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HomeMy WebLinkAbout2026-302-E-Emergency Svc-Excellance-Amendment to include freight cost to transport two (2) donor chasisRevised 01/24 NORTH CAROLINA CONTRACT AMENDMENT ORANGE COUNTY THIS CONTRACT AMENDMENT (“Amendment”) is made and entered into this 24 day of June, 2026 by and between ORANGE COUNTY (hereinafter referred to as “County”) and Excellance, Inc. (hereinafter referred to as “Provider”). WITNESSETH: THAT WHEREAS, the County and Provider entered into a contract dated February 20, 2025, (hereinafter the “Original Agreement”), for the provision of services for the purchase of two (2) remounted ambulances and one (1) new ambulance; and WHEREAS, the County and Provider desire to amend the Original Agreement while keeping in effect all terms and conditions of the Original Agreement not inconsistent with the terms and conditions set forth below. NOW THEREFORE, for and in consideration of the mutual covenants and agreements made herein, the parties agree to amend the Original Agreement as follows: 1. Exhibit B to the Original Agreement is amended by adding the following tasks and services to the Services to be provided by the Consultant: a. Include towing/transportation of two (2) donor chassis from Orange County, NC to the Excellance, Inc. facility in Madison, Alabama. 2. Article 5, Section a. is amended to reflect a maximum payable not-to-exceed amount of $1,055,257.79. 3. Except for the changes made herein, the Original Agreement shall remain in full force and effect to the extent it is not inconsistent with this Amendment. In the event there is a conflict between the terms of the Original Agreement and the terms of this Amendment, this Amendment shall control. IN TESTIMONY WHEREOF, this Amendment has been executed by the parties hereto, as of the date first above written. ORANGE COUNTY PROVIDER ______________________________ __________________________________ ________ County Manager ________ Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E Charlie Epps PresidentTravis Myren Revised 01/24 ORANGE COUNTY—INTERNAL USE ONLY ______________________________________________________________________________ Finance Information Vendor Name: Excellance, Inc. Vendor Contact Person: Lisa Barfield Phone: 256-772-9321 Address: 453 Lanier Road City: Madison State: Alabama Zip: 35758 Department: Emergency Services Amount: 1,055,257.79 Purpose: Amendment to include freight cost to transport two (2) donor chasis Budget Code(s): 61354035-80216-12000 Vendor # 56564 Vendor Status with NCSOS: Registered Vendor is a BOCC consultant: Yes No Contract Details Contract Type: New Amendment (Original Contract: Excellance Purchase FY24/25) (Most Recent Amendment ) Effective Date 06/23/2026 End Date Notice Date (Notice Purpose ) Award Approved by Board (Agenda Date: 10/01/2024); Made or Administered by Signature Authority - BOCC Express Delegation (Agenda Date: 10/01/2024) - Policy 9.4: Under $5,000; Service Under $90,000; Construction Under $250,000 - Budget Policy Section XV (Capital Improvement Project: ) Bidding Informal Bidding ($30k-$90k); Formal RFP ($90k+); Other (<$30k); Exception(#NCSA #25-05-0521) Department Affirmation 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. This agreement is approved as to technical form and content. Services related to this agreement have already begun or been completed. Description of the nature of the emergency condition that was addressed: Department Director’s Signature ________________________________________ Date: ________ Information Technologies This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer___________________________________ Date: ________ Inapplicable because no hardware/software purchases or related services 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 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: Received for record retention: Office of the Clerk to the Board __________________________________________Date:_________ XXXXXXX Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E 6/23/2026 7/6/2026 7/6/2026 7/14/2026 Revised 01/24 Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E REMOUNT PRICING Version 23.0 EXCELLANCE, Inc 453 Lanier Road, Madison, Alabama 35758 1-800-882-9799 UNIT NUMBER: CUSTOMER INFORMATION NAME: ORANGE COUNTY - FORD F550 4X4 GAS Single Cab - NCSA BID #25-05-0521 - ** CAAS COMPLIANT **FILE NAME: ADDRESS: P.O. BOX 8181 NAME OF REP: HILLSBOROUGH, NC. 27278 ADDRESS: PHONE: 919-245-6126 FAX:PHONE: CONTACT: JAMES LUNSFORD FAX: E-MAIL: jlunsford@orangecountync.gov PROJECT MGR: 1 SALES SUMMARY Labor Mat % 1 78.00 1.33 1 FACTORY PAID TRANSPORTATION:$2,000.00 1 CONTINGENCY ALLOWANCE:$3,000.00 NCSA 6% DISCOUNT:($10,929.98) 1 COST OF UNIT:$320,144.43 1 How "Cost of Unit" will be paid: 1 CHASSIS TRADE-IN CREDIT:($3,000.00) 1 BALANCE DUE UPON DELIVERY:$317,144.43 1 x2 Remounts = $634,288.86 ANY ITEM NOT "SELECTED" ON THIS ORDER WILL NOT BE INCLUDED IN THE PRICE FOR THE VEHICLE. AFTER THIS ORDER HAS BEEN ACCEPTED BY EXCELLANCE, ALL CHANGES MUST BE APPROVED BY EXCELLANCE AND EACH CHANGE WILL BE ASSESSED A $250.00 ENGINEERING CHARGE. ALL ENGINEERING DRAWINGS IF APPLICABLE MUST BE INITIALED BY THE CUSTOMER BEFORE WORK IS BEGUN OR BEFORE PARTS WILL BE ORDERED BY EXCELLANCE. STATUS OF THIS ORDER This person is authorized to make changes to the vehicle and/ or contract that may affect the final design, configuration and cost of the unit. MADISON, AL. 35758 256-772-9321 256-772-8792 LISA BARFIELD ORIGINAL DATE OF QUOTE:REV. 6/18/2026 34 - NCSA RM-01 Ford F450 4X2 LISA BARFIELD EXCELLANCE, INC. 453 LANIER ROAD REMOUNT VERSION 23.2 6/18/2026 14:22 34 - NCSA RM-01 QUOTED BY:LB ORIGINAL EXCELLANCE UNIT NUMBER:TBD Rev: 5/18/23 Page 1 of 16 6/18/2026 2:23 PM Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E REMOUNT PRICING Version 23.0 PLEASE FILL IN THE DATE AND TIME THE QUOTE WAS GENERATED:7/22/2024 (1 )A. This is an initial quote. An initial quote means this order form is simply being used as a worksheet to generate a price quote. ADDITIONAL TERMS AND CONDITIONS AT END OF THIS DOCUMENT ARE INCORPORATED HERE IN BY REFERENCE. APPROVED AND ACCEPTED BY: PURCHASER:DATE: TITLE: P. O. # : DATE: 83 84 85 86 TYPE OF UNIT: 87 88 ORIGINAL BODY MANUFACTURER: 89 90 MODEL/ MAKE/ YEAR: 91 92 CHASSIS VEHICLE IDENTIFICATION NUMBER: 93 94 CAB TO AXLE MEASUREMENT: 95 96 WHEELBASE MEASUREMENT: 97 98 CURRENT CHASSIS ODOMETER READING (Required if Excellance takes ownership of the take-off chassis): 99 100 DESCRIPTION OF ANY CHASSIS DAMAGE (Required if Excellance takes ownership of the take-off chassis): 101 102 103 104 (1 )Excellance to take ownership of Take-Off Chassis -3,000.00 -3,000.00 105 1 1 106 0 MAKE THE CHASSIS ROADWORTHY 107 (1 )THERE WILL BE NO ADDED WORK PERFORMED TO THE TAKE-OFF CHASSIS. 0.00 0.00 120 1 CHASSIS 123 (1 )Excellance Supplied Chassis 124 1 80,000.00 80,000.00 125 THE FOLLOWING FIELDS DESCRIBING THE NEW CHASSIS MUST BE FILLED OUT REGARDLESS OF WHO IS SUPPLYING IT. 129 ENTER MODELYEAR FOR NEW CHASSIS: 130 ENTER MODEL OF NEW CHASSIS: 2025 or Newer F550 4x4 Gas Single Cab TBD TBD THE CHASSIS MUST BE IN RUNNING AND DRIVING CONDITION FOR THE FULL TRADE IN VALUE TO BE APPLIED ENTER PRICE OF NEW CHASSIS: TYPE IL EXCELLANCE FL M2 TBD 102" TBD REMOUNT UNIT DESCRIPTION Rev: 5/18/23 Page 2 of 16 6/18/2026 2:23 PM Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E REMOUNT PRICING Version 23.0 131 ENTER MAKE OF NEW CHASSIS: 132 ENTER CAB TO AXLE MEASUREMENT OF NEW CHASSIS: 133 ENTER WHEELBASE MEASUREMENT OF NEW CHASSIS: 135 136 THE REMOUNT WILL HAVE THE FOLLOWING WORK INCLUDED IN THE STANDARD BASE CONVERSION: 137 CHASSIS INSPECTION 138 Inspected for damage and defects upon delivery 139 Test Drive 140 The chassis shall be inspected against (A) Excellance's Chassis order, and (B) the specifications supplied by the customer/ dealer. 141 All loose equipment received with the chassis shall be inventoried and stored. 142 All chassis functions shall be tested for proper operation (accelerator, brakes, headlights, wipers, horn, radio, air conditioner, gauges, dome lights, turn signals, parking lights, etc.). 143 144 CHASSIS WORK TO BE PERFORMED 145 Heat Shields shall be installed above the exhaust system. 146 Chassis shall have undercoating applied. 147 Exhaust modifications shall be performed as necessary. 148 Air valve extensions shall be installed on the rear inner tires. 149 New mounting hardware shall be installed including: Grade 8 bolts, washers, nylon lock-nuts, spacers, outriggers (Type I units only) 150 New mounting bracket for the rear bumper shall be installed to the chassis frame. 151 Chassis high idle system shall be connected and operational. 152 Chassis electrical charging/ battery system shall be connected to the module electrical system. 153 New Chassis emergency light wiring shall be installed (Grille, Intersection lights, etc.) 154 All power cables connecting the chassis electrical system to the modular electrical system shall be replaced. 155 The chassis fuel fill shall be installed in accordance with current QVM standards. 156 Modular Air conditioning system shall have a vacuum performed and shall be recharged with 134A Freon with ultra-violet leak identification air conditioning oil dye installed into the system. 157 The module to chassis heater valves and pump shall be replaced. 158 Chassis to module attachment shall be finished off via Excellance fabricated close out panels and a rubber seal on a Type III units. A cab to module rubber accordion style boot shall be installed on EHD and Type I units. 159 New Front module mounted stone guards. 160 New back-up alarm 161 Reattach all existing Radio wiring disconnected from the chassis by Excellance during the remount process. THIS IS LIMITED TO TWO (2) RADIO SYSTEMS - ADDITIONAL PRICING WILL BE ADDED FOR VEHICLES WITH MORE THAN TWO RADIO SYSTEMS. 162 "No Smoking" Fasten Your Seatbelt" sticker shall be installed in the chassis cab. 163 164 ADDITIONAL ITEMS TO BE PROVIDED 165 A professional Front End Alignment shall be performed on the chassis upon completion of the remount process. 166 The Fuel tank shall be full of fuel upon completion of the remount process. 167 All chassis engine fluid levels shall be inspected and adjusted as necessary. 168 Chassis tire pressure shall be inspected and adjusted as needed. 193" Ford 108" Rev: 5/18/23 Page 3 of 16 6/18/2026 2:23 PM Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E REMOUNT PRICING Version 23.0 169 All hinges, latches, locks, door hold open devices etc. shall be lubricated. 170 Headlights shall be adjusted to the proper level. 171 The interior and exterior of the ambulance body and chassis cab shall be professionally washed and detailed. 173 174 DOCUMENTS AND CERTIFICATIONS TO BE PROVIDED 175 Excellance shall provide electrical diagrams for all circuits added during the remount process. 176 Vehicle shall have a weight certificate documented and installed on the unit. 177 Air Conditioning shall have a certificate documenting Freon capacity. 178 Oxygen leak test and verification sticker shall be installed on the unit. 179 Upon full payment a "Bill of Sale", "Odometer Statement" and receipt shall be provided. 180 181 UNLESS OTHERWISE SPECIFIED IN THIS ORDER, ITEMS THAT ARE REMOVED DURING THE REMOUNT PROCESS SHALL BE REINSTALLED 182 183 184 ALSO INCLUDED IN THE BASE PRICE FOR "REMOUNTING" AN AMBULANCE: 185 EXCELLANCE WILL PERFORM THE FOLLOWING TASKS UPON THE UNIT ARRIVING AT THE FACTORY: 186 Physical Inspection of the Exterior body to include: 187 Structural Damage 188 Condition of paint 189 Condition of striping and lettering 190 light housings 191 Door hardware (handles, hinges & door frames) 192 Window Frames 193 Walk- Through or Pass-Through rubber boots (if applicable) 194 Bumper step (hinges, screws, rivets, rubber dock bumpers) 195 Compartment doors (handles, hinges, skins, drains, venting, etc.) 196 197 Physical inspection of the Interior Patient Compartment to include: 198 Floor Covering 199 Formica 200 IV hangers 201 Cot Hardware 202 02 outlets 203 Trim (upholstery, aluminum and Trim Lock") 204 Cabinetry (hinges, slides, unistrut, shelves, Plexiglas) 205 Upholstery (seats, head-knockers, arm-rests, etc.) 206 Countertops 207 Attendant Seat and seat base 208 Drawers (slides, latches, etc.) 209 Lighting (lenses, switches, outlets, etc.) 210 Electrical Cabinet (blown fuses, loose wiring, wire chafing, missing components, etc.) IN THE SAME MANNER WITH WHICH THEY WERE ORIGINALLY INSTALLED ONTO THE NEW CHASSIS AND MODULE BODY. VEHICLES WITH EXCESSIVE EQUIPMENT MAY INCUR ADDED CHARGES FOR EQUIPMENT TO BE TRANSFERRED. Rev: 5/18/23 Page 4 of 16 6/18/2026 2:23 PM Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E REMOUNT PRICING Version 23.0 212 213 214 PHOTOGRAPHS TO DOCUMENT THE CONDITION OF THE UNIT SHALL BE TAKEN UPON THE UNIT ARRIVAL TO THE FACTORY. 215 216 ANY ADDITIONAL COSTS DUE TO WORK DEEMED NECESSARY BY EXCELLANCE TO THE MODULAR BODY OR CUSTOMER/ DEALER SUPPLIED 217 CHASSIS SHALL BE ASSESSED AS EARLY AS POSSIBLE DURING THE REMOUNT PROCESS. THE CUSTOMER/ DEALER SHALL BE NOTIFIED OF 218 THE NECESSARY WORK AND ASSOCIATED COSTS FOR THEIR WRITTEN APPROVAL. 219 235 1 BASE REMOUNT 236 1 IF CHOOSING THE SAME BRAND AND MODEL CHASSIS 237 ( 1 )Excellance Type I 85,318.48 85,318.48 256 1 OEM CHASSIS OPTIONS 257 1 OEM LITERATURE 264 1 CUSTOMER NOTES AND SPECIAL REQUESTS 265 1 ** The chassis price included in this quote is pricing for a 2025 model year. Chassis price increases will be applied for any subsequent year model thereafter for the remaining contract term.0.00 266 1 267 1 ** A spare tire will be ordered with the chassis to be shipped loose.0.00 268 1 269 1 ** Modify the size of the existing pass-thru to accommodate the Ford F-550 chassis.2,796.50 270 1 273 1 EXCELLANCE CAB & CHASSIS OPTIONS 274 ( 1 ) An Excellance fabricated aluminum cab cowling (approx. 6") shall be installed around the back of the cab, narrowing the gap between the cab and the ambulance body. The cowling shall be fastened onto the back of the cab using mechanical fasteners and painted to match the cab. An enclosure shall be fabricated to extend the pass through window opening allowing for the rubber accordion boot material to be installed. NOTE: The amount of exposed area or gap between the cab cowling and the ambulance body will vary from truck to truck.5,992.00 5,992.00 279 1 280 1 EXCELLANCE LITERATURE 281 ( 1 ) Wiring diagram of all conversion circuits and Excellance changes & additions 284 1 285 1 CAB SIDE RUNNING BOARDS and LIGHTS 288 ( 1 ) New Diamond plate running boards w/Excellance open grip inserts (Ford Type 1, Dodge Type 1, Chevy or Ford Type III)978.25 978.25 290 1 314 1 MUD FLAPS 316 (1 )Mud Flaps, 2 Rear 156.90 156.90 318 1 0.00 319 1 CAB INTERIOR 320 1 INTERIOR CAB 326 1 CUSTOMER NOTES AND SPECIAL REQUESTS 327 1 ** Install a Tremco ignition security device. (CAAS Req.)578.00 ALL LOOSE EQUIPMENT ARRIVING WITH THE VEHICLE SHALL BE INVENTORIED, DOCUMENTED AND STORED UPON THE UNIT ARRIVAL TO THE FACTORY. EXCELLANCE SHALL NOT BE RESPONSIBLE FOR UNDOCUMENTED LOOSE EQUIPMENT LEFT IN THE VEHICLE. Rev: 5/18/23 Page 5 of 16 6/18/2026 2:23 PM Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E REMOUNT PRICING Version 23.0 328 1 329 1 ** The module disconnect circuit shall be enabled and disabled by the ignition circuit.260.60 330 1 331 1 ** Install electrical schematics in a 1" silver aluminum 3-ring binder (JAM Paper-Amazon). Install a bare aluminum "box" in the top forward section of L3/2 compartment. The box will be vertical, approximately 3"W (3" wide from the wall) x 12"D (front to back) and 12.5"H (vertically). The door will be vertically-hinged and lock with a short cam lock. Attach a 36" plastic-coated metal cord from the binder to the inside of the storage box.523.00 332 1 333 1 ** Remove the rear view mirror from the cab windshield and place in loose equipment. Leave mounting bracket attached to the windshield.0.00 334 1 335 1 SUSPENSION / DRIVE TRAIN 336 1 NOTE: WEIGHT ADVISORY: Air Ride & Liquid Spring Suspension systems will affect GVW and payload availability. 346 (1 )Rear Liquid Spring Suspension for F550 15,209.00 15,209.00 352 1 361 1 REAR SUSPENSION CONTROLS Note: All Rear suspension systems will be equipped with a suspension down indicator light located on the cab console. 363 ( 1 ) Operate the new suspension system utilizing a magnetic switch on the left rear entry door when opened. There shall be an override switch on the inside face primary rear entry door. This line should be selected if a suspension system is new to the ambulance body with the new chassis.418.40 418.40 370 1 390 1 CHASSIS WHEEL COVER OPTIONS 393 (1 )DELETION CREDIT- Do not paint the outer rims of the chassis with white Krylon paint.