Loading...
HomeMy WebLinkAbout2021-693-E-Emergency Svc-Southeastern Specialty Vehicles-BLS ambulancesRevised 06/21 1 [Departmental Use Only] TITLE 2022 Osage Ambulances FY 21-22 NORTH CAROLINA SERVICES AGREEMENT NO RFP/RFQ ORANGE COUNTY This Services Agreement (hereinafter “Agreement”), made and entered into this 9th day of December, 2021, (“Effective Date”) by and between Orange County, North Carolina a political subdivision of the State of North Carolina (hereinafter, the "County") and Southeastern Specialty Vehicles, 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 Agreement is for services to be rendered by Provider to County for the purchase of two (2) 2022 Osage Travois Type II Ambulance Conversions built upon Ford T350 High Roof All Wheel Drive Chassis supplied by Provider as outlined in Attachment “A”, “Osage Ambulance 2022 ‘Travois’ Type II Order Form”. 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: 9B0A695D-8C3C-4D5E-AAFB-7F3A3936DFD4 Revised 06/21 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 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 or its employees, agents and subcontractors engaged in such activities possess such licenses, certifications, or credentials and that such licenses certifications, or credentials are current, active, and not in a state of suspension or revocation. vi) In determining the Basic Services to be provided, should any documents be referenced in this Agreement, the terms of this Agreement shall have priority in any conflict between the terms of referenced documents and the terms of this Agreement. 3. Basic Services a. Basic Services. The 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. Ambulances will be modified according to the specifications set out in the drawings attached hereto as Attachment B and C. b. Warranty. Provider attests that they are the authorized dealer and repair facility for Osage Ambulances and that the Osage Warranty Information Attached hereto as Exhibit D is valid and applicable to this purchase agreement. 4. Duration of Services DocuSign Envelope ID: 9B0A695D-8C3C-4D5E-AAFB-7F3A3936DFD4 Revised 06/21 3 a. Term. The term of this Agreement shall begin upon the date of signing of this agreement. Provider will deliver the two (2) Ambulances within 120 days of the latest of the following: (1) receipt of the signed contract, (2) chassis delivered to Provider’s location, (3) receipt of executed Purchase Order, and (4) an approved Work Order with all specifications, properly executed. b. Scheduling of Services. i) The Provider shall schedule and perform its activities in a timely manner. ii) 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. iii) 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.” in this contract. 5. Compensation a. Compensation for Basic Services. Compensation for Basic Services shall include all compensation due the Provider from the County for all services satisfactorily (as determined by the County) performed pursuant to this Agreement. The maximum amount payable for Basic Services shall not exceed Two Hundred Fourteen Thousand, Two Hundred Forty-Four Dollars and Zero Cents ($214,244.00). Payment for satisfactorily performed Basic Services shall become due and payable within thirty (30) days of Provider properly invoicing County. Provider shall invoice the County a minimum of thirty days prior to the completion of each Orange County ambulance project. Payment shall be subject to provisions of Section 5(b). b. Disputes. In the event the amount stated on an invoice is disputed by the County, the County may withhold payment of all or a portion of the amount stated on an invoice until the parties resolve the dispute. Should Provider fail to perform its duties under the terms of this Agreement, County may, without fault or penalty, withhold any payment associated with the work to be performed until such time as said work is completed. c. Additional Services. County shall not be responsible for costs related to any services in addition to the Basic Services performed by Provider unless County requests such additional services in writing and such additional services are evidenced by a written amendment to this Agreement. 