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2024-05-20 I01G_03 Public Safety Building_Pmt Est 5
AGENDA ITEM: CITY OF WAUKEE, IOWA CITY COUNCIL MEETING COMMUNICATION MEETING DATE: May 20, 2024 AGENDA ITEM:Consideration of approval of Payment Estimate No. 5 (Combined) for the Waukee Public Safety Building Project in the amount of $994,992.51. FORMAT:Consent Agenda SYNOPSIS INCLUDING PRO & CON: Pay Estimate No. 5 for the Waukee Public Safety Building project covers precast materials, mechanical and electrical, earthwork and utilities and site concrete as well as several other smaller items associated with the project. FISCAL IMPACT INCLUDING COST/BENEFIT ANALYSIS: Payment Estimate No. 5 is in the amount of $994,992.51. COMMISSION/BOARD/COMMITTEE COMMENT: STAFF REVIEW AND COMMENT: RECOMMENDATION: Approve Pay Estimate No. 5 ATTACHMENTS: I. Pay Estimate No. 5 PREPARED BY:Brad Deets, City Administrator REVIEWED BY: PUBLIC NOTICE INFORMATION – NAME OF PUBLICATION: DATE OF PUBLICATION: I1G3 Document G736™ – 2009 Project Application and Project Certificate for Payment, Construction Manager as Adviser Edition AIA Document G736 – 2009 (formerly G722™CMa – 1992). Copyright © 1981, 1992 and 2009. All rights reserved. “The American Institute of Architects,” “American Institute of Architects,” “AIA,” the AIA Logo, and “AIA Contract Documents” are trademarks of The American Institute of Architects. This document was produced at 12:13:32 ET on 05/08/2024 under Order No.4104251064 which expires on 03/14/2025, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents® Terms of Service. To report copyright violations, e-mail docinfo@aiacontracts.com. User Notes: (3B9ADA46) 1 APPLICATION NO: 005 Distribution to:TO OWNER:City of Waukee 230 W. Hickman Road Waukee, IA 50263 PROJECT: Waukee Public Safety Building 815 NW 20th Street Waukee, IA 50263 PERIOD TO: April 30, 2024 ATTENTION: Brad Deets VIA CONSTRUCTION MANAGER:Ryan Companies US, Inc.PROJECT NOS: 6173-000 / 21841001 OWNER: CONSTRUCTION MANAGER: ARCHITECT: OTHER : PROJECT APPLICATION FOR PAYMENT PROJECT CERTIFICATE FOR PAYMENT Application is made for Payment, as shown below, in connection with the Project. AIA Document G737™–2009, Summary of Contractors' Applications for Payment, is attached. 1. TOTAL CONTRACT SUMS (Item A Totals)28,868,514.50 2. TOTAL NET CHANGES BY CHANGE ORDERS (Item B Totals)38,675.42 3. TOTAL CONTRACT SUM TO DATE (Item C Totals)28,907,189.92 In accordance with the Contract Documents, based on evaluation of the Work and the data comprising this Application, the Construction Manager certifies to the Owner that to the best of its knowledge, information and belief the Work has progressed as indicated; the quality of the Work is in accordance with the Contract Documents; and the Construction Manager recommends to the Owner and Architect that the Contractors be paid the AMOUNTS set forth in the attached Summary of Contractors' Applications for Payment. 4. TOTAL COMPLETED & STORED TO DATE (Item F Totals)1,521,182.85 5. RETAINAGE (Item H Totals)76,059.14 6. LESS PREVIOUS TOTAL PAYMENTS (Item I Totals) 450,131.20 TOTAL OF AMOUNTS CERTIFIED ...........................................................994,992.51 7. CURRENT PAYMENT DUE (Item J Totals)994,992.51 CONSTRUCTION MANAGER: By: Date: The undersigned Construction Manager certifies that to the best of its knowledge, information and belief this Project Application for Payment is an accurate compilation of the Contractors' Applications for Payment, attached hereto. CONSTRUCTION MANAGER: By: Date: State of: In accordance with the Contract Documents, based on evaluation of the Work, the data comprising this Application, and the Construction Manager's recommendation, the Architect certifies to the Owner that to the best of its knowledge, information and belief the Work has progressed as indicated; the quality of the Work is in accordance with the Contract Documents; and the Contractors are entitled to payments of the AMOUNTS set forth in the attached Summary of Contractors' Applications for Payment. County of: ARCHITECT: Subscribed and sworn to before me this day of By: Date: Notary Public: My Commission expires: DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 5/10/2024 5/10/2024 Document G737™ – 2009 Summary of Contractors' Applications for Payment, Construction Manager as Adviser Edition AIA Document G737 – 2009(formerly G723™CMa – 1992). Copyright © 1992 and 2009. All rights reserved. “The American Institute of Architects,” “American Institute of Architects,” “AIA,” the AIA Logo, and “AIA Contract Documents” are trademarks of The American Institute of Architects. This document was produced at 12:13:23 ET on 05/08/2024 under Order No.4104251064 which expires on 03/14/2025, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents® Terms of Service. To report copyright violations, e-mail docinfo@aiacontracts.com. User Notes: (3B9ADAA4) 1 APPLICATION NO.:005 APPLICATION DATE: AIA Document G732, Application and Certificate for Payment, has been completed by each Contractor. The content of those G732 forms is summarized below.PERIOD FROM:April 01, 2024 PERIOD TO:April 30, 2024 In tabulations below, amounts are in US dollars.PROJECT NOS.:Ryan Co.: 6173-000 /OPN: 21841001 0 A B C D E F G H I J K L DESCRIPTION OF WORK CONTRACTOR'S NAME ORIGINAL CONTRACT SUM NET CHANGES IN THE WORK CONTRACT SUM TO DATE WORK IN PLACE TO DATE STORED MATERIALS (Not in D or I) TOTAL COMPLETED AND STORED TO DATE (D + E) RETAIN- AGE % RETAINAGE AMOUNT PREVIOUS PAYMENTS CURRENT PAYMENT (F – H – I) BALANCE TO FINISH (C – F) % COMPL. (F ÷ C) General Const DDVI 2,905,000.00 0.00 2,905,000.00 0.00 0.00 0.00 5.00%0.00 0.00 0.00 2,905,000.00 0.00% Building Concrete Jordison Const 1,271,000.00 0.00 1,271,000.00 0.00 0.00 0.00 5.00%0.00 0.00 0.00 1,271,000.00 0.00% Precast Material Enterprise Precast 1,833,316.00 0.00 1,833,316.00 98,388.00 329,945.00 428,333.00 5.00%21,416.65 68,060.85 338,855.50 1,404,983.00 23.36% Steel Material TSF Structures 1,932,100.00 0.00 1,932,100.00 146,110.33 0.00 146,110.33 5.00%7,305.52 118,588.81 20,216.00 1,785,989.67 7.56% Erection Northwest Steel 1,064,188.00 0.00 1,064,188.00 10,537.00 0.00 10,537.00 5.00%526.85 10,010.15 0.00 1,053,651.00 0.99% Metal Panels Forman Ford 575,239.00 0.00 575,239.00 27,542.98 0.00 27,542.98 5.00%1,377.15 19,590.89 6,574.94 547,696.02 4.79% Roofing Academy Roofing 998,000.00 0.00 998,000.00 0.00 0.00 0.00 5.00%0.00 0.00 0.00 998,000.00 0.00% Glass & Glazing Ford Metro 1,069,100.00 0.00 1,069,100.00 64,347.00 0.00 64,347.00 5.00%3,217.35 61,129.65 0.00 1,004,753.00 6.02% Overhead Doors Skold Door 310,000.00 0.00 310,000.00 6,100.00 0.00 6,100.00 5.00%305.00 5,795.00 0.00 303,900.00 1.97% Frame & Drywall Hilsabeck Schacht 2,562,500.00 0.00 2,562,500.00 0.00 0.00 0.00 5.00%0.00 0.00 0.00 2,562,500.00 0.00% Fire Protection Elite Fire Sprinkler 364,700.00 0.00 364,700.00 20,000.00 0.00 20,000.00 5.00%1,000.00 19,000.00 0.00 344,700.00 5.48% Mech & Plumbing Kruck Plumbing 5,947,000.00 8,025.42 5,955,025.42 136,000.00 126,854.00 262,854.00 5.00%13,142.70 147,955.85 101,755.45 5,692,171.42 4.41% Elec & Comm Van Maanen 4,711,425.00 30,650.00 4,742,075.00 298,539.59 90,519.95 389,059.54 5.00%19,452.98 0.00 369,606.56 4,353,015.46 8.20% Audio-Visual TriCity Electric 602,832.00 0.00 602,832.00 6,000.00 0.00 6,000.00 5.00%300.00 0.00 5,700.00 596,832.00 1.00% Earthwork Wenthold 803,330.50 0.00 803,330.50 95,312.00 0.00 95,312.00 5.00%4,765.60 0.00 90,546.40 708,018.50 11.86% SWPPP Absolute 155,000.00 0.00 155,000.00 0.00 0.00 0.00 5.00%0.00 0.00 0.00 155,000.00 0.00% Site Concrete Jordison Const 1,110,000.00 0.00 1,110,000.00 64,987.00 0.00 64,987.00 5.00%3,249.35 0.00 61,737.65 1,045,013.00 5.85% Landscape & Irrig Alpha Landscapes 653,784.00 0.00 653,784.00 0.00 0.00 0.00 5.00%0.00 0.00 0.00 653,784.00 0.00% 0.00 0.00 0.00 0.00 0.00 0.00 0.00%0.00 0.00 0.00 0.00 0.00% 0.00 0.00 0.00 0.00 0.00 0.00 0.00%0.00 0.00 0.00 0.00 0.00% TOTALS $28,868,514.50 $38,675.42 $28,907,189.92 $973,863.90 $547,318.95 $1,521,182.85 5.00%$76,059.14 $450,131.20 $994,992.51 $27,386,007.07 5.26% DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 Waukee Public Safety Building: Pay Application No. 5 Pay Apps Due to Ryan Co: 04/23/2024 Pay Apps Due to OPN: 04/30/2024 Council Packet Info to Waukee: 05/15/2024 by midnight Council Approval: 05/20/2024 Payment Due to Prime Contractors no later than: 05/31/2024 Prime Contractors Current (less retainage) Bid Package #1: General Construction (DDVI)$0.00 Bid Package #2: Building Concrete (Jordison Construction)$0.00 Bid Package #3: Precast Material (Enterprise Precast)$338,855.50 Bid Package #4: Steel Material & Misc. Metals (TSF Structures)$20,216.00 Bid Package #5: Precast & Steel Erection (Northwest Steel)$0.00 Bid Package #6: Metal Panels (Forman Ford)$6,574.95 Bid Package #7: Roofing (Academy Roofing)$0.00 Bid Package #8: Glass & Glazing (Ford Metro)$0.00 Bid Package #9: Overhead Doors (Skold Door)$0.00 Bid Package #10: Framing, Drywall & Ceilings (Hilsabeck Schacht)$0.00 Bid Package #11: Fire Protection (Elite Fire Sprinkler)$0.00 Bid Package #12: Mechanical & Plumbing (Kruck Plumbing & Heating)$101,755.45 Bid Package #13: Electrical & Communications (Van Maanen Electric)$369,606.56 Bid Package #14: Audio-Visual (Tri-City Electric)$5,700.00 Bid Package #15: Earthwork & Utilities (Sandstone Management)$90,546.40 Bid Package #16: SWPPP (Absolute Group)$0.00 Bid Package #17: Site Concrete (Jordison Construction)$61,737.65 Bid Package #18: Landscaping & Irrigation (Alpha Landscapes)$0.00 Pay Application Subtotal $994,992.51 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 5/1/2024 Hub International Great Plains LLC 11516 Miracle Hills Drive Omaha NE 68154 Amanda Anderson 605-444-5118 605-221-4757 Amanda.Anderson@hubinternational.com Charter Oak Fire Insurance Company 25615 8127 The Phoenix Insurance Company 25623EnterpriseProperties,Inc. 10220 F Street Omaha NE 68127 Travelers Casualty and Surety Company 19038 Travelers Lloyds Insurance Company 41262 396115800 B X 1,000,000 X 300,000 5,000 1,000,000 2,000,000 X Y Y Y-630-2X803800-PHX-23 10/1/2023 10/1/2024 2,000,000 A 1,000,000 X Y Y MR-2X682616-23-14 10/1/2023 10/1/2024 B X X 5,000,000YCUP-2X806967-23-14 10/1/2023Y 10/1/2024 5,000,000 C X N Y UB-2X807454-23-14-G 10/1/2023 10/1/2024 1,000,000 1,000,000 1,000,000 B D Leased/Hired Equipment Transporation Motor Truck Cargo Y-630-2X803800-PHX-23 QT-660-1Y189134-TLC-23 10/1/2023 10/1/2023 10/1/2024 10/1/2024 Limit Limit Limit 150,000 100,000 200,000 Professional Liability-Carrier:Lloyds of London-Policy:E&O04982A22 CM/Agg Limit:$3,000,000 Policy Eff:10/1/2023-10/1/2024 Ded:$40,000 Excess Professional Liability-Carrier:Lloyds of London-Policy Number:B1230FC04982B22 CM/Agg Limit:$2,000,000 