-52.30 -52.30 398 (1 )Wheel Inserts for F-450, "Phoenix" stainless steel with rear air valve extension 670.24 670.24 404 1 405 1 Air Horn Options (IF NOT PROVIDED ON NEW CHASSIS) 453 1 CUSTOMER NOTES AND SPECIAL REQUESTS 454 1 ** The Liquid Spring control panel will be mounted to the driver's side of the cab console. Cut a flat, bare aluminum plate to match the size of the control panel. Screw the aluminum plate to the upper top left corner of the driver's side of the cab console. Apply velcro to the aluminum plate and the control panel to secure in place.195.90 455 1 456 1 ** Ensure the fuel and DEF lines are not collapsed or crimped at the bend of the lines. This has been an ongoing issue with the customer at delivery inspections.0.00 457 1 458 1 ** Supply (2) engraved placards with red background, white numbers, approx. 3"W x 2"H (1) for overall height of the unit & (1) for max weight capacity. Place in loose equipment. Ensure the labels have adhesive on the back so they can be applied by the customer.222.50 459 1 460 1 ** Supply (1) engraved placard with red background, white letters, approximately 3"W x 2"H that reads, "GASOLINE ONLY". The placard will be applied by the customer at delivery. Ensure the placard has adhesive on the back so it can be applied.111.25 461 1 462 1 CHASSIS: EXTERIOR OPTIONS 506 1 CUSTOMER NOTES AND SPECIAL REQUESTS Rev: 5/18/23 Page 6 of 16 6/18/2026 2:23 PM Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E REMOUNT PRICING Version 23.0 507 1 ** Purchase (2) additional programmable keys for the chassis and have them programmed with the truck at our local Ford dealership.1,243.00 508 1 515 1 MODULE / CAB PAINT 521 1 Module Exterior Paint 522 ( 1 ) Module painted with pure white polyurethane enamel and clear coat painted - includes exterior paint and buffing, Paint and new door seals, new drip rail over compartment and entry doors, new front stone guards. This option does not include exterior compartment paint or a stripe of any kind. Please select these options separately.15,943.00 15,943.00 523 1 543 1 CUSTOMER NOTES AND SPECIAL REQUESTS 544 1 ** Repaint the ALS compartment in white paint.890.00 545 1 651 1 REFLECTIVE "SCOTCHLITE" STRIPING. NOTE: Specify the number of Scotchlite stripes in the column next to the correct width of the stripe. Attach a diagram of the desired stripe layout to this order. 652 (2 )1 inch Reflective Stripe 764.98 1,529.96 658 (1 )8 inch Reflective Stripe 1,583.74 1,583.74 662 1 Specify the color of the 1st reflective stripe: 663 1 Specify the Location of the 1st reflective stripe: 664 1 665 1 Specify the color of the 2nd reflective stripe: 666 1 Specify the Location of the 2nd reflective stripe: 667 1 668 1 Specify the color of the 3rd reflective stripe: 669 1 Specify the Location of the 3rd reflective stripe: 670 1 674 1 ATTACH A DIAGRAM OF THE DESIRED REFLECTIVE STRIPE LAYOUT TO THIS ORDER.0.00 0.00 675 1 679 1 CUSTOMER NOTES AND SPECIAL REQUESTS 680 1 ** Ref. Line #652-669: The reflective striping shall be installed at the beltline as follows - 1" Blue reflective, 1" White paint space, 8" Blue reflective, 1" White paint space, and 1" Blue reflective. Also reference paint drawings. 0.00 681 1 682 1 ** Install alternating 8" blue and yellow reflective striping as Chevrons in an inverted "V" pattern on the rear of the module. Drawings of placement will be available.2,780.00 683 1 684 1 ** Install lettering and graphics (to include large SOL on both sides of the module and blue & yellow checkered pattern for the skirtline) per Orange County's layout. Drawings will be provided. This also includes window perf film in blue/yellow for the rear personnel entry door windows that will be in line with the reflective scotchlite chevrons on the rear of the modle, white window perf film for the side entry door window and cab door decals. Ensure reverse "PARAMEDIC" lettering is on the windshield.10,940.00 685 1 686 1 ** Install 3" Blue and 3" Lemon Yellow Scotchlite reflective stripes in a Chevron pattern on the front cab bumper.1,099.75 687 1 688 1 Exterior Compartment Finish 696 1 CUSTOMER NOTES AND SPECIAL REQUESTS 1" Blue Beltline 8" Blue Beltline 1" Blue Beltline Rev: 5/18/23 Page 7 of 16 6/18/2026 2:23 PM Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E REMOUNT PRICING Version 23.0 697 1 ** Install (3) 13"x13" Silver Snap Frame without lens from Simple Snap Frame.com to be installed (1) streetside, (1) curbside, and (1) rear of module. The MEDIC # to be placed in the Snapframes is "TBD".500.00 698 1 707 1 MODULAR BODY: 708 1 L-1 COMPARTMENT 756 (1 )Stainless Steel Door Sill protector for compartment door sill 202.55 202.55 760 1 773 1 L-3 Compartment 783 (1 )Replace the existing gas shock 148.93 148.93 786 (1 )Replace compartment light (Enter the number of lights to be replaced)101.41 101.41 787 1 ENTER THE TYPE OF COMPARTMENT LIGHT TO BE INSTALLED: 789 1 821 (2 )Stainless Steel Door Sill protector for compartment door sill 150.25 300.50 825 1 826 1 CUSTOMER NOTES AND SPECIAL REQUESTS 827 1 ** REF. Line 783: The gas shock is for the L3/1 electrical compartment.0.00 828 1 829 1 ** REF. Line 821: One is for the L3/1 electrical compartment and one for the L3/2 compartment.0.00 830 1 837 1 838 1 L-4 Compartment 855 ( 1 ) Replace 1 ea. 206 latch with key locking stainless steel 9000 series D-ring handles with gaskets NOTE: for units that will be getting painted 285.50 285.50 864 1 886 (1 )Stainless Steel Door Sill protector for compartment door sill 150.25 150.25 890 1 891 1 CUSTOMER NOTES AND SPECIAL REQUESTS 892 1 ** Install an engraved aluminum plate with "EXCELLANCE", Unit #, and date of manufacture on the forward wall of the L4 compartment. (CAAS Req.)222.50 893 1 902 1 903 1 R-1 Compartment 914 (1 )Replace the heavy duty spring type door check 148.92 148.92 919 1 951 (1 )Stainless Steel Door Sill protector for compartment door sill 150.25 150.25 955 1 968 1 R-2 Compartment 979 (1 )Replace the heavy duty spring type door check 148.92 148.92 984 1 1016 (1 )Stainless Steel Door Sill protector for compartment door sill 150.25 150.25 1020 1 1021 1 CUSTOMER NOTES AND SPECIAL REQUESTS 1022 1 ** Relocate the existing flashlight charger from the R2 compartment to behind the driver's seat in the cab. Also transfer the flashlight charger from behind the drivers seat of the take-off chassis to behind the drivers seat of the new chassis/cab.345.25 LED strip light L3/1 Rev: 5/18/23 Page 8 of 16 6/18/2026 2:23 PM Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E REMOUNT PRICING Version 23.0 1023 1 1032 1 1033 1 R-4 Compartment 1044 (1 )Replace the heavy duty spring type door check 148.92 148.92 1049 1 1050 ( 1 ) Replace 1 ea. 206 latch with key locking stainless steel 9000 series D-ring handles with gaskets NOTE: for units that will be getting painted 285.50 285.50 1059 1 1081 (1 )Stainless Steel Door Sill protector for compartment door sill 150.25 150.25 1085 1 1098 (1 )Non- Standard Compartment Specify The location of the compartment: 1145 (1 )Stainless Steel Door Sill protector for compartment door sill 150.25 150.25 1149 1 1150 1 1177 1 Rear Doors 1179 (4 )Replace or install 1 ea. 3" Grabber door checks (Enter the number of grabbers)88.76 355.03 1183 ( 1 ) Replace 1 ea. 206 latch with key locking stainless steel 9001 series D-ring handles with gaskets NOTE: for units that will be getting painted 252.25 252.25 1192 (1 )Replace the existing slam latch mechanicals in the left rear door 803.55 803.55 1194 (2 )Replace interior door handle with a FIXED "L" handle 187.06 374.12 1199 (1 )Replace inner door mica panel on left rear entry door with white painted aluminum 667.50 667.50 1200 (1 )Replace inner door mica panel on right rear entry door with white painted aluminum 667.50 667.50 1211 (1 )Install 10" RED/WHITE reflective chevron striping on the lower kickplate of the interior Right rear door skin.165.98 165.98 1212 (1 )Install 10" RED/WHITE reflective chevron striping on the lower kickplate of the interior Left door skin.165.98 165.98 1215 ( 1 ) Add a flashing Led red 0S series light to the interior side of the left rear entry door: This light shall activated anytime the door is open and Module Power is on. The light shall be located to the lower outer corner of the door.426.58 426.58 1216 ( 1 ) Add a flashing Led red 0S Series light to the interior side of the right rear entry door: This light shall activated anytime the door is open and Module Power is on. The light shall be located to the lower outer corner of the door.426.58 426.58 1217 1 1218 1 R-3 Side Entry Personnel Door 1219 (1 )Replace the heavy duty spring type door check 148.92 148.92 1221 ( 1 ) Replace 1 ea. 206 latch with key locking stainless steel 9001 series D-ring handles with gaskets NOTE: for units that will be getting painted 285.50 285.50 1229 (1 )Replace interior door handle with a FIXED "L" handle 187.06 187.06 1237 (1 )Replace inner door mica panel on entry door with white painted aluminum 667.50 667.50 1239 (1 )Door Sill protector for side personnel door 111.25 111.25 1246 ( 1 ) Replace the existing side entry retention strap with a new strap (Only for trucks that currently have the strap feature in place)97.95 97.95 1248 (1 )Install 10" RED/WHITE reflective chevron striping on the lower kickplate of the interior door skin.165.98 165.98 1249 ( 1 ) Add a flashing Led red 0S Series light to the interior side of the side entry door: This light shall activated anytime the door is open and Module Power is on. The light shall be located to the lower outer corner of the door.426.58 426.58 1251 1 1252 1 Windows 1267 1 CUSTOMER NOTES AND SPECIAL REQUESTS R4/2 Battery Compt. Rev: 5/18/23 Page 9 of 16 6/18/2026 2:23 PM Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E REMOUNT PRICING Version 23.0 1268 1 ** The existing windows will be reinstalled unless it is identified at check-in that they need to be replaced. If so, windows will be added.0.00 1269 1 1270 1 ** Install a ZICO electric step #VS-24-11 below the R3 curbside entry door. This includes an override switch to be connected to the existing circuit.3,261.00 1271 1 1296 1 Miscellaneous Module Exterior 1317 (1 )Polished Aluminum Drip Rail on all four sides of the module body the length and width of the roofline.484.00 484.00 1327 1 1331 (1 )Replace (4 total) diamond plate rub rails with 1" x 1" tubular support & plastic spacers off body 729.50 729.50 1332 1 1333 (1 )Replace diamond plate rear kick plate with full width overlay style 419.30 419.30 1349 (1 )New Aluminum diamond plate trimmed rear bumper with folding step and one dock bumper per side (Steel frame)1,366.00 1,366.00 1357 1 CUSTOMER NOTES AND SPECIAL REQUESTS 1358 1 ** The existing rubber fenderettes will be reinstalled.0.00 1359 1 1360 1 ** The existing exterior handle next to the curbside entry door will be reinstalled.91.30 1361 1 1366 1 PATIENT COMPARTMENT 1367 1 Miscellaneous Module Interior 1392 (1 )Replace hinged Polycarbonate oxygen compartment access door 150.25 150.25 1396 1 1397 1 CUSTOMER NOTES AND SPECIAL REQUESTS 1398 1 ** If exterior compartment door latches are prior to year 2007, they are not compliant with current standards and a cost will be added to replace the existing compartment latches to establish compliance. (CAAS Req.)0.00 1399 1 1400 1 ** If any existing equipment mounts/devices (i.e. defibrillator mount, O2 tank brackets, portable O2 cylinders, etc.) are not compliant with current standards, Excellance can provide pricing for compliant mounting devices/systems or install compliant customer-provided mounting devices/systems. (CAAS Req.)0.00 1401 1 1406 1 Interior Cabinets 1436 ( 6 ) Replace clear Polycarbonate on cabinet door or sliders with new Polycarbonate. Enter the number of cabinets to receive the desired work.244.71 1,468.27 1437 1 Specify location for 1st cabinet: 1438 1 Specify location for 2nd cabinet: 1439 1 Specify location for 3rd cabinet: 1440 1 Specify location for 4th cabinet: 1441 1 Specify location for 5th cabinet: 1442 1 Specify location for 6th cabinet: 1443 6 1505 1 CUSTOMER NOTES AND SPECIAL REQUESTS 1506 1 ** The existing IV warmer in the H2 cabinet will be removed and placed in loose equipment.78.00 1507 1 1508 1 ** Replace existing light in the action area with a TruckLite LED #80162C.131.20 1509 1 ALL ALL ALL ALL ALL ALL Rev: 5/18/23 Page 10 of 16 6/18/2026 2:23 PM Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E REMOUNT PRICING Version 23.0 1510 1 ** Replace the #24 aluminum trim on the outer front edge of the mica countertop at the pass-thru.137.85 1511 1 1513 1 1603 1 Floor Covering Options 1605 (1 )Install 1/8" Aluminum plate on top of subfloor 1,166.25 1,166.25 1609 (1 )Install Lonseal LonPlate flooring up the streetside wall and up the face of squad bench.2,167.50 2,167.50 1610 1 Specify the color of the floor covering: 1657 1 CUSTOMER NOTES AND SPECIAL REQUESTS 1658 1 ** Install (1) red 6-point harness at the CPR seat location. This option includes barstock to be welded behind the streetside wall and into the wall structure for the harness to secure in to. The existing streetside wall shall be reused. The customer will be advised if the wall is not able to be reused.867.00 1659 1 1660 1 ** Install (2) red 6-point harnesses at the squad bench seat location. This option includes barstock to be welded behind the curbside wall and into the wall structure for the harnesses to secure in to new curbside wall. The existing curbside wall shall be reused. The customer will be advised if the wall is not able to be reused.1,968.00 1661 1 1662 1 ** Do Not reinstall the existing Engel cooler & mounting bracket after the floor covering has been replaced. The cooler & mounting bracket will be placed in loose equipment. Also remove any wiring that runs to the cooler.111.25 1663 1 1665 1 1666 1 Seating/ Upholstery Options 1670 ( 1 ) Replace vinyl covered padded squad bench seat cushion, split lid. Enter the number of hinged squad bench sections desired for replacement. 663.90 663.90 1671 1 Specify Aft or Forward Section of squad bench to be replaced: 1682 (1 )Replace CPR seat pad 358.55 358.55 1683 (1 )Replace fixed CPR seat backrest 436.55 436.55 1692 ( 1 ) Wise Brand HiBAC Attendant seat with built-in 5 Point Child Safety Seat - INCLUDES SEAT BASE OF CHOICE- PLEASE SELECT THE STYLE SEAT BASE DESIRED:1,871.70 1,871.70 1693 1 Specify the seat base style to be used (SWIVEL OR FIXED BOX): 1707 (1 )Replace Rear Head Knocker 338.60 338.60 1709 1 1710 1 CUSTOMER NOTES AND SPECIAL REQUESTS 1711 1 ** Also replace the following upholstery/padding: Aft squad bench vertical corner pad; vertical trim beside cabinet B down to the countertop; horizontal pad underneath cabinet D; aft center trough pad; trim at head of the squad bench; vertical corner post of the ALS cabinet; & vertical trim to the right of cabinet D.1,635.50 1712 1 1713 1 ** Ref. Line #1692: Attendant seat will have red 6-point harness system.0.00 1714 1 1715 1 ** Install barstock into the existing floor structure and install a customer-supplied Stryker PowerLoad System.2,227.50 1716 1 1717 1 ** Replace the round black plastic knob on the sharps access door at the head of the squad bench.78.90 1718 1 1750 1 Electrical System 1751 1 Electrical System Options SINGLE LID SWIVEL MICA 421 Rev: 5/18/23 Page 11 of 16 6/18/2026 2:23 PM Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E REMOUNT PRICING Version 23.0 1763 ( 1 ) Replace all rocker switches with rocker switches of the same or equal specifications at the action area control panel.360.35 360.35 1764 ( 5 ) Replace individual lighted rocker switches in the rear action area control panel- Enter the number of switches to be replaced 54.96 274.80 1765 1 Specify Location of the 1st switch: 1766 1 Specify Location of the 2nd switch: 1767 1 Specify Location of the 3rd switch: 1768 1 Specify Location of the 4th switch: 1774 1 Cab Console Options 1775 1 Console Type 1776 ( 1 ) Replace floor console - Type 1 - includes spotlight, switches, meter (volt and amp), map light, indicator lights. DOES NOT INCLUDE NEW SIREN OR MAP BOOK STORAGE.1,838.05 1,838.05 1778 (1 )Map / Binder case mounted on floor in cab. 955.25 955.25 1779 1 Enter the number of spaces up to 3 for map storage: 1780 1 Enter the amount in inches up to 2" between each storage space: 1781 1 1782 (1 )Install 2 cup holders in the front cab console NOTE: This option is available on new consoles 68.26 68.26 1784 1 1826 1 CUSTOMER NOTES AND SPECIAL REQUESTS 1827 1 ** Delete the standard map light on the front cab console.-101.51 1828 1 1829 1 ** Install a new personnel "Door Open" buzzer on the cab console to be activated when in gear.209.20 1830 1 1831 1 ** Install a Mermaid Dual Temp unit #MKDUAL TEMP in the ALS compartment. The (2) control panels will be installed on the interior R4 cabinet wall in the bulkhead area. Ensure the heating and cooling features of the Mermaid unit function properly.7,458.00 1832 1 1833 1 ** Cabinet modification to install the Mermaid Dual Temp unit into the ALS (H2 cabinet). 