DEALER: CUSTOMER: Street or P.O. Box City, State, Zip Customer Contact: Sales Associate: VIN#: Chassis Model Yr MEDIX Model Penn Care Fishers Fire Department 2 Municipal Drive Fishers, IN 46038 Steve Davison Tony Crum TBD 207 Type I-AD 70- MSV II Unit #: 7-M CHASSIS BODY Ford F-450 Cab/Chassis, 6.7L Diesel, 93" WB, 6,500 GVWR 70"L x 96"W x 72" Interior Headroom QTY /OPT Description 5-M2-FD Chassis & Conversion 6-8 week lead time Liquid Spring Suspension Installation by Utility Bodywerks DS29FS3, see quote, the kit will be ordered through Utility Bodywerks; Requires Dump cancel switch that Medix will order and install - installed at the Curbside rear door on the wall - "L/S Dump Overrride" - p/n: MX0966. Dump cancel switch to be used as safety feature and tied to rear streetside door which automatically dumps when open. 0- Flooring & Interior Colors Cabinets: Laminated Wood- (Specify Color) Color: Titanium Upholstery: (Specify Color & compare to std. countertop color) Color: Black Brand: EVS EVS Cushions & Corner Padding Flooring: Lonseal- LonPlate (Diamond Plate) (Specify Color) Color: Gunpowder 424TX 02- Body & Chassis M-2 Standard Configuration This chassis is equipped with a Diesel Exhaust Fluid (DEF) System to meet the EPA Diesel Emissions Standards. OPT CHASSIS TO HAVE OEM ALUMINUM WHEELS OPT ZICO ARM REST MOUNTED ON CONSOLE OPT FRONT CONSOLE TO MATCH LAYOUT OF CONSOLE ATTACHED IN EMAIL OPT INSTALL HIDDEN UNLOCK SWITCH IN GRILL NOTE: Make sure to run wires and prep interior cabinets for cabinet lights in electrical section. All Exterior compartments coated with a light gray rubberized urethan material. Pass-Thru - No sliding Lexan, just OEM P/T Compartment Lights: Optronics ILL36CB LED Compartment lights- ALL Models DEL 99-0423 DELETE STANDARD Compartment Lights: Optronics ILL36CB LED Compartment lights- ALL Models Lights, Compartment, TecNiq Flexible LEDs: 9", 27", 36" 45", 54", Set of 8 Lights. Locate: Compartment #- () 45" E4-W00V- Locate: Compartment #2- (2) 27" E4-W06V- Locate: Compartment #3- (2) 45" E4-W00V- Locate: Compartment #4- () 36" E4-W08V- /4/7 2:0 PM Page DN of 9Penn Care- Fishers Indiana Medix MSVII Type I F-450 4x4
20000 Locate: Compartment #6- (2) 54" E4-W02V- Air Horns: Buell dual horns on wedge, momentary switch PN:MX0902 on front console, compressor, tank, fittings- Ford, Chevy, Sprinter. Make sure to order () 0" and () 2" airhorn. Note: Extend air inlet 3" away from compressor. Specify Location Horns: front bumper Compressor: #2 compartment Mod ################################################################ 2 99-0389 Divider: Compartment #, smooth aluminum vertical divider w/da finish (PN: 33-0-2938) fixed to rear wall. Note: fixed dividers 4" spacing from front wall, second divider 4" spacking from front divider 200280a Shelf: Adjustable, Smooth Aluminum w/da finish, Exterior Compartment - MSVII ONLY Specify Location: upper # between rear fixed divider and rear wall above the oxygen storage MOD ################################################################ MOD ################################################################ 2 Rear Entry Doors: Dual door system w/exterior/interior, locking paddle handles; fixed glass windows and Cast Grabber hold-opens. Sealed access to paddle handles in door panels. Stainless steel sill protector. Two-piece interior door panel. ################################################################ Drop Skirt - 4" on Curbside forward of the rear wheelwell. Taller front stone guard on passenger side and taller kickplate on passenger side. ################################################################ Curbside