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HomeMy WebLinkAbout2020-813-E Emergency Services-Excellance Inc. new ambulanceRevised 11/19 1 [Departmental Use Only] TITLE Excellance, Inc. FY 2020-2021 NORTH CAROLINA SERVICES AGREEMENT OVER $90,000.00 RFP/RFQ ORANGE COUNTY This Services Agreement (hereinafter “Agreement”), made and entered into this 9th day of October, 2020, (“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 services to be rendered by Provider to County for the purchase of two (2) ambulances cab mounted on a Ford F-550 4x4 chassis, model year 2021 supplied by Provider as outlined in Attachment “A”, “Excellance Price Quote Order Form and Work Order,” AutoQuote 19.1, AQ version 19.1, dated 8/24/2020. 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: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E Revised 11/19 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 Basic Services to be rendered pursuant to this Agreement for two (2) Ambulances as provided in Attachment A, which is hereby incorporated into this Agreement as if set forth herein. The Provider will provide the chassis for this project. Provider is responsible for ensuring the chassis specifications and condition. b. Warranty. In addition, Provider warrants the following: See Attachment B, Ten-Year (100,000 Mile) Electrical Warranty; Attachment C, Seven-Year (Unlimited Mileage) Paint Performance Warranty; Attachment D, Thirty-Six Month (36,000 Mile) Conversion Warranty; Attachment E, Twenty Five-Year (Unlimited Mileage) Structural Warranty; and Attachment F, Warranty Quick Facts; Attachment G, Orange County Non-discrimination Policy and Attachment H, Living Wage Policy all attachments are attached and hereby incorporated herein. 4. Duration of Services a. Term. The term of this Agreement shall start from the latter date of (A) RECEIPT OF THE CHASSIS, OR (B) RECEIPT OF WRITTEN PURCHASE ORDER WITH A DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E Revised 11/19 3 COMPLETE COPY OF ATTACHMENT “A” AND THE SIGNED AND APPROVED AUTOQUOTE VERSION 19.1, OR (C) RECEIPT OF ALL PARTS SUPPLIED BY THE PROVIDER. Once Provider receives all documents and equipment, there will be a maximum of 120-Days for completion of the ambulance 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 shall be Five Hundred Twelve thousand One Hundred Thirty-six Hundred dollars and 18/100 ($ 512,136.18), the cost of each ambulance shall be Two Hundred Fifty-Six Thousand Sixty-Eight dollars and 09/100 ($256,068.09). 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 project. Payment for the ambulance shall follow the compensation guidelines outlined in this section. b. Disputes. In the event the County disputes the amount stated in the invoice, 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 withhold associated with the work payment, without fault or penalty, until the 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 (Emergence Services Director) 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 DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E Revised 11/19 4 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. (1) The delivery of the chassis ordered by the County is the responsibility of the Provider; (2) 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; (3) The County shall take delivery of the ambulance at 453 Lanier Road, Madison Alabama 35758. 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 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 DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E Revised 11/19 5 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 #3108 through #3113. 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. The County shall make payment 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 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 Attachment G, Orange County Non-Discrimination Policy and Attachment H, Orange County Living Wage Policy (each policy is hereby incorporated by reference herein). 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 DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E Revised 11/19 6 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 terms of this Agreement shall have any priority in any conflict between the terms of referenced documents, then the attachments to the Agreements. 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 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. DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E Revised 11/19 7 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: 611A911C-6F59-40BA-A31F-AF9027EEB611 Thomas R Pugh DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E Revised 11/19 8 ORANGE COUNTY—DEPARTMENT USE ONLY ______________________________________________________________________________ Department Party/Vendor Name: Excellance, Inc Party/Vendor Contact Person: Tommy Pugh Contact Phone: (256) 772-9321 Party/Vendor Address: 453 Lanier Road City Madison State: AL Zip: 35758 Department: Emergency Services Amount: $512,136.18 Purpose: New Ambulance and Chassis Budget Code(s): 61757535-802000-30010 Vendor # 56564 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment Effective Date Approved by Board Yes No Agenda Date: Budget Adoption This agreement is approved as to technical form and content and I as Department Direc tor affirmatively state work on this project has not been initiated prior to execution of the agreement: Department Director’s Signature ________________________________________ Date: ________ Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have already begun or been completed please briefly describe the nature of the emergency condition that was addressed: Information Technologies (Applicable only to hardware/software purchases and related services) This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer___________________________________ Date: ________ Risk Management This agreement is approved for sufficiency of insurance standards, specifications, and requirements: Office of the Risk Management Officer___________________________________ Date: _________ Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer ____________________________________ Date: _________ Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney __________________________________________Date: ________ Clerk to the Board Received for record retention: All Docusign contracts must be copied to Sherri Ingersoll upon completion: singer soll@orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board __________________________________________Date:_________ DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611 10/16/2020 10/17/2020 10/19/2020 10/20/2020 DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E AQ version 19.1 8/24/2020 14:27 Quote # : Quoted by:LB PRICE QUOTE, ORDER FORM and WORK ORDER Excellance unit #:Pending CUSTOMER:Orange County Emergency Services " FILE NAME " :F-550 4x4 Ext. Cab - GAS ADDRESS:P.O. Box 8181 DEALER:Factory Direct Hillsborough, NC. 27278 ADDRESS:453 Lanier Road TELEPHONE:919-245-6126 CITY, STATE ZIP:Madison, AL. 35758 FAX:TELEPHONE:256-772-9321 E-MAIL:FAX: TECHNICAL CONTACT:James Lunsford SALESMAN:Tommy Pugh This person is authorized to make any changes to the vehicle and/or contract that may affect the final design, configuration, and cost of the unit.DATE GENERATED:11/4/2019 1 SPECIAL NOTES OR REQUESTS PROJECT MGR:Lisa Barfield 1 1 CHASSIS:$44,060.00 1 BASE PRICE FOR CONVERSION:129,622.79$ (INCLUDES ALL STANDARD FEATURES) 1 PRICE FOR OPTIONS:$87,585.82 LESS DELETION CREDITS:-5231.7671 1 COST OF UNIT:$256,068.09 1 How "Cost of Unit" will be paid: 1 TRADE-IN CREDIT FOR USED UNIT:$0.00 1 DEPOSIT WITH ORDER:$0.00 1 BALANCE DUE UPON DELIVERY:$256,068.09 THIS ORDER IS VALID ONLY IF ACCEPTED BY BOTH PURCHASER AND EXCELLANCE WITHIN 60 DAYS OF:8/24/2020 * REVIEW THIS DOCUMENT CAREFULLY. IT TAKES PRECEDENCE OVER ALL OTHER DOCUMENTS. * ANY ITEM NOT "SELECTED" ON THIS ORDER IS NOT 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. * ALL ENGINEERING DRAWINGS MUST BE INITIALED BY THE CUSTOMER BEFORE WORK IS BEGUN AND BEFORE PARTS WILL BE ORDERED BY EXCELLANCE. * COMPLETION OF VEHICLE IS ANTICIPATED TO BE WITHIN 90 TO 120 DAYS FROM THE LATTER OF: (A) RECEIPT OF CHASSIS, OR (B) RECEIPT OF WRITTEN PURCHASE ORDER WITH A COMPLETE COPY OF THIS ORDER (WITH ALL QUESTIONS ANSWERED BY PURCHASER), OR (C) RECEIPT OF ALL PARTS SUPPLIED BY PURCHASER (e.g., CUSTOMER AND/OR DEALER). 