The purpose of this form is to provide a list of specifications for the SC Vocational Rehabilitation Department (SCVRD) consumer in a co-purchase with SCVRD for a vehicle with modified chassis. Please see end of form for required cost structure and other requirements to be submitted with bid package. Vehicle Requirements: • Vehicle Make: Chrysler • Model: Pacifica Touring L • Max Vehicle Age1 : MY 2023 or Newer • Max Mileage: 65,000 • Color Preferences: Silver Mist exterior / Caprice Leatherette interior • New vehicles may be current, or previous model year, and must have never been titled, or used as a “demo” vehicle. • Used vehicles must be “Certified Pre-Owned” and must be age entered above, or newer. • Mileage for a new vehicle must be 500 or under. • Total mileage for a used vehicle must not exceed listed. CHASSIS Modification Requirements: Chassis modification can be newer than vehicle meeting requirements above. -Conversion Company: BraunAbility -Conversion Type: XT Conversion -Conversion Description: -Rubber flooring. Additional modifications will be required, to be listed in “Vehicle Modification Specification” form.