Policy Eff:10/1/2023-10/1/2024 Project:Waukee Public Safety Building The City of Waukee,Ryan Companies US,Inc.and their consultants,OPN Architects and their consultants shall be additional insured on a primary and non-contributory basis.Waiver of subrogation applies as respects to general liability and workers compensation. Stored materials amount $329,945.00 at 13800 Giles Rd,Omaha,NE 68138 City of Waukee 230 W.Hickman Road Waukee IA 50263 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 Billing is for foundation embeds and anchor bolts that have been delivered to the job site. DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 1 OFF-SITE STORAGE AGREEMENT – PRIME CONTRACTOR FACILTY THIS AGREEMENT, made this _________ day of _________________, 20___, by and between ________ ___________(“Prime Contractor”) and City of Waukee, Iowa (“Grantee”). WHEREAS, Grantee, as the Owner, and Prime Contractor entered into that certain Contract Agreement dated ____________________(the “Contract”) for certain work at the Waukee Public Safety Building Project in Waukee, Iowa (the “Project”). WHEREAS, under the Contract, Grantee has purchased from Prime Contractor certain materials described on Exhibit A hereto (the “Offsite Materials”), which sale is evidenced by a Bill of Sale, the form of which is attached hereto as Exhibit B. WHEREAS, the Offsite Materials are being stored by Prime Contractor at ___________________________________________ ( “Premises”), which Premises is owned and operated by Prime Contractor. WHEREAS, Prime Contractor desires that Grantee have access to the Premises to claim the Offsite Materials upon the event (i) Prime Contractor fails to deliver the Offsite Materials to the Project site no later than seven (7) days after request by Grantee and in accordance with the Contract or (ii) upon Prime Contractor’s default under the Contract or (iii) to audit the existence of material purchased by Grantee in the storage facility (either of the foregoing an “Access Event”). NOW, THEREFORE, in consideration of the mutual promises of the parties contained herein, the parties hereto agree as follows: 1. Right of Entry. Upon the occurrence of an Access Event and notice from Grantee to Prime Contractor (which notice shall be deemed sufficient and incontrovertible), Prime Contractor agrees to provide Grantee access to the Premises to claim the Offsite Materials. The right of entry shall be specifically enforceable in a court of law. 2. Term of Right of Entry. This Agreement shall remain effective until the Offsite Materials are no longer located upon the Premises. 3. Segregation and Ownership of Offsite Materials. Prime Contractor agrees to keep the Offsite Materials segregated from all other property at the Premises and in an orderly manner easily recognizable by Grantee should it need to claim such materials. Such Offsite Materials shall be marked as owned by Grantee. Prime Contractor agrees that neither it nor any third party has any claim or right in any such materials and it shall not object to Grantee’s removal of the same. Prime Contractor agrees that any costs associated with storing such materials shall be the sole responsibility of Prime Contractor. April23rd Kruck Plumbing & Heating 1810 217th Road Boone, IA 50036 12/18/23 24 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 2 4. Photographs. At least once every other week, Prime Contractor shall provide photographs to Grantee of the Offsite Materials, the marking of the Offsite Materials to show Grantee’s ownership thereof and the segregation of the Offsite Materials within the Premises from other material. 5. Insurance. Prime Contractor agrees that the Offsite Materials are being insured at the full replacement value thereof by Prime Contractor until their delivery and acceptance by Grantee at the Project site. Grantee, Owner (as defined in the Contract) shall be named as a loss payees on such insurance and a certificate shall be delivered to Grantee prior to storage of the Offsite Materials at the Premises. 6. Attorneys’ Fees and Costs. Any party enforcing the terms of this Agreement for noncompliance by the counterparty, shall be entitled to reasonable attorneys’ fees and costs for such action. 7. Miscellaneous. This Agreement shall be governed by the law of the state in which the Premises is located. The persons signing this Agreement on behalf of the respective parties represent that they are authorized to act for and bind the parties with respect to the matters set forth herein. Photostatic signatures shall be treated as originals. This Agreement is specifically enforceable and Grantee may seek an injunction permitting entry onto the Premises to claim the Offsite Materials. DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 3 IN WITNESS WHEREOF, the parties hereto have executed this Right of Entry Agreement as of the day and year first written above. PRIME CONTRACTOR ________________________ By:______________________ Its:______________________ GRANTEE City of Waukee, Iowa By:______________________ Its:______________________ Chad Houston President CHAD HOUSTON DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 4 Exhibit A Itemization of Offsite Materials (Note – This should be the same list as Exhibit A to the Bill of Sale) DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 5 Exhibit B Form of Bill of Sale BILL OF SALE _____________________ ("Seller"), in consideration of the sum of __ Dollar(s) ($__) and other good and valuable consideration to it in hand paid by City of Waukee, Iowa ("Buyer"), the receipt and sufficiency of which is hereby acknowledged, does hereby grant, bargain, sell and convey unto Buyer all personal described on Exhibit A attached hereto and made a part hereof (the “Property”). The Property is to constitute certain material purchased by Buyer and sold by Seller under that certain Contract Agreement dated _________________(the “Contract”) for certain work at the Waukee Public Safety Building Project in Waukee, Iowa (the “Project”), which material is being stored by Seller off-site from the Project until its delivery to and incorporation into the Project. TO HAVE AND TO HOLD THE SAME unto Buyer, its successors and assigns, forever. And Seller, for itself and its successors and assigns, does hereby covenant and agree to and with Buyer, its successors and assigns, that Seller is the lawful owner of said Property and has good right to sell the same as aforesaid; that the same is free from all encumbrances; and that Seller will warrant and defend the sale of said Property hereby made unto Buyer, its successors and assigns, forever, against all and every person or persons whomsoever lawfully claiming or to claim the same. IN WITNESS WHEREOF, the Seller has caused these presents to be executed and delivered on and as of _______________, 20___. ________________________________________ By Its April 23rd $39,702 President 24 Kruck Plumbing & Heating 12/18/23 CHAD HOUSTON Chad Houston DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 6 Exhibit A to Bill of Sale The Property DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 4/23/2024 Holmes Murphy &Associates 2727 Grand Prairie Parkway Waukee IA 50263 Tristyn Paup 515-974-4604 tpaup@holmesmurphy.com Integrity Insurance Company 10288 KRUPLUPC Westchester Surplus Lines Insurance Com 10172KruckPlumbing&Heating Co Inc. 734 7th Street Boone,IA 50036 1375971582 A X 1,000,000 X 300,000 5,000 1,000,000 2,000,000 X Y Y CPP2823900 1/1/2024 1/1/2025 2,000,000 A 1,000,000 X X X CA2823901 1/1/2024 1/1/2025 A X X 10,000,000CUP28239031/1/2024Y 1/1/2025 10,000,000 A X N Y WCP2823902 1/1/2024 1/1/2025 500,000 500,000 500,000 B Pollution G70921121004 1/1/2024 1/1/2026 Limit 2,000,000 Stored at 1810 217th Road Boone,IA 50036 Material:Floor Drains and Roof Drains.$45,000 City of Waukee,Ryan Companies US,Inc.and their consultants,OPN Architects and their consultants are Additional Insureds on General Liability on a primary and non-contributory basis as required by written contract with the insured,per policy terms and conditions.The General Liability,Umbrella Liability and Workers Compensation include a Waiver of Subrogation in favor of certificate holder when required by written contract with the insured per policy terms and conditions. City of Waukee 230 W Hickman Road Waukee IA 50263 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 Endorsement CG 72 Policy Number: Optimum General Liability Plus Endorsement THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM The following is a summary of the coverage modifications, extensions and additions provided in this endorsement. The limits, unless stated otherwise, and deductibles shown below apply at each designated location. If a limit is shown elsewhere in the policy for any of these coverages, then that limit applies in addition to the limits shown below. If a different deductible amount is shown in the policy for any of these coverages, then that deductible will be the applicable deductible. For complete details of the coverage provided, refer to the specific policy language. COMMERCIAL GENERAL LIABILITY COVERAGES LIMIT DEDUCTIBLE SUBJECT OF INSURANCE PAGE Included None Additional Insured-Required By Contract 3 Included Additional Insured-Grantor Of Franchise 4None Additional Insured - Lessor Of Leased Equipment 5IncludedNone Included None Additional Insured - Manager Or Lessor Of Premises 5 Included None Additional Insured-Vendors 5 Included None Additional Insured-Mortgagee, Assignee, or Receiver 6 Included None Additional Insured-State Or Governmental Agency 6 Included None Aggregate Limit Per Location/Per Project 15 Included None Blanket Primary And Noncontributory 9 Included None Broad Form Named Insured 3 $300,000 None Damage To Premises Rented To You 8 Included None Duties In The Event Of Occurrence, Offense, Claim Or Suit 8 NoneIncluded Expected Or Intended Injury 2 Included None Incidental Medical Malpractice 7 Included None Liberalization Clause 10 11$25,000/occurrence $50,000/aggregate $250 Limited Care Custody Or Control $5,000 $100 Lost Key Coverage 14 IN300 (02-2018)continued... (Page 224 of 292)DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 Endorsement CG 72 Policy Number: Optimum General Liability Plus Endorsement LIMIT DEDUCTIBLE SUBJECT OF INSURANCE PAGE 1,000 Pounds None Mobile Equipment 10 180 Days to Report Newly Formed Or Acquired Organizations 8None Non-Owned Watercraft 251 Feet None $10,000 None Property Damage To Borrowed Equipment 2 $2,500 None Supplementary Payments - Bonds 3 $500 None Supplementary Payments - Earnings 3 Included None Unintentional Failure To Disclose Hazards 10 $5,000/occurrence $25,000/aggregate $250 Voluntary Property Damage 12 Included None Waiver Of Transfer of Rights Of Recovery 9 The following