1 1 STATUS OF THIS ORDER (1 )B. This order reflects the final contract. All items have been "priced", specifications 1 and "drawings" of all items provided, all pre-construction data provided, and all questions 1 have been answered. 1 ADDITIONAL TERMS AND CONDITIONS AT LINE #3080 ARE INCORPORATED HEREIN BY REFERENCE. 1 APPROVED AND ACCEPTED BY: CUSTOMER:DATE: TITLE: EXCELLANCE, INC. 453 Lanier Rd., Madison, Alabama 35758 1-800-882-9799ATTACHMENT A AQ Version 19.1 Page 1 of 16 8/24/2020 2:28 PM DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611 Orange County Manager 10/20/2020 DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E DATE:P. O. # : SALESMAN:DATE: This is not binding unless signed by an officer of Excellance. EXCELLANCE:DATE: Line #TABLE OF CONTENTS 1 153 Instructions for using this Order Form 172 Credit for "Used" Trade-in Units 186 Manufacturing Credit 218 Discount for Deposit with Order 230 Discount for Multiple Units 237 Chassis: Standard Specifications 345 Special Options 382 Air Ride & Suspension Options 453 Tire / Wheel Options 492 Air Horn Options 552 Exterior Options 625 Interior Cab Options 660 Chassis Electrical System: Standard Specifications 687 Interior Cab Options 746 Modular Body: Standard Specifications 814 Options 870 Cab / Module Paint and Lettering: Standard Specifications 882 Paint Options 972 Reflective "Scotchlite" Striping Options 1031 Lettering Options 1053 Exterior Compartments: Standard Specifications 1088 Options 1491 Patient Compartment: Standard Specifications 1563 Options 1688 Bio-Hazard / Trash Containers: Options 1754 Seating / Upholstery: Options 1785 Floor Covering: Options 1808 Handrails / Mounting Brackets: Options 1825 Cot / Litter Mount: Options 1868 Module Electrical System: Standard Specifications 1901 Options 2049 125 VAC Electrical: Standard Specifications 2078 Shoreline Options 2142 125 VAC Options 2202 Scene and Exterior Lights: Standard Specifications 2212 Worklights / Floodlights / Spotlight: Options 2284 Turn Signal / Tail Lights: Options 2332 Emergency Visual Warning System: Options 2334 Front Light Bars 2377 Rear Light Bars 2419 Grill Lights / Intersection Lights: Options 2456 Other Visual Warning Systems: Standards & Options 2566 Miscellaneous Warning Lights: Options 2592 Emergency Audible Warning System: Options 2600 Siren Options 2618 Speaker Options 2653 Oxygen and Suction Systems: Standard Specifications 2657 Options 2713 Medical Air Systems Options 2742 Vacuum System Options 2782 HVAC Systems: Standard Specifications 2788 Options AQ Version 19.1 Page 2 of 16 8/24/2020 2:28 PM DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E 2910 Fire Extinguisher: Options 2918 Loose Equipment to be provide by Excellance 2950 Dealer provided and/or installed items 2970 Special Conditions & Requirements of Customer 2996 Customer Supplied Parts 3008 Factory Paid Transportation 3051 Payment Terms 3055 Performance Bond 3066 Checklist 3080 Additional Terms and Conditions for this Order 3145 Important Information regarding Chassis Attachments (Engineering Drawings) 230 1 DISCOUNT FOR MULTIPLE UNITS 231 1 Discount: $400 for 2 units; $500 for 3 units; $600 for 4 units; $700 for 5 units; etc. (Max discount = $2,000) 232 (2 )Enter the number of identical units to be built at the same time pursuant to this order.(400.00) 233 1 NOTE: This discount applies only to identical units built at the same time. It applies to each 234 1 unit BUT the entire discount is forfeited if the total number of units is less than 2 235 1 236 1 237 1 CHASSIS: STANDARD SPECIFICATIONS 238 1 239 1 The chassis model year shall be:2021 240 1 241 1 The chassis engine shall be a GASOLINE - powered engine.0.00 242 (1 )The cab for the chassis will be ordered "standard OEM white" from the chassis manufacturer. 252 (1 )The chassis will be SUPPLIED BY EXCELLANCE. Customer FIN code:QM519 253 1 Note: Excellance is entitled to OEM concessions on any chassis supplied by Excellance. 257 1 FORD F-SERIES (XLT TRIM LEVEL, #47A AMBULANCE PREP PKG.) 258 1 259 1 The suspension option is automatically selected for any Type I chassis. See line # 260 1 270 (1 ) F-550 (4X4) Type I 96" x 146" box Conversion:129,622.79 129,622.79 271 1 CA = 84"Input Chassis:44,060.00 44,060.00 335 1 336 1 CUSTOMER NOTES / SPECIAL REQUESTS regarding chassis 337 1 ** REF. Line 270: The chassis will be a F-550 4x4 Extended Cab GAS Chassis with 0.00 338 1 192.5" WB and 84" CA. 0.00 344 1 345 1 CHASSIS: SPECIAL OPTIONS Wholesale Extended 346 1 Price Price 347 1 The vehicle will be ready for delivery w/ electrical diagrams, cleaned, inspected, fuel tanks full,N/C 348 1 vehicle serviced, certified weight ticket, and copies of all warranties and owners manuals. 349 1 Air tanks installed by Excellance will have manual moisture relief valves. 356 (1 )* Ford Chassis service manuals: fleet.ford.com/truckbbas 366 (1 )* Running Boards, Diamond Plate with grating and Excellance logo welded 749.07 749.07 367 1 into step area for Type I 381 1 382 1 CHASSIS: AIR RIDE & SUSPENSION OPTIONS 383 1 388 1 Note: Ping Tanks are NOT included with Suspension Systems unless noted. 394 ( 1 ) * Rear Liquid Spring Suspension for F450/F550 ** (see NOTE below)11,692.10 11,692.10 409 1 ** WEIGHT ADVISORY: This item affects GVW and payload availability. 417 ( 1 ) * Activate "dump" feature automatically when left rear door is open N/C 418 ( 1 ) Override switch at rear of module on curbside door.N/C 426 1 * Suspension System installation includes "down" indicator light on front console. 429 1 * OEM air dump switch on dash to remain enabled unless otherwise specified in Customer Notes. 442 1 CUSTOMER NOTES / SPECIAL REQUESTS 443 1 ** The Liquid Spring control panel will be mounted to the driver's side of the cab console.84.21 444 1 Cut a flat, bare aluminum plate to match the size of the control panel. Screw the 0.00 445 1 aluminum plate to the upper top left corner of the driver's side of the cab console. 0.00 394 AQ Version 19.1 Page 3 of 16 8/24/2020 2:28 PM DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E 446 1 Apply velcro to the aluminum plate and the control panel to secure in place.0.00 451 1 453 1 CHASSIS: TIRE / WHEEL OPTIONS Wholesale Extended 454 1 Price Price 455 1 OEM Steel-belted All-Weather Radial tires per chassis specifications N/C 456 1 458 ( 1 ) * A spare OEM tire was ordered with the chassis. 459 1 461 ( 1 )* Spare tire shall be "shipped loose"No charge N/C 468 ( 1 ) * Wheel Inserts for F-550, "Phoenix" stainless steel with rear air valve extension 367.50 367.50 551 1 552 1 CHASSIS: EXTERIOR OPTIONS Wholesale Extended 553 1 Price Price 607 (1 )* Mud Flaps, 2 Rear N/C 622 1 625 1 CHASSIS: INTERIOR CAB OPTIONS Wholesale Extended 626 1 Price Price 630 (1 )Ford F-series: medium gray interior cab color N/C 640 1 641 (1 )Cab floorboard to have rubber matting N/C 648 1 649 1 CUSTOMER NOTES / SPECIAL REQUESTS 650 1 ** Install Gamber Johnson iPad mounting system on the passenger's side of the 773.50 651 1 cab console. (1) Universal Vertical Base #DS-138; (1) 7" Center-Mounted 0.00 652 1 Complete Upper Pole #7160-0178; (1) Tall Tablet Display Mount #7160-0529;0.00 653 1 and (1) Notepad Touch Universal Tablet Cradle #7160-1299-00.0.00 657 1 658 660 1 CHASSIS ELECTRICAL SYSTEM: STANDARD SPECIFICATIONS N/C 661 1 663 1 Module disconnect power switch 668 1 OEM alternator(s) with internal regulator 671 1 Back-up alarm, reverse activated 676 1 CUSTOMER NOTES / SPECIAL REQUESTS 677 1 ** The module disconnect circuit shall be enabled and disabled by the ignition circuit.0.00 685 1 687 1 CHASSIS ELECTRICAL SYSTEM: INTERIOR CAB OPTIONS Wholesale Extended 688 1 Price Price 690 (1 )Floor mounted console on Type I and EHD units N/C 695 (1 )* Map / Binder case mounted on floor in cab 786.80 786.80 696 1 Specify number of sections for map / binder case here:3 