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HomeMy WebLinkAboutPK17-519 - Supplement - Highwire, Inc. - Kwanis Tot Lot #4 Kompan Playground Equipment via OMNIA Cooperative Purchasing Alliance - 12/21/2023 FOR CITY OF KENT OFFICIAL USE ONLY Sup/Mgr: TJ T1 7 Agreement Routing Form Dir Asst: 0/,/ • For Approvals,Signatures and Records Management Dir/Dep: SL KENT This form combines&replaces the Request for Mayor's Signature and Contract Cover Sheet forms. eL W A S H I N G T O N (Print on pink or cherry colored paper) (optional) Originator: Department: KateLynn Jennings for Bryan Higgins Parks, Recreation &Community Services Date Sent: Date Required: > 12/18/2023 12/26/2023 0 Q Authorized to Sign: Date of Council Approval: Q Director or DesigneeV Mayor 2/15/2022 Budqet Account Number: Grant?[--]Yes ZNo P21060.66300.530 Budget?V]Yes[7]No Type: N/A Vender Name: Category: Highwire Inc. Contract Vendor Number: Sub-Category: 623632 Supplement 0 Equipment purchase for Kiwanis Tot Lot#4 Project Name: E 0 Purchase of playground equipment for Kiwanis Lot#4 from Highwire Inc. via Omnia Cooperative Project Details:purchasing agreement. C �1 Agreement Am $170,860.86 Basis for Selection of Contractor: Other *Memo to Mayor must be attached i Start Dat . Upon Signature Termination Date: Upon Delivery Q Local Business?r7Yes17No* If meets requirements per KCC3.70.100,pleosecomplete"VendorPurchase-Locol Exceptions"form onCityspace. Business License Verification: Yes In-Process Exempt(KCC 5.01.045) Notice required prior to disclosure? Contract Number: E]YesONo PK17-519 Comments: Mayor signature requested on 2nd page of invoice. Renewal agreements with Omnia included for C reference. 0 N •> i Date Received by City Attorney: 12/20/23 171 Date Routed to the Mayor's Office: 12/20/23 V1 Date Routed to the City Clerk's Office: 12/21/23 aaccW22373_1_20 Visit Documents.KentWA.gov to obtain copies of all agreements rev.200821 Highwire,Inc. 1116 N J St • — Tacoma,WA 98403 +1 2066618320 info@highwireus.com Estimate ADDRESS SHIP TO ESTIMATE# 3644 City of Kent Kent Public Works DATE 05/09/2023 220 S.4th Ave.S. 24400 S 240th St EXPIRATION DATE 12/31/2023 Kent,WA 98032 Kent WA 98032 PROJECT NAME CONTACT EST LEAD TIME/EST DEL DATE KIWANIS#4 Bryan Higgins 12 weeks(+/-) ACTIVITY QTY PRICE AMOUNT 5-12 EQUIPMENT 1-Kompan:PCE211731 1 86,250.00 86,250.00T Cliff Rider Extreme,IG,SKY:Orange&Blue color scheme PCE21 1 731-0901 1-Kompan:GXY960 1 9,830.00 9,830.00T Supernova, IG, Blue with one Orange Segment and orange bands GXY960032-3717 1-Kompan:KSW92009-0910 1 6,930.00 6,930.00T 2 Bay Portal Swing,H=8'2",3'-3"Bird Nest Shell,Std Suspension for seats, IG2023 kompan KSW92009-0910 2-5 EQUIPMENT 1-Kompan:kompan 1 31,820.00 31,820.00T Four Towers with Cable Bridge&No Roofs, IG,Purple& Orange color scheme PCMT-Custom 701015 1-Kompan:KSW922 1 3,870.00 3,870.00T Single Bay Swing with. Infant Buckets H:2,5 Stan dad Suspension, Stainless Steel Chains Custom Number KSW922-CUSTOM 20211291 1-Kompan:PAR3003 1 730.00 730.00T Age-appropriate Sign, IG,Medium,5-12 Age rating PAR3003-320147462(5-12, IG) 1-Kompan:PAR3003 1 730.00 730.00T Age-appropriate Sign,IG,Medium,2-5 Age rating PAR3003-0601 (2-5, IG) 1-Kompan:Discount-Kompan 1 -14,016.00 -14,016.00T Omnia Partners Discount Ref#2017001135 1-Kompan:Kompan Freight 1 15,767.00 15,767.00T Estimated Kompan Freight Equipment Lead Time begins from receipt of deposit. SUBTOTAL 141,911.00 Payment terms:50%deposit,net 30 upon shipment,late fees will apply. TAX 28,949.86 Installation is not provided. TOTAL $1 vV 70'860-8C Customer is responsible for regular maintenance following installation,to I vV ensure full effect of warranty Customer is responsible for receiving and off-loading equipment at time of delivery(site must be accessible to class 8 vehicles). Highwire assumes no responsibility for underground obstacles,for Credit Card payments add 3.5%. Cancelled orders may be subject to a 40%restocking fee. Payment terms:balance paid in full upon installation,late fees will apply. proper drainage,or for geotechnical issues such as sinkholes,settling, etc. Equipment is designed for level site,not to exceed 1%grade(unless otherwise specified in design),if in-ground footings,site must be free of underground obstacles such as utilities,drainage systems and large boulders.(additional charges may apply) Equipment and Freight pricing are valid for 30 days. Accepted By Accepted Date 12/21/2023 Credit Card payments add 3.5%. Cancelled orders may be subject to a 40%restocking fee. Payment terms:balance paid in full upon installation,late fees will apply. °*Awo0o' K E N T W A 5 H I N G T O N DATE: February 15, 2022 TO: Kent City Council SUBJECT: Contract to Provide Playground Equipment, Park Amenities, and Related Products and Services - Authorize MOTION: I move to authorize the Parks Department to purchase playground equipment and other park amenities through the cooperative purchasing agreement established by the City of Charlotte, North Carolina with Kompan, Inc., if those purchases are within the City's established budgets and made during the term of the cooperative contract. SUMMARY: Omnia Partners, Public Sector, is a cooperative purchasing organization for public sector procurement. In 2018, Omnia Partners merged National Intergovernmental Purchasing Alliance Company (NIPA) and US Communities to become the nation's largest cooperative purchasing organization in public sector procurement. The City of Kent has previously been a member of each of those separate entities and is now a member of Omnia Partners. Through a purchasing cooperative, one public agency competitively bids and negotiates a master agreement to be used by that lead public agency, but also by all other public agencies who are members of the purchasing cooperative. It is often more advantageous for the City to purchase through a cooperative as the purchasing power of the cooperative allows the lead public agency to negotiate more favorable terms than the City would likely receive negotiating on its own. In 2017, the City of Charlotte, North Carolina, through the purchasing cooperative, contracted with Kompan, Inc. for