In Order to Better Serve You and Meet Your Schedule, This Form Must Be Completed and Signed s3

Motion Control Engineering Voice: 916 463 9200 Hydraulic Elevator Data Forms Fax: 916 463 9201 Doc #: JER032 7/14 LOGISTICS & CODE DATA Page 1 of 6 www.mceinc.com

In order to better serve you and meet your schedule, Consultant (leave blank if none) this form must be completed and signed. Contact: Timely delivery and trouble-free installation begin with these data forms. Accurate, Phone: Fax: complete information is essential. Non- Email: response to a question will be defined as Company name: meaning that the item does not apply. Date: Number of cars: Job Name (please do not abbreviate): Elevator Safety Code Compliance Accurate information is essential. North American Compliance: U.S. Canada Job Location (city and state): ASME A17.1/B44 Edition: Contract Date: 2013 2010 2007 2004 2000 Project Type: New construction Modernization Addenda/Supplements: 2008 2005 2002( Job has Specifications (a) (a) a) Specifications being sent to MCE (None for A17.1-2007 and 2009 2005 2003( Please send a copy of job specifications to MCE. later) (b) (S) b) Customer Job #: PO#: ASME A17.1-1996/98 ASME A17.1- Specify edition & addenda. Delivery Schedule International compliance Control Delivery Date Australia AS 1735 Car EN 81 Other (Specify): Car Car Additional state or local code compliance California medical facility OSHPD Seismic Certification Car (additional charge for certified cabinet) Group Chicago Denver Pressurized hoistway Shipping Information GSA Houston – Existing Door Reopen Button, Fire Phase I Contact: Michigan Nebraska Phone: Fax: New York City Other: Company name and address: Additional Compliance Requirements? Explain:

Per state tax laws, it is critical that MCE receive exemption or resale certificates prior to the material being City State Zip Code shipped and billed. If the job is a tax exempt job, send Notice required: 24 hours 48 hours Other: the exemption certificate with this form. If you are a Check if lift gate truck needed resale customer and have a resale certificate, please make sure that the MCE accounting department has a copy on file. Contractor Information ( Check if same as above) Contact: Form Completed By Phone: Fax: Name/Title: Email: Phone: Fax: Company name and address: Cell:

Email:

Company name: City State Zip Code

Signature:

Motion Control Engineering Voice: 916 463 9200 Hydraulic Elevator Data Forms Fax: 916 463 9201 Doc #: JER032 7/14 ENGINEERING DATA Page 2 of 6 www.mceinc.com

