After checking access to the standard horn (2018 F150 XLT) it was evident that the installation was not easy. Includes removal of the upper front engine cover, upper bumper molding and then partial removal of the left front grille. The new mount holding the two horns is also poorly designed; The arms are too short and not angled down enough. The new mount placed the horns too high, leaving no clearance for the engine/radiator cover. A simple fix is to remove the stock horns from the bracket and reuse the original horn bracket.
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