QUOTATION. Create Date: 04/21/2014 Quote No: /28/2014 Page 1 DESCRIPTION 1 == Type II /18/14 == 1 AMBULANCE CONVERSION
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1 QUOTATION Create Date: 04/21/2014 Quote No: /28/2014 Page 1 1 == Type II /18/14 == 1 AMBULANCE CONVERSION 1 Conversion, Type II -Ford, Marque Type 2 1 CHASSIS 1 Chassis, 2014 Ford E-350SD XL Extended Van, 138" WB V8 Gas Ford Chassis Standard Warranty - 3 Years/36,000 Miles 1 -- OEM Supplied - Jack w/handle 1 -- OEM Supplied - Lug Wrench 1 -- OEM Mirrors STD 1 -- Rubberized Vinyl Cab Flooring STD 1 -- Spare Tire, Installed Under Chassis 1 -- Idle Control, Electronic Throttle 1 -- Cab/Chassis Lighting Package, Ford E Warn. Light, Grille, Pass. Side, Whel 500 LED Warn.w/f -TII 1 -- Whelen, 500 TIR6, Red, LED, Color Lens w/flange 1 -- Whelen, 500 series Chrome Flange TIR6 Only -TII 1 -- Warn. Light, Grille, Driver Side, Whel 500 LED Warn.w/f -TII 1 -- Whelen, 500 TIR6, Red, LED, Color Lens w/flange 1 -- Whelen, 500 series Chrome Flange TIR6 Only -TII 1 -- Warn. Light, Inters., Pass Side, Whel 3x7 LED Warn. Ford Van 1 -- Whelen,3x7,Red,Super LED Flashing, Red Lens,w/o flange 1 -- Warn. Light, Inters., Driver Side, Whel 3x7 LED Warn. Ford Van 1 -- Whelen,3x7,Red,Super LED Flashing, Red Lens,w/o flange 1 -- Intersection Bezel, Pair, Whelen, Ford Van -TII 1 -- Siren Speakers, Whelen Behind the Grille, Ford E Series -TII 2 -- Deutsch water proof connector -TII 1 -- Console, Cab, Ford Engine Cover Mount, 1 CHASSIS COMPONENTS AND ACCESSORIES 1 Front End Alignment, None- QC Check -Standard 1 Roof Construction, Type II 1 -- Top, Fiberglass, Ford Van 1 Pass-Thru, Type II, w/ Sliding Plexi Window- Ford
2 05/28/2014 Page 2 1 UNDERCOATING and INSULATION 1 Insulation, Walls and Ceiling, R11 Fiberglass Batt (Type II) 1 EXTERIOR BODY TRIM and ACCESSORIES 1 Rear Bumper, Flip-up, Type II Ford 1 COMPARTMENT CONSTRUCTION and COMPONENTS 1 WINDOWS 1 ELECTRICAL FEATURES and COMPONENTS 1 12 VOLT POWER COMPONENTS 1 12 Volt Electrical System, Printed Circuit Board Volt Electrical System, Printed Circuit Board, Ford & Chevy 1 -- Door Open Indicator -Flashing red LED Light with buzzer 1 -- Flasher, Vanner, 9860GCPE, Standard 1 Alarm, Low Voltage, Audio/Visual 1 No Module Power Disconnect Switch (Master Switch) Required 1 12 Volt Recepts, Cigarette Lighter Style, (1) in A/A & (1) in RF 1 110/220 VOLT WIRING AND COMPONENTS Volt AC Wiring And Components 1 Shoreline, 20A Straight Blade 1 -- Recepts, (2) 110V AC Hospital Grade Duplexes (Type II) 1 No Inverter, Pre-Wire only (Standard) 1 -- Battery Charger/Converter, Progressive Dynamics 30 Amp 1 INTERIOR LIGHTING and COMPONENTS 1 Dome lights, Dual Filament Weldon 8046, Five (5) (Ford) 1 Dome Lights, Streetside Activate on Opening of Entry Doors 1 Dome lights, Additional, NONE 1 No Side Entry Stepwell Light Required 1 Action Area Light, Liteco 8" Slimline Incandescent 1 Spotlight, Handheld, Black,100,000 CP (Std.) 1 -- Spotlight Mounting Location, Hardwire to console 1 EXTERIOR LIGHTING and COMPONENTS 1 FRONT TOP EXTERIOR LIGHTING 1 LIGHTBARS 1 -- Lightbar, Front, None Required 1 -- Front Light Specs, Whel Hal Warn. -TII 1 -- Warn. Light, Front Passenger Side #1, Whel Hal-TII 1 -- Warn. Light, Front Center, Whel Hal -TII 1 -- Whelen,7x9,Clear,Halogen,w/o flange 1 -- Warn. Light, Front Driver Side #1, Whel Hal -TII
