Application Design Data Sheet

1301 Prince Hall Dr. Beloit WI 53511-4439 USA Ph (608) 368-5600 Fax (608) 368-5605

Items marked with ! must be completed before Engineering can proceed with the order.

Page 1 of 2

Cotta Sales Contact (Ph) (F)

Application Design Data Sheet

1301 Prince Hall Dr. Beloit WI 53511-4439 USA Ph (608) 368-5600 Fax (608) 368-5605

!Customer Contact:

!Cotta SO #

Date

Page 1 of 2

Cotta Sales Contact (Ph) (F)

Application Design Data Sheet

1301 Prince Hall Dr. Beloit WI 53511-4439 USA Ph (608) 368-5600 Fax (608) 368-5605

Company

Phone

Fax

Page 1 of 2

Cotta Sales Contact (Ph) (F)

Application Design Data Sheet

1301 Prince Hall Dr. Beloit WI 53511-4439 USA Ph (608) 368-5600 Fax (608) 368-5605

Address

Application

Prime Mover / Input

Page 1 of 2

Cotta Sales Contact (Ph) (F)

Application Design Data Sheet

1301 Prince Hall Dr. Beloit WI 53511-4439 USA Ph (608) 368-5600 Fax (608) 368-5605

Type

(Diesel, Electric Motor, Turbine, etc.)

!Peak HP @ RPM

!Peak Torque ft-lbs @ RPM

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Cotta Sales Contact (Ph) (F)

Application Design Data Sheet

1301 Prince Hall Dr. Beloit WI 53511-4439 USA Ph (608) 368-5600 Fax (608) 368-5605

!Rotation as viewed from Gearbox CW CCW Both

If Applicable:

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Cotta Sales Contact (Ph) (F)

Application Design Data Sheet

1301 Prince Hall Dr. Beloit WI 53511-4439 USA Ph (608) 368-5600 Fax (608) 368-5605

!Flywheel Size

!Flywheel Hsg

!Clutch Size

!RBD Size

Page 1 of 2

Cotta Sales Contact (Ph) (F)

Application Design Data Sheet

1301 Prince Hall Dr. Beloit WI 53511-4439 USA Ph (608) 368-5600 Fax (608) 368-5605

!Pilot Bearing Size

!Hyd. Motor SAE Pad

!Spline Size

Page 1 of 2

Cotta Sales Contact (Ph) (F)

Application Design Data Sheet

1301 Prince Hall Dr. Beloit WI 53511-4439 USA Ph (608) 368-5600 Fax (608) 368-5605

!Stub Shaft

!Other (e.g. yoke size):

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Cotta Sales Contact (Ph) (F)

Application Design Data Sheet

1301 Prince Hall Dr. Beloit WI 53511-4439 USA Ph (608) 368-5600 Fax (608) 368-5605

Gearbox Data

Page 1 of 2

Cotta Sales Contact (Ph) (F)

Application Design Data Sheet

1301 Prince Hall Dr. Beloit WI 53511-4439 USA Ph (608) 368-5600 Fax (608) 368-5605

!Ratio Desired INC RED

!Will gearbox be reversed? Y N

!Accuracy %

!Required SF

!Min/Max CD?

Max In/Out Speed

Page 1 of 2

Cotta Sales Contact (Ph) (F)

Application Design Data Sheet

1301 Prince Hall Dr. Beloit WI 53511-4439 USA Ph (608) 368-5600 Fax (608) 368-5605

!Orientation: 12 o’clock 3 o’clock 6 o’clock 9 o’clock Other:

Page 1 of 2

Cotta Sales Contact (Ph) (F)

Application Design Data Sheet

1301 Prince Hall Dr. Beloit WI 53511-4439 USA Ph (608) 368-5600 Fax (608) 368-5605

(Orientation of output from input shaft as viewed from the output side)

Page 1 of 2

Cotta Sales Contact (Ph) (F)

Application Design Data Sheet

1301 Prince Hall Dr. Beloit WI 53511-4439 USA Ph (608) 368-5600 Fax (608) 368-5605

!Design Rating hp @ RPM for hrs Life

Page 1 of 2

Cotta Sales Contact (Ph) (F)

Application Design Data Sheet

1301 Prince Hall Dr. Beloit WI 53511-4439 USA Ph (608) 368-5600 Fax (608) 368-5605

Duty Cycle

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Cotta Sales Contact (Ph) (F)