697 1 Specify width (in inches) between each partition here:(2) adjustable dividers 698 (1 )* Two cup holders in front console 61.39 61.39 701 (1 )* DELETE "standard" Map Light on front console (92.98)(92.98) 708 ( 1 )Combination Volt / Amp / System Check digital meter with low voltage alarm N/C 710 1 735 1 736 1 CUSTOMER NOTES / SPECIAL REQUESTS 737 1 ** Install a Tremco ignition security system in the cab.274.82 739 1 ** Install a Brigade (Wes Garde) 360 degree Rear Vision Camera System. This system 3,668.21 740 1 #SE-770-100 includes four cameras & a 7" monitor to view all four sides of the unit.0.00 741 1 Also install a monitor bracket #44, a patient compartment camera #2575C-VBV-7 0.00 742 1 on the rear headknocker with rear vision cable #A3106 VBV-L4.0.00 745 1 746 1 MODULAR BODY: STANDARD SPECIFICATIONS N/C 747 1 748 1 All aluminum modular ambulance body with 1/4-inch thick aluminum corner extrusions 751 ( 1 )Module headroom shall be 72 inches for this unit. 753 1 All aluminum framework with special anti-corrosion barrier applied to all fasteners, hinges, and components 754 1 Aluminum exterior skin shall be .125" thick, attached by continuous welds at all seams and corners 755 1 Aluminum exterior roof skin shall be .125" thick aluminum 757 1 3/4-inch thick composite floor with .063" aluminum subfloor insulated with Polystyrene foam planking 758 1 3 module entry doors and all exterior compartment doors insulated with 2" Styrofoam planking AQ Version 19.1 Page 4 of 16 8/24/2020 2:28 PM DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E 759 1 * Truck-Lite part # 30286R 2-inch diameter lights to be used as… 760 (1 )* Door-activated flashing red LED warning light on interior of side entry door 165.10 165.10 761 (1 )* Door-activated flashing red LED warning light on interior of each rear door 330.19 330.19 762 1 2 key locking module entry door handles all keyed alike 763 ( 1 )Left rear door shall close with an automatic "slam latch" 765 ( 1 )Curbside entry door equipped with gas shock and nylon restraint strap to reduce opening and closing force 767 ( 1 ) * Exterior vertical grab handle (w/ rubber insert) adjacent to side entry door 114.00 114.00 769 1 Number of grabber / hold-open devices with gaskets:2 on each rear entry door 770 1 Polished extruded aluminum drip rails over all module entry doors and exterior compartment doors 772 (1 ) Fuel fill housing for chassis to be:recessed cast aluminum housing(s) 776 1 1 set aluminum diamondplate stone guards for front of unit 778 1 1 set diamondplate rub rails with aluminum tubular support & plastic spacers off body 779 1 2 aluminum wheelwells 781 ( 1 ) * 1 set of rubber fenderettes (in lieu of aluminum fenderettes)N/C 783 1 1 diamondplate rear kick panel 787 ( 1 )8 body mounting 5/8" diameter Grade 8 bolts w/ heavy duty wear point spacers & outrigger supports 788 1 1 custom-made aluminum diamondplate rear bumper with the following features: 789 1 angled rear corners 0.00 0.00 790 1 folding step built into bumper 791 1 1 dock bumper(s) each side of bumper 0.00 793 1 Fixed window for each rear entry door. Specify size:12" x 36" 796 (1 )* Sliding curbside door window w/ screen. Size:18" x 24"126.95 126.95 798 1 799 1 * "Limo-style" glass. Location:ALL 800 (3 )* Enter number of windows for "Limo-style" glass (price is per window)98.63 295.89 805 1 CUSTOMER NOTES / SPECIAL REQUESTS 806 1 ** The module roof structure will be modified to add additional tubing allowing the module 1,263.15 807 1 ceiling to be a flat surface. The center trough pad will be replaced with a painted 0.00 808 1 cover panel. There will be double insulation installed in the roof of the module.0.00 812 1 813 1 Wholesale Extended 814 1 MODULAR BODY: OPTIONS Price Price 815 1 816 (1 )* Modify modular body standard length by 6 inches or less 2,060.94 2,060.94 817 1 * Specify non-standard length here:152" 825 (1 )* Type I: Cabinet below pass-thru window to have dual sliding polycarbonate doors.N/C 839 1 Door Sill protectors, Stainless Steel, to be installed as follows: 840 (1 )* Door Sill protector for side personnel door 84.11 84.11 841 (1 )* Door Sill protectors for ALL compartment doors 472.50 472.50 851 1 856 1 857 1 CUSTOMER NOTES / SPECIAL REQUESTS 858 1 ** Install a ZICO electric step #VS-24-11 below the R3 curbside entry door. This 2,591.35 859 1 includes an override switch by the curbside entry door.0.00 868 1 869 1 870 1 CAB / MODULE PAINT AND LETTERING: STANDARD SPECIFICATIONS 871 1 874 (1 )* DELETION CREDIT: Do not paint the 4 outer wheels (80.22)(80.22) 875 1 Include one touch up paint kit for each color used 880 (1 )* DELETION CREDIT: Delete Federal ambulance markings (323.00)(323.00) 881 1 882 1 PAINT OPTIONS 883 1 884 1 The cab for the chassis will be ordered and painted standard OEM white. 885 (1 )The module shall be painted the same color to match the chassis. 886 1 Color & Paint Number: 898 (1 )* Metallic paint will not be used anywhere on this unit. 911 1 912 1 BELTLINE 914 (1 )* DELETE standard 11" reflective beltline stripe (1,540.95)(1,540.95) 959 1 AQ Version 19.1 Page 5 of 16 8/24/2020 2:28 PM DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E 960 1 PINSTRIPE 964 (1 )* DELETION: No pinstripe tape AND no painted beltline to be applied by factory (303.59)(303.59) 970 1 971 1 972 1 REFLECTIVE "SCOTCHLITE" STRIPING 973 1 1004 1 Enter Code Enter size 1005 1 for Color:in inches:COST: 1006 1 * Reflective stripe color # 1:24 #680-75 Blue 1 473.34 1007 1 * Reflective stripe color # 2:24 #680-75 Blue 8 1,146.28 1008 1 * Reflective stripe color # 3:24 #680-75 Blue 1 473.34 1011 1 1017 1 1018 1 CUSTOMER NOTES / SPECIAL REQUESTS 1019 1 ** REF. Lines 1006-1008: The reflective striping will be installed at the beltline as 0.00 1020 1 follows: 1" Blue reflective, 1" white paint space, 8" Blue reflective, 1" white paint space,0.00 1021 1 and 1" Blue reflective.0.00 1022 1 ** Install alternating 8" blue and yellow reflective striping as Chevrons in an inverted 2,200.73 1023 1 "V" pattern on the rear of the module. 0.00 1024 1 ** Install (3) 13"x13" Silver Snap Frame without lens from Simple Snap Frame.com 352.38 1025 1 To be installed (1) streetside, (1) curbside, and (1) rear of module.0.00 1029 1030 1 1031 1 LETTERING OPTIONS 1032 1 1035 (1 )Lettering to be provided and installed by Excellance is specified on an 1036 1 attachment to this document AND priced below in "Customer Notes". 1037 1 1043 1 CUSTOMER NOTES / SPECIAL REQUESTS 1044 1 ** Install lettering and graphics (to include large SOL on both sides of the module and 6,257.02 1045 1 blue & yellow checkered pattern for the skirtline) per Orange County's layout. 0.00 1046 1 Drawings will be provided. This also includes window perf film in blue/yellow for the 0.00 1047 1 rear personnel entry door windows that will be in line with the reflective scotchlite 0.00 1048 1 chevrons on the rear of the module and white window perf film for the side entry 0.00 1049 1 door window.0.00 1052 1 1053 1 EXTERIOR COMPARTMENTS: STANDARD SPECIFICATIONS N/C 1054 1 1055 1 All exterior compartment doors insulated with 2" styrofoam 1056 1 206 latch w/ key locking stainless steel 9000 series D-ring handles with gaskets (where possible) 1059 (1 )* SUBSTITUTION: 3" Grabbers in lieu of spring door checks (price per grabber)38.91 38.91 1060 1 * Specify which compartments will have 3" Grabbers:L4/2 compartment 1065 1 Machine louvered or plastic venting, as needed, in all exterior compartments 1087 1 1088 1 EXTERIOR COMPARTMENTS: OPTIONS 1089 1 All aluminum unistruts to be welded into exterior compartments (no screws or rivets) 1090 1 * Oxygen tank(s) shall be located in compartment L4 (Streetside Forward)Wholesale Extended 1091 1 Price Price 1092 1 Compartment L1: (Streetside Rear) 1093 (1 )Tall L1 version - standard for 146" & 166" modules 1094 ( 1 )* Backboard storage in L1 will have 1 adjustable vertical dividers (145.60) 1096 1 Type of shelves in L1:Quantity Thickness of aluminum 1097 1 Adjustable shelves with unistrut 1 0.125"(365.68) 1098 1 Fixed shelves 0 0.125"0.00 1101 (1 )* DELETE "inside" access for Tall L1 (192.78)(192.78) 1106 (1 )One standard LED light in compartment - to be door activated N/C 1127 1 1128 1 Compartment L3/1: (Outside electrical compartment for power distribution panel) 1135 (1 )One standard LED light in compartment - to be door activated N/C 1139 (1 )* Key the exterior door latch for the L3/1 compartment differently from all other 32.13 32.13 1140 1 * exterior compartment doors using a #545 lock and key (in lieu of the #1250 key). 