Please fill out this form either electronically or written and e-mail to james.riddle@hightechrescue.com or
FAX to 502-633-0659. If you need assistance, please don’t hesitate to contact James Riddle at 502-633-
0149 or 502-220-0200. This form does not cover every option available and engineering approval will be required on some options.
Department Name: ____________________________________________________________________
Department Address: ____________________________________________________________
City: _____________________________ State: ____________ Zip: __________________
Department Phone: _______________________ Department FAX: __________________________
Contact Person: ___________________________________________ Title: ______________________
Contact Phone: ______________________E-mail Address: ____________________________________
Purchase Time Frame: __________________________
Restrictions
Length: ____________________
Height: ____________________
Width: ___________________
Chassis Brand(Custom Chassis Are Available)
__Kenworth __International ___Freightliner __Other ___________________________________
__Custom Chassis (Fill out Separate Custom Chassis Form, Move to Pump Area of This Form)
Cab Style
__Two Door __Two Door Extended Cab (Not Available with All Chassis) __Four Door
Seating (SCBA Seating in 2 Door May Restrict Leg Room)
__Fixed Driver __Air Ride Driver __Fixed Non-SCBA Officer __Fixed SCBA Officer
__Air Ride SCBA Officer __Two Man Bench (Center and Officer) (2 door only)
__3 Man Bench (2 door only) __3 SCBA Crew Seats __Two SCBA Crew Seats (Outboard)
Bumper (Extensions Limited In Some Cab Styles) (Hose Wells Limited In Some Lengths)
___18” Extension ___21” Extension ___24” Extension
Axles and Equipment (Ratings dictated by application and options)
__Single Front and Single Rear Axle
__4 X 4 (Limited to Certain Cabs and Power Trains)
__Tandem rear axle
__Rear Air Suspension (Requires Engineering Approval)
__Automatic Traction Control (ATC)
Tires and Wheels
__Steel Wheels
__Aluminum Wheels
__Goodyear Tires (May Not Be Available on Some Chassis)
__Michelin Tires (May Not Be Available on Some Chassis)
__Mud and Snow Rear
__Stainless Steel Wheel Covers
Automatic Tire Chains

__On-Spot
Fuel Tank
__RUDD (Roto-Grip) __Insta-Chain
__50 Gallon __Other_______________________________(Requires Engineering Approval)
Engines (Limited to some specific chassis models)
Medium Block
__315 hp – 330 hp
Large Block
__350 hp
__350 hp – 400 hp
Allison EV Series Transmission
__5 speed only
__4 speed with 5 th via mode button
__410 hp
__430 hp
__6 speed (rescues and tankers with portable pumps only) (no pump)
__Additional External Cooler (Not available on all models)
Alternator
__270 Amp
Batteries
__ Three Group 31
Door Options
__Electric Locks (Optional) (Not available on all models)
__Electric Windows (Optional) (Not available on all models)
Mirrors
__West Coast
__Heated/Remote/West Coast
Climate Control
__Standard Heat and Air Conditioning for Cab Model
__Rear crew aux. Heater/AC (Only If Available from Chassis Manufacturer)
__De-Fog Fans for Windshield (Additional to Defroster)
Pump (Engine HP Will Impact Maximum Pump Size)(Some Applications Require Engineering
Approval)
__Waterous
__Hale
__Darley
__Portable Pump (gpm _______)
PTO (mid-ship) __250gpm __300gpm
__Engine Driven Cross Mount
__500gpm __1000gpm __1250gpm

