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Home My WebLink About2019-891-E Emergency Svc - Excellance ambulance remountRevised 12/18 1 [Departmental Use Only] TITLE Excellance, Inc. FY 2019-20 NORTH CAROLINA SERVICES AGREEMENT OVER $90,000.00 RFP/RFQ ORANGE COUNTY This Services Agreement (hereinafter “Agreement”), made and entered into this day of November, 2019, (“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"). 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 Ambulances onto Ford Type-1 chassis. Orange County Remount #2252 to include refurbishment as outlined in Attachment “A”, #2252 Orange County Remount Quote – Remount Pricing Version 19.0, dated 7-23-2019. 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. i) The Provider shall exercise reasonable care and diligence in performing services under this Agreement in accordance with the highest generally accepted standards DocuSign Envelope ID: 894792A6-7781-44EE-8915-1BC88F8277CE Revised 12/18 2 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. 3. Basic Services a. Basic Services. The Services to be rendered pursuant to this Agreement are as follows for the Chassis Remount: See Attachment A, which is hereby incorporated into this Agreement as if set forth herein. The chassis used for this remount/refurbishment project is being supplied by and paid for separately by County. Delivery and payment for the chassis is the responsibility of the County. The chassis specifications and condition shall be the responsibility of the County prior to Provider accepting it. b. Warranty. 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 (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. 4. Duration of Services DocuSign Envelope ID: 894792A6-7781-44EE-8915-1BC88F8277CE Revised 12/18 3 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 EITHER ATTACHMENT “A” OR “B,” THE SIGNED AND APPROVED REMOUNT PRICING QUOTE VERSION 19.0. 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 , Subsection 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 (Chassis Remount) shall be One Hundred Thirty-Three Thousand Two Hundred and Four dollars and 68/100 ($133,204.68) of which includes: i) Three Thousand Five Hundred dollars ($3,500.00) will be credited to County for a “Chassis Trade In” which will reduce the total cost of the Basic Service by that amount; and ii) A Two Thousand Dollars ($2,000) “Contingency Allowance” which may be used for any unforeseen work identified during the inspection and construction process. Contingency Allowance funds shall only be used with written authorization from County. Any portion of the Contingency Allowance not used will reduce the total cost of the Basic Service by that amount not used. 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). Provider shall invoice the County a minimum of thirty days prior to the completion of each Orange County ambulance remount/refurbishment project. Payment for the remount/refurbished ambulance shall follow the compensation guidelines outlined in this section. 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 DocuSign Envelope ID: 894792A6-7781-44EE-8915-1BC88F8277CE Revised 12/18 4 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. 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. b. Delivery. 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 Provider 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. 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.orangecountync.gov/departments/purchasing_division/contracts.php.) If County’s Risk Manager determines additional insurance coverage is required such additional insurance shall consist of (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, without limitation, 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 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 DocuSign Envelope ID: 894792A6-7781-44EE-8915-1BC88F8277CE Revised 12/18 5 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. 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, except if County terminates this Agreement under Section 10.a. then subject to provision contained in Attachment A, reference line #2665 through #2670. 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. 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 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 DocuSign Envelope ID: 894792A6-7781-44EE-8915-1BC88F8277CE Revised 12/18 6 County nor the Provider shall assign or transfer its interest in this Agreement without the written consent of the other. b. Governing Law. 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/departments/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 identified, 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 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. In the event of a conflict among the terms of the Contract Documents, the priority of documents shall be This Agreement, the attachments to the Agreements, which include the Remount Pricing Quote Version 19.0. This Agreement may be amended only by written 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 DocuSign Envelope ID: 894792A6-7781-44EE-8915-1BC88F8277CE Revised 12/18 7 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. i. 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 11A and Article 40 of North Carolina General Statute Chapter 66. j. 