In Order to Better Serve You and Meet Your Schedule, This Form Must Be Completed and Signed s2

Motion Control Engineering Voice: 916 463 9200 iControl Traction Engineering Survey Form Fax: 916 463 9201 Doc #:42-FR-0449 A1 (JER117) LOGISTICS INFORMATION Page 1 of 12 www.nidec-mce.com

MCE to complete shaded area MCE Job Number: Date Received: Job Name: Job Engineer:

In order to better serve you and meet your schedule, Job Type this form must be completed and signed. Timely Federal Government State Government Other Government delivery and trouble-free installation begins with this data form. Accurate and complete information is School or University Courthouse Hospital essential. Non-response to a question will be Office Building Private Jail / Prison defined as meaning that the item does not apply. Other

Site & Contact Information Business Name: Site Address Contact Name:

Business Phone:

Cell Phone:

eMail: Owner Representative Address: Print Name:

Signature:

Title:

Business Phone: Cell Phone: Form Completed By eMail: Name:

Address: Business Phone:

Cell Phone: eMail: Address:

Contractor Information

Business Name:

Contact Name: Business Phone: Shipping Information Cell Phone: Ship To Address: eMail:

Address:

Notice Required: 24 hrs 48 hrs Lift Gate Truck Required: Yes No

Consultant Information Motion Control Engineering Voice: 916 463 9200 iControl Traction Engineering Survey Form Fax: 916 463 9201 Doc #:42-FR-0449 A1 (JER117) Page 2 of 12 www.nidec-mce.com LOGISTICS & CODE DATA

Logistics Information (continued) Delivery & Payment Schedule Standard MCE terms of payment (net 30 days) apply to your order. If you require special terms of payment, please provide an Alternative Payment Schedule. Per state tax laws, it is critical that MCE receive exemption or resale certificates prior to the material being shipped and billed. If the job is a tax exempt job, send the exemption certificate with this form. If you are a resale customer and have a resale certificate, please make sure that the MCE accounting department has a copy on file. Customer Job Number: Customer PO Number: Job Name:

Number of cars: Control Delivery Date Payment Date Car “ ”

Car “ ”

Group “ ”

Delivery & Payment Schedule If different payment terms are required, please provide an alternative proposal. Please include specifics of building owner payments and provide a copy of your contract. Alternative Proposal Provided: Yes No Contract Attached: Yes No Job Push-Outs and Cancellation Jobs pushed out by the customer more than 90 days beyond the originally scheduled date may be subject to cancellation charges as follows: * Before engineering commences: 10% of total sales order * After engineering completed: 30% of total sales order * After construction completed: 75% of total sales order Extra Documentation If this job requires additional engineering drawing packages or additional manuals, please indicate below. Drawing Sets # Required: Manuals # Required: Motion Control Engineering Voice: 916 463 9200 iControl Traction Engineering Survey Form Fax: 916 463 9201 Doc #:42-FR-0449 A1 (JER117) Page 3 of 12 www.nidec-mce.com

Elevator Safety Code Compliance Does project have job specifications? Yes Accurate information is essential. Both hardware and software are affected. No If yes, number of pages: Job Location (City/State): Have specifications been forwarded to MCE? Yes Contract Date: No Project Type: New Construction Modernization Elevator Duty: Passenger Service Freight Measurements: U.S./Imperial S.I./Metric North American Compliance: U.S. Canada ASME A17.1/B44 Edition: 2013 2010 2007 2004 2000 Addenda/Supplements: (None for A17.1-2010 and 2008(a) 2005(a) 2002(a) 2003(b) later) 2009(b) 2005(S) ASME A17.1-1996/98 ASME A17.1- (Specify edition & addenda) International compliance: Australia AS 1735 EN 81 Other (Specify): Additional jurisdictional code compliance: California medical facility OSHPD Seismic Certification (additional charge for certified cabinet) Chicago Chapter 18-30 Denver Pressurized hoistway GSA Hawaii Existing Door Reopen Button, Fire Houston, TX Phase I Maryland Permit/contract date prior to Michigan 6/21/2010? Nebraska New York City, Appendix K RS-18 NY Seattle, Multiple Phase I Switches Washington Washington # of 3-position: # of 2-position: State TSSA _____ Collapsible Car Top_____ Guard Rail Additional Compliance Requirements? Explain:

Job Specification Motion Control Engineering Voice: 916 463 9200 iControl Traction Engineering Survey Form Fax: 916 463 9201 Doc #:42-FR-0449 A1 (JER117) CONTROL INFORMATION Page 4 of 12 www.nidec-mce.com