3 05/28/2014 Page 3 1 REAR TOP EXTERIOR LIGHTING 1 -- Lightbar, Rear, None Required, Whel Hal Warn.-TII 1 -- Warn. Light, Rear Passenger Side, Whel Hal -TII 1 -- Scene Light, Rear Passenger Side, Whel -TII 1 -- Whelen,4X6,Clear,26 deg Scene,w/o flange 1 -- Warn. Light, Rear Center, Whel Hal -TII 1 -- Whelen,4x6,Amber,Halogen,w/o flange 1 -- Scene Light, Rear Driver Side, Whel -TII 1 -- Whelen,4X6,Clear,26 deg Scene,w/o flange 1 -- Warn. Light, Rear Driver Side, Whel Hal -TII 1 -- Rear Scene Lights, Activate on Opening of Rear Entry Doors 1 -- Rear Scene Lights, Do NOT Activate on Reverse Gear 1 -- OEM 3rd Brake Light 1 CURBSIDE TOP EXTERIOR LIGHTING 1 -- Warn. Light, CS Front, Whel Hal -TII 1 -- Scene Light, CS Front, Whel -TII 1 -- Scene Light, CS Rear, Whel -TII 1 -- Warn. Light, CS Rear, Whel Hal -TII 1 -- CS Scene Lights, Do NOT Activate on Opening of Entry Door 1 STREETSIDE TOP EXTERIOR LIGHTING 1 -- Warn. Light, SS Front, Whel Hal -TII 1 -- Scene Light, SS Front, Whel -TII 1 -- Scene Light, SS Rear, Whel -TII 1 -- Warn. Light, SS Rear, Whel Hal -TII 1 -- Side Wall Scene Lights, Do Not Activate on Reverse Gear 1 WARNING LIGHT and HEADLIGHT FLASHERS 1 AUXILIARY LIGHTING 1 AUDIBLE WARNING DEVICES 1 Refer to Chassis Section Above for Correct Siren Speakers 1 Back-up Alarm, Auto Reset, 97 dba (Standard) 1 Siren, Whelen 295HFSA7 1 COMMUNICATION PROVISIONS AND EQUIPMENT 1 Intercom, Silent, (3) Code Lights w/ Buzzer 1 Antenna, Coax 1 Power Source, 12VDC, 20A, Ignition/Shoreline Hot
4 05/28/2014 Page 4 1 ENVIRONMENTAL SYSTEMS AND COMPONENTS 1 Heat / AC, Hoseline 12V Combo System-Type II Ford 1 -- Heat / AC System Installed Above Walk/Pass-Thru 1 Exhaust Fan, Single 12V Blower (Standard) 1 INTERIOR FEATURES and COMPONENTS 1 ENTRY DOOR FINISHES and COMPONENTS 1 Entry Doors, Liners, OEM (Type II Standard) 1 Entry Door Grab Handle 1 CEILING GRAB BARS 1 Grab Bar, Centered, 1" x 84" Stainless Steel (Std.) 1 UPHOLSTERY 1 Upholstery, Seamless Vinyl, Solid Color (Standard) 1 -- Select Vinyl Color (REQUIRED) -- 1 FLOOR COVERING 1 Flooring, Mohawk, Flor-ever, Brushed Pewter, # Flooring, NO rollup, Flat floor trimmed at cabinets, Standard 1 SILL, SCUFF and COT WHEEL PLATES 1 ATTENDANT'S SEAT 1 Attendant Seat, EVS 17803ET, Box Base 1 -- Seat, EVS 17803ET on Box Base (Wedgewood Blue) 1 CABINETRY PACKAGES 1 Interior Cabinetry, Plywood Type II Ford Select Cabinet Laminate Color (REQUIRED) -- 1 CEILING FINISHING 1 -- Headliner, Patient Compartment, Fiberglass, Ford T- II 1 ELECTRICAL (J-BOX) CONSTRUCTION 1 -- Electrical (J-Box) - Standard Configuration 1 ALS CABINET 1 -- ALS Cabinet - Standard Configuration, Ford Type II 1 -- Cabinet Above ALS Shelves IATS (Type II) 1 -- Cabinet, Left Front (Ford) 1 SQUAD BENCH and COMPONENTS 1 -- Squad Bench Base, Wood Construction w/ 18" Board Storage 1 -- Squad Bench Lid, Single, 3/4" Plywood
