Attachment_G1_-_Schedule_of_Items_-_Chrysler.pdf

Page 1 of 6706/30/14

Solicitation Number: FK-140017-D

AMBULANCE, TYPE I-AD, CONV. CAB-CHASIS, ADDITIONAL DUTY IN ACCORDANCE WITH FEDERAL STANDARDS 307 DATED JULY 1, 2014

OEM DataGSA Minimum Req.

Body/Chassis

ComplyAMBULANCE BUILDER PREP PKG

SLTTRIM LEVEL

B4500MFG. MODEL CODE

4000PAYLOAD lbs.

ComplyGROSS VEHICLE WEIGHT RATING (min/max- lbs)

Cab to Axle (CA) Measurement

ComplyCAB TO AXLE, INCHES

Engine Minimums

6/6.7ENGINE TYPE - Cylinders / Liters

ComplyHORSEPOWER

ComplyTORQUE (lb ft)

HDACOOLING SYSTEM

Engines

CUMMINSDIESEL ENGINE

Alternative Fuel

ComplyBIO DIESEL (B20) COMPATIBLE ENGINE

Engine Accessories

COMPLYENGINE BLOCK HEATER, OEM

COMPLYENGINE HOUR METER

Transmission

ComplyAUTOMATIC TRANSMISSION

Rear Axle Differential

ComplySPECIAL TRACTION DIFFERENTIAL, AUTOMATIC

DESTINATION CHARGE INCLUDED IN PRICE:

UNIT PRICE IS TO INCLUDE NEW VEHICLE PREPARATION AND DELIVERY TO CONSIGNEE, PORT OR DEALER.

Assembly Point:

Model Name:

OFFERORS SHALL FURNISH A PRICE FOR ALL AVAILABLE OPTIONAL EQUIPMENT LISTED BELOW. YOU ARE ADVISED THAT PRICING FOR BELOW THE LINE OPTIONS WILL BE EVALUATED FOR PRICE REASONABLENESS ONLY.

Net MSRP:Net Invoice:

/210.1

MPGTotalUnit PriceEst Qty/Fleet

Total

Line Item NO.

4500 AMBULANCE

Page 2 of 6706/30/14

AMBULANCE, TYPE I-AD, CONV. CAB-CHASIS, ADDITIONAL DUTY IN ACCORDANCE WITH FEDERAL STANDARDS 307 DATED JULY 1, 2014

Drive Axle

REARPRIMARY DRIVE AXLE

ComplyDIFFERENTIAL TYPE/RATIO

Electrical

ComplyDUAL ALTERNATORS, OEM

ComplyALTERNATOR, MIN. (Amps)

ComplyBATTERY, MIN. (CCA)

Fuel

Diesel DedicatedFUEL TYPE

ComplyFUEL CAPACITY MIN US GALLONS

Exterior

COMPLYEXTRA WIDE MIRRORS

Doors and Windows

5DOORS

left and rightKEYED DOOR LOCK(S)

COMPLYWIPERS-WINDSHIELD-INTERMITTENT

front onlyPOWER WINDOWS & DOOR LOCKS

Lights and Lighting

ComplyDAYTIME RUNNING LIGHTS

Interior

COMPLYTILT STEERING

COMPLYAIR CONDITIONING

COMPLYCRUISE CONTROL

COMPLYPOWER STEERING

COMPLYUPHOLSTERY

Floor

COMPLYFLOOR COVERING

Radio

COMPLYAM/FM RADIO WITH COMPACT DISC PLAYER

Seats

COMPLYRECLINING BUCKET/CAPTAINS CHAIRS

ComplySEATING CAPACITY min.