Type of Operation Operating Features Simplex Attendant Service: Yes No Home Landing#: Floor Label: Annunciator Panel in Car ( Monitoring Hall Calls Registered ): Yes No Groupless Automatic (iComm-Connect w/o iCue) Car to Lobby Switch: Yes No Group Automatic (iCentral w/ enhanced iCue) Recall Landing: ___ Floor Label: _____ Park with doors: Open Closed Number of Cars: Number of Hall Call Risers: Location of switch: Car Hall Lobby Landing #1: Floor Label: Earthquake Service: Yes No Lobby Landing #2: Floor Label: Code Compliance: ASME California (Group II) Swing Car Operation Car(s): Machine Type: Traction Winding Drum Activated by keyswitch Seismic switch By MCE By Customer Switch location: Car Hall Autoswing ( w/ keyswitch) C/W derailment device By MCE By Customer iCentral Group to Controller Ethernet Cable Lengths: Earthquake light / Car to operate on fire or hospital 5’ 10’ 25’ 50’ 75’ 100 150’ buzzer service Standard 25 ft. Measure distance from group control (iCentral) to Emergency Power Operation: Yes No most distant iControl, add 10 ft. for inside cabinet connections. Does generator power cars from other banks? Yes No Order one cable for each iControl in the group. There is no daisy If so, is sequential lowering required amongst elevators from chaining. Each control will communicate directly with the group. different banks? Yes (Overlay req’d) No Destination-Based Dispatching? Yes No Number of cars allowed to run simultaneously: Lobby Boost Full DBD Split or multiple power feeders to the elevators? Yes No Cross Cancellation/Registration Panel (iCue required)* Status of EP contact during normal power: Open Closed Temporary hall call panel used during modernization process Power pre-transfer contact – 10 sec minimum: Yes No when existing dispatcher and MCE dispatcher are to operate Manual Selector Switch simultaneously as one dispatching system. Number of positions: Labels: Cross Registration Cross Cancellation Is switch located at the designated level in view of all *Copy of the existing hall call schematics must be provided. elevator entrances? Yes No (Indicator req’d) Existing Hall Call Bus Voltage: _____ AC DC Emergency Medical Technician (EMT) Service: Yes No Existing control type: Relay logic Microprocessor Flood Operation: Yes No Lowest landing that the car can go in an event of a flood: Fire Service Operation Landing: ___ Floor Label: _____ Fire Service Phase I NOTE: The designated and alternate fire recall floors should be at or above Main Landing #: Floor Label: this level. Doors will open: Front Rear Hospital Service (Code Blue): Yes No Phase 1 Switch is: 2-position 3-position Which Cars Used: ______Floors Served: _____ Alternate Landing #: Floor Label: In car activation: Keyswitch Other None Doors will open: Front Rear In car indicators: Yes No NOTE: For flood hazard zones, the designated and alternate fire recall floors should be at or above the base flood elevation. Independent Service: Yes No Key switch location: Hall Car Additional 2-position switch: Yes No Sabbath Operation: Yes No For Federal jobs, location of additional 2-position switch: Timed Fan Light Output: Yes No Landing #: Floor Label: Used to turn cab fan/lights off after a user-adjustable length of time (5 to 10 Hoistway sensors: At or below lower level of recall minutes) if the car is at a floor on automatic operation with the doors closed Above lower level of recall and no demand. “Elevator Control Panel” (Chicago High Rise only)

Fire Service Phase II Type of switch: 3-position 2-position Call Cancel Button: Yes No Additional Fire Operation Requirements for Nassau County NY, Detroit MI, or GSA/Federal Jurisdictions: Shunt Trip Delay Heat Detectors: ( MR HW Each floor ) Motion Control Engineering Voice: 916 463 9200 iControl Traction Engineering Survey Form Fax: 916 463 9201 Doc #:42-FR-0449 A1 (JER117) OPERATING FEATURES Page 5 of 12 www.nidec-mce.com

