OVERHAUL
PROTECTION
Overhaul Certification Overhaul Date: Owner Name;
FOR ON-HIGHWAY
ENGINES
Overhauling Dealer:
Ju16,2012 All N ONE FRATE
Overhauling
Owner Address:
ECMStart Miles:
662288
550120
COMpLETED
Download ECM and Record Aotlve Faults and Lifetime Tolals
lID
Yes
Check SIMS and perform any applicable PIP I PSP's
lEI
Yes
Engines musl complele and pan test after overhaul
lEI
Yes
Engine Sales Model:
OPTIONAL REPLACEMENT Front Cover Gasket lurbocharger(s)"
lID
Yes
Spacer Plale Gasket
lEI
Yes
!B1 !B1 !B1 !B1 !B1 !B1 !B1
Yes
Rod, Main & Thrust Bearings Valve Cover Gasket Caterpillar Oil Filler, Fuel Filters, and Cooling System Conditioner Cylinder Packs (Required If Available) Piston Group WrIst Pin, Retainer CUp & Rings (Where Applli;able) Piston Body Assembly (Where Applicable) Exhaust Manifold Studs I Gasket I Sleeves CYlinder Head Assembly I Head Gesket I Injector Sleeves I InjectorSleave Seal O-rings
!B1 !B1
ConneCting Rod Assembly (Where Applicable) Fuel Nozzles (Where Applicable) Cam Follower Spring Guides (Where Applicable)
o Ring
Seals (betWeen spacer block & cylinder head) (3176 Only)
Cylinder Head Bolts on (C-10, C11, e-12, & C13)
0 0 0 0
~
COMPONENTS • ~
I Seals I Gaskets
(!!
C
C
@
Air Compresaor APDlTIONAL
(i';
c
C
(i'
INSPECTEP
COMPONENTS
Pre-CooJer (turbocharger) T
Yes
Pre-CooIer Mounting Bracket (turbocharger)
Yes
Coolant Diverter Valve or Assembly
o
ET19ineOil Rail {EOR} Valva Variable Valve Actuators (VVAs) Assembly +
[8] [8]
Yes Yes
Yes Yes Yes Yes Yes Yes
++
~~
:in [8] [8]
Yes
Yes
o
(i
REQUIRED REPLACEMENT COMPONENTS Thermostat
C-15
Odometer Start Miles:
--------
REQUIRED ACTIONS
Dealer Code:
18010 RT 176
VIN 4#: Engine SIN: MXS75634
VEHICLE
Worksheet • This Is NOT The Registration Form Program Effective Date March 1, 2010
o
c
r,
("
(i'
('
C
('
C
o
Variable Valve Actuators (VVA!iS)Mounting @, Studs ++ NQn;. *Optlonal Replacement Components are covered only if replaced w~h new or Caterpillar Remanufacfured components at lime of the overhaul. •• If the engine has lwa tUrbocharger(s), both must be replaced to qualify for optional coverage. ••• Electronic Unit Injectora must be replaced as a set to qualify for optional coverage. ++ These components must be of thslalas! design to qualify for coverage, Dealers must confirm the latest design ar replace these cofTIP!)nents at the time of the overhaul to recelve coverage under the program. + Pre-Cooler and the Variable V,1ve Actuartors 0N As) Assembly are covered only If Inspected or replaced, and the Pre-CAJoier Mounting Bracket and the Variable Valve ActUllltors WAs Mountln Studs are ofthe lalesl deal n at the time of the overhaul ..
INSPECTED COMPONeNTS Components listed In this section are covered only If they pass Inspeotlon, are repaired or replaced during the overhaul. Parts not replaced must be within the speciflCStions set forth In the Service Manual or applicable Guideline for Reusable Parts. If a component fails lhe Inspection and is nol repaired or replaced" wiR not be covered under this progrem. In this case the Exception box should be marked. 'One time use components as Identified by applicable service guide must be replaced. INSPECTED* . INSpeCTED • YIm ~ Exceptions Y§ ~ ~ Thermostat Houslng
~
C
C
Cylinder Head Bolts
0
~,
Exhaust Manifold
0
C G
Valve Cover & Base
~
Waler Pump Housing
0
C C
o
Camshaft
[8]
C
Camshaft Follower I Lifter
[8]
C-
[8] [8]
0
r
(!;-
C 0
Vibration Damper Crankshaft Oil Pump
o
Front Covers and Plale
[8J
Oil Cooler Housing Rocker Arm Assembly Intake Manifold
~\
C
Specer Plate I Speoer Block
0
o
C ~'O
[8] [8]
c
0
0
Flywheel Housing Front Housing "Cylinder Block I Deck I Counter Bore Piston Cooling Spray Jets
r
[8] [8]
C
0 [8J
@-
C C' (';
Freeze Plugs
[8] [8]
C
Main Bearing Cap Bolls
~
C
Oil Pan
C
@--
Distribution: Original· Customer Copy Copy - CAT I TEPS Dealer @2010Caterplllar Inc.