playground and outdoor fitness equipment, site accessories, surfacing, and related products and services. The original term of the cooperative agreement is through June 30, 2022, though there are options to renew the agreement that are available to extend it through June 30, 2026. Previously, the City purchased playground equipment for Green View Park through this cooperative agreement at a total cost of $59,484.70, including applicable sales tax. However, the City has a current need to purchase additional playground equipment for Salt Air Vista Park, valued at approximately $167,000, which takes the total purchases beyond the Mayor's contracting authority. In addition to seeking Council's approval for this current need at Salt Air Vista Park, Parks staff seeks Council approval to allow for future purchases under this cooperative agreement through its full term, which currently expires on June 30, 2022, though there are options available to possibly renew the agreement through June 30, 2026. The Parks Department consulted with the City Attorney's Office on this cooperative agreement, who reviewed its terms and advised that no other contract document is required for the City to take advantage of the cooperative agreement and purchase through it, assuming Council authorizes the same. A copy of the complete contract document is already on file with the City Clerk's Office and a copy is attached for Council's review. BUDGET IMPACT: Initial expense impact to Salt Air Vista Park Renovation budget. Potential expense impact to various parks projects approved within the capital budget. SUPPORTS STRATEGIC PLAN GOAL: Innovative Government - Delivering outstanding customer service, developing leaders, and fostering innovation. Evolvina Infrastructure - Connecting people and places through strategic investments in physical and technological infrastructure. Thrivina City - Creating safe neighborhoods, healthy people, vibrant commercial districts, and inviting parks and recreation. Sustainable Services - Providing quality services through responsible financial management, economic growth, and partnerships. ATTACHMENTS: 1. Purchasing_Agmt_Kompan-Exhibit (PDF) 02/03/22 Parks and Human Services Committee MOTION PASSES RESULT: MOTION PASSES [UNANIMOUS]Next: 2/15/2022 7:00 PM MOVER: Satwinder Kaur, Councilmember SECONDER: Toni Troutner, Councilmember AYES: Zandria Michaud, Satwinder Kaur, Toni Troutner Contract#:2017001135 Amendment#: 10 Vendor#:303668 STATE OF NORTH CAROLINA COUNTY OF MECKLENBURG TENTH AMENDMENT TO THE AGREEMENT TO PROVIDE PLAYGROUND AND OUTDOOR FITNESS EQUIPMENT, SITE ACCESSORIES, SURFACING, AND RELATED PRODUCTS AND SERVICES THIS TENTH AMENDMENT TO THE AGREEMENT TO PROVIDE PLAYGROUND AND OUTDOOR FITNESS EQUIPMENT, SITE ACCESSORIES, SURFACING, AND RELATED PRODUCTS AND SERVICES (this "Tenth Amendment') is made and entered into this 1 st of July 2022, by and between Kompan, Inc., a Delaware corporation doing business in North Carolina (the "Company"), and the City of Charlotte, a North Carolina municipal corporation(the "City"). Statement of Background and Intent A. The City of Charlotte and the Company entered into an Agreement for Playground and Outdoor Fitness Equipment, Site Accessories, Surfacing,and Related Products and Services dated July 1,2017 (the "Contract')pursuant to which the Company agreed to provide Playground and Outdoor Fitness Equipment, Site Accessories, Surfacing, and Related Products and Services for the City of Charlotte. B. The parties amended the Contract on January 1,2018 to incorporate unit price adjustments and freight rate adjustments. C. The parties amended the Contract on May 1, 2018 to incorporate new products and unit price adjustments. D. The parties amended the Contract on September 1, 2018 to incorporate federal contract terms and conditions. E. The parties amended the Contract on January 1,2019 to incorporate unit price adjustments. F. The parties amended the Contract on May 15,2019 to incorporate third-party products and price lists. G. The parties amended the Contract on January 1,2020 to incorporate unit price adjustments. H. The parties amended the Contract on January 1,2021 to incorporate unit price adjustments. 1. The parties amended the Contract on May 17, 2021 to incorporate unit price adjustments and add the Domestic (U.S.)Procurement Preference clause. J. The parties amended the Contract on January 1,2022 to incorporate unit price adjustments and replace the Commercial Non-Discrimination clause. K. The parties now desire to amend the Contract to extend the Term of the Contract by the first of two (2)two-year renewal terms and to incorporate certain other changes. KOMPAN,INC. AMENDMENT TEN Contract#:2017001135 Amendment#: 10 Vendor#:303668 NOW, THEREFORE, in consideration of the mutual covenants and agreements contained herein,the parties hereby agree to the following: AGREEMENT 1. The terms of the Contract are restated by and incorporated into this Tenth Amendment by reference. 2. Defined terms used in this Tenth Amendment shall have the same meaning as are assigned to such terms in the Contract. 3. This Tenth Amendment extends the Term of the Contract by the first of two (2) two-year renewal terms to expire on June 30,2024. 4. Except to the extent specifically provided above,this amendment shall not be interpreted or construed as waiving any rights, obligations, remedies, or claims the parties may otherwise have under the Contract. 5. In all other respects and except as modified herein,the terms of the Contract shall remain in force and effect. [Signature Page Follows] KOMPAN,INC. AMENDMENT TEN Contract#:2017001135 Amendment#:10 Vendor#:303668 IN WITNESS WHEREOF,and in acknowledgement that the parties hereto have read and understood each and every provision hereof,the parties have caused this Tenth Amendment to be executed as of the date first written above. KOMPAN,INC. CITY OF CHARLOTTE: CITY MANAGER'S OFFICE BY: BY: (signature) (signature) PRINT NAME: Ft PRINT NAME: TITLE: �'c� �.