changes are made to the Commercial General Liability Coverage form: SECTION I - COVERAGES COVERAGE A - BODILY INJURY AND PROPERY DAMAGE LIABILTY 2. Exclusions are changed as follows: a. Expected Or Intended Injury is deleted and replaced with the following: "Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This exclusion does not apply to "bodily injury" and "property damage" resulting from the use of reasonable force to protect persons or property. g. (2)of Aircraft, Auto Or Watercraft is deleted and replaced with the following: A watercraft you do not own that is: (a)Less than 51 feet long; and (b)Not being used to carry persons or property for a charge. j. Damage To Property deleting the first paragraph after (6) and replacing with the following: Paragraphs (1), (3), and (4) of this exclusion do not apply to "property damage" (other than damage by fire, lightning, explosion, smoke, or leakage from automatic fire protection systems) to premises, including the contents of such premises, rented to you for a period of seven or fewer consecutive days. A separate limit of insurance applies to Damage To Premises Rented To You as described in Section III - Limits Of Insurance. The last paragraph of 2. Exclusions is deleted and replaced with the following: IN300 (02-2018)page 2 (Page 225 of 292)DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 Endorsement CG 72 Policy Number: Optimum General Liability Plus Endorsement Exclusions c. through n. do not apply to damage by fire, lightning, explosion, smoke, or leakage from automatic fire protection systems to premises, including the contents of such premises, rented to you or temporarily occupied by you with the permission of the owner. A separate limit of insurance applies to Damage To Premises Rented To You as described in Section III - Limits of Insurance. SUPPLEMENTARY PAYMENTS - COVERAGES A AND B is changed as follows: Paragraph 1.b. is deleted and replaced with the following:Paragraph 1.b. is deleted and replaced with the following: Up to $2,500 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. Paragraph 1.d. is deleted and replaced with the following: All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or "suit", including actual loss of earnings up to $500 a day because of time off from work. SECTION II - WHO IS AN INSURED is changed as follows: The following is added to Section II - Who Is An Insured: With respects to coverage provided under Commercial General Liability Coverage the following is added to include as a named insured: Broad Form Named Insured Any organization or subsidiary thereof which is a legally incorporated entity of which you own a financial interest of more than 50 percent of the voting stock on the effective date of this endorsement. This provision does not apply to "bodily injury", "property damage" or "personal and advertising injury" with respect to which a Named Insured under this policy is also a Named Insured under another policy or would be a Named Insured under such policy but for its termination or upon exhaustion of its limits of insurance. Additional Insureds The following are added as Additional Insureds under Section II - Who Is An Insured: :Additional Insureds Required By Contract A. SECTION II - WHO IS AN INSURED is amended to include as an additional insured any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. 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 IN300 (02-2018)page 3 (Page 226 of 292)DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 Endorsement CG 72 Policy Number: Optimum General Liability Plus Endorsement 2.The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured. A person's or organization's status as an additional insured under this endorsement ends when your operations for that additional insured are completed. B.With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply: 1.To "bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the 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, of 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. 2.To "bodily injury" or "property damage" occurring after: a.All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or b.That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as part of the same project. :Additional Insured - Grantor Of Franchise When Required In Written Agreement With You A. SECTION II - WHO IS AN INSURED is amended to include as an additional insured any person(s) or organization(s) who has granted a franchise to you, when you and such person(s) or organization(s) have agreed in writing in a contract or agreement that such person(s) or organization(s) be added as an additional insured on your policy, but only with respect to their liability as grantor of a franchise to you. :Additional Insured - Lessors Of Leased Equuipment - Automatic Status When Required In Lease Agreement With You A. SECTION II - WHO IS AN INSURED is amended to include as an additional insured any person(s) or organization(s) from whom you lease equipment when you and such person(s) or IN300 (02-2018)page 4 (Page 227 of 292)DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 Endorsement CG 72 Policy Number: Optimum General Liability Plus Endorsement organization(s) have agreed in writing in a contract or agreement that such person(s) or organization(s) be added as an additional insured on your policy. Such person(s) or organization(s) 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 your maintenance, operation or use of equipment leased to you by such person(s) or organization(s). A person's or organization's status as an additional insured under this provision ends when their contract or agreement with you for such leased equipment ends. With respect to this provision, insurance afforded to these additional insureds does not apply to any "occurrence" which takes place after the equipment lease expires. :Additional Insured - Managers Or Lessors Of Premises When Required in Written Lease Agreement With You A. SECTION II - WHO IS AN INSURED is amended to include as an additional insured any person(s) or organization(s) from whom you have leased premises, but only with respect to liability arising out of the ownership, maintenance or use of that part of the premises leased to you and subject to the following additional exclusions: This insurance does not apply to: 1.Any "occurrence" which takes place after you cease to be a tenant in that premises. 2.Structural alterations, new construction or demolition operations performed by or on behalf of the manager or the lessor. :Additional Insured - Vendors A. SECTION II - WHO IS AN INSURED is amended to include as an additional insured any person(s) or organization(s) (referred to throughout this endorsement as vendor), but only with respect to "bodily injury" or "property damage" arising out of "your products" which are distributed or sold in the regular course of the vendor's business. If coverage provided to the vendor is required by a contract or agreement, the insurance afforded to such vendor will not be broader than that which you are required by the contract or agreement to provide for such vendor. B.With respect to the insurance afforded to these vendors, the following additional exclusions apply: 1.The insurance afforded the vendor does not apply to: a."Bodily injury" or "property damage" for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability or damages that the vendor would have in the absence of the contract or agreement; b.Any express warranty unauthorized by you; c.Any physical or chemical change in the product made intentionally by the vendor; IN300 (02-2018)page 5 (Page 228 of 292)DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 Endorsement CG 72 Policy Number: Optimum General Liability Plus Endorsement d.Repackaging, except when unpacked solely for the purpose of inspection, demonstration, testing, or the substitution of parts under instructions from the manufacturer, and then repackaged in the original container. e.Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products; f.Demonstration, installation, servicing or repair operations, except such operations performed at the vendor's premises in connection with the sale of the product; g.Products which, after distribution or sale by you, have been labeled or relabeled or used as a container, part or ingredient of any other thing or substance by or for the vendor; or h."Bodily injury" or "property damage" arising out of the sole negligence of the vendor for its own acts or omissions or those of its employees or anyone else acting on its behalf. However, this exclusion does not apply to: (1)The exceptions contained in Sub-paragraphs d. or f.; or (2)Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products. 2.This insurance does not apply to any insured person or organization, from whom you have acquired such products, or any ingredient, part or container, entering into, accompanying or containing such products. :Additional Insured - Mortgagee, Assignee, or Receiver A. SECTION II - WHO IS AN INSURED is amended to include as an additional insured any person(s) or organization(s), with respect to their liability as mortgagee, assignee, or receiver arising out of the ownership, maintenance, or use of the premises by you. B.This insurance does not apply to structural alterations, new construction and demolition operations performed by or for that person or organization. :Additional Insured - State Or Governmental Agency or Subdivision Or Political Subdivision - Permits Or Authorizations A. SECTION II - WHO IS AN INSURED is amended to include as an additional insured any state or governmental agency or subdivision or political subdivision but only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization. 1.This insurance does not apply to: a."Bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for the federal government, state or municipality; or IN300 (02-2018)page 6 (Page 229 of 292)DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 Endorsement CG 72 Policy Number: Optimum General Liability Plus Endorsement b."Bodily injury" or "property damage" included within the products-completed operations hazard." Additional Conditions Applicable to Additional Insured Coverage Provided Above With respect to coverage provided by the Additional Insureds added by this endorsement, the following is added: 1.The insurance afforded to such additional insured: a.Only applies to the extent permitted by law; and b.Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured. c.Does not apply unless the written lease agreement has been executed prior to the "bodily injury", "property damage", or "personal and advertising injury". 2.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: a.Required by the written contract or agreement, or b.Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. The Additional Insureds added by this endorsement shall not increase the applicable Limits of Insurance shown in the Declarations and do not apply to any person or organization included as an additional insured by an endorsement issued by us and made a part of the Coverage Form. The following changes are made to SECTION II - WHO IS AN INSURED: :Incidental Medical Malpractice Paragraph 2.a.(1)(d) does not apply to your "employees" who provide professional health care services on your behalf as duly licensed: 1.Nurses; 2.Emergency Medical Technicians; or 3.Paramedics in the jurisdiction where an "occurrence" or offense to which this insurance applies takes place. This coverage does not apply if you are in the business or occupation of providing any such professional services. :Newly Formed Or Acquired Organizations As Named Insured Paragraph 3. Is deleted in its entirety and replaced with the following: Any organization you newly acquire or form during the policy period, other than a partnership or joint venture, and over which you maintain an ownership interest of more than 50 percent of such IN300 (02-2018)page 7 (Page 230 of 292)DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 Endorsement CG 72 Policy Number: Optimum General Liability Plus Endorsement organization, will qualify as a Named Insured if there is no other similar insurance available to that organization. However: a.Coverage under this provision is afforded only until the 180th day after you acquire or form the organization or the end of the policy period, whichever is earlier; b.Coverage A does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization; c.Coverage B does not apply to "personal and advertising injury" arising out of an offense committed before you acquired or formed the organization; and d.Coverage A does not apply to damage to "your products" that occurred before you acquired or formed the organization. An additional premium will apply in accordance with our rules and rates in effect on the date you acquired or formed the organization. The last paragraph under SECTION II - WHO IS AN INSURED does not apply to the extent that such paragraph would conflict with the above. SECTION III - LIMITS OF INSURANCE is changed as follows: Paragraph 6. is deleted and replaced with the following: 6.Subject to Paragraph 5. above, the Damage To Premises Rented To You Limit is the most we will pay under Coverage A for damages because of "property damage" to any one premises while rented to you, or in the case of damage by fire, explosion, lightning, smoke, or leakage from automatic fire protection systems, while rented to you or temporarily occupied by you with the permission of the owner. The limit is the greater of: a.$300,000; or b.The amount shown in the Declarations for Damage To Premises Rented To You Limit. SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit The requirement in paragraph 2.a. stating that you must see to it that we are notified of an "occurrence" only applies when the "occurrence" or offense is known to: 1.You, if you are an individual; 2.A partner, if you are a partnership; 3.An officer of the corporation, if you are a corporation; 4.Your members and managers, if you are a limited liability company; 5.Your insurance manager; or 6.The trustee, if you are a trust. Other Insurance is amended by the addition of the following: IN300 (02-2018)page 8 (Page 231 of 292)DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 Endorsement CG 72 Policy Number: Optimum General Liability Plus Endorsement 4.This provision supersedes any provision to the contrary: The following is added to SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS: Primary and Noncontributory Insurance provided under this policy shall apply on a primary basis and shall not seek contribution from any other insurance available to an additional insured added to this policy by this endorsement subject to the following conditions: 1.The additional insured is a Named Insured under such other insurance; and 2.You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. The word "fire" is changed to "fire, lightning, explosion, smoke, or leakage from automatic fire protection systems" wherever it appears in: 1.Condition 4.b (1)(a)(ii), and 2. 9.a of Section V - Definitions The following paragraphs are added to 8. Transfer Of Rights Of Recovery Against Other To Us: Waiver Of Transfer Of Rights Of Recovery Against Others To Us When Required Within A Written Agreement With You - Blanket We waive any right of recovery we may have because of payments we make for injury or damage arising out of: 1.Your ongoing operations or "your work" done under a written contract with that person or organization; or 2.The ownership, maintenance or use of that part of the premises leased to you. The waiver applies only to a person or organization with whom you have a written contract or agreement in which you are required to waive the rights of recovery under this policy, but only to the extent that subrogation is waived prior to any injury or damage under a contract with that person or organization. The insured must do nothing after a loss to impair our rights. At our request, the insured will bring "suit" or transfer those rights to us and help us enforce those rights. The following are added to SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS: :Unintentional Failure To Disclose Hazards Any unintentional error or omission in the description of, or failure to completely describe, any premises or operations intended to be covered by this Coverage Form will not invalidate or affect coverage for those premises or operations. However, you must report such error or omission to us as soon as practicable after its discovery. This provision does not affect our right to collect additional premium as a result of any unintentional error or omission. In addition, this provision does not affect our rights of cancellation or nonrenewal in accordance with applicable insurance laws or regulations. IN300 (02-2018)page 9 (Page 232 of 292)DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 Endorsement CG 72 Policy Number: Optimum General Liability Plus Endorsement :Liberalization Clause If we revise this Endorsement to provide more coverage without additional premium charge, your policy will automatically provide the additional coverage as of the day the revision is effective in your state. SECTION V - DEFINITIONS are amended as follows: With respects to coverage provided by this endorsement the following definitions are amended: Bodily Injury Redefined 3.The definition of "bodily injury" is deleted and replaced with the following: 3."Bodily injury" means: a.Bodily injury, sickness or disease sustained by a person, including death resulting from any of these at any time; and b.Mental anguish, shock or humiliation arising out of an injury as defined in Paragraph a. above and that is covered under this policy. Mental anguish means any type of mental or emotional illness or distress. :Mobile Equipment Redefined Paragraph 12. f., subparagraph (1) does not apply to self-propelled vehicles of less than 1,000 pounds gross vehicle weight. COVERAGE EXTENSIONS The following Coverages are added subject to the terms, conditions, limitations and exclusions stipulated for each: :Limited Care, Custody Or Control Liability Coverage With respects to Limited Care, Custody Or Control Liability Coverage the following is added to Paragraph 1.a. of SECTION I-COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIABILITY A. Insuring Agreement We will pay all sums that the insured becomes legally obligated to pay as damages because of "loss" to property of others while in the care custody or control of the insured. B. Exclusions With respect to coverage provided by Limited Care, Custody Or Control Liability Coverage: Exclusions 2.j.(4) and 2.j.(5) do not apply. The following additional exclusions are added: This insurance does not apply to "loss" to property: (a)Held by the insured for sale or entrusted to the insured for storage or safekeeping; (b)Owned or occupied by, rented or leased to, or loaned to any insured; IN300 (02-2018)page 10 (Page 233 of 292)DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 Endorsement CG 72 Policy Number: Optimum General Liability Plus Endorsement (c)Included in the "products-completed operations hazard"; and (d)Arising from errors or mistakes in design, plans or specifications committed by or on behalf of the insured. C. Limit Of Insurance With respect to coverage provided by Limited Care, Custody Or Control Liability Coverage the following is added to SECTION III - LIMITS OF INSURANCE: The most we will pay for "loss"' including all resulting loss of use of that property, as a result of any one "occurrence" under this coverage is $25,000. However, the most we will pay for the sum of all "loss", including all resulting loss of use of property, as a result of all "occurrences" under this coverage is $50,000. These limits are part of, and not in addition to, the Each Occurrence and General Aggregate limit. We will not pay for a "loss" in any one "occurrence" until the amount of "loss" exceeds the deductible shown under D. Deductible. We will then pay the amount of "loss" or damage in excess of the deductible, up to the applicable limit of insurance. D. Deductible With respect to Limited Care, Custody Or Control Liability Coverage, we are not obligated to pay any "loss" until such "loss" exceeds $250. We will then pay the amount of "loss" in excess of the deductible, up to the applicable limit of insurance. This deductible amount applies to all "loss" to real or personal property belonging to others as the result of any one "occurrence". We may pay any part or all of the deductible amount to effect settlement of any claim or "suit" and, upon notification of the action taken, you shall promptly reimburse us for such part of the deductible amount as has been paid by us. The terms of this insurance, including those with respect to: (a)Our right and duty to defend any "suits" seeking those damages; and (b)Your duties in the event of an "occurrence", claim or "suit" apply irrespective of the application of the Deductible amount. E. Excess Insurance This insurance is excess over any other collectible insurance available to the insured. F. Additional Definition With respect to coverage provided by Limited Care, Custody Or Control Liability Coverage the following is added to SECTION V - DEFINITIONS: "Loss" means any unintentional damage or destruction but does not include disappearance, abstraction or theft. :Voluntary Property Damage Coverage With respects to Voluntary Property Damage Coverage the following is added to Paragraph 1.a. of SECTION I-COVERAGE A- BODILY INJURY AND PROPERTY DAMAGE LIABILITY IN300 (02-2018)page 11 (Page 234 of 292)DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 Endorsement CG 72 Policy Number: Optimum General Liability Plus Endorsement A. Insuring AgreementDeductible At your request, we will pay for a "loss" to property of others caused by you and while in your possession, arising out of your business operations and occurring during the policy period even if you are not legally liable, if such property is otherwise subject to this coverage. B. Exclusions With respect to coverage provided by Voluntary Property Damage Coverage: Exclusions 2.j.