Entry Door Stepwell: Dual, smooth aluminum steps welded into door opening coated with Herculiner material. Stainless steel threshold trim. Dri-Dek insert on lower floor of step entry. ################################################################ 2 200280a "Shelf: Adjustable, Smooth Aluminum w/da finish, Exterior Compartment - MSVII ONLY Specify Location: UPPER SIDE BETWEEN CLOSE OUT FOR INTERIOR CABINETS AND REAR WALL DEL DELETE Divider: Aluminum w/da finish, vertical in back Board Compartment 3 99-0250 NEW Locate: Compartment #6-standardized location Shelf, Smooth Aluminum w/lip, DA finish, Adjustable for Backboard Divider - MSVII ONLY Locate: Compartment #6 on RH side of Divider - first shelf to be 40-inches up from floor All Entry Door paddle handle and rotary latching components will include emergency door releases located top and bottom of each door and shall meet the FMVSS 206 30G Test Requirement Power Door Locks: 207 F-SERIES, All Entry and Compartment Doors, INTERIOR MOD SWITCHES WILL ONLY UNLOCK THE MODULE LOCKS, 200200MSV NOT CAB DOORS.. Includes () switch by Curbside Entry Door interior in standard 4-position switch panel and () at Rear Curbside Wall - MSV II ONLY NOTE Do not order the standard vertical S.S. trim piece at the rear curbside entry door - there are (3) switches ILO the standard (2) switches - see print: 33-02590 /4/7 2:0 PM Page 2 DN of 9Penn Care- Fishers Indiana Medix MSVII Type I F-450 4x4
99-070 Power Door Locks: Key Pad, programmable for power door locks, located on driver's side cab door NOTE: Ford ONLY (Required for 207 Type ) 2 Running Boards: Diamond Plate, Type I w/starburst punch 2000 Fender Flares: Black rubber, ILOS stainless steel on MSV II 70 only. Rear Bumper: Cast Corner Pods w/dock bumper pads, Center grip-strut flip-up step, powder coated steel frame 99-0390 Rear Bumper Pods, Cast Aluminum w/medix Logo- ILOS ADP Pods 2 3 IV Hangers: (2) Cast black rubber fold-down over knee area of Cot and Squad Bench Mirrors, OEM: () heated/remote control on each cab door, () on interior windshield 4 DELETE Wheel Covers: Stainless steel covers w/valve Extenders 4 Stone Guards: (3) Lower body corners, ADP; () 4" taller ADP on Curbside front Kick Plate, Rear: ADP, below rear doors across to corner posts 99-046 Rub Rails: C-Channel, tapered ends, Lower Body off-set mount with neoprene spacers. Rub Rail Warning Lights, (4) Red E03-D00-, (2) Clear E03-W000- TecNiq Eon LEDs w/armored housings mounted in Rub Rail to alternate flash Red/Clear in Primary Mode, Off in Secondary Mode. R-C-R on each side of body. 2 Fuel Fill Bezel: Cast aluminum; DEF Fill Bezel: Cast Aluminum 2 Fuel Fill Scuff Plate: Stainless steel, below fuel fill bezel for Type I and DEF Fill bezel. Undercoating: Per Ford QVM Guidelines 99-0469 Spray Foam Sound Deadener/Sealant-on Curbside Stepwell and Rear Wheelwells 99-053 Sound Deadening Material: FatMat on Rear Wheel Wells. PN: FatMat 00 03- Brake, Turn & Back-Up Lights 300030 Lights: DOT, Brake/Tail, Turn, Back Up: Whelen 600 Series LED. (Package PNs: 60BTTC, 60A00TAR, 60C00VCR) ILOS ################################################################ 04- Electrical, Power Distribution, Control Center & Interior Lighting Battery Switch, Automatic: TST CDR-357- Located in Electrical Cabinet. 2 Batteries: OEM, 650 C.C.A. under hood 99-0764 ################################################################ for 207 F-SERIES ################################################################ 2 OPT Antenna, Radio Coax Cables: INSTALL (2) CUSTOMER SUPPLIED ANTENNA BASES LOCATED ON CHASSIS ROOF WITH COAX SERVICE LOOP, # MOTOROLA PUCK TO TERMINATE IN CAB CONSOLE ANTENNA NEEDS TO HAVE 3' ADDITONAL CABLE, #2 MDT TO CONSOLE ANTENNA NEEDS TO HAVE 3' ADDITIONAL CABLE /4/7 2:0 PM Page 3 DN of 9Penn Care- Fishers Indiana Medix MSVII Type I F-450 4x4