�� TITLE: DATE: I Z- _ DATE: KOMP.4N.INC. AMENDMENT TEN • CAMl �W CITY OF CHARLOTTE Digital Contract Routing Form Non-Encumbered Date Submitted: April 25, 2022 Submitted by: Genetta N. Carothers Submitter email:genetta.carothers@charlottenc.gov Contract#:2017001135 Amendment#:10 Contract Name: Playground and Outdoor Fitness Equipment, Site Accessories, Surfacing, and Related Products Vendor Legal Name: Kompan, Inc. Vendor#:303668 The following signatures, once completed, shall be incorporated by reference into the contractual document identified above. CITY OF CHARLOTTE: ACCOUNTS PAYABLE: This instrument has been preaudited in the manner required by the Local Government Budget and Fiscal Control Act. The following individual has been designated by the City's Chief Finance Officer to Pre-Audit this Contract on behalf of the City: Contract#:2017001135 Amendment#:12 Vendor#:303668 STATE OF NORTH CAROLINA COUNTY OF MECKLENBURG TWELFTH AMENDMENT TO THE AGREEMENT TO PROVIDE PLAYGROUND AND OUTDOOR FITNESS EQUIPMENT,SITE ACCESSORIES,SURFACING,AND RELATED PRODUCTS AND SERVICES THIS TWELFTH AMENDMENT TO THE AGREEMENT TO PROVIDE PLAYGROUND AND OUTDOOR FITNESS EQUIPMENT, SITE ACCESSORIES, SURFACING, AND RELATED PRODUCTS AND SERVICES (this "Twelfth Amendment") is made and entered into this 6th of June 2023, by and between Kompan, Inc., a Delaware corporation doing business in North Carolina(the"Company"),and the City of Charlotte,a North Carolina municipal corporation(the"City"). Statement of Background and Intent A. The City of Charlotte and the Company entered into an Agreement for Playground and Outdoor Fitness Equipment,Site Accessories,Surfacing,and Related Products and Services dated July 1,2017(the"Contract") pursuant to which the Company agreed to provide Playground and Outdoor Fitness Equipment, Site Accessories,Surfacing,and Related Products and Services for the City of Charlotte. B. The parties amended the Contract on January 1, 2018 to incorporate unit price adjustments and freight rate adjustments. C. The parties amended the Contract on May 1,2018,to incorporate new products and unit price adjustments. D. The parties amended the Contract on September 1,2018 to incorporate federal contract terms and conditions. E. The parties amended the Contract on January 1,2019 to incorporate unit price adjustments. F. The parties amended the Contract on May 15,2019 to incorporate third-party products and price lists. G. The parties amended the Contract on January 1, 2020 to incorporate unit price adjustments. H. The parties amended the Contract on January 1,2021 to incorporate unit price adjustments. I. The parties amended the Contract on May 17, 2021 to incorporate unit price adjustments and add the Domestic(U.S.)Procurement Preference clause. J. The parties amended the Contract on January 1, 2022 to incorporate unit price adjustments and replace the Commercial Non-Discrimination clause. K. The parties amended the Contract on July 1,2022 to extend the Term of the Contract by the first of two(2) two-year renewal terms and to incorporate certain other changes, L. The parties amended the Contract on December 21, 2022 to incorporate price adjustments and certain other changes. M. The parties now desire to amend the Contract to extend the Term of the Contract by the second of two (2) two-year renewal terms and to incorporate certain other changes. NOW, THEREFORE, in consideration of the mutual covenants and agreements contained herein, the parties hereby agree to the following: KOMPAN,INC. I AMENMMENT TWELVE Contract#:2017001135 Amendment##:12 Vendor#:303668 AGREEMENT 1. The terms of the Contract are restated by and incorporated into this Twelfth Amendment by reference. 2. Defined terms used in this Twelfth Amendment shall have the same meaning as are assigned to such terms in the Contract. 3. This Twelfth Amendment extends the Term of the Contract by the second of two(2)one-year renewal terms to expire on June 30,2026. a. This Twelfth Amendment incorporates the addition of language for Custom Product Designs under Exhibit F.1 included herein. 5. Except to the extent specifically provided above, this amendment shall not be interpreted or construed as waiving any rights,obligations, remedies,or claims the parties may otherwise have underthe Contract. 6. In all other respects and except as modified herein,the terms of the Contract shall remain in farce and effect. [Signature Page Follows] KO MPAN,INC. 2 AMENDMENT TWELVE Contract#:2017001135 Amendment#:12 Vendor#:303668 IN WITNESS WHEREOF, and in acknowledgement that the parties hereto have read and understood each and every provision hereof,the parties have caused this Twelfth Amendment to be executed as of the date first written above. KOMPAN,INC: CITY OF CHARLOTTE: CITY MANAGER'S OFFICE BY: BY: (signature) (signature) PRINT NAME: PRINT NAME: TITLE: l r C45 TITLE: DATE:_ do`�� 3 DATE: KOMPAN,INC 3 AMENDMENT TWEL VL • CITY OF CHARLOTTE Digital Contract Routing Form Non-Encumbered Date Submitted: June 05, 2023 Submitted by: Lenore Bishop Submitteremail:lenore.bishop@charlottenc.gov Contract#:2017001135 Amendment#:12 Contract Name: Playground and Outdoor Fitness Equipment, Site Accessories, Surfacing, and Related Vendor Legal Name: Kompan, Inc Vendor#:303668 REQUIRE❑ATTACHMENTS): Use the Paperclip icon to attach a full Contract Document Routing Packet for review by the authorized City individual with signature authority.The Routing Packet MUST include all required components per the direction provided at: The following signatures, once completed, shall be incorporated by reference into the contractual document identified above. City of Charlotte L 06-Z Signed v( J ia//........... .. � Keyf66t2b82306208b08604836a6tl96beJ� Contract#:2017001135 Amendment#; 12 Vendor#:303668 EXHIBIT F.1—SCOPE OF SERVICES 4.25 CUSTOM PRODUCT DESIGNS. Custom products designed to meet the needs of a particular project or specification may be available upon request. Due to the variety of product customization avaIIable,these items may not be readily identifiable on contract price schedules at the time of order. Kompan Inc will extend the minimum 10% Kompan equipment discount to any custom items created. These items will also become eligible for any additional tiered discounts. Custom Kompan