Enclosures Operating Features Machine room NEMA rating: 1(std) 12 4 4X Attendant Service Air conditioned enclosure (recommended for all but NEMA 1) Annunciator Panel in car Hinged enclosure (additional charge) Car-to-Lobby Lobby/Floor switch GFCI outlet and light required in enclosure (added charge) Location: Car Hall Remote Panel Machine room space limitations? Park with doors: Open Indicate maximum space available for enclosure. Otherwise, Closed (not recommended if in-car switch) MCE will select the enclosure based on job requirements. Return Landing#: Floor Label: (Consider also limitations of entry halls and doors.) Earthquake Service H x W x D Emergency Medical Technician Service (EMT) Type of Operation Landing #: Floor label: Simplex Emergency Power Generator: (not battery lowering) Parking Floor: Floor Label: Generator voltage same as line voltage? Yes No If no parking floor, car stays at last call answered. Does same generator power other cars? Yes No Selective collective Number of cars to run at a time: 1 2 3 : (intermediate floors have two call buttons in hall) Emer pwr contacts during normal pwr: Open Closed SAPB Single Automatic Pushbutton Power pre-transfer contact – 10 sec minimum (intermediate floors have one call button in hall) Manual Select Switch SBC Single Button Collective Number of positions: Labels: (intermediate floors have one call button in hall) Duplex or Group Fan / Light Timer Option (provide hoistway and machine room drawings) (Turns off in-car fan and light after period of inactivity) Duplex Selective Collective Flood Operation Group Operation Lowest landing that the car can go in an event of a flood: Number of hall call risers per floor: Landing: ___ Floor Label: _____ First Parking Floor: Floor Label: NOTE: The designated and alternate fire recall floors should be at or Second Parking Floor: Floor Label: above this level. Third Parking Floor: Floor Label: Foldable/Collapsible Cartop Rail First free car will park at First Parking floor. Second free car will park at Second Parking floor, etc. Hospital Service (Code Blue): If no parking floors, cars stay at last call answered floor. Landing #s: Floor labels: Swing Car Operation Car(s): Independent Service Please describe in special instructions on next page. Pre-test switch in Controller Cross Cancellation Panel (existing must be relay logic) Inspection/Access Requirements (Existing hall P/B schematics are required.) Extended Shaft Car Top Inspection Cross Registration (Bypasses 1st set of directional & final limits to move the car (Existing hall P/B schematics are required.) further up the hoistway during car top inspection; 2nd set of Fire Service Operation directional & final limits required, along with a separate multi-pole switch on car top complying with A17.1, 2.26.4.3; both sets of Fire Service Phase I directional limits must be physical switches.) Main Landing #: Floor Label: Doors will open: Front Rear Hoistway Access Operation (select switch style below) Alternate Landing #: Floor Label: Standard design is top and bottom landings/front doors. If front Doors will open: Front Rear doors are not available, rear doors will be used. If different NOTE: For flood hazard zones, the designated and alternate fire configuration required, provide special instructions. recall floors should be at or above the base flood elevation. In-Car Inspection switch (select switch style below) Additional Fire Phase I main return switch: Using top/bottom car calls or up/down buttons. Switch location: Landing #: Floor Label: Select In-Car Access & Inspection Switch Style Hoistway smoke detectors Only for ASME A17.1-2000/CSA B44-00 or later At or below lower level of recall 2-Position (indicate) 3-Position Above lower level of recall “Master Fire Service” switch (Chicago only) ACCESS INSPECTION OR NORMAL Fire Service Phase II NORMAL NORMAL ACCESS INSPECTION Additional Fire Operation Requirements for Nassau County NY, Detroit MI, or GSA/Federal Jurisdictions: Requires Access Requires Inspection Requires Access & Inspection Shunt Trip Delay Heat Detectors: ( MR HW Each floor ) Load Weighing (Discrete oil pressure switches for load weighing) Motion Control Engineering Voice: 916 463 9200 Hydraulic Elevator Data Forms Fax: 916 463 9201 Doc #: JER032 7/14 HYDRAULIC & OTHER DATA Page 3 of 6 www.mceinc.com

Line Voltage (actual measured line voltage) Choose closest Hydraulic Features selection below. Battery Powered Lowering 600 575 480 460 440 415 By MCE 380 240 230 220 208 200 Other: (electrical schematic required) 115 Other: Life Jacket Interface AC 3 Phase (standard) AC 2 Phase AC Single Phase AC 3 phase (grounded leg delta configuration)* Low Oil Switch * ATL motor starting only, unless isolation transformer used. Oil Tank Temperature Shutdown Switch 60 Hz (standard in U.S.) 50 Hz Pressure Switch Interface Available Fault Current from AC Feed (kA): (required when top of cylinder is above top of storage tank) Standard controller SCCR (Short Circuit Current Rating) is Resynchronous circuit for telescopic or dual pistons typically 5-10kA. If available fault current exceeds 10kA and Roped Hydro cannot be reduced, please notify MCE for a quote. Governor Set (electrical schematic required) Motor Starting (All MCE starters include Reverse Phase Sensor) Governor Set/Reset Solid State 3/9 Lead Motor Coil Voltage: 6/12 Lead Motor (standard) Viscosity Control WYE-DELTA Monitoring ATL (Across the Line) mView complete in machine room Customer supplied starter mView interface only to allow future connection (Interface charges apply. Indicate type of starter above.) iMonitor / iReport, machine room or remote Brand: Model: iMon/Report interface only to allow future connection Remote IDS Liftnet interface In MCE controller MCE to install (customer shipping to MCE) Security Customer to install (provide location/dimension sketch) Additional charges will apply if coil voltage other than 120VAC. Call enable Car: Key Card Reader – dry contact Hydraulic Data Hall: Key Card Reader – dry contact Pump Motor(s) Car Call Card Reader Override Switch New by MCE (Complete pump unit data form) Car call code security: (enter security code using car call buttons) New Existing MCE Basic with: mView Key on/off switch MCE ACE (requires mView) HP: Motor brand: Bypass Security: (Fire service bypass is standard) Full load amps (MCE will estimate if blank): Independent Service Attendant Service Starts per hour: 80 (std) 120 (requires larger starter) Other Specify: Other security: Complete special instructions on next page. Multiple Motors (complete only for 2 or more motors) Number of motors: 2 3 4 Sketch or Special Instructions Number of disconnects: 1 2 3 4