8 99-0525 99-0989 Lights: Dome, Whelen 9-diode, 80CBEHCR, (6) White, (3) Blue LEDs w/chrome flange- ILOS. Modify switching for Center lights; (6) White on Hiside, (3) Blue on Lo-side. Switch labeled "White" at top; "Blue" at bottom. MSV II Lights: Dome, Install temporary blank switch in electrical cabinet to activate Commander 357 battery switch when unit is being used for shows. Switch should be installed so that it is easily removable when the show is over and will not be left in the unit. Action Area Light: Whelen PSC0ADCR, 2 VDC LED Strip light, 6 diodes and On/Off switch on rear control panel USB Port: Vanner VSS-USB dual port 2Amp mounted on A/A wall USB Port: Vanner VSS-USB Flush Mount (2) port USB Receptacle mounted 99-0742 MOD on SQUAD BENCH WALL 99-067 ################################################################ 2 99-0550 Switch, Momentary Disable: For Scene/Load Lights. () Located on Curbside Wall in 4-position plastic bezel: MX0507. () Located on Rear Curbside wall in standardized position, no bezel required, vertical S.S. trim is punched for switch. Switch: Momentary, 5-Minute Timer for Dome Lights. Located in Positron switch panel in standardized position on Curbside Wall. (PNs:MX0950 switch, MX095 Timer) Locate: In 3rd switch position in standard Positron panel with Scene/Load and Power Door Lock overide switches by Curbside Entry door Timer: 5-minute check-out, wired to CS High mode dome lights 40060 Inverter: Vanner 20-050CUL- 000watt w/battery charger and built in GFI. Remote controlled w/switch in rear panel. (NOTE: this option deletes the GFI in the A/A wall.) Specify Location: Lower Cabinet "E" - make sure to vent RH door of cabinet. 40050 DELETE Standard Battery Charger (when adding Inverter with integral charger) 3 MOD 2 VDC Outlets: () in Action Area, (2) in ALS Cabinet 3 MOD 25 VAC Outlets: Duplex, located () in Action Area, (2) in ALS 99-0076 2VDC: 2 gauge power & ground, IATS Specify Location(s): ALS 99-0076 2VDC: 2 gauge power & ground, IATS Specify Location(s): SQUAD BENCH 40000 25 VAC: Duplex Outlet, IATS Specify Location(s): ALS Breaker Box: 25 VAC w/20-amp Breaker located in upper LH corner of exterior compartment #2. GFI receptacle located on the Action Area wall. DEL Delete Spotlight: 400,000 CP handheld, hard wired, w/momentary On/Off switch, located in cab ################################################################ 400270 Switches: Duplicate on CS Wall, () Heat/AC- On/Off; () Fan Speed; () SS Domes; () CS Domes in etched plastic bezel: MX0458 8 99-066 ################################################################ Locate: Upper Rear main cabinet "A", Action Area Overhead, (2) in Rear Overhead and () per each Squad Bench Overhead section in corner closest to the rear doors. 05- Warning Lights & Sirens /4/7 2:0 PM Page 4 DN of 9Penn Care- Fishers Indiana Medix MSVII Type I F-450 4x4
