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DocuSign Envelope ID:791B8A8D-56E7-46E8-9C1E-E15DF599B542 <br /> REMOUNT PRICING <br /> Version 18.3 <br /> 94 CAB TO AXLE MEASUREMENT: TBD <br /> 95 <br /> 96 WHEELBASE MEASUREMENT: TBD <br /> 97 <br /> 98 CURRENT CHASSIS ODOMETER READING(Required if Excellance takes ownership of the take-off chassis): TBD <br /> 99 <br /> 100 DESCRIPTION OF ANY CHASSIS DAMAGE(Required if Excellance takes ownership of the take-off chassis): TBD <br /> 101 <br /> 102 <br /> 103 <br /> Excellence to take ownership of Take-Off Chassis-Enter as a negative number the amount for the chassis <br /> 104 ( 1 )credit here: -3,500.00 -3,500.00 <br /> 105 <br /> 106 MAKE THE CHASSIS ROADWORTHY <br /> 107 ( 1 )THERE WILL BE NO ADDED WORK PERFORMED TO THE TAKE-OFF CHASSIS. 0.00 0.00 <br /> 120 CHASSIS <br /> 121 ( 1 )Dealer or Customer supplied chassis 417.01 417.01 <br /> THE FOLLOWING FIELDS DESCRIBING THE NEW CHASSIS MUST BE FILLED OUT REGARDLESS OF WHO IS <br /> 125 SUPPLYING IT. <br /> 129 ENTER MODELYEAR FOR NEW CHASSIS: 2019 <br /> 130 ENTER MODEL OF NEW CHASSIS: F550 4x4 <br /> 131 ENTER MAKE OF NEW CHASSIS: Ford <br /> 132 ENTER CAB TO AXLE MEASUREMENT OF NEW CHASSIS: 1081, <br /> 133 ENTER WHEELBASE MEASUREMENT OF NEW CHASSIS: 1891, <br /> 134 <br /> 135 <br /> 136 THE REMOUNT WILL HAVE THE FOLLOWING WORK INCLUDED IN THE STANDARD BASE CONVERSION: <br /> 137 CHASSIS INSPECTION <br /> 138 Inspected for damage and defects upon delivery <br /> 139 Test Drive <br /> The chassis shall be inspected against(A)Excellence's Chassis order,and(B)the specifications supplied by <br /> 140 the customer/dealer. <br /> 141 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 air conditioner,gauges,dome lights,turn signals,parking lights,etc.). <br /> 143 <br /> 144 CHASSIS WORK TO BE PERFORMED <br /> 145 Heat Shields shall be installed above the exhaust system. <br /> 146 Chassis shall have undercoating applied. <br /> 147 Exhaust modifications shall be performed as necessary. <br /> 148 Air valve extensions shall be installed on the rear inner tires. <br /> 149 New mounting hardware shall be installed including:Grade 8 bolts,washers,nylon lock-nuts,spacers,outriggers(Type I units only) <br /> 150 New mounting bracket for the rear bumper shall be installed to the chassis frame. <br /> Rev:062818 3 of 17 1/8/2019 9:27 AM <br />