FORM NO. LEL T6580·05
REPLACES LEL T6580-Oo1 MARCH 1, 2010
Overhaul Protection For Caterpillar On-Highway Vehicle Engines Registration Certificate For Overhauls Performed In The U.S.A. and Canada Ehc!!ve Date· March 1 2919
PHONE:
CUSTOMER NAME: All N ONE FRATE INC ADDRESS: 18010 RT 176 STATE / PROVINCE: IL CATERPILLAR DEALER:
CITY: UNION COUNTRY: USA
ZIP/POSTAL CODE: 60180 PATIEN POWER SYSTEMS
ADDRESS: 635 W LAKE STREET STATE / PROVINCE: IL
815--354·0923
DEALER CODE: 8360 ELMHURST
------
CITY:
ZIP/POSTAL CODE: 60126
USA
COUNTRY:
TEPS DEALER: ADDRESS:
------------------------CITY: --------------------- COUNTRY: --------------STATE I PROVINCE: _ Engine Serial Number: MXS75634
New Registration: Overhauled Engine Awaiting Resale:
Application: On-Highway Truck
[g] Engine Sales Model: C-15
0
Horsepower: 550
Engine Overhaul/OPT Start Date:Jul6, 2012 Start ECM Miles: 550120
Overhauled Engine
(i)
0
In Inventory: Replacement Date: Repla~ement Engine: 0 Transfer Date: -----Transfer of Ownership: 0 Vehicle OEM: Upgrade of Coverage:
0
Miles OKMs
Start Odometer Miles_5_5_01_2_0
ECM Miles: ECMMiles:
_
------
Odometer Miles: Odometer Miles:
VIN:
Veh.ModeJ:
_
------
Covera e Medium Du OPT
Towing IMPORTANT: Overhaul Worksheet
must be completed
prior to enrollment
and attached
to this Registration
CertlflcatelJ
OtOD EXTENDED COVERAGE FEES IMPORTANT!!This contract provides only those coverages with a months and miles term Indicated above. Coverage options listed above may not be available for all engine models and appl1catlons. Dealer- Refer to published pri'e lists for currently available coverage options and applications.
Coverage Fee (from above): Administration Fee:
U.s. $ U.s. $
LateFee:
U.S.$ U.s. $
Sales Tax:
0.00
Overhaul Fee: (parts & labO{)~ Total Coverage Fee
I hereby certify that I have read and understand the tenns and conditions checked above and as specified withi dWonal number of pages indi d on the bottom of this . e.
I hereby certifYthat the engine serial number indicated above is eligible for the extended
OOVerl\geas specified on this Reg' mtion Certificate and have read and understand the Dealer's res onsibilities 'fi in the ESC Administration Manual.
Distribution: Original - Customer Copy
e 2010
;""u.s. $')/ ~ot:iJ.e.;ee-
Limit of Liability:
The maximum amount we will pay for any single claim will be the reasonable cost to repair or replace the covered vehicle engine, not to exceed Caterpillar's list price for equivalent replacement engine,
Caterpillar Inc.
Copy - ClItl TEPS Dealer
LEET4845-04 Replaces LIlET4845-03 March 1.2010
II ,. Patten
ELMHURST CORPORATE HEADQUARTERS CONSTRUCTION POWERSYSTEMS
:
