Attachment_G2_-_Schedule_of_Items_-_Ford.pdf

Page 8 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

XLTTRIM LEVEL

F450MFG. MODEL CODE

4000PAYLOAD lbs.

ComplyGROSS VEHICLE WEIGHT RATING (min/max- lbs)

Cab to Axle (CA) Measurement

ComplyCAB TO AXLE, INCHES

Engine Minimums

6.7LENGINE TYPE - Cylinders / Liters

ComplyHORSEPOWER

ComplyTORQUE (lb ft)

COMPLYCOOLING SYSTEM

Engines

FORD 6.7LDIESEL 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:

/210.2

MPGTotalUnit PriceEst Qty/Fleet

Total

Line Item NO.

F450 AMBULANCE

Page 9 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 10 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

COMPLY AUTO-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

COMPLYOEM COMPREHENSIVE WARRANTY

5/100000OEM POWERTRAIN WARRANTY

5/UNLIMITEDOEM CORROSION WARRANTY

COMPLYCONTRACTOR COMPREHENSIVE BODY WARRANTY

Option PricesOEM DataAdd ShipOptional Equipment

Body/Chassis

$_____________N/A______________GU GVWR REDUCTION

$_____________Package______________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 11 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

$_____________Stand Alone______________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

$_____________Stand Alone______________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

$_____________Stand Alone______________CBU4 4 WAY CAMERA SYSTEM

$_____________Stand Alone______________DAOH AIR HORNS, DUAL

$_____________Stand Alone______________DCAM DRIVING CAMERA

$_____________Standard______________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 12 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

$_____________Package______________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

$_____________Stand Alone______________K50 120VAC HEATER UNDER ATENDANT'S SEAT

$_____________Stand Alone______________K52 DELETE SLOT ON FACE OF SQUAD BENCH

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

$_____________Stand Alone______________SG SLIDING SIDE GLASS WINDOW

$_____________Standard______________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 13 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

$_____________Package______________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 14 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 34 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

ComplyTRIM LEVEL

F3GMFG. MODEL CODE

ComplyPAYLOAD lbs.

ComplyGROSS VEHICLE WEIGHT RATING (min/max- lbs)

Cab to Axle (CA) Measurement

ComplyCAB TO AXLE, INCHES

Engine Minimums

6.7LENGINE TYPE - Cylinders / Liters

ComplyHORSEPOWER

ComplyTORQUE (lb ft)

COMPLYCOOLING SYSTEM

Engines

Power StrokeDIESEL 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:

/211.3

MPGTotalUnit PriceEst Qty/Fleet

Total

Line Item NO.

F350 AMBULANCE

Page 35 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

Page 36 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

COMPLYNARROW 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

COMPLYOEM COMPREHENSIVE WARRANTY

5/100000OEM POWERTRAIN WARRANTY

5/UNLIMITEDOEM CORROSION WARRANTY

COMPLYCONTRACTOR 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

$_____________Stand Alone______________CPT PAINT-CUSTOM COLOR

Page 37 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

$_____________Stand Alone______________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

$_____________Standard______________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

$_____________Package______________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 38 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

$_____________Stand Alone______________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

$_____________Stand Alone______________K15D DELETE ALL EXTERIOR MARKINGS

$_____________Stand Alone______________K22 SPECIAL PAINT, TONE DOWN GREEN

$_____________Stand Alone______________K23 SPECIAL PAINT, DESERT SAND

$_____________Stand Alone______________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 39 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

$_____________Stand Alone______________AW2 ADDITIONAL WARRANTY 24 MO/24,000 MI

$_____________Stand Alone______________AW3 ADDITIONAL WARRANTY 36 MO/36,000 MI

Page 40 of 6706/30/14

AMBULANCE, TYPE II, VAN, INTEGRAL CAB-BODY, EXPORT IN ACCORDANCE WITH FEDERAL STANDARDS 307 DATED JULY 1, OEM DataGSA Minimum Req.

Body/Chassis

Comply AMBULANCE BUILDER PREP PKG

Comply TRIM LEVEL

Transit 350MFG. MODEL CODE

Comply PAYLOAD lbs.