Starting: Sequential (recommended) Simultaneous Single motor operation if abnormal conditions Valve(s) Brand Maxton Blain EECO TKE/Dover Bucher (Beringer) Other (specify): Model: Number of valves: 1 (standard) 2 3 4 Coils per valve: 1 2 3 4 (standard) 5 Voltage: 120VAC (standard) Other (additional charge): V= Motion Control Engineering Voice: 916 463 9200 Hydraulic Elevator Data Forms Fax: 916 463 9201 Doc #: JER032 7/14 Page 4 of 6 www.mceinc.com DOOR DATA

Car Door/Gate Automatic Passenger Style Doors Automatic passenger style doors MCE Powered freight style doors SmarTraq Complete (Complete SmarTraq data forms) Manual doors SmarTraq Upgrade Other: (Upgrades existing operator to closed loop. Mark existing model below.) GAL Hoistway Doors MOVFR I Automatic passenger style doors MOVFR II Voltage: 220VAC 110VAC (220 Powered freight style doors is default if no selection made) Manual doors (complete below) MOMVC/MOHVC MOM/MOH Other: (complete below) MOD (230V) MOSVCL Interlocks: MOD (115V) MOPM-P/MOPM-PL Closed contact Yes No MODHA MOCT/MOCTA/MODCT/ Locked contact Yes No MOMCT/MOHCT MODVC/MODHVC Motor Voltage: 220 110 Door locking cam MOA Logic Voltage: 220 110 Retiring (not driven by automatic passenger style car gate) MAC/Kone Voltage: 3-Ph AC 1-Ph AC DC PM-SSC/104 Board MAC (old style) Fuse: 2A 3A Other: AMD/Kone Fixed cam TKE/Dover Bar lock (manually operated) HD03M HDLM Driven by automatic passenger style car gate HD68/70/73/91 Door Features HD98/85 (Requires SmarTraq upgrade kit) Infrared detector unit/photo eye Otis Cut-out switch in COP 6970A – Resistance 6970A – Reactance Anti-Nuisance 7300 A7770A 7782AA OVL Mechanical safety edge iMotion 1 & 2 AT400 Heavy doors at landings (list landings): ECI Dual door operators on same side for wide opening 895/1000 VFE2500 Cartop door open/close buttons 2000 Voltage: 220VAC 115VAC (220 (non solid state door operators) is default if no selection made) Door Hold Operation (non-fire operation) Other Switch Button (max hold = 120 seconds) IPC Encore (closed loop) Mitsubishi LV1/4K Nudging Delco (closed loop) Schindler QKS 14 & 15 Reduced torque with buzzer Atlantic/Vertisys Model: Buzzer only Other (wiring diagram required): Ignore photo eye after seconds If safety edge or door open button activated, doors should: Powered Freight Style Doors Stop Re-open Other: Door Controller Model Sketch or Special Instructions Peelle New Existing Model: (electrical schematic required) Courion New Existing Model: (electrical schematic required) EMS New Existing Model: (electrical schematic required) Other New Existing Model: (electrical schematic required) Door Operation (freight only) Opening: Automatic Momentary pressure Closing: Automatic Momentary pressure Constant pressure Fire Ph. l Closing: Automatic Momentary pressure Constant pressure Motion Control Engineering Voice: 916 463 9200 Hydraulic Elevator Data Forms Fax: 916 463 9201 Doc #: JER032 7/14 FIXTURES Page 5 of 6 www.mceinc.com

