Ohio Bid Award No. 248-10 Odot Inspection Sheet

OHIO BID AWARD NO. 248-10 ODOT INSPECTION SHEET Vendor: Myers Equipment TESCO _____ Whitworth __ (LTN 10,500) (LTV 12,500 -14, 500) (LTV 12, 500 or 14,500) ODOT Inspection Date:_ ____ by ______1. Agency Name ODOT P.O. 2. ODOT Project Number 3. State Term Invitation/Award No. 248-10 Light Transit Narrow Body 4. Vehicle Manufacturer Ford Model F-350 Color Year 5. Vehicle Serial Number 1 Does serial number on door and vin number in window match? Yes No . Does serial number begin with a 1? Yes No - Do not accept vehicle Does vehicle have FMVSS sticker: Yes No, do not accept vehicle. Vehicle Weight ______6. Mileage ______Inspection Instructions: Place a check (√) next to all items that are in satisfactory condition. Place an “x” next to items that are deficient and explain problems further in the "Comments” section. LIGHTING ____ Headlights Turn signals ____ High beam ____ Front Right ____ Rear right ____ Backup lights ____ Low beam ____ Front Left ____ Rear left ____ Brake lights ____ Hazard lights ____ Rear lights ____ Rear warning signal ____ 12 Volt outlet ____ Four ceiling lights in interior of building _____ Horn ____ Automatic Transmission ____ Cruise Control ____ Vehicle height sign COMMENTS:

MIRRORS ____ Interior ____ Left exterior review ____ Right exterior ____ Right adj convex Rearview mirror adjustable/remote heated rearview mirror mirror adjustable/remote ____ Left adj convex heated mirror mirror

CLIMATE CONTROL Windshield Air Conditioning Heating ____ Wipers ____ Front A/C ____ Front heater ____ Radio/CD Player ____ Intermittent ____ Rear AC ____ Rear heater feature ____ High speed ____ Washer ____Low speed ____ Driver’s side sun visor COMMENTS: OHIO BID AWARD NO. 248-10 ODOT INSPECTION SHEET Vendor: Myers Equipment TESCO _____ Whitworth __ (LTN 10,500) (LTV 12,500 -14, 500) (LTV 12, 500 or 14,500) ODOT Inspection Date:_ ____ by ______

SEATS Driver’s Seat ____ All seats same color ____ Adjustable forward and backward ____” Seat Belt length ____ Adjustable back seat ____Seats at least 25.5” between ____ Seatbelt ____ Securely fastened to vehicle ____ Left Armrest _____ Aisle seats have armrests ____ Right Armrest ____ Jump seats working properly ____ Three Step Fold-away Seats working properly COMMENTS:

WINDOWS ____ Curbside Emergency Exit window _____ Opens ____ Emergency Exit Window Sticker ____Street side Emergency Exit Window _____ Opens ____Emergency Exit Window Sticker ____ Rear Emergency Exit Window or Door _____ Opens ____ Emergency Exit Window Sticker ____ All windows open and close COMMENT:

VEHICLE INTERIOR _____ Interior panels composed of a uniform, easily cleanable, scuff resistant material _____ Coved molding at junction of floor and sidewall panels _____” Aisle width (Must be at least 12”) _____” Floor to ceiling, (Must be at least 72”) _____ Standee line in contrasting color _____ Vertical Stanchion behind driver _____ Rubber floor covering ______Nonskid floor covering COMMENT:

TRANSIT ENTRYWAY ____ Door opens and closes ____ Two Steps ____ Three steps (Flat Floor Vehicle) ____ Left hand rail ___ Right hand rail ____ 32” Clear entryway ___Width of Stairs 30” ___Height of Stairs 9” ___First step 12” off of ground ____ Rubber covered steps ____ Slip Resistant ____ Lighted steps _____ Contrast marking on edge of steps ____ Outer edges of door weather stripped ___ Padded to protect passengers heads ____ Stanchion behind driver ____ Modesty panel on curb side _

COMMENT:

