Regular Fire Board Meeting - October 27, 2021

OPTIONS FOR Gtnado Firc Depd ue t Gqnsdo, Aizotro

Pleasc indicate ifyou waot the following options by ini(ialiDg in the space to the left, iilling in tle appropriate spaces, and checkhg the yes/no boxes, then sign whcre indicated below. After completion, plcase rcrum rhis original form to our oflicc olong with the original proposal.

Thankyou!

L

Ferno Cot Mount Modcl #175-3 center mounted Set up for Cot Model # frll ir blank) ADD... Do you want this option? EYes trNo Strykcr Cot Moult Modcl #6370 center mountcd Set up forcot Modcl #_(fill in blank)

...,.No Charge initirls

1..

ADD...,.

No Charge

trYqs trNo

initials

.,.......Do you want this optioo?

_3.

Add cot safety hook.

ADD, Do you want this option?

.,$ 150.00 ioitials

trYes ENo

Stripes - PLEASE CHOOSE ONE _ Do you waot this option? _

4.

Slriping to remaiq. oo vehicle as showo...,....No Charge Remove all st ipcs.......^...................ADD $350.00

EYes trNo _initials

Delivery ofvehiclc to Gaoado, Arizona

ADD..........

.s2,650,00 itrilials

EIYes trNo

Do you ${nt this option?

Install rcdgold rcIIcttive chcrmns on rear ofombulance, (Choosc Option Below) Option li Outboard of the rear passage doors

6

ADD. Do you want this option?

.s850.00 initials

trYes trNo

Option 2: Outboard AND above thc rcar passngc doors ADD--..-...-.-..-.--.............- Do you wan( lhis optioo? ..............................$ I,000.00 EYes ENo initials Option 3: Whole rear including outboard, aboye and ote rear passage doors ADD.................... ... , ...............s I,?00,00 Do you want this optioq? EYes trNo

-initiols (NOTE: TIIIS PNCING DOES NOT INCLADE SALES UX)

APPROVED BY: (Plcase initiol abotc choice (s) & sign bclotrl

(Title)

(Prillled Name)

(Dote)

(Signaturc)