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: Dinah Jeffries Excellance, Inc. P.O. Box 8181 453 Lanier Road Hillsborough, NC 27278 Madison, Alabama 35758 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: PROVIDER: By: _________________________________ Bonnie Hammersley, County Manager By: __________________________________ Printed Name and Title DocuSign Envelope ID: 894792A6-7781-44EE-8915-1BC88F8277CE REMOUNT PRICING Version 19.0 EXCELLANCE, Inc 453 Lanier Road, Madison, Alabama 35758 1-800-882-9799 UNIT NUMBER: CUSTOMER INFORMATION NAME:Orange County Emergency Services FILE NAME: ADDRESS:P.O. Box 8181 NAME OF REP: Hillsborough, NC 27278 ADDRESS: PHONE:(919) 245-6126 FAX:PHONE: CONTACT:Alton Matthews FAX: E-MAIL:amatthews@orangecountync.gov PROJECT MGR: 1 SALES SUMMARY 1 1 COST OF UNIT:$131,204.68 1 How "Cost of Unit" will be paid: DEPOSIT WITH ORDER: $0.00 1 CONTINGENCY ALLOWANCE: $2,000.00 1 CHASSIS TRADE-IN CREDIT: ($3,500.00) 1 BALANCE DUE UPON DELIVERY:$129,704.68 1 THIS QUOTE IS VALID ONLY IF ACCEPTED BY BOTH PURCHASER AND EXCELLANCE WITHIN 60 DAYS OF:7/23/2019 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 Factory Direct Excellance, Inc. Orange Cty - RMQ 19.0 {rev 7-11-19} (256) 772-9321 453 Lanier Road JP/TRP 7/23/2019 13:00 QUOTED BY: ORIGINAL DATE OF QUOTE: ORIGINAL EXCELLANCE UNIT NUMBER: REMOUNT VERSION 19.0 TBD Madison, AL 35758 TBD 7/11/2019 (256) 772-8792 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. Lisa Barfield Rev: 05/21/19 1 of 16 7/23/2019 1:11 PM DocuSign Envelope ID: 894792A6-7781-44EE-8915-1BC88F8277CE REMOUNT PRICING Version 19.0 PARTS WILL BE ORDERED BY EXCELLANCE. STATUS OF THIS ORDER PLEASE FILL IN THE DATE AND TIME THE QUOTE WAS GENERATED:7/16/2019 (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: PURCHASER:DATE: TITLE:P. O. # : DATE: SALESMAN:DATE: EXCELLANCE:DATE: 83 84 85 86 TYPE OF UNIT: 87 88 ORIGINAL BODY MANUFACTURER: 89 90 MODEL/ MAKE/ YEAR: 91 92 CHASSIS VEHICLE IDENTIFICATION NUMBER: 93 94 CAB TO AXLE MEASUREMENT: 95 96 WHEELBASE MEASUREMENT: 97 98 CURRENT CHASSIS ODOMETER READING (Required if Excellance takes ownership of the take-off chassis): 99 100 DESCRIPTION OF ANY CHASSIS DAMAGE (Required if Excellance takes ownership of the take-off chassis): 101 102 103 104 (1) Excellance to take ownership of Take-Off Chassis- Enter as a negative number the amount for the chassis credit here:-3,500.00 -3,500.00 105 11 TBD TBD TBD TBD Freightliner M2 REMOUNT UNIT DESCRIPTION Type I - EHD THE CHASSIS MUST BE IN RUNNING AND DRIVING CONDITION FOR THE FULL TRADE IN VALUE TO BE APPLIED Excellance Rev: 05/21/19 2 of 16 7/23/2019 1:11 PM DocuSign Envelope ID: 894792A6-7781-44EE-8915-1BC88F8277CE REMOUNT PRICING Version 19.0 106 0 MAKE THE CHASSIS ROADWORTHY 107 (1)THERE WILL BE NO ADDED WORK PERFORMED TO THE TAKE-OFF CHASSIS. 0.00 0.00 120 1 CHASSIS 121 (1)Dealer or Customer supplied chassis 426.98 426.98 125 THE FOLLOWING FIELDS DESCRIBING THE NEW CHASSIS MUST BE FILLED OUT REGARDLESS OF WHO IS SUPPLYING IT. 129 ENTER MODELYEAR FOR NEW CHASSIS: 130 ENTER MODEL OF NEW CHASSIS: 131 ENTER MAKE OF NEW CHASSIS: 132 ENTER CAB TO AXLE MEASUREMENT OF NEW CHASSIS: 133 ENTER WHEELBASE MEASUREMENT OF NEW CHASSIS: 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 140 The chassis shall be inspected against (A) Excellance's Chassis order, and (B) the specifications supplied by the customer/ dealer. 141 All loose equipment received with the chassis shall be inventoried and stored. 142 All chassis functions shall be tested for proper operation (accelerator, brakes, headlights, wipers, horn, radio, 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.) 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. 156 Modular Air conditioning system shall have a vacuum performed and shall be recharged with 134A Freon with ultra-violet leak identification air conditioning oil dye installed into the system. 157 The module to chassis heater valves shall be replaced. 158 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. 159 New Front module mounted stone guards. 160 New back-up alarm 2019 Ford F550 4x4 108" 189" Rev: 05/21/19 3 of 16 7/23/2019 1:11 PM DocuSign Envelope ID: 894792A6-7781-44EE-8915-1BC88F8277CE REMOUNT PRICING Version 19.0 161 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 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 182 183 184 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) 194 Bumper step (hinges, screws, rivets, rubber dock bumpers) 195 Compartment doors (handles, hinges, skins, drains, venting, etc.) 196 197 Physical inspection of the Interior Patient Compartment to include: 198 Floor Covering 199 Formica 200 IV hangers 201 Cot Hardware 202 02 outlets 203 Trim (upholstery, aluminum and Trim Lock") IN THE SAME MANNER WITH WHICH THEY WERE ORIGINALLY INSTALLED ONTO THE NEW CHASSIS AND MODULE BODY. VEHICLES WITH EXCESSIVE EQUIPMENT MAY INCUR ADDED CHARGES FOR EQUIPMENT TO BE TRANSFERRED. Rev: 05/21/19 4 of 16 7/23/2019 1:11 PM DocuSign Envelope ID: 894792A6-7781-44EE-8915-1BC88F8277CE REMOUNT PRICING Version 19.0 204 Cabinetry (hinges, slides, unistrut, shelves, Plexiglas) 205 Upholstery (seats, head-knockers, arm-rests, etc.) 206 Countertops 207 Attendant Seat and seat base 208 Drawers (slides, latches, etc.) 209 Lighting (lenses, switches, outlets, etc.) 210 Electrical Cabinet (blown fuses, loose wiring, wire chafing, missing components, etc.) 211 212 213 214 PHOTOGRAPHS TO DOCUMENT THE CONDITION OF THE UNIT SHALL BE TAKEN UPON THE UNIT ARRIVAL TO THE FACTORY. 215 216 ANY ADDITIONAL COSTS DUE TO WORK DEEMED NECESSARY BY EXCELLANCE TO THE MODULAR BODY OR CUSTOMER/ DEALER SUPPLIED 217 CHASSIS SHALL BE ASSESSED AS EARLY AS POSSIBLE DURING THE REMOUNT PROCESS. THE CUSTOMER/ DEALER SHALL BE NOTIFIED OF 218 THE NECESSARY WORK AND ASSOCIATED COSTS FOR THEIR WRITTEN APPROVAL. 219 220 MANUFACTURING CREDIT: 233 The above excludes: "Trade-in" value for any used unit, Loose Equipment, Transportation, and Performance Bonds. 234 235 1 BASE REMOUNT 246 1 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. 