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.
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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
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(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).
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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
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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
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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
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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:
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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"
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REMOUNT PRICING
Version 15.1
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WHEELBASE MEASUREMENT:
TBD
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CURRENT CHASSIS ODOMETER READING (Required if Excellance takes ownership of the take -off chassis):
Over 200,000
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100
DESCRIPTION OF ANY CHASSIS DAMAGE (Required if Excellance takes ownership of the take -off chassis):
TBD
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Excellance to take ownership of Take -Off Chassis- Enter as a negative number the amount for the chassis
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credit here:
- 3,500.00 - 3,500.00
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MAKE THE CHASSIS ROADWORTHY
107 (
1 ) THERE WILL BE NO ADDED WORK PERFORMED TO THE TAKE -OFF CHASSIS.
0.00 0.00
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CHASSIS
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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
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SUPPLYING IT
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ENTER MODELYEAR FOR NEW CHASSIS:
2018
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ENTER MODEL OF NEW CHASSIS:
F550 4x4
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ENTER MAKE OF NEW CHASSIS:
Ford
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ENTER CAB TO AXLE MEASUREMENT OF NEW CHASSIS:
108"
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ENTER WHEELBASE MEASUREMENT OF NEW CHASSIS:
189"
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THE REMOUNT WILL HAVE THE FOLLOWING WORK INCLUDED IN THE STANDARD BASE CONVERSION:
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CHASSIS INSPECTION
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Inspected for damage and defects upon delivery
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Test Drive
The chassis shall be inspected against (A) Excellance's Chassis order, and (B) the specifications supplied by
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the customer/ dealer.
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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,
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air conditioner, gauges, dome lights, turn signals, parking lights, etc.).
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CHASSIS WORK TO BE PERFORMED
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Heat Shields shall be installed above the exhaust system.
146
Chassis shall have undercoating applied.
147
Exhaust modifications shall be performed as necessary.
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Air valve extensions shall be installed on the rear inner tires.
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New mounting hardware shall be installed including: Grade 8 bolts, washers, nylon lock -nuts, spacers, outriggers (Type I units only)
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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.
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New Chassis emergency light wiring shall be installed (Grille, Intersection lights, etc.)
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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.
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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.
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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)
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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
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Living Wages Work
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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
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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
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