Safety

ComplyBACKUP CAMERA

COMPLYPOWER ANTILOCK BRAKES, FRONT AND REAR

COMPLYRESTRAINT SYSTEM, ALL SEATED POSITIONS

COMPLYFRONT SUPPLEMENTAL RESTRAINT SYSTEM DRIVER &

FRONT PASSENGER

Suspension

COMPLYSUSPENSION/SHOCKS

Page 3 of 6706/30/14

AMBULANCE, TYPE I-AD, CONV. CAB-CHASIS, ADDITIONAL DUTY IN ACCORDANCE WITH FEDERAL STANDARDS 307 DATED JULY 1, 2014

Tires and Wheels

ComplyTIRES

ComplyTIRE PRESSURE MONITORING SYSTEM

Vendor Furnished Body Items

COMPLYBACK-UP ALARM

COMPLYPADDLE HANDLE DOOR LATCHES

COMPLYREAR AIR RIDE SUSPENSION

COMPLYAUXILIARY A/C CONDENSER

COMPLYBODY EXTERIOR DOT LIGHTING, LED

General Ambulance Options

COMPLYAUTO-EJECT SHORELINE

COMPLYERGONOMIC DOOR HANDLES

COMPLYDELETE CURBSIDE O-HEAD COMPT

Comply96 INCH WIDE BODY

ComplyLED PATIENT COMPARTMENT LIGHTING

Warning Light Package Option

COMPLYLED WARNING LIGHTS

Special Paint

ComplyREFLECTIVE CHEVRON ON REAR

Delivery

DRIVE AWAYCONSIGNEE DELIVERY (NO DEALER PREP)

Warranty

3/36000OEM COMPREHENSIVE WARRANTY

3/36000OEM POWERTRAIN WARRANTY

3/36000OEM CORROSION WARRANTY

1/12000CONTRACTOR COMPREHENSIVE BODY WARRANTY

Option PricesOEM DataAdd ShipOptional Equipment

Body/Chassis

$_____________N/A______________GU GVWR REDUCTION

$_____________Stand Alone______________WR INCREASED GVWR

Engines

$_____________N/A______________IE1 Increased Power Engine 1

Engine Accessories

$_____________N/A______________ASI AIR CLEANER SERVICE INDICATOR (LOCATED IN

DRIVER'S AREA)

$_____________N/A______________FFP COOLANT HEATER-FUEL FIRED

Transmission Accessories

$_____________N/A______________PT POWER TAKE OFF OPENING

Brakes

$_____________N/A______________BA BRAKES-AIR

Page 4 of 6706/30/14

AMBULANCE, TYPE I-AD, CONV. CAB-CHASIS, ADDITIONAL DUTY IN ACCORDANCE WITH FEDERAL STANDARDS 307 DATED JULY 1, 2014

Drive Axle

$_____________Stand Alone______________AWD OEM ALL WHEEL DRIVE

Electrical

$_____________N/A______________IA1 Increased Output Alternator 1

$_____________N/A______________IA2 Increased Output Alternator 2

Fuel

$_____________Standard______________FFS FUEL/WATER SEPARATOR, HEATED

$_____________N/A______________AF1 CHASSIS MANUFACTURER'S MAXIMUM AVAILABLE FUEL

TANK(S)