250 (1)Excellance EHD EXAMPLE: INTERCHANGING INTERNATIONAL FREIGHTLINER OR CHEVY C-4500 FULL CAB.30,026.52 30,026.52 255 1 256 1 OEM CHASSIS OPTIONS 257 1 OEM LITERATURE 264 1 CUSTOMER NOTES AND SPECIAL REQUESTS 265 1 **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.2,289.00 266 1 267 1 **A cab extension is necessary due to the module changing from a Freightliner M2 chassis with a 102" CA to a Ford F550 chassis with a 108" CA. Install an Excellance fabricated aluminum cab extension flange with an open back around 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 painted to match the module. Extend the chassis rear window boot panel to allow for the Excellance standard 4" rubber pass-through boot.4,640.16 268 1 272 1 273 1 EXCELLANCE CAB & CHASSIS OPTIONS 280 1 EXCELLANCE LITERATURE 281 (1)Wiring diagram of all conversion circuits and Excellance changes & additions EXCELLANCE SHALL NOT BE RESPONSIBLE FOR UNDOCUMENTED LOOSE EQUIPMENT LEFT IN THE VEHICLE. ALL LOOSE EQUIPMENT ARRIVING WITH THE VEHICLE SHALL BE INVENTORIED, DOCUMENTED AND STORED UPON THE UNIT ARRIVAL TO THE FACTORY. Rev: 05/21/19 5 of 16 7/23/2019 1:11 PM DocuSign Envelope ID: 894792A6-7781-44EE-8915-1BC88F8277CE REMOUNT PRICING Version 19.0 284 1 285 1 CAB SIDE RUNNING BOARDS and LIGHTS 288 (1) New Diamond plate running boards w/Excellance open grip inserts (Ford Type 1, Dodge Type 1, Chevy or Ford Type III)684.81 684.81 290 1 295 1 314 1 MUD FLAPS 316 (1)Mud Flaps, 2 Rear 136.29 136.29 318 1 319 1 CAB INTERIOR 320 1 INTERIOR CAB 323 (1)Install new Ignition security system, anti-theft device, #ETISSO ( IF COMPATIBLE WITH THE NEW CHASSIS)304.29 304.29 325 1 326 1 CUSTOMER NOTES AND SPECIAL REQUESTS 327 1 **The module disconnect circuit shall be enabled and disabled by the ignition circuit.207.41 328 1 329 1 Ref. Line #323: The anti-theft device shall not be wired to the OEM horn.0.00 330 1 334 1 335 1 SUSPENSION / DRIVE TRAIN 390 1 CHASSIS WHEEL COVER OPTIONS 393 (1)DELETION CREDIT- Do not paint the outer rims of the chassis with white Krylon paint.-45.43 -45.43 398 (1)Wheel Inserts for F-450, "Phoenix" stainless steel with rear air valve extension 431.76 431.76 404 1 405 1 Air Horn Options (IF NOT PROVIDED ON NEW CHASSIS) 453 1 CUSTOMER NOTES AND SPECIAL REQUESTS 454 1 **Install a Liquid Spring Suspension system on the F550 chassis. The rear of the module shall lower automatically when the left rear door is opened. The override switch shall be located on the right rear entry door. The control head shall be located below the steering column. The GVWR of the F550 chassis is 18,000 lbs. Liquid Spring Part #DS147FS3.12,357.10 455 1 456 1 Ref. Line #398: The stainless steel wheel covers shall be ordered for the F550 chassis.0.00 457 1 458 1 Liquid Spring Control panel will be mounted on the driver's side of the cab console. Cut a flat, bare aluminum plate to match the size of the control panel. Screw the aluminum plate to the upper top left corner of the driver's side of the cab console (above the radio speaker). Apply velcro to the aluminum plate and the control panel to secure in place.84.21 459 1 461 1 515 1 MODULE / CAB PAINT 521 1 Module Exterior Paint 522 (1) 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 include exterior compartment paint or a stripe of any kind. Please select these options separately.13,313.72 13,313.72 523 1 Rev: 05/21/19 6 of 16 7/23/2019 1:11 PM DocuSign Envelope ID: 894792A6-7781-44EE-8915-1BC88F8277CE REMOUNT PRICING Version 19.0 543 1 CUSTOMER NOTES AND SPECIAL REQUESTS 544 1 **Repaint the ALS compartment in white paint.551.81 545 1 551 1 651 1 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. 652 (2)1 inch Reflective Stripe 473.34 946.68 658 (1)8 inch Reflective Stripe 1,146.28 1,146.28 661 1 662 1 Specify the color of the 1st reflective stripe: 663 1 Specify the Location of the 1st reflective stripe: 664 1 665 1 Specify the color of the 2nd reflective stripe: 666 1 Specify the Location of the 2nd reflective stripe: 667 1 668 1 Specify the color of the 3rd reflective stripe: 669 1 Specify the Location of the 3rd reflective stripe: 670 1 673 1 674 1 ATTACH A DIAGRAM OF THE DESIRED REFLECTIVE STRIPE LAYOUT TO THIS ORDER.0.00 0.00 675 1 679 1 CUSTOMER NOTES AND SPECIAL REQUESTS 680 1 Ref. Line #652-669: 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. 0.00 681 1 682 1 **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.2,174.26 683 1 684 1 **Install customer-supplied decals on cab doors. 161.77 685 1 686 1 **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 perf film in blue/yellow for the rear of the module and white perf film for the side entry door window.5,596.50 687 1 688 1 Exterior Compartment Finish 696 1 CUSTOMER NOTES AND SPECIAL REQUESTS 697 1 ** Replace the (3) existing placard brackets with (3) 13"x13" Silver Snap Frame without lens from Simple Snap Frame.com.352.38 698 1 705 1 706 1 707 1 MODULAR BODY: 708 1 L-1 COMPARTMENT 719 (1)Replace the heavy duty spring type door check 82.88 82.88 724 1 1" Blue Beltline Beltline 1" Blue Beltline 8" Blue Rev: 05/21/19 7 of 16 7/23/2019 1:11 PM DocuSign Envelope ID: 894792A6-7781-44EE-8915-1BC88F8277CE REMOUNT PRICING Version 19.0 725 (1) Replace 1 ea. 206 latch with key locking stainless steel 9000 series D-ring handles with gaskets NOTE: for units that will be getting painted 231.64 231.64 734 1 756 (1)Stainless Steel Door Sill protector for compartment door sill 129.64 129.64 760 1 773 1 L-3 Compartment 790 (1) Replace 1 ea. 206 latch with key locking stainless steel 9000 series D-ring handles with gaskets NOTE: for units that will be getting painted 231.64 231.64 799 1 821 (1)Stainless Steel Door Sill protector for compartment door sill 129.64 129.64 825 1 838 1 L-4 Compartment 855 (1) Replace 1 ea. 206 latch with key locking stainless steel 9000 series D-ring handles with gaskets NOTE: for units that will be getting painted 231.64 231.64 864 1 886 (1)Stainless Steel Door Sill protector for compartment door sill 129.64 129.64 890 1 903 1 R-1 Compartment 914 (1)Replace the heavy duty spring type door check 82.88 82.88 919 1 920 (1) Replace 1 ea. 206 latch with key locking stainless steel 9000 series D-ring handles with gaskets NOTE: for units that will be getting painted 231.64 231.64 929 1 951 (1)Stainless Steel Door Sill protector for compartment door sill 129.64 129.64 955 1 968 1 R-2 Compartment 987 (1)Replace the 9000 series "D" ring handle only WITH #1250 LOCK.108.83 108.83 994 1 1016 (1)Stainless Steel Door Sill protector for compartment door sill 129.64 129.64 1020 1 1033 1 R-4 Compartment 1034 1 No additional