inc. will warrant the repair of a paint deterioration caused by blisters or other film degradation due to corrosion originating from the substrate on each new ambulance for a period of three years from the date of delivery to the original purchaser by an authorized Excellance, Inc. dealer under normal use and service. The obligation of Excellance, Inc. under this warranty is to repair the unit at Excellance, Inc. with the transportation cost prepaid by the customer. The following percentages apply: * 0 to 12 months — 100% Coverage * 25 to 36 months — 25% Coverage * 13 to 24 months — 50% Coverage If repairs should become necessary under terms of this warranty, the extent of that repair shall be determined solely by Excellance, Inc. Excellance, Inc. also reserves the sole right to determine when and where such repairs will be made. The expense of any transportation to or from such a repair facility shall be the sole responsibility of the original purchaser, and not an item covered by this warranty. Exclusions and Limitations: This manufacturer's warranty is provided in place of any and all other representations or expressed or implied warranties or merchantability and fitness for a particular purpose. No person is authorized to make any representation or warranty on behalf of Excellance, Inc. other than set forth in this manufacturer's warranty. Your rights to service on the terms set forth herein are your exclusive remedies and neither the manufacturer and /or any of its distributors shall be liable for damages whether ordinary, incidental or consequential. UNIT # DATE: __J __j_ SIGNED: WARRANTY REPRESENTATIVE MW Z�g DocuSign Envelope ID: 890AB1BA- 173D- 46A1- B569- D7AE7E5CA4F3 `t u EXCELLANCE, INC. TWENTY FOUR MONTH (24,000 Mile) REMOUNT CONVERSION WARRANTY Excellance, Inc. warrants each remounted ambulance manufactured by Excellance for a period of twenty -four months or 24,000 miles whichever occurs first, from the date of delivery to the original purchaser by an authorized Excellance dealer to be free of defects in materials and workmanship under normal use and service. The obligation of Excellance under this warranty is limited to repairing or replacing, at its option, any part or parts thereof which shall within 24 months or 24,000 miles after delivery of such ambulance to the original purchaser, be returned with transportation charges prepaid to Excellance or an authorized Excellance service center and which examination shall disclose to have been defective, except hereinafter provided. Items not covered under this warranty are the chassis or items supplied by the chassis manufacturer; tires, tire balancing, or wheel alignment; belts, hoses or filters; general tightening, lubrication, normal wear and tear, abuse, misuse, accident, physical damage, negligence, failure to maintain, unapproved modification or alteration of the original parts, chemical corrosion, light bulbs or head light adjustments; separately manufactured items installed by Excellance including, but not limited to: batteries, generators, sirens, battery chargers, inverters, light bars and like electrical equipment. These are covered by warranties supplied by the manufacturer of the components. If repairs should become necessary under terms of this warranty, the extent of that repair shall be determined solely by Excellance. Excellance reserves the right to determine where such repairs will be made, Excellance or an Excellance authorized dealer or service center. The expense of any transportation to or from such repair facility shall be the sole responsibility of the original purchaser and is not an item covered by this warranty. Excellance, Inc. reserves the unrestricted right from time to time make changes in design on its products without thereby imposing any obligation on itself to make corresponding changes on its products previously manufactured. Exclusions and Limitations: This manufacturer's warranty is provided in place of any and all other representations, expressed or implied warranties of merchantability and fitness for a particular purpose. No person is authorized to make any representation or warranty on behalf of Excellance, Inc. or any of its distributors other than set forth in this manufacturer's warranty. Your right to service and replacement of parts on the terms expressly set forth herein are your exclusive remedies and neither the manufacturer nor any of its distributors shall be liable for damages whether ordinary, incidental or consequential. UNIT# DATE:—/—/— SIGNED