1,959.00 1834 1 1869 1 CUSTOMER NOTES AND SPECIAL REQUESTS 1870 1 ** The existing docking station pole on the console will not be reinstalled. Install Gamber Johnson iPad mounting system on the passenger's side of the cab console. (1) Universal Vertical Base #DS-138; (1) 7" Center-Mounted Complete Upper Pole #7160-0178; (1) Tall Tablet Display Mount #7160-0529; and (1) Notepad Touch Universal Tablet Cradle #7160-1299-00.1,543.50 1871 1 1872 1 **Install (2) customer-supplied radios and tranceiver. One radio will be installed in the cab console & a speaker on the back wall of the cab above the pass-thru window and one radio will be installed in the action area along with one speaker. The radios are to be wired for operating condition. Install an extruded aluminum cover around the transceiver in the L3/2 compartment to protect it from damage. The new radio system will come with new antennas. Do not transfer old antennas. 3,319.50 1873 1 1874 1 ** Permanently remove the existing Stealth Power components from the L3/2 compartment. Do Not transfer the existing Stealth power button to the new console or any other components in the unit related to the Stealth system.1,035.75 1875 1 1876 1 ** Remove the (8) LED dome light lenses and clean the inside of the lenses and re-install.378.50 4" (2) Right rear door Curbside wall by R3 Curbside wall by R3 Curbside wall by R3 (3) w/two Adj. Dividers Rev: 5/18/23 Page 12 of 16 6/18/2026 2:23 PM Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E REMOUNT PRICING Version 23.0 1877 1 1985 1 CUSTOMER NOTES AND SPECIAL REQUESTS 1986 1 ** Install a customer-supplied Sierra Wireless Gateway system wiring harness and antenna. The wires shall terminate behind the passenger's seat in the cab. The power cable is a gray three-wire cable. The black wire is ground with the red being 12 volt battery power and the white is ignition/accessory, which should have 12V when the truck is running. It should terminate alongside the antenna cables. Both should have at least 18" of slack. The antenna will be installed on the cab roof.1,494.05 1987 1 1988 1 ** The (3) existing Trucklite LED lights in the center trough will remain.0.00 1989 1 1990 1 ** Replace the aluminum timer plate for the existing 0-15 minute timer. Existing timer still works.39.45 1991 1 1992 1 ** Install a Brigade (Wes Garde) 360 degree Rear Vision Camera System.This system #SE-770-100 includes four cameras & a 7" monitor to view all four sides of the unit. Also install a monitor bracket #44, a patient compartment camera #2575C-VBV-7 on the rear headknocker with rear vision cable #A3106 VBV-L4.Mount the remote for the Brigade system to the cab console using a small, looped bracket to the left of the radio.7,217.50 1993 1 2030 1 115 VAC ELECTRICAL EQUIPMENT 2031 1 Shoreline Options 2032 ( 1 ) Replace existing shoreline with a 30 amp / 120vac Twist Lock Shoreline Plug with #7425 into the existing location. Enter the number of shorelines to be replaced.361.98 361.98 2040 1 2054 ( 1 ) Install a SHORELINE IGNITION CUTOUT FEATURE. Anytime a shoreline is connected the chassis engine start circuit shall be disabled until the shoreline is disconnected. WARNING: POWER MUST BE PRESENT ON THE SHORELINE CORD FOR THIS FEATURE TO WORK PROPERLY.222.93 222.93 2055 1 2066 (1 )Vanner 1100 watt inverter (model LSC12-1100) with transfer switch WITH battery charger 1,618.92 1,618.92 2078 1 Specify the location of the Inverter: 2079 1 2085 (1 )Install additional 120 VAC Outlets -Enter the number of additional the 120VAC outlets desired.344.66 344.66 2086 1 Specify the location of the 1st 120VAC outlet: 2089 1 2099 1 EXTERIOR LIGHTS: 2186 1 Excellance will determine what light holes may need welding modifications to accommodate any new light fixtures specified in this order. The cost for welding up any such light holes is included in the base conversion price. 2187 1 LED Emergency Lights 2188 (2 )900 Red LED emergency light w/Flange (includes the lens)324.62 649.24 2192 1 2203 (4 )500 Red LED emergency light w/Flange (includes the lens)212.40 849.59 2207 1 2226 1 Scene/ Load Lights 2228 (4 )900 series LED scene light w/Flange (8-32 degree clear lens included)377.37 1,509.48 2229 (2 )700 series LED scene light w/Flange Part #7SC0ENZR with 7E-FLANGE (8-32 degree clear lens included)257.48 514.97 2244 1 Brake/ Tail, Turn Signals, Back-Up lights TBD REAR OF MODULE GRILLE & INTERS. AFT ACTION AREA FRONT OF MODULE L3/2 compartment Rev: 5/18/23 Page 13 of 16 6/18/2026 2:23 PM Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E REMOUNT PRICING Version 23.0 2258 1 600 Series Lights 2263 (2 )600 series Red LED Brake/ Tail light w/ Flange (includes the lens)190.09 380.18 2264 (2 )600 Series Amber LED Turn signal light w/Flange (includes the lens)176.51 353.03 2265 (2 )600 series Clear LED Back-up Light w/Flange (includes the lens)168.73 337.47 2266 1 2294 1 ICC Lights (Identification & Clearance) 2298 (7 )Whelen OS series LED with chrome flange 50.97 356.79 2300 1 2310 1 Grille Emergency and Intersection Light Housings: 2311 1 Grille Light Housing: 2312 (1 )2 - alum. grille housings (lights without speakers) 172.00 172.00 2313 1 MODEL OF CHASSIS THAT HOUSING WILL BE INSTALLED ON: 2314 1 TYPE OF LIGHT THAT HOUSING WILL NEED TO FIT: 2316 1 Intersection Light Housing : 2317 (1 )2 - alum. Intersection light housings 168.01 168.01 2318 1 MODEL OF CHASSIS THAT HOUSING WILL BE INSTALLED ON: 2319 1 TYPE OF LIGHT THAT HOUSING WILL NEED TO FIT: 2320 1 2322 (1 )Install new recessed rear license plate tag frame bracket with light - CPI #C30002 202.18 202.18 2326 1 2333 1 CUSTOMER NOTES AND SPECIAL REQUESTS 2334 1 ** Install a Whelen 8-lamp LED Traffic Advisor #TAM83 on the rear of the module above the rear doors. The control head will be installed in the cab console. 1,799.25 2335 1 2336 1 ** Note line # 2322: Install a new hidden lock/unlock switch in the recessed tag frame. Note: unit already has the circuit.144.50 2337 1 2341 1 2366 1 EMERGENCY AUDIBLE WARNING SYSTEM 2367 1 Sirens 2369 (1 )Whelen WS295HFSC9 Self Contained 200-Watt dual amplified siren w/removable mic. And hands free operation.688.99 688.99 2377 2378 1 Speaker Options 2380 (1 )Two CPI through the bumper speakers (for F350 or F450).1,106.40 1,106.40 2384 1 2385 1 CUSTOMER NOTES AND SPECIAL REQUESTS 2386 1 ** Install a Whelen Howler siren system under the cab with mounting bracket.1,621.50 2387 1 2393 1 2394 1 OXYGEN AND SUCTION SYSTEMS: 2397 (1 )Install a new large 02 cylinder wrench with chain/cable in the 02 compartment 65.60 65.60 2400 (1 )Zico hydraulic cylinder lift / bracket 4,667.39 4,667.39 2401 1 SPECIFY CYLINDER SIZE:M 2442 1 Vacuum System: F550 4x4 Gas Single Cab 500 SERIES 2-Front / 5-Rear F550 4x4 Gas Single Cab 500 SERIES BOTH BOTH BOTH Rev: 5/18/23 Page 14 of 16 6/18/2026 2:23 PM Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E REMOUNT PRICING Version 23.0 2447 ( 1 ) Sscor Suction system to replace the existing system including any Impact #324 systems (No Longer Available) - This option is intended to retrofit the cannister into the same position as the pre-existing system utilizing a cover plate. This feature will include a remote mounted pump and action area panel mounted regulator.1,007.98 1,007.98 2451 1 CUSTOMER NOTES AND SPECIAL REQUESTS 2452 1 ** REF. Line #2400: To install a new electric lift, a stand-off will be built into the compartment for the electric lift to be mounted. The existing unistrut will be removed, the stand-off will be built, welded into place, and painted to match the compartment. The lift will be set to fit a "M" sized oxygen tank.1,970.50 2453 1 2454 1 ** With the addition of the electric lift in the L4 compartment, the compartment door will need to open wider than what the existing door spring hold-open will allow. Therefore, install a 3" grabber for the L4 compartment to enable the door to open wider to operate the electric O2 lift.815.05 2455 1 2459 1 2460 1 HVAC SYSTEMS: 2464 1 HVAC systems 2465 1 12 VOLT ONLY HVAC systems: 2466 (1 )Heavy duty combination heater / air conditioner system with digital thermostat with digital temperature display.4,970.25 4,970.25 2467 ( 1 ) Add a second 12VDC engine mounted compressor for dual independent 12VDC compressors for cooling the cab and module individually.3,448.68 3,448.68 2469 (1 )Add an external A/C condenser mounted on the front of the module.1,898.53 1,898.53 2471 1 2483 1 Temperature Control Options 0.00 0.00 2498 (1 )Replace the existing air return filtered grille with a new grille and filter.151.15 151.15 2518 1 CUSTOMER NOTES AND SPECIAL REQUESTS 2519 1 ** Ensure there is insulative wrap on freon lines from the OEM chassis condenser to 12" past the engine on the right side to protect lines from engine heat.289.00 2520 1 2526 1 2527 1 SPECIAL REQUIREMENTS and/or OUTSOURCED ITEMS 2528 1 ** NCSA fee is included in the price of the vehicle.0.00 2529 1 ** Delivery of the completed remount unit to the end user's location.3,000.00 2530 1 ** For NC customers, A Division of Motor Vehicle Title Application Form will be with delivery paperwork.250.00 2531 1 ** Downgrade credit for the chassis to be a F550 4x4 GAS as per Options Pricing for the Type I.-5,050.00 2538 1 2551 1 FACTORY PAID TRANSPORTATION (DESCRIBE IN THIS SECTION THE REQUIREMENTS) 2552 1 ** Flatbed LTL shipping of the unit for remount from Orange County, NC. to Excellance, Madison, AL. (per unit)2,000.00 2562 1 2563 1 CONTINGENCY ALLOWANCE ( PORTION NOT USED WILL BE DEDUCTED FROM THE FINAL INVOICE).ENTER PRICE 2564 1 ** The contingency allowance is appropriated for any unforeseen work that may be identified during the inspection and construction process. These funds shall only be used with written authorization by the Orange County EMS department. Any and all changes to the overall scope of work as described in this document shall not be deemed acceptable unless written and signed approval between Excellance Inc. and an authorized representative of Orange County EMS. In no event shall there be any changes to the scope of work that will cause the final price of the ambulance remount/refurbishment project to exceed the agreed upon and executed contract price.3,000.00 3,000.00 2574 1 Rev: 5/18/23 Page 15 of 16 6/18/2026 2:23 PM Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E REMOUNT PRICING Version 23.0 2586 1 2587 1 2588 1 2589 1 ADDITIONAL TERMS AND CONDITIONS FOR THIS CONTRACT 2590 1 PAYMENT TERMS ARE COD/FOB EXCELLANCE, INC. MADISON, AL. 2591 1 The effective date of this contract is the day this order is accepted by Excellance as evidenced by the date this contract is executed by an officer of Excellance. 2592 1 2593 1 Construction will begin only after all questions have been resolved. Once the unit is in production, changes will result in an engineering fee of $250 in addition 2594 1 to the price for the change. 2595 1 2596 1 Failure to select an option on this order form will result in: (i) no charge to the customer, (ii) no obligation by Excellance for that item, and (iii) the possibility 2597 1 of a $250 charge for changes or additions that occur after production begins on a vehicle. To select any option you must either: (a) enter "1" in the "( )", 2598 1 OR (b) enter a specific number in the "( )" when instructed to do so. 2599 1 2600 1 Review this order carefully. Changes, alterations or additional work ordered shall be charged for at current rates with additional time being allowed Excellance for delivery. 2601 1 2602 1 Price is exclusive of taxes, licenses, etc. which shall be the responsibility of purchaser. All delivery dates are approximate unless otherwise indicated and are 2603 1 subject to and dependent upon the Purchaser furnishing all required information to Excellance in a timely manner. 2604 1 2605 1 Fulfillment of this order by Excellance shall be contingent upon strikes, lock-outs, fires, accidents, Government regulations, inability to secure materials or other 2606 1 causes beyond Excellance's control. Excellance may substitute comparable parts if the specified part is not available. If colors are not specified, Excellance retains 2607 1 the right to assign colors based upon availability. 2608 1 2609 1 In the event Purchaser cancels this order prior to Excellance beginning production on the unit(s) covered hereunder, then Excellance shall be entitled to receive 2610 1 from Purchaser the greater of (a) 15% of the contract price, or (b) all deposits paid by Purchaser hereunder. In the event Purchaser cancels this order after Excellance 2611 1 begins production on the unit(s) covered hereunder, then Excellance shall be entitled to receive from Purchaser the full contract price less the amount of money saved by 2612 1 Excellance by reason of the cancellation (e.g., actual costs incurred) plus 15% of the contract price. 2613 1 2614 1 Any warranties on the products sold hereunder are those made by the manufacturer of said products. Excellance, as the seller of such products, expressly disclaims 2615 1 all warranties, either expressed or implied, including any implied warranty of merchantability or fitness for a particular purpose, and neither assumes nor authorizes 2616 1 any other person to assume for it any liability in connection with the sale of such products. 2617 1 2618 11 In the event there is a "trade-in" unit that Excellance agreed to take "in trade" as partial consideration of the purchase price hereunder, Excellance shall be under no 2619 1 obligation to tender the MSO/title for the new unit to the purchaser until Excellance (a) receives the MSO/title for the unit to be "traded in", and (b) has possession of 2620 1 the unit "traded in". 2621 1 2622 1 This contract contains the entire understanding between the parties, supersedes any previous agreement or understanding, and any changes to this contract 2623 1 must be in writing and signed by Purchaser and Excellance. 2624 1 2625 1 Arbitration provision: The laws of the state of Alabama, as applicable to contracts to be performed entirely within that state, shall govern this agreement. Any 2626 1 controversy or claim arising out of or relating to this agreement, or the breach thereof, shall be settled by binding arbitration in accordance with the rules of the American 2627 1 Arbitration Association and any judgment on the award rendered by the arbitrator may be entered in any court having jurisdiction thereof. Rev: 5/18/23 Page 16 of 16 6/18/2026 2:23 PM Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E Revised 01/24 1 Departmental Use Only] TITLE Excellance Purchase FY 24/25 NORTH CAROLINA SERVICES AGREEMENT NO RFP/RFQ ORANGE COUNTY This Services Agreement (hereinafter “Agreement”), made and entered into this 20 day of February, 2025, (“Effective Date”) by and between Orange County, North Carolina a political subdivision of the State of North Carolina (hereinafter, the "County") and excellence, 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 with respect to (insert type of project): the purchase of two (2) remounted ambulances mounted on a Ford-550 4X4 chassis, model year 2024 or newer supplied by Provider as outlined in Attachment A, “Remount Pricing Version 23.0,” dated 9/17/2024 and one (1) ambulance mounted on a Ford-550 4x4 chassis, model year 2024 or newer supplied by Provider as outlined in Attachment “B”, “Excellance Price Quote Order Form and Work Order,” AQ Version 23.2, dated 7/22/2024. 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 in accordance with the highest professional standards. b. Standard of Care. Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E Revised 01/24 2 i) The Provider shall exercise reasonable care and diligence in performing services under this Agreement in accordance with the highest generally accepted standards of this type of Provider practice throughout the United States and in accordance with applicable federal, state and local laws and regulations applicable to the performance of these services. Provider is solely responsible for the professional quality, accuracy and timely completion and 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) Should any documents, exhibits, or addenda be attached to this Agreement, the terms of this Agreement shall have priority in any conflict with or among the terms of such referenced documents, exhibits, or addenda. vii) Should this Agreement involve project designs, the construction or creation of which is to be bid out or fulfilled by other contractors, and bidding or negotiation with contractors produce prices which, when added to the other elements of the approved total project cost, produce a cost that is in excess of the approved total project cost, the Provider shall participate with the County in negotiation and design adjustments to the extent such are necessary to obtain prices within the approved total project cost. All activity of the Provider with respect to these matters shall constitute Basic Services and shall be performed by the Provider without additional compensation. If negotiation and design adjustments fail to bring costs within the total project cost the County may reject all bids and Provider will redesign or reduce portions of the project in an effort to reduce the bid prices to within the total project cost and rebid the project. One such redesign is included within Basic Services. If this second letting for bids does not produce Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E Revised 01/24 3 bids that are within the approved total project cost initially or after negotiations with the contractor the cost is not reduced to an amount within the total project cost, the Provider is not obligated to engage in further redesign. 