work to be done to this compartment 1145 (1)Stainless Steel Door Sill protector for compartment door sill 129.64 129.64 1149 1 1150 1 1177 1 Rear Doors 1179 (4)Replace or install 1 ea. 3" Grabber door checks (Enter the number of grabbers)70.14 280.56 1183 (1) Replace 1 ea. 206 latch with key locking stainless steel 9001 series D-ring handles with gaskets NOTE: for units that will be getting painted 231.64 231.64 1191 (1)Replace the existing #105 turn style latch and rods on the left rear door 292.53 292.53 1192 (2)Replace interior door handle with a folding "L" handle 106.82 213.64 1211 (1)Install 10" RED/WHITE reflective chevron striping on the lower kickplate of the interior Right rear door skin.152.24 152.24 1212 (1)Install 10" RED/WHITE reflective chevron striping on the lower kickplate of the interior Left door skin.152.24 152.24 1217 1 1218 1 R-3 Side Entry Personnel Door 1219 (1)Replace the heavy duty spring type door check 82.88 82.88 Rev: 05/21/19 8 of 16 7/23/2019 1:11 PM DocuSign Envelope ID: 894792A6-7781-44EE-8915-1BC88F8277CE REMOUNT PRICING Version 19.0 1221 (1) Replace 1 ea. 206 latch with key locking stainless steel 9001 series D-ring handles with gaskets NOTE: for units that will be getting painted 231.64 231.64 1228 (1)Replace interior door handle with a folding "L" handle 106.82 106.82 1239 (1)Door Sill protector for side personnel door 97.51 97.51 1248 (1)Install 10" RED/WHITE reflective chevron striping on the lower kickplate of the interior door skin.152.24 152.24 1251 1 1252 1 Windows 1267 1 CUSTOMER NOTES AND SPECIAL REQUESTS 1268 1 Replace the electric door lock actuators in the R3 and R2 doors.218.96 1269 1 1270 1 Repair the R3 side entry door where the skin has been pulled away from the extrusion at the door latch.226.03 1271 1 1272 1 Install a ZICO electric step #VS-24-11 below the R3 curbside entry door. This includes an override switch to be connected to the existing circuit.2,497.95 1273 1 1275 1 1296 1 Miscellaneous Module Exterior 1305 (2)Replace cast fenderette with one of the same style -Enter the number of fenderettes to be replaced 242.31 484.63 1306 1 Specify fenderette to be replaced: 1307 1 1331 (1)Replace (4 total) diamond plate rub rails with 1" x 1" tubular support & plastic spacers off body 452.06 452.06 1332 1 1333 (1)Replace diamond plate rear kick plate with full width overlay style 331.31 331.31 1349 1 Rear Bumper 1350 (1)New Aluminum diamond plate trimmed rear bumper with folding step and one dock bumper per side 1,061.48 1,061.48 1356 1 1366 1 PATIENT COMPARTMENT 1367 1 Miscellaneous Module Interior 1392 (1)Replace hinged Polycarbonate oxygen compartment access door 103.04 103.04 1396 1 1397 1 CUSTOMER NOTES AND SPECIAL REQUESTS 1400 1 **Replace existing light in the action area with a TruckLite LED #80162C.94.85 1401 1 1402 1 **Replace the #24 aluminum trim on the outer front edge of the mica countertop at the pass-thru.90.86 1403 1 1405 1 1406 1 Interior Cabinets 1436 (6) Replace clear Polycarbonate on cabinet door or sliders with new Polycarbonate. Enter the number of cabinets to receive the desired work.195.02 1,170.12 1437 1 Specify location for 1st cabinet: 1438 1 Specify location for 2nd cabinet: 1439 1 Specify location for 3rd cabinet: 1440 1 Specify location for 4th cabinet: 1441 1 Specify location for 5th cabinet: 1442 1 Specify location for 6th cabinet: 1443 6 All All All All Both - Rubber style All All Rev: 05/21/19 9 of 16 7/23/2019 1:11 PM DocuSign Envelope ID: 894792A6-7781-44EE-8915-1BC88F8277CE REMOUNT PRICING Version 19.0 1541 (3)Replace existing cabinet door shock with new of the same weight rating. Enter the number shocks.90.86 272.58 1542 1 Specify the location of the 1st cabinet: 1543 1 Specify the location of the 2nd cabinet: 1544 1 Specify the location of the 3rd cabinet: 1603 1 Floor Covering Options 1609 (1)Install Lonseal LonPlate flooring up the streetside wall and up the face of squad bench.1,861.65 1,861.65 1610 1 Specify the color of the floor covering: 1611 1 1657 1 CUSTOMER NOTES AND SPECIAL REQUESTS 1658 1 Install Customer-supplied sharps bracket on the streetside wall to the right of the attendant seat at delivery.64.26 1659 1 1660 1 **Install (1) 6-point harness at the CPR seat location. This option includes barstock to be welded behind the streetside wall and into the wall structure for the harness to secure in to.664.86 1661 1 1662 1 **Install (2) 6-point harnesses at the squad bench seat location. This option includes barstock to be welded behind the curbside wall and into the wall structure for the harnesses to secure in to new curbside wall.1,857.24 1663 1 1664 1 ** Do Not reinstall the existing Engle cooler mounting bracket after the floor covering has been replaced. The mounting bracket will be placed in loose equipment.0.00 1665 1 1666 1 Seating/ Upholstery Options 1667 (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 attendants seat.4,002.04 4,002.04 1668 1 Specify color for upholstery replacement other than the existing color: 1692 (1) Wise Brand HiBAC Attendant seat with built-in 5 Point Child Safety Seat - INCLUDES SEAT BASE OF CHOICE- PLEASE SELECT THE STYLE SEAT BASE DESIRED:1,312.22 1,312.22 1693 1 Specify the seat base style to be used (SWIVEL OR FIXED BOX): 1709 1 1710 1 CUSTOMER NOTES AND SPECIAL REQUESTS 1713 1 Ref. Line #1692: Attendant seat will have 6-point harness system.0.00 1714 1 1718 1 1719 1 Specialty Mounting Brackets 1720 (1)Monitor/Defib Bracket (NCE H7000) counter mount bracket for LifePak 12 or 15 563.01 563.01 1721 1 Specify the location of the holder and if it is a version 12 or 15 LifePak Monitor: 1722 1 1741 1 CUSTOMER NOTES AND SPECIAL REQUESTS 1742 1 **Install barstock into the existing floor structure and install a customer-supplied Stryker PowerLoad System. 