WARRANTY REPRESENTATIVE ellAl DocuSign Envelope ID: 890AB1BA- 173D- 46A1- B569- D7AE7E5CA4F3 EXCELLANCE, INC. TWENTY FIVE -YEAR (UNLIMITED MILEAGE) REMOUNT STRUCTURAL WARRANTY Excellance, Inc. hereby warrants to the original purchaser only that each new modular ambulance; module welded structure and skin, the squad bench structure and the basic welded structure of the interior cabinets are sound and free of structural defects as to both material and workmanship. Excellance further warrants that it will maintain such structural integrity and remain free of structural damage due to rusting or electrolysis for a period of twenty (20) years from the date of manufacture, as designated on the manufacturer's certification. This warranty is subject to the provisions, limitations, and conditions set forth herein. Excluded from this warranty are the paint finish, hardware, moldings, windows, doors, general tightening of added components, lubrication, fasteners, catches, electrical items and other components covered under separate warranties. This warranty is conditioned upon normal use and reasonable maintenance of such modular body; prompt written notice of all defects to Excellance, Inc. or dealer authorized by it; said defect shall not result from abuse, misuse, negligence, accident, improperly lifting, improperly towing or overloading beyond applicable weight rating. If any such conditions are not complied with, this warranty shall become void and unenforceable. In the event of a chassis remount by the original purchaser, this structural integrity warranty shall be renewed for twenty five years providing the re- chassis work is completed by Excellance, Inc. If repairs should become necessary under the terms of this warranty, the extent of that repair shall be determined solely by Excellance, Inc. and shall be performed solely at Excellance, Inc. or a repair facility designated by Excellance, Inc. The expense of any transportation to or from such repair facility shall be that of the purchaser and is not an item covered by this warranty. Excellance, Inc. reserves the unrestricted right at any time and from time to time to make changes in the design of and/or improvements on its products without thereby imposing any obligation on itself to make corresponding changes or improvements in or on its products theretofore manufactured. Exclusions and Limitations: This manufacturer's warranty is provided in place of any and all representations, expressed or implied warranties and no person is authorized to make any representation or warranty on behalf of Excellance, Inc. or any of its distributors other than set forth in this manufacturer's warranty. Your right to service and replacement of parts on the terms expressly set forth herein are your exclusive remedies and neither- the manufacturer nor any of its distributors shall be liable for damages, whether ordinary, incidental or consequential. UNIT # DATE: /_ I SIGNED: WARRANTY REPRESENTATIVE DocuSign Envelope ID: 890AB1BA- 173D- 46A1- B569- D7AE7E5CA4F3 REMOUNT WARRANTY "QUICK FACTS" Excellance produces the finest quality ambulances in the industry and we stand behind our products with the most comprehensive warranty available. What is covered? 25 years Body frame 25 years Sub -floor structure 25 years Exterior skin 25 years Exterior compartments 25 years Interior cabinetry 25 years Squad bench framing 10 years Main vehicle wiring harness and battery harness cable 10 years Bosch relays 10 years Circuit breakers 10 years Voltmeters 10 years Ammeters and shunts 10 years Switches 10 years Battery disconnect switches 10 years Solenoids 10 years Diodes, rectifiers and heat sinks 10 years All terminal strips and Amp multi -pin electrical connectors 10 years All wire terminals 10 years Magnetic door switches 7 years Paint; peeling, cracking, checking, loss of gloss, and any paint failure caused by improperly applied finishes. 