Inspection/Access Requirements If an iCOMM-CONNECT is being used, the iVIEW component supplied is not enclosed into any cabinet or enclosure. Car Top Inspection Station by MCE (NEMA 1 only) Yes No Extended Shaft Car Top Inspection Yes No (Bypasses 1st set of directional & final limits to move the car further up the hoistway during car top inspection; 2nd set of directional & final limits required, along with a separate multi-pole switch on car top complying with A17.1, 2.26.4.3.) Hoistway Access Operation Yes No Top access switch: Yes No Remote Monitoring (iMonitor/iReport/BMS/IDS) Switch location: Front Rear Bottom access switch: Yes No Remote Monitoring Required: Yes No Switch location: Front Rear Controller to be monitored by system that is: New Existing In-car Access switch must be 2-position type (OFF/ENABLE). Monitor size: 17”LCD (Std) Other( ) In-Car Inspection Switch: Yes No Computer Type: Desktop(Std) Laptop In-car Inspection switch must be 2-position type (INSP/NORM). Remote Access Hardware Features: (optional) In-car inspection using separate up/down buttons: Yes No Ethernet Hyper Extender VPN Router Monitoring Application: Load Weighing and Related Operating Modes iMonitor ( Campus View iLobby ) EMCO Rope Tension Load Weigher iReport (Printer required: Yes No ) EMCO Rope Tension Load Weigher, Car: IDS Liftnet Number of ropes: 4 5 6 7 8 BMS (Building Management System) Roping: 1:1 2:1 JACE Interface required: Yes No Rope diameter: 10mm 1/2 in 9/16in 5/8 in Existing Communication protocol: If additional cars use same roping, and more load weighers are Ethernet BACnet LONworks Modbus required, indicate quantity here: Monitoring system indicated is to be located at:

Security Room Engineer’s / Building Manager’s Office If car roping varies, provide information for each car below. Concierge Desk Other EMCO Rope Tension Load Weigher, Car: Number of ropes: 4 5 6 7 8 Security Roping: 1:1 2:1 Security Devices Rope diameter: 10mm 1/2 in 9/16in 5/8 in EMCO Rope Tension Load Weigher, Car: Car Call Cutouts: Yes No Number of ropes: 4 5 6 7 8 Card Reader Dry Contact Roping: 1:1 2:1 Contact Rating: 120VAC (Std) 24VDC Other Rope diameter: 10mm 1/2 in 9/16in 5/8 in Keyed floor lockout switches EMCO Rope Tension Load Weigher, Car: Switch Location: Car Hall Number of ropes: 4 5 6 7 8 Number of switches: Roping: 1:1 2:1 Car Call Code using Car Pushbuttons Rope diameter: 10mm 1/2 in 9/16in 5/8 in Hall Call Cutouts: Yes No Other Load Weighing Devices: Card Reader Dry Contact LW-MCEIP (Isolated Platform type required) Contact Rating: 120VAC (Std) 24VDC Other K-Tech Strain Gauge (from MCE) Keyed floor lockout switches K-Tech Strain Gauge (from other) Model: Switch Location: Car Hall Other Load Weigher Brand: Model: Number of switches: Discrete Load Weigher (Dry Contact Interface) Door Control Options During Security: Light load (Antinuisance) Allow Door Open Button to operate after doors closed at a secure Heavy load (Hall call bypass) floor? Yes No Overload Car allowed to park at secured floor? Yes No Machine Room Monitoring (iVIEW): Bypass Security? (Fire Service to bypass per code) iView is a graphical user interface used to configure, adjust, and troubleshoot the iControl platform. It can also be used for simple Independent Service Attendant Service machine room monitoring. It is typically used in a machine room Hospital Service Other ( ______) environment adjacent to the control equipment. Special Security Features: When utilizing an iCentral-Cue, the iVIEW component of the iControl is built into the group dispatching enclosure. Jail Security * Monitor size: 17”LCD (Std) Other( ) Deputy/Marshal Service* Machine room Printer required: Yes No Remote Car Station Control Motion Control Engineering Voice: 916 463 9200 iControl Traction Engineering Survey Form Fax: 916 463 9201 Doc #:42-FR-0449 A1 (JER117) Page 6 of 12 www.nidec-mce.com