6. Responsibilities of the County a. Cooperation and Coordination. The County has designated the Emergency Services Director to act as the County's representative with respect to the Project who shall have the authority to render decisions within guidelines established by the County Manager or the County Board of Commissioners and who shall be available during working hours as often as may be reasonably required to render decisions and to furnish information. DocuSign Envelope ID: 9B0A695D-8C3C-4D5E-AAFB-7F3A3936DFD4 Revised 06/21 4 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 N/A (if no additional insurance required mark N/A as being not applicable). Provider shall not commence work until such insurance is in effect and certification thereof has been received by the County's Risk Manager. 8. Indemnity a. Indemnity. To the extent authorized by North Carolina law 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 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. Either party may terminate this Agreement upon notice to the other party that obligations pursuant to this Agreement are made impractical due to declarations of emergency by Orange County or by North Carolina due to events directly impacting Orange County. Both parties shall remain responsible for all payment and performance due up to the receipt of such notice, but shall have no further obligation or responsibility beyond that date provided the DocuSign Envelope ID: 9B0A695D-8C3C-4D5E-AAFB-7F3A3936DFD4 Revised 06/21 5 terminating party has taken all reasonable steps to complete the performance of its obligations. 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. Upon request of the County, the Provider shall submit to County all relevant documentation, including but not limited to, job cost records, to support its claims for final compensation. 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 work on the Basic Services and shall not resume the Basic Services until notified to proceed by County. 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. 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. c. Non-Discrimination. 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 non-discrimination laws, policies, rules, and regulations and the Orange County Non-Discrimination Policy and Orange County Living Wage Policy (each policy DocuSign Envelope ID: 9B0A695D-8C3C-4D5E-AAFB-7F3A3936DFD4 Revised 06/21 6 is incorporated herein by reference and may be viewed at http://www.orangecountync.gov/departments/purchasing_division/contracts.php.) Any violation of the Orange County Non-Discrimination Policy is a breach of this Agreement and County may immediately terminate this Agreement without further obligation on the part of the County. This paragraph is not intended to limit and does not limit the definition of breach to discrimination. 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 such suit or action. e. Entire Agreement. This Agreement represents the entire and integrated agreement between the County and the Provider and supersedes all prior negotiations, representations or agreements, either written or oral. This Agreement may be amended only by written 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 or 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 or 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. In the event of a change in the County’s statutory authority, mandate or mandated functions, by state 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. DocuSign Envelope