Valves and Options (Manual Push Pull Standard)(If Applicable)
__Hale __Akron
__Crank Handle __Electric
Intakes and Options
__LH 2.5” __RH 2.5”
__Master Intake Valves on Steamers
__Elkhart
__Master Intake Valves on LD intakes
Controls (PG is pressure governor)(If Applicable)
__FRC Throttle Excel w/manual relief __FRC InControl PG __FRC Pump Boss PG
__Class One Captain PG with Enfo IV
Discharges(Insert Number)(Options Limited To Pump Size)
1.5” ___Left ___Right ___Front Bumper ___Rear ___2 Crosslays ___2 Speedlays
2.5” ___Left ___Right ___Front Bumper ___Rear
3.0” ___Left ___Right ___Rear
4.0” ___Left ___Right ___Rear
4.0” Connection ___NST ___Stortz ___4” ___5” ___2.5” reducer ___3” reducer
Foam System
__Class A __Eductor __Injected __Low Flow __High Flow
Class A Tank __10 gal. __15 gal. __20 gal. __25 gal. __ ________ gal.
Booster Reel
__200’ painted reel __200’ aluminum reel __200’ of hose on reel
__Nozzle (Akron ___; Elkhart ___; TFT ____) __Location in front of hosebed
__Location in compartment (Engineering must approve) _______________________
__Location on top of pump house (Engineering must approve)
Pump Panel
__Side Mount
__Left Rear Comp.
__Brushed SS Panels
__LH Hose Trough
__Top Mount. __ Rear Mount (Engineering must approve)
__Front Mount
__Black Panels __Air Horn Button
__RH Hose Trough
__Radio Compt.
Water Tank
__Pro Poly __UPF __Custom Fiberglass
__2000 gal. __2500 gal. __3000 gal.
__2.5” tank fill __4” tank fill
__10” Newton Dump (rear)(manual)
__3500 gal. __(Other ___________)
__Electric actuation at dump __Electric actuation in cab

__10” Newton Dump (sides)(manual)
__ 6” Round Ames Jet Dump (rear only)
Check the appropriate tank level displays
__Tank Level at Pump Panel
__Electric actuation at dump __Electric actuation in cab
__Tank Level at Rear __Tank Level on Left Side
__Tank Level on Right Side __Tank Level in Cab __Tank Level in Cab (mini)
__Fire Ground Tank Level either on cab or side of pump house
Body
__Aluminum __Stainless Steel
__Low/Low(Exterior Ladders and Drop Tank)
__High/High(Rescue Style)(Slide in ladders and/or Drop Tank)
__High/Low(Traditional)(Exterior Ladders or Drop Tank)
__Standard Double Panel Doors __Satin Finish ROM Roll Up Doors __Painted ROM Roll Up Doors
__Hydraulic Ladder Rack __Zico Ladder Rack __Drop Tank Also on Rack
__Suction Hose Also on Rack __NFPA 24’ Ladder Compliment __35’ NFPA Ladder Compliment
__Standard Mechanical Drop Tank Rack __Left __Right
__Zico Electric Drop Tank Rack __Left __Right
__Tread Plate Cover For Rack __Painted Cover For Rack
__Drop Tank Size: _________gal. __Customer Supplied (Dimensions _____L x _____W x _____H)
__Wheel Well Storage for 4 SCBA Bottles __Wheel Well Storage for 8 SCBA Bottles
__Suction Hose __Suction Hose Barrel Strainer __Suction Hose Low Level Strainer
__Suction Hose in Hose Bed (If Any) __Suction Hose on top of Side Compartments
__Suction Hose on Exterior Side Wall
Hose Bed Capacity :____________________________________________
__Vinyl Hose Bed Cover __Shock Cord Fastener __Velcro Fastener __Snap Fastener
Color: __Red __Blue __Black __Green __Yellow __Gray
__Aluminum Tread Plate Hose Bed Cover
__Single Unitstrut for High Side Shelving __Double Uni-Strut for Full Depth Shelving
__High Side Shelving (Quantity ______) __Full Depth Shelving (Quantity ______)
__250 lb Slide Out Tray (Quantity ______) __600 lb Slide Out Tray (Quantity _______)
__Roll/Tilt Trays (Full Depth Compartments Only) __Roll Out Tool Board (Quantity ______)
__Turtle Tile In Compartments Only __ Turtle Tile In Compartments and All Shelves and Trays
__ SCBA Brackets in High Side (Quantity _________)
12V Electrical:
12V Electrical System Will Be Controlled By Weldon VMUX Multiplexing As Standard.
__ VFD LED Display __VISTA Color LCD Display w/built in switches
__ Non-Multiplexed Electrical System (Requires Engineering Approval)
__ Kussmaul Battery Charger __Kussmaul Battery Charger/Air Compressor __Standard Plug
__ Auto-Eject Plug
__ Back Up Camera System __Backstop Braking System