Serial Link (Fixtures must be 24VDC, 6 watts max) Lanterns: Car Operating Panel Hall Calls # of risers: Car lanterns Call pushbuttons must be mechanical. Voltage: 24 48 120 Other: Serial fixture boards to be sent to fixture manufacturer / AC DC contractor for pre-wire? Yes (If so, indicate where below) Type: Chime Gong No Hall Lanterns Ship serial boards to:: Voltage: 24 48 120 Other: C.E. Electronics EPCO Dupar AC DC Innovation Industries Monitor MAD Type: Chime Gong ERM PTL Passing floor signal Elevator Contractor Office MCE CE 3-wire driver board (built into controller) Please indicate Contact Person / Number in Special Notes MCE E-Motive 3-wire driver board (built into controller) below Discrete signals Which boards to be sent?: COP Hall Station Voltage: 24 48 120 Other: Auxiliary Car Station AC DC Hand-held programming unit (optional, needs Serial COP) Type: Chime Gong Number of units: Passing floor enable (“s” button) Car Calls Voltage: 24 48 120 Other: Status Indicators AC DC A D Type Volts Type: LED Incandescent C C Hall Calls Attendant Light 24 48 120 Other: Voltage: 24 48 120 Other: AC DC Attendant Buzzer 24 48 120 Other: Type: LED Incandescent Call Registration Buzzer 24 48 120 Other: Position Indicators Door Closing Buzzer 24 48 120 Other: Car (typically freight only) MCE CE 3-wire driver board (built into controller) Door Hold Light 24 48 120 Other: MCE E-Motive 3-wire driver board (built into controller) Door Left Open Bell 24 48 120 Other: *Discrete signals* (Multi-Light or non-3 wire digital) EMT Service Light, Car 24 48 120 Other: *Provide information below: Voltage: 24 48 120 Other: EMT Service Light, Hall 24 48 120 Other: AC DC (+ common) DC (- common) Fire Light 24 48 120 Other: Type: Multi-light Fire Buzzer 24 48 120 Other: Digital (not MCE Driver board) One line per floor Hospital Light 24 48 120 Other: Binary code begins at landing 1 Hospital Buzzer 24 48 120 Other: 00 01 In-Service Light 24 48 120 Other: Hall In-Use Light Location: All floors Main fire return 0ther: 24 48 120 Other: MCE CE 3-wire driver board (built into controller) Load Status Light 24 48 120 Other: MCE E-Motive 3-wire driver board (built into controller) Nudging Buzzer 24 48 120 Other: *Discrete signals* (Multi-Light or non-3 wire digital) *Provide information below: 24 48 120 Other: Voltage: 24 48 120 Other: 24 48 120 Other: AC DC (+ common) DC (- common) 24 48 120 Other: Type: Multi-light 24 48 120 Other: Digital (not MCE Driver board) One line per floor 24 48 120 Other: Binary code begins at landing 1 24 48 120 Other: 00 01 24 48 120 Other: Voice annunciation 24 48 120 Other: MCE CE 3-wire driver board interface (built into controller) MCE E-Motive 3-wire driver board interface (built into controller) 24 48 120 Other: Other: Special Notes: Motion Control Engineering Voice: 916 463 9200 Hydraulic Elevator Data Forms Fax: 916 463 9201 Doc #: JER032 7/14 HOISTWAY DATA Page 6 of 6 www.mceinc.com

Floor Floor Car Car Car Car Landing # Label* Height F R F R F R F R * Floor Label note: If Check front and rear floor openings below using CE or E-Motive overhead 16 driver board, 15-16 15 floor label should not 14-15 14 be more characters 13-14 13 than the 12-13 number of 12 digital PI 11-12 11 display characters ( 10-11 10 ) 9-10 9 Hoistway NEMA 8-9 8 Rating: 1 (standard) 7-8 7 12 6-7 4 4X 6 5-6 EECO Hoistway 5 Limit Switches and 4-5 Brackets by MCE 4 3-4 MCE Landing 3 System: 2-3 2 Tape (LS- 1-2 QUTE) Hoistway 1 NEMA 1 only Pit Vane (LS- STAN) Capacity: lbs kg Rail (lbs): Up Speed: fpm m/s 8 – 12 15 – 18.5 22.5 – 30 Down Speed: fpm m/s Customer Total Travel: ft m Supplied Landing System