Exterior

$_____________N/A______________RM5 MIRRORS-EXTERIOR-REARVIEW-HEATED

$_____________N/A______________RM6 MIRRORS-EXTERIOR REARVIEW HEATED AND REMOTE

CONTROLLED

$_____________N/A______________SP SKID PLATES

Exterior Paint

$_____________Package______________CPT PAINT-CUSTOM COLOR

Doors and Windows

$_____________Stand Alone______________KA SAME KEY ON ORDER

$_____________Stand Alone______________RKE REMOTE KEYLESS ENTRY

Lights and Lighting

$_____________Stand Alone______________SL SPOTLIGHT

Interior

$_____________N/A______________AP ADJUSTABLE OPERATING PEDALS

Radio

$_____________N/A______________DR DELETE RADIO

$_____________N/A______________RAX AM/FM RADIO with AUXILIARY INPUT

Seats

$_____________N/A______________DSS DRIVER'S SEAT, SUSPENSION TYPE

$_____________N/A______________DSS2 DRIVER & PASSENGER'S SEAT, SUSPENSION TYPE

Safety

$_____________N/A______________AVSC AUTOMATIC VEHICLE STABILITY CONTROL

$_____________Package______________CBU4 4 WAY CAMERA SYSTEM

$_____________Stand Alone______________DAOH AIR HORNS, DUAL

$_____________Stand Alone______________DCAM DRIVING CAMERA

$_____________N/A______________SIAB SIDE SUPPLEMENTAL RESTRAINT SYSTEM, ROW1

$_____________Stand Alone______________SBMS SEAT BELT MONITORING SYSTEM

Tires and Wheels

$_____________Package______________AT ALL TERRAIN TIRE TREAD

$_____________Stand Alone______________STA SPARE TIRE ASSEMBLY

$_____________N/A______________TJ TOOLS-TIRE REMOVAL AND JACK

$_____________Package______________TT ALL TERRAIN TREAD--REAR TIRES ONLY

Page 5 of 6706/30/14

AMBULANCE, TYPE I-AD, CONV. CAB-CHASIS, ADDITIONAL DUTY IN ACCORDANCE WITH FEDERAL STANDARDS 307 DATED JULY 1, 2014

$_____________Stand Alone______________ALW ALUMINUM WHEELS

Towing

$_____________Standard______________FTH FRONT TOW HOOKS

Military Use Only

$_____________Package______________CFGA ARMY CONFIGURATION

$_____________Package______________CFGN NAVY CONFIGURATION

$_____________Package______________CFGM USMC CONFIGURATION

Vendor Furnished Body Items

$_____________Stand Alone______________UCT UNDERCOATING

$_____________Stand Alone______________K19A TWO GROUP 31 BATTERIES In Addition to OEM BATTERIES

$_____________Stand Alone______________B14 BODY LENGTH, 14 FEET

$_____________Stand Alone______________K21 SEVERE WEATHER INSULATION PACKAGE

$_____________Stand Alone______________K31 AUTOMATIC TIRE CHAINS

$_____________N/A______________K39 VELVAC 2020 DELUXE MIRRORS

$_____________Stand Alone______________K41 POLISHED CAST ALUMINUM FENDERETTE

$_____________Stand Alone______________PLV POWER LOCKS ON BODY

$_____________Stand Alone______________RBV RUNNING BOARDS

General Ambulance Options

$_____________Stand Alone______________CPD SEE THROUGH DOOR ILO ROLL UP DOOR

$_____________Package______________K07 DELETE COT, FURNISH MOUNT ONLY (REQ K05)

$_____________Stand Alone______________K10 NCG O2 OUTLETS IN LIEU OF OHIO STYLE O2 OUTLETS

$_____________Stand Alone______________K13 NATO LITTER ACCOMMODATIONS ON SQUAD BENCH

$_____________Stand Alone______________K27 TEMPERATURE CONTROLLED DRUG COMPARTMENT

$_____________Stand Alone______________K32 ADDITIONAL ANTENNA & POWER LEAD (2 ARE STD)

$_____________Stand Alone______________K37 ADDITIONAL 12 VDC POWER LEAD FOR PORTABLE EQPT

(2 ARE STD)

$_____________Stand Alone______________K40 SERVICE BEFORE OVERSEAS DELIVERY

$_____________Stand Alone______________K46 "H" 02 CYLINDER RACK

$_____________Package______________K49 110/12 Volt Heat & AC Combination Unit

$_____________Package______________K50 120VAC HEATER UNDER ATENDANT'S SEAT

$_____________Package______________K52 DELETE SLOT ON FACE OF SQUAD BENCH

$_____________Package______________K53 DELETE LONG-BOARDS, SHORT-BOARDS, AND STRAPS

$_____________Stand Alone______________SG SLIDING SIDE GLASS WINDOW

$_____________Stand Alone______________CAL ALUMINUM INTERIOR CABINETS

Warning Light (Additional)

$_____________Stand Alone______________CRS CALIFORNIA STEADY RED

$_____________Stand Alone______________K28 CAST ALUMINUM EMERGENCY LIGHT HOUSINGS

$_____________Package______________K51 OPTICOM DEVICE

$_____________Package______________K51V OPTICOM DEVICE, VISUAL

$_____________Stand Alone______________K34F FURNISH ADDITIONAL UPPER FRONT WARNING LIGHTS

Page 6 of 6706/30/14

AMBULANCE, TYPE I-AD, CONV. CAB-CHASIS, ADDITIONAL DUTY IN ACCORDANCE WITH FEDERAL STANDARDS 307 DATED JULY 1, 2014

$_____________Stand Alone______________K34R FURNISH ADDITIONAL UPPER REAR WARNING LIGHTS

Medical Package Option

$_____________Package______________K05 BASIC MEDICAL PACKAGE

$_____________Package______________K09 INVERTER, VANNER 1000 WATT (INCLUDED IN K05)

Cot Option - Require K05

$_____________Package______________K06C OPTIONAL FERNO-WASHINGTON 35X COT, (ILO 93ES)