3. Basic Services a. Basic Services. The Services to be rendered pursuant to this Agreement are as follows fully describe services to be provided): (3) ambulance as provided in Attachments A and B, which are hereby incorporated into this Agreement as if set forth herein. The Provider will provide the chassis for this project. The Provider is responsible for ensuring the chassis specifications and condition. 4. Duration of Services a. Term. The term of this Agreement shall be from the latter date of (A) a receipt of the chassis or (B) receipt of written purchase order with complete copy of Attachment A and the signed and approved autoquote version NCSA-36 or (C) receipt of all parts supplied by the Provider. b. Scheduling of Services. i) The Provider shall schedule and perform its activities in a timely manner. 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 One Million, Fifty One Thousand Two Hundred and Fifty Seven 79/100 Dollars ($1,051,257.79). Payment for satisfactorily performed Basic Services for each ambulance shall become due and payable upon completion of each vehicle. 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 (Emergency Services Director) to act as the County's representative with respect to the Project who shall have Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E Revised 01/24 4 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. b. Delivery. (1) The delivery of the chassis ordered by the Provider 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. 1. 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. 2. 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. 3. 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. 4. 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 Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E Revised 01/24 5 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 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. 5. 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. There are no third-party beneficiaries of this Agreement and nothing in this Agreement, express or implied, is intended to confer on any person other than the parties hereto (and their respective successors, heirs and permitted assigns), any rights, remedies, or obligations. 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 Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E Revised 01/24 6 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 Orange County policy 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 Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E Revised 01/24 7 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. 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 Attention:Kirby Saunders Excellance, Inc P.O. Box 8181 453 Lanier Road Hillsborough, NC 27278 Madison, Alabama 35758 SIGNATURE PAGE TO FOLLOW] Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E Revised 01/24 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: _________________________________ Travis Myren By: __________________________________ Printed Name and Title Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9 Vice President of Sales Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E Revised 01/24 9 ORANGE COUNTY—INTERNAL USE ONLY Finance Information Vendor Name: Excellance, Inc Vendor Contact Person: Tommy Pugh Phone: (256) 772-9321 Address: 453 Lanier Road City Madison State: AL Zip: 35758 Department: Emergency Services Amount: 1,051,257.79 Purpose: One new ambulance and two remounted ambulances Budget Code(s): 61354035-80216-12000 Vendor # 56564 Vendor Status with NCSOS: Registered Vendor is a BOCC consultant: Yes No Contract Details Contract Type: New Amendment (Original Contract: ) (Most Recent Amendment ) Effective Date 2/20/2025 End Date Notice Date (Notice Purpose ) Award Approved by Board (Agenda Date: October 1, 2024); Made or Administered by Signature Authority BOCC Express Delegation (Agenda Date: October 1, 2024) Policy 9.4: Under $5,000; Service Under $90,000; Construction Under $250,000 Budget Policy Section XV (Capital Improvement Project: ) Bidding Informal Bidding ($30k-$90k); Formal RFP ($90k+); Other (<$30k); Exception(#NCSA #25- 05-0521) Department Affirmation 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. This agreement is approved as to technical form and content . Services related to this agreement have already begun or been completed. Description of the nature of the emergency condition that was addressed: Department Director’s Signature ________________________________________ Date: ________ Information Technologies This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer___________________________________ Date: ________ Inapplicable because no hardware/software purchases or related services 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 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: Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9 2/21/2025 2/25/2025 2/25/2025 3/4/2025 Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E Revised 01/24 10 Received for record retention: Office of the Clerk to the Board __________________________________________Date:________ Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E REMOUNT PRICING Version 23.0 EXCELLANCE, Inc 453 Lanier Road, Madison, Alabama 35758 1-800-882-9799 UNIT NUMBER: CUSTOMER INFORMATION NAME: ORANGE COUNTY - FORD F550 4X4 GAS Single Cab - NCSA BID #25-05-0521 - ** CAAS COMPLIANT **FILE NAME: ADDRESS: P.O. BOX 8181 NAME OF REP: HILLSBOROUGH, NC. 27278 ADDRESS: PHONE: 919-245-6126 FAX:PHONE: CONTACT: JAMES LUNSFORD FAX: E-MAIL: jlunsford@orangecountync.gov PROJECT MGR: 1 SALES SUMMARY Labor Mat % 1 CONTINGENCY ALLOWANCE:$3,000.00 NCSA DISCOUNT:($10,929.98) 1 COST OF UNIT:$318,144.43 1 How "Cost of Unit" will be paid: 1 CHASSIS TRADE-IN CREDIT:($3,000.00) 1 BALANCE DUE UPON DELIVERY:$315,144.43 Each 1 x2 Remounts 630,288.86 THIS QUOTE IS VALID ONLY IF ACCEPTED BY BOTH PURCHASER AND EXCELLANCE WITHIN 60 DAYS OF:7/22/2024 ANY ITEM NOT "SELECTED" ON THIS ORDER WILL NOT BE INCLUDED IN THE PRICE FOR THE VEHICLE. AFTER THIS ORDER HAS BEEN ACCEPTED BY EXCELLANCE, ALL CHANGES MUST BE APPROVED BY EXCELLANCE AND EACH CHANGE WILL BE ASSESSED A $250.00 ENGINEERING CHARGE. ALL ENGINEERING DRAWINGS IF APPLICABLE MUST BE INITIALED BY THE CUSTOMER BEFORE WORK IS BEGUN OR BEFORE PARTS WILL BE ORDERED BY EXCELLANCE. STATUS OF THIS ORDER PLEASE FILL IN THE DATE AND TIME THE QUOTE WAS GENERATED:7/22/2024 This person is authorized to make changes to the vehicle and/ or contract that may affect the final design, configuration and cost of the unit. MADISON, AL. 35758 256-772-9321 256-772-8792 LISA BARFIELD ORIGINAL DATE OF QUOTE:7/22/2024 34 - NCSA RM-01 Ford F450 4X2 LISA BARFIELD EXCELLANCE, INC. 453 LANIER ROAD REMOUNT VERSION 23.2 9/17/2024 8:07 34 - NCSA RM-01 QUOTED BY:LB ORIGINAL EXCELLANCE UNIT NUMBER:TBD Rev: 5/18/23 Page 1 of 16 9/17/2024 8:07 AM Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E REMOUNT PRICING Version 23.0 1 )A. This is an initial quote. An initial quote means this order form is simply being used as a worksheet to generate a price quote. ADDITIONAL TERMS AND CONDITIONS AT END OF THIS DOCUMENT ARE INCORPORATED HERE IN BY REFERENCE. APPROVED AND ACCEPTED BY: PURCHASER:DATE: TITLE:P. O. # : DATE: 83 84 85 86 TYPE OF UNIT: 87 88 ORIGINAL BODY MANUFACTURER: 89 90 MODEL/ MAKE/ YEAR: 91 92 CHASSIS VEHICLE IDENTIFICATION NUMBER: 93 94 CAB TO AXLE MEASUREMENT: 95 96 WHEELBASE MEASUREMENT: 97 98 CURRENT CHASSIS ODOMETER READING (Required if Excellance takes ownership of the take-off chassis): 99 100 DESCRIPTION OF ANY CHASSIS DAMAGE (Required if Excellance takes ownership of the take-off chassis): 101 103 104 (1 )Excellance to take ownership of Take-Off Chassis -3,000.00 -3,000.00 105 1 1 106 0 MAKE THE CHASSIS ROADWORTHY 107 (1 )THERE WILL BE NO ADDED WORK PERFORMED TO THE TAKE-OFF CHASSIS. 0.00 0.00 120 1 CHASSIS 123 (1 )Excellance Supplied Chassis 124 1 80,000.00 80,000.00 125 THE FOLLOWING FIELDS DESCRIBING THE NEW CHASSIS MUST BE FILLED OUT REGARDLESS OF WHO IS SUPPLYING IT. 129 ENTER MODELYEAR FOR NEW CHASSIS: 130 ENTER MODEL OF NEW CHASSIS: 131 ENTER MAKE OF NEW CHASSIS: 132 ENTER CAB TO AXLE MEASUREMENT OF NEW CHASSIS: 133 ENTER WHEELBASE MEASUREMENT OF NEW CHASSIS:193" 2025 or Newer F550 4x4 Gas Single Cab Ford 108" TBD TBD THE CHASSIS MUST BE IN RUNNING AND DRIVING CONDITION FOR THE FULL TRADE IN VALUE TO BE APPLIED ENTER PRICE OF NEW CHASSIS: TYPE IL EXCELLANCE FL M2 TBD 102" TBD REMOUNT UNIT DESCRIPTION Rev: 5/18/23 Page 2 of 16 9/17/2024 8:07 AM Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E REMOUNT PRICING Version 23.0 134 136 THE REMOUNT WILL HAVE THE FOLLOWING WORK INCLUDED IN THE STANDARD BASE CONVERSION: 137 CHASSIS INSPECTION 138 Inspected for damage and defects upon delivery 139 Test Drive 140 The chassis shall be inspected against (A) Excellance's Chassis order, and (B) the specifications supplied by the customer/ dealer. 141 All loose equipment received with the chassis shall be inventoried and stored. 142 All chassis functions shall be tested for proper operation (accelerator, brakes, headlights, wipers, horn, radio, air conditioner, gauges, dome lights, turn signals, parking lights, etc.). 143 144 CHASSIS WORK TO BE PERFORMED 145 Heat Shields shall be installed above the exhaust system. 146 Chassis shall have undercoating applied. 147 Exhaust modifications shall be performed as necessary. 148 Air valve extensions shall be installed on the rear inner tires. 149 New mounting hardware shall be installed including: Grade 8 bolts, washers, nylon lock-nuts, spacers, outriggers (Type I units only) 150 New mounting bracket for the rear bumper shall be installed to the chassis frame. 151 Chassis high idle system shall be connected and operational. 152 Chassis electrical charging/ battery system shall be connected to the module electrical system. 153 New Chassis emergency light wiring shall be installed (Grille, Intersection lights, etc.) 154 All power cables connecting the chassis electrical system to the modular electrical system shall be replaced. 155 The chassis fuel fill shall be installed in accordance with current QVM standards. 156 Modular Air conditioning system shall have a vacuum performed and shall be recharged with 134A Freon with ultra-violet leak identification air conditioning oil dye installed into the system. 157 The module to chassis heater valves and pump shall be replaced. 158 Chassis to module attachment shall be finished off via Excellance fabricated close out panels and a rubber seal on a Type III units. A cab to module rubber accordion style boot shall be installed on EHD and Type I units. 159 New Front module mounted stone guards. 160 New back-up alarm 161 Reattach all existing Radio wiring disconnected from the chassis by Excellance during the remount process. THIS IS LIMITED TO TWO (2) RADIO SYSTEMS - ADDITIONAL PRICING WILL BE ADDED FOR VEHICLES WITH MORE THAN TWO RADIO SYSTEMS. 162 "No Smoking" Fasten Your Seatbelt" sticker shall be installed in the chassis cab. 163 164 ADDITIONAL ITEMS TO BE PROVIDED 165 A professional Front End Alignment shall be performed on the chassis upon completion of the remount process. 166 The Fuel tank shall be full of fuel upon completion of the remount process. 167 All chassis engine fluid levels shall be inspected and adjusted as necessary. 168 Chassis tire pressure shall be inspected and adjusted as needed. 169 All hinges, latches, locks, door hold open devices etc. shall be lubricated. 170 Headlights shall be adjusted to the proper level. 171 The interior and exterior of the ambulance body and chassis cab shall be professionally washed and detailed. Rev: 5/18/23 Page 3 of 16 9/17/2024 8:07 AM Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E REMOUNT PRICING Version 23.0 173 174 DOCUMENTS AND CERTIFICATIONS TO BE PROVIDED 175 Excellance shall provide electrical diagrams for all circuits added during the remount process. 176 Vehicle shall have a weight certificate documented and installed on the unit. 177 Air Conditioning shall have a certificate documenting Freon capacity. 178 Oxygen leak test and verification sticker shall be installed on the unit. 179 Upon full payment a "Bill of Sale", "Odometer Statement" and receipt shall be provided. 180 181 UNLESS OTHERWISE SPECIFIED IN THIS ORDER, ITEMS THAT ARE REMOVED DURING THE REMOUNT PROCESS SHALL BE REINSTALLED 182 183 184 ALSO INCLUDED IN THE BASE PRICE FOR "REMOUNTING" AN AMBULANCE: 185 EXCELLANCE WILL PERFORM THE FOLLOWING TASKS UPON THE UNIT ARRIVING AT THE FACTORY: 186 Physical Inspection of the Exterior body to include: 187 Structural Damage 188 Condition of paint 189 Condition of striping and lettering 190 light housings 191 Door hardware (handles, hinges & door frames) 192 Window Frames 193 Walk- Through or Pass-Through rubber boots (if applicable) 194 Bumper step (hinges, screws, rivets, rubber dock bumpers) 195 Compartment doors (handles, hinges, skins, drains, venting, etc.) 196 197 Physical inspection of the Interior Patient Compartment to include: 198 Floor Covering 199 Formica 200 IV hangers 201 Cot Hardware 202 02 outlets 203 Trim (upholstery, aluminum and Trim Lock") 204 Cabinetry (hinges, slides, unistrut, shelves, Plexiglas) 205 Upholstery (seats, head-knockers, arm-rests, etc.) 206 Countertops 207 Attendant Seat and seat base 208 Drawers (slides, latches, etc.) 209 Lighting (lenses, switches, outlets, etc.) 210 Electrical Cabinet (blown fuses, loose wiring, wire chafing, missing components, etc.) 212 213 214 PHOTOGRAPHS TO DOCUMENT THE CONDITION OF THE UNIT SHALL BE TAKEN UPON THE UNIT ARRIVAL TO THE FACTORY. 215 IN THE SAME MANNER WITH WHICH THEY WERE ORIGINALLY INSTALLED ONTO THE NEW CHASSIS AND MODULE BODY. VEHICLES WITH EXCESSIVE EQUIPMENT MAY INCUR ADDED CHARGES FOR EQUIPMENT TO BE TRANSFERRED. ALL LOOSE EQUIPMENT ARRIVING WITH THE VEHICLE SHALL BE INVENTORIED, DOCUMENTED AND STORED UPON THE UNIT ARRIVAL TO THE FACTORY. EXCELLANCE SHALL NOT BE RESPONSIBLE FOR UNDOCUMENTED LOOSE EQUIPMENT LEFT IN THE VEHICLE. Rev: 5/18/23 Page 4 of 16 9/17/2024 8:07 AM Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E REMOUNT PRICING Version 23.0 216 ANY ADDITIONAL COSTS DUE TO WORK DEEMED NECESSARY BY EXCELLANCE TO THE MODULAR BODY OR CUSTOMER/ DEALER SUPPLIED 217 CHASSIS SHALL BE ASSESSED AS EARLY AS POSSIBLE DURING THE REMOUNT PROCESS. THE CUSTOMER/ DEALER SHALL BE NOTIFIED OF 218 THE NECESSARY WORK AND ASSOCIATED COSTS FOR THEIR WRITTEN APPROVAL. 219 220 MANUFACTURING CREDIT: 233 The above excludes: "Trade-in" value for any used unit, Loose Equipment, Transportation, and Performance Bonds. 234 235 1 BASE REMOUNT 236 1 IF CHOOSING THE SAME BRAND AND MODEL CHASSIS 237 ( 1 )Excellance Type I 85,318.48 85,318.48 256 1 OEM CHASSIS OPTIONS 257 1 OEM LITERATURE 264 1 CUSTOMER NOTES AND SPECIAL REQUESTS 265 1 The chassis price included in this quote is pricing for a 2025 model year. Chassis price increases will be applied for any subsequent year model thereafter for the remaining contract term.0.00 266 1 267 1 ** A spare tire will be ordered with the chassis to be shipped loose.0.00 268 1 269 1 ** Modify the size of the existing pass-thru to accommodate the Ford F-550 chassis.2,796.50 270 1 273 1 EXCELLANCE CAB & CHASSIS OPTIONS 274 ( 1 ) An Excellance fabricated aluminum cab cowling (approx. 