Request for Quote (Long Form)

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Request for Quote (Long Form) Customer Information: Contact Company Address City Province/State Postal/Zip Code Phone Fax Email Trailer Information: Application: e.g. Dump Trailer # of Axles: Primary: Lift/Steer: Expected # of axles to be ordered: NOTE: Please fill out one form for each style of axle you are requesting (i.e. one form for steer axles, one form for primary axles). I have read and understand the Ingersoll Axle Warranty Statement. This can be found on our website. Section Description Page 1 Standard Axle 2 2 Drop Centre Axle 2 3 Manufactured Drop Axle 2 4 Steer Axle 2 5 Drum Brakes 3 6 Disc Brakes 4 7 Bearings, Seals, Hub Caps & Nuts 5 8 Inflation System 5 9 Axle Options 5 10 Suspensions 5 - Air Ride Suspension Form 6 FRMCS002 Rev. 3-Nov-17 1

Section 1: Standard Axles F22 (HM21824/212049 Tapered) F24 (HM518445 Parallel) F26 (759/740) K45 F23 (HM218248/X33213 European) F12 (with Flange only) Wall 1/2 (S-Wall) 5/8 (H-Wall) 3/4 (T-Wall) Solid 71.5 75.5 77.5 83 89 94 95 96 Other (please specify): Note: Standard track lengths are listed, if you require a different length, please specify in half-inch increments up to 144. If your track length is less than 60, please indicate any special clocking arrangements for air chambers and add a sketch, if possible. Our axle straightening process is capable of straightening axles from 31 to 89. Type Standard Inverted Drop 6 8 9 Wall Section 2: Drop Centre Axles F22 (HM218248/212049 Tapered) F24 (HM518445 Parallel) F12 (with Flange only) 5/8 (H-Wall) 3/4 (T-Wall) 71.5 77 84 86 Note: Standard track lengths are listed, if you require a different length, please specify in half-inch increments up to 144. Our axle straightening process is capable of straightening axles from 31 to 89. Wall Section 3: Manufactured Drop Axles F22 (HM218248/212049 Tapered) 5/8 (H-Wall) 3/4 (T-Wall) 71.5 77.5 83 89 94 96 Note: Standard track lengths are listed. If you require a different length, please specify in half-inch increments up to 120. Type Style Self-Steer (Leading King Pin) Smart Steer Section 4: Steer Axles Straight Drop Inverted Drop F22 (HM21824/212049 Tapered) F24 (HM518445 Parallel) Inline King Pin (Forced Steer) 71.5 77.5 84 86 Note: Standard track lengths are listed. If you require a different length, please specify in half-inch increments up to 144. Trailer Overall Width (tire out-to-out) Wheel/Rim Details Size: Inset Outset Value: Suspension Type Air Ride Spring Suspension Brand Lift Kit Ride Height Tire Size Suspension Model Part Number: Duals 11R22.5 275/70R22.5 Other: Singles 385/65R22.5 425/65R22.5 445/50R22.5 455/55R22.5 315/80R22.5 Other: Turn Angle 12 20 25 28 30 Other: *Requested Frame Width *Requested Axle Seat Out-to-Out *Based on tire size, turn angle, ride height, and rim details, Ingersoll Axle will calculate the maximum allowable size for these values. Ingersoll Axle will create an SSA Proposal for you to verify the setup and sign-off prior to ordering. FRMCS002 Rev. 3-Nov-17 2