(4) and 2.j.(5) do not apply. The following additional exclusions are added: This insurance does not apply to "loss" to property: (a)Held by the insured for sale or entrusted to the insured for storage or safekeeping; (b)Owned or occupied by, rented or leased to, or loaned to any insured; (c)Included in the "products-completed operations hazard" or (d)Arising from errors or mistakes in design, plans or specifications committed by or on behalf of the insured. C. Limit Of Insurance With respect to coverage provided by Voluntary Property Damage Coverage the following is added to SECTION III - LIMITS OF INSURANCE: The most we will pay for "loss", including all resulting loss of use of that property as a result of any one "occurrence" under this coverage is $5,000. However, the most we will pay for the sum of all "loss", including all resulting loss of use of property, as a result of all "occurrences" under this coverage is $25,000. These limits are part of, and not in addition to, the Each Occurrence and General Aggregate limit. We will not pay for "loss" in any one" occurrence" until the amount of "loss" exceeds the deductible shown under D. Deductible. We will then pay the amount of "loss" in excess of the deductible, up to the applicable limit of insurance. D. Deductible With respect to Voluntary Property Damage Coverage, we are not obligated to pay any "loss" until such "loss" exceeds $250. We will then pay the amount of "loss" in excess of the Deductible, up to the applicable Limit Of Insurance. This Deductible amount applies to all "loss" to real or personal property belonging to others as the result of any one "occurrence". We may pay any part or all of the Deductible amount to effect settlement of any claim or "suit" and upon notification of the action taken; you shall promptly reimburse us for such part of the Deductible amount as has been paid by us. E. Excess Insurance This insurance is excess over any other collectible insurance available to the insured. IN300 (02-2018)page 12 (Page 235 of 292)DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 Endorsement CG 72 Policy Number: Optimum General Liability Plus Endorsement F. Additional Definitions With respect to coverage provided by Voluntary Property Damage Coverage the following is added to SECTION V - DEFINITIONS "Loss" means any unintentional "property damage" but does not include disappearance, abstraction or theft. Applicable to Limited Care, Custody or Control Liability Coverage and Voluntary Property Damage Coverage: We will not pay for any "loss" under Limited Care, Custody or Control Liability Coverage unless you are legally liable. If we provide coverage for the same "loss" under Limited Care, Custody or Control Liability Coverage and Voluntary Property Damage Coverage, the most we will pay for the "loss" under the two coverages combined is $30,000. :Lost Key Coverage With respect to Lost Key Coverage the following is added to Paragraph 1.a. of SECTION I - COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIABILITY A. Insuring Agreement We will pay those sums that you become legally obligated to pay as damages due to loss of keys by an insured in the course of your business. The keys must be loaned to the insured or in the care, custody or control of the insured. The additional insurance provided by this endorsement applies only to: (a)The actual cost of the keys; (b)Adjustment of locks to accept new keys; and (c)The cost of new locks, including the cost of their installation This additional coverage extension is subject to the following: B. Exclusions With respect to Lost Key Coverage: Exclusions 2.j.(3) and 2. j.(4) do not apply to the loss of keys by an insured. Lost Key Coverage does not apply to: (a)Misappropriation; (b)Secretion; (c)Conversion; (d)Infidelity; or (e)Any dishonest act on the part of the insured. With respect to Lost Key Coverage under SECTION II - WHO IS AN INSURED Subparagraph 2.a.(2) does not apply. IN300 (02-2018)page 13 (Page 236 of 292)DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 Endorsement CG 72 Policy Number: Optimum General Liability Plus Endorsement C. Limit Of Insurance With respect Lost Key Coverage the following is added to SECTION III - LIMITS OF INSURANCE: The most we will pay for loss or damage resulting from any one "occurrence" under this coverage is $5,000. D. Deductible With respect to Lost Key Coverage, a deductible of $100 applies to any loss or damage resulting from any one "occurrence" regardless of the number of persons or organizations who sustain damages because of that "occurrence". We may pay any part or all of the deductible amount to effect settlement of any claim or "suit" and upon notification of the action taken, you shall promptly reimburse us for such part of the deductible amount that has been paid by us. :Property Damage To Borrowed Equipment A.Exclusion j.(4) under Paragraph 2. Exclusions of Section I -Coverage A - Bodily Injury And Property Damage Liability does not apply to "property damage" to borrowed equipment while that equipment is: 1.Not being used to perform operations; and 2.Away from an insured's premises. B.Subject to Paragraph 5 in Section III - Limits Of Insurance, Coverage A the most we will pay for damages because of "property damage" to equipment you borrow from others is $10,000 per "occurrence". C.The insurance afforded by this provision Property Damage To Borrowed Equipment is excess over any valid and collectible property insurance available to the insured :Aggregate Limit Per Location For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under SECTION I - COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIABILITY, and for all medical expenses caused by accidents under SECTION I - COVERAGE C -MEDICAL PAYMENTS, which can be attributed only to operations at a single designated "location" shown in the Declarations: 1.A separate Location General Aggregate Limit applies to each "location", and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations. 2.The Location General Aggregate Limit is the most we will pay for the sum of all damages under Coverage A, except damages because of "bodily injury" or "property damage" included in the "products-completed operations hazard", and for medical expenses under Coverage C regardless of the number of: (a)Insureds; IN300 (02-2018)page 14 (Page 237 of 292)DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 Endorsement CG 72 Policy Number: Optimum General Liability Plus Endorsement (b)Claims made or "suits" brought; or (c)Persons or organizations making claims or bringing "suits". 3.Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the Location General Aggregate Limit for that "location". Such payments shall not reduce the General Aggregate Limit shown in the Declarations nor shall they reduce any other Location General Aggregate Limit for any other "location" shown in the Declarations. 4.The limits shown in the Declarations for Each Occurrence, Damage To Premises Rented To You and Medical Payments continue to apply. However, instead of being subject to the General Aggregate Limit shown in the Declarations, such limits will be subject to the applicable Location General Aggregate Limit. :Aggregate Limit Per Project For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under SECTION I - COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIABILITY, and for all medical expenses caused by accidents under SECTION I - COVERAGE C - MEDICAL PAYMENTS, which can be attributed only to ongoing operations at a single construction project: 1.A separate Construction Project General Aggregate Limit applies to each construction project, and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations. 2.The Construction Project General Aggregate Limit is the most we will pay for the sum of all damages under Coverage A, except damages because of "bodily injury" or "property damage" included in the "products-completed operations hazard", and for medical expenses under Coverage C regardless of the number of: (a)Insureds; (b)Claims made or "suits" brought; or (c)Persons or organizations making claims or bringing "suits". 3.Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the Construction Project General Aggregate Limit for that construction project. Such payments shall not reduce any other Construction Project General Aggregate Limit for any other construction project. IN300 (02-2018)page 15 (Page 238 of 292)DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CANCELLATION © 1993-2015 ACORD CORPORATION. All rights reserved.ACORD 27 (2016/03) The ACORD name and logo are registered marks of ACORD 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 EVIDENCE OF PROPERTY INSURANCE 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. PROPERTY INFORMATION LOCATION/DESCRIPTION COVERAGE INFORMATION COVERAGE / PERILS / FORMS AMOUNT OF INSURANCE DEDUCTIBLE PHONE(A/C, No, Ext): (A/C, No):FAX E-MAILADDRESS: AGENCY THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST. CUSTOMER ID #:AGENCY SUB CODE:CODE: INSURED LOAN NUMBER POLICY NUMBER TERMINATED IF CHECKED CONTINUED UNTILEXPIRATION DATEEFFECTIVE DATE THIS REPLACES PRIOR EVIDENCE DATED: COMPANY DATE (MM/DD/YYYY)EVIDENCE OF PROPERTY INSURANCE REMARKS (Including Special Conditions) MORTGAGEE ADDITIONAL INSURED LOSS PAYEE ADDITIONAL INTEREST NAME AND ADDRESS AUTHORIZED REPRESENTATIVE LOAN # PERILS INSURED BASIC BROAD SPECIAL LENDER'S LOSS PAYABLE 4/25/2024 515-244-0150 AssuredPartners Great Plains, LLC 4200 University Ave., Suite 200 West Des Moines, IA 50266-5945 License#: 1001000272 515-244-0150 lindsay.gentry@AssuredPartners.com EMCASCO Insurance Company P.O. Box 712 Des Moines, IA 50306-0712 Van Maanen Electric, Inc. 500 Iowa Speedway Dr. Newton IA 50208 6X57919 08/01/2023 08/01/2024 Materials stored at Insured's warehouse X Building & Contents - Special Cause of Loss - Replacement Cost Wind and Hail 12,837,000 5,000 10,000 E:Stored Materials for the Waukee Public Safety Facility project stored at Van Maanen Warehouse, which is located at 500 Iowa Speedway Drive Newton, IA 50208. Materials being stored valued at $90,519.95. City of Waukee Iowa230 W Hickman RoadWaukee, IA 