When the engine is out there will be the opportunity to see some things like motor mounts, belt, etc that really can't be easily accessed in the car. Some of them will obviously need to be replaced and some others like water pump, aos, etc will be necessary just on time or milage alone. better to do it when it is easy rather than on the side of the road in 3 months. so many of the small things have to have basicly the same labor to get to them that I'd change anything that is questionable.
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