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DocuSign Envelope ID: 890AB1BA- 173D- 46A1- B569- D7AE7E5CA4F3 <br />REMOUNT PRICING <br />Version 15.1 <br />95 <br />96 <br />WHEELBASE MEASUREMENT: <br />TBD <br />97 <br />98 <br />CURRENT CHASSIS ODOMETER READING (Required if Excellance takes ownership of the take -off chassis): <br />Over 200,000 <br />99 <br />100 <br />DESCRIPTION OF ANY CHASSIS DAMAGE (Required if Excellance takes ownership of the take -off chassis): <br />TBD <br />101 <br />102 <br />103 <br />Excellance to take ownership of Take -Off Chassis- Enter as a negative number the amount for the chassis <br />104 <br />credit here: <br />- 3,500.00 - 3,500.00 <br />105 <br />106 <br />MAKE THE CHASSIS ROADWORTHY <br />107 ( <br />1 ) THERE WILL BE NO ADDED WORK PERFORMED TO THE TAKE -OFF CHASSIS. <br />0.00 0.00 <br />120 <br />CHASSIS <br />121 ( <br />1 ) Dealer or Customer supplied chassis <br />400.80 400.80 <br />THE FOLLOWING FIELDS DESCRIBING THE NEW CHASSIS MUST BE FILLED OUT REGARDLESS OF WHO IS <br />125 <br />SUPPLYING IT <br />129 <br />ENTER MODELYEAR FOR NEW CHASSIS: <br />2018 <br />130 <br />ENTER MODEL OF NEW CHASSIS: <br />F550 4x4 <br />131 <br />ENTER MAKE OF NEW CHASSIS: <br />Ford <br />132 <br />ENTER CAB TO AXLE MEASUREMENT OF NEW CHASSIS: <br />108" <br />133 <br />ENTER WHEELBASE MEASUREMENT OF NEW CHASSIS: <br />189" <br />134 <br />135 <br />136 <br />THE REMOUNT WILL HAVE THE FOLLOWING WORK INCLUDED IN THE STANDARD BASE CONVERSION: <br />137 <br />CHASSIS INSPECTION <br />138 <br />Inspected for damage and defects upon delivery <br />139 <br />Test Drive <br />The chassis shall be inspected against (A) Excellance's Chassis order, and (B) the specifications supplied by <br />140 <br />the customer/ dealer. <br />141 <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 />142 <br />air conditioner, gauges, dome lights, turn signals, parking lights, etc.). <br />143 <br />144 <br />CHASSIS WORK TO BE PERFORMED <br />145 <br />Heat Shields shall be installed above the exhaust system. <br />146 <br />Chassis shall have undercoating applied. <br />147 <br />Exhaust modifications shall be performed as necessary. <br />148 <br />Air valve extensions shall be installed on the rear inner tires. <br />149 <br />New mounting hardware shall be installed including: Grade 8 bolts, washers, nylon lock -nuts, spacers, outriggers (Type I units only) <br />150 <br />New mounting bracket for the rear bumper shall be installed to the chassis frame. <br />151 <br />Chassis high idle system shall be connected and operational. <br />152 <br />Chassis electrical charging/ battery system shall be connected to the module electrical system. <br />153 <br />New Chassis emergency light wiring shall be installed (Grille, Intersection lights, etc.) <br />Rev:082013 3 of 14 11/30/2017 9:44 AM <br />