items, will begin ❑r include a notation on proposals and invoices with the word"custom"t a specific code unique to that item KOMPAN,INC 4 AMENDMENT TWELVE ^ Page 1 of 2 1 DATE(MM/DD/YYYY) A RV CERTIFICATE OF LIABILITY INSURANCE DA04/28/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: Willis Towers Watson Certificate Center Willis Towers Watson Midwest, Inc. 1-877-945-7378 1-888-467-2378 c/o 26 Century Blvd A/C,No,Ent): A/C,No): P.O. Box 305191 ADDRESS: certificates@willis.com Nashville, TN 372305191 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Zurich American Insurance Company 16535 INSURED INSURERB: Scottsdale Insurance Company 41297 Kompan Inc. Kompan California, Inc INSURERC: 605 W Howard Lane, Suite 101 INSURERD: Austin, TX 78753 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:W28853461 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 5,000,000 CLAIMS-MADE X I OCCUR PREMISES(Ea o ccurrence) $ 100,000 A MED EXP(Any one person) $ 5,000 Y Y GLO 1058275-08 04/01/2023 04/01/2024 PERSONAL&ADV INJURY $ 5,000,000 GENI AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5,000,000 POLICY X 11 - LOC PRODUCTS-COMP/OP AGG $ 5,000,000 ---] JtGI u OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED Y Y BAP-0246011-05 04/01/2023 04/01/2024 BODILY INJURY(Per accident) $ AUTOSONLY AUTOS HIRED NON-OWNED PerOacoltlentDAMAGE $ AUTOS ONLY AUTOS ONLY L $ B UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 X EXCESS LIAB CLAIMS-MADE XLS2001762 04/01/2023 04/01/2024 AGGREGATE $ 5,000,000 DED I I RETENTION$ $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER A ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? No N/A Y WC-0246012-05 04/01/2023 04/01/2024 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 Dy es,describe under E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OPERATIONS below 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Re: Contract Amendment - 2017001135-9 This Voids and Replaces Previously Issued Certificate Certificate Holder is included as an Additional Insured as respects to General Liability. General Liability policy shall be Primary and Non-contributory with any other insurance in force for or which may be purchased by Additional CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Charlotte AUTHORIZED REPRESENTATIVE Procurement Management Division 600 East 4th Street Charlotte, NC 28202 ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 24073405 BATCH: 2954329 AGENCY CUSTOMER ID: LOC#: A`ORO ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Willis Towers Watson Midwest, Inc. Kompan Inc. Kompan California, Inc POLICY NUMBER 605 W Howard Lane, Suite 101 See Page 1 Austin, TX 78753 CARRIER NAIC CODE See Page 1 See Page 1 EFFECTIVE DATE: See Page 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Insured(s) . Waiver of Subrogation applies in favor of Additional Insured(s) with respects to General Liability. Certificate Holder is included as an Additional Insured as respects to Auto Liability when required by written contract. Auto Liability policy shall be Primary and Non-contributory with any other insurance in force for or which may be purchased by Additional Insured(s) when required by written contract. Waiver of Subrogation applies in favor of Additional Insured(s) with respects to Auto Liability when required by written contract. Waiver of Subrogation applies in favor of Certificate Holder/Additional Insured(s) with respects to Workers Compensation as permitted by law. ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SR ID: 24073405 BATCH: 2954329 CERT: W28853461 R Certificate of Insurance ZURICH NOTE: This insurance certificate describes the insurance cover as per the date of issuance of the certificate and it does not imply any restriction for the insurance to be changed or cancelled. The undertaking of Zurich Danmark, Filial of Zurich Insurance plc, Irland, does not in any case include, neither as against the insured nor against any third party, anything other than stated in the insurance contract documents in force at the time of application. Zurich Danmark, Filial of Zurich Insurance plc, Irland Zurich certifies that the following insurance policies have been issued to: Policyholder Kompan Holding A/S C.F.Tietgens Boulevard 32C 5220 Odense SO Denmark Co-Insured Any subsidiary companies,any affiliated or associated companies Type of insurance General Liability including Products Liability Policy number 16207 Policy period April 1,2023—March 31,2024 Geographical Area Worldwide excl.Russia, Belarus and Ukraine Limit of liability Per Occurrence USD 7.000.000 Per Aggregate USD 7.000.000 Notwithstanding the currency used in this Certificate,the Policy currency is in DKK.The Policy currency shall always prevail in the event of currency/FX fluctuations and the Sum Insured could never exceed the Sum Insured stated in the Policy. Place and date Copenhagen,March 16,2023 Zurich Danmark, Filial of rich Insurance plc, Irland Carsten Christoffer n CEO Zurich Danmark,Filial of Zurich Insurance plc,Irland Zurich Insurance plc Reg.no.31184606,reg.in Danish Branch Office Register a public limited company incorporated in the Republic of Ireland Registered office:Zurich House,Frascati Road,Blackrock, Postal address:Frederiksgade 17,DK-1265 Copenhagen K,Denmark County Dublin,A94 X9Y3,Ireland Telephone:+45 3246 6600 Reg.no.13460 in the Corporate Registration Office,Ireland WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 0313 (Ed. 04-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 04/01/2023 Policy No. WC 0246012-05 Endorsement No. Insured Kompan, Inc Premium $ Insurance Company Zurich American Insurance Company Countersigned by WC124(4-84) Copyright 1983 National Council on Compensation Insurance,Inc. Page 1 of 1 WC 00 0313 0 Additional Insured — Automatic — Owners, Lessees Or ZURICHO Contractors Policy No. Eff.Date of Pot. Exp.Date of Pol. Eff.Date of End. Producer No. AWL Prem Return Prem. GLO1058275-08 04/01/2023 04/01/2024 02058000 INCL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured: KOMPAN, INC. Address(including ZIP Code): 605 WEST HOWARD LANE SUITE 101 AUSTIN, TX 78753 