1141 1 ** Install electrical schematics in a 1" silver aluminum 3-ring binder (JAM Paper-Amazon).387.80 1142 1 Install a bare aluminum "box" in the top of L3/2 compartment with a hinged locking drop-0.00 AQ Version 19.1 Page 6 of 16 8/24/2020 2:28 PM DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E 1143 1 down door to store the binder. Attach a plastic coated metal cord from the "box" to binder.0.00 1144 1 1145 1 Compartment L3/2: (Streetside Intermediate) 1147 Type of shelves in L3/2:Quantity Thickness of aluminum 1148 1 Adjustable shelves with unistrut 0 0.125"0.00 1149 1 Fixed shelves 1 0.125"182.84 1156 (1 )One standard LED light in compartment - to be door activated N/C 1170 1 ** REF. Line 1149: The fixed shelf will be installed at horizontal center of the compt.0.00 1177 1 1178 1 Compartment L4: (Streetside Forward) 1181 Type of shelves in L4:Quantity Thickness of aluminum 1182 1 Adjustable shelves with unistrut 0 0.125"0.00 1183 1 Fixed shelves 0 0.125"0.00 1185 (1 )One standard LED light in compartment - to be door activated N/C 1188 (1 )* Install switch in action area to activate light in L4 compartment for O2 guage.130.76 130.76 1197 1 Modify the L4 compartment into an upper and lower compartment. The Upper L4/1 1,163.40 1198 1 compartment will house the HVAC system facing forward with lines being routed 0.00 1199 1 around the front of the module to be ducted through the ceiling and at the front bulkhead.0.00 1203 1 1205 1 Compartment R1: (Curbside Rear) 1206 (1 )Short R1 - standard for 146" module N/C 1208 (1 )Inside / Outside access for Short R1 N/C 1217 Type of shelves in Short R1:Quantity Thickness of aluminum 1218 1 Adjustable shelves with unistrut 1 0.125"182.84 1219 1 Fixed shelves 0 0.125"0.00 1235 (1 )One standard LED light in R1 compartment - to be door activated N/C 1279 1 1280 1 Compartment R4: (Curbside Forward) 1284 (1 )* Inside / Outside access for only bottom portion of R4 -- with inside access only for top portion N/C 1285 (1 )* Exterior door for R4 compartment to be "3/4 height" that stops at the top of outside access 1300 (1 )* Eliminate both the drug box and the cabinet next to it, making R4 one single (179.06)(179.06) 1301 1 large compartment. 1302 1 1303 (1 )* Relocate the HVAC system from over the R4 to the center of the 356.79 356.79 1304 1 bulkhead and install a cabinet in the top of the R4 with… 1307 (1 ) one horizontally-hinged cabinet door of polycarbonate w/ gas shock hold-opens 258.86 258.86 1308 1 1309 1 Type of shelves in R4:Quantity Thickness of aluminum 1310 1 Adjustable shelves with unistrut 1 0.125"(182.84) 1311 1 Fixed shelves 0 0.125"0.00 1318 (1 )One standard LED light in compartment - to be door activated N/C 1328 1 ** Install a Medicus-Health narcotics double-lock box #5120M2 measuring 10"Hx7"Wx7"D.334.67 1329 1 Remove the handle that comes installed on the box so it will fit inside the cabinet.0.00 1334 1 1417 (4 )Number of exterior compartment(s) to be finished in Excellance texturized paint.N/C 1418 1 Specify each compartment here:ALL - EXCEPT R4 which is to be finished white 1433 1 Bio-Shield polyurethane spray-on coating for exterior compartments: 1434 (1 )* Enter '1' for Bio-Shield coating for up to 6 exterior compartments and 6 shelves 1,380.61 1,380.61 1458 (1 )* Electric door locks for module personnel & R4 doors 1,225.04 1,225.04 1459 (4 )* Enter number of exterior compartments to have electric door locks See Note 566.07 1463 1 1464 1 The following electric door locks… …shall be activated by :Location for separate switch: 1465 1 L1, L3/2, L4/2, R1 1468 1 Note: The additional charge for each separate switch:$94.85 1.00 94.85 1471 (1 )* Concealed weatherproof override switch for electric door locks 168.42 168.42 1472 1 * Concealed override switch location:rear tag frame 1489 1 1491 1 PATIENT COMPARTMENT: STANDARD SPECIFICATIONS 1492 1 1493 1 Install clear polycarbonate throughout the unit.N/C 1497 1 Full seam-welded NFPA-compliant anti-skid aluminum diamondplate stepwell with flush sweep-out design 1498 1 Door-activated flush-mounted stepwell light, LED OEM circuit & hidden switch in tag frame Curbside wall by R3 door. AQ Version 19.1 Page 7 of 16 8/24/2020 2:28 PM DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E 1499 1 3 interior entry door panels, aluminum painted white 1500 (1 )Alternating red/white 10" reflective diagonal stripes on each Personnel Door 1505 1 Grab handles for module doors to be:1.25" diameter seamless stainless steel 1507 (1 )* SUBSTITUTION: "L" Handle Bar (in lieu of standard straight bar)86.43 86.43 1508 (1 )Grab handle(s) on each rear door inside the module:"L" shape 33" x 17.5"Pricing: 0.00 1509 1 Aluminum walls painted white 1510 1 Aluminum ceiling finish painted white 1511 (1 )Insulation in the module walls and ceiling 1513 1 Welded tubular aluminum cabinet framework with cabinet tubular faces painted white 1514 1 Sliding medical cabinet doors of 1/4" polycarbonate with full height extruded aluminum handles 1515 1 All cabinet interiors are to be painted white 1516 1 Cabinets have Austin latches on hinged cabinet doors and Safety Pins on sliding doors (KKK compliant) 1517 1 Cabinets will be labeled with their rated weight capacity 1518 1 Streetside action area with solid surface counter top Pricing: 1519 1 The color for all counter tops will be:light gray w/ white & charcoal speckles 97.51 0.00 1527 1 Action area shelf to have lip 1528 1 Oxygen compartment shall have one polycarbonate hinged access door for "M" & "H" size cylinders 1529 1 Squad bench w/vinyl covered padded split seat cushion and with a hinged lid 1530 1 two 6-point seat belt harnesses:red 1531 1 sets of patient restraint straps: 3 red 0.00 1532 1 Squad bench to have a solid vinyl covered padded back rest and head rest 1533 1 2 "No smoking oxygen equipped / Fasten your seatbelt" decals, one in cab and one in module 1534 1 Removable wiring access panels, vinyl padded down the center of the ceiling w/ 1" x 2" tubular supports 1537 (2 )* # of 96" x 1.25" diameter stainless steel grab rails in lieu of standard 72"91.88 183.75 1539 (1 )1 CPR seat with vinyl covered padded seat and head protectors 1540 (1 )CPR seat to have 6-point seat belt harness 1541 (1 )* OPTION: Provide storage area under CPR seat 522.97 522.97 1550 1 1551 1 CUSTOMER NOTES / SPECIAL REQUESTS 1552 1 ** The CPR seat will be a MINIMUM of 35" wide.0.00 1553 1 ** The solid surface countertop at the aft action area (aft of CPR seat) will be flat 0.00 1554 1 without a lip for the Technimount defibrillator bracket.0.00 1562 1 1563 1 PATIENT COMPARTMENT: OPTIONS Wholesale Extended 1564 1 Price Price 1565 1 Interior to be painted white aluminum N/C 1570 1 * High back EMT Captains Chair (Bucket Seat) at Action Area w/ these features:Standard N/C 1571 1 Built-in Child-Safety Seat? YES 413.63 413.63 1572 1 # of seat belt harness points: 6 Standard N/C 1573 1 # of arm rests: 0 no arm rests 0.00 0.00 1574 (1 )* Swivel seat base (2-way swivel)Standard N/C 1577 (1 )* Sewn upholstery Standard N/C 1579 (1 )* WISE brand Standard N/C 1581 1 1583 1 Type of IV holder Quantity Mounting location for IV holders:245.21 1584 1 Rubber shaft fold-down w/ velcro 1 head of primary cot 1585 1 Rubber shaft fold-down w/ velcro 1 head of squad bench 1586 1 Rubber shaft fold-down w/ velcro 1 foot of primary cot 1587 1 Rubber shaft fold-down w/ velcro 1 foot of squad bench 1619 1 1620 1 Cabinet over Action Area to have… 1621 (1 ) Sliding doors that are made of polycarbonate N/C 1638 1 1639 (1 )* Cabinet over squad bench (KKK requires 43+" between squad bench & cabinet)811.09 811.09 1642 (1 )* 2 horizontally-hinged cabinet doors of polycarbonate w/ gas shock hold-opens 268.17 268.17 1645 (1 )* Cabinet over CPR seat (half-depth) (KKK