VA New Jersey Healthcare System 151 Knollcroft Road Lyons, New Jersey 07939 Description/Specifications Statement of Work GENERAL INFORMATION 1. Title of Project: Fork Lift purchase at the Lyons VA Medical Center, 151 Knollcroft Road Lyons, N.J. 07939 2. Scope of Work: * The Vendor shall provide (1) Fork Lift with all specification as stated below for the VA New Jersey Healthcare System 151 Knollcroft Road Lyons, New Jersey 07939. CHASSIS 1 5,000 lb. Capacity LP Pneumatic Tire Lift Truck LP GAS Only RATINGS & STANDARDS 1 EPA Compliant RATINGS & STANDARDS 1 UL Approved MAST 1 188.0" MFH / 84.5" OAL / 36.0" FFH Triplex FORKS 1 1.6" X 3.9" X 42" Hook Type - Pallet POWERTRAIN 1 Single Speed Powershift Transmission POWERTRAIN 1 GK25 2.5L 4 Cylinder Gas and LPG Engine DRIVE & STEER TIRES 1 Solid Pneumatic Single Drive and Steer Tires CARRIAGE 1 39.5" Wide ITA Class II Hook Type Carriage SIDESHIFTER 1 39.5" Wide ITA Class II Hang-On Sideshifter LOAD BACKREST 1 48" High Load Backrest Extension HYDRAULIC ACTIVATION 1 3-Section Valve With Cowl Mounted Levers HYDRAULIC HOSING OPTIONS 1 Single Function Internal Hosing - Triplex Mast TILT CYLINDERS 1 6°F/6°B Standard Tilt Cylinders OVERHEAD GUARD 1 Standard Overhead Guard 1 Horizontal Tank Bracket 1 Premium LCD/LED Display 1 Engine Protection System 1 Separate Brake & Inching Pedals 1 Ground Speed Control 1 Fuel Saver Mode 1 Rear Grab Handle With Horn Button 1 Aluminum Core Corrugated Fin Radiator 1 Presence Detection System 1 Heavy Duty Counterweight Grill WARNING / LIGHT 1 Electronic Back-up Alarm WARNING / LIGHT 1 Two Forward LED Working Lights On OHG WARNING / LIGHT 1 Rear LED Stop/Tail/Back-up Combination Lights WARNING / LIGHT 1 Amber Strobe Light - Mounted Below OHG SEAT 1 Full Suspension Vinyl Seat ACCESSORIES 1 Orange Seat Belt ACCESSORIES 1 Rubber Floor Mat ACCESSORIES 1 Operator Convenience Tray With Clipboard Holder LANGUAGE MARKINGS 1 English Language Markings North/South America Standard Warranty of 12 Months/ 2000 Hours FULL Coverage 24 Months/4000 Hours Powertrain B. GENERAL REQUIREMENTS Engine EPA Emission Compliant Fuel System U.L. Approved Model Single Speed Powershift Automatic Transmission Transmission Oil Cooler Engine Protection System: Engine Coolant Temperature Warning Transmission Oil Temperature Warning & Cutback Engine Oil Pressure Warning & Cutback Brake Fluid Level Warning Periodic Maintenance Alerts & Display Indicator Isolated (Rubber mounted) Key Components: Hydraulic Control Valves Transmission Engine Radiator Exhaust System Secondary Lift Cylinders on Mast Hydrostatic Power Steering Separate Brake and Inching Pedals Cyclone Air Filter High Position Air Intake Maintenance Free Battery Anti-Restart Ignition Key Switch Fully Insulated Steel Engine Hood Tilt Steering Column with Mechanical Quick Return Elongated Grab Bar C. SPECIFIC MANDATORY TASKS AND ASSOCIATED DELIVERABLES - Contractor will follow all VA, OSHA, and EPA safety policies. - Contractor and V.A. personal will both inspect forklift for damages prior to receiving

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