Comply GROSS VEHICLE WEIGHT RATING (min/max- lbs)

Engine Minimums

3.2L PowerstrokeENGINE TYPE - Cylinders / Liters

190HORSEPOWER

346TORQUE (lb ft)

Comply COOLING SYSTEM

Alternative Fuel

Comply BIO DIESEL (B20) COMPATIBLE ENGINE

Transmission

Comply AUTOMATIC TRANSMISSION

Rear Axle Differential

Comply SPECIAL TRACTION DIFFERENTIAL, AUTOMATIC

Drive Axle

RearPRIMARY DRIVE AXLE

Comply DIFFERENTIAL TYPE/RATIO

Electrical

SingleDUAL ALTERNATORS, OEM

210ALTERNATOR, MIN. (Amps)

Comply BATTERY, MIN. (CCA)

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:

/212X.1

MPGTotalUnit PriceEst Qty/Fleet

Total

Line Item NO.

Transit Ambulance

Page 41 of 6706/30/14

AMBULANCE, TYPE II, VAN, INTEGRAL CAB-BODY, EXPORT IN ACCORDANCE WITH FEDERAL STANDARDS 307 DATED JULY 1, Fuel

Comply FUEL CAPACITY MIN US GALLONS

Exterior

Comply EXTRA WIDE MIRRORS

Doors and Windows

Comply DOORS left onlyKEYED DOOR LOCK(S)

Comply WIPERS-WINDSHIELD-INTERMITTENT front onlyPOWER WINDOWS & DOOR LOCKS

Lights and Lighting

Comply DAYTIME RUNNING LIGHTS

Interior

Comply TILT STEERING

Comply AIR CONDITIONING

Comply CRUISE CONTROL

Comply POWER STEERING

Comply UPHOLSTERY

Floor

Comply FLOOR COVERING

Radio

Comply AM/FM RADIO WITH COMPACT DISC PLAYER

Seats

Comply RECLINING BUCKET/CAPTAINS CHAIRS

Comply SEATING CAPACITY min.

Safety

Comply AUTOMATIC VEHICLE STABILITY CONTROL

Comply BACKUP CAMERA

Comply POWER ANTILOCK BRAKES, FRONT AND REAR

Comply RESTRAINT SYSTEM, ALL SEATED POSITIONS

Comply FRONT SUPPLEMENTAL RESTRAINT SYSTEM DRIVER &

FRONT PASSENGER

Suspension

Comply SUSPENSION/SHOCKS

Tires and Wheels

Comply TIRES

Comply TIRE PRESSURE MONITORING SYSTEM

Vendor Furnished Body Items

Comply BACK-UP ALARM

General Ambulance Options

Comply AUTO-EJECT SHORELINE

Page 42 of 6706/30/14

AMBULANCE, TYPE II, VAN, INTEGRAL CAB-BODY, EXPORT IN ACCORDANCE WITH FEDERAL STANDARDS 307 DATED JULY 1, Comply LED PATIENT COMPARTMENT LIGHTING

Warning Light Package Option

Comply LED WARNING LIGHTS

Special Paint

Comply REFLECTIVE CHEVRON ON REAR

Delivery

Comply CONSIGNEE DELIVERY (NO DEALER PREP)

Warranty

Comply OEM COMPREHENSIVE WARRANTY

Comply OEM POWERTRAIN WARRANTY

Comply OEM CORROSION WARRANTY

Comply CONTRACTOR COMPREHENSIVE BODY WARRANTY

Option PricesOEM DataAdd ShipOptional Equipment

Engines

$_____________Standard______________YD DIESEL ENGINE

Engine Accessories

$_____________N/A______________FFP COOLANT HEATER-FUEL FIRED

$_____________Standard______________EH ENGINE BLOCK HEATER, OEM

Exterior Paint

$_____________Stand Alone______________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

Safety

$_____________Stand Alone______________CBU4 4 WAY CAMERA SYSTEM

$_____________Stand Alone______________DCAM DRIVING CAMERA

$_____________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

Vendor Furnished Body Items

$_____________Stand Alone______________UCT UNDERCOATING

Page 43 of 6706/30/14

AMBULANCE, TYPE II, VAN, INTEGRAL CAB-BODY, EXPORT IN ACCORDANCE WITH FEDERAL STANDARDS 307 DATED JULY 1, $_____________Stand Alone______________K12 AUXILIARY A/C CONDENSER

$_____________Stand Alone______________K21 SEVERE WEATHER INSULATION PACKAGE

$_____________Stand Alone______________RBV RUNNING BOARDS

General Ambulance Options

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

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

$_____________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______________K50 120VAC HEATER UNDER ATENDANT'S SEAT