$_____________Package______________K06D OPTIONAL STRYKER MX PRO R3 COT (ILO 93ES)

$_____________Package______________K06E OPTIONAL FERNO POWER FLEXX+ COT (ILO 93ES)

$_____________Package______________K06F OPTIONAL STRYKER POWER PRO XT COT (ILO 93ES)

$_____________Package______________K06G FERNO-WASHINGTON 28Z, CHAIRCOT (ILO 93ES)

$_____________Package______________K06H STRYKER MX PRO BARIATRIC (ILO 93ES)

ALS Option

$_____________Package______________K04 CPR SIDE SEAT w/ ORD

$_____________Stand Alone______________K01E Side Facing EMSP Seating

Intercom Option

$_____________Stand Alone______________K43 DAVID CLARKE INTERCOM SYSTEM

Special Paint

$_____________Package______________K15 RED CROSS MARKINGS

$_____________Package______________K15A SHIP LOOSE, ALL EXTERIOR MARKINGS, LETTERING &

BELTS

$_____________Package______________K15B DELETE REFLECTIVE ORANGE BELT--ADD REFLECTIVE

RED BELT

$_____________Package______________K15D DELETE ALL EXTERIOR MARKINGS

$_____________Package______________K22 SPECIAL PAINT, TONE DOWN GREEN

$_____________Package______________K23 SPECIAL PAINT, DESERT SAND

$_____________Package______________CPTB PAINT-CUSTOM COLOR BELTLINE DOWN

Delivery outside CONUS

$_____________N/A______________CNSA CONSIGNEE DELIVERY ALASKA (NO DEALER PREP)

$_____________N/A______________CNSG CONSIGNEE DELIVERY GUAM (NO DEALER PREP)

$_____________N/A______________CNSH CONSIGNEE DELIVERY HAWAII (NO DEALER PREP)

$_____________N/A______________CNSP CONSIGNEE DELIVERY PUERTO RICO (NO DEALER PREP)

$_____________N/A______________DDRA DEALER DELIVERY ANCHORAGE, FAIRBANKS OR

JUNEAU, AK

$_____________N/A______________DDRG DEALER DELIVERY GUAM

$_____________N/A______________DDRH DEALER DELIVERY HAWAII

$_____________N/A______________DDRP DEALER DELIVERY PUERTO RICO

Export Delivery

$_____________Stand Alone______________1611 OEM EXPORT DOCUMENT FEE

Miscellaneous

$_____________Stand Alone______________MIL DATA PLATE AND DD250

$_____________N/A______________PSM PARTS AND SERVICE MANUALS

Page 7 of 6706/30/14

AMBULANCE, TYPE I-AD, CONV. CAB-CHASIS, ADDITIONAL DUTY IN ACCORDANCE WITH FEDERAL STANDARDS 307 DATED JULY 1, 2014

$_____________N/A______________PSMA AIR FORCE PARTS AND SERVICE MANUALS

$_____________N/A______________PSME PARTS AND SERVICE MANUALS -- ELECTRONIC

$_____________N/A______________NMY NEXT MODEL YEAR VEHICLE

Warranty

$_____________Package______________AW2 ADDITIONAL WARRANTY 24 MO/24,000 MI

$_____________Package______________AW3 ADDITIONAL WARRANTY 36 MO/36,000 MI

Additional Requirements

$_____________Stand Alone______________AREQ ADDITIONAL REQUIREMENTS

Page 28 of 6706/30/14

AMBULANCE, TYPE I, CONV. CAB CHASIS W/ NARROW MODULAR BODY IN ACCORDANCE WITH FEDERAL STANDARDS 307

DATED JULY 1, 2014

OEM DataGSA Minimum Req.

Body/Chassis

ComplyAMBULANCE BUILDER PREP PKG

STTRIM LEVEL

DD3L63MFG. MODEL CODE

1100PAYLOAD lbs.