1,384.95 1743 1 1749 1 1750 1 Electrical System 1751 1 Electrical System Options 1763 (1)Replace all rocker switches with rocker switches of the same or equal specifications at the action area control panel.279.23 279.23 421 Mica D Swivel C H1 Ruby Red LifePak 15 Rev: 05/21/19 10 of 16 7/23/2019 1:11 PM DocuSign Envelope ID: 894792A6-7781-44EE-8915-1BC88F8277CE REMOUNT PRICING Version 19.0 1764 (5) Replace individual lighted rocker switches in the rear action area control panel- Enter the number of switches to be replaced 42.77 213.85 1765 1 Specify Location of the 1st switch: 1766 1 Specify Location of the 2nd switch: 1767 1 Specify Location of the 3rd switch: 1768 1 Specify Location of the 4th switch: 1774 1 Cab Console Options 1775 1 Console Type 1776 (1) Replace floor console - Type 1 - includes spotlight, switches, meter (volt and amp), map light, indicator lights. DOES NOT INCLUDE NEW SIREN OR MAP BOOK STORAGE.1,604.47 1,604.47 1781 1 1782 (1)Install 2 cup holders in the front cab console NOTE: This option is available on new consoles 61.39 61.39 1784 1 1815 1 Cab Console Switches 1817 (4)Spare switch to be installed in front console for future items -enter the number of switches to be added 74.90 299.60 1825 1 1826 1 CUSTOMER NOTES AND SPECIAL REQUESTS 1827 1 **Delete the standard map light on the front cab console.-81.34 1828 1 1829 1 **Install a new personnel "Door Open" buzzer on the cab console to be activated when in gear.168.42 1830 1 1831 1 **Install a Mermaid Dual Temp unit #MKDUAL TEMP in the ALS compartment. The control head will be installed on the interior R4 cabinet wall in the bulkhead area. Due to the addition fo the Mermaid unit, the existing Engle cooler bracket will not be reinstalled.4,889.64 1832 1 1833 1 **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 subject to change.1,034.88 1834 1 1869 1 CUSTOMER NOTES AND SPECIAL REQUESTS 1870 1 **Transfer existing camera system and monitor to the new chassis. The monitor will be installed in the cab headliner in between the visors.477.33 1871 1 1872 1 Ref. Line #1763: This includes the switch labels for the (3) at the curbside R3 door and the (2) on the right rear personnel entry door.0.00 1873 1 1874 1 **Install (2) customer-supplied radios and tranceiver. One radio will be installed in the cab console and one radio will be installed in the action area. The radios are to be wired for operating condition.1,673.00 1875 1 1876 1 Ref. Line #1764: This includes new backlit switch labels for the new switches.0.00 1877 1 1910 1 Clock/ Timer Options 1915 (1)8" Wall Clock, Battery Powered 92.12 92.12 1916 1 Specify the location of the 8" clock: 1918 1 Over rear entry doors Curbside wall by R3 Curbside wall by R3 Curbside wall by R3 (2) Right Rear Door Rev: 05/21/19 11 of 16 7/23/2019 1:11 PM DocuSign Envelope ID: 894792A6-7781-44EE-8915-1BC88F8277CE REMOUNT PRICING Version 19.0 1985 1 CUSTOMER NOTES AND SPECIAL REQUESTS 1986 1 ** Permanently remove the existing Stealth Power components from the L3/2 compartment. Do Not transfer the existing Stealth power button to the new console or any other components in the unit related to the Stealth system.547.33 1987 1 1988 1 Remove the (8) LED dome light lenses and clean the inside of the lens and re-install.128.52 1989 1 1993 1 2030 1 115 VAC ELECTRICAL EQUIPMENT 2031 1 Shoreline Options 2032 (2) Replace existing shoreline with a 30 amp / 120vac Twist Lock Shoreline Plug with #7425 into the existing location. Enter the number of shorelines to be replaced.301.25 602.49 2040 1 2054 (2) Install a SHORELINE IGNITION CUTOUT FEATURE. Anytime a shoreline is connected the chassis engine start circuit shall be disabled until the shoreline is disconnected. WARNING: POWER MUST BE PRESENT ON THE SHORELINE CORD FOR THIS FEATURE TO WORK PROPERLY.188.58 377.16 2055 1 2085 (1)Install additional 120 VAC Outlets -Enter the number of additional the 120VAC outlets desired.296.57 296.57 2086 1 Specify the location of the 1st 120VAC outlet: 2089 1 2099 1 EXTERIOR LIGHTS: 2186 1 Excellance will determine what light holes may need welding modifications to accommodate any new light fixtures specified in this order. The cost for welding up any such light holes is included in the base conversion price. 2187 1 LED Emergency Lights 2203 (4)500 Red LED emergency light w/Flange (includes the lens)152.11 608.43 2207 1 2217 1 CUSTOMER NOTES AND SPECIAL REQUESTS 2218 1 Replace the lenses on the front LED 900 series warning lights. To b a total of 5 clear 900 series lenses.494.20 2219 1 2225 1 2226 1 Scene/ Load Lights 2228 (4)900 series LED scene light w/Flange (8-32 degree clear lens included)323.73 1,294.92 2235 1 CUSTOMER NOTES AND SPECIAL REQUESTS 2236 1 Install (2) Whelen 600 Series White LED Scene lights at rear of module.504.21 2237 1 2243 1 2244 1 Brake/ Tail, Turn Signals, Back-Up lights 2258 1 600 Series Lights 2263 (2)600 series Red LED Brake/ Tail light w/ Flange (includes the lens)156.40 312.80 2264 (2)600 Series Amber LED Turn signal light w/Flange (includes the lens)142.82 285.65 2265 (2)600 series Clear LED Back-up Light w/Flange (includes the lens)135.04 270.09 2266 1 2294 1 ICC Lights (Identification & Clearance) 2298 (7)Whelen OS series LED with chrome flange 44.10 308.70 2300 1 2-CS & 2-SS Both 2-Front / 5-Rear Both Both Grille & Intersection Aft Action Area Rev: 05/21/19 12 of 16 7/23/2019 1:11 PM DocuSign Envelope ID: 894792A6-7781-44EE-8915-1BC88F8277CE REMOUNT PRICING Version 19.0 2310 1 Grille Emergency and Intersection Light Housings: 2311 1 Grille Light Housing: 2312 (1)2 - alum. grille housings (lights without speakers) 125.23 125.23 2313 1 MODEL OF CHASSIS THAT HOUSING WILL BE INSTALLED ON: 2314 1 TYPE OF LIGHT THAT HOUSING WILL NEED TO FIT: 2315 1 2316 1 Intersection Light Housing : 2317 (1)2 - alum. Intersection light housings 98.63 98.63 2318 1 MODEL OF CHASSIS THAT HOUSING WILL BE INSTALLED ON: 2319 1 TYPE OF LIGHT THAT HOUSING WILL NEED TO FIT: 2320 1 2333 1 CUSTOMER NOTES AND SPECIAL REQUESTS 2334 1 **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. 