½” tolerance on all measurements OHIO BID AWARD NO. 248-10 ODOT INSPECTION SHEET Vendor: Myers Equipment TESCO _____ Whitworth __ (LTN 10,500) (LTV 12,500 -14, 500) (LTV 12, 500 or 14,500) ODOT Inspection Date:_ ____ by ______

MOBILITY SYSTEM _____ Ricon ____ Count Model______Braun ___ Cnt Model______Installed on curb side of vehicle _____ Lift door has window _____ Lights below lift _____ Lights on right and left of lift _____ Lift equipped with two handrails which move in tandem with lift _____ Lift deploys _____ Lift folds _____ Padded to protect passengers heads _____ All components of lift mechanism inside vehicle when lift door is closed. _____ Control Box _____ Place to store control box _____ Four point attachment system _____ Tracks flush with floor _____ Track distance (minimum 32”) _____ Mobility aid positions 30” x 48” _____ Provision for storage of belts and buckles when not in use COMMENT:

EXTERIOR _____ Front bumper _____Rear Bumper _____ Fuel tank outside passenger compartment _____ Front license _____Rear tow hooks _____ No rust on dents on any part of vehicle plate bracket _____ Driver’s side _____ Rear license plate _____ Protective guard over driveshaft running board bracket _____ Vehicle _____ Exhaust _____ Dual batteries accessibility symbol discharges within 6” of rear of vehicle Tires (Brand name and size) ______Matching full size spare tire _____ Standard driver’s door _____ Heavy duty mud flaps on all tires COMMENT:

SAFETY EQUIPMENT _____ Triangles _____ Metal First Aid Kit _____ 5 lb fire extinguisher _____ Two seatbelt cutters ____ Bloodborne pathogens spill kit COMMENT: FLUIDS _____ Oil _____ Brake Fluid _____ Transmission Fluid _____ Antifreeze _____ Windshield Fluid _____ Power Steering Fluid WARRANTIES _____ Lift Warranty _____ Tire Warranty _____ Chassis Warranty _____Rear AC Warranty _____ Rear Heater Warranty _____ Seat Warranty _____ Securement System Video COMMENT:

Agency: Vin #

Items that need to be repaired before delivery:

1. ______

2. ______

3. ______

4. ______

5. ______

6. ______

This paper should be delivered with agency delivery receipt. Sheet should be returned to ODOT with delivery receipt insuring all items have been repaired.

______Receiving Agency Signature Date 1. Agency Name ODOT P.O. 2. ODOT Project Number 3. State Term Invitation/Award No. 248-08 4 Vendor Name TESCO 5. Vehicle Manufacturer Ford Model F-350 Color Year 6. Vehicle Serial Number Does serial number on door and vin number in window match? Yes No Does serial number begin with a 1? Yes No - Do not accept vehicle Does vehicle have FMVSS sticker: Yes No, do not accept vehicle. Vehicle Weight ______7. Company Delivering Vehicle Driver’s Name 8. Date Notified of Delivery Delivery Date Delivery Mileage Inspection Instructions: Place a check (√) next to all items that are in satisfactory condition. Place an “x” next to items that are deficient and explain problems further in the "Comments” section. LIGHTING ____ Headlights Turn Signals ____ High Beam ____ Front Right ____ Rear Right ____ Backup lights ____ Low Beam ____ Front Left ____ Rear Left ____ Brake lights ____ Hazard Lights ____ Rear lights ____ Rear warning signal ____ 12 Volt outlet ____ Four ceiling lights in interior of building _____ Horn _____ Cruise control ____ Automatic Transmission ____ Vehicle height sign COMMENTS:

MIRRORS ____ Interior ____ Left exterior review ____ Right exterior ____ Right convex Rearview mirror adjustable/remote heated rearview mirror mirror adjustable/remote ____ Left convex mirror heated mirror

CLIMATE CONTROL Windshield Air Conditioning Heating ____ Wipers ____ Front A/C ____ Front Heater ____ Radio/CD Player ____ Washer ____ Rear AC ____ Rear Heater ____ Intermittent ____ High Speed Feature ____Low speed