This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. Section II —Who Is An Insured is amended to include as an additional insured any person or organization whom you are required to add as an additional insured on this policy under a written contract or written agreement. Such person or organization is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf, in the performance of your ongoing operations or "your work" as included in the "products-completed operations hazard", which is the subject of the written contract or written agreement. However, the insurance afforded to such additional insured: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusion applies: This insurance does not apply to: "Bodily injury", "property damage" or"personal and advertising injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or surveying services including: a. The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the 'occurrence"which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. U-GL-1175-F CW(04/13) Page 1 of 2 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. C. The following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of Section IV — Commercial General Liability Conditions: The additional insured must see to it that: 1. We are notified as soon as practicable of an 'occurrence" or offense that may result in a claim; 2. We receive written notice of a claim or"suit" as soon as practicable; and 3. A request for defense and indemnity of the claim or "suit' will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non-contributory. D. For the purposes of the coverage provided by this endorsement: 1. The following is added to the Other Insurance Condition of Section IV — Commercial General Liability Conditions: Primary and Noncontributory insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that: a. The additional insured is a Named Insured under such other insurance; and b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV—Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same 'occurrence", offense, claim or "suit'. This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by a written contract or written agreement to provide coverage to the additional insured on a primary and non- contributory basis. E. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. F. With respect to the insurance afforded to the additional insureds under this endorsement, the following is added to Section III— Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the written contract or written agreement referenced in Paragraph A. of this endorsement; or 2. Available under the applicable Limits of Insurance shown in the Declarations, whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms and conditions of this policy remain unchanged. U-GL-1175-F CW(04/13) Page 2 of 2 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Waiver Of Subrogation (Blanket) Endorsement Policy No. Eff.Date of Pol. Exp.Date of Pol. Eff.Date of End. Producer Add'1 Pre.. Return Pre.. GLO1058275-08 04/01/2023 04/01/2024 02058000 $ INCL $ THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition: If you are required by a written contract or agreement,which is executed before a loss,to waive your rights of recovery from others,we agree to waive our rights of recovery. This waiver of rights shall not be construed to be a waiver with respect to any other operations in which the insured has no contractual interest. U-GL-925-B CW(12/01) Page 1 of 1 0 Notification to Others of Cancellation Z U RI C H ,. or Nonrenewal Policy No. Eff.Date of Pot. Exp.Date of Pol. Eff.Date of End. Producer No. AWL Prem Return Prem. GLO1058275-08 04/01/2023 04/01/2024 04/01/2023 02058000 INCL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part Liquor Liability Coverage Part Products/Completed Operations Liability Coverage Part A. If we cancel or non-renew this Coverage Part(s) by written notice to the first Named Insured for any reason other than nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation or non-renewal: 1. To the name and address corresponding to each person or organization shown in the Schedule below; and 2. At least 10 days prior to the effective date of the cancellation or non-renewal, as advised in our notice to the first Named Insured, or the longer number of days notice if indicated in the Schedule below. B. If we cancel this Coverage Part(s) by written notice to the first Named Insured for nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation to the name and address corresponding to each person or organization shown in the Schedule below at least 10 days prior to the effective date of such cancellation. C. If notice as described in Paragraphs A. or B. of this endorsement is mailed, proof of mailing will be sufficient proof of such notice. SCHEDULE Name and Address of Other Person(s)/Organization(s): Number of Days Notice: ANY PERSON OR ORGANIZATION TO WHICH YOU ARE REQUIRED TO PROVIDE NOTICE OF CANCELLATION IN A WRITTEN CONTRACT OR WRITTEN AGREEMENT EXECUTED PRIOR 30 TO LOSS, EXCEPT WHERE SUCH CONTRACT OR AGREEMENT IS PROHIBITED BY LAW. All other terms and conditions of this policy remain unchanged. U-GL-1387-B CW(05/10) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Coverage Extension Endorsement Z U RI C H THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No. BAP 0246011 - 05 Effective Date: 04/01/2023 This endorsement modifies insurance provided under the: Business Auto Coverage Form Motor Carrier Coverage Form A. Amended Who Is An Insured 1. The following is added to the Who Is An Insured Provision in Section II —Covered Autos Liability Coverage: The following are also"insureds": a. Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow for acts performed within the scope of employment by you. Any "employee" of yours is also an "insured" while operating an "auto" hired or rented under a contract or agreement in an "employee's" name, with your permission, while performing duties related to the conduct of your business. b. Anyone volunteering services to you is an "insured" while using a covered "auto" you don't own, hire or borrow to transport your clients or other persons in activities necessary to your business. C. Anyone else who furnishes an"auto" referenced in Paragraphs A.1.a. and A.1.b. in this endorsement. d. Where and to the extent permitted by law, any person(s) or organization(s) where required by written contract or written agreement with you executed prior to any "accident", including those person(s) or organization(s) directing your work pursuant to such written contract or written agreement with you, provided the "accident" arises out of operations governed by such contract or agreement and only up to the limits required in the written contract or written agreement, or the Limits of Insurance shown in the Declarations, whichever is less. 2. The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other Insurance— Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form: Coverage for any person(s) or organization(s), where required by written contract or written agreement with you executed prior to any "accident", will apply on a primary and non-contributory basis and any insurance maintained by the additional "insured" will apply on an excess basis. However, in no event will this coverage extend beyond the terms and conditions of the Coverage Form. B. Amendment—Supplementary Payments Paragraphs a.(2) and a.(4) of the Coverage Extensions Provision in Section II — Covered Autos Liability Coverage are replaced by the following: (2) Up to $5,000 for the cost of bail bonds (including bonds for related traffic law violations) required because of an "accident"we cover. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day because of time off from work. C. Fellow Employee Coverage The Fellow Employee Exclusion contained in Section II—Covered Autos Liability Coverage does not apply. U-CA-424-H CW(10/21) Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 1 of 6 D. Driver Safety Program Liability and Physical Damage Coverage 1. The following is added to the Racing Exclusion in Section II—Covered Autos Liability Coverage: This exclusion does not apply to covered "autos" participating in a driver safety program event, such as, but not limited to, auto or truck rodeos and other auto or truck agility demonstrations. 2. The following is added to Paragraph 2. in B. Exclusions of Section III — Physical Damage Coverage of the Business Auto Coverage Form and Paragraph 2.b. in B. Exclusions of Section IV — Physical Damage Coverage of the Motor Carrier Coverage Form: This exclusion does not apply to covered "autos" participating in a driver safety program event, such as, but not limited to, auto or truck rodeos and other auto or truck agility demonstrations. E. Lease or Loan Gap Coverage The following is added to the Coverage Provision of the Physical Damage Coverage Section: Lease Or Loan Gap Coverage In the event of a total "loss" to a covered "auto", we will pay any unpaid amount due on the lease or loan for a covered "auto", less: a. Any amount paid under the Physical Damage Coverage Section of the Coverage Form; and b. Any: (1) Overdue lease or loan payments at the time of the "loss"; (2) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; (3) Security deposits not returned by the lessor; (4) Costs for extended warranties, credit life insurance, health, accident or disability insurance purchased with the loan or lease; and (5) Carry-over balances from previous leases or loans. F. Towing and Labor Paragraph A.2. of the Physical Damage Coverage Section is replaced by the following: We will pay up to $75 for towing and labor costs incurred each time a covered "auto" that is a "private passenger type", light truck or medium truck is disabled. However, the labor must be performed at the place of disablement. As used in this provision, "private passenger type" means a private passenger or station wagon type "auto" and includes an "auto" of the pickup or van type if not used for business purposes. G. Extended Glass Coverage The following is added to Paragraph A.3.a. of the Physical Damage Coverage Section: If glass must be replaced, the deductible shown in the Declarations will apply. However, if glass can be repaired and is actually repaired rather than replaced, the deductible will be waived. You have the option of having the glass repaired rather than replaced. H. Hired Auto Physical Damage—Increased Loss of Use Expenses The Coverage Extension for Loss Of Use Expenses in the Physical Damage Coverage Section is replaced by the following: Loss Of Use Expenses For Hired Auto Physical Damage, we will pay expenses for which an "insured" becomes legally responsible to pay for loss of use of a vehicle rented or hired without a driver under a written rental contract or written rental agreement. We will pay for loss of use expenses if caused by: (1) Other than collision only if the Declarations indicate that Comprehensive Coverage is provided for any covered "auto"; U-CA-424-H CW(10/21) Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 2 of 6 (2) Specified Causes Of Loss only if the Declarations indicate that Specified Causes Of Loss Coverage is provided for any covered "auto"; or (3) Collision only if the Declarations indicate that Collision Coverage is provided for any covered "auto". However, the most we will pay for any expenses for loss of use is $100 per day, to a maximum of$3000. I. Personal Effects Coverage The following is added to the Coverage Provision of the Physical Damage Coverage Section: Personal Effects Coverage a. We will pay up to$750 for"loss"to personal effects which are: (1) Personal property owned by an "insured"; and (2) In or on a covered "auto'. b. Subject to Paragraph a. above, the amount to be paid for"loss"to personal effects will be based on the lesser of: (1) The reasonable cost to replace; or (2) The actual cash value. C. The coverage provided in Paragraphs a. and b. above, only applies in the event of a total theft of a covered "auto". No deductible applies to this coverage. However, we will not pay for 'loss" to personal effects of any of the following: (1) Accounts, bills, currency, deeds, evidence of debt, money, notes, securities, or commercial paper or other documents of value. (2) Bullion, gold, silver, platinum, or other precious alloys or metals; furs or fur garments; jewelry, watches, precious or semi-precious stones. (3) Paintings, statuary and other works of art. (4) Contraband or property in the course of illegal transportation or trade. (5) Tapes, records, discs or other similar devices used with audio, visual or data electronic equipment. Any coverage provided by this Provision is excess over any other insurance coverage available for the same 'loss". J. Tapes, Records and Discs Coverage 1. The Exclusion in Paragraph B.4.a. of Section III — Physical Damage Coverage in the Business Auto Coverage Form and the Exclusion in Paragraph 113.2.c. of Section IV— Physical Damage Coverage in the Motor Carrier Coverage Form does not apply. 