ID: 9B0A695D-8C3C-4D5E-AAFB-7F3A3936DFD4 Revised 06/21 7 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 Southeastern Specialty Vehicles, Inc. Attention: Kirby Saunders by Darren Hadley P.O. Box 8181 911 Martin Creek Road Hillsborough, NC 27278 Henderson, NC 27537 [SIGNATURE PAGE TO FOLLOW] DocuSign Envelope ID: 9B0A695D-8C3C-4D5E-AAFB-7F3A3936DFD4 Revised 06/21 8 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: __________________________________ Darren Hadley, Regional Sales Manager Printed Name and Title DocuSign Envelope ID: 9B0A695D-8C3C-4D5E-AAFB-7F3A3936DFD4 Revised 06/21 9 ORANGE COUNTY—DEPARTMENT USE ONLY ______________________________________________________________________________ Party/Vendor Name: Southeastern Specialty Vehicles Party/Vendor Contact Person: Darren Hadley Contact Phone: 866-640-2028 Party/Vendor Address: P.O. Box 159 City Kittrell State: NC Zip: 27544 Department: Emergency Services Amount: ($214,244.00 Purpose: (2) BLS Ambulances - NEW Budget Code(s): 61757535- 802000-30010 Vendor # 66523 (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: --- For Section XIV. c. contracts only, Approved by Board in Current FY Budget Yes No This agreement is approved as to technical form and content and I as Department Director 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 or 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 the Clerk upon completion: occlerkdocs@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: 9B0A695D-8C3C-4D5E-AAFB-7F3A3936DFD4 12/23/2021 12/23/2021 12/29/2021 12/29/2021 Manufacturers of Quality Built Emergency Apparatus CONTRACT FOR EMERGENCY VEHICLE October 26, 2021 Orange County Emergency Medical Services 510 Meadowlands Drive Hillsborough, NC 27278 Southeastern Specialty Vehicles, Inc., (Seller) hereby proposes and agrees to furnish to Buyer, after Buyer’s acceptance of this proposal and the proper execution and approval of the accompanying Work Order / contract, the following: Product and Services: Two (2) 2022 Osage Travois Type II Ambulance Conversions built upon Ford T350 High Roof All Wheel Drive Chassis. All of which are to be built in accordance with the attached specifications, and which are made part of this agreement and contract, to deliver same approximately one hundred twenty (120) days from receipt of the following, subject to all causes beyond our control: (1) This signed contract, (2) Chassis delivered to our location, (3) Your executed Purchase Order meeting these terms and specifications and, (4) An approved Work Order with all specifications, properly executed. Price: For the sum of Two Hundred Fourteen Thousand, Two Hundred Forty-four Dollars and Zero Cents. ($214,244.00) - (_____) Initials. Terms: The Price for the Product is F.O.B.: Henderson, North Carolina Payment Terms: Payment in full is required at time of final inspection to be held at Southeastern Specialty Vehicles Inc., located in Henderson, North Carolina 27537, or at the manufacturer of record. Late payments are subject to a $1000.00 Fee plus daily interest of 18% APR, unless prior arraignments have been made with President of Southeastern Specialty Vehicles, Inc. {Initials: _______} ATTACHMENT ADocuSign Envelope ID: 9B0A695D-8C3C-4D5E-AAFB-7F3A3936DFD4 Validity: The amount named above in this contract shall remain firm for a period of Thirty (30) days from the date shown above and after that date the amount is no longer valid. For this Contract to be valid, the dates of both party’s execution below must be within thirty (30) days of the date on page one. Applicable Taxes Not Included: All State, Federal and Local Taxes are not included in the amount above and all applicable taxes are to be paid by the Buyer upon registration and licensing of the vehicle. Complete Agreement: This Contract and accompanying Specifications and Work Orders constitute our full