Evacuation Service * Other * ( ) * additional details must be provided Child / Infant Abduction / Bracelet Operation Number of landings with detection device: At which landings: Landing #: Floor Label: Allow car to continue to run if not at affected landing: MACHINE ROOM & HOISTWAY Yes No Machine Room Hoistway Controller NEMA Requirement: Hoistway NEMA Rating: 1 12 4 4X 1 12 4 4X Other: If other than NEMA1, Controller ventilation type required: If other than NEMA 1, please consult MCE for additional options. AirConditioner Fans/filters By others Controller Location: Number of Hoistways In room with machine 1 2 Other: Other location MCE Landing System: Yes No Distance between controller and machine ( ft) If gearless machine to drive wiring is greater than 50’ Car Guides: Roller Slide (100’ for geared machine applications), a line choke iLand (Standard) may be required on AC drive/motor systems. Installation Note: Check for adequate spacing for: Motor Line Choke required: Yes No *Vertical clearance where overhead clearance is limited. Horizontal clearance when car sheave exists on cartop. Sound Reduction (additional cost) Yes No Note: iLand is not recommended on systems using slide (typically for contactors & dynamic braking resistors) guides due to wheel slip and contaminant issues. Isolation Transformer NEMA Requirement: MCE iLand pedestal: Yes No 1 12 4 4X * Roller clearance pedestal height: 14” 20” Isolation Transformer Location: *14” pedestal plus iLand height is 26” In same room with controller Secondary machine room *20” pedestal plus iLand height is 32” Other location LS-EDGE Tape length: ______(ft.) Number of Machine Rooms Live Axle Shaft Governor-mounted encoder with vanes 1 2 Other: Governor sheave diameter: 12” 16”; Traction Auxiliary Power Supply (TAPS): Live axle shaft diameter: ¼” 1” Yes No NOTE: The live axle shaft is an alternative positioning setup in Provide backup power for your AC controller, with sizing up to scenarios where the iLand may not be suitable. MCE does not 40HP applications. recommend use of this setup for elevators with a high rise or high Machine room space limitations? Yes No car speeds. Indicate enclosure space available. Otherwise, enclosure size Please consult with your MCE Sales rep for pricing details. based on job requirements. (Check entry hall and door sizes.) MCE TLS Switches: Yes No H x W x D Cartop (TLS-C- 12 16) Show existing equipment and distances to obstructions in all Hoistway (TLS-1 Number of switches required: ) directions. Guide rail size: 8 lbs to 12 lbs 15 lbs to 18.5 lbs 22.5 lbs to 30 lbs TM Switch (“Music Box”) Yes No MCE EECO Switches Yes No (Mechanical type, typically used for final limits) iControl Traveling Cable: Yes No ______(ft) Kellum Grips Yes No Saddle Bracket Yes No Please complete additional iControl cable data sheet. Motion Control Engineering Voice: 916 463 9200 iControl Traction Engineering Survey Form Fax: 916 463 9201 Doc #:42-FR-0449 A1 (JER117) Page 7 of 12 www.nidec-mce.com

Special Instructions: DC Brake (AC Brake control is not available for iControl) Enter Here Voltage: Pick: Hold: Coil Resistance: Measured Data Sheet Hot Cold Contact on Brake: Yes No Type: N/O N/C Machine Blower: Yes No Voltage: Phase: FLA: MOTOR, MACHINE & BRAKE

General Information Emergency Brake Line Voltage ASME A17.1-2000/CSA B44-00 or later requires the Rated: Measured: 60 Hz 50 Hz addition of an emergency brake on all new traction AC 3 Phase ( Symmetrical or Grounded Leg Delta*) elevators, per 2.19. Also note that some alterations may AC 2 Phase AC Single Phase DC trigger the requirement to add an emergency brake as * Isolation Transformer required well, depending on the Code edition (e.g., change in type Other Power Related Features: of service, operation or motion control; increase in rated Add isolation transformer: Yes No load or speed; changing the location of or replacing the Isolation Transformer Sequential Start: Yes No driving machine; or replacing the motion controller). TVSS (Surge suppressor) required: Yes No NOTE: The maximum controller SCCR (Short Circuit Current Rating) is Hollister Whitney Rope Gripper Thyssen Sheave 10kA. If available fault current exceeds 10kA, an isolation transformer will Brake be required. Please notify MCE. Reduced Stroke Buffers: Yes No Bode Rope Brake Other Buffer rating: fpm Buffer stroke: inches ( ______) Counterweight safety Yes No Secondary/Independent Brake on machine Governor tail sheave dislodged switch (OSHPD) Yes No Power Supply of Brake: 120VAC (Std) Other Jawless governor (tail sheave limit sw. req’d) Yes No If other, please specify:Voltage: FLA: Suspension-Means Monitoring (req’d for A17.1-2010 and later) Hoist Motor Steel wire ropes ≥ 8mm (Standard) Variable Frequency AC Steel wire ropes < 8mm * Existing New New by MCE Suspension means other than steel wire ropes * * For non-standard suspension means, the customer must provide Brand: HP: the Broken Suspension Member (2.20.8.2) or Suspension Member Voltage: FLA: # Poles: Residual Strength (2.20.8.3) monitoring means, including a Sync RPM: FL RPM: Frequency: normally closed contact. Controller Type For 2-speed motors, measure the high speed winding. (AC Regenerative Drive Req’d? Yes No) Other name plate data: iControl AC (Quattro Drive Required? Yes No) Variable Voltage DC iControl DC (Quattro Drive Required? Yes No) Existing New New by MCE Machine and Brake Brand: HP: Voltage: FLA: RPM: Machine Existing New New by MCE Brand: Other name plate data: Machine location: Overhead Basement MRL Shunt Field Voltage: Geared Ring & Worm Helical Forcing: Full Speed: Standing: External Tandem Shunt Field Resistance: (ohms) Gearless AC PM AC Induction DC Measured Data Sheet # of coils: Roping: 1:1 2:1 Series Series/Parallel For MRL Applications: Hot Cold Battery Backup Passenger Rescue with Video Loop Circuit Armature Voltage while running: Remote Governor Set / Reset (measured on motor brushes): Coil Voltage: AC DC Up empty car: VDC at speed: Brake Existing New Brand: Down empty car: VDC at speed: Motion Control Engineering Voice: 916 463 9200 iControl Traction Engineering Survey Form Fax: 916 463 9201 Doc #:42-FR-0449 A1 (JER117) Page 8 of 12 www.nidec-mce.com