50263 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE INVOICE DATE INVOICE NO. 03/05/24 8499497-00 PO. NO.PAGE # 10943 GEAR 1 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY (#10942) 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 5.20 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 3E - WINDSOR HEIGHTS OT_Route3_Wi 03/05/24 04/10/24 1 MMC 242410-CT3R 1.00 0.00 1.00 E 260.00 260.00 CT ENC TYPE 3R HINGED 2 MMC UC7445-XL-TS100109 1.00 1.00 0.00 E 382.00 0.00 20A MTR SKT Customer Prod: MTR-UC7445 2 Lines Total Qty Shipped Total 1 Total 260.00 Taxes 18.20 Invoice Total 278.20 Cash Discount 5.20 If Paid By 04/10/24Last Page THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 03/13/24 8466556-00 PO. NO.PAGE # 10943 GEAR 1 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 03/08/24 04/10/24 1 SQD SPE LP 1.00 0.00 1.00 E 1474.51 1474.51 SQD SMALL PROJECT LOT PRICE 2 SQUARE D CUSTOM SWB SERIES 2 COMMS - QED-2 SWITCHB 1.00 1.00 0.00 each 0.00 0.00 2500A 480Y/277V 3PH 4W MSB 3 SQUARE D CUSTOM SWBD SERIES 2 - QED-2 SWITCHBOARD 1.00 1.00 0.00 each 0.00 0.00 2500A 480Y/277V 3PH 4W SB 4 I-LINE ML PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 800A 480Y/277V 3PH 4W DP1 5 NF ML PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 200A 480Y/277V 3PH 4W H1A 6 NF ML PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 400A 480Y/277V 3PH 4W H1B 7 NF ML PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 400A 480Y/277V 3PH 4W H1C 8 NF ML PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 200A 480Y/277V 3PH 4W H1D 9 NF SPD PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 200A 480Y/277V 3PH 4W H2D Cash Discount 0.00 If Paid By 04/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 03/13/24 8466556-00 PO. NO.PAGE # 10943 GEAR 2 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 03/08/24 04/10/24 10 NQ SPD (INTERIOR) - A-NQ PANELBOARD 1.00 1.00 0.00 each 0.00 0.00 225A 208Y/120V 3PH 4W L1A1 11 NQ SPD PANEL (INTERIOR) - B-NQ PANELBOARD 1.00 1.00 0.00 each 0.00 0.00 225A 208Y/120V 3PH 4W L1A1 12 NQ SPD PANEL (INTERIOR) - A-NQ PANELBOARD 1.00 1.00 0.00 each 0.00 0.00 225A 208Y/120V 3PH 4W L1B 13 NQ SPD PANEL (INTERIOR) - B-NQ PANELBOARD 1.00 1.00 0.00 each 0.00 0.00 225A 208Y/120V 3PH 4W L1B 14 NQ SPD PANEL (INTERIOR) - A-NQ PANELBOARD 1.00 1.00 0.00 each 0.00 0.00 225A 208Y/120V 3PH 4W L1C1 15 NQ SPD PANEL (INTERIOR) - B-NQ PANELBOARD 1.00 1.00 0.00 each 0.00 0.00 225A 208Y/120V 3PH 4W L1C1 16 NQ SPD PANEL (INTERIOR) - A-NQ PANELBOARD 1.00 1.00 0.00 each 0.00 0.00 225A 208Y/120V 3PH 4W L1D1 17 NQ SPD PANEL (INTERIOR) - B-NQ PANELBOARD 1.00 1.00 0.00 each 0.00 0.00 225A 208Y/120V 3PH 4W L1D1 18 NQ SPD PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 Cash Discount 0.00 If Paid By 04/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 03/13/24 8466556-00 PO. NO.PAGE # 10943 GEAR 3 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 03/08/24 04/10/24 150A 208Y/120V 3PH 4W L1D2 19 NQ SPD PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 100A 208Y/120V 3PH 4W L1A2 20 NQ SPD PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 150A 208Y/120V 3PH 4W L1C2 21 NQ SPD PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 150A 208Y/120V 3PH 4W L2C 22 NQ ML PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 30A 208Y/120V 3PH 4W UPS 23 EXN75T3HFIS 1.00 1.00 0.00 each 0.00 0.00 75kVA 480V-208Y/120V TL1A1 24 DASKP250 1.00 0.00 1.00 each 0.00 0.00 DASKP250 LUG KIT TL1A1 25 DASKGS250 1.00 0.00 1.00 each 0.00 0.00 DASKGS250 MECHANICAL LUG TL1B 26 EXN75T3HFIS 1.00 1.00 0.00 each 0.00 0.00 75kVA 480V-208Y/120V TL1B Cash Discount 0.00 If Paid By 04/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 03/13/24 8466556-00 PO. NO.PAGE # 10943 GEAR 4 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 03/08/24 04/10/24 27 DASKP250 1.00 0.00 1.00 each 0.00 0.00 DASKP250 LUG KIT TL1B 28 DASKGS250 1.00 0.00 1.00 each 0.00 0.00 DASKGS250 MECHANICAL LUG TL1C1 29 EXN75T3HFIS 1.00 1.00 0.00 each 0.00 0.00 75kVA 480V-208Y/120V TL1C1 30 DASKP250 1.00 0.00 1.00 each 0.00 0.00 DASKP250 LUG KIT TL1C1 31 DASKGS250 1.00 0.00 1.00 each 0.00 0.00 DASKGS250 MECHANICAL LUG TL1D 32 EXN75T3HFIS 1.00 1.00 0.00 each 0.00 0.00 75kVA 480V-208Y/120V TL1D 33 DASKP250 1.00 0.00 1.00 each 0.00 0.00 DASKP250 LUG KIT TL1D 34 DASKGS250 1.00 0.00 1.00 each 0.00 0.00 DASKGS250 MECHANICAL LUG TL1C2 35 EXN45T3HFIS 1.00 1.00 0.00 each 0.00 0.00 Cash Discount 0.00 If Paid By 04/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 03/13/24 8466556-00 PO. NO.PAGE # 10943 GEAR 5 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 03/08/24 04/10/24 45kVA 480V-208Y/120V TL1C2 36 DASKP100 1.00 0.00 1.00 each 0.00 0.00 DASKP100 LUG KIT 37 DASKGS250 1.00 0.00 1.00 each 0.00 0.00 DASKGS250 MECHANICAL LUG TL1A1 38 7400WMB18M19M20M 1.00 0.00 1.00 each 0.00 0.00 WALL MOUNTING BRACKET 18M 19M 20M TL1C2 39 EXN45T3HFIS 1.00 1.00 0.00 each 0.00 0.00 45kVA 480V-208Y/120V TL2C 40 DASKP100 1.00 0.00 1.00 each 0.00 0.00 DASKP100 LUG KIT TL2C 41 DASKGS250 1.00 0.00 1.00 each 0.00 0.00 MECHANICAL LUG KIT TL2C 42 EXN45T3HFIS 1.00 1.00 0.00 each 0.00 0.00 45kVA 480V-208Y/120V TL2D 43 7400CMB18M19M20M 1.00 0.00 1.00 each 0.00 0.00 CEILING MOUNTING BRACKE 18M-19M-20M TL2D 44 DASKP100 1.00 0.00 1.00 each 0.00 0.00 Cash Discount 0.00 If Paid By 04/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 03/13/24 8466556-00 PO. NO.PAGE # 10943 GEAR 6 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 03/08/24 04/10/24 DASKP100 LUG KIT TL2D 45 DASKGS250 1.00 0.00 1.00 each 0.00 0.00 MECHANICAL LUG KIT TL2D 46 EXN30T3HFIS 1.00 1.00 0.00 each 0.00 0.00 30kVA 480V-208Y/120V TL1A2 47 DASKP100 1.00 0.00 1.00 each 0.00 0.00 DASKP100 LUG KIT TL1A2 48 DASKGS100 1.00 1.00 0.00 each 0.00 0.00 MECHANICAL LUG KITS TL1A2 49 7400WMB18M19M20M 1.00 0.00 1.00 each 0.00 0.00 WALL MOUNTING BRACKET 18M-19M-20M TL1A2 50 BGL36100 1.00 1.00 0.00 each 0.00 0.00 ECB 100A 42kAIC 51 B125S 1.00 1.00 0.00 each 0.00 0.00 NEMA 1 SURFACE COVER CB ENCLOSURE ECB 100A 42kAIC 52 SN100FA 1.00 1.00 0.00 each 0.00 0.00 NEUTRAL ASSEMBLY INSULATED GROUND ECB 100A 42kAIC 53 HDL36150 1.00 1.00 0.00 each 0.00 0.00 Cash Discount 0.00 If Paid By 04/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 03/13/24 8466556-00 PO. NO.PAGE # 10943 GEAR 7 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 03/08/24 04/10/24 ECB 150A 22kAIC 54 J250S 1.00 1.00 0.00 each 0.00 0.00 NEMA 1 ENCLOSURE FOR CB ECB 150A 22kAIC 55 SN400LA 1.00 1.00 0.00 each 0.00 0.00 NEUTRAL ASSEMBLY INSULATED GROUND ECB 150A 22kAIC 56 HDL36150 1.00 1.00 0.00 each 0.00 0.00 ECB 150A 14kAIC 57 J250S 1.00 1.00 0.00 each 0.00 0.00 NEMA 1 ENCLOSURE FOR CB ECB 150A 14kAIC 58 SN400LA 1.00 1.00 0.00 each 0.00 0.00 NEUTRAL ASSEMBLY INSULATED GROUND ECB 150A 14kAIC 59 VHU363 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 100A 3POLE UNFUSE DOAU-1 60 GTK0610 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL DOAU-1 61 VHU364 1.00 1.00 0.00 each 0.00 0.00 TYPE1 600V 200A 3POLE UNFUSE DOAU-2 62 PKOGTA2 1.00 1.00 0.00 each 0.00 0.00 Cash Discount 0.00 If Paid By 04/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 03/13/24 8466556-00 PO. NO.PAGE # 10943 GEAR 8 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 03/08/24 04/10/24 GRD ASSY 240V + 600V 100-200 DOAU-2 63 VHU361RB 2.00 2.00 0.00 each 0.00 0.00 HDSS TYPE3R 600V 30A 3 POLE UNFUSE EF-1,2 64 GTK03 2.00 2.00 0.00 each 0.00 0.00 GROUND KIT CU/AL EF-1,2 65 VHU361RB 2.00 2.00 0.00 each 0.00 0.00 HDSS TYPE3R 600V 30A 3 POLE UNFUSE SF-1,2 66 GTK03 2.00 2.00 0.00 each 0.00 0.00 GROUND KIT CU/AL SF-1,2 67 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-1.2 68 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL VRF-1.2 69 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-2 70 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL VRF-2 Cash Discount 0.00 If Paid By 04/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 03/13/24 8466556-00 PO. NO.PAGE # 10943 GEAR 9 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 03/08/24 04/10/24 71 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-2.2 72 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL VRF-2.2 73 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-3.2 74 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL VRF-3.2 75 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE 1 600V 30A 3POLE UNFUSE VRF-4 76 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL VRF-4 77 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-4.2 78 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL VRF-4.2 79 VHU361 1.00 1.00 0.00 each 0.00 0.00 Cash Discount 0.00 If Paid By 04/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 03/13/24 8466556-00 PO. NO.PAGE # 10943 GEAR 10 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 03/08/24 04/10/24 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-4.3 80 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL VRF-4.3 81 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-5 82 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL VRF-5 83 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-5.2 84 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL VRF-5.2 85 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-5.3 86 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL VRF-5.3 87 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-6.2 Cash Discount 0.00 If Paid By 04/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 03/13/24 8466556-00 PO. NO.PAGE # 10943 GEAR 11 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 03/08/24 04/10/24 88 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL VRF-6.2 89 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-6.3 90 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL VRF-6.3 91 VHU361 4.00 4.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE BCU-1,2,3,4 92 GTK03 4.00 4.00 0.00 each 0.00 0.00 GROUND KIT CU/AL BCU-1,2,3,4 93 VHU361RB 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE3R 600V 30A 3 POLE UNFUSE MAU-2 94 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL MAU-2 95 VHU361 3.00 3.