agreement and no other offers, side agreements or commitments exist between the parties. FOR BUYER: ORANGE COUNTY EMS BY: ________________________________________________ (Initials: ________) NAME/TITLE: ________________________________________ DATE: _______________________________________________ FOR SELLER: SOUTHEASTERN SPECIALTY VEHICLES, INC. BY: Darren Hadley (Initials: _DH_______) NAME/TITLE: Darren Hadley, Regional Sales Manager DATE: October 26, 2021 DocuSign Envelope ID: 9B0A695D-8C3C-4D5E-AAFB-7F3A3936DFD4 Bonnie Hammersley 12/29/2021 252-430-1503 866-640-2028 OSAGE AMBULANCE 2022 "TRAVOIS" TYPE II ORDER FORM Dealer Name: Southeastern Specialty Vehicles Salesperson: Darren Hadley Customer Name: Orange County Emergency Medical Services & Address 510 Meadowlands Drive Hillsborough, NC 27278 Shipping Address: 911 Martin Creek Road Henderson, NC 27537 Fleet Number: BLS 1 & BLS 2 Contact Name: Darren Hadley Attachment B DocuSign Envelope ID: 9B0A695D-8C3C-4D5E-AAFB-7F3A3936DFD4 252-430-1503 866-640-2028 Email: darren.hadley@ssvsales.com Phone: 336-402-0297 Fax: Chassis Type: Ford T350 High Roof Transit, AWD Osage Unit #: T334, T335 VIN: Qty FORD TYPE II T250 - 2022 CHASSIS Mid-Roof Ford Transit T250 "Chassis" w/ 3.5 Ecoboost EST. Qty FORD TYPE II T350 - 2022 CHASSIS 1 High-Roof Ford Transit T350 "Chassis" w/ 3.5 Ecoboost EST. Mid-Roof Ford Transit T350 "Chassis" w/ 3.5 Ecoboost EST. 1 All Wheel Drive EST. Qty FORD TYPE II T350- 2022 CONVERSION 1 High-Roof Ford Transit T350 w/ Ecoboost Mid-Roof Ford Transit T350 w/ Ecoboost (NOTE: Includes Transverse O2) DocuSign Envelope ID: 9B0A695D-8C3C-4D5E-AAFB-7F3A3936DFD4 252-430-1503 866-640-2028 Qty MERCEDES TYPE II SPRINTER - 2022 CHASSIS Sprinter "Chassis" 4x2 EST. Sprinter "Chassis" 4x4 EST. Qty MERCEDES TYPE II SPRINTER - 2022 CONVERSION High-Roof Sprinter Qty EMERGENCY LIGHTING & SIREN OPTIONS Whelen Justice Ten (10) LED Lightbar R/R/R/R/C/C/R/R/R/R STANDARD 1 W-01 Whelen Light Pod 6-700 Smart LED's (R/R/C/C/R/R) ILOS Qty Whelen Smart Linear LED's W-02 Additional 700 Smart LED, (Red, Blue or Amber) W-03 Additional 600 Smart LED, (White) W-04 Additional 500 Smart LED, (Red, Amber, or Blue) W-05 Additional 500 Smart LED, (White) W-06 Upgrade 900 LED to M9 LED (Blue, Red, Amber) W-07 Upgrade 900 LED to M9 LED (Clear) W-08 Additional M9 LED (Blue, Red, Amber) W-09 Additional 600 LED (R.B.A.) W-10 Additional M6 (R.B.A.) W-11 Additional M7 LED (Blue, Red, Amber) W-12 Additional M7 LED (Clear) W-13 Specify Flash Pattern to Set LED’s to _Random_________ LED’s to be: _XXX__________ Unsynchronized DocuSign Envelope ID: 9B0A695D-8C3C-4D5E-AAFB-7F3A3936DFD4 252-430-1503 866-640-2028 __________Synchronized on KK Flasher W-14 Additional ION-T Qty Siren & Speakers W-15 Federal Rumbler (Only Available w/ Federal Siren (Except EQ2B), Whelen 295 Sirens, Signal #SS700-008, Code 3 VCON & 3997RS, Carson SC-4074 Commander) W-16 Federal E-Q2B W-17 Federal PA 300 W-18 Carson SA-430 Siren w/ Remote Control Head, Upgrade W-19 Carson SA-441 Siren w/ Dual Mode & Remote Control Head, Upgrade W-20 Carson SA-441-17F w/Mechanical Tones W-21 Whelen Model 295 HFSA1 W-22 Whelen 295HFSC9 Dual Tone W-23 Whelen 295HFS2 Remote Head W-24 Whelen 295HFS7 Remote Head, Dual Amps W-25 Buell Dual Air Horns Mounted on Lightbar Stanchions Qty Additional Warning Light Options & Special Instructions DocuSign Envelope ID: 9B0A695D-8C3C-4D5E-AAFB-7F3A3936DFD4 252-430-1503 866-640-2028 Qty ELECTRICAL OPTIONS E-01 Pre-Wire for Vanner Inverter with Remote Switch (Specify model if not Vanner) E-02 Vanner 1000W Inverter, Model 20-1000-TUL 1 E-03 Vanner 20-1050-CUL Inverter/Conditioner with Remote Switch E-04 Iota P.C. 30 Battery Charger E-05 Iota P.C. 45 Battery Charger (Requires 30 Amp Shoreline) E-06 Twist Lock 30 Amp Shoreline E-07 Auto Eject Shoreline Plug, 20 Amp E-08 Auto Eject Shoreline Plug, 32 Amp E-09 