2 years Molding and windows 2 years Upholstery and flooring 2 years Doors and door securing hardware Excellance's warranty for the above items will be voided if there is any alteration to the part, physical damage, normal wear and tear, abuse and misuse, or failure to maintain the item. See Owners Operating Manual and written warranty for details. DocuSign Envelope ID: 890AB1BA- 173D- 46A1- B569- D7AE7E5CA4F3 (gl fr tj AC40R" CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 8/2/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Cleonie Nathanielsz NAME: JD Fulwiler & Co. Insurance, Inc. PHONE (503)293 -8325 FAX (503)293 -5918 LAIC, No. [YI) _ (Arc, NI,) 5727 SW Macadam Ave ADDRESS cnathanielsz @jdfulwiler.com PO BOX 69508 INSURER(S) AFFORDING COVERAGE NAICN Portland OR 97239 INSURER A .National Fire Insurance of Hartford 20478 INSURED INSURER e:Continental Insurance 35289 EXcellance Inc INSURERC: 453 Lanier Rd INSURER D : MED EXP (Any one person) $ INSURER E : Madison AL 35758 1 INSURER F: rITIrI^A- 11,11 ua000.fIT.17A1 d5t9Af1 RG\ /ICInKI NIIMRFR- vTHIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE :ADD., SUL3H POLICY NUMBER (MMLDDIYWY MMIODYlYYYY LTR LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 - DAMAGE TO RENTED 300,000 A CLAIMS -MADE X OCCUR PREMISES (Ea occurrence) _ $ 6042861810 8/1/2017 8/1/2018 MED EXP (Any one person) $ 15,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2 , 000 , 000 X POLICY PRO- 11 LOC JECT PRODUCTS - COMP/OP AGG $ 2,000,000 HL R: Employee Benefits $ 1,000,000 SINGLE LIMIT $ Ear aec 1,000,000 AUTOMOBILE LIABILITY dent) %X BODILY INJURY (Per person) $ ANY AUTO A ALL OWNED SCHEDULED 6092861807 8/1/2017 8/1/2018 BODILY INJURY (Per accident) $ AUTOS AUTOS NON -OWNED IfiRO PERTY DAMAGE $ X HIRED AUTOS X AUTOS (Per sccident) Medical oavments $ 5,000 X UMBRELLA L1AB OCCUR EACH OCCURRENCE $ 9, 000, 000 B EXCESS LIAB CLAIMS -MADE AGGREGATE $ 9,000,000 DED X RETENTION$ 10,000 6042861824 8/1/2017 8/1/2018 $ WORKERS COMPENSATION PER ERA AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR /PARTNER /EXECUTIVE 'NIA E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E. L DISEASE - EA EMPLOYEE $ _ IF yes, describe under DESCRIPTION OF OPERATIONS below E l.. DISEASE - POLICY LIMIT $ I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) P`COTI Cl/"ATC r.ir)i rtrn CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PROOF OF INSURANCE ONLY 1 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Becky Harding /CLEONI U I VJJJ5 -LU'14 AL.UKU l,UMrL)MA I IUIY. All I I y I W. ICDCI VCU. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401) i I , DocuSign Envelope ID: 890AB1BA- 173D- 46A1- B569- D7AE7E5CA4F3 Client #: 39383 38EXCELLANCE1 DATE (MM /DD/YYYY) ACORD,. CERTIFICATE OF LIABILITY INSURANCE 1 01/1012017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: J Smith Lanier & Co- Huntsville PHONE 25 VAX 256 890 -9070 {A!C Nv, ✓=t x 16 890 -9000 {Alf:, Nat: P. O. Box 6087 E -MAIL ADDRESS: Huntsville, AL 35813 -0087 IKSURER(S AFFORDING COVERAGE NAIC# 256 890 -9000 Alabama Self Insured WC Fund INSURED Excellance, Inc. 453 Lanier Road Madison, AL 35758 INSURER A: INSURER B: Midwest Employers Casualty INSURER C : INSURER D: INSURER E.' INSURER F: rnVFRAnFS CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. tNSR J1DOL U POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE IN_SR ICtAID POLICY NUMBER _ (MM/DD /YYYY)_ (MMIDDIYYY_Y) _ __ _ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE I OCCUR DAME j0 RENTED PR 1 ES (Ea occurrence). $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO- . POLICY F_] JECT LOC OTHER: AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIAR OCCUR EXCESS LIAB CLAIMS_ -MADE DED I I RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N B ANY PROPRIETORIPART N£RIEXECUTIVE OFFICERIMEMBER EXCLUDED? � N/A (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ IFer accident EACH OCCURRENCE AGGREGATE WC10000998002017A 1/01/2017 01/01/201 X PER OTH- PNAL129001 !13111011/20117 01/01/201 E.L. EACH ACCIDENT $1 E.L. DISEASE - EA EMPLOYEE $1 E.L. DISEASE -POLICY LIMIT $1 DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required) CERTIFICATE HOLDER k ANUt:LLR I IVN For Proof of Insurance Only SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 019$`8 -fU14 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD #S3312929/M3312927 PZR ` u DocuSign Envelope ID: 890AB1BA- 173D- 46A1- B569- D7AE7E5CA4F3 � II to Section I: General Government and Administration Policy 10.0: Living Wage Contractor Policy Reviewed by: County Attorney /County Manager Approved by: County Manager Original Effective Date: April 21, 2016 Revisions: August 1, 2016 Policy Statemeill It is the policy of Orange County to ensure its employees, and all individuals who provide services for Orange County, are paid a living wage. Purpose To encourage all vendors and contractors to pay a living wage to all employees who perform work pursuant to a contract with Orange County. Applicability Applies to all Orange County contracts and purchases. Polic 10.1 Living Wage 10.1.1 Orange County is committed to providing its employees with a living wage and encourages all contractors and vendors doing business with Orange County to pursue the same goal. Orange County's living wage is as reflected in the adopted Orange County Budget and as that budget document is amended from time to time. To the extent possible, Orange County recommends that contractors and vendors seeking to do business with Orange County provide a living wage to their employees. 