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-1,3,6 96 GTK03 3.00 3.00 0.00 each 0.00 0.00 Cash Discount 0.00 If Paid By 04/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 03/13/24 8466556-00 PO. NO.PAGE # 10943 GEAR 12 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 03/08/24 04/10/24 GROUND KIT CU/AL VRF-1,3,6 97 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE ACOMP-1 98 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL ACOMP-1 99 VHU361RB 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE3R 600V 30A 3 POLE UNFUSE ACOMP-2 100 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL ACOMP-2 101 VN324N 2.00 2.00 0.00 each 0.00 0.00 HDSS TYPE1 240V 200A 3 POLE FUSED EWH-1,2 102 PKOGTA2 2.00 2.00 0.00 each 0.00 0.00 GROUND ASSY EWH-1,2 103 SRVSQDSER 1.00 1.00 0.00 each 0.00 0.00 NEC TTESTING ONLY NEC BKR TESTING 104 SRVINAAARCETO 1.00 1.00 0.00 each 0.00 0.00 SC,TCC, AF & AF BDY LBL STUDIES Cash Discount 0.00 If Paid By 04/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 03/13/24 8466556-00 PO. NO.PAGE # 10943 GEAR 13 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 03/08/24 04/10/24 105 I-LINE ML PANEL (INTERIOR)-I-LINE-PANELBOARD 1.00 1.00 0.00 each 0.00 0.00 400A 480Y/277V 3P 4W AC COMBINER 106 HU365R 1.00 1.00 0.00 each 0.00 0.00 SWITCH NONFUSIBLE HD 600V 400A 3P 3R AC COMBINER DISCONNECT 107 H600SN 1.00 1.00 0.00 each 0.00 0.00 NEUTRAL ASSY INSULATED GROUND AC COMBINER DISCONNECT 108 PKOGTA2 1.00 1.00 0.00 each 0.00 0.00 GROUND ASSY AC COMBINER DISCONNECT 109 8538SCA21V84CFF4H30P1T 1.00 1.00 0.00 each 0.00 0.00 NON-FUSE COMBO STARTER HOSE DRYER HOIST 110 8903LXG20V83CFF4R6T 2.00 2.00 0.00 each 0.00 0.00 NON-FUSE COMBO STARTER C1, C2 111 8903LG60V02 1.00 1.00 0.00 each 0.00 0.00 LIGHTING CONTACTOR 600V 30A GEN EM RELAY 112 9001KYK111 4.00 4.00 0.00 each 0.00 0.00 CONTROL STATION + OPERATORS EF AND SF HOAS 113 SQD LOTPRICE-1 1.00 1.00 0.00 each 222417.33 0.00 Non Stock Cash Discount 0.00 If Paid By 04/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 03/13/24 8466556-00 PO. NO.PAGE # 10943 GEAR 14 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 03/08/24 04/10/24 113 Lines Total Qty Shipped Total 19 Total 1474.51 Taxes 103.22 Invoice Total 1577.73 Cash Discount 0.00 If Paid By 04/10/24Last Page THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 03/18/24 8466556-01 PO. NO.PAGE # 10943 GEAR 1 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 03/15/24 04/10/24 2 SQUARE D CUSTOM SWB SERIES 2 COMMS - QED-2 SWITCHB 1.00 1.00 0.00 each 0.00 0.00 2500A 480Y/277V 3PH 4W MSB 3 SQUARE D CUSTOM SWBD SERIES 2 - QED-2 SWITCHBOARD 1.00 1.00 0.00 each 0.00 0.00 2500A 480Y/277V 3PH 4W SB 4 I-LINE ML PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 800A 480Y/277V 3PH 4W DP1 5 NF ML PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 200A 480Y/277V 3PH 4W H1A 6 NF ML PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 400A 480Y/277V 3PH 4W H1B 7 NF ML PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 400A 480Y/277V 3PH 4W H1C 8 NF ML PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 200A 480Y/277V 3PH 4W H1D 9 NF SPD PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 200A 480Y/277V 3PH 4W H2D 10 NQ SPD (INTERIOR) - A-NQ PANELBOARD 1.00 1.00 0.00 each 0.00 0.00 Cash Discount 0.00 If Paid By 04/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 03/18/24 8466556-01 PO. NO.PAGE # 10943 GEAR 2 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 03/15/24 04/10/24 225A 208Y/120V 3PH 4W L1A1 11 NQ SPD PANEL (INTERIOR) - B-NQ PANELBOARD 1.00 1.00 0.00 each 0.00 0.00 225A 208Y/120V 3PH 4W L1A1 12 NQ SPD PANEL (INTERIOR) - A-NQ PANELBOARD 1.00 1.00 0.00 each 0.00 0.00 225A 208Y/120V 3PH 4W L1B 13 NQ SPD PANEL (INTERIOR) - B-NQ PANELBOARD 1.00 1.00 0.00 each 0.00 0.00 225A 208Y/120V 3PH 4W L1B 14 NQ SPD PANEL (INTERIOR) - A-NQ PANELBOARD 1.00 1.00 0.00 each 0.00 0.00 225A 208Y/120V 3PH 4W L1C1 15 NQ SPD PANEL (INTERIOR) - B-NQ PANELBOARD 1.00 1.00 0.00 each 0.00 0.00 225A 208Y/120V 3PH 4W L1C1 16 NQ SPD PANEL (INTERIOR) - A-NQ PANELBOARD 1.00 1.00 0.00 each 0.00 0.00 225A 208Y/120V 3PH 4W L1D1 17 NQ SPD PANEL (INTERIOR) - B-NQ PANELBOARD 1.00 1.00 0.00 each 0.00 0.00 225A 208Y/120V 3PH 4W L1D1 18 NQ SPD PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 150A 208Y/120V 3PH 4W L1D2 Cash Discount 0.00 If Paid By 04/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 03/18/24 8466556-01 PO. NO.PAGE # 10943 GEAR 3 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 03/15/24 04/10/24 19 NQ SPD PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 100A 208Y/120V 3PH 4W L1A2 20 NQ SPD PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 150A 208Y/120V 3PH 4W L1C2 21 NQ SPD PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 150A 208Y/120V 3PH 4W L2C 22 NQ ML PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 30A 208Y/120V 3PH 4W UPS 23 EXN75T3HFIS 1.00 1.00 0.00 each 0.00 0.00 75kVA 480V-208Y/120V TL1A1 26 EXN75T3HFIS 1.00 1.00 0.00 each 0.00 0.00 75kVA 480V-208Y/120V TL1B 29 EXN75T3HFIS 1.00 1.00 0.00 each 0.00 0.00 75kVA 480V-208Y/120V TL1C1 32 EXN75T3HFIS 1.00 1.00 0.00 each 0.00 0.00 75kVA 480V-208Y/120V TL1D 35 EXN45T3HFIS 1.00 1.00 0.00 each 0.00 0.00 Cash Discount 0.00 If Paid By 04/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 03/18/24 8466556-01 PO. NO.PAGE # 10943 GEAR 4 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 03/15/24 04/10/24 45kVA 480V-208Y/120V TL1C2 39 EXN45T3HFIS 1.00 1.00 0.00 each 0.00 0.00 45kVA 480V-208Y/120V TL2C 42 EXN45T3HFIS 1.00 1.00 0.00 each 0.00 0.00 45kVA 480V-208Y/120V TL2D 46 EXN30T3HFIS 1.00 0.00 1.00 each 0.00 0.00 30kVA 480V-208Y/120V TL1A2 48 DASKGS100 1.00 1.00 0.00 each 0.00 0.00 MECHANICAL LUG KITS TL1A2 50 BGL36100 1.00 1.00 0.00 each 0.00 0.00 ECB 100A 42kAIC 51 B125S 1.00 1.00 0.00 each 0.00 0.00 NEMA 1 SURFACE COVER CB ENCLOSURE ECB 100A 42kAIC 52 SN100FA 1.00 1.00 0.00 each 0.00 0.00 NEUTRAL ASSEMBLY INSULATED GROUND ECB 100A 42kAIC 53 HDL36150 1.00 1.00 0.00 each 0.00 0.00 ECB 150A 22kAIC 54 J250S 1.00 1.00 0.00 each 0.00 0.00 Cash Discount 0.00 If Paid By 04/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 03/18/24 8466556-01 PO. NO.PAGE # 10943 GEAR 5 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 03/15/24 04/10/24 NEMA 1 ENCLOSURE FOR CB ECB 150A 22kAIC 55 SN400LA 1.00 1.00 0.00 each 0.00 0.00 NEUTRAL ASSEMBLY INSULATED GROUND ECB 150A 22kAIC 56 HDL36150 1.00 1.00 0.00 each 0.00 0.00 ECB 150A 14kAIC 57 J250S 1.00 1.00 0.00 each 0.00 0.00 NEMA 1 ENCLOSURE FOR CB ECB 150A 14kAIC 58 SN400LA 1.00 1.00 0.00 each 0.00 0.00 NEUTRAL ASSEMBLY INSULATED GROUND ECB 150A 14kAIC 59 VHU363 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 100A 3POLE UNFUSE DOAU-1 60 GTK0610 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL DOAU-1 61 VHU364 1.00 1.00 0.00 each 0.00 0.00 TYPE1 600V 200A 3POLE UNFUSE DOAU-2 62 PKOGTA2 1.00 1.00 0.00 each 0.00 0.00 GRD ASSY 240V + 600V 100-200 DOAU-2 63 VHU361RB 2.00 2.00 0.00 each 0.00 0.00 Cash Discount 0.00 If Paid By 04/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 03/18/24 8466556-01 PO. NO.PAGE # 10943 GEAR 6 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 03/15/24 04/10/24 HDSS TYPE3R 600V 30A 3 POLE UNFUSE EF-1,2 64 GTK03 2.00 2.00 0.00 each 0.00 0.00 GROUND KIT CU/AL EF-1,2 65 VHU361RB 2.00 2.00 0.00 each 0.00 0.00 HDSS TYPE3R 600V 30A 3 POLE UNFUSE SF-1,2 66 GTK03 2.00 2.00 0.00 each 0.00 0.00 GROUND KIT CU/AL SF-1,2 67 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-1.2 68 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL VRF-1.2 69 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-2 70 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL VRF-2 71 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-2.2 Cash Discount 0.00 If Paid By 04/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 03/18/24 8466556-01 PO. NO.PAGE # 10943 GEAR 7 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 03/15/24 04/10/24 72 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL VRF-2.2 73 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-3.2 74 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL VRF-3.2 75 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE 1 600V 30A 3POLE UNFUSE VRF-4 76 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL VRF-4 77 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-4.2 78 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL VRF-4.2 79 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-4.3 80 GTK03 1.00 1.00 0.00 each 0.00 0.00 Cash Discount 0.00 If Paid By 04/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 03/18/24 8466556-01 PO. NO.PAGE # 10943 GEAR 8 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 03/15/24 04/10/24 GROUND KIT CU/AL VRF-4.3 81 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-5 82 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL VRF-5 83 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-5.2 84 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL VRF-5.2 85 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-5.3 86 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL VRF-5.3 87 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-6.2 88 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL VRF-6.2 Cash Discount 0.00 If Paid By 04/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 03/18/24 8466556-01 PO. NO.PAGE # 10943 GEAR 9 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 03/15/24 04/10/24 89 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-6.3 90 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL VRF-6.3 91 VHU361 4.00 4.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE BCU-1,2,3,4 92 GTK03 4.00 4.00 0.00 each 0.00 0.00 GROUND KIT CU/AL BCU-1,2,3,4 93 VHU361RB 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE3R 600V 30A 3 POLE UNFUSE MAU-2 94 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL MAU-2 95 VHU361 3.00 3.