1,052.80 2335 1 2341 1 2366 1 EMERGENCY AUDIBLE WARNING SYSTEM 2367 1 Sirens 2368 (1)Whelen WS295HFSA-1 hands free electronic siren with cab console mounted controls w/ PA microphone 400.41 400.41 2377 0.00 0.00 2378 1 Speaker Options 2380 (1)Two CPI through the bumper speakers (for F350 or F450).970.76 970.76 2384 1 2385 1 CUSTOMER NOTES AND SPECIAL REQUESTS 2386 1 Ref. Line #2380: Speakers shall be for the F550 chassis.0.00 2387 1 2388 1 **Install a Whelen Howler siren system with universal mounting bracket #HWLRV23.859.53 2389 1 2393 1 2394 1 OXYGEN AND SUCTION SYSTEMS: 2397 (1)Install a new large 02 cylinder wrench with chain/cable in the 02 compartment 58.73 58.73 2400 (1)Zico hydraulic cylinder lift / bracket 3,372.88 3,372.88 2401 1 SPECIFY CYLINDER SIZE: TBD 2423 1 2451 1 CUSTOMER NOTES AND SPECIAL REQUESTS 2452 1 Ref. Line #2400: To install a new electric lift, a stand-off will be built into the compartment for the electric lift to be mounted. The existing unistrut will be removed, the stand-off will be built, welded into place, and painted to match the compartment. The lift will be set to fit a "M" sized oxygen tank.680.33 2453 1 2454 1 **With the addition of the electric lift in the L4 compartment, the compartment door will need to open wider than what the existing door spring hold-open will allow. Therefore, install a 3" grabber for the L4 compartment to enable the door to open wider to operate the electric O2 lift.159.11 2455 1 2459 1 2460 1 HVAC SYSTEMS: 2463 1 TYPE I CHASSIS Ford or Dodge F550 4x4 500 Series 500 Series F550 4x4 Rev: 05/21/19 13 of 16 7/23/2019 1:11 PM DocuSign Envelope ID: 894792A6-7781-44EE-8915-1BC88F8277CE REMOUNT PRICING Version 19.0 2471 1 115 / 12 Dual Volt HVAC systems: 2472 (1) 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 auxiliary compressor) AND 0.00 0.00 2473 (1)* 12VDC and 115VAc auxiliary A/C condensers mounted Under the module body.7,158.69 7,158.69 2481 1 2533 1 Temperature Control Options 0.00 0.00 2548 (1)Replace the existing air return filtered grille with a new grille and filter.137.41 137.41 2568 1 CUSTOMER NOTES AND SPECIAL REQUESTS 2569 1 Ref. Line #2473: Install the control box for the dual volt HVAC system on the upper back wall of the ALS cabinet. 0.00 2570 1 2571 1 Ref. Line #2473: Fabricate and install (2) bare aluminum brackets around the underbody condenser to further secure and protect the condenser.232.68 2572 1 2573 1 Ref Line #2473 - Mount the 12VDC condenser (a 3-fan condenser) on the front of the module. The 2-fan flat mount condenser should be mounted below the L4 compartment for the 120VAC system.680.33 2574 1 2576 1 2613 1 CONTINGENY ALLOWANCE ( PORTION NOT USED WILL BE DEDUCTED FROM THE FINAL INVOICE).ENTER PRICE 2614 1 The contingency allowance is appropriated for any unforeseen work that may be identified during the inspection and construction process. These funds shall only be used with written authorization by the Orange County EMS department. Any and all changes to the overall scope of work as described in this document shall not be deemed acceptable unless written and signed approval between Excellance Inc. and an authorized representative of Orange County EMS. In no event shall there be any changes to the scope of work that will cause the final price of the ambulance remount/refurbishment project to exceed the agreed upon and executed contract price.2,000.00 2,000.00 2637 1 2638 1 2639 1 ADDITIONAL TERMS AND CONDITIONS FOR THIS CONTRACT 2640 1 PAYMENT TERMS ARE COD/FOB EXCELLANCE, INC. MADISON, AL. 2641 1 The effective date of this contract is the day this order is accepted by Excellance as 2642 1 evidenced by the date this contract is executed by an officer of Excellance. 2643 1 2644 1 Construction will begin only after all questions have been resolved. Once the unit is in production, 2645 1 changes will result in an engineering fee of $250 in addition to the price for the change. 2646 1 2647 1 Failure to select an option on this order form will result in: (i) no charge to the customer, 2648 1 (ii) no obligation by Excellance for that item, and (iii) the possibility of a $250 charge for 2649 1 changes or additions that occur after production begins on a vehicle. To select any option 2650 1 you must either: (a) enter "1" in the "( )", OR (b) enter a specific number in the "( )" 2651 1 when instructed to do so. 2652 1 2653 1 Review this order carefully. Changes, alterations or additional work ordered shall be charged 2654 1 for at current rates with additional time being allowed Excellance for delivery. 2655 1 2656 1 Price is exclusive of taxes, licenses, etc. which shall be the responsibility of purchaser. Rev: 05/21/19 14 of 16 7/23/2019 1:11 PM DocuSign Envelope ID: 894792A6-7781-44EE-8915-1BC88F8277CE REMOUNT PRICING Version 19.0 2657 1 All delivery dates are approximate unless otherwise indicated and are subject to and dependent 2658 1 upon the Purchaser furnishing all required information to Excellance in a timely manner. 2659 1 2660 1 Fulfillment of this order by Excellance shall be contingent upon strikes, lock-outs, fires, 2661 1 accidents, Government regulations, inability to secure materials or other causes beyond 2662 1 Excellance's control. Excellance may substitute comparable parts if the specified part is not available. 2663 1 If colors are not specified, Excellance retains the right to assign colors based upon availability. 2664 1 2665 1 In the event Purchaser cancels this order prior to Excellance beginning production on the unit(s) covered 2666 1 hereunder, then Excellance shall be entitled to receive from Purchaser the greater of (a) 15% of the 2667 1 contract price, or (b) all deposits paid by Purchaser hereunder. In the event Purchaser cancels this 2668 11 order after Excellance begins production on the unit(s) covered hereunder, then Excellance shall 2669 1 be entitled to receive from Purchaser the full contract price less the amount of money saved by 2670 1 Excellance by reason of the cancellation (e.g., actual costs incurred) plus 15% of the contract price. 2671 1 2672 1 Any warranties on the products sold hereunder are those made by the manufacturer of said products. 