Shoreline Indicator at Shoreline 1 E-10 110V Outlet, Additional per Outlet in ALS 1 E-11 110V/USB Outlet E-12 12V DC Outlet, Cigar Style, Additional per Outlet E-13 Dual USB Outlet E-14 Step-well Light E-15 Single Overhead Reading Light in Cab E-16 LED Federal Little Light E-17 Timer Switch for Check-Out Lights E-18 Patient Compartment Digital Clock E-19 Digital Thermostat E-20 110V Heater w/2nd Shoreline, Mounted in EMT Seat E-21 Fog Light Pre-Wire E-22 PIAA LED Fog Lights DocuSign Envelope ID: 9B0A695D-8C3C-4D5E-AAFB-7F3A3936DFD4 252-430-1503 866-640-2028 E-23 Antenna Pre-Wire E-24 Radio Speakers in Patient Compartment E-25 Volume Control for Rear Speakers Mounted in Action Area 1 E-26 Intermotive Idle Lock E-27 Upgrade Dome Light To Rectangular Whelen LED (Each) E-28 Upgrade Dome Light To Round Whelen LED w/Chrome Flange (Each) E-29 V-Mux Electrical System w/Switch Panel Qty Additional Electrical Options & Special Instruction Qty MEDICAL OPTIONS Note: Stryker Performance Load, Standard M-01 Sscor VX-2 Portable / Permanent Suction I.L.O.S. M-02 Stryker Power Load I.L.O. Performance Load M-03 Install Customer's Power Load M-04 Ferno Stat Track I.L.O. Stryker Performance Load M-05 Stryker Performance Load Cot Mount with Inductive Charging 1 M-06 Stryker Universal Floor Plate Only M-07 Install Stryker Floor Plate for Mass-Casualty Hook M-08 Install Stryker Mass-Casualty Floor Plate & Hook M-09 Delete Standard Performance Load DocuSign Envelope ID: 9B0A695D-8C3C-4D5E-AAFB-7F3A3936DFD4 252-430-1503 866-640-2028 M-10 Additional O2 Outlet 1 M-11 O2 Regulator for “M” Tank (Required w/Transverse O2) M-12 O2 Flow Meter / Dial-Type Flowmeter M-13 O2 Flow Meter--Tube Type M-14 Amico Digital O2 Gauge w/Regulator M-15 Electric O2 Solenoid w/ Switch 2 M-16 ZICO Portable O2 Bracket QRD2 c Additional Medical Options & Special Instructions Qty OPTIONS FROM BASIC - INTERIOR * NOTE: PROVIDE DIMENSION OF BACKBOARD SLOT: 18" x___________ DocuSign Envelope ID: 9B0A695D-8C3C-4D5E-AAFB-7F3A3936DFD4 252-430-1503 866-640-2028 (18" x 5" Standard Unless Otherwise Noted) * NOTE: Laminate Color: __Gray Glace_______________________ Vinyl Color: ____Ash__________________________ * NOTE: Select One of the Following No/Charge Front Console Configurations: __X___ Dual Drink Holders _____ Driver's Side Drink Holder - Only _____ No Drink Holders (Will be provided unless otherwise noted) OPTIONS FROM BASIC - INTERIOR Continued 1 I-01 Split Squad Bench Lid (Two Sections) 1 I-02 Gas Struts on Squad Bench Lid I-03 Stainless Steel Aisle Protectors, Both Sides I-04 Roll-up Floor 3” on Right Side 1 I-05 Lon-Plate Flooring w/ Standard Color ( Gunmetal) I-06 Lon-Plate Flooring w/ Custom Color I-07 Lon-Coin Flooring I-08 NOTE: Provide Optional Flooring Color_______________________ I-09 Tinted Plexiglas in Rear Cabinet Windows I-10 Re-Stocking Seals for Cabinet Windows I-11 Custom Vinyl Color I-12 NOTE: Provide Custom Color_______________________________ I-13 Custom Laminate Color I-14 NOTE: Provide Custom Color_______________________________ I-15 Radio/Notebook Console (Standard Design) I-16 Radio/Notebook Console (Design Required) DocuSign Envelope ID: 9B0A695D-8C3C-4D5E-AAFB-7F3A3936DFD4 252-430-1503 866-640-2028 1 I-17 Shelves in Upper Street Side Cabinets 1 I-18 Custom Street Side Wall w/Stair Chair Access From Rear Of Truck Have stairchair stored horizontal I-19 Recessed Cast Swing Down IV Hanger 1 I-20 Storage Over Squad Bench 1 I-21 Cargo Net I-22 Vertical Backboard Slot Dividers I-23 EVS 1769-3 I-24 Rear Door Trim Pkg. (Transit) I-25 Transverse O2 With Slide-Out Bracket 1 I-26 EVS 3-Pt Child Seat ILOS I-27 5-PT. Bucket EMT Seat I.L.O.S. 2 I-28 6-Pt Seatbelt, Per Position I-29 EVS 17803 Seat w/Base I-30 Seat Belt Monitor (requires sensors below) I-31 Sensor for EVS Seat (per position) I-32 Sensor for 2-Point Belt (per position) I-33 Sensor for 