6") shall be installed around the back of the cab, narrowing the gap between the cab and the ambulance body. The cowling shall be fastened onto the back of the cab using mechanical fasteners and painted to match the cab. An enclosure shall be fabricated to extend the pass through window opening allowing for the rubber accordion boot material to be installed. NOTE: The amount of exposed area or gap between the cab cowling and the ambulance body will vary from truck to truck.5,992.00 5,992.00 279 1 280 1 EXCELLANCE LITERATURE 281 ( 1 )Wiring diagram of all conversion circuits and Excellance changes & additions 284 1 285 1 CAB SIDE RUNNING BOARDS and LIGHTS 288 ( 1 ) New Diamond plate running boards w/Excellance open grip inserts (Ford Type 1, Dodge Type 1, Chevy or Ford Type III)978.25 978.25 290 1 314 1 MUD FLAPS 316 (1 )Mud Flaps, 2 Rear 156.90 156.90 319 1 CAB INTERIOR 320 1 INTERIOR CAB 326 1 CUSTOMER NOTES AND SPECIAL REQUESTS 327 1 ** Install a Tremco ignition security device. (CAAS Req.)578.00 328 1 329 1 ** The module disconnect circuit shall be enabled and disabled by the ignition circuit.260.60 330 1 Rev: 5/18/23 Page 5 of 16 9/17/2024 8:07 AM Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E REMOUNT PRICING Version 23.0 331 1 Install electrical schematics in a 1" silver aluminum 3-ring binder (JAM Paper-Amazon). Install a bare aluminum box" in the top forward section of L3/2 compartment. The box will be vertical, approximately 3"W (3" wide from the wall) x 12"D (front to back) and 12.5"H (vertically). The door will be vertically-hinged and lock with a short cam lock. Attach a 36" plastic-coated metal cord from the binder to the inside of the storage box.523.00 332 1 333 1 Remove the rear view mirror from the cab windshield and place in loose equipment. Leave mounting bracket attached to the windshield.0.00 334 1 335 1 SUSPENSION / DRIVE TRAIN 336 1 NOTE: WEIGHT ADVISORY: Air Ride & Liquid Spring Suspension systems will affect GVW and payload availability. 346 (1 )Rear Liquid Spring Suspension for F550 15,209.00 15,209.00 352 1 361 1 REAR SUSPENSION CONTROLS Note: All Rear suspension systems will be equipped with a suspension down indicator light located on the cab console. 363 ( 1 ) Operate the new suspension system utilizing a magnetic switch on the left rear entry door when opened. There shall be an override switch on the inside face primary rear entry door. This line should be selected if a suspension system is new to the ambulance body with the new chassis.418.40 418.40 370 1 390 1 CHASSIS WHEEL COVER OPTIONS 393 (1 )DELETION CREDIT- Do not paint the outer rims of the chassis with white Krylon paint.-52.30 -52.30 398 (1 )Wheel Inserts for F-450, "Phoenix" stainless steel with rear air valve extension 670.24 670.24 404 1 405 1 Air Horn Options (IF NOT PROVIDED ON NEW CHASSIS) 453 1 CUSTOMER NOTES AND SPECIAL REQUESTS 454 1 The Liquid Spring control panel will be mounted to the driver's side of the cab console. Cut a flat, bare aluminum plate to match the size of the control panel. Screw the aluminum plate to the upper top left corner of the driver's side of the cab console. Apply velcro to the aluminum plate and the control panel to secure in place.195.90 455 1 456 1 Ensure the fuel and DEF lines are not collapsed or crimped at the bend of the lines. This has been an ongoing issue with the customer at delivery inspections.0.00 457 1 458 1 Supply (2) engraved placards with red background, white numbers, approx. 3"W x 2"H (1) for overall height of the unit & (1) for max weight capacity. Place in loose equipment. Ensure the labels have adhesive on the back so they can be applied by the customer.222.50 459 1 460 1 Supply (1) engraved placard with red background, white letters, approximately 3"W x 2"H that reads, "GASOLINE ONLY". The placard will be applied by the customer at delivery. Ensure the placard has adhesive on the back so it can be applied.111.25 461 1 506 1 CUSTOMER NOTES AND SPECIAL REQUESTS 507 1 Purchase (2) additional programmable keys for the chassis and have them programmed with the truck at our local Ford dealership.1,243.00 508 1 514 1 Rev: 5/18/23 Page 6 of 16 9/17/2024 8:07 AM Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E REMOUNT PRICING Version 23.0 515 1 MODULE / CAB PAINT 521 1 Module Exterior Paint 522 ( 1 ) Module painted with pure white polyurethane enamel and clear coat painted - includes exterior paint and buffing, Paint and new door seals, new drip rail over compartment and entry doors, new front stone guards. This option does not include exterior compartment paint or a stripe of any kind. Please select these options separately.15,943.00 15,943.00 523 1 543 1 CUSTOMER NOTES AND SPECIAL REQUESTS 544 1 ** Repaint the ALS compartment in white paint.890.00 545 1 651 1 REFLECTIVE "SCOTCHLITE" STRIPING. NOTE: Specify the number of Scotchlite stripes in the column next to the correct width of the stripe. Attach a diagram of the desired stripe layout to this order. 652 (2 )1 inch Reflective Stripe 764.98 1,529.96 658 (1 )8 inch Reflective Stripe 1,583.74 1,583.74 662 1 Specify the color of the 1st reflective stripe: 663 1 Specify the Location of the 1st reflective stripe: 664 1 665 1 Specify the color of the 2nd reflective stripe: 666 1 Specify the Location of the 2nd reflective stripe: 667 1 668 1 Specify the color of the 3rd reflective stripe: 669 1 Specify the Location of the 3rd reflective stripe: 670 1 674 1 ATTACH A DIAGRAM OF THE DESIRED REFLECTIVE STRIPE LAYOUT TO THIS ORDER.0.00 0.00 675 1 679 1 CUSTOMER NOTES AND SPECIAL REQUESTS 680 1 Ref. Line #652-669: The reflective striping shall be installed at the beltline as follows - 1" Blue reflective, 1" White paint space, 8" Blue reflective, 1" White paint space, and 1" Blue reflective. Also reference paint drawings. 0.00 681 1 682 1 Install alternating 8" blue and yellow reflective striping as Chevrons in an inverted "V" pattern on the rear of the module. Drawings of placement will be available.2,780.00 683 1 684 1 Install lettering and graphics (to include large SOL on both sides of the module and blue & yellow checkered pattern for the skirtline) per Orange County's layout. Drawings will be provided. This also includes window perf film in blue/yellow for the rear personnel entry door windows that will be in line with the reflective scotchlite chevrons on the rear of the modle, white window perf film for the side entry door window and cab door decals. Ensure reverse PARAMEDIC" lettering is on the windshield.10,940.00 685 1 686 1 ** Install 3" Blue and 3" Lemon Yellow Scotchlite reflective stripes in a Chevron pattern on the front cab bumper.1,099.75 687 1 688 1 Exterior Compartment Finish 696 1 CUSTOMER NOTES AND SPECIAL REQUESTS 697 1 Install (3) 13"x13" Silver Snap Frame without lens from Simple Snap Frame.com to be installed (1) streetside, (1) curbside, and (1) rear of module. The MEDIC # to be placed in the Snapframes is "TBD".500.00 698 1 705 1 1" Blue Beltline 8" Blue Beltline 1" Blue Beltline Rev: 5/18/23 Page 7 of 16 9/17/2024 8:07 AM Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E REMOUNT PRICING Version 23.0 706 1 707 1 MODULAR BODY: 708 1 L-1 COMPARTMENT 756 (1 )Stainless Steel Door Sill protector for compartment door sill 202.55 202.55 760 1 773 1 L-3 Compartment 783 (1 )Replace the existing gas shock 148.93 148.93 786 (1 )Replace compartment light (Enter the number of lights to be replaced)101.41 101.41 787 1 ENTER THE TYPE OF COMPARTMENT LIGHT TO BE INSTALLED: 789 1 821 (2 )Stainless Steel Door Sill protector for compartment door sill 150.25 300.50 825 1 826 1 CUSTOMER NOTES AND SPECIAL REQUESTS 827 1 ** REF. Line 783: The gas shock is for the L3/1 electrical compartment.0.00 828 1 829 1 ** REF. Line 821: One is for the L3/1 electrical compartment and one for the L3/2 compartment.0.00 830 1 837 1 838 1 L-4 Compartment 855 ( 1 ) Replace 1 ea. 206 latch with key locking stainless steel 9000 series D-ring handles with gaskets NOTE: for units that will be getting painted 285.50 285.50 864 1 886 (1 )Stainless Steel Door Sill protector for compartment door sill 150.25 150.25 890 1 891 1 CUSTOMER NOTES AND SPECIAL REQUESTS 892 1 Install an engraved aluminum plate with "EXCELLANCE", Unit #, and date of manufacture on the forward wall of the L4 compartment. (CAAS Req.)222.50 893 1 902 1 903 1 R-1 Compartment 914 (1 )Replace the heavy duty spring type door check 148.92 148.92 919 1 951 (1 )Stainless Steel Door Sill protector for compartment door sill 150.25 150.25 955 1 968 1 R-2 Compartment 979 (1 )Replace the heavy duty spring type door check 148.92 148.92 984 1 1016 (1 )Stainless Steel Door Sill protector for compartment door sill 150.25 150.25 1020 1 1021 1 CUSTOMER NOTES AND SPECIAL REQUESTS 1022 1 Relocate the existing flashlight charger from the R2 compartment to behind the driver's seat in the cab. Also transfer the flashlight charger from behind the drivers seat of the take-off chassis to behind the drivers seat of the new chassis/cab.345.25 1023 1 1032 1 LED strip light L3/1 Rev: 5/18/23 Page 8 of 16 9/17/2024 8:07 AM Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E REMOUNT PRICING Version 23.0 1033 1 R-4 Compartment 1044 (1 )Replace the heavy duty spring type door check 148.92 148.92 1050 ( 1 ) Replace 1 ea. 206 latch with key locking stainless steel 9000 series D-ring handles with gaskets NOTE: for units that will be getting painted 285.50 285.50 1059 1 1081 (1 )Stainless Steel Door Sill protector for compartment door sill 150.25 150.25 1085 1 1098 (1 )Non- Standard Compartment Specify The location of the compartment: 1145 (1 )Stainless Steel Door Sill protector for compartment door sill 150.25 150.25 1150 1 1177 1 Rear Doors 1179 (4 )Replace or install 1 ea. 3" Grabber door checks (Enter the number of grabbers)88.76 355.03 1183 ( 1 ) Replace 1 ea. 206 latch with key locking stainless steel 9001 series D-ring handles with gaskets NOTE: for units that will be getting painted 252.25 252.25 1192 (1 )Replace the existing slam latch mechanicals in the left rear door 803.55 803.55 1194 (2 )Replace interior door handle with a FIXED "L" handle 187.06 374.12 1199 (1 )Replace inner door mica panel on left rear entry door with white painted aluminum 667.50 667.50 1200 (1 )Replace inner door mica panel on right rear entry door with white painted aluminum 667.50 667.50 1211 (1 )Install 10" RED/WHITE reflective chevron striping on the lower kickplate of the interior Right rear door skin.165.98 165.98 1212 (1 )Install 10" RED/WHITE reflective chevron striping on the lower kickplate of the interior Left door skin.165.98 165.98 1215 ( 1 ) Add a flashing Led red 0S series light to the interior side of the left rear entry door: This light shall activated anytime the door is open and Module Power is on. The light shall be located to the lower outer corner of the door.426.58 426.58 1216 ( 1 ) Add a flashing Led red 0S Series light to the interior side of the right rear entry door: This light shall activated anytime the door is open and Module Power is on. The light shall be located to the lower outer corner of the door.426.58 426.58 1217 1 1218 1 R-3 Side Entry Personnel Door 1219 (1 )Replace the heavy duty spring type door check 148.92 148.92 1221 ( 1 ) Replace 1 ea. 206 latch with key locking stainless steel 9001 series D-ring handles with gaskets NOTE: for units that will be getting painted 285.50 285.50 1229 (1 )Replace interior door handle with a FIXED "L" handle 187.06 187.06 1237 (1 )Replace inner door mica panel on entry door with white painted aluminum 667.50 667.50 1239 (1 )Door Sill protector for side personnel door 111.25 111.25 1246 ( 1 ) Replace the existing side entry retention strap with a new strap (Only for trucks that currently have the strap feature in place)97.95 97.95 1248 (1 )Install 10" RED/WHITE reflective chevron striping on the lower kickplate of the interior door skin.165.98 165.98 1249 ( 1 ) Add a flashing Led red 0S Series light to the interior side of the side entry door: This light shall activated anytime the door is open and Module Power is on. The light shall be located to the lower outer corner of the door.426.58 426.58 1251 1 1252 1 Windows 1267 1 CUSTOMER NOTES AND SPECIAL REQUESTS 1268 1 The existing windows will be reinstalled unless it is identified at check-in that they need to be replaced. If so, windows will be added.0.00 1269 1 1270 1 Install a ZICO electric step #VS-24-11 below the R3 curbside entry door. This includes an override switch to be connected to the existing circuit.3,261.00 R4/2 Battery Compt. Rev: 5/18/23 Page 9 of 16 9/17/2024 8:07 AM Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E REMOUNT PRICING Version 23.0 1271 1 1296 1 Miscellaneous Module Exterior 1317 (1 )Polished Aluminum Drip Rail on all four sides of the module body the length and width of the roofline.484.00 484.00 1327 1 1331 (1 )Replace (4 total) diamond plate rub rails with 1" x 1" tubular support & plastic spacers off body 729.50 729.50 1332 1 1333 (1 )Replace diamond plate rear kick plate with full width overlay style 419.30 419.30 1349 (1 )New Aluminum diamond plate trimmed rear bumper with folding step and one dock bumper per side (Steel frame)1,366.00 1,366.00 1357 1 CUSTOMER NOTES AND SPECIAL REQUESTS 1358 1 ** The existing rubber fenderettes will be reinstalled.0.00 1359 1 1360 1 ** The existing exterior handle next to the curbside entry door will be reinstalled.91.30 1361 1 1366 1 PATIENT COMPARTMENT 1367 1 Miscellaneous Module Interior 1392 (1 )Replace hinged Polycarbonate oxygen compartment access door 150.25 150.25 1396 1 1397 1 CUSTOMER NOTES AND SPECIAL REQUESTS 1398 1 If exterior compartment door latches are prior to year 2007, they are not compliant with current standards and a cost will be added to replace the existing compartment latches to establish compliance. (CAAS Req.)0.00 1399 1 1400 1 If any existing equipment mounts/devices (i.e. defibrillator mount, O2 tank brackets, portable O2 cylinders, etc.) are not compliant with current standards, Excellance can provide pricing for compliant mounting devices/systems or install compliant customer-provided mounting devices/systems. (CAAS Req.)0.00 1401 1 1406 1 Interior Cabinets 1436 ( 6 ) Replace clear Polycarbonate on cabinet door or sliders with new Polycarbonate. Enter the number of cabinets to receive the desired work.244.71 1,468.27 1437 1 Specify location for 1st cabinet: 1438 1 Specify location for 2nd cabinet: 1439 1 Specify location for 3rd cabinet: 1440 1 Specify location for 4th cabinet: 1441 1 Specify location for 5th cabinet: 1442 1 Specify location for 6th cabinet: 1505 1 CUSTOMER NOTES AND SPECIAL REQUESTS 1506 1 ** The existing IV warmer in the H2 cabinet will be removed and placed in loose equipment.78.00 1507 1 1508 1 ** Replace existing light in the action area with a TruckLite LED #80162C.131.20 1509 1 1510 1 ** Replace the #24 aluminum trim on the outer front edge of the mica countertop at the pass-thru.137.85 1513 1 1603 1 Floor Covering Options 1605 (1 )Install 1/8" Aluminum plate on top of subfloor 1,166.25 1,166.25 1609 (1 )Install Lonseal LonPlate flooring up the streetside wall and up the face of squad bench.2,167.50 2,167.50 1610 1 Specify the color of the floor covering:MICA 421 ALL ALL ALL ALL ALL ALL Rev: 5/18/23 Page 10 of 16 9/17/2024 8:07 AM Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E REMOUNT PRICING Version 23.0 1611 1 1657 1 CUSTOMER NOTES AND SPECIAL REQUESTS 1658 1 Install (1) red 6-point harness at the CPR seat location. This option includes barstock to be welded behind the streetside wall and into the wall structure for the harness to secure in to. The existing streetside wall shall be reused. The customer will be advised if the wall is not able to be reused.867.00 1659 1 1660 1 Install (2) red 6-point harnesses at the squad bench seat location. This option includes barstock to be welded behind the curbside wall and into the wall structure for the harnesses to secure in to new curbside wall. The existing curbside wall shall be reused. The customer will be advised if the wall is not able to be reused.1,968.00 1661 1 1662 1 Do Not reinstall the existing Engel cooler & mounting bracket after the floor covering has been replaced. The cooler mounting bracket will be placed in loose equipment. Also remove any wiring that runs to the cooler.111.25 1663 1 1666 1 Seating/ Upholstery Options 1670 ( 1 ) Replace vinyl covered padded squad bench seat cushion, split lid. Enter the number of hinged squad bench sections desired for replacement. 