2673 1 Excellance, as the seller of such products, expressly disclaims all warranties, either expressed or 2674 1 implied, including any implied warranty of merchantability or fitness for a particular purpose, and 2675 1 neither assumes nor authorizes any other person to assume for it any liability in connection with 2676 1 the sale of such products. 2677 1 2678 1 In the event there is a "trade-in" unit that Excellance agreed to take "in trade" as partial consideration of 2679 11 the purchase price hereunder, Excellance shall be under no obligation to tender the MSO/title for the new 2680 1 unit to the purchaser until Excellance (a) receives the MSO/title for the unit to be "traded in", and (b) has 2681 1 possession of the unit "traded in". 2682 1 2683 1 This contract contains the entire understanding between the parties, supersedes any previous agreement or 2684 1 understanding, and any changes to this contract must be in writing and signed by Purchaser and Excellance. 2685 1 2686 1 Arbitration provision: The laws of the state of Alabama, as applicable to contracts to be 2687 1 performed entirely within that state, shall govern this agreement. Any controversy or claim 2688 1 arising out of or relating to this agreement, or the breach thereof, shall be settled by binding 2689 1 arbitration in accordance with the rules of the American Arbitration Association and any judgment 2690 1 on the award rendered by the arbitrator may be entered in any court having jurisdiction thereof. 2691 1 2692 1 IMPORTANT INFORMATION REGARDING CHASSIS: 2693 1 The $350 charge for handling each customer / dealer supplied chassis covers only the following 2694 1 items: unloading and storing the chassis, test driving and checking the chassis against the specifications 2695 1 supplied by the customer, inventory and store loose parts delivered with the chassis, electrical 2696 1 tests on all chassis power circuits, tire alignment, washing, detailing & polishing, fueling, 2697 1 checking gauges, brakes, all fluid levels and air in the tires prior to final delivery. THE CUSTOMER IS 2698 1 STILL RESPONSIBLE FOR ALL COSTS ASSOCIATED WITH (A) MODIFYING, REPAIRING AND/OR 2699 1 REPLACING DAMAGED AND MISSING PARTS DELIVERED WITH THE CHASSIS; AND (B) 2700 1 CORRECTING ANY CHASSIS THAT WAS NOT ORDERED CORRECTLY. Rev: 05/21/19 15 of 16 7/23/2019 1:11 PM DocuSign Envelope ID: 894792A6-7781-44EE-8915-1BC88F8277CE DocuSign Envelope ID:894792A6-7781-44EE-8915-1 BC88F8277CE REMOUNT PRICING Version 19.0 EMERGENCY LIGHTS LAYOUT 68 57 58 59 s0 70 71 a z r Y0 S2 39 1E 51 41 4¢ 41 Nil 21 ®97 P1 26 74 es sa 64 as sa ea sa 1S 35 12 t3 35 11 B al 30 7 16 14 53 - 17 e ® 24 r I • 4o as so 49 45 s9 � EXCELLANCE.INC.-2013 Rev:05/21/19 16 of 16 7/23/2019 1:11 PM DocuSign Envelope ID:894792A6-7781-44EE-8915-lBC88F8277CE Client#: 39383 38EXCELLANCE1 ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 01/04/2019 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 have ADDITIONAL INSURED provisions or 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NONTACT AME: J Smith Lanier&Co-Huntsville PHONE 256 890-9000 1 FAC No,: 256 890-9070 AIC No,Ext Marsh&McLennan Agency, LLC -6RE D REss: P.O.BOX 6087 INSURER(S)AFFORDING COVERAGE NAIC# Huntsville,AL 35813-0087 _ INSURER A:Alabama self Insured We Fund INSURED INSURER B:Midwest Employers Casualty Excellance, Inc. INSURER C 453 Lanier Road INSURER D: _ Madison,AL 36758 INSURER E INSURER F: COVERAGES 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 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. INSK ADD POLIt:Y EFh ppppIL,I�EY Ep�pp LTR TYPE OF INSURANCE N .p POLICY NUMBER MMIDD/YYYY MN11Rp!'I'YY1' LIMITS R ..�f..._,-...— COMMERCIAL GENERAL LIABILITY EACH �OCCURRENCE $ AMAI� E CLAIMS-MADE OCCUR EaENTED mPnre $ MREEDMEXXPPC(An oneperson) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO- POLICY JECT LOC PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILE LIABILITY Ile owwaril) ril) LE LIMIT ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS PROPERTY $ HIRED NON-OWNED AUTOS ONLY AUTOS ONLY dBf>k $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ nEn [ RETENTION.$. _` $ . A WORKERS COMPENSATION WC10000998002019A 1/01/201901/01/202 X PTA LOTH- AND EMPLOYERS'LIABILITY B ANY PROPRIETOR/PARTNER/EXECUTIVE YIN PPAL129001 1/0112019 01/01/202 E.L.EACH ACCIDENT $1 000 000 � N I A OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1 000 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $1 OOO OOO DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION For Proof of Insurance Only SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTH}ORIZED REPRESENTATIVE Y 019 8- fl15 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S4185168/M4185167 PZR DocuSign Envelope ID:894792A6-7781-44EE-8915-1BC88F8277CE DATE(MM/DD/YYYY) n�oKo CERTIFICATt OF LIABILITY INSURANCE ��. 7/31/2019 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 have ADDITIONAL INSURED provisions or 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 endorsoment(s). TA T PRODUCER NAME-,c Megan MCGIOhn JD Fulwiler&Co Ins PHONE FAX 5727 SW Macadam Ave (arc Nd Ext):503-977-5659 503-977-5859 Portland OR 97239 ADDRESS; mm4o)riffidfulwiier.corp INSURERS AFFORDING COVERAGE NAIC# INSURER A:National Fire Insurance Company of Hartford 20478 INSURED EXCEINC-01 INSURERB:Valley Forge Insurance Company 20508 Excellance Inc 453 Lanier Rd INsuRERc:The Continental Insurance Company 35289 Madison AL 35758 INSURERD: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER:855663284 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 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 PPAID CLAIMS. INJK TYPE OF INSURANCE LTR ADDL SUER POLICY NUMBER MM DD/YPOLICEYYY ` PNO�/00/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY 6042861810 8/1/2019 8/1/2020 EACH OCCURRENCE $1,000,000 1777 CLAIMS-MADE OCCUR PREMISE (Ea occurrence $300,000 MED EXP(Any one person) $15,000 PERSONAL&ADV INJURY $1.000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2,000,000 