ComplyGROSS VEHICLE WEIGHT RATING (min/max- lbs)

Cab to Axle (CA) Measurement

84CAB TO AXLE, INCHES

Engine Minimums

6/6.7ENGINE TYPE - Cylinders / Liters

ComplyHORSEPOWER

ComplyTORQUE (lb ft)

COMPLYCOOLING SYSTEM

Engines

COMPLYDIESEL ENGINE

Alternative Fuel

COMPLYBIO DIESEL (B20) COMPATIBLE ENGINE

Engine Accessories

COMPLYENGINE BLOCK HEATER, OEM

COMPLYENGINE HOUR METER

Transmission

ComplyAUTOMATIC TRANSMISSION

Rear Axle Differential

COMPLYSPECIAL TRACTION DIFFERENTIAL, AUTOMATIC

DESTINATION CHARGE INCLUDED IN PRICE:

UNIT PRICE IS TO INCLUDE NEW VEHICLE PREPARATION AND DELIVERY TO CONSIGNEE, PORT OR DEALER.

Assembly Point:

Model Name:

OFFERORS SHALL FURNISH A PRICE FOR ALL AVAILABLE OPTIONAL EQUIPMENT LISTED BELOW. YOU ARE ADVISED THAT PRICING FOR BELOW THE LINE OPTIONS WILL BE EVALUATED FOR PRICE REASONABLENESS ONLY.

Net MSRP:Net Invoice:

/211.2

MPGTotalUnit PriceEst Qty/Fleet

Total

Line Item NO.

3500 AMBULANCE

Page 29 of 6706/30/14

AMBULANCE, TYPE I, CONV. CAB CHASIS W/ NARROW MODULAR BODY IN ACCORDANCE WITH FEDERAL STANDARDS 307

DATED JULY 1, 2014

Drive Axle

REARPRIMARY DRIVE AXLE

ComplyDIFFERENTIAL TYPE/RATIO

Electrical

ComplyDUAL ALTERNATORS, OEM

ComplyALTERNATOR, MIN. (Amps)

ComplyBATTERY, MIN. (CCA)

Fuel

Diesel DedicatedFUEL TYPE

ComplyFUEL CAPACITY MIN US GALLONS

Exterior

COMPLYEXTRA WIDE MIRRORS

Doors and Windows

COMPLYDOORS

left and rightKEYED DOOR LOCK(S)

COMPLYWIPERS-WINDSHIELD-INTERMITTENT

front onlyPOWER WINDOWS & DOOR LOCKS

Lights and Lighting

COMPLYDAYTIME RUNNING LIGHTS

Interior

COMPLYTILT STEERING

COMPLYAIR CONDITIONING

COMPLYCRUISE CONTROL

COMPLYPOWER STEERING

COMPLYUPHOLSTERY

Floor

COMPLYFLOOR COVERING

Radio

COMPLYAM/FM RADIO WITH COMPACT DISC PLAYER

Seats

COMPLYRECLINING BUCKET/CAPTAINS CHAIRS

5SEATING CAPACITY min.

Safety

ComplyBACKUP CAMERA

COMPLYPOWER ANTILOCK BRAKES, FRONT AND REAR

COMPLYRESTRAINT SYSTEM, ALL SEATED POSITIONS

COMPLYFRONT SUPPLEMENTAL RESTRAINT SYSTEM DRIVER &

FRONT PASSENGER

Suspension

COMPLYSUSPENSION/SHOCKS

Page 30 of 6706/30/14

AMBULANCE, TYPE I, CONV. CAB CHASIS W/ NARROW MODULAR BODY IN ACCORDANCE WITH FEDERAL STANDARDS 307

DATED JULY 1, 2014

Tires and Wheels

ComplyTIRES

ComplyTIRE PRESSURE MONITORING SYSTEM

Vendor Furnished Body Items

COMPLYBACK-UP ALARM

COMPLYPADDLE HANDLE DOOR LATCHES

COMPLYAUXILIARY A/C CONDENSER

COMPLYBODY EXTERIOR DOT LIGHTING, LED

General Ambulance Options

COMPLYAUTO-EJECT SHORELINE

COMPLYERGONOMIC DOOR HANDLES

COMPLYDELETE CURBSIDE O-HEAD COMPT

StandardNARROW BODY PACKAGE (90" MAX)

ComplyLED PATIENT COMPARTMENT LIGHTING

Warning Light Package Option

COMPLYLED WARNING LIGHTS

Special Paint

ComplyREFLECTIVE CHEVRON ON REAR

Delivery

DRIVE AWAYCONSIGNEE DELIVERY (NO DEALER PREP)