2. The following is added to Paragraph 1.a. Comprehensive Coverage under the Coverage Provision of the Physical Damage Coverage Section: We will pay for 'loss" to tapes, records, discs or other similar devices used with audio, visual or data electronic equipment. We will pay only if the tapes, records, discs or other similar audio, visual or data electronic devices: (a) Are the property of an "insured"; and (b) Are in a covered "auto' at the time of"loss". The most we will pay for such 'loss" to tapes, records, discs or other similar devices is $500. The Physical Damage Coverage Deductible Provision does not apply to such'loss". K. Airbag Coverage The Exclusion in Paragraph 113.3.a. of Section III — Physical Damage Coverage in the Business Auto Coverage Form and the Exclusion in Paragraph 113.4.a. of Section IV— Physical Damage Coverage in the Motor Carrier Coverage Form does not apply to the accidental discharge of an airbag. L. Two or More Deductibles The following is added to the Deductible Provision of the Physical Damage Coverage Section: U-CA-424-H CW(10/21) Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 3 of 6 If an accident is covered both by this policy or Coverage Form and by another policy or Coverage Form issued to you by us, the following applies for each covered "auto" on a per vehicle basis: 1. If the deductible on this policy or Coverage Form is the smaller(or smallest) deductible, it will be waived; or 2. If the deductible on this policy or Coverage Form is not the smaller(or smallest) deductible, it will be reduced by the amount of the smaller(or smallest) deductible. M. Temporary Substitute Autos—Physical Damage 1. The following is added to Section I—Covered Autos: Temporary Substitute Autos—Physical Damage If Physical Damage Coverage is provided by this Coverage Form on your owned covered "autos", the following types of vehicles are also covered "autos"for Physical Damage Coverage: Any "auto" you do not own when used with the permission of its owner as a temporary substitute for a covered "auto"you do own but is out of service because of its: 1. Breakdown; 2. Repair; 3. Servicing; 4. "Loss"; or 5. Destruction. 2. The following is added to the Paragraph A. Coverage Provision of the Physical Damage Coverage Section: Temporary Substitute Autos—Physical Damage We will pay the owner for"loss" to the temporary substitute "auto" unless the "loss" results from fraudulent acts or omissions on your part. If we make any payment to the owner, we will obtain the owner's rights against any other party. The deductible for the temporary substitute "auto" will be the same as the deductible for the covered "auto" it replaces. N. Amended Duties In The Event Of Accident, Claim,Suit Or Loss Paragraph a.of the Duties In The Event Of Accident, Claim, Suit Or Loss Condition is replaced by the following: a. In the event of"accident", claim, "suit" or "loss", you must give us or our authorized representative prompt notice of the "accident", claim, "suit" or "loss". However, these duties only apply when the "accident", claim, "suit" or "loss" is known to you (if you are an individual), a partner(if you are a partnership), a member (if you are a limited liability company) or an executive officer or insurance manager (if you are a corporation). The failure of any agent, servant or employee of the "insured" to notify us of any "accident", claim, "suit" or"loss" shall not invalidate the insurance afforded by this policy. Include, as soon as practicable: (1) How, when and where the "accident" or "loss" occurred and if a claim is made or "suit" is brought, written notice of the claim or"suit" including, but not limited to, the date and details of such claim or"suit"; (2) The "insured's" name and address; and (3) To the extent possible, the names and addresses of any injured persons and witnesses. If you report an "accident", claim, "suit" or "loss" to another insurer when you should have reported to us, your failure to report to us will not be seen as a violation of these amended duties provided you give us notice as soon as practicable after the fact of the delay becomes known to you. O. Waiver of Transfer Of Rights Of Recovery Against Others To Us The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition: U-CA-424-H CW(10/21) Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 4 of 6 This Condition does not apply to the extent required of you by a written contract, executed prior to any "accident" or "loss", provided that the "accident" or "loss" arises out of operations contemplated by such contract. This waiver only applies to the person or organization designated in the contract. P. Employee Hired Autos—Physical Damage Paragraph b. of the Other Insurance Condition in the Business Auto Coverage Form and Paragraph f. of the Other Insurance — Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form are replaced by the following: For Hired Auto Physical Damage Coverage, the following are deemed to be covered "autos"you own: (1) Any covered "auto" you lease, hire, rent or borrow; and (2) Any covered "auto" hired or rented under a written contract or written agreement entered into by an "employee" or elected or appointed official with your permission while being operated within the course and scope of that "employee's" employment by you or that elected or appointed official's duties as respect their obligations to you. However, any"auto"that is leased, hired, rented or borrowed with a driver is not a covered "auto". Q. Unintentional Failure to Disclose Hazards The following is added to the Concealment, Misrepresentation Or Fraud Condition: However, we will not deny coverage under this Coverage Form if you unintentionally: (1) Fail to disclose any hazards existing at the inception date of this Coverage Form; or (2) Make an error, omission, improper description of"autos"or other misstatement of information. You must notify us as soon as possible after the discovery of any hazards or any other information that was not provided to us prior to the acceptance of this policy. R. Hired Auto—World Wide Coverage Paragraph 7.b.