6-Point Belt (per position) I-34 Stainless Southco Upgrade 1 I-35 Additional Door Handle On Factory Sliding Door Qty Additional Interior Options & Special Instructions 1 Glove cabinet (3 opening) in Action Area 2 Streamlight LED Vulcan, installed in cab behind seats 1 Brigade Interior Patient Camera 1 ALS: enclosing ALS with doors and 2 adjustable shelves 1 Simplex Lock installed into top ALS cabinet 1 Mounted in Cab: Glove Box Holder 1 Installation of Customer Supplied Radio DocuSign Envelope ID: 9B0A695D-8C3C-4D5E-AAFB-7F3A3936DFD4 252-430-1503 866-640-2028 Qty Additional Interior Options & Special Instructions Continued EXTERIOR OPTIONS Qty Custom Body Size, Compartments, Doors & Door Window EX-01 Wheel Covers, Real Wheels Stainless Steel EX-02 On-Spot Chains Qty Additional Exterior Options & Special Instructions DocuSign Envelope ID: 9B0A695D-8C3C-4D5E-AAFB-7F3A3936DFD4 252-430-1503 866-640-2028 Qty OPTIONS FROM BASIC - MISCELLANEOUS MS-01 Fire Extinguisher, 5lb MS-02 Install Decals Qty Additional Miscellaneous Options Qty PAINT OPTIONS P-01 Second Stripe at Skirtline to Match Beltline P-02 Second Stripe, Same Color P-03 Second Stripe, Different Color P-04 Paint from Window Line Down (CALL FOR QUOTE) P-05 Paint from Window Line Up Including Roof (CALL FOR QUOTE) P-06 Paint Entire Body (Including Door Jams) (CALL FOR QUOTE) P-07 Polishing Required for Red Color P-08 Hockey Stick Design Single Stripe P-09 Heartbeat Stripe, (Osage Standard) P-10 Custom Heartbeat to Match Existing Unit P-11 ¼” Reflective Pinstripe P-12 ½” Reflective Pinstripe P-13 ¾” Reflective Pinstripe NOTE: Pinstripe Is One Stripe Above and One Below Standard Band. 1 P-14 Delete Standard Beltline Paint DocuSign Envelope ID: 9B0A695D-8C3C-4D5E-AAFB-7F3A3936DFD4 252-430-1503 866-640-2028 Qty Demo Decals P-15 Osage Logo Decals P-16 Osage Window Decal Qty Additional Paint Options & Special Instructions 1 Graphics Orange County EMS 1 Throttledown Bumper/Grille Guard DocuSign Envelope ID: 9B0A695D-8C3C-4D5E-AAFB-7F3A3936DFD4 DocuSign Envelope ID: 9B0A695D-8C3C-4D5E-AAFB-7F3A3936DFD4 DocuSign Envelope ID: 9B0A695D-8C3C-4D5E-AAFB-7F3A3936DFD4 Attachment CDocuSign Envelope ID: 9B0A695D-8C3C-4D5E-AAFB-7F3A3936DFD4 DocuSign Envelope ID: 9B0A695D-8C3C-4D5E-AAFB-7F3A3936DFD4 DocuSign Envelope ID: 9B0A695D-8C3C-4D5E-AAFB-7F3A3936DFD4 DocuSign Envelope ID: 9B0A695D-8C3C-4D5E-AAFB-7F3A3936DFD4 DocuSign Envelope ID: 9B0A695D-8C3C-4D5E-AAFB-7F3A3936DFD4 DocuSign Envelope ID: 9B0A695D-8C3C-4D5E-AAFB-7F3A3936DFD4 DocuSign Envelope ID: 9B0A695D-8C3C-4D5E-AAFB-7F3A3936DFD4 DocuSign Envelope ID: 9B0A695D-8C3C-4D5E-AAFB-7F3A3936DFD4 Subject to limitations, provisions and conditions set forth in this Warranty, Osage Industries, Inc. does hereby warrant to e ach Original Purchaser Only that each new vehicle conversion is free from defects and workmanship and materials used in the construction of a production model emergency vehicle for a period as follows: A. For THREE 3 years or 36,000 miles, whichever comes first, from the date of the original purchase, Osage Industries, Inc. will repair or replace, at no cost to purchaser, only those components manufactured by Osage Industries, Inc. for use in a production vehicle and excludes components from other manufacturers used in such conversions; i.e. sirens, inverters, lightbars, oxygen equipment, chassis, etc. Individual warranties are covered by those manufacturers included in the Owner’s Manual as supplied with the vehicle and shall apply as set forth by said manufacturer. Osage will only reimburse labor up to (3) years on those components with more than a (3) year warranty. B. For SIX (6) years or 72,000 miles, whichever comes first, from the date of the original purchase, Osage Industries, Inc. will cover the cost of labor and material, in the repair or replacement of the electrical systems furnished and installed