Brake Shoe Type Section 5: Drum Brakes Quick-Change (Time) P-Type None Note: P-Type brakes are only available in 12 1/4 x 7 1/2 and 16 1/2 x 7. Spider Type Weld-On Bolt-On (16 1/2 ONLY) Standard Axles Section 5a: Brake Sizes 16 1/2 x 7 (20K Lining Only) 16 1/2 x 7 Superlife 16 1/2 x 8 5/8 Superlife 16 1/2 x 5 12 1/4 x 7 1/2 12 1/4 x 5 1/2 15 x 8 5/8 Superlife None Drop Centre Axles 16 1/2 x 7 Superlife 16 1/2 x 8 5/8 Superlife 16 1/2 x 5 None Steer Axles Manufactured Drop Axles 16 1/2 x 7 Superlife 16 1/2 x 8 5/8 Superlife 12 1/4 x 7 1/2 15 x 7 Superlife None 12 1/4 x 7 1/2 16 1/2 x 7 Superlife 16 1/2 x 8 5/8 Superlife None Brake Size Section 5b: Brake Linings 16 1/2 x 5 2020 16 1/2 x 7 IMT20 (White) 16 1/2 x 7 Superlife IMT23 (Red) IMT23HD (Purple) IMT25 (Gold) 16 1/2 x 8 5/8 Superlife IMT23HD (Purple) 12 1/4 x 7 1/2 IMT23 (Red) 12 1/4 x 5 1/2 IMT23 (Red) 15 x 7 Superlife IMT23HD (Purple) 15 x 8 5/8 Superlife IMT23HD (Purple) Section 5c: Camshaft Options Camshaft Type 10-Spline 28-Spline None Cam Enclosures Yes No Standard Axles Drop Centre Axles Manufactured Drop Axles 16 1/2 Brakes 10 1/2 20 5/8 23 3/4 26 5/8 12 1/4 Brakes 21 3/8 23 3/8 15 Brakes 20 5/8 23 3/4 26 5/8 16 1/2 Brakes 20 5/8 22 1/2 23 3/4 16 1/2 Brakes 7 1/2 9 1/8 9 5/8 12 1/4 Brakes 11 1/4 Note: Camshaft Options for Steer Axles will be determined by Ingersoll Axle Engineering department, based on your tire size. FRMCS002 Rev. 3-Nov-17 3

Hub Manufacturer Hub Style (Hub Pilot) Studs Phone: (226) 242-5291 Section 6: Disc Brakes If you are looking to order disc brakes for a Manufactured Drop Axle, please contact our engineering department. Wheel Size 17.5 19.5 22.5 Ingersoll Axle Standard Haldex (DB22LT) Haldex (ModulT) Caliper Brand Wabco (PAN) Bendix (ADB22X) Bendix (ADB22X-LT) Note: Haldex and Bendix calipers are only available for 22.5 wheel size. Hub and Rotor Package Ingersoll Axle Standard Ingersoll Axle Steel Conmet Aluminum (22.5 ONLY) Conmet Aluminum Preset (22.5 ONLY) Conmet Cast Steel (22.5 ONLY) Walther Aluminum (22.5 ONLY) Note: Air Chambers MUST be selected in disc brake application, if not, we will select the Ingersoll Axle Standard. Air Chamber Brand Service Chamber Size Section 5d: Hub & Drum Ingersoll Axle Standard KIC Walther Conmet Other: Cast (KIC/Walther) Aluminum (Conmet) Light Weight Steel (Walther) Preset (Conmet) Preset Plus (Conmet) 10-Stud Long 10-Stud Short 8-Stud Long 8-Stud Short Other: Bolt Circle (10-stud only) 335mm 285.8mm 11.25 Drum Style Cast Lightweight Other: Drum Manufacturer Ingersoll Axle Standard KIC Walther/Stemco Conmet Other: If you have chosen not to utilize our Hub & Drum, please indicate what Hub & Drum you are using: Brand: Ingersoll Axle Standard Ranger Haldex TSE Model Number: Note: This information allows us to pick the correct spider position for your axle. If you have not indicated what Hub & Drum you are using, we will choose the Ingersoll Axle standard. Adjuster Type Slack Adjuster Brand Section 5e: Slack Adjuster and Air Chamber Options Manual Automatic None Ingersoll Axle Standard Crewson Haldex Webb Arm Style Straight Curved Offset None Slack Length 5.5 6.0 Note: For 12 1/4 brakes, curved slacks must be selected. Cam Bracket Standard Haldex Note: If you have chosen to not install slack adjusters, please indicate what type of cam bracket you require. Air Chamber Brand Type Service Chamber Size Spring Brake Size Ingersoll Axle Standard Ranger Haldex TSE STD Long Stroke Long Life None 20 24 30 None 18 20 24 30 None 2024 2424 2430 3030 None Spring Brake Size 1824 2024 2430 Note: Bendix calipers are available with either Bendix Type 18 service chambers, or 1824 spring brakes installed for ADB22X model. FRMCS002 Rev. 3-Nov-17 4