5 05/28/2014 Page Sharps and Trash Disposal, Recessed At Head Of Squad Bench 1 O2 CABINET 1 -- O2 Cabinet - Curbside Rear, Ford 1 STREETSIDE CABINETRY 1 -- Streetside Cabinetry - Standard Configuration, Ford 1 -- Streetside Lower Basewall, Ford Std Configuration 1 -- Streetside Upper Basewall, Ford Std Configuration 1 ACTION / MONITOR-DEFIB. AREA COMPONENTS 1 -- Countertop, Action Area, Formica 1 SHELVES and SHELVING COMPONENTS 1 -- Cabinet Shelves, 3/4" Plywood w/ Laminate 1 -- Cabinet Shelf Track, Aluminum, Cabinets 1 CABINET DOORS/WINDOWS and DRAWERS 1 -- Cabinet Doors/Windows, General 1 -- Plexiglas Color, Smoke 1 -- Door/Drawer Latch, Southco Flush Pull 1 MEDICAL SYSTEMS and COMPONENTS 1 OXYGEN SYSTEM and EQUIPMENT 1 Oxygen System - General 1 On-Board Oxygen Cylinder Bracket, Type II 1 Wrench, O2, Tether in Oxygen Cabinet 1 Oxygen Outlets, Ohio Style Quick Disconnect (1 in Action Area, 1 above Squad) 1 VACUUM SYSTEM and EQUIPMENT 1 -- Vacuum Outlet, (1) Ohio Style in Action Area 1 -- Vacuum Pump, Electric (Standard Type II) 1 -- Vacuum, Aspirator, RICO RS4X 1001C Disposable 1 IV SYSTEM and EQUIPMENT 2 IV Hangers, Perko Products Snap Hook Style 2 -- IV Hanger, Perko Products Snap Hook Style 1 BIO-WASTE CONTAINERS 1 Sharps Container, Straight Drop Style, 4-Quart, Installed 1 -- Sharps Container, Straight Drop Style, 4-Quart 1 Trash Container, 2 Gallon, Installed 1 -- Trash Container, 2 Gallon 1 COT AND STRETCHER EQUIPMENT 1 COT FASTENERS
6 05/28/2014 Page Cot Fastener, Ferno-Washington Single Position Specify Cot Mount Location Based on Cot Chosen 1 -- Bracket, Ford, Large, Ferno/Styker 1 STRETCHERS and EQUIPMENT 1 DECALS and LETTERING 1 K-SPEC LETTERING 1 STAR-OF-LIFE DECALS 1 CUSTOM DECALS 1 CUSTOM LETTERING 1 DECAL STRIPING 1 CHEVRON STRIPING - ON REAR OF UNIT 1 CHEVRON STRIPING - INTERIOR ENTRY DOOR 1 PAINT 1 CHASSIS PAINT 1 PAINT STRIPING 1 MISCELLANEOUS EQUIPMENT and COMPONENTS 1 Quick Clip Strap, RF Cabinet (Standard) 1 Interior Safety Signs (Standard) 1 Owner's Manual / Equipment Packet / OEM Manual 1 WARRANTIES 1 Warranty, Type II Ambulance Conversion, Structural, Electrical, General
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PART NO QTY DESCRIPTION
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Vehicle Information. Inspection Date : 22 Sep :02 PM. Inspection ID : Inspector : 4948
Vehicle Information Year : 1967 Mileage : 46 Brand : Chevrolet Exterior Color : Blue Model : Camaro Series : Trim Color : Trim Type : Other Vinyl Body Type : Convertible Drive Type : Rear Wheel Drive Engine