10.1.2 Prior to final execution of a contract with Orange County all contractors and vendors seeking to do business with Orange County shall submit to the County's representative a statement indicating whether those employees who will perform work on the Orange County contract are paid at least the living wage amount set out above. If such employees do not make at least the living wage amount set out above the contractor or vendor shall indicate in the statement the actual amount paid to such employees. For bid projects this statement should be submitted as part of the bid packet. This policy may be reviewed annually and updated as needed by the Manager's Office "SA DocuSign Envelope ID: 890AB1BA- 173D- 46A1- B569- D7AE7E5CA4F3 Section I: General Government and Administration Policy 11.0: Non - Discrimination Policy Reviewed by: County Attorney /County Manager Approved by: County Manager Original Effective Date: August 1, 2016 Revisions: February 24, 2017 folic P 'Statement It is the policy of Orange County to ensure its employees, and all individuals who provide services for Orange County, are not victimized by illegal discrimination practices. I'ur ]l [YSC To prevent discrimination in Orange County government activities. Applicability Applies to Orange County and all Orange County employees and to those vendors and contractors providing services and products to and for Orange County. Policy 11.1 Non - discrimination 11.1.1 Orange County is committed to providing its employees and service providers with a discrimination free environment. Orange County and any vendor or contractor providing services or products to Orange County shall provide equal employment opportunity as required by law and, shall not, in the course of conducting work for or providing services or products for or to Orange County, discriminate against any person based on age (as defined in the Orange County Civil Rights Ordinance), race, ethnicity, color, national origin, religion, creed, sex, gender, gender identity, gender expression, marital status, familial status, source of income, disability, political affiliation, veteran status, disabled veteran status. This policy may be reviewed annually and updated as needed by the Manager's Office DocuSign Envelope ID: 890AB1BA- 173D- 46A1- B569- D7AE7E5CA4F3 10/13/2017 www.orangecountylivingwage.org ORANGE COUNTY LIVING WAGE FAIRNESS 1016HITY I PROSPERITY Living wages made this - Hi Chews at Morinaga America Foods "if you take care of your employees, they7l take care of your business." — Erik Lars Meyer, Mystery Brewing Company, Hillsborough, NC Every day in Orange County, North Carolina, a growing number of employers affirms the value of their employees by paying them a living wage. A living wage is the minimum amount that an individual must earn to afford basic necessities without government assistance. Living wage certified employers in Orange County voluntarily pay wages that are substantially higher than North Carolina's minimum wage of $7.25. Orange County Living Wage certifies employers who pay a living wage of $jL 1'1.65 with em to er- rovided health insurance. Our certified employer roster includes restaurants, hair salons, automotive shops, breweries, nonprofits, municipal and county governments, churches, plumbers, and more. Consumers, residents, and employers can shape their local economy from the ground up. Support living wages by eating, donating, shopping, and spending your money with certified living wage employers in Orange County and throughout North Carolina. Follow Orange County Living Wage on social media for the latest employer and wage news. http: // www.orangecountylivingwage.org / 1/5 DocuSign Envelope ID: 890AB1BA- 173D- 46A1- B569- D7AE7E5CA4F3 10/13/2017 www.orangecountylivingwage.org � u A tale of two countries The share of U.S. pre-tax income accruing to the bottom SO percent anti top one percent of incorne earners, 1962 -2014 34 12 Bottetn) 50% of Iftcotw'Car tie r;. •a f Top 1 < w+ income earnc:rs5 p 10 1962 1971 F 1980 1989 1998 2007 Sp, m:Thr % Ni catty. twnr nwS Sacs, ww! Ga6ric! Zucmam `p4trlbutlao"l