Warranty

3/36000OEM COMPREHENSIVE WARRANTY

3/36000OEM POWERTRAIN WARRANTY

3/36000OEM CORROSION WARRANTY

1/12000CONTRACTOR COMPREHENSIVE BODY WARRANTY

Option PricesOEM DataAdd ShipOptional Equipment

Engines

$_____________N/A______________IE1 Increased Power Engine 1

Engine Accessories

$_____________N/A______________FFP COOLANT HEATER-FUEL FIRED

Drive Axle

$_____________Stand Alone______________AWD OEM ALL WHEEL DRIVE

Electrical

$_____________N/A______________IA1 Increased Output Alternator 1

$_____________N/A______________IA2 Increased Output Alternator 2

Exterior

$_____________N/A______________SP SKID PLATES

Exterior Paint

$_____________Package______________CPT PAINT-CUSTOM COLOR

Page 31 of 6706/30/14

AMBULANCE, TYPE I, CONV. CAB CHASIS W/ NARROW MODULAR BODY IN ACCORDANCE WITH FEDERAL STANDARDS 307

DATED JULY 1, 2014

Doors and Windows

$_____________Stand Alone______________KA SAME KEY ON ORDER

$_____________Stand Alone______________RKE REMOTE KEYLESS ENTRY

Lights and Lighting

$_____________Stand Alone______________SL SPOTLIGHT

Interior

$_____________N/A______________AP ADJUSTABLE OPERATING PEDALS

Radio

$_____________N/A______________DR DELETE RADIO

$_____________N/A______________RAX AM/FM RADIO with AUXILIARY INPUT

Safety

$_____________N/A______________AVSC AUTOMATIC VEHICLE STABILITY CONTROL

$_____________Package______________CBU4 4 WAY CAMERA SYSTEM

$_____________Stand Alone______________DCAM DRIVING CAMERA

$_____________N/A______________SIAB SIDE SUPPLEMENTAL RESTRAINT SYSTEM, ROW1

$_____________Stand Alone______________SBMS SEAT BELT MONITORING SYSTEM

Tires and Wheels

$_____________Package______________AT ALL TERRAIN TIRE TREAD

$_____________Stand Alone______________STA SPARE TIRE ASSEMBLY

$_____________Stand Alone______________TJ TOOLS-TIRE REMOVAL AND JACK

$_____________Package______________TT ALL TERRAIN TREAD--REAR TIRES ONLY

$_____________Stand Alone______________ALW ALUMINUM WHEELS

Towing

$_____________Standard______________FTH FRONT TOW HOOKS

Vendor Furnished Body Items

$_____________Stand Alone______________UCT UNDERCOATING

$_____________Stand Alone______________K19A TWO GROUP 31 BATTERIES In Addition to OEM BATTERIES

$_____________Stand Alone______________K21 SEVERE WEATHER INSULATION PACKAGE

$_____________N/A______________K39 VELVAC 2020 DELUXE MIRRORS

$_____________Stand Alone______________K41 POLISHED CAST ALUMINUM FENDERETTE

$_____________Stand Alone______________PLV POWER LOCKS ON BODY

$_____________Stand Alone______________RBV RUNNING BOARDS

General Ambulance Options

$_____________Stand Alone______________CPD SEE THROUGH DOOR ILO ROLL UP DOOR

$_____________Package______________K07 DELETE COT, FURNISH MOUNT ONLY (REQ K05)

$_____________Stand Alone______________K10 NCG O2 OUTLETS IN LIEU OF OHIO STYLE O2 OUTLETS

$_____________Stand Alone______________K27 TEMPERATURE CONTROLLED DRUG COMPARTMENT

$_____________Stand Alone______________K32 ADDITIONAL ANTENNA & POWER LEAD (2 ARE STD)

$_____________Stand Alone______________K37 ADDITIONAL 12 VDC POWER LEAD FOR PORTABLE EQPT

(2 ARE STD)

Page 32 of 6706/30/14

AMBULANCE, TYPE I, CONV. CAB CHASIS W/ NARROW MODULAR BODY IN ACCORDANCE WITH FEDERAL STANDARDS 307

DATED JULY 1, 2014

$_____________Stand Alone______________K40 SERVICE BEFORE OVERSEAS DELIVERY

$_____________Package______________K49 110/12 Volt Heat & AC Combination Unit

$_____________Package______________K50 120VAC HEATER UNDER ATENDANT'S SEAT

$_____________N/A______________K52 DELETE SLOT ON FACE OF SQUAD BENCH

$_____________Package______________K53 DELETE LONG-BOARDS, SHORT-BOARDS, AND STRAPS

$_____________Stand Alone______________SG SLIDING SIDE GLASS WINDOW

Warning Light (Additional)