mod mod mod OPT 2 99-0650 Lights; Warning, Whelen LED EMERGENCY Lighting Package- Ford, Chevy Type I and Type III- MSV-II Models ONLY. NOTE: Does not include LED Scene or Load Lights. DELETE All standard halogen WARNING Lights. All LED lights shall have CLEAR Lenses. All emergency and scene lighting shall have chrome flanges in standard locations. Front of Body: Add (7) 9x7 Whelen LEDs- Specify pattern by LED Color (6) Red and () White: in R-R/W-R-W-R-R/W-R pattern. Outer (2) lights and () Center light flash on K-Spec flasher. Inner (4) flash independently on Light Bar switch on front console. Sides of Body: (4) Whelen 900 Series Red Super-LEDs: (2) each side in upper corners Rear of Body: (4) Whelen 900 Series Red Super-LEDs: (2) in upper outboard corners, (2) Mid-Body wired as Warning/Brake at the window level; () Whelen 900 Series Amber Super-LED in the center position over the rear doors. (2) Whelen 900 Series Amber Super-LED window level below the RED lights Brake, Turn & Back-Up Lights: Whelen 600 Series LEDs, (60BTT, 60A00TAR, 60C00VCR) Lights, Warning, Intersection Lights: (2) Whelen 700 Red LEDs w/chrome flanges on Front Fenders; (2) 7x3 LEDs moved to rearside of module mid level- wired to Pri/Sec Modes, (2) 7x3 LEDs moved to frontside of module mid level- wired to Pri/Sec Modes, LIGHTS ON REAR DOORS: (2) WHELEN 700 RED LEDS W/CHROME FLANGES WITH BRAKE OVERRIDE Lights, Warning, Grille: (2) Whelen 500 LED, on center grille bar, w/clear lenses and flanges, ILOS. RED - WHITE, (2) Whelen 500 LED, 2 99-065 4 50027 2 50027 Lights: Warning, () Whelen 500 Series TIR6 Red/Clear Super LED 50CR3ZCR Split mounted in Grille - IATS on LOWER grille bar, w/clear lenses and flanges WHITE - RED Light, Scene/Load, Whelen 900 Series Super-LED Gradient Opti- Scenelight - ILOS- (2) On each side of body Light, Scene/Load, Whelen 900 Series Super-LED Gradient Opti- Scenelight - ILOS- On rear of body Flasher: Dual mode flasher for Warning Light system, Vanner 9860GCPE 2 Siren Speakers: dual 00 Watt drivers mounted through the front bumper OPT Siren- CARSON SA44M 200 Watt 99-0277 Light, Warning, Door Open, (Qty. 3 for all entry doors): Whelen 2" T0A00FAR 5mm LED Amber w/tgrom2 rubber grommet Locate: () on each lower outboard corner of open rear doors; () on lower outboard corner of open Curbside Entry door. All three located above the kickplates. Light to flash when door is open. OPT INSTALL PIONEER PSL2BB LIGHT ON FRONT AC CONDENSER OPT INSTALL (2) WHELEN 600 LED FRONT TURN SIGNAL LIGHTS ON FRONT OF MODULE /4/7 2:0 PM Page 5 DN of 9Penn Care- Fishers Indiana Medix MSVII Type I F-450 4x4
99-0708 Lights: Warning, GTT 794H LED Emitter (Supplier P/N: 5-794H). Must be wired to de-activate when the vehicle is in park/neutral. (Transit Only) Location: FRONT MODULE UNDER AC CONDENSER 06- Oxygen, Vacuum & Miscellaneous Items Oxygen Outlets: Quick-connect style, 2-in Action Area, -over Squad Bench, 3 move one outlet from action area to ceiling Electric Oxygen with manual bypass and switch on A/A panel Suction Aspirator System: SSCOR disposable container mounted on Action Area panel w/sscor gauge and quick-connect; GAST vacuum pump mounted on ceiling of Compartment #2. Oxygen Cylinder Retention: Universal for "M" or "H" cylinder, steel w/3-spring buckle straps and top collar, powder-coated Safety Yellow color- in Compartment #. O2 Regulator: Amvex, 50psi, pre-set 07- AC / Heat HVAC System: High capacity Free Blow combination Heat-AC system, multispeed fan and thermostatic control in Action Area. HVAC unit mounted in Front bulkhead over Pass-Thru. 99-078 HVAC: ACC- Super Tie In "Hot Weather Pkg" w/front wall mounted external condenser mounted on painted 3/6" aluminum shelf bracket for E-450 (Condenser, Pump, Valve, threaded bulkhead connectors) Shelf p/n: 33-02897. Locate: Condenser to be mounted on painted, smooth aluminum shelf bracket on front wall of box ILO skirt mounted condenser. ACC to do install of condenser, not mounting of bracket. NOTE: PAINT WHITE TO MATCH TRUCK! 