requires 43+" between seat & cabinet)571.76 571.76 1647 (1 )* with a single horizontally-hinged cabinet door with one gas-shock hold-open 150.71 150.71 1660 1 1661 1 Location for additional cabinet: 1662 1 * without restocking feature:Aft squad bench wall - sliding poly doors 819.91 819.91 1676 1 1677 1 CUSTOMER NOTES / SPECIAL REQUESTS 1678 1 ** REF. Lines 1620 & 1621: Cabinet D, over the action area, will have a fixed shelf ILO 1,096.90 1679 1 adjustable in the center of the cabinet. Install (4) vertical, adjustable dividers above 0.00 AQ Version 19.1 Page 8 of 16 8/24/2020 2:28 PM DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E 1680 1 and below the shelf creating ten storage spaces. The cabinet will have a restocking 0.00 1681 1 feature to make the storage spaces more accessible.0.00 1682 1 ** Supply a Technimount Pro Series 35 Bracket for a Lifepak 15. It will be installed 1,161.51 1683 1 at delivery aft of the CPR seat.0.00 1684 1 ** REF. Line 1662: The cabinet will have sliding poly doors & (1) adjustable shelf.0.00 1687 1 1688 1 BIO-HAZARD / TRASH CONTAINERS: 1689 1 1693 (1 )DELETE both wall mounted Maxxim kits (60.00)(60.00) 1712 (1 )* Shorten the curbside squad bench and install an access door for two 884.17 884.17 1713 1 one-gallon containers (one Sharps and one Trash). Each container will 1714 1 have its own hinged surface-mounted polycarbonate lid (one red and one clear, 1715 1 each with a knob) built into the access door. The access door will have a flush- 1716 1 mounted stainless steel key locking latch for container removal. 1727 (1 )* The head-knocker over the side entry door shall provide storage for the 485.31 485.31 1728 1 * placement of the following number of glove boxes:3 1741 1 1742 1 CUSTOMER NOTES / SPECIAL REQUESTS 1743 1 ** A drop-in storage shall be located in the top of the aft end of the action area counter 833.21 1744 1 to store a customer supplied sharps container. The container lid will protrude 0.00 1745 1 through the top of the countertop and the lid around the flat top of container. The 0.00 1746 1 container opening will face the CPR seat. The storage will be able to store a 0.00 1747 1 10" H x 14" W x 6" D container. This area of the solid surface countertop will be flat. 0.00 1748 1 ** REF. Line 1712: The sharps storage at the head of the squad bench will be a drop-in 0.00 1749 1 storage for a 10" H x 14" W x 6" D container. The container lid will protrude through 0.00 1750 1 the top of the storage area and a cover around the top to cover the extra space. 0.00 1751 1 Storage is made larger than the container by customer request.0.00 1753 1 1754 1 SEATING / UPHOLSTERY: OPTIONS 1755 1 1756 1 Padded vinyl head protectors over module entryways, color coordinated to match interior 1762 (1 )* Maroon color for upholstery (Ruby)N/C 1768 (1 )Net at head of Squad Bench, standard 58" x 17" (Red unless specified in Customer Notes)N/C 1784 1 1785 1 FLOOR COVERING: OPTIONS 1786 1 1787 1 Heavy duty vinyl floor covering will be installed inside patient compartment 1788 (1 )* Lonseal / Lonplate II flooring (this flooring will extend up the side walls) 1797 1 Type of floor selected above:Floor color Curbside wall covered in: Streetside wall covered in: 1798 1 * Lonseal / Lonplate II flooring 421 Mica Floor covering 1807 1 1808 1 HANDRAILS / MOUNTING BRACKETS: OPTIONS 1809 1 1810 (1 )All handrails will be stainless steel, knurled, antimicrobial rails painted (powder coated) yellow.N/C 1823 1 1824 1 Wholesale Extended 1825 1 COT / LITTER MOUNT: OPTIONS Price Price 1826 1 ( Brand ) ( Model ) 1827 1 The cot used in this unit will be a:Stryker Power-PRO 1828 1 The cot will be supplied by: Customer 1829 1 The retention system will be supplied by: Customer 1830 1 Purchaser / Customer agrees to idemnify and hold Excellance harmless for the installation of any 1831 1 cot retention system specified by the Customer that is not compliant with any governmental authority. 1832 1 1833 1 The mounting position for the cot shall be: 1834 (1 )* Center mount for one cot N/C 1836 1 1838 (1 )Post and wheel cups will NOT be installed in the patient compartment. 1844 1 1845 1 THE COT WILL BE SUPPLIED BY CUSTOMER 1849 1 THE RETENTION SYSTEM WILL BE SUPPLIED BY CUSTOMER 1850 1 ** A customer-supplied Stryker PowerLoad cot loading system will be installed.0.00 1867 1 Floor covering AQ Version 19.1 Page 9 of 16 8/24/2020 2:28 PM DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E 1868 1 MODULE ELECTRICAL SYSTEM: STANDARD SPECIFICATIONS N/C 1869 1 1870 1 12 VDC electrical distribution system 1871 1 Color and function coded wiring 1872 1 GXL high temperature wiring insulation 1873 1 Automatic reset circuit breakers 1874 1 Heat shrink tubing on all terminals 1875 1 Lighted rocker switches 1876 1 Engraved backlit switch labels 1877 1 1 labeled power distribution panel will be located in the exterior L3/1 compartment 1878 (1 )* Delete floor-to-ceiling compartment in front bulkhead behind attendant's seat (363.44)(363.44) 1879 1 Patient compartment control console with hinged access panels in action area 1880 1 12 VDC Medical outlets to be installed as follows: 1883 1 Type of outlet:Quantity Location for outlet(s): 1884 1 Cigarette 2 Action Area 0.00 1889 1 1890 1 Magnetically controlled, hermetically sealed door switches 1891 1 "Module Entry Door Open" warning circuit w/ warning light in cab console 1892 (1 )* Personnel "door open" buzzer on cab console to be activated when in gear. 122.99 122.99 1895 1 Door activated exterior compartment lighting 1896 1 All of the dome lights located on the curbside to turn on to low intensity when 1897 1 module entry doors are opened and/or switch on cab console is activated 1898 1 All switches, indicators and control devices shall be labeled in accordance w/ current KKK-A-1822 1899 1 1900 1 1901 1 MODULE ELECTRICAL SYSTEM: OPTIONS Wholesale Extended 1902 1 Price Price 1903 1 1 Kussmaul #091-32 Load Manager / Sequencer.N/C 1904 1 Load Manager and status indicator to be located in cab console.N/C 1905 (1 )Excellance will determine load manager circuits and sequence of priority.N/C 1914 1 1928 (1 )* DELETE "standard" coax antenna cables (58.73)(58.73) 1942 (2 )* Number of customer-provided two-way radios AND Customer supplied part:N/C 1943 1 * scanners AND antenna mounted by Excellance.Installation charge:924.07 1,848.14 1944 1 * Brand & Model of first radio:Motorolla Customer supplied part: 1945 1 * Brand & Model of second radio:Motorolla Customer supplied part: 1948 1 1949 1 * Mounting location for:Control Head location: 1950 1 Radio First radio Cab Console 1951 1 Radio Second radio Action Area 1952 1 N/A Third radio N/A 1953 1 N/A Scanner N/A 1954 1 1968 (1 )* Three TruckLite LED # 80251C lights installed in center of module ceiling 710.98 710.98 1971 (1 ) Switch on EMT switch panel and switch ...N/C 1972 (1 ) ... at side entry door.N/C 1975 (1 )* Timer "check out feature" (wired hot) 0 - 15 minutes installed at curbside door.233.09 233.09 1977 (1 )TruckLite LEDs # 80162C EMT ("Standard" in action area) N/C 1983 1 1985 (1 )Four 8-inch LED dome lights mounted in ceiling on streetside N/C 1986 (1 )Four 8-inch LED dome lights mounted in ceiling on curbside N/C 1996 (1 )* All ceiling lights to operate with two switches (one for streetside & one for curbside lights). 