663.90 663.90 1671 1 Specify Aft or Forward Section of squad bench to be replaced: 1682 (1 )Replace CPR seat pad 358.55 358.55 1683 (1 )Replace fixed CPR seat backrest 436.55 436.55 1692 ( 1 ) Wise Brand HiBAC Attendant seat with built-in 5 Point Child Safety Seat - INCLUDES SEAT BASE OF CHOICE- PLEASE SELECT THE STYLE SEAT BASE DESIRED:1,871.70 1,871.70 1693 1 Specify the seat base style to be used (SWIVEL OR FIXED BOX): 1707 (1 )Replace Rear Head Knocker 338.60 338.60 1709 1 1710 1 CUSTOMER NOTES AND SPECIAL REQUESTS 1711 1 Also replace the following upholstery/padding: Aft squad bench vertical corner pad; vertical trim beside cabinet B down to the countertop; horizontal pad underneath cabinet D; aft center trough pad; trim at head of the squad bench; vertical corner post of the ALS cabinet; & vertical trim to the right of cabinet D.1,635.50 1712 1 1713 1 ** Ref. Line #1692: Attendant seat will have red 6-point harness system.0.00 1714 1 1715 1 ** Install barstock into the existing floor structure and install a customer-supplied Stryker PowerLoad System.2,227.50 1716 1 1717 1 ** Replace the round black plastic knob on the sharps access door at the head of the squad bench.78.90 1718 1 1750 1 Electrical System 1751 1 Electrical System Options 1763 ( 1 )Replace all rocker switches with rocker switches of the same or equal specifications at the action area control panel.360.35 360.35 1764 ( 5 ) Replace individual lighted rocker switches in the rear action area control panel- Enter the number of switches to be replaced 54.96 274.80 1765 1 Specify Location of the 1st switch: 1766 1 Specify Location of the 2nd switch: 1767 1 Specify Location of the 3rd switch: 1768 1 Specify Location of the 4th switch: 2) Right rear door Curbside wall by R3 Curbside wall by R3 Curbside wall by R3 SINGLE LID SWIVEL Rev: 5/18/23 Page 11 of 16 9/17/2024 8:07 AM Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E REMOUNT PRICING Version 23.0 1774 1 Cab Console Options 1775 1 Console Type 1776 ( 1 ) Replace floor console - Type 1 - includes spotlight, switches, meter (volt and amp), map light, indicator lights. DOES NOT INCLUDE NEW SIREN OR MAP BOOK STORAGE.1,838.05 1,838.05 1778 (1 )Map / Binder case mounted on floor in cab. 955.25 955.25 1779 1 Enter the number of spaces up to 3 for map storage: 1780 1 Enter the amount in inches up to 2" between each storage space: 1781 1 1782 (1 )Install 2 cup holders in the front cab console NOTE: This option is available on new consoles 68.26 68.26 1784 1 1826 1 CUSTOMER NOTES AND SPECIAL REQUESTS 1827 1 ** Delete the standard map light on the front cab console.-101.51 1828 1 1829 1 ** Install a new personnel "Door Open" buzzer on the cab console to be activated when in gear.209.20 1830 1 1831 1 Install a Mermaid Dual Temp unit #MKDUAL TEMP in the ALS compartment. The (2) control panels will be installed on the interior R4 cabinet wall in the bulkhead area. Ensure the heating and cooling features of the Mermaid unit function properly.7,458.00 1832 1 1833 1 ** Cabinet modification to install the Mermaid Dual Temp unit into the ALS (H2 cabinet). 1,959.00 1834 1 1870 1 The existing docking station pole on the console will not be reinstalled. Install Gamber Johnson iPad mounting system on the passenger's side of the cab console. (1) Universal Vertical Base #DS-138; (1) 7" Center-Mounted Complete Upper Pole #7160-0178; (1) Tall Tablet Display Mount #7160-0529; and (1) Notepad Touch Universal Tablet Cradle #7160-1299-00.1,543.50 1871 1 1872 1 Install (2) customer-supplied radios and tranceiver. One radio will be installed in the cab console & a speaker on the back wall of the cab above the pass-thru window and one radio will be installed in the action area along with one speaker. The radios are to be wired for operating condition. Install an extruded aluminum cover around the transceiver in the L3/2 compartment to protect it from damage. The new radio system will come with new antennas. Do not transfer old antennas. 3,319.50 1873 1 1874 1 Permanently remove the existing Stealth Power components from the L3/2 compartment. Do Not transfer the existing Stealth power button to the new console or any other components in the unit related to the Stealth system.1,035.75 1875 1 1876 1 ** Remove the (8) LED dome light lenses and clean the inside of the lenses and re-install.378.50 1877 1 1985 1 CUSTOMER NOTES AND SPECIAL REQUESTS 1986 1 Install a customer-supplied Sierra Wireless Gateway system wiring harness and antenna. The wires shall terminate behind the passenger's seat in the cab. The power cable is a gray three-wire cable. The black wire is ground with the red being 12 volt battery power and the white is ignition/accessory, which should have 12V when the truck is running. It should terminate alongside the antenna cables. Both should have at least 18" of slack. The antenna will be installed on the cab roof.1,494.05 1987 1 1988 1 ** The (3) existing Trucklite LED lights in the center trough will remain.0.00 4" 3) w/two Adj. Dividers Rev: 5/18/23 Page 12 of 16 9/17/2024 8:07 AM Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E REMOUNT PRICING Version 23.0 1989 1 1990 1 ** Replace the aluminum timer plate for the existing 0-15 minute timer. Existing timer still works.39.45 1991 1 1992 1 Install a Brigade (Wes Garde) 360 degree Rear Vision Camera System.This system #SE-770-100 includes four cameras & a 7" monitor to view all four sides of the unit. Also install a monitor bracket #44, a patient compartment camera #2575C-VBV-7 on the rear headknocker with rear vision cable #A3106 VBV-L4.Mount the remote for the Brigade system to the cab console using a small, looped bracket to the left of the radio.7,217.50 1993 1 2030 1 115 VAC ELECTRICAL EQUIPMENT 2031 1 Shoreline Options 2032 ( 1 ) Replace existing shoreline with a 30 amp / 120vac Twist Lock Shoreline Plug with #7425 into the existing location. Enter the number of shorelines to be replaced.361.98 361.98 2040 1 2054 ( 1 ) Install a SHORELINE IGNITION CUTOUT FEATURE. Anytime a shoreline is connected the chassis engine start circuit shall be disabled until the shoreline is disconnected. WARNING: POWER MUST BE PRESENT ON THE SHORELINE CORD FOR THIS FEATURE TO WORK PROPERLY.222.93 222.93 2055 1 2066 (1 )Vanner 1100 watt inverter (model LSC12-1100) with transfer switch WITH battery charger 1,618.92 1,618.92 2078 1 Specify the location of the Inverter: 2079 1 2085 (1 )Install additional 120 VAC Outlets -Enter the number of additional the 120VAC outlets desired.344.66 344.66 2086 1 Specify the location of the 1st 120VAC outlet: 2089 1 2099 1 EXTERIOR LIGHTS: 2186 1 Excellance will determine what light holes may need welding modifications to accommodate any new light fixtures specified in this order. The cost for welding up any such light holes is included in the base conversion price. 2187 1 LED Emergency Lights 2188 (2 )900 Red LED emergency light w/Flange (includes the lens)324.62 649.24 2192 1 2203 (4 )500 Red LED emergency light w/Flange (includes the lens)212.40 849.59 2207 1 2226 1 Scene/ Load Lights 2228 (4 )900 series LED scene light w/Flange (8-32 degree clear lens included)377.37 1,509.48 2229 (2 )700 series LED scene light w/Flange Part #7SC0ENZR with 7E-FLANGE (8-32 degree clear lens included)257.48 514.97 2244 1 Brake/ Tail, Turn Signals, Back-Up lights 2258 1 600 Series Lights 2263 (2 )600 series Red LED Brake/ Tail light w/ Flange (includes the lens)190.09 380.18 2264 (2 )600 Series Amber LED Turn signal light w/Flange (includes the lens)176.51 353.03 2265 (2 )600 series Clear LED Back-up Light w/Flange (includes the lens)168.73 337.47 2266 1 2294 1 ICC Lights (Identification & Clearance) 2298 (7 )Whelen OS series LED with chrome flange 50.97 356.79 2300 1 2-Front / 5-Rear BOTH BOTH BOTH TBD REAR OF MODULE GRILLE & INTERS. AFT ACTION AREA FRONT OF MODULE L3/2 compartment Rev: 5/18/23 Page 13 of 16 9/17/2024 8:07 AM Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E REMOUNT PRICING Version 23.0 2310 1 Grille Emergency and Intersection Light Housings: 2311 1 Grille Light Housing: 2312 (1 )2 - alum. grille housings (lights without speakers) 172.00 172.00 2313 1 MODEL OF CHASSIS THAT HOUSING WILL BE INSTALLED ON: 2314 1 TYPE OF LIGHT THAT HOUSING WILL NEED TO FIT: 2316 1 Intersection Light Housing : 2317 (1 )2 - alum. Intersection light housings 168.01 168.01 2318 1 MODEL OF CHASSIS THAT HOUSING WILL BE INSTALLED ON: 2319 1 TYPE OF LIGHT THAT HOUSING WILL NEED TO FIT: 2320 1 2322 (1 )Install new recessed rear license plate tag frame bracket with light - CPI #C30002 202.18 202.18 2326 1 2333 1 CUSTOMER NOTES AND SPECIAL REQUESTS 2334 1 Install a Whelen 8-lamp LED Traffic Advisor #TAM83 on the rear of the module above the rear doors. The control head will be installed in the cab console. 1,799.25 2335 1 2336 1 Note line # 2322: Install a new hidden lock/unlock switch in the recessed tag frame. Note: unit already has the circuit.144.50 2341 1 2366 1 EMERGENCY AUDIBLE WARNING SYSTEM 2367 1 Sirens 2369 (1 )Whelen WS295HFSC9 Self Contained 200-Watt dual amplified siren w/removable mic. And hands free operation.688.99 688.99 2377 2378 1 Speaker Options 2380 (1 )Two CPI through the bumper speakers (for F350 or F450).1,106.40 1,106.40 2384 1 2385 1 CUSTOMER NOTES AND SPECIAL REQUESTS 2386 1 ** Install a Whelen Howler siren system under the cab with mounting bracket.1,621.50 2387 1 2394 1 OXYGEN AND SUCTION SYSTEMS: 2397 (1 )Install a new large 02 cylinder wrench with chain/cable in the 02 compartment 65.60 65.60 2400 (1 )Zico hydraulic cylinder lift / bracket 4,667.39 4,667.39 2401 1 SPECIFY CYLINDER SIZE:M 2442 1 Vacuum System: 2447 ( 1 ) Sscor Suction system to replace the existing system including any Impact #324 systems (No Longer Available) - This option is intended to retrofit the cannister into the same position as the pre-existing system utilizing a cover plate. This feature will include a remote mounted pump and action area panel mounted regulator.1,007.98 1,007.98 2451 1 CUSTOMER NOTES AND SPECIAL REQUESTS 2452 1 REF. Line #2400: To install a new electric lift, a stand-off will be built into the compartment for the electric lift to be mounted. The existing unistrut will be removed, the stand-off will be built, welded into place, and painted to match the compartment. The lift will be set to fit a "M" sized oxygen tank.1,970.50 2453 1 2454 1 With the addition of the electric lift in the L4 compartment, the compartment door will need to open wider than what the existing door spring hold-open will allow. Therefore, install a 3" grabber for the L4 compartment to enable the door to open wider to operate the electric O2 lift.815.05 F550 4x4 Gas Single Cab 500 SERIES F550 4x4 Gas Single Cab 500 SERIES Rev: 5/18/23 Page 14 of 16 9/17/2024 8:07 AM Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E REMOUNT PRICING Version 23.0 2455 1 2460 1 HVAC SYSTEMS: 2464 1 HVAC systems 2465 1 12 VOLT ONLY HVAC systems: 2466 (1 )Heavy duty combination heater / air conditioner system with digital thermostat with digital temperature display.4,970.25 4,970.25 2467 ( 1 ) Add a second 12VDC engine mounted compressor for dual independent 12VDC compressors for cooling the cab and module individually.3,448.68 3,448.68 2469 (1 )Add an external A/C condenser mounted on the front of the module.1,898.53 1,898.53 2471 1 2483 1 Temperature Control Options 0.00 0.00 2498 (1 )Replace the existing air return filtered grille with a new grille and filter.151.15 151.15 2518 1 CUSTOMER NOTES AND SPECIAL REQUESTS 2519 1 Ensure there is insulative wrap on freon lines from the OEM chassis condenser to 12" past the engine on the right side to protect lines from engine heat.289.00 2520 1 2526 1 2527 1 SPECIAL REQUIREMENTS and/or OUTSOURCED ITEMS 2528 1 ** NCSA fee is included in the price of the vehicle.0.00 2529 1 ** Delivery of the completed remount unit to the end user's location.3,000.00 2530 1 ** For NC customers, A Division of Motor Vehicle Title Application Form will be with delivery paperwork.250.00 2531 1 ** Downgrade credit for the chassis to be a F550 4x4 GAS as per Options Pricing for the Type I.-5,050.00 2538 1 2563 1 CONTINGENCY ALLOWANCE ( PORTION NOT USED WILL BE DEDUCTED FROM THE FINAL INVOICE).ENTER PRICE 2564 1 The contingency allowance is appropriated for any unforeseen work that may be identified during the inspection and construction process. These funds shall only be used with written authorization by the Orange County EMS department. Any and all changes to the overall scope of work as described in this document shall not be deemed acceptable unless written and signed approval between Excellance Inc. and an authorized representative of Orange County EMS. In no event shall there be any changes to the scope of work that will cause the final price of the ambulance remount/refurbishment project to exceed the agreed upon and executed contract price.3,000.00 3,000.00 2574 1 2587 1 2588 1 2589 1 ADDITIONAL TERMS AND CONDITIONS FOR THIS CONTRACT 2590 1 PAYMENT TERMS ARE COD/FOB EXCELLANCE, INC. MADISON, AL. 2591 1 The effective date of this contract is the day this order is accepted by Excellance as evidenced by the date this contract is executed by an officer of Excellance. 2592 1 2593 1 Construction will begin only after all questions have been resolved. Once the unit is in production, changes will result in an engineering fee of $250 in addition 2594 1 to the price for the change. 2595 1 2596 1 Failure to select an option on this order form will result in: (i) no charge to the customer, (ii) no obligation by Excellance for that item, and (iii) the possibility 2597 1 of a $250 charge for changes or additions that occur after production begins on a vehicle. To select any option you must either: (a) enter "1" in the "( )", 2598 1 OR (b) enter a specific number in the "( )" when instructed to do so. 2599 1 2600 1 Review this order carefully. Changes, alterations or additional work ordered shall be charged for at current rates with additional time being allowed Excellance for delivery. 2601 1 Rev: 5/18/23 Page 15 of 16 9/17/2024 8:07 AM Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E REMOUNT PRICING Version 23.0 2602 1 Price is exclusive of taxes, licenses, etc. which shall be the responsibility of purchaser. All delivery dates are approximate unless otherwise indicated and are 2603 1 subject to and dependent upon the Purchaser furnishing all required information to Excellance in a timely manner. 2604 1 2605 1 Fulfillment of this order by Excellance shall be contingent upon strikes, lock-outs, fires, accidents, Government regulations, inability to secure materials or other 2606 1 causes beyond Excellance's control. Excellance may substitute comparable parts if the specified part is not available. If colors are not specified, Excellance retains 2607 1 the right to assign colors based upon availability. 2608 1 2609 1 In the event Purchaser cancels this order prior to Excellance beginning production on the unit(s) covered hereunder, then Excellance shall be entitled to receive 2610 1 from Purchaser the greater of (a) 15% of the contract price, or (b) all deposits paid by Purchaser hereunder. In the event Purchaser cancels this order after Excellance 2611 1 begins production on the unit(s) covered hereunder, then Excellance shall be entitled to receive from Purchaser the full contract price less the amount of money saved by 2612 1 Excellance by reason of the cancellation (e.g., actual costs incurred) plus 15% of the contract price. 2613 1 2614 1 Any warranties on the products sold hereunder are those made by the manufacturer of said products. Excellance, as the seller of such products, expressly disclaims 2615 1 all warranties, either expressed or implied, including any implied warranty of merchantability or fitness for a particular purpose, and neither assumes nor authorizes 2616 1 any other person to assume for it any liability in connection with the sale of such products. 2617 1 2618 11 In the event there is a "trade-in" unit that Excellance agreed to take "in trade" as partial consideration of the purchase price hereunder, Excellance shall be under no 2619 1 obligation to tender the MSO/title for the new unit to the purchaser until Excellance (a) receives the MSO/title for the unit to be "traded in", and (b) has possession of 2620 1 the unit "traded in". 2621 1 2622 1 This contract contains the entire understanding between the parties, supersedes any previous agreement or understanding, and any changes to this contract 2623 1 must be in writing and signed by Purchaser and Excellance. 2624 1 2625 1 Arbitration provision: The laws of the state of Alabama, as applicable to contracts to be performed entirely within that state, shall govern this agreement. Any 2626 1 controversy or claim arising out of or relating to this agreement, or the breach thereof, shall be settled by binding arbitration in accordance with the rules of the American 2627 1 Arbitration Association and any judgment on the award rendered by the arbitrator may be entered in any court having jurisdiction thereof. Rev: 5/18/23 Page 16 of 16 9/17/2024 8:07 AM Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E AQ version 23.2 7/22/2024 9:26 Quote # :NCSA-36 Quoted by:LB PRICE QUOTE, ORDER FORM and WORK ORDER Excellance unit #:PENDING CUSTOMER:ORANGE COUNTY ** NCSA **" FILE NAME " :F550 4X4 GAS EXT. CAB 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 CONTRACT #:{NCSA #25-05-0521 / 36-FORD F450 4X2 DIESEL}TELEPHONE:256-772-9321 E-MAIL:jlunsford@orangecountync.gov FAX:256-772-8792 TECHNICAL CONTACT:JAMES LUNSFORD SALESMAN:LISA BARFIELD 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: 7/22/2024 1 SALES SUMMARY PROJECT MGR:LISABARFIELD11 1 BALANCE DUE UPON DELIVERY:$420,968.93 THIS ORDER IS VALID ONLY IF ACCEPTED BY BOTH PURCHASER AND EXCELLANCE WITHIN 60 DAYS OF:7/22/2024 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. 