Application Design Data Sheet

1301 Prince Hall Dr. Beloit WI 53511-4439 USA Ph (608) 368-5600 Fax (608) 368-5605

Output Configuration (provide sizes below): (rotation as viewed towards gearbox output shaft(s))

Page 1 of 2

Cotta Sales Contact (Ph) (F)

Application Design Data Sheet

1301 Prince Hall Dr. Beloit WI 53511-4439 USA Ph (608) 368-5600 Fax (608) 368-5605

!Direction of Rotation? Engine Anti-Engine

Overhung Load (describe)

Page 1 of 2

Cotta Sales Contact (Ph) (F)

Application Design Data Sheet

1301 Prince Hall Dr. Beloit WI 53511-4439 USA Ph (608) 368-5600 Fax (608) 368-5605

!Stub Shaft

!Pump Pad

!Driveline

!Other

!Shifting? Air Mechanical

!Speed Pickup Gear? Y N

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Cotta Sales Contact (Ph) (F)

Miscellaneous Customer Requirements/Information:

Indicate componentry required to be supplied by Cotta

Page 2 of 2 Form DE-9601

Revision Level: 7

Cotta Engineering Contact Revision: 7/02

!Heat Exchanger? Y N (As Req’d)

!Press. Relief Valve? Y N (As Req’d)

!Sump? Integral Remote

!Lube Pump? Y N Remote

!Filter? Y N (As Req’d)

Page 2 of 2 Form DE-9601

Revision Level: 7

Cotta Engineering Contact Revision: 7/02

Min. Coolant Temp °F

Coolant Flow GPM

!Max Ambient Temp °F

!Min Ambient Temp °F

Unit is: Mobile Stationary

Page 2 of 2 Form DE-9601

Revision Level: 7

Cotta Engineering Contact Revision: 7/02

Customer Supplied Components from Above:

Other Miscellaneous Equipment/Requirements

Vehicle Data (if applicable):

Page 2 of 2 Form DE-9601

Revision Level: 7

Cotta Engineering Contact Revision: 7/02

!Transmission Ratios

!Gross Vehicle Wt.

Driveline Angle

Page 2 of 2 Form DE-9601

Revision Level: 7

Cotta Engineering Contact Revision: 7/02

Front axle:

Page 2 of 2 Form DE-9601

Revision Level: 7

Cotta Engineering Contact Revision: 7/02

!Tire Size

!Wt. On Axle

!Ratio

!Rolling Radius

Driveline Angle

Page 2 of 2 Form DE-9601

Revision Level: 7

Cotta Engineering Contact Revision: 7/02

Rear axle:

Page 2 of 2 Form DE-9601

Revision Level: 7

Cotta Engineering Contact Revision: 7/02

!Tire Size

!Wt. On Axle

!Ratio

!Rolling Radius

Driveline Angle

Page 2 of 2 Form DE-9601

Revision Level: 7

Cotta Engineering Contact Revision: 7/02

!Provide System Sketch and Gearbox Critical Dimensional Requirements

Model Recommendation:

Comments/Additional Information (Special Conditions, Shock Loads, etc.)

Page 2 of 2 Form DE-9601

Revision Level: 7

Cotta Engineering Contact Revision: 7/02

!Estimated Quantity on First Order

Yearly

Page 2 of 2 Form DE-9601

Revision Level: 7

Cotta Engineering Contact Revision: 7/02

!Customer Signature

Date

Page 2 of 2 Form DE-9601

Revision Level: 7

Cotta Engineering Contact Revision: 7/02

Customer’s signature and date to this “Application Design Data Sheet” signifies the customer’s approval of the specifications and other information set forth above. The customer authorizes Cotta to proceed with design/production based on above, after receipt of an appropriate purchase order.

All quotations and sales are subject to Cotta’s “Terms and Conditions of Sale, Version 1.01.” which include, among other things, Cotta’s limited warranty, the exclusion of all other warranties, express or implied, and damage limitations. Copies can be obtained by contacting the Sales Department or by downloading from cotta.com Any deviation from these Terms and Conditions of Sale must be approved by Cotta in writing.

Page 2 of 2 Form DE-9601

Revision Level: 7

Cotta Engineering Contact Revision: 7/02