2007 (1 )* Install a switch by the curbside rear entry door to disable the rear scene lights.213.85 213.85 2026 (1 )* Streamlight Light Box (SL-90) Rechargeable (pr ea)orange color 269.29 269.29 2028 (1 )* Streamlight "Stinger HP" (price each)291.90 291.90 2029 1 * Streamlight 12 VDC charger base to be mounted in:Both behind driver's seat in cab 2030 1 2031 1 CUSTOMER NOTES / SPECIAL REQUESTS 2032 1 ** REF. Line 1884: 12VDC outlets to work off module power or shoreline only.0.00 2033 1 ** REF. Line 1892: The buzzer will activate when an entry door or compartment door 413.98 2034 1 is open and the chassis is placed in gear.0.00 2035 1 ** Install a Mermaid Dual Temp unit #MKDUAL TEMP in the ALS compartment. The 5,018.16 2036 1 control head will be installed on the interior R4 cabinet wall in the bulkhead area.0.00 AQ Version 19.1 Page 10 of 16 8/24/2020 2:28 PM DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E 2037 1 ** The radio speaker will be installed on the back wall of the cab above pass-thru window.0.00 2040 1 ** REF. Line 1942: Install an extruded aluminum cover around the transceiver in the L3/2 195.02 2041 1 compartment to protect it from damage.0.00 2048 1 2049 1 125 VAC ELECTRICAL: STANDARD SPECIFICATIONS 2050 1 2051 1 Location for each 125 VAC duplex receptacle (interior to be lighted; exterior to be weatherproof): 2052 (1 )in Action Area (multi-outlet strip)" Standard "N/C 2053 (1 )lower section of the R-4 ALS cabinet " Standard "N/C 2054 (1 )below pass-thru window on curbside wall 200.18 200.18 2055 (1 )passenger's side of cab console above spotlight (mount horizontally)200.18 200.18 2056 (1 )Aft Action Area (aft of CPR seat)(a second breaker is required)339.83 339.83 2060 1 GFI circuit breaker box to be located:mounted in GFI box in electrical panel N/C 2061 1 First GFI circuit breaker to be wired to:the engine block heater N/C 2062 1 Second GFI circuit breaker wired to:the 125V electrical system N/C 2065 1 Note: A 30 amp GFI circuit breaker must be used when a dual-voltage A/C system is 2066 1 selected. This circuit breaker must be dedicated to the dual-voltage A/C system and 2067 1 can NOT be used for anything else. Does this advisory apply to this order?YES 2068 1 2069 1 CUSTOMER NOTES / SPECIAL REQUESTS 2070 1 ** Install a customer-supplied Sierra Wireless Gateway system wiring harness & antenna. 806.61 2071 1 The wires shall terminate behind the passenger's seat in the cab. The power cable is a 0.00 2072 1 gray three-wire cable. The black wire is ground with the red being 12 volt battery power 0.00 2073 1 & the white is ignition/accessory, which should have 12V when the truck is running. 0.00 2074 1 It should terminate alongside the antenna cables. Both should have at least 18" of slack. 0.00 2075 1 The antenna will be installed on the cab roof.0.00 2077 1 2078 1 SHORELINE OPTIONS Wholesale Extended 2079 1 Price Price 2080 (1 )One 30 amp / 125 volt Twist Lock Shoreline Plug with N/C 2081 1 weatherproof lift cover (with female Shoreline Input Adapter) 2089 (1 )* Ignition disable circuit to prevent engine ignition with shoreline connected.220.71 220.71 2093 2094 1 Additional Shorelines: 2098 1 2099 (1 )* Additional 30 amp / 125 volt Twist Lock Shoreline Plug with 429.77 429.77 2100 1 * weatherproof lift cover (with female Shoreline Input Adapter) 2108 1 * Specify what additional Shoreline is dedicated to:HVAC 2110 (1 )* Ignition disable circuit to prevent engine ignition with 2nd shoreline connected.92.19 92.19 2114 1 2125 (1 )* Shoreline to be mounted :Front of module on driver's side Price:0.00 2126 (1 )* Additional Shoreline mounted:Front of module on driver's side Price:0.00 2140 1 2142 1 125 VAC ELECTRICAL EQUIPMENT: OPTIONS 2143 1 2148 (1 )DELETION CREDIT: Delete the "standard" on-board battery charger (322.46)(322.46) 2164 1 Specify the location for the inverter:L3/2 Compartment N/C 2171 (1 )* Vanner 1050 watt inverter (model 20-1050CUL-DC) with transfer switch WITH 1,345.36 1,345.36 2172 1 battery charger (the IFM1 interface module is internal). 2200 1 2202 1 SCENE AND EXTERIOR LIGHTS: STANDARD SPECIFICATIONS 2203 1 2204 1 2 backup lights wired to operate with rear scene / load lights 2205 1 Rear license plate bracket shall be Recessed on rear of unit with light 64.26 2206 1 1 set of red rear turn marker lights on each side of module using: 2207 (1 )L.E.D. 4" round turn marker lights (part # 44350R)N/C 2211 1 2212 1 WORKLIGHTS / FLOODLIGHTS / SPOTLIGHT: OPTIONS 2213 1 2214 1 The hand-held spotlight will be:recess-mounted on passenger side of front console 2215 (1 )Minimum 100,000 CP lamp handheld spotlight w/ momentary switch (Standard)N/C 2225 1 2229 (1 )* 2 Whelen 900 Super-LED work / scene lights (surface mount with chrome 1,070.01 1,070.01 AQ Version 19.1 Page 11 of 16 8/24/2020 2:28 PM DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E 2230 1 flange) on each side of module (in lieu of halogen lights). 2234 (1 )* DELETE "standard" Whelen 900 side scene lights on each side of module.(247.49)(247.49) 2239 (1 )* 2 Whelen 600 Super-LED load / scene lights (surface mount) on rear wall of 573.02 573.02 2240 1 module in lieu of standard 900 series lights. 2244 (1 )* DELETE "standard" Whelen 900 rear scene lights.(188.00)(188.00) 2245 1 Note: Scene lights on rear of module will be deleted when rear light bar has scene light option. 2269 1 2270 1 CUSTOMER NOTES / SPECIAL REQUESTS 2271 1 ** Install a Whelen 8-lamp LED Traffic Advisor #TAM83 on the rear of the module 1,181.32 2272 1 above the rear doors. The control head will be installed in the cab console.0.00 2283 1 2284 1 TURN SIGNAL / TAIL LIGHTS: OPTIONS 2285 1 2286 1 Primary brake, turn signal & backup lighting 2287 1 2288 1 The Primary brake, turn signal, and backup lights on the rear of the module will be: 2289 1 600 series L.E.D. lights as turn signals set in a triple Horizontal Casting N/C 2290 1 600 series L.E.D. lights as brake lights set in a triple Horizontal Casting N/C 2291 1 600 series L.E.D. lights as backup lights set in a triple Horizontal Casting N/C 2317 1 2318 1 CUSTOMER NOTES / SPECIAL REQUESTS 2319 1 ** Add a flash mode for the OEM amber lights in the cab mirrors. Lights to operate as 323.54 2320 1 emergency lights in emergency mode and turn signals when not in emergency mode.0.00 2417 1 2419 1 GRILL LIGHTS / INTERSECTION LIGHTS 2435 1 2436 1 Grill Lights shall be: 2437 (505 ) Whelen 500 Red L.E.D. w/o flange Lens color:clear Enter code # from above 2439 1 2440 1 Lens color: 2441 (505 ) Intersection Lights on the driver's side shall be: Whelen 500 Red L.E.D. w/o flange clear 2442 (505 ) Intersection Lights on passenger's side shall be: Whelen 500 Red L.E.D. w/o flange clear 2455 1 2456 1 OTHER VISUAL WARNING LIGHTS: STANDARD SPECIFICATIONS 2479 1 2480 1 Flashing light installed at the top center of front module wall shall be:FALSE 2481 ( 904 ) Whelen 900 series White LED with flange Whelen 900 series White LED with flangeFALSE N/C 2482 1 The color of the lens for this light is:clear 2484 1 2485 1 Flashing lights in each upper corner of the front module wall (2 total) shall be:408.9638 Whelen 900 series Red LED w/ flange 2486 ( 901 ) Whelen 900 series Red LED w/ flange Whelen 900 series Red LED w/ flange408.9638 N/C 2487 1 The color of the lens for this light is:clear 2489 1 2490 1 * Install one additional flashing light on the side of the front wall of module. 2491 (901 )This curbside light shall be: Whelen 900 series Red LED w/ flange 204.48 204.48 2492 (901 )This streetside light shall be: Whelen 900 series Red LED w/ flange 204.48 204.48 2493 1 Color of curbside lens shall be: clear Color of streetside lens shall be: clear 2494 1 2500 1 Flashing lights in each upper corner of the curbside module wall (2 total) are:408.9638 2501 ( 901 ) Whelen 900 series Red LED w/ flange Whelen 900 series Red LED w/ flange408.9638 N/C 2502 1 The color of the lens for this light is:clear 2504 1 2505 1 Flashing lights in each upper corner of streetside module wall (2 total) are:408.9638 2506 ( 901 ) Whelen 900 series Red LED w/ flange Whelen 900 series Red LED w/ flange408.9638 N/C 2507 1 The color of the lens for this light is:clear 2509 1 2514 1 Flashing lights in the upper corners of module rear wall (2 total) shall be:408.9638 2515 ( 901 ) Whelen 900 series Red LED w/ flange Whelen 900 series Red LED w/ flange408.9638 N/C 2516 1 The color of the lens for this light is:clear 2518 1 2524 1 * Install a set of flashing lights to operate as emergency warning lights to be AQ Version 19.1 Page 12 of 16 8/24/2020 2:28 PM DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E 2525 1 seen through the rear door windows when doors are open. 2526 (902 )The curbside light shall be: Whelen 900 series Amber LED w/ flange 207.62 207.62 2527 (902 )The streetside light shall be: Whelen 900 series Amber LED w/ flange 207.62 207.62 2528 1 Color of curbside lens shall be: clear Color of streetside lens shall be: clear 2529 1 2536 1 * Install a set of flashing