APPENDIX A: INSURANCE CHECKLIST Items marked “X” are required to be provided if award is made to your firm. Required Coverage Required Limits of Liability (Denotes minimums) X Worker’s Compensation and Employers’ Liability; Admitted in Virginia Employers’ Liability All States Endorsement Voluntary Compensation Endorsement Best’s Guide Ration-A-VIII or better, or its equivalent Statutory Limits of the Commonwealth of VA Yes $100,000/$500,000/$100,000 Statutory X Commercial General Liability General Aggregate Products/Completed Operations Personal and Advertising Injury Fire Legal Liability Best’s Guide Rating-A-VIII or better, or its equivalent $1,000,000 Each Occurrence $2,000,000 $2,000,000 $1,000,000 $50,000 Per Occurrence X Automobile Liability Owned, Hired, Borrowed & Non-owned Motor Carrier Act End Best’s Guide Rating-A-VIII or better, or its equivalent $1,000,000 Combined Single Limit Bodily Injury and Property Damage Each Occurrence Prof. Errors and Omissions Best’s Guide Rating-A-VIII or better, or its equivalent $1,000,000 Limit Ea. Occurrence Garage Liability $1,000,000 CSL Ea. Occurrence Garage Keeper’s Legal Liability Best’s Guide Rating-A-VIII or better, or its equivalent Maximum of One Vehicle Maximum Value of All Vehicles Contractor X Umbrella Liability Best’s Rating-A-VIII or better, or its equivalent. $1,000,000
MISC. CHASSIS effect day time running headlights, dual pitch horn, reduced sound level exhaust, OEM standard undercoating, step-well pad and factory supplied jack and tire tools, dual air bags. We comply completely as specified We Do Not comply as specified FOG LIGHTS There will be a pair of PIAA 2100 Series -Xtreme White Plus Flog Lights mounted on the front bumper or grille guard with control switch on the front switch panel or dash. We comply completely as specified We Do Not comply as specified REMOTE ENTRY Remote Entry & anti-theft with two key FOB shall be included We comply completely as specified We Do Not comply as specified BLOCK HEATER SWITCH The chassis engine block heater shall be wired into the 110 volt shoreline system. It can be activated whenever the external power is applied to the shoreline inlet. In warm weather the switch on the side of the chassis console can be switched to "off' so as not to activate the heater when the shoreline is plugged in. We comply completely as specified We Do Not comply as specified STEALTH SWITCH A weather resistant rubber push button style lock override switch shall be installed in the front bumper or grille area of the chassis that unlocks at least the front driver door whether the unit is running or shut off. We comply completely as specified We Do Not comply as specified SPECIAL FRONT CONSOLE: A custom built front console shall be installed in the cab between the seats. This console shall hold the electronic siren head, have area left open for (3) radio heads, shall have cut outs for one or more 3 ring binders, one toughbook slot, and 2 cup holders. The console shall be covered with a spray on rhino like surface to prevent chipping and scratching.
patient in an emergency. NO EXCEPTIONS REAR ATTENDANT SEAT w/ EVS CHILD SEAT An attendant seat be located at the head of the primary stretcher. It shall be an EVS Brand high back captains chair with seamless vacuum formed cushions and a built in fold down Child Seat. The chair shall be mounted on a swiveling pedestal, shall slide forwards and backwards, and shall include a 3-point harness seat belt for attendant safety. We comply completely as specified We Do Not comply as specified REAR ATTENDANT SEAT / ACTION AREA CABINETRY Just rearward of the attendant seat, in the wall, a pull out writing board with a heavy duty locking slide track shall be installed for usage with filling out reports, setting the toughbook on while typing, and have a white glossy laminated surface useable as a dry erase board. We comply completely as specified We Do Not comply as specified Just the pull out writing tray shall be a cabinet with a flip down (horizontally / bottom hinged) plexiglas door latched by a Southco stainless steel latch. This cabinet shall be sufficient size for storing a clipboard, toughbook, or other items in. We comply completely as specified We Do Not comply as specified Directly beside the attendant seat shall be a sliding plexiglass cabinet in the aisle wall for general storage. This cabinet should be approximately 12"+ wide X 10” deep X 10” tall We comply completely as specified We Do Not comply as specified REAR DOORS HEADLINER Directly over the rear entry doors shall be a seamless padded cushion for head protection when exiting and entering the vehicle. We comply completely as specified We Do Not comply as specified OVERHEAD GRAB RAILS will be Two (2) full-length handicap style grab rails that shall be installed in the patient compartment ceiling. The grab rails shall each be powder coated yellow for high visibility. We comply completely as specified We Do Not comply as specified The grab rails MAY NOT be recessed into the headliner, as this takes away from the entire