do you mean this one:
I picked it up for $1500 canadian after tax and so far it's been great. Install was easy they had all the holes in the right place, just had to slot one to get fitment of the grille and shim the hood 1/8"; everything else was exactely like OEM. The nose is about 1/8" wider than the body of my truck, but not bad enough that you'd notice. All in all, i love the hood, looks sick, made a big difference on the mileage on my long drives: with MDS I was getting 17-18MPG.
On a side note; I am stopped almost regularly by people asking about the hood. At shows, people seem to not look at the other mods, but focus on the hood.
As for the ram air: it sits directly over my AirAid CAI and I had to notch the downflow chute to accomodate the larger filter. Also I had to take a small notch out of the CAI air dam, but nothing major. I'd estimate I have about 70% seal between the hood and CAI airbox. Pre-paint fitment took just over an hour to get it perfect, then 20 min after paint.