auxiliary lights to operate as brake lights when NOT in 2537 1 emergency mode to be seen through rear door windows when doors are open. 537.4838 2538 (901 ) Whelen 900 series Red LED w/ flange Whelen 900 series Red LED w/ flange537.4838 537.48 2539 1 2540 1 Flashing light installed at the top center of rear module wall shall be:292.8282 2541 ( 702 ) Whelen 700 series Amber LED w/ flange FALSE N/C 2543 1 Color for this lens shall be: clear 2544 1 2550 (1 )* DELETION CREDIT: Delete "standard" Whelen AFM-1660 flasher (184.55)(184.55) 2551 1 2553 (1 )The flash pattern for the emergency lights shall be custom programmed as 192.78 192.78 2554 1 specified by the Customer in lieu of the standard flash pattern specified by KKK. 2555 1 2565 1 2566 1 MISCELLANEOUS WARNING LIGHTS: OPTIONS 2567 1 2568 1 WHELEN FLASHERS AND STROBE POWER SUPPLIES 2570 (2 )* Flasher, UFM-8, 60 Watts (8 outlets) for:emergency lights 216.68 433.36 2590 1 2592 1 EMERGENCY AUDIBLE WARNING SYSTEM: OPTIONS 2593 1 2595 1 Siren tones to be programmed in "default" mode. 2597 (1 )* DELETION CREDIT: Delete the Whelen hands free electronic siren (400.41)(400.41) 2598 (1 )* Whelen 295HFSC9 Self-contained 200-watt dual amplifer w/ removable mic 514.77 514.77 2599 1 2617 1 2618 1 Speaker Options 2619 1 2623 (1 )Two through-the-bumper speakers ("standard" on F-450 & F-550)N/C 2639 1 2640 1 CUSTOMER NOTES / SPECIAL REQUESTS 2641 1 ** Install a Whelen Howler siren system with universal mounting bracket.1,023.96 2651 1 2653 1 OXYGEN AND SUCTION SYSTEMS: STANDARD SPECIFICATIONS N/C 2654 1 2655 1 Oxygen system plumbing with cylinder wrench chained in oxygen compartment 2656 1 2657 1 Tank Brackets: Options 2658 1 2659 (1 )* Oxygen tank(s) shall be located in compartment L4 (Streetside Forward)N/C 2662 1 2669 (1 )* SUBSTITUTE: Zico "Quic-Release" (electric lift) system in lieu of "MultiVersal" 3,208.88 3,208.88 2670 1 * Specify cylinder size for "Quic-Release" system:M 2674 1 1 oxygen regulator, 50 PSI N/C 2677 1 2678 1 Oxygen Systems: Options 2693 1 Ohio-Diamond type oxygen outlets. 2695 (1 )* 1 located at EMT panel, 1 at curbside, 1 in ceiling at head of primary patient 116.13 116.13 2722 1 2741 1 2742 1 Vacuum System: Options 2743 1 2744 1 Sscor suction system with 1 canister and lid, on-off power switch, 5-foot exhaust hose, 2745 1 vacuum gauge and internal regulator (no vacuum outlet needed) - to be installed… 2746 (1 )… aft of action area control panel on the streetside interior wall.N/C 2765 1 2768 1 2769 1 CUSTOMER NOTES / SPECIAL REQUESTS AQ Version 19.1 Page 13 of 16 8/24/2020 2:28 PM DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E 2770 1 ** Fabricate O2 cylinder storage of 2" x 2" angle welded to the floor of the squad bench 684.74 2771 1 (inside storage) & coated with speedliner. There will be (2) seatbelt-style straps to 0.00 2772 1 hold down "D" size cylinders & a "Z" angle installed at the aft end of 2" x 2" angles.0.00 2773 1 ** Install a ProAir 12V A/C kit #80-002-745 917 V w/110 BCM in the L4/1 compartment.7,251.58 2774 1 The kit will consist of an under body condensor with mounting bracket, an air 0.00 2775 1 handler/evaporator with drain pan lines, auxiliary A/C compressor with bracket and 0.00 2776 1 a thermostat to be located in the action area. Install the air return grille/filter on the 0.00 2777 1 curbside wall by the pass thru. Within the A/C system will be a separate hi/lo pressure 0.00 2778 1 protection switch. This system will be for "COOLING ONLY" and the thermostat 0.00 2779 1 will be labeled for this.0.00 2780 1 2782 1 HVAC SYSTEMS: STANDARD SPECIFICATIONS N/C 2783 1 2784 1 12 VDC multi-speed exhaust fan at rear of module 2785 1 1 static air intake at front curbside of module 2786 1 Floor-level return air plenum with replaceable filter for A/C-heat unit 2787 1 2788 1 HVAC SYSTEMS: OPTIONS 2789 1 2790 (1 )* Relocate the HVAC system from over the R4 to the center of the bulkhead. 2791 1 2792 (1 )* Discharge the HVAC system down the length of the patient compartment in 1,023.82 1,023.82 2793 1 the ceiling via the "center trough". 2795 1 Ford F-series and Dodge Type I Chassis 2804 1 125 / 12 Dual Volt HVAC systems: 2805 (1 )* Dual voltage heavy duty combination heater / air conditioner system with 2806 1 digital electronic thermostat with digital temperature display WITH dual compressors 2807 1 (one 12 VDC OEM chassis compressor and one 125 VAC auxiliary compressor) AND 2808 (1 )* 12 VDC Auxiliary A/C condenser mounted under module body. 3,307.24 3,307.24 2818 1 NOTE: 125 VAC CONDENSER IS ALWAYS MOUNTED UNDERBODY. 2897 1 2898 1 CUSTOMER NOTES / SPECIAL REQUESTS 2899 1 ** Static air intake will be located on streetside of module due to center-mounted HVAC 0.00 2900 1 ** REF. Line 2805: For the dual volt, install the control box on the upper back wall in the 166.25 2901 1 air flow space above the Mermaid system. ILO standard #105 condenser, install 2-fan 0.00 2902 1 #109 flat-mount condenser, #50-001-601, under the module for the 110 compressor. 0.00 2903 1 The 3-fan condenser for the 12VDC compressor will be installed on front of the module.0.00 2904 1 ** Fabricate and install a bare aluminum bracket around the underbody condenser to 232.68 2905 1 further secure and protect the condenser.0.00 2908 1 2910 1 FIRE EXTINGUISHER: OPTIONS 2911 1 2912 (2 ) 5# ABC fire extinguishers N/C 2914 1 * Extinguisher mounting instructions:Ship Loose 2916 1 2918 1 LOOSE EQUIPMENT to be provided by Excellance 2919 1 Price: 2920 1 ** Supply (4) Bowman #GB-003 glove box holders.431.25 2995 1 2996 1 CUSTOMER SUPPLIED PARTS 2997 1 2998 1 It is Excellance policy for all parts to be supplied by Excellance. The reasons for this policy 2999 1 are to allow Excellance: (1) to better engineer and manufacture the vehicle by obtaining the 3000 1 parts in advance, (2) provide better control over tracking the delivery of all parts and getting the 3001 1 part to the correct vehicle for which it is intended, and (3) it allows Excellance to better adhere to 3002 1 its production schedule. Disruptions in our production schedule are very costly and wasteful in 3003 1 terms of labor. Therefore, exceptions to this policy will result in a charge of $250.00 per part 3004 1 supplied by any dealer or customer PLUS the appropriate labor charge for installing any such part. 3005 Note: Excellance does not warrant the installation of customer supplied parts installed by Excellance! 3006 1 Excellance waives the $250 "parts charge" for two-way radio equipment, radio antenna, and cots. 3007 1 3050 1 3051 1 Payment Terms: AQ Version 19.1 Page 14 of 16 8/24/2020 2:28 PM DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E 3052 1 3053 1 Payment to be Cash Upon Delivery F.O.B. Excellance, Madison, Alabama. 3054 1 3065 1 3066 1 CHECKLIST 3067 1 Send invoices to: 3068 1 3069 1 3070 1 3073 1 3074 1 Specify to whom the MSO is to be assigned: 3075 1 3077 1 The vehicle will be ready for delivery with electrical diagrams, cleaned, inspected, fuel tanks full, 3078 1 vehicle serviced, certified weight ticket, and copies of all warranties and owners manuals. 3079 1 3080 1 ADDITIONAL TERMS AND CONDITIONS FOR THIS CONTRACT 3081 1 3082 1 The effective date of this contract is the day this order is accepted by Excellance as 3083 1 evidenced by the date this contract is executed by an officer of Excellance. 3084 1 3085 1 Construction will begin only after all questions have been resolved. Once the unit is in production, 3086 1 each change will result in an engineering fee of $250 in addition to the price for the change. 3087 1 3088 1 Failure to select an option on this order form will result in: (i) no charge to the Customer, 3089 1 (ii) no obligation by Excellance for that item, and (iii) the possibility, at Excellance's sole election, 3090 1 of a $250 charge for each change or addition that occurs after production begins on a vehicle. 3091 1 3092 1 Review this order carefully. Changes, alterations or additional work ordered shall be charged 3093 1 for at current rates with additional time being allowed Excellance for delivery. 3094 1 3095 1 Price is exclusive of taxes, licenses, etc. which shall be the responsibility of Customer. 