__ Added compartment lights (Quantity: ______________)
__ LED strip lights in lieu of standard compartment lights (one strip per compartment)
__ LED strip lights in lieu of standard compartment lights (two strips per compartment)
EMERGENCY WARNING (NFPA)
__All Whelen Halogen __All Code 3 Halogen __All Power Arc Halogen __All Federal Halogen
__All Whelen Strobe __All Code 3 Strobe __All Federal Strobe
__All Whelen LED __All Code 3 LED __All Power Arc LED __All Federal LED
__All Lenses Red __Lenses Red/Blue
__Other ______________________________________________________________
AUDIBLE WARNING DEVICES:
ELECTRONIC SIRENS
__Code 3 __Whelen __Federal
__One Speaker(100W) __Two Speakers (200W)
__EQ2B __Carson
MECHANICAL SIRENS(Requires Extended Bumper And Engineering Approval)
__Recessed Federal Q __Pedestal Mount Federal Q
AIR HORNS (Brand Limited by Chassis Models)
__Two Grover On Side of Hood (Commercial Only)
12V SCENE LIGHTS
__One Each Side of Cab __Cab Brow Light __One each side of body __Two each side of body
__One on rear of body __Two on rear of body __Lights individually switched
__Rear lights to come on with reverse
__(2)70W HID Push UP Light __(2)150W HID Push Up Light
__(2)70W HID Pull Up Light __ (2)150W HID Pull Up Light
__(2)Federal Nightfighter
__Other _______________________________________________________________________
120V OPTIONS:
GENERATORS (Includes breaker boxes and control panels)
Engine Driven
__Honda EM5000 Gasoline Portable __Honda EM6500S Gasoline Portable
__5.5kw Onan Diesel __7.5kw Onan Diesel __8kw Onan Diesel
Hydraulic (May Be Limited By Pump and Options)
__Smart Power __5.5kw __8kw __ 10kw
__Harrison __6kw __8kw __ 10kw
__ Onan __6kw __8kw __ 10kw
CORD REELS (May Be Limited By Generator Size and Compartmentation)
__Hannay 1616-17-18 __Hannay 1618-17-18 __12/3 Cord __10/3 Cord __10/4 Cord
__4 Outlet Lighted Junction Box __House plug __15amp Twist Lock __20amp Twist Lock

__30amp Twist Lock (240V)
__Location in Body Compartment __________ __Location in Pump House
120V SCENE LIGHTING (May Be Limited By Generator Size and Options)
Fire Research Optimum
__500W Push Up Light __ 750W Push Up Light __ 1000W Push Up Light __1500W Push Up Light
__500W Pull Up Light __ 750W Pull Up Light __ 1000W Pull Up Light __1500W Pull Up Light
__500W Tri-Pod Light __ 750W Tri-Pod Light __ 1000W Tri-Pod Light __1500W Tri-Pod Light
120V/240V Outlets
__ Household (Quantity _____) __L5-15 Twist Lock (Quantity____) __L5-20 Twist Lock (Quantity____)
__L5-30(240V) Twist Lock (Quantity ______)
AIR REELS (HANNAY)
__Low Pressure Utility EF1520-17-18 connected to the chassis air supply
PAINTING
__Single Color Cab and Body
__Two Tone Cab, Single Tone Body
__Single Color Cab and No Paint on Body (Stainless Steel Only)
__Two Tone Cab, Single Tone Body (Wheel wells and exterior side compartment dividers only SS body)
LETTERING AND STRIPING
__ Reflective Lettering with Outline and Drop Shadow
__ Smart Gold Lettering with Outline and Drop Shadow
__ Gold Leaf Lettering with Outline and Drop Shadow
__4” Reflective Stripe (Straight)
__6” Reflective Stripe (Straight)
__8” Reflective Stripe (Straight)
__10” Reflective Stripe (Straight)
__1” 6” 1” Reflective Stripe (Straight)
__Jog or Z in Reflective Stripe
__S in Reflective Stripe
NOTES:
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