Bearing Lubrication Lubrication Filled By Ingersoll Axle Bearing Brand Seal Brand Hub Cap Brand Section 7: Bearings, Seals, Hub Caps & Nuts Synthetic Oil Synthetic Grease (Chevron) Mineral Oil Grease Yes No (If you have chosen No to filling lubrication, please indicate which lubrication you are using so we can select the following options correctly.) Ingersoll Axle Standard Pre-Set (Conmet Only) None Ingersoll Axle Standard Stemco SKF (CR) National None Ingersoll Axle Standard Dual Dynamics Stemco SKF (CR) National None Nuts Standard with Star Washer Stemco Pro-Torq None Section 8: Inflation Systems Axle Prepped For PSI TIREMAAX Airgo Installation Prepped Partial (PSI Only) Full (PSI Only) None Prepped Includes drilling and tapping hole(s), installing required plug(s) and standard frost plugs in spindle. Partial Press plugs, stators, and hub caps installed, through-tee ship loose (to avoid damage), the rest of the kit, (control box and hoses) ordered from PSI. Full Partial kit with the rest of the kit ordered through Ingersoll Axle shipped loose. Section 9: Axle Options Dust Shields Dustshield Yes No If you are ordering a Standard Axle, Drop Centre Axle, or Manufactured Drop Axle, please indicate the style of dustshield you require. Dustshield Style Cone Flat Disc Brake ABS Components Block Only Block & Sensor None Sensor Brand Haldex Wabco Bendix Axle Paint Axle Primed Yes No NOTE: Any track length over 102 are not painted through our axle paint process. Would you like to add an Ingersoll Axle Suspension? Section 10: Suspensions Yes ISS Air Ride Suspension (If Yes, please fill out the applicable form in the following pages) No Would you like Ingersoll Axle to unitize an Yes No (If Yes, please fill out the fields below) alternative suspension? Brand Model Hanger Centres FRMCS002 Rev. 3-Nov-17 5

ISS - Air Ride Suspension Form Phone: (226) 242-5291 ISS-30K-17 TLS-SSA-WE-FHL-320-XXXX 1 2 3 4 5 6 7 8 1 SUSPENSION RATING 5 HANGER/PIVOT CONNECTION STYLE (25) 25,000 lbs (WW) WELD-ON ADJUSTABLE WELDED COLLAR (30) 30,000 lbs (WE) WELD-ON ADJUSTABLE ECCENTRIC COLLAR (WGE) WINGED WELD-ON ADJUSTABLE ECCENTRIC COLLAR 2 RIDE HEIGHT (BWx) BOLT-ON ADJUSTABLE WELDED COLLAR (14 THRU 19) TOP MOUNT (BEx) BOLT-ON ADJUSTABLE ECCENTRIC COLLAR (12 THRU 14) MID MOUNT (SFx) SIDE FLANGE ADJUSTABLE ECCENTRIC (9 THRU 12) LOW MOUNT (6.5 THRU 9) UNDERSLUNG/YOKE 6 LIFT KIT OPTION (NNN) NO LIFT KIT 3 TRAILING BEAM STYLE (FHL) FRONT HANGER LIFT (TIN) TOP MOUNT (UHL) UNDER HANGER LIFT (THT) TOP MOUNT (CHL ) CENTER HANGER LIFT (TL) TOP MOUNT LIFTABLE (TBL) TOP BEAM LIFT (TLS) TOP MOUNT LIFTABLE SHORT BEAM (U) LOW MOUNT 7 HANGER CENTRES (UL) LOW MOUNT LIFTABLE (320) 32 CENTRES (REF. 77.5 TRACK SSA) (ULT) TRUCK LIFTABLE (410) 41 CENTRES (REF. 77.5 TRACK) (US) UNDERSLUNG (475) 47.5 CENTRES (REF. 84 TRACK) (UY) YOKE MOUNT ETC. (UYD) YOKE MOUNT DISC 8 NON-STANDARD OPTIONS 4 AXLE STYLE (BLANK) NONE (SSA) SMARTSTEER (CHN) CHAIN RESTRAINT (STD) STRAIGHT DRUM BRAKE AXLE (GLV) GALVANIZED HANGERS & ASTPA (DSC) STRAIGHT DISC BRAKE AXLE (CBL) CABLE RESTRAINT (DRP) DROP CENTRE AXLE (INV) INVERTED DROP CENTRE AXLE (IKP) INLINE KING PIN AXLE ISS- K- TLS - SSA -WE-FHL-385- XX 1 2 3 4 5 6 7 8 ADDITIONAL COMMENTS This form has been provided for your convenience; we have attempted to cover all eventualities. If you have more information which you feel is pertinent, please enter it below. FRMCS002 Rev. 3-Nov-17 6