3096 1 All delivery dates are approximate unless otherwise indicated and are subject to and dependent 3097 1 upon the Customer furnishing all required information to Excellance in a timely manner. 3098 1 3099 1 Excellance shall not be liable for failure to deliver or delay in delivering any Product(s) covered 3100 1 by this order where such failure or delay is due, in whole or in part, to any cause beyond the 3101 1 reasonable control, or is without the gross negligence or intentional misconduct, of Excellance. 3102 1 3103 1 Fulfillment of this order by Excellance shall be contingent upon strikes, lock-outs, fires, 3104 1 accidents, Government regulations, inability to secure materials or other causes beyond 3105 1 Excellance's control. Excellance may substitute comparable parts if the specified part is not available. 3106 1 If colors are not specified, Excellance retains the right to assign colors based upon availability. 3107 1 3108 1 In the event Customer cancels this order prior to Excellance beginning production on the unit(s) covered 3109 1 hereunder, then Excellance shall be entitled to receive from Customer the greater of (a) 20% of the 3110 1 contract price, or (b) all deposits paid by Customer hereunder. In the event Customer cancels this 3111 1 order after Excellance begins production on the unit(s) covered hereunder, then Excellance shall 3112 1 be entitled to receive from Customer the full contract price less the amount of money saved by 3113 1 Excellance by reason of the cancellation (e.g., actual costs incurred) plus 20% of the contract price. 3114 1 3115 1 Any warranties on the products sold hereunder are those made by the manufacturer of said products. 3116 1 Excellance, as the seller of such products, expressly disclaims all warranties, either expressed or 3117 1 implied, including any implied warranty of merchantability or fitness for a particular purpose, and 3118 1 neither assumes nor authorizes any other person to assume for it any liability in connection with 3119 1 the sale of such products. 3120 1 3121 1 In the event there is a "trade-in" unit that Excellance agreed to take "in trade" as partial consideration of 3122 1 the purchase price hereunder, Excellance shall be under no obligation to tender the MSO/title for the new 3123 1 unit to the Customer until Excellance (a) receives the MSO/title for the unit to be "traded in", and (b) has 3124 1 possession of the unit "traded in". 3125 1 3126 1 Customer agrees that in the event of any Action brought by Customer against Excellance, Purchaser 3127 1 shall not be entitled to recover any incidental or consequential damages as defined in the Uniform 3128 1 Commercial Code, including but not limited to indirect or special damages, loss of income or AQ Version 19.1 Page 15 of 16 8/24/2020 2:28 PM DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E 3129 1 anticipated profits, or down-time, or any punitive damages. 3130 1 3131 1 This contract contains the entire understanding between the parties, supersedes any previous agreement or 3132 1 understanding, and any changes to this contract must be in writing and signed by Customer and Excellance. 3133 1 3134 1 No waiver of any term of this order shall be valid unless it is in writing and signed by an officer of 3135 1 Excellance. If any provision or part of any provision of this order shall be deemed to violate any applicable 3136 1 law or regulation, such invalid provision or part of a provision shall be inapplicable, BUT the remaining 3137 1 part of that provision and the remainder of this document shall continue to be binding and enforceable. 3138 1 3139 1 Arbitration provision: The laws of the state of Alabama, as applicable to contracts to be 3140 1 performed entirely within that state, shall govern this agreement. Any controversy or claim 3141 1 arising out of or relating to this agreement, or the breach thereof, shall be settled by binding 3142 1 arbitration in accordance with the rules of the American Arbitration Association and any judgment 3143 1 on the award rendered by the arbitrator may be entered in any court having jurisdiction thereof. AQ Version 19.1 Page 16 of 16 8/24/2020 2:28 PM DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E INSR ADDL SUBR LTR INSR WVD DATE (MM/DD/YYYY) PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) COMMERCIAL GENERAL LIABILITY AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE INSURER(S) AFFORDING COVERAGE NAIC # Y / N N / A (Mandatory in NH) ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? EACH OCCURRENCE $ DAMAGE TO RENTED $PREMISES (Ea occurrence)CLAIMS-MADE OCCUR MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ $ PRO- OTHER: LOCJECT COMBINED SINGLE LIMIT $(Ea accident) BODILY INJURY (Per person)$ANY AUTO OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS AUTOS ONLY HIRED PROPERTY DAMAGE $AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE $ CLAIMS-MADE AGGREGATE $ DED RETENTION $$ PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below POLICY NON-OWNED SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. 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). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORDACORD 25 (2016/03) ACORDTM CERTIFICATE OF LIABILITY INSURANCE Alabama Self Insured WC Fund Midwest Employers CasuaLTY 1/10/2020 J Smith Lanier & Co Huntsville P. O. Box 6087 206 Exchange Place Huntsville, AL 35813-0087 - Excellance, Inc. 453 Lanier Road Madison, AL 35758 23612 A B N WC10000998002020A PQAL129001 01/01/2020 01/01/2020 01/01/2021 01/01/2020 X 1,000,000 1,000,000 1,000,000 For Proof of Insurance Only 1 of 1 #S4723572/M4723565 38EXCELLANCE1Client#: 39383 PZR 1 of 1 #S4723572/M4723565 DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E ATTACHMENT B EXCELLANCE, INC. TEN-YEAR (100,000 Mile) 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. 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: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E ATTACHMENT C EXCELLANCE, INC. SEVEN-YEAR (UNLIMITED MILEAGE) PAINT PERFORMANCE WARRANTY Excellance, Inc. warrants the integrity of the paint on each new, completely painted 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: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E ATTACHMENT D EXCELLANCE, INC. THIRTY-SIX MONTH (36,000 Mile) CONVERSION WARRANTY Excellance, Inc. warrants each new ambulance manufactured by Excellance for a period of thirty-six months or 36,000 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 36 months or 36,000 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: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E ATTACHMENT E EXCELLANCE, INC. TWENTY FIVE-YEAR (UNLIMITED MILEAGE) 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 for a period of twenty five (25) 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, fasteners, catches, electrical items, appointments, accessories, and other components covered under separate warranties. This warranty is conditioned upon (a) normal use and reasonable maintenance of such modular body, (b) written notice of all defects must be promptly tendered to Excellance, Inc., and (c) said defect shall not result from abuse, misuse, negligence, accident, improper lifting, improper towing or overloading beyond applicable weight rating. If any of the foregoing conditions are not complied with, this warranty shall be 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 those 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 Rev 06/10 DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E ATTACHMENT F 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-pen 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: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E FordDocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E TOP VIEWSIDE VIEWDocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E WHELENDocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E FordDocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E DocuSign Envelope ID: 611A911C-6F59-40BA-A31F-AF9027EEB611DocuSign Envelope ID: A2065515-D2AC-47B4-9B7E-1E51805D023E