(5)of the Policy Period, Coverage Territory Condition is replaced by the following: (5) Anywhere else in the world if a covered "auto" is leased, hired, rented or borrowed for a period of 60 days or less, S. Bodily Injury Redefined The definition of"bodily injury"in the Definitions Section is replaced by the following: "Bodily injury" means bodily injury, sickness or disease, sustained by a person including death or mental anguish, resulting from any of these at any time. Mental anguish means any type of mental or emotional illness or disease. T. Expected Or Intended Injury The Expected Or Intended Injury Exclusion in Paragraph B. Exclusions under Section II—Covered Auto Liability Coverage is replaced by the following: Expected Or Intended Injury "Bodily injury" or "property damage" expected or intended from the standpoint of the "insured". This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property. U. Physical Damage—Additional Temporary Transportation Expense Coverage Paragraph AA.a.of Section III—Physical Damage Coverage is replaced by the following: 4. Coverage Extensions a. Transportation Expenses We will pay up to $50 per day to a maximum of$1,000 for temporary transportation expense incurred by you because of the total theft of a covered "auto" of the private passenger type. We will pay only for those covered "autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage. We will pay for temporary transportation expenses incurred during the period beginning 48 hours after the theft and ending, regardless of the policy's expiration, when the covered "auto" is returned to use or we pay for its "loss". U-CA-424-H CW(10/21) Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 5 of 6 V. Replacement of a Private Passenger Auto with a Hybrid or Alternative Fuel Source Auto The following is added to Paragraph A. Coverage of the Physical Damage Coverage Section: In the event of a total 'loss" to a covered "auto" of the private passenger type that is replaced with a hybrid "auto" or "auto" powered by an alternative fuel source of the private passenger type, we will pay an additional 10% of the cost of the replacement "auto", excluding tax, title, license, other fees and any aftermarket vehicle upgrades, up to a maximum of $2500. The covered "auto" must be replaced by a hybrid "auto" or an "auto" powered by an alternative fuel source within 60 calendar days of the payment of the 'loss" and evidenced by a bill of sale or new vehicle lease agreement. To qualify as a hybrid "auto", the "auto" must be powered by a conventional gasoline engine and another source of propulsion power. The other source of propulsion power must be electric, hydrogen, propane, solar or natural gas, either compressed or liquefied. To qualify as an "auto" powered by an alternative fuel source, the "auto" must be powered by a source of propulsion power other than a conventional gasoline engine. An "auto" solely propelled by biofuel, gasoline or diesel fuel or any blend thereof is not an "auto" powered by an alternative fuel source. W. Return of Stolen Automobile The following is added to the Coverage Extension Provision of the Physical Damage Coverage Section: If a covered "auto" is stolen and recovered, we will pay the cost of transport to return the "auto" to you. We will pay only for those covered "autos"for which you carry either Comprehensive or Specified Causes of Loss Coverage. All other terms, conditions, provisions and exclusions of this policy remain the same. U-CA-424-H CW(10/21) Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 6 of 6 Signature: Ten-o ,j�awy Signature: Terry JungnYan(Dec 19, 02311:49 PST) OWIAV—C Email: tjungman@kentwa.gov Email: phuynh@kentwa.gov Signature: ��" Lev�n�uuiesz Brian Levenhagen(Dec 19,202 12:28 PST) Email: bjlevenhagen@kentwa.gov PPD_Highwire_PlaygroundEquipPurchase_Kiwa nisTotLot4 Final Audit Report 2023-12-19 Created: 2023-12-18 By: KateLynn Jennings(kjennings@kentwa.gov) Status: Signed Transaction ID: CBJCHBCAABAAHjp7AVhFA1gIYGMtawwutOMnrsSOt_Wa "PPD_Highwire_PlaygroundEquipPurchase_KiwanisTotLot4" His tory Document created by KateLynn Jennings (kjennings@kentwa.gov) 2023-12-18-9:29:32 PM GMT-IP address: 146.129.252.126 Document emailed to Terry Jungman (tjungman@kentwa.gov)for signature 2023-12-18-9:32:39 PM GMT Email viewed by Terry Jungman (tjungman@kentwa.gov) 2023-12-19-7:42:59 PM GMT-IP address: 104.47.65.254 ='a Document e-signed by Terry Jungman (tjungman@kentwa.gov) Signature Date:2023-12-19-7:49:28 PM GMT-Time Source:server-IP address: 146.129.252.126 Document emailed to Phung Huynh (phuynh@kentwa.gov)for signature 2023-12-19-7:49:29 PM GMT Email viewed by Phung Huynh (phuynh@kentwa.gov) 2023-12-19-7:49:58 PM GMT-IP address: 104.47.64.254 Document e-signed by Phung Huynh (phuynh@kentwa.gov) Signature Date:2023-12-19-7:52:31 PM GMT-Time Source:server-IP address: 146.129.252.126 Document emailed to bjlevenhagen@kentwa.gov for signature 2023-12-19-7:52:33 PM GMT Email viewed by bjlevenhagen@kentwa.gov 2023-12-19-8:27:57 PM GMT-IP address: 104.47.65.254 Signer bjlevenhagen@kentwa.gov entered name at signing as Brian Levenhagen 2023-12-19-8:28:33 PM GMT-IP address: 146.129.252.126 Powered by r � Adobe T Acrobat Sign Document e-signed by Brian Levenhagen (bjlevenhagen@kentwa.gov) Signature Date:2023-12-19-8:28:35 PM GMT-Time Source:server-IP address: 146.129.252.126 Agreement completed. 2023-12-19-8:28:35 PM GMT POWL-md by Adobe r , Adobe [CENT Acrobat Sign