Loop Circuit Current while running: Up empty car: Amps at speed: Down empty car: Amps at speed: Velocity Feedback Device By MCE By Customer Analog Tachometer (Mount: Flange Foot ) If gearless; Drive sheave diameter: (in) Diameter of surface to run tach: (in) Digital Velocity Encoder (shaft driven device) Encoder cable length (ft) Motion Control Engineering Voice: 916 463 9200 iControl Traction Engineering Survey Form Fax: 916 463 9201 Doc #:42-FR-0449 A1 (JER117) DOOR INFORMATION Page 9 of 12 www.nidec-mce.com

Door Information Automatic Passenger Style Doors Car Gate MCE Automatic passenger style doors SmarTraq Complete (Complete SmarTraq data forms) Powered freight style doors SmarTraq Upgrade (Upgrades existing operator to closed loop. Mark existing model below.) Manual doors GAL Other: MOVFR I Gate Release Solenoid (not standard) Yes No MOVFR II Voltage: 220VAC 110VAC (220 Voltage: AC 3-Phase AC 1-Phase DC is default if no selection made) MOMVC/MOHVC MOM/MOH Current/Fuse size: 2A 3A Other: MOD (230V) MOSVCL MOD (115V) MOPM-P/MOPM-PL MODHA MOCT/MOCTA/MODCT/ Hoistway Doors MOMCT/MOHCT Automatic passenger style doors MODVC/MODHVC Motor Voltage: 220 110 MOA Logic Voltage: 220 110 Powered freight style doors MAC/Kone Manual doors (complete below) PM-SSC/104 Board MAC (old style) Other: (complete below) AMD/Kone Interlock brand and model: TKE/Dover Closed contact Yes No HD03M HDLM HD68/70/73/91 Locked contact Yes No HD98/85 (Requires SmarTraq upgrade kit) Door locking cam Otis Retiring 6970A – Resistance 6970A – Reactance (not driven by automatic passenger style car gate) 7300 A7770A Voltage: AC 3-Ph AC 1-Ph DC 7782AA OVL Current / Fuse size: 2A 3A Other: iMotion 1 & 2 AT400 Fixed cam ECI Bar lock (manually operated) 895/1000 VFE2500 Mechanical 2000 Voltage: 220VAC 115VAC (220 is default if no selection made) (driven by automatic passenger style car gate) Other IPC Encore (closed loop) Mitsubishi LV1/4K Door Features Delco (closed loop) Schindler QKS 14 & 15 Infrared detector unit/photo eye Atlantic/Vertisys Model: Cut-out switch in COP Anti-Nuisance Other (wiring diagram required): Mechanical safety edge Heavy doors at landings (at which floor(s)): Powered Freight Style Doors Dual door operators on same side for wide opening Door Controller Model Cartop door open/close buttons Peelle New Existing (non solid state door operators) Model: (electrical schematic required) Door Hold Operation (Non-Fire Operation) Courion New Existing Pushbutton Switch Model: (electrical schematic required) If momentary, maximum hold time = 120 seconds EMS New Existing Nudging Model: (electrical schematic required) Reduced torque with buzzer Other New Existing Buzzer only Model: (electrical schematic required) Ignore photo eye after second interval Door Operation (freight only) If If safety edge or door open button activated, doors should: Opening: Automatic Momentary pressure Stop Re-open Closing: Automatic Momentary pressure Door open button Front Rear Constant pressure Door close button Front Rear Fire Ph. l Closing: Automatic Momentary pressure Constant pressure Motion Control Engineering Voice: 916 463 9200 iControl Traction Engineering Survey Form Fax: 916 463 9201 Doc #:42-FR-0449 A1 (JER117) FIXTURE INFORMATION Page 10 of 12 www.nidec-mce.com