$_____________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

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

$_____________Package______________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______________CPTB PAINT-CUSTOM COLOR BELTLINE DOWN

Delivery outside CONUS

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

Page 44 of 6706/30/14

AMBULANCE, TYPE II, VAN, INTEGRAL CAB-BODY, EXPORT IN ACCORDANCE WITH FEDERAL STANDARDS 307 DATED JULY 1, $_____________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

$_____________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

Page 62 of 6706/30/14

AMBULANCE, AIR TRANSPORT, CONV. CAB CHASIS W/ MODULAR BODY IN ACCORDANCE WITH FEDERAL STANDARDS 307

DATED JULY 1, 2014

OEM DataGSA Minimum Req.

Body/Chassis

ComplyAMBULANCE BUILDER PREP PKG

ComplyTRIM LEVEL

F3GMFG. MODEL CODE

ComplyPAYLOAD lbs.

ComplyGROSS VEHICLE WEIGHT RATING (min/max- lbs)

Cab to Axle (CA) Measurement

ComplyCAB TO AXLE, INCHES

Engine Minimums

8/6.7LENGINE 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:

/216.1

MPGTotalUnit PriceEst Qty/Fleet

Total

Line Item NO.

F350 AMBULANCE

Page 63 of 6706/30/14

AMBULANCE, AIR TRANSPORT, CONV. CAB CHASIS W/ 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

ClothUPHOLSTERY

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

Page 64 of 6706/30/14

AMBULANCE, AIR TRANSPORT, CONV. CAB CHASIS W/ MODULAR BODY IN ACCORDANCE WITH FEDERAL STANDARDS 307

DATED JULY 1, 2014

Tires and Wheels

ComplyTIRES

ComplyTIRE PRESSURE MONITORING SYSTEM

Towing

COMPLYFRONT TOW HOOKS

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

COMPLYNATO LITTER ACCOMMODATIONS ON SQUAD BENCH

COMPLYAIR TRANS, 4 LITTER CAPABLE INC K13

COMPLYERGONOMIC DOOR HANDLES

COMPLYDELETE CURBSIDE O-HEAD COMPT

ComplyLED PATIENT COMPARTMENT LIGHTING

Warning Light Package Option

COMPLYLED WARNING LIGHTS

Special Paint

ComplyREFLECTIVE CHEVRON ON REAR

Delivery

Drive AwayCONSIGNEE DELIVERY (NO DEALER PREP)

Miscellaneous

COMPLYDATA PLATE AND DD250

Warranty

COMPLYOEM COMPREHENSIVE WARRANTY

5/100000OEM POWERTRAIN WARRANTY

5/UNLIMITEDOEM CORROSION WARRANTY

COMPLYCONTRACTOR 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

$_____________Package______________AWD OEM ALL WHEEL DRIVE

Electrical

$_____________N/A______________IA1 Increased Output Alternator 1

Page 65 of 6706/30/14

AMBULANCE, AIR TRANSPORT, CONV. CAB CHASIS W/ MODULAR BODY IN ACCORDANCE WITH FEDERAL STANDARDS 307

DATED JULY 1, 2014

$_____________N/A______________IA2 Increased Output Alternator 2

Exterior

$_____________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

$_____________Stand Alone______________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

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______________K32 ADDITIONAL ANTENNA & POWER LEAD (2 ARE STD)

Page 66 of 6706/30/14

AMBULANCE, AIR TRANSPORT, CONV. CAB CHASIS W/ MODULAR BODY IN ACCORDANCE WITH FEDERAL STANDARDS 307

DATED JULY 1, 2014

$_____________Stand Alone______________K37 ADDITIONAL 12 VDC POWER LEAD FOR PORTABLE EQPT

(2 ARE STD)

$_____________Stand Alone______________K40 SERVICE BEFORE OVERSEAS DELIVERY

$_____________Stand Alone______________K50 120VAC HEATER UNDER ATENDANT'S SEAT

$_____________Stand Alone______________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

$_____________Stand Alone______________K15D DELETE ALL EXTERIOR MARKINGS

$_____________Stand Alone______________K22 SPECIAL PAINT, TONE DOWN GREEN

$_____________Stand Alone______________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 67 of 6706/30/14

AMBULANCE, AIR TRANSPORT, CONV. CAB CHASIS W/ 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

$_____________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