X POLICY T LOC PRODUCT S-COMPIOPAGG $2,000.000 OTHER: $ B AUTOMOBILE LIABILITY 6042861607 8/1/2019 8/1/2020 COMBINED SINGLE LIM $1.000,000 E8 aee e. X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS — HIRED NON-OWNED PRI�J'•'EI'T. .l7AMAGE $ X AUTOS ONLY X AUTOS ONLY X W0 Medical Payments $5,000 C X UMBRELLA LIAB X OCCUR 6042861824 8/1/2019 8/1/2020 EACH OCCURRENCE $9,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $9,000,000 DED I X I RETENTION$jn nnn S WORKERS COMPENSATION STATUTE ER AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N E L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E L.DISEASE-E.k FMPLGYEE S If yes,det cnbe under DESCRIPTION OF OPERATIONS below E L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. PROOF OF INSURANCE ONLY USA AUTHORIZED REPRESENTATIVE I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 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 DocuSign Envelope ID: 894792A6-7781-44EE-8915-1BC88F8277CE 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 DocuSign Envelope ID: 894792A6-7781-44EE-8915-1BC88F8277CE EXCELLANCE, INC. SEVEN-YEAR (UNLIMITED MILEAGE) REMOUNT PAINT PERFORMANCE WARRANTY 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: ____/____/____ SIGNED: ______________________________________________________ WARRANTY REPRESENTATIVE DocuSign Envelope ID: 894792A6-7781-44EE-8915-1BC88F8277CE 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: ____/____/____ SIGNED: _________________________________________________ WARRANTY REPRESENTATIVE DocuSign Envelope ID: 894792A6-7781-44EE-8915-1BC88F8277CE 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: 894792A6-7781-44EE-8915-1BC88F8277CE 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, December 18, 2017 Policy Statement It is the policy of Orange County to ensure its employees, and all individuals who provide or receive services for or from Orange County, are not victimized by illegal discrimination practices. Purpose To prevent discrimination in Orange County government activities. Applicability Applies to Orange County government activities 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 for or 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. 11.2 Grievance procedure 11.2.1 Any individual who believes he or she may have been discriminated against with respect to an Orange County program or activity may: - Contact the Orange County Non-Discrimination Coordinator and initiate the complaint; Annette Moore, Orange County Human Rights and Relations Director 200 South Cameron Street P.O. Box 8686 Hillsborough, North Carolina 27278 919-245-2317 Amoore@orangecountync.gov - The Non-Discrimination Coordinator will assign the complaint to an investigator; - The investigator will fully, fairly, and impartially investigate all complaints; - The investigation will be conducted promptly through the gathering of evidence, interviewing of witnesses, and appropriate documentation of all facts in evidence; - Upon completion of the investigation the investigator will, using preponderance of the evidence standards, issue a written determination of findings, which shall be provided to the complainant within ten days of issuance; - Orange County prohibits retaliation and any claim of retaliation based on a complaint initiated pursuant to this policy should be immediately reported and such complaint will be addressed promptly. This policy may be reviewed annually and updated as needed by the Manager’s Office DocuSign Envelope ID: 894792A6-7781-44EE-8915-1BC88F8277CE 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 Statement 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. Policy 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 DocuSign Envelope ID: 894792A6-7781-44EE-8915-1BC88F8277CE 11/1/2019 About - Orange County Living Wage https://orangecountylivingwage.org/about/1/3 About Us Orange County Living Wage is a volunteer-driven 501(c)3 nonproÏt working to promote a living wage in Orange County, North Carolina. Through our employer certiØcation program, we recognize local businesses and organizations who pay the 2019 living wage of $14.25 per hour, or $12.75 per hour with employer-provided health insurance. Inspired by the success of the nation’s leading living wage certiØcation program, Asheville’s Just Economics, OCLW formed in 2015 to address the eÚects of the state’s unrealistically low wage Ùoor: the $7.25 federal minimum wage, which has not changed since 2009. To date, living wage employers have given raises to more than 500 employees in Orange County in About WHO WE ARE FREQUENTLY ASKED QUESTIONS WHY LIVING WAGE? DocuSign Envelope ID: 894792A6-7781-44EE-8915-1BC88F8277CE 11/1/2019 About - Orange County Living Wage https://orangecountylivingwage.org/about/2/3 order to qualify for certiÏcation. OCLW certiØed our Ørst employer in July of 2015, and four years later, we’re proud to have certiØed close to 200 living wage employers, who collectively have raised wages more than $700,000 for workers. We have recertiØed over 90% of our employers once their initial two-year certiØcation expires. Our current certiØed employer directory includes restaurants, hair salons, automotive shops, breweries, nonproØts, local governments, churches, plumbers, and more. 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 members of the community to living wage certiØed employers and encourage them to support those businesses and organizations Increase awareness of wage inequality and continually certify DocuSign Envelope ID: 894792A6-7781-44EE-8915-1BC88F8277CE 11/1/2019 About - Orange County Living Wage https://orangecountylivingwage.org/about/3/3 OCLW partners with employers, residents, and workers in the community 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. more living wage employers in our community A Living Wage for a Stronger Community from David Huppert 05:06 SITE BY ©2019 ORANGE COUNTY LIVING WAGE. PRIVACY POLICY DocuSign Envelope ID: 894792A6-7781-44EE-8915-1BC88F8277CE