by Osage Industries, Inc. This warranty shall include all wiring, terminals and connections and general design concept used by Osage Industries, Inc. at the time of manufacture. This warranty shall not apply to any electrical equipment furnished and warranted by other manufacturers. These warranties shall be limited to component manufacturer’s policies. C. GRAPHICS WARRANTY 3 YEARS OR 36,000 MILES, Osage warrants its graphics and lettering package to be free from defects in material and workmanship for three (3) years or 36,000 miles. Warranty covers cost of parts and labor. Osage will not be liable for more than the amount of the purchase price of the graphics package. The above warranties are conditioned upon normal use and reasonable maintenance and do not apply to any components, which have been subject to abuse, accident, alteration, vandalism, and improper or careless use. Any modification of any description made to any components on the conversion, without written approval by Osage Industries, Inc. shall void th e warranty of said system and components parts. Prompt written notice of all defects or claims against Osage shall be forwarded to Osage Industries, Inc., P.O. Box 718, Linn , Missouri (MO) 65051, or by calling at 800-822-3634. No repairs or additions shall be performed without prior approval from Osage Industries, Inc. Osage Industries, Inc. reserves the right to reject unauthorized claims and its decision in these mat ters shall be final. If warranty repairs are necessary, all work must be performed by Osage Industries, Inc. or repair center authorized by Osage Industries, Inc. It is the responsibility of the purchaser to transport vehicle to and from Osage Industries, Inc., Linn, Missouri (MO), or repair center authorized by Osage Industries, Inc. for warranty repairs. Osage is not responsible for any loss or damage that may occur during said transportation. Any expressed warranty not provided herein and any remedy for breach of contract which might arise by implication or operation of law, is hereby excluded and disclaimed. The implied warranties of merchantability and fitness for any particular purpose are expressly limited to the terms stated above. Some states do not allow limitations on how long an implied warrant y lasts. Therefore, the above limitations may not apply to you. Under no circumstances shall Osage Industries, Inc. be liable to purchaser or any other person for any special or consequenti al damages, whether arising out of breach of warranty, breach of contract, or otherwise. Some states do not allow the exclusion or limitation of incidental or consequential damages. Therefore, the above limitations or exclusions may not apply to you. This Warranty gives you specific legal rights, and you may have other rights, which vary, from sta te to state. Document Control Number OM 19-1-17, Rev. J Emergency Vehicle Limited Warranty TYPE II TRAVOIS ATTACHMENT D DocuSign Envelope ID: 9B0A695D-8C3C-4D5E-AAFB-7F3A3936DFD4 DocuSign Envelope ID: 9B0A695D-8C3C-4D5E-AAFB-7F3A3936DFD4 Attachment EDocuSign Envelope ID: 9B0A695D-8C3C-4D5E-AAFB-7F3A3936DFD4 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 12/9/2021 Triangle Insurance &Associates,LLC 222 N Bickett Blvd Louisburg NC 27549 Patricia Edwards 919-496-2239 patricia@triangleinsurance.com Selective Insurance Company of 12572 SOUTSPE-01 Southeastern Specialty Vehicles Inc PO Box 159 Kittrell NC 27544 332206005 A X 1,000,000 X 500,000 5,000 1,000,000 3,000,000 S 2404927 9/10/2021 9/10/2022 3,000,000 A 1,000,000 X X X S 2404927 9/10/2021 9/10/2022 A X 5,000,000S24049279/10/2021 9/10/2022 5,000,000 X 0 A Garagekeepers S 2404927 9/10/2021 9/10/2022 Comp-$500 Coll-$1,000 1,800,000 1,800,000 Sample Certificate Please call agent for specific COI to be issued (Name/Address req'd). DocuSign Envelope ID: 9B0A695D-8C3C-4D5E-AAFB-7F3A3936DFD4