$_____________Stand Alone______________CRS CALIFORNIA STEADY RED

$_____________Stand Alone______________K28 CAST ALUMINUM EMERGENCY LIGHT HOUSINGS

$_____________Package______________K51 OPTICOM DEVICE

$_____________Package______________K51V OPTICOM DEVICE, VISUAL

$_____________Stand Alone______________K34F FURNISH ADDITIONAL UPPER FRONT WARNING LIGHTS

$_____________Stand Alone______________K34R FURNISH ADDITIONAL UPPER REAR WARNING LIGHTS

Medical Package Option

$_____________Package______________K05 BASIC MEDICAL PACKAGE

$_____________Package______________K09 INVERTER, VANNER 1000 WATT (INCLUDED IN K05)

Cot Option - Require K05

$_____________Package______________K06C OPTIONAL FERNO-WASHINGTON 35X COT, (ILO 93ES)

$_____________Package______________K06D OPTIONAL STRYKER MX PRO R3 COT (ILO 93ES)

$_____________Package______________K06E OPTIONAL FERNO POWER FLEXX+ COT (ILO 93ES)

$_____________Package______________K06F OPTIONAL STRYKER POWER PRO XT COT (ILO 93ES)

$_____________Package______________K06G FERNO-WASHINGTON 28Z, CHAIRCOT (ILO 93ES)

$_____________Package______________K06H STRYKER MX PRO BARIATRIC (ILO 93ES)

Intercom Option

$_____________Stand Alone______________K43 DAVID CLARKE INTERCOM SYSTEM

Special Paint

$_____________Package______________K15 RED CROSS MARKINGS

$_____________Package______________K15A SHIP LOOSE, ALL EXTERIOR MARKINGS, LETTERING &

BELTS

$_____________Package______________K15B DELETE REFLECTIVE ORANGE BELT--ADD REFLECTIVE

RED BELT

$_____________Package______________K15D DELETE ALL EXTERIOR MARKINGS

$_____________Package______________K22 SPECIAL PAINT, TONE DOWN GREEN

$_____________Package______________K23 SPECIAL PAINT, DESERT SAND

$_____________Package______________CPTB PAINT-CUSTOM COLOR BELTLINE DOWN

Delivery outside CONUS

$_____________N/A______________CNSA CONSIGNEE DELIVERY ALASKA (NO DEALER PREP)

$_____________N/A______________CNSG CONSIGNEE DELIVERY GUAM (NO DEALER PREP)

$_____________N/A______________CNSH CONSIGNEE DELIVERY HAWAII (NO DEALER PREP)

$_____________N/A______________CNSP CONSIGNEE DELIVERY PUERTO RICO (NO DEALER PREP)

Page 33 of 6706/30/14

AMBULANCE, TYPE I, CONV. CAB CHASIS W/ NARROW MODULAR BODY IN ACCORDANCE WITH FEDERAL STANDARDS 307

DATED JULY 1, 2014

$_____________N/A______________DDRA DEALER DELIVERY ANCHORAGE, FAIRBANKS OR

JUNEAU, AK

$_____________N/A______________DDRG DEALER DELIVERY GUAM

$_____________N/A______________DDRH DEALER DELIVERY HAWAII

$_____________N/A______________DDRP DEALER DELIVERY PUERTO RICO

Export Delivery

$_____________Stand Alone______________1611 OEM EXPORT DOCUMENT FEE

Miscellaneous

$_____________Stand Alone______________MIL DATA PLATE AND DD250

$_____________N/A______________PSM PARTS AND SERVICE MANUALS

$_____________N/A______________PSMA AIR FORCE PARTS AND SERVICE MANUALS

$_____________N/A______________PSME PARTS AND SERVICE MANUALS -- ELECTRONIC

$_____________N/A______________NMY NEXT MODEL YEAR VEHICLE

Warranty

$_____________Package______________AW2 ADDITIONAL WARRANTY 24 MO/24,000 MI

$_____________Package______________AW3 ADDITIONAL WARRANTY 36 MO/36,000 MI

Additional Requirements

$_____________Stand Alone______________AREQ ADDITIONAL REQUIREMENTS