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: DATE:P. O. # : CAAS COMPLIANT ** EXCELLANCE, INC. 453 Lanier Rd., Madison, Alabama 35758 1-800-882-9799 AQ Version 23.2 Page 1 of 15 7/22/2024 9:26 AM Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E 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 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 AQ Version 23.2 Page 2 of 15 7/22/2024 9:26 AM Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E 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) 237 1 CHASSIS: STANDARD SPECIFICATIONS 239 1 The chassis model year shall be:2025 or Newer 241 1 The chassis engine shall be a GAS - 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. 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 1 272 SEE LINE #343 FOR MODULE SIZE 273 (1 ) F-450 L (2X4) Type I 96" x 172" box Conversion:209,522.47 209,522.47 274 1 CA = 108"Input Chassis:80,000.00 80,000.00 336 1 CUSTOMER NOTES / SPECIAL REQUESTS regarding chassis 337 1 ** REF. Lines 273 & 274: The chassis price included in this quote is pricing for a 2025 0.00 338 1 model year. Chassis price increases will be applied for any subsequent year model 0.00 339 1 thereafter for the remaining contract term.0.00 340 1 ** REF. Line 273: The chassis will be a Ford F550 4x4 Extended/Super Cab GAS chassis 0.00 341 1 with 84" CA and 192.5" WB with aluminum wheels, spare tire, etc. Discount for the 0.00 342 1 downgrade of chassis from 108"CA diesel to 84"CA GAS is shown at line #2976.0.00 343 1 THE MODULE WILL BE 152"L 0.00 344 1 345 1 CHASSIS: SPECIAL OPTIONS Wholesale Extended 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 1,056.25 1,056.25 367 1 into step area for Type I 371 1 372 1 CUSTOMER NOTES / SPECIAL REQUESTS 373 1 ** Supply (2) engraved placards with red background, white numbers, approx. 3"W x 2"H 222.50 374 1 (1) for overall height of the unit & (1) for max weight capacity. Place in loose equipment.0.00 375 1 Ensure the labels have adhesive on the back so they can be applied by the customer.0.00 376 1 ** Supply (1) engraved placard with red background, white letters, approximately 3"W x 2"H 111.25 377 1 that reads, "GASOLINE ONLY". The placard will be applied by the customer at delivery.0.00 378 1 Ensure the placard has adhesive on the back so it can be applied.0.00 379 1 ** Purchase (2) additional programmable keys for the chassis and have them 1,243.00 380 1 programmed with the truck at a local Ford dealership.0.00 381 1 382 1 CHASSIS: AIR RIDE & SUSPENSION OPTIONS 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)15,209.00 15,209.00 409 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 ** Install an engraved aluminum plate with "EXCELLANCE", Unit #, and date of manufacture 222.50 444 1 on the forward wall of the L4 compartment. (CAAS Req.)0.00 445 1 ** The Liquid Spring control panel will be mounted to the driver's side of the cab console.195.90 446 1 Cut a flat, bare aluminum plate to match the size of the control panel. Screw the 0.00 447 1 aluminum plate to the upper top left corner of the driver's side of the cab console. 0.00 448 1 Apply velcro to the aluminum plate and the control panel to secure in place.0.00AQVersion23.2 Page 3 of 15 7/22/2024 9:26 AM Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E 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 458 ( 1 ) * A spare OEM tire will be ordered with the chassis. 461 ( 1 )* Spare tire shall be "shipped loose"No charge N/C 480 1 CUSTOMER NOTES / SPECIAL REQUESTS 481 1 ** The chassis will be ordered with aluminum wheels.0.00 551 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 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 1,543.50 651 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 #7160-1299-00.0.00 658 660 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.260.60 685 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 955.25 955.25 696 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 68.26 68.26 701 (1 )* DELETE "standard" Map Light on front console (99.85)(99.85) 708 ( 1 )Volt Meter with Dual USB port installed on console switch panel.N/C 735 1 736 1 CUSTOMER NOTES / SPECIAL REQUESTS 737 1 ** Install a Tremco anti-theft, ignition security device. This device automatically engages 578.00 738 1 when vehicle is placed in the park position. (CAAS Req.)0.00 739 1 ** Install a Brigade (Wes Garde) 360 degree Rear Vision Camera System.This system 7,217.50 740 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 on the 0.00 742 1 rear headknocker with rear vision cable #A3106 VBV-L4.Mount the remote for the Brigade 0.00 743 1 system to the cab console using a small, looped bracket to the left of the radio.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 756 (1 )* Tropical roof with .125" diamond-plate aluminum 2,936.00 2,936.00 757 1 3/4-inch thick composite floor with .063" aluminum subfloor insulated with Polystyrene foam planking 758 1 Install .125" thick Aluminum overlay to the top of the Coosa Board floor 759 1 * WHELEN #0S Series lights to be used as… 760 (1 )* Door-activated flashing red LED warning light on interior of side entry door 192.58 192.58AQVersion23.2 Page 4 of 15 7/22/2024 9:26 AM Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E 761 (1 )* Door-activated flashing red LED warning light on interior of each rear door 385.15 385.15 762 1 3 module entry doors and all exterior compartment doors insulated with 2" Styrofoam planking 763 ( 1 )Left rear door shall close with an automatic "slam latch" 764 1 2 key locking module entry door handles all keyed alike 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 350.24 350.24 769 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 771 (1 )* Polished Aluminum Drip Rail around entire module roof perimeter. (CAAS Req.)484.00 484.00 772 (1 ) Fuel fill housing for chassis to be:recessed cast aluminum housing(s) 775 ( 1 ) * Drip Guard under fuel fill to bottom edge of module (Stainless Steel)243.35 243.35 776 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 786 ( 1 )10 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"263.38 263.38 799 1 * "Limo-style" glass. Location:All 800 (3 )* Enter number of windows for "Limo-style" glass (price is per window)105.50 316.50 812 1 814 1 MODULAR BODY: OPTIONS Price Price 815 1 816 (1 )* Modify modular body standard length by 6 inches or less 2,537.00 2,537.00 817 1 * Specify non-standard length here:152" 825 (1 )* Type I: Pass-thru window N/C 832 (1 )* Modify roof structure to add additional tubing allowing module ceiling to be a flat 2,092.00 2,092.00 833 1 surface. Center trough pad will be replaced with a painted cover panel. The roof 834 1 of the module will be double insulated. 835 (1 )* Modify L4 compartment into an upper and lower compartment. The Upper L4/1 3,161.00 3,161.00 836 1 compartment will house the HVAC system facing forward with lines being routed 837 1 around the front of the module to be ducted through the ceiling and at the front bulkhead. 843 (1 )* Door Sill protector for side personnel door 205.66 205.66 844 (1 )* Door Sill protectors for ALL compartment doors including electrical compt. door 960.96 960.96 856 1 857 1 CUSTOMER NOTES / SPECIAL REQUESTS 858 1 ** Install a ZICO electric step #VS-24-11 below the R3 curbside entry door. This 3,261.00 859 1 includes an override switch by the curbside entry door.0.00 860 1 ** REF. Line 825: There will not be a cabinet below the pass-thru. There will still be the 0.00 861 1 painted aluminum, full-width counter but the space below the counter will remain open.0.00 868 1 870 1 CAB / MODULE PAINT AND LETTERING: STANDARD SPECIFICATIONS 871 1 874 (1 )* DELETION CREDIT: Do not paint the 4 outer wheels (93.96)(93.96) 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. 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 (1,705.83)(1,705.83) 959 1 960 1PINSTRIPEAQVersion23.2 Page 5 of 15 7/22/2024 9:26 AM Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E 964 (1 )* DELETION: No pinstripe tape AND no painted beltline to be applied by factory (358.55)(358.55) 970 1 972 1 REFLECTIVE "SCOTCHLITE" STRIPING 1004 1 Code Size 1005 1 for Color:in inches:COST: 1006 1 * Reflective stripe color # 1:24 #680-75 Blue 1 764.98 1007 1 * Reflective stripe color # 2:24 #680-75 Blue 8 1,492.44 1008 1 * Reflective stripe color # 3:24 #680-75 Blue 1 764.98 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 2,780.00 1023 1 "V" pattern on the rear of the module.0.00 1024 1 ** Install 3" Blue and 3" Lemon Yellow Scotchlite reflective stripes in a Chevron pattern 1,099.75 1025 1 on the front cab bumper.0.00 1026 1 ** Install (3) 13"x13" Silver Snap Frame without lens from Simple Snap Frame.com 500.00 1027 1 To be installed (1) streetside, (1) curbside, and (1) rear of module 0.00 1028 1 The MEDIC # to be placed in the Snapframes is "TBD".0.00 1029 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 10,940.00 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, white window perf film for the side entry door 0.00 1049 1 window and cab door decals. Ensure reverse "PARAMEDIC" lettering is on windshield.0.00 1050 1 ** Ensure the lettering/graphics/striping is free of bubbles, scratches, tears, etc.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) 1057 (1 )* SUBSTITUTION: Install fixed L-handles in in lieu of folding door handles.78.00 78.00 1059 (1 )* SUBSTITUTION: 3" Grabbers in lieu of spring door checks (price per grabber)45.78 45.78 1060 1 * Specify which compartments will have 3" Grabbers:L4/2 oxygen 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 1095 (1 )* DELETE backboard storage from L1 compartment ( no vertical dividers in L1 ).(234.00)(234.00) 1096 1 Type of shelves in L1:Quantity Thickness of aluminum 1097 1 Adjustable shelves with unistrut 1 0.125"(406.90) 1098 1 Fixed shelves 0 0.125"0.00 1101 (1 )* DELETE "inside" access for Tall L1 (234.00)(234.00) 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 39.00 39.00 1140 1 * exterior compartment doors using a #545 lock and key (in lieu of the #1250 key). 1144 1 1145 1 Compartment L3/2: (Streetside Intermediate) AQ Version 23.2 Page 6 of 15 7/22/2024 9:26 AM Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E 1147 Type of shelves in L3/2:Quantity Thickness of aluminum 1148 1 Adjustable shelves with unistrut 1 0.125"203.45 1149 1 Fixed shelves 0 0.125"0.00 1156 (1 )One standard LED light in compartment - to be door activated N/C 1170 1 ** Install electrical schematics in a 1" silver aluminum 3-ring binder (JAM Paper-Amazon).523.00 1171 1 Weld an aluminum storage box in the top left corner of L3/2 compt with a bottom-hinged 0.00 1172 1 locking door to store the binder. The lock will be a short locking cam lock. Attach a 36" 0.00 1173 1 plastic-coated metal cord from the binder to the inside of the storage box. See CAD.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.144.50 144.50 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"203.45 1219 1 Fixed shelves 0 0.125"0.00 1235 (1 )One standard LED light in R1 compartment - to be door activated N/C 1245 1 ** REF. Line #1235: Install the compartment light horizontally in the door header behind 0.00 1246 1 the stand-off for the gas shock hold-open.0.00 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 (206.54)(206.54) 1301 1 large compartment. 1302 1 1303 (1 )* Relocate the HVAC system from over the R4 to the L4/1 compartment 411.75 411.75 1304 1 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 286.34 286.34 1308 1 1309 1 Type of shelves in R4:Quantity Thickness of aluminum 1310 1 Adjustable shelves with unistrut 1 0.125"(203.45) 1311 1 Fixed shelves 0 0.125"0.00 1318 (1 )One standard LED light in compartment - to be door activated N/C 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 2,045.45 2,045.45 1458 (1 )* Electric door locks for module personnel & R4 doors 1,432.92 1,432.92 1459 (4 )* Enter number of exterior compartments to have electric door locks See Note 645.59 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, R4, Personnel 1468 1 Note: The additional charge for each separate switch:$226.49 1.00 226.49 1471 (1 )* Concealed weatherproof override switch for electric door locks 385.15 385.15 1472 1 * Concealed override switch location: behind the front grille on the chassis 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 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 OEM circuit, curbside wall & tag frame curbside wall by R3 side entry door AQ Version 23.2 Page 7 of 15 7/22/2024 9:26 AM Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E 1507 (1 )* SUBSTITUTION: "L" Handle Bar (in lieu of standard straight bar)141.40 141.40 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 111.25 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 1536 (1 )# of 96" x 1.25" diameter stainless steel overhead grab rails on 146" module:2 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 672.35 672.35 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 1555 1 ** REF. Lines 1529-1531: Lessen the depth of the squad bench lids to prevent damage 0.00 1556 1 to padding & upholstery from the seat belts when lids are opened. This will also allow 0.00 1557 1 the lids to open farther without seat belts preventing the lids from opening completely.0.00 1558 1 > See pictures from units 2768-2770.0.00 1562 1 1563 1 PATIENT COMPARTMENT: OPTIONS Wholesale Extended 1564 1 Price Price 1565 1 Painted white interior 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 482.79 482.79 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)(Child-Safety Seat)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:272.69 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 1639 (1 )* Cabinet over squad bench (KKK requires 43+" between squad bench & cabinet)1,379.75 1,379.75 1642 (1 )* 2 horizontally-hinged cabinet doors of polycarbonate w/ gas shock hold-opens 295.65 295.65 1645 (1 )* Cabinet over CPR seat (half-depth) (KKK requires 43+" between seat & cabinet)890.00 890.00 1647 (1 )* with a single horizontally-hinged cabinet door with one gas-shock hold-open 164.45 164.45 1660 1 1661 1 Location for additional cabinet: 1662 1 * without restocking feature:K - Aft squad bench wall - left-hinged door 725.55 725.55 1676 1 1677 1 CUSTOMER NOTES / SPECIAL REQUESTS 1678 1 ** REF.Lines 1620 & 1621: Cabinet D, over the action area, install (4) vertical, adjustable 2,672.50 AQ Version 23.2 Page 8 of 15 7/22/2024 9:26 AM Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E 1679 1 dividers above & below the shelf creating ten storage spaces. The cabinet will have 0.00 1680 1 a restocking feature to make the storage spaces more accessible.0.00 1681 1 ** Supply a Technimount Pro Series 35 Std Surface Base #100-20-UN and Heavy-Duty 3,348.00 1682 1 Bracket #210-11-PC15-HD. The base will be installed at delivery aft of the CPR seat.0.00 1683 1 ** REF. Line 1662: This Cabinet K will have a left-hinged polycarbonate door with 1,904.00 1684 1 (5) adjustable shelves and will extend down to the top of the squad bench. Ensure 0.00 1685 1 the door is built so it will clear the squad bench cushion when opened. The cabinet 0.00 1686 1 handle will be no longer than 12".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 1,115.55 1,115.55 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 567.75 567.75 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 1,291.50 1744 1 for sharps storage. The container lid will protrude through the top of the counter with a 0.00 1745 1 hinged door & the lid around the flat top of container. The container opening will face 0.00 1746 1 CPR seat. The storage will be large enough for a 11.5" H x 10.5" W x 5" D container. 0.00 1747 1 This area of the solid surface countertop will be flat. 0.00 1748 1 ** REF. Line 1712: The storage at the head of the squad bench will be drop-in storage 0.00 1749 1 for a Covidien Biohazard UN3291, Lot #00171463 container 11.5" H x 10.5" W x 5" D.0.00 1750 1 The lid will protrude through the top of the storage area with a hinged door & a cover 0.00 1751 1 around the top to cover the extra space. Dimensions are critical to ensure the container 0.00 1752 1 will drop into the space provided. 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 1825 1 COT / LITTER MOUNT: OPTIONS Price Price 1826 1 ( Brand ) ( Model ) 1827 1 The cot used in this unit will be a:Stryker PowerPro 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 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 Floor covering AQ Version 23.2 Page 9 of 15 7/22/2024 9:26 AM Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E 1850 1 ** A customer-supplied Stryker PowerLoad cot loading system without mass 0.00 1851 1 casualty feature will be installed.0.00 1867 1 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 (418.40)(418.40) 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 EMT Panel-work off module power & shoreline 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. 