Fixture Information Auxiliary Car Station Yes No Status Indicators Total Number of Car Stations in each car: Type Volts AC DC 1 2 3 4 Attendant Light/Buzzer Call Registration Indicators Attendant Service Annunciator Car: Incandescent LED Panel Indicators Voltage: AC DC Hall: Incandescent LED Call Registration Buzzer Voltage: AC DC Door Closing Warning Buzzer Serial Link Door Hold Light Call pushbuttons must be mechanical and fixtures must be 24VDC, 6 Watt maximum. Door Left Open Bell Car Calls (Optional – boards to be located behind car station) Earthquake Light / Buzzer Hall Calls (Standard – board located in each hall p/b station) EMT Service Light (Car, Hall) Serial fixture boards to be sent to fixture manufacturer / contractor Emergency Power Light for pre-wire? Yes (If so, indicate where below) No Fire Light / Buzzer Ship serial boards to:: Hospital Light / Buzzer C.E. Electronics EPCO Dupar Innovation Industries Monitor MAD In-Service Light ERM PTL In-Use Light Elevator Contractor Office Load Status Light Please indicate Contact Person / Number in Special Notes below Which boards to be sent?: COP Hall Station Nudging Buzzer Lanterns: Other: Hall Car (Indicate # of Jamb arrows: ) Other: Lantern Signal Format: Position Indicators Serial (3-Wire Microcom type) MCE C.E. Electronics Serial Interface Driver (MicroComm) Discrete MCE E-Motive Serial Interface Driver Indicator: Voltage: AC DC Other Serial Fixture Driver (Please provide details) Bulb wattage:

Gongs: Voltage: AC DC Serial PI fixtures located in: Car Hall Chimes: Voltage: AC DC If hall, indicate landing #: Floor label: Passing Floor Gong or Chime: Yes No Discrete Multi-Light Passing Floor Gong Signal Format: Car with direction arrows Serial (3-Wire Microcom type) Voltage: AC DC Discrete Hall with direction arrows Fixture Voltage: AC DC Passing floor enable (S) button: Yes No Voltage: AC DC At landing #: Floor label: Voice Annunciation Yes No (Required for car speeds above 200 FPM) Discrete Digital Brand & Model: Annunciator device provided by: CE Electronics Car with direction arrows E-Motive Hall with direction arrows Other: At landing #: Floor Label: Annunciator Signal Format: Signal Format: Serial (3-Wire Microcom type) One line per floor Discrete ( One line per floor or Binary) Binary (Code begins at 1st landing 00 01) Special Notes: Grey Code Enter here Signal Voltage: 120VAC (Standard) 24VDC Other Voltage: AC DC If DC, common is: Positive Negative Motion Control Engineering Voice: 916 463 9200 iControl Traction Engineering Survey Form Fax: 916 463 9201 Doc #:42-FR-0449 A1 (JER117) LANDINGS & OPENINGS Page 11 of 12 www.nidec-mce.com

Landings & Openings If more than 32 landings and/or 10 cars, please use additional sheets.

Ldg Floor Floor Car Car Car Car Car Car Car Car Car Car # Label Height F R F R F R F R F R F R F R F R F R F R O.H.

PIT Capacity: kg lbs Up Speed: ms fpm Down Speed: Total Travel: m ft NOTE: Hoistway Layout Forms are required for each unique landing configuration including riser, opening, and wall/barrier location. These forms must be filled out by hand and faxed to MCE. Enter the number of drawings you are submitting here: f Motion Control Engineering Voice: 916 463 9200 iControl Traction Engineering Survey Form Fax: 916 463 9201 Doc #:42-FR-0449 A1 (JER117) LANDINGS & OPENINGS Page 12 of 12 www.nidec-mce.com