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DocuSign Envelope ID: D329DEE1- 1083 - 4935- A32C- FCOODAA234AC <br />93 <br />94 <br />95 <br />96 <br />97 <br />98 <br />99 <br />100 <br />101 <br />102 <br />103 <br />107 <br />120 <br />121 <br />125 <br />129 <br />130 <br />131 <br />132 <br />133 <br />134 <br />135 <br />136 <br />137 <br />138 <br />139 <br />140 <br />141 <br />142 <br />143 <br />144 <br />145 <br />146 <br />147 <br />148 <br />149 <br />150 <br />151 <br />152 <br />153 <br />REMOUNT PRICING <br />Version 15.1 <br />CAB TO AXLE MEASUREMENT: <br />WHEELBASE MEASUREMENT: <br />CURRENT CHASSIS ODOMETER READING (Required if Excellance takes ownership of the take -off chassis) <br />DESCRIPTION OF ANY CHASSIS DAMAGE (Required if Excellance takes ownership of the take -off chassis): <br />THERE WILL BE NO ADDED WORK PERFORMED TO THE TAKE -OFF CHASSIS. <br />CHASSIS <br />Dealer or Customer supplied chassis <br />THE FOLLOWING FIELDS DESCRIBING THE NEW CHASSIS MUST BE FILLED OUT REGARDLESS OF WHO IS <br />SUPPLYING IT. <br />102" <br />TBD <br />Over 200,000 <br />WRECKED <br />ENTER MODELYEAR FOR NEW CHASSIS: 2018 <br />ENTER MODEL OF NEW CHASSIS: F550 4x4 <br />ENTER MAKE OF NEW CHASSIS: Ford <br />ENTER CAB TO AXLE MEASUREMENT OF NEW CHASSIS: 108 <br />ENTER WHEELBASE MEASUREMENT OF NEW CHASSIS: 189 <br />THE REMOUNT WILL HAVE THE FOLLOWING WORK INCLUDED IN THE STANDARD BASE CONVERSION: <br />CHASSIS INSPECTION <br />Inspected for damage and defects upon delivery <br />Test Drive <br />The chassis shall be inspected against (A) Excellance's Chassis order, and (B) the specifications supplied by <br />the customer/ dealer. <br />All loose equipment received with the chassis shall be inventoried and stored. <br />All chassis functions shall be tested for proper operation (accelerator, brakes, headlights, wipers, horn, radio, <br />air conditioner, gauges, dome lights, turn signals, parking lights, etc.). <br />CHASSIS WORK TO BE PERFORMED <br />Heat Shields shall be installed above the exhaust system. <br />Chassis shall have undercoating applied. <br />Exhaust modifications shall be performed as necessary. <br />Air valve extensions shall be installed on the rear inner tires. <br />New mounting hardware shall be installed including: Grade 8 bolts, washers, nylon lock -nuts, spacers, outriggers (Type I units only) <br />New mounting bracket for the rear bumper shall be installed to the chassis frame. <br />Chassis high idle system shall be connected and operational. <br />Chassis electrical charging/ battery system shall be connected to the module electrical system. <br />New Chassis emergency light wiring shall be installed (Grille, Intersection lights, etc.) <br />Rev:082013 <br />3 of 15 <br />3/26/2018 4:52 PM <br />