ROCKFORD 5055 S. Main St. Rockford, IL 61102 (815) 965-8631 FAX: {815) 965·1179
INC, #774539,
615 West Lake St.
8m,,",,'.1l60'26
(630] 279-4400 FAX: (630) 279-7892
OGLESBY 590 Mayer St. Oglesby. IL 61348 (815) 883-3336 FAX: (815]883-8043
REMIT TO: PATTEN INDUSTRIES SOLD TO
635 West Lake St.
"m"",,,.Il 60126
HAMMOND,IN 6400 Indianapolis 8lvd. Hammond, IN 46320 12191932-6600 (773) 721-6977 FAX: {2191 931·7513 4539 SOLUTIONS
ORIGINAL INVOICE
(6301 530-2200 ' FAX; (6301 530-0998
JOLIET 16822 W. Laraway Rd. Joliet, IL 60433 (8151 726·4248 FAX: (8151 726-2882
CENTER, CHICAGO,
IL. 60677-4005
ALL N ONE FRATE INC 18010 RT 176 UNION IL 60180
PLEASE REFER TO THIS
INVOICE NUMBER WITH YOUR REMITTANCE
,,:::;;nNv.OJ¢'~iN:QM~~glj&iQi~~QAT~':::f::tQ$t8M~i'lNQ~tH:Gt$:tQM~WP.UReBA$gqi'lp~l'fNVM~I#{tJi~tQffl;:t::~(\lJ:$'Alig$Mi.M",(lt$tM$ ET02808
07-06-12
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PURCHASE OF EXTENDED 1·YEAR WARRANTY 1'.0048TH MNTH 1.00 48TH MONTH WARR.
2040.002690.00
BLOWN HEAD GASKET @ 5 & 6. PROTRUSION SHOWS LOW FOR #6. HEAD WAS CRACKED @ 3 & 4. CUSTOMER CONCERN: #6 CYLINDER NEEDS REPAIR COMMENT: SET UP AND CUT #6 COUNTER BORE FOR 61-4362 SHIM. INSERT SEAT S 1 61-4362
PATTEN MUST BE NOTIFIED IN WRITING OF DISPUTES CONCERNING THIS INVOICE WITHIN 20 DAYS FROM DATE OF INVOICE OR ANY RIGHT TO DISPUTE IS WAIVED. UNDISPUTED AMOUNTS MUST BE PAID WITHIN STANDARD INVOICE TERMS.
PAY THIS AMOUNT PAYMENT DUE ON AGREED TERMS. LATE
FEES
APPLY
TO
ALL
PAST
DUE INVOICES AND W1U ACCRUE AT A RATE OF 1% PER MONTH OR 12% PER ANNUM.
AMOUNT
CREDITED
> >
• - NOT RETURNABLE ITEMS NOT SHOWN ARE BACKORDEREO
[
'P.at t en' '.' '.
. ....•
------------
ELMHURST CORPORATE HEADQUARTERS
II
CONSTRUCTION 635 West Lake St. Elmhurst, IL 60126 (6301279-4400 FAX: 1630) 279-7892
ROCKFORD
OGLESBY
5055 S. Main St. Rockford, IL 61102 (815) 965-8631 FAX: (815) 965-1179
590 Mayer St. Oglesby, IL 61348 (815) 883-3336 FAX: (815)883-8043
HAMMOND, IN
REMIT TO: PATTEN INDUSTRIES INC, #774539,
6400
Indianapolis
POWERSYSTEMS 615 West Lake St. Elmhurst, IL 60126 (630) 530-2200 FAX: (630) 530-0998
ORIGINAL
INVOICE
JOLIET Blvd.
Hammond, IN 46320 (219) 932-6600 (773)721-6977 FAX: (219) 931-7513
16822 W. Laraway Rd. Joliet, IL 60433 (815) 726-4248 FAX: (S15) 726-2882
4539 SOLUTIONS CENTER, CHICAGO, IL, 60677-4005
ALL N ONE FRATE INC 18010 RT 176 UNION IL 60180
SOLD TO
PLEASE REFER TO THIS INVOICE NUMBER WITH YOUR REMITTANCE
:·.··;··?i.#tYQ~•.NUM.~R*:.I •••;.JijVQi¢~·J¥~it{t·;.;F·:.·$.l$.'tQM.l'if:fNP;.·::t{.:¢:O$jQj\i$ij:.~#A$~.¢f.tP.~R{N\)M!AAt.;;'!\.$fQ.Ri·.:.l··:{i:i.lV ..••.• I••jA~.t$M.A~ ••• ·I:f~~M.$J •••!fA~¥;······· ET02808
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AT A RATE OF 1% PER MONTH OR 12%
PER ANNUM.
• - NOT RETURNABLE ITEMS NOT SHOWN ARE BACKORDERED