143.60 143.60 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 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 (65.60)(65.60) 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:1,088.95 2,177.90 1944 1 * Brand & Model of first radio:Motorola 1945 1 * Brand & Model of second radio:Motorola 1949 1 * Mounting location for:Control Head location: 1950 1 Radio Head and Speaker First radio Top of cab Console 1951 1 Radio Head and Speaker Second radio Curbside Wall Recessed 1954 1 1968 (1 )* Three TruckLite LED # 80251C lights installed in center of module ceiling 926.42 926.42 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.287.61 287.61 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.248.20 248.20 2026 (2 )* Streamlight Survivor LED #90503 Rechargeable (ea)orange color 434.40 868.80 2029 1 * Streamlight 12 VDC charger base to be mounted in:(1) on either side of map slots 2030 1 2031 1 CUSTOMER NOTES / SPECIAL REQUESTS 2032 1 ** REF. Line 1892: The buzzer will activate when an entry door or compartment door 0.00 2033 1 is open and the chassis is placed in gear.0.00 2034 1 ** Install a Mermaid Dual Temp unit #MKDUAL TEMP in the ALS compartment. The 7,458.00 2035 1 (2) control panels will be installed on the interior R4 cabinet wall in the bulkhead area.0.00 2036 1 Ensure the heating and cooling features of the Mermaid unit function properly.0.00 2037 1 ** Cab 2-way radio speaker will be installed on back of the cab console facing the rear seats.0.00 2038 1 ** REF. Line 1942: The transceiver will be mounted underneath the rear cab seats.0.00 AQ Version 23.2 Page 10 of 15 7/22/2024 9:26 AM Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E 2039 1 ** Install a customer-supplied Sierra Wireless Gateway system wiring harness & antenna. 1,494.05 2040 1 The wires shall terminate underneath the rear seats in the cab. The power cable is a 0.00 2041 1 gray three-wire cable. The black wire is ground with the red being 12 volt battery power 0.00 2042 1 & the white is ignition/accessory, which should have 12V when the truck is running. 0.00 2043 1 It should terminate alongside the antenna cables. Both should have at least 18" of slack. 0.00 2044 1 The antenna will be installed on the cab roof.0.00 2045 1 ** REF. Line 2007: Switch to be located on the right rear entry door and the switch should 0.00 2046 1 be "On/Off" so the lights can be turned back on.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 H3, RIGHT-hand side on back wall " Standard "N/C 2054 (1 )lower section of the R-4 ALS cabinet H3, LEFT-hand side on back wall 260.91 260.91 2055 (1 )passenger's side of cab console above spotlight (mount horizontally)260.91 260.91 2056 (1 )Aft Action Area (aft of CPR seat)(a second breaker is required)400.56 400.56 2057 (1 )squad bench wall between seated positions (mount horizontally)260.91 260.91 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 2068 1 2077 1 2078 1 SHORELINE OPTIONS Wholesale Extended 2079 1 Price Price 2086 (1 )* Substitution: Kussmaul Super 30 amp Auto-Eject Shoreline Plug with 604.28 604.28 2087 1 * waterproof cover and female input adapter (in lieu of "std" Shoreline Plug) 2092 1 * Specify color for Auto-Eject spring loaded cover:white N/C 2114 1 2125 (1 )* Shoreline to be mounted :Front of module on driver's side Price:78.00 2129 1 2130 1 CUSTOMER NOTES / SPECIAL REQUESTS 2131 1 ** REF. Line 2125: The shoreline will be installed on the front of the module by the 0.00 2132 1 driver's door and NOT to the left of the L4 door hinge.0.00 2133 1 ** REF. Line 2061: Put printed labels on the GFI next to the breaker switches in the gray 273.90 2134 1 part of the box in the L3/1 electrical compartment. Label engine block heater as 0.00 2135 1 "WINTER WEATHER" & "SUMMER WEATHER". Inverter breaker to have, 0.00 2136 1 "INVERTER ON" & "INVERTER OFF". 0.00 2140 1 2142 1 125 VAC ELECTRICAL EQUIPMENT: OPTIONS 2143 1 2148 (1 )DELETION CREDIT: Delete the "standard" on-board battery charger (363.68)(363.68) 2164 1 Specify the location for the inverter:L3/2 Compt. - Left side on floor of compt.N/C 2171 (1 )* Vanner 1100 watt inverter (model LSC12-1100) with transfer switch WITH 1,896.95 1,896.95 2172 1 battery charger 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 78.00 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 1,342.88 1,342.88 2230 1 flange) on each side of module (in lieu of halogen lights). 2231 1 Work / scene light on curbside of module activated by side entry door. 2239 (1 )* 2 Whelen 700 Super-LED load / scene lights (surface mount) on rear wall of 854.09 854.09 2240 1 module in lieu of standard 900 series lights. AQ Version 23.2 Page 11 of 15 7/22/2024 9:26 AM Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E 2243 1 Rear lights activated when rear doors are opened or transmission is put into reverse. 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 1,799.25 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 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:502.9438 Whelen 900 series Red LED w/ flange 2486 ( 901 ) Whelen 900 series Red LED w/ flange Whelen 900 series Red LED w/ flange502.9438 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 251.47 251.47 2492 (901 )This streetside light shall be: Whelen 900 series Red LED w/ flange 251.47 251.47 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:502.9438 2501 ( 901 ) Whelen 900 series Red LED w/ flange Whelen 900 series Red LED w/ flange502.9438 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:502.9438 2506 ( 901 ) Whelen 900 series Red LED w/ flange Whelen 900 series Red LED w/ flange502.9438 N/C 2507 1 The color of the lens for this light is:clear 2509 1 2510 1 *Wheel well lights on each side of module (2 total) shall be:313.5784 2511 (701 ) Whelen 700 series Red LED w/ flange Enter code # from above 313.5784 313.58 2512 1 The wheel well light lens color is: clear 2513 1 2514 1 Flashing lights in the upper corners of module rear wall (2 total) shall be:502.9438 2515 ( 901 ) Whelen 900 series Red LED w/ flange Whelen 900 series Red LED w/ flange502.9438 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 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 254.61 254.61 2527 (902 )The streetside light shall be: Whelen 900 series Amber LED w/ flange 254.61 254.61 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 NOTinAQVersion23.2 Page 12 of 15 7/22/2024 9:26 AM Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E 2537 1 emergency mode to be seen through rear door windows when doors are open. 658.9438 2538 (901 ) Whelen 900 series Red LED w/ flange Whelen 900 series Red LED w/ flange658.9438 658.94 2539 1 2540 1 Flashing light installed at the top center of rear module wall shall be:320.3082 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 (191.42)(191.42) 2551 1 2552 (1 )The flash pattern for the emergency lights shall be programmed as specified by KKK.N/C 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 296.92 593.84 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 (441.63)(441.63) 2598 (1 )* Whelen 295HFSC9 Self-contained 200-watt dual amplifer w/ removable mic 791.79 791.79 2599 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 under the cab with mounting bracket.1,621.50 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" 4,254.58 4,254.58 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 129.87 129.87 2722 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 2769 1 CUSTOMER NOTES / SPECIAL REQUESTS 2770 1 ** Fabricate O2 cylinder storage of 2" x 2" angle welded to the floor of the squad bench 1,580.50 2771 1 (inside storage) & coated with speedliner. There will be two (2) seatbelt-style straps to 0.00 2772 1 hold down "D" size cylinders.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 AQ Version 23.2 Page 13 of 15 7/22/2024 9:26 AM Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E 2789 1 2790 (1 )* Relocate the HVAC system from over the R4 to the center of the bulkhead. 2792 (1 )* Discharge the HVAC system down the length of the patient compartment in 2,248.00 2,248.00 2793 1 the ceiling via the "center trough". 2795 1 Ford F-series and RAM Type I Chassis 2796 1 12 Volt HVAC systems: 2797 (1 ) Heavy duty combination heater / air conditioner system w / digital electronic thermostat with N/C 2798 1 digital temperature display. 2799 (1 )* Add a second 12 VDC engine mounted compressor for dual independent 2,526.68 2,526.68 2800 1 12 VDC compressors for cooling the cab and module individually. 2802 (1 )* Add external A/C condenser mounted on front of module 1,820.53 1,820.53 2897 1 2898 1 CUSTOMER NOTES / SPECIAL REQUESTS 2899 1 ** Ensure there is insulative wrap on freon lines from the OEM chassis condenser to 289.00 2900 1 12" past the engine on the right side to protect lines from engine heat.0.00 2901 1 ** REF. Line 2914: (1) fire extinguisher to be mounted in the L1 compartment 2" from 0.00 2902 1 the back corner, forward wall of the compartment and (1) above the counter at the 0.00 2903 1 pass-thru, on the wall adjacent to the L4 compartment wall.0.00 2904 1 ** REF. Line 2797: Clarification: The HVAC system will be installed in the L3/1 and wired 0.00 2905 1 to the auxiliary 12V engine-mounted compressor. The rear HVAC system will NOT be 0.00 2906 1 connected to the OEM chassis compressor.0.00 2908 1 2910 1 FIRE EXTINGUISHER: OPTIONS 2911 1 2912 (2 ) 5# ABC fire extinguishers N/C 2914 1 * Extinguisher mounting instructions:See Line #2901 2969 1 2970 1 SPECIAL REQUIREMENTS and/or OUTSOURCED ITEMS: 2971 1 ( to be provided by Excellance ) 2972 1 ** NCSA fee is included in the price of the vehicle. 2973 1 ** For NC customers, A Division of Motor Vehicle Title Application Form will be with 250.00 2974 1 the delivery paperwork. 2975 1 ** Delivery of the completed unit driven by driver to the end user's location.3,000.00 2976 1 ** Downgrade discount for 84"CA GAS chassis.(3,060.00) 2995 1 2996 1 CUSTOMER SUPPLIED PARTS 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. 3050 1 3051 1 Payment Terms: 3053 1 Payment to be Cash Upon Delivery F.O.B. Excellance, Madison, Alabama. 3065 1 3066 1 CHECKLIST 3067 1 Send invoices to: 3068 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. AQ Version 23.2 Page 14 of 15 7/22/2024 9:26 AM Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E 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 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 23.2 Page 15 of 15 7/22/2024 9:26 AM Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E 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 AUTOSAUTOSONLY 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) POLICYEFFPOLICYNUMBERTYPEOFINSURANCELTRINSR 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 8/12/2024 JD Fulwiler &Co Ins 5727 S Macadam Ave Portland OR 97239 Megan McGlohn 503-977-5659 503-977-5859 mmcglohn@jdfulwiler.com Travelers Property Casualty Co of America 25674 EXCEINC-01 The Phoenix Insurance Company25623ExcellanceInc 453 Lanier Rd Madison AL 35758 910470925 B X 1,000,000 X 300,000 15,000 1,000,000 2,000,000 X BA1R495775 8/1/2024 8/1/2025 2,000,000 B 1,000,000 X X X X HAPD* BA1R495775 8/1/2024 8/1/2025 Medical Payments 5,000 A X X 9,000,000CUP0R9734058/1/2024 8/1/2025 9,000,000 X 0 B GarageKeepers Autos Held for sale by Non Dealer BA1R495775 8/1/2024 8/1/2025 Limit Limit see below see below Hired Auto Physical Damage -$1,000 Comprehensive Deductible &$1,000 Collision Deductible Garage Liability is included in Auto Liability. GARAGEKEEPERS LIMITS: Location: See Attached... Orange County 300 West Tryon Street P.O.Box 8181 Hillsborough NC 27278 Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD 2008 ACORD CORPORATION. All rights reserved. THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:FORM TITLE: ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE Page of AGENCY CUSTOMER ID: LOC #: AGENCY CARRIER NAIC CODE POLICY NUMBER NAMED INSURED EFFECTIVE DATE: EXCEINC-01 1 1 JD Fulwiler &Co Ins Excellance Inc 453 Lanier Rd Madison AL 35758 25 CERTIFICATE OF LIABILITY INSURANCE 1)453 Lanier Rd.Madison AL 35758 2,000,000 Comprehensive 2,000,000 Collision Location: 2)504 Lanier Rd.Madison AL 35758 2,000,000 Comprehensive 2,000,000 Collision Coverage Basis: Direct Primary Deductibles: COMPREHENSIVE All Other Deductible: Deductible:$2,500/$10,000 Max Earthquake,Flood,&Windstorm and Hail Deductible: Deductible:$2,500/$250,000 Max Collision 1,000 LIMITS FOR AUTOS HELD FOR SALE BY NON DEALERS: Location: 1)453 Lanier Rd.Madison AL 35758 500,000 Comprehensive 500,000 Collision Location: 2)504 Lanier Rd.Madison AL 35758 500,000 Comprehensive 500,000 Collision 1,000,000 Unnamed Locations 500,000 In Transit Deductibles: COMPREHENSIVE All Other Deductible: Deductible:$2,500/$10,000 Max Earthquake,Flood,&Windstorm and Hail Deductible: Deductible:$2,500/$250,000 Max Collision 1,000 of Dealer Plates (10) Orange County,its officers,agents and employees are designated as additionally insured as respects operations of the named insured in accordance with the policy terms,conditions &exclusions.Primary Non-Contributory and Waiver of Subrogation apply. Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E Name: From: Subject: To Whom It May Concern Alabama Self Insured Worker's Comp Fund P.0. Box 59509, Birmingham, AL 35259 Phone: 1-888-515-1530 or 205-868-6900 Fax: 205-868-6909 Email Address: ChristinaT@ASIWCF.org Visit our Website at www.ASIWCF.org Waiver of Subrogation 0I Alabama1-\-:J Self-Insured worker's compensation fund rwdbyfh&Ccur.dt';JI As a Self -Insured Workers' Compensation Fund in Alabama we are not able to issue a Workers' Compensation policy and thus are not able to offer any of the Workers' Compensation endorsements. Below is the wording for Waivers of Subrogation requests, approved by our attorney, which can be added to a Certificate of Insurance issued by your office. The Alabama Self-Insured Worker's Compensation Fund waives the right to bring an action against Certificate Holder to enforce any right of subrogation, which may arise from Alabama Self-Insured Worker's Compensation Fund's payment of workers compensation benefits. This waiver does not affect (1) the right of an employee of Member to bring an action for damages, or (2) Alabama Self-Insured Worker's Compensation Fund's right to intervene in such action to protect any interest in any proceeds of any such action. This waiver shall apply only if and to the extent required by Certificate Holder. Please let us know if you have any questions. Thank you, Underwriting Alabama Self-Insured Worker's Compensation Fund Docusign Envelope ID: EF1EEE70-841D-4BBC-A429-CADADA6E1ED9Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E 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 3/19/2026 JD Fulwiler &Co Ins 5727 S Macadam Ave Portland OR 97239 Megan McGlohn 503-977-5659 503-977-5859 mmcglohn@jdfulwiler.com Travelers Property Casualty Co of America 25674 EXCEINC-01 Travelers Property Casualty Insurance Company 36161ExcellanceInc 453 Lanier Rd Madison AL 35758 The Phoenix Insurance Company 25623 1829232500 C X 1,000,000 X 300,000 15,000 1,000,000 2,000,000 X Y Y 630OR972107 8/1/2025 8/1/2026 2,000,000 B 1,000,000 X X X X HAPD* BA6Y395686 8/1/2025 8/1/2026 Medical Payments 5,000 A X X 9,000,0000R973405CUP8/1/2025 8/1/2026 9,000,000 X 0 B GarageKeepers Autos Held for sale by Non Dealer BA1R495775 8/1/2025 8/1/2026 Limit Limit *see below *see below *Hired Auto Physical Damage -$1,000 Comprehensive Deductible &$1,000 Collision Deductible Garage Liability is included in Auto Liability. *GARAGEKEEPERS LIMITS: Location: See Attached... Orange County 300 West Tryon Street P.O.Box 8181 Hillsborough NC 27278 Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:FORM TITLE: ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE Page of AGENCY CUSTOMER ID: LOC #: AGENCY CARRIER NAIC CODE POLICY NUMBER NAMED INSURED EFFECTIVE DATE: EXCEINC-01 1 1 JD Fulwiler &Co Ins Excellance Inc 453 Lanier Rd Madison AL 35758 25 CERTIFICATE OF LIABILITY INSURANCE 1)453 Lanier Rd.Madison AL 35758 $2,000,000 Comprehensive $2,000,000 Collision Location: 2)504 Lanier Rd.Madison AL 35758 $2,000,000 Comprehensive $2,000,000 Collision Coverage Basis: Direct Primary Deductibles: COMPREHENSIVE All Other Deductible: Deductible:$2,500/$10,000 Max Earthquake,Flood,&Windstorm and Hail Deductible: Deductible:$2,500/$250,000 Max Collision $1,000 *LIMITS FOR AUTOS HELD FOR SALE BY NON DEALERS: Location: 1)453 Lanier Rd.Madison AL 35758 $500,000 Comprehensive $500,000 Collision Location: 2)504 Lanier Rd.Madison AL 35758 $500,000 Comprehensive $500,000 Collision $1,000,000 Unnamed Locations $500,000 In Transit Deductibles: COMPREHENSIVE All Other Deductible: Deductible:$2,500/$10,000 Max Earthquake,Flood,&Windstorm and Hail Deductible: Deductible:$2,500/$250,000 Max Collision $1,000 #of Dealer Plates (10) Orange County,its officers,agents and employees are designated as additionally insured as respects operations of the named insured in accordance with the policy terms,conditions &exclusions.Primary Non-Contributory and Waiver of Subrogation apply. Docusign Envelope ID: E5F90E61-327B-8A02-821C-6E199869015E