____ Driver’s Side Sun Visor COMMENTS:

SEATS Driver’s Seat ____ All seats same Color ____ Adjustable forward and backward ____ Jump Seats working properly ____ Three Step Fold-away Seats working properly COMMENTS:

WINDOWS ____ Curbside Emergency Exit window _____ Opens ____ Emergency Exit Window Sticker ____Street side Emergency Exit Window _____ Opens ____Emergency Exit Window Sticker ____ Rear Emergency Exit Window or Door ______Emergency Exit Window Sticker Opens ____ All windows open and close COMMENT:

MOBILITY SYSTEM _____ Ricon Model ______Braun Model ______Vendor demonstrated use of lift. _____ Securement system video delivered _____ Number of cycles on lift _____ Storage system for securement devices COMMENT:

EXTERIOR _____ Accessibility symbol _____ No rust on dents on any part of vehicle _____ Full size spare tire

COMMENT:

SAFETY EQUIPMENT _____ Triangles _____ Metal First Aid Kit _____ 5 lb fire extinguisher _____ Two Seat belt cutters ____ Bloodborne pathogens spill kit COMMENT: FLUIDS _____ Oil _____ Brake Fluid _____ Transmission Fluid _____ Antifreeze _____ Windshield Fluid _____ Power Steering Fluid _____ ½ tank of fuel when delivered TEST DRIVE _____ Test Drive Completed Date ______COMMENT:

WARRANTIES _____ Lift Warranty _____ Tire Warranty _____ Chassis Warranty _____Rear AC Warranty _____ Rear Heater Warranty _____ Seat Warranty COMMENT: OHIO BID AWARD NO. 248-06 ODOT VENDOR PERFORMANCE FORM Vendor: TESCO Vehicle Model - LTN – Narrow Body Agency Name______Vin # ______ODOT Inspection Date:

OHIO DEPARTMENT OF TRANSPORTATION OFFICE OF TRANSIT

Please Note: ODOT wants to meet the needs of its customers. This form will help us provide you with quality vehicles and serve you with quality, customer oriented vendors. Please complete and return this form to ODOT.

Please check all items that apply and sign. Use the comment section; positive comments are as valuable to us as your concerns. This is your chance to voice your opinions regarding the Vendor as well as ODOT. VENDOR: Vehicle Type: TESCO State Term Invitation/Award No. ODOT Purchase Vehicle Serial Number: Order: Agency Name:

Contact Person: Signature:

Title: Phone:

Address:

Yes No N/A Yes No N/A DELIVERY – Did the vendor…. Contact you at least three weeks in advance to determine title language and delivery date? Contact you at least three days in advance of delivery to set a specific time and location?

WARRANTIES/MANUALS - Did the Vendor provide the following? Operator’s Manual Wheelchair Lift Warranty

Vehicle Maintenance/Inspection Schedules Vehicle Chassis Warranty Vehicle Body Warranty

Tire Warranty

List of service representatives for vehicle and related equipment

Was an explanation provided for any other warranties? If yes, please list:

8 OHIO BID AWARD NO. 248-06 ODOT VENDOR PERFORMANCE FORM Vendor: TESCO Vehicle Model - LTN – Narrow Body Agency Name______Vin # ______ODOT Inspection Date: Yes No N/A DEMONSTATIONS – Did the Vendor demonstrate use of the following? Wheelchair Lift

Wheelchair Tie-Down System

Emergency Exit Windows/Hatch

Other Special Equipment (Please List):

Did the Vendor assist you in inspecting and test driving the vehicle?

TITLE WORK – Did the Vendor ….

Obtain the needed signatures to process the title?

Provide you with a memorandum title?

Provide you with 30 day temporary tags?

Did the Vendor answer any and all questions regarding the vehicle and related equipment to your satisfaction? If not, please address in the comment section below. COMMENTS: All comments negative and positive, long or short regarding the Vendor and/or ODOT. Attach additional sheets if needed.

Please submit to Pat Pikula, ODOT, Office of Transit, 1980 W. Broad Street, 2nd Floor, Columbus, OH 43223.