NatNccul Arcountx Meihod%mid Eubmim tur"United Statai; M6.Camtrk.' a Mk- Natioru1DwvauolEC40MtcRr" -Yth ►Motor Thearrds €%ttx it liii lu7t adHlt "€rurarwtwlt" married cctOas arcl.PM e4u;I#Y. Living Wages Work Y 2416 SEquitable Growth Orange County Living Wage is a voluntary non - profit 501(c)3 organization founded in August 2015. Our continuing focus is to promote a living wage in Orange County, North Carolina. Through our employer certification program we certify Orange County employers that pay their employees a living wage. The certification is voluntary on the part of employers. Our goals are to: • Reward and recognize employers based in Orange County who pay their workers a living wage • Provide employers with incentives to pay a living wage Connect consumers to employers that provide a living wage & encourage them to become customers, patients, clients of those businesses and organizations. The Orange County Living Wage project promotes a more just and robust economy in Orange County. We are modeled after the successful North Carolina project Just Economics, based in Asheville, NC. that has certified more than 400 employers, the most in the USA. Orange County Living Wage works to advocate for and assist employers as we work together with them to create a more just and sustainable local economy that works for all. We welcome participation in our work from all members of the community. http:// www.orangecountylivingwage.org/ 2/5 DocuSign Envelope ID: 890AB1BA- 173D- 46A1- B569- D7AE7E5CA4F3 10/13/2017 www.orangecountylivingwage.org Profiles: Weaver Street Market Charles Traitor, a worker -owner and board member at Weaver Street Market, shares why paying a living wage benefits the employees of the co -op as well as the bottom line of the business. Find more videos of living wage - certified Orange County employers here. LIVING WAGES BENEFIT WORKERS A living wage pulls working families out of poverty. Nearly 40% of workers in Orange County earn less than a living wage. As a result, a large portion of county residents are, in fact, working poor. With salaries at or slightly above the minimum wage, each day the working poor in our county are forced to make difficult choices such as buying food or paying rent, filling a prescription or the gas tank. If these workers earned a living wage rather than the legal minimum of $7.25 /hour, many would be lifted out of poverty. LIVING WAGES BENEFIT EMPLOYERS A living wage is good for the bottom line. Turnover falls when employers offer a living wage, and workers who stay tend to be more educated and skilled, says Dr. William Lester, a UNC- Chapel Hill professor who specializes in minimum and living wage research. Since first paying a living wage, CEOs of Costco, QuikTrip and other employers report a drop in payroll costs due to lower absenteeism and turnover. Many living wage employers also note better morale, attendance, customer relations, and productivity. Moreover, Dr. Zeynep Ton of MIT's Sloan School of Management reports that research in the retail sector shows that for every $1 increase in payroll, a store can achieve a $4 or more increase in monthly sales. LIVING WAGES COME BACK TO THE LOCAL COMMUNITY http: // www.orangecountylivingwage.org / 3/5 DocuSign Envelope ID: 890AB1BA- 173D- 46A1- B569- D7AE7E5CA4F3 10/13/2017 www.orangecountylivingwage.org Boosting pay boosts business and the local economy. The states that have raised their minimum wage are adding jobs at a much faster pace than those that did not. And low -wage workers tend to spend nearly every dollar they earn for basic goods and services, giving a shot -in- the -arm to the local economy. In fact, every extra dollar going into the pockets of low -wage workers adds $1.21 to the economy. Orange County Living Wage, Asheville's Just Economics and Durham's Living Wage project all actively promote a living wage in their communities. Contact us at info @orangecountylivingwage.org for help setting up a similar organization in your area. Steering Committee Officers Susan Romaine, Chair Kimberly Brewer, Vice Chair Mike Andrews, Treasurer Susan Attermeier, Secretary Additional members Steve Jenks Mark Marcoplos John Barrow Victoria Freeman Chris Lathrop Orange County Living Wage Post Office Box 1502 Carrboro, NC 27510 info @orangecountylivingwage.org Do you like this page? , 130 people like this. Be the first of your Cr friends. Privacy Policy I Terms of Service Admin Sign In Sign in with Facebook, Twitter or email. http: // www.orangecountylivingwage.org / 4/5