08- Cabinets, Hardware & Miscellaneous Items Main Streetside Wall Cabinets: Specify required configuration- OPT Cabinet Configuration- CPR Seat w/evs V-4 seat belt system and 2nd Action Area; includes () 25VAC and () 2VDC outlet in 2nd Action Area, extended cpr seat to double wide and eliminate second action area out outlets NOTE See option in Electrical Section for interior cabinet lighting - Make sure to run wires behind cabinets and drill holes in back wall Main Cabinet Wall: Reconfigure Streetside Cabinet Wall to eliminate the two (2) angled cabinets fore and aft of the CPR seat. The 2nd action area will be 8.625"w x 9.375"h. The CPR seat will be widened to 32 shifting forward and eliminating the recessed suction. This will reduce forward action area 99-072 modcountertop and overhead cabinet. The overhead cabinet fore and aft of the CPR seat will be squared off eliminating the angled cabinets. The upper rear cabinet will be flush with the face of the streetside cabinet wall. Note: do not order standard seat pad, it is wider now. delete cabinet aft of action area mod Restocking Feature, Interior Cabinet, Over 40" Width- Sliding Plex door w/hinged, keyed frame w/(2) Titan 20-pound gas struts and (2) springloaded elbow catches. /4/7 2:0 PM Page 6 DN of 9Penn Care- Fishers Indiana Medix MSVII Type I F-450 4x4
Locate: () Action Area Overhead cabinet Main Wall aisle-facing Cabinets will have () adjustable laminated wood shelf in each and sliding Lexan doors with full height extruded handles. Stainless steel trim on lower face. See Prints for Configuration. Action Area Overhead Cabinet: Full-height and depth aisle-facing cabinet w/sliding Lexan doors and full height extruded handles. Cabinet to extend full width of st Action Area. Action Area and Switch Panel: Laminated, sealed countertop and vertical panel with Suction system collection cannister, Vacuum gauge, (2) Oxygen outlets, () O2 Bypass, () USB, () 2VDC Outlet, and () 25VAC Outlet. Switch panel includes (4) switch positions, Thermostat and digital clock w/mode Buttons. MX056 Corian Countertop- st Action Area, Color: Gray Mist HL-027 w/eclipse HL- 039 top and perimeter accent lips. To extend over the edge of cabinet main. Delete countertop second AA DEL DELETE STANDARD Cabinet overhead, forward of CPR Seat: Beveled cabinet w/() adjustable shelf and (2) hinged /2" Acrylic doors w/round SouthCo latches on bevel side. CPR Seat, 2nd Action Area: Wider 32"W CPR seat w/hinged, latching lid, storage under seat w/trimark latch, EVS formed back rest and seat cushion cushion to be extended DELETE STANDARD Cabinet overhead, rear of CPR Seat: Beveled cabinet w/() adjustable shelf and (2) hinged /2" Acrylic doors w/round SouthCo DEL latches on bevel side. 4 800230 SouthCo Latches, Round, Metal, ALL Locking- cabinets on the front wall. ILOS each Locate: () Electrical Cabinet; () Tilt-out S/W under 2nd A.A.; () Pass- Thru Cabinet "D"; () Pass-Thru Cabinet "E". DELETE: Sharps/Waste Tilt-Out Cabinet: Below 2nd Action Area w/round SouthCo Locking latch. DELETE: Inside/Outside access to Compartment #3: With dual /2" Acrylic hinged doors w/round SouthCo latches OPT INSTALL CUSTOMER SUPPLIED KNOX MED VAULT 2 ON STREETSIDE WALL FACING THE ISLE OPT 99-058 INSTALL A PULL OUT DRAWER UNDER THE ACTION AREA WITH A LOCKING LATCH AND FOUR (4) ADJUSTABLE DIVIDERS FRONT TO BACK EVS Technician's Seat: w/child Restraint System, Rear facing automotive style chair with 4Pt seat belt mounted on SWIVEL Base- ILOS 4Pt seat. Seat Base: EVS SB-2 Swivel Base for EVS Technician's Seat 2 Front Wall Bulkhead Cabinets: Electrical Cabinet located above Tech Seat w/round SouthCo Locking, vented door; HVAC cabinet and filtered air return above Pass-Thru. ################################################################ Cabinet Above ALS: Open storage w/dual /2" Acrylic doors w/non-locking SouthCo round latches, () adjustable shelf. ALS Cabinet: w/ dual /2" Acrylic doors w/round SouthCo latches and (2) MOD adjustable shelf w/ LonPlate flooring. Glove Box Holders: (3) w/hinged, powder-coated steel door, in pad above Curbside Entry Door 99-0546 Cargo Net @ Head of Squad Bench- Type I / III (66, RP-90, MSV II) PN: 86-0723 Squad Bench: /4/7 2:0 PM Page 7 DN of 9Penn Care- Fishers Indiana Medix MSVII Type I F-450 4x4
Full length hinged lid w/trimark latch for access to interior storage 2 Full length upholstered seat cushion except over Sharps/Waste Area; formed upholstered back rest cushions and head pad for each seated position. (2) EVS V-4 Belted seating positions w/(3) short bottom straps for 2nd Patient 3 restraint 4 Stainless steel trim on lower face. Sharps/Waste: Drop-in style w/red polycarbonate hinged lid with standard containers, located at head of squad bench. DELETE: Cabinet, Squad Bench Overhead: w/ (2) flip-up /2" Acrylic doors with round SouthCo latches. (For Type I) OPT AT THE END OF THE FOOTEND OF THE SQUAD BENCH WALL, INSTALL TOP CABINET WITH CAFÉ DOORS AND () ADJUSTABLE SHELF, AND INSTALL (3) PULL OUT DRAWERS WITH (3) ADJUSTABLE DIVIDERS FRONT TO BACK, THESE CABINETS WILL HAVE A CLOSE OUT BUILT IN #6 COMPARTMENT 99-0745 99-292 99-0759 3 99-0759 3 9 99-83 Grab Handle: () 8", Powder Coated Safety Yellow,.25" SS w/radius Ends PN: G304-490356PCBY, IATS Location: Locate: Curbside rear inside rear doors on Compartment #6 interior cabinet wall w/backer plate. See Print. Matches the entry door grab handle style. Cabinet: Rear overhead, (2) hinge /2" Acrylic doors w/2" round Southco SS latches, () on each side of center mounted Clock, and Austin constant torque hinges, ILOS sliding Lexan doors. For MSV II Type III Grab/Assist Handles: Powder Coated Safety Yellow, all overhead, rear main and ALS mounted.25: SS handles w/radius ends- ILOS - Transit Only Grab/Assist Handles: Powder Coated Safety Yellow, all overhead, rear main and ALS mounted.25: SS handles w/radius ends- ILOS - Transit Only Reflective Striping- Alternate Red/White chevron pattern on smooth aluminum kick panel- mounted on each rear entry and curbside entry door Reflective Striping, Door Open Protection:.50" Red reflective striping around interior door pan of all body doors. Lights: Warning, Door Open, Whelen 3" 3SA00FAR 5mm LED Amber w/3flangec surface mount chrome flange mounted on lower outboard corner of the door for door open warning, (Qty. 3, on each entry door) 09- Cots & Miscellaneous Items 99-0728 Cot Mount: Install Customer supplied Stryker Power Load or Ferno Stat Trac, ILOS Mounting Location: center mount NOTE: For Non-CN-8 Compliant States only. Must have letter on State letter head in file for non-compliance. 0- Paint & Lettering mod Paint: Paint module and chassis red to match Fishers layout, per David Wood 7-24 opt Grayson Graphics to match Fishers Indiana layout, per David Wood 7-25 /4/7 2:0 PM Page 8 DN of 9Penn Care- Fishers Indiana Medix MSVII Type I F-450 4x4
00000 Roof Star ONLY, INSTALLED SHIP LOOSE 2 Fire Extinguisher: (2) 5 lb- Ship Loose is Standard TOTAL ORDER I have reviewed this Order and find it to be acceptable and ready to build. Date: Dealer Signature I have reviewed this Order and find it to be acceptable and ready to build with the addition of the attached, approved changes. Date: Dealer Signature ############################################################################################### /4/7 2:0 PM Page 9 DN of 9Penn Care- Fishers Indiana Medix MSVII Type I F-450 4x4