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-1,3,6 96 GTK03 3.00 3.00 0.00 each 0.00 0.00 GROUND KIT CU/AL VRF-1,3,6 97 VHU361 1.00 1.00 0.00 each 0.00 0.00 Cash Discount 0.00 If Paid By 04/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 03/18/24 8466556-01 PO. NO.PAGE # 10943 GEAR 10 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 03/15/24 04/10/24 HDSS TYPE1 600V 30A 3 POLE UNFUSE ACOMP-1 98 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL ACOMP-1 99 VHU361RB 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE3R 600V 30A 3 POLE UNFUSE ACOMP-2 100 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL ACOMP-2 101 VN324N 2.00 2.00 0.00 each 0.00 0.00 HDSS TYPE1 240V 200A 3 POLE FUSED EWH-1,2 102 PKOGTA2 2.00 2.00 0.00 each 0.00 0.00 GROUND ASSY EWH-1,2 103 SRVSQDSER 1.00 1.00 0.00 each 0.00 0.00 NEC TTESTING ONLY NEC BKR TESTING 104 SRVINAAARCETO 1.00 1.00 0.00 each 0.00 0.00 SC,TCC, AF & AF BDY LBL STUDIES 105 I-LINE ML PANEL (INTERIOR)-I-LINE-PANELBOARD 1.00 1.00 0.00 each 0.00 0.00 400A 480Y/277V 3P 4W AC COMBINER Cash Discount 0.00 If Paid By 04/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 03/18/24 8466556-01 PO. NO.PAGE # 10943 GEAR 11 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 03/15/24 04/10/24 106 HU365R 1.00 1.00 0.00 each 0.00 0.00 SWITCH NONFUSIBLE HD 600V 400A 3P 3R AC COMBINER DISCONNECT 107 H600SN 1.00 1.00 0.00 each 0.00 0.00 NEUTRAL ASSY INSULATED GROUND AC COMBINER DISCONNECT 108 PKOGTA2 1.00 1.00 0.00 each 0.00 0.00 GROUND ASSY AC COMBINER DISCONNECT 109 8538SCA21V84CFF4H30P1T 1.00 1.00 0.00 each 0.00 0.00 NON-FUSE COMBO STARTER HOSE DRYER HOIST 110 8903LXG20V83CFF4R6T 2.00 2.00 0.00 each 0.00 0.00 NON-FUSE COMBO STARTER C1, C2 111 8903LG60V02 1.00 1.00 0.00 each 0.00 0.00 LIGHTING CONTACTOR 600V 30A GEN EM RELAY 112 9001KYK111 4.00 4.00 0.00 each 0.00 0.00 CONTROL STATION + OPERATORS EF AND SF HOAS 113 SQD LOTPRICE-1 1.00 0.00 1.00 each 1967.66 1967.66 Non Stock 114 SQD LOTPRICE-2 1.00 1.00 0.00 each 220449.67 0.00 Non Stock Cash Discount 0.00 If Paid By 04/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 03/18/24 8466556-01 PO. NO.PAGE # 10943 GEAR 12 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 03/15/24 04/10/24 95 Lines Total Qty Shipped Total 2 Total 1967.66 Taxes 118.06 Invoice Total 2085.72 Cash Discount 0.00 If Paid By 04/10/24Last Page THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 03/20/24 8466556-02 PO. NO.PAGE # 10943 GEAR 1 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 03/20/24 04/10/24 2 SQUARE D CUSTOM SWB SERIES 2 COMMS - QED-2 SWITCHB 1.00 1.00 0.00 each 0.00 0.00 2500A 480Y/277V 3PH 4W MSB 3 SQUARE D CUSTOM SWBD SERIES 2 - QED-2 SWITCHBOARD 1.00 1.00 0.00 each 0.00 0.00 2500A 480Y/277V 3PH 4W SB 4 I-LINE ML PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 800A 480Y/277V 3PH 4W DP1 5 NF ML PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 200A 480Y/277V 3PH 4W H1A 6 NF ML PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 400A 480Y/277V 3PH 4W H1B 7 NF ML PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 400A 480Y/277V 3PH 4W H1C 8 NF ML PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 200A 480Y/277V 3PH 4W H1D 9 NF SPD PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 200A 480Y/277V 3PH 4W H2D 10 NQ SPD (INTERIOR) - A-NQ PANELBOARD 1.00 1.00 0.00 each 0.00 0.00 Cash Discount 0.00 If Paid By 04/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 03/20/24 8466556-02 PO. NO.PAGE # 10943 GEAR 2 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 03/20/24 04/10/24 225A 208Y/120V 3PH 4W L1A1 11 NQ SPD PANEL (INTERIOR) - B-NQ PANELBOARD 1.00 1.00 0.00 each 0.00 0.00 225A 208Y/120V 3PH 4W L1A1 12 NQ SPD PANEL (INTERIOR) - A-NQ PANELBOARD 1.00 1.00 0.00 each 0.00 0.00 225A 208Y/120V 3PH 4W L1B 13 NQ SPD PANEL (INTERIOR) - B-NQ PANELBOARD 1.00 1.00 0.00 each 0.00 0.00 225A 208Y/120V 3PH 4W L1B 14 NQ SPD PANEL (INTERIOR) - A-NQ PANELBOARD 1.00 1.00 0.00 each 0.00 0.00 225A 208Y/120V 3PH 4W L1C1 15 NQ SPD PANEL (INTERIOR) - B-NQ PANELBOARD 1.00 1.00 0.00 each 0.00 0.00 225A 208Y/120V 3PH 4W L1C1 16 NQ SPD PANEL (INTERIOR) - A-NQ PANELBOARD 1.00 1.00 0.00 each 0.00 0.00 225A 208Y/120V 3PH 4W L1D1 17 NQ SPD PANEL (INTERIOR) - B-NQ PANELBOARD 1.00 1.00 0.00 each 0.00 0.00 225A 208Y/120V 3PH 4W L1D1 18 NQ SPD PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 150A 208Y/120V 3PH 4W L1D2 Cash Discount 0.00 If Paid By 04/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 03/20/24 8466556-02 PO. NO.PAGE # 10943 GEAR 3 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 03/20/24 04/10/24 19 NQ SPD PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 100A 208Y/120V 3PH 4W L1A2 20 NQ SPD PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 150A 208Y/120V 3PH 4W L1C2 21 NQ SPD PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 150A 208Y/120V 3PH 4W L2C 22 NQ ML PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 30A 208Y/120V 3PH 4W UPS 23 EXN75T3HFIS 1.00 0.00 1.00 each 0.00 0.00 75kVA 480V-208Y/120V TL1A1 26 EXN75T3HFIS 1.00 1.00 0.00 each 0.00 0.00 75kVA 480V-208Y/120V TL1B 29 EXN75T3HFIS 1.00 1.00 0.00 each 0.00 0.00 75kVA 480V-208Y/120V TL1C1 32 EXN75T3HFIS 1.00 1.00 0.00 each 0.00 0.00 75kVA 480V-208Y/120V TL1D 35 EXN45T3HFIS 1.00 1.00 0.00 each 0.00 0.00 Cash Discount 0.00 If Paid By 04/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 03/20/24 8466556-02 PO. NO.PAGE # 10943 GEAR 4 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 03/20/24 04/10/24 45kVA 480V-208Y/120V TL1C2 39 EXN45T3HFIS 1.00 1.00 0.00 each 0.00 0.00 45kVA 480V-208Y/120V TL2C 42 EXN45T3HFIS 1.00 1.00 0.00 each 0.00 0.00 45kVA 480V-208Y/120V TL2D 48 DASKGS100 1.00 1.00 0.00 each 0.00 0.00 MECHANICAL LUG KITS TL1A2 50 BGL36100 1.00 1.00 0.00 each 0.00 0.00 ECB 100A 42kAIC 51 B125S 1.00 1.00 0.00 each 0.00 0.00 NEMA 1 SURFACE COVER CB ENCLOSURE ECB 100A 42kAIC 52 SN100FA 1.00 1.00 0.00 each 0.00 0.00 NEUTRAL ASSEMBLY INSULATED GROUND ECB 100A 42kAIC 53 HDL36150 1.00 1.00 0.00 each 0.00 0.00 ECB 150A 22kAIC 54 J250S 1.00 1.00 0.00 each 0.00 0.00 NEMA 1 ENCLOSURE FOR CB ECB 150A 22kAIC 55 SN400LA 1.00 1.00 0.00 each 0.00 0.00 Cash Discount 0.00 If Paid By 04/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 03/20/24 8466556-02 PO. NO.PAGE # 10943 GEAR 5 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 03/20/24 04/10/24 NEUTRAL ASSEMBLY INSULATED GROUND ECB 150A 22kAIC 56 HDL36150 1.00 1.00 0.00 each 0.00 0.00 ECB 150A 14kAIC 57 J250S 1.00 1.00 0.00 each 0.00 0.00 NEMA 1 ENCLOSURE FOR CB ECB 150A 14kAIC 58 SN400LA 1.00 1.00 0.00 each 0.00 0.00 NEUTRAL ASSEMBLY INSULATED GROUND ECB 150A 14kAIC 59 VHU363 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 100A 3POLE UNFUSE DOAU-1 60 GTK0610 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL DOAU-1 61 VHU364 1.00 1.00 0.00 each 0.00 0.00 TYPE1 600V 200A 3POLE UNFUSE DOAU-2 62 PKOGTA2 1.00 1.00 0.00 each 0.00 0.00 GRD ASSY 240V + 600V 100-200 DOAU-2 63 VHU361RB 2.00 2.00 0.00 each 0.00 0.00 HDSS TYPE3R 600V 30A 3 POLE UNFUSE EF-1,2 64 GTK03 2.00 2.00 0.00 each 0.00 0.00 Cash Discount 0.00 If Paid By 04/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 03/20/24 8466556-02 PO. NO.PAGE # 10943 GEAR 6 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 03/20/24 04/10/24 GROUND KIT CU/AL EF-1,2 65 VHU361RB 2.00 2.00 0.00 each 0.00 0.00 HDSS TYPE3R 600V 30A 3 POLE UNFUSE SF-1,2 66 GTK03 2.00 2.00 0.00 each 0.00 0.00 GROUND KIT CU/AL SF-1,2 67 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-1.2 68 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL VRF-1.2 69 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-2 70 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL VRF-2 71 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-2.2 72 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL VRF-2.2 Cash Discount 0.00 If Paid By 04/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 03/20/24 8466556-02 PO. NO.PAGE # 10943 GEAR 7 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 03/20/24 04/10/24 73 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-3.2 74 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL VRF-3.2 75 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE 1 600V 30A 3POLE UNFUSE VRF-4 76 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL VRF-4 77 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-4.2 78 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL VRF-4.2 79 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-4.3 80 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL VRF-4.3 81 VHU361 1.00 1.00 0.00 each 0.00 0.00 Cash Discount 0.00 If Paid By 04/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 03/20/24 8466556-02 PO. NO.PAGE # 10943 GEAR 8 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 03/20/24 04/10/24 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-5 82 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL VRF-5 83 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-5.2 84 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL VRF-5.2 85 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-5.3 86 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL VRF-5.3 87 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-6.2 88 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL VRF-6.2 89 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-6.3 Cash Discount 0.00 If Paid By 04/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 03/20/24 8466556-02 PO. NO.PAGE # 10943 GEAR 9 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 03/20/24 04/10/24 90 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL VRF-6.3 91 VHU361 4.00 4.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE BCU-1,2,3,4 92 GTK03 4.00 4.00 0.00 each 0.00 0.00 GROUND KIT CU/AL BCU-1,2,3,4 93 VHU361RB 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE3R 600V 30A 3 POLE UNFUSE MAU-2 94 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL MAU-2 95 VHU361 3.00 3.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-1,3,6 96 GTK03 3.00 3.00 0.00 each 0.00 0.00 GROUND KIT CU/AL VRF-1,3,6 97 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE ACOMP-1 98 GTK03 1.00 1.00 0.00 each 0.00 0.00 Cash Discount 0.00 If Paid By 04/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 03/20/24 8466556-02 PO. NO.PAGE # 10943 GEAR 10 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 03/20/24 04/10/24 GROUND KIT CU/AL ACOMP-1 99 VHU361RB 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE3R 600V 30A 3 POLE UNFUSE ACOMP-2 100 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL ACOMP-2 101 VN324N 2.00 2.00 0.00 each 0.00 0.00 HDSS TYPE1 240V 200A 3 POLE FUSED EWH-1,2 102 PKOGTA2 2.00 2.00 0.00 each 0.00 0.00 GROUND ASSY EWH-1,2 103 SRVSQDSER 1.00 1.00 0.00 each 0.00 0.00 NEC TTESTING ONLY NEC BKR TESTING 104 SRVINAAARCETO 1.00 1.00 0.00 each 0.00 0.00 SC,TCC, AF & AF BDY LBL STUDIES 105 I-LINE ML PANEL (INTERIOR)-I-LINE-PANELBOARD 1.00 1.00 0.00 each 0.00 0.00 400A 480Y/277V 3P 4W AC COMBINER 106 HU365R 1.00 1.00 0.00 each 0.00 0.00 SWITCH NONFUSIBLE HD 600V 400A 3P 3R AC COMBINER DISCONNECT Cash Discount 0.00 If Paid By 04/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 03/20/24 8466556-02 PO. NO.PAGE # 10943 GEAR 11 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 03/20/24 04/10/24 107 H600SN 1.00 1.00 0.00 each 0.00 0.00 NEUTRAL ASSY INSULATED GROUND AC COMBINER DISCONNECT 108 PKOGTA2 1.00 1.00 0.00 each 0.00 0.00 GROUND ASSY AC COMBINER DISCONNECT 109 8538SCA21V84CFF4H30P1T 1.00 1.00 0.00 each 0.00 0.00 NON-FUSE COMBO STARTER HOSE DRYER HOIST 110 8903LXG20V83CFF4R6T 2.00 2.00 0.00 each 0.00 0.00 NON-FUSE COMBO STARTER C1, C2 111 8903LG60V02 1.00 1.00 0.00 each 0.00 0.00 LIGHTING CONTACTOR 600V 30A GEN EM RELAY 112 9001KYK111 4.00 4.00 0.00 each 0.00 0.00 CONTROL STATION + OPERATORS EF AND SF HOAS 114 SQD LOTPRICE-2 1.00 0.00 1.00 each 3017.32 3017.32 Non Stock 115 SQD LOTPRICE-3 1.00 1.00 0.00 each 217432.34 0.00 Non Stock 94 Lines Total Qty Shipped Total 2 Total 3017.32 Taxes 181.04 Invoice Total 3198.36 Cash Discount 0.00 If Paid By 04/10/24Last Page THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 04/05/24 8466556-03 PO. NO.PAGE # 10943 GEAR 1 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 04/01/24 05/10/24 2 SQUARE D CUSTOM SWB SERIES 2 COMMS - QED-2 SWITCHB 1.00 1.00 0.00 each 0.00 0.00 2500A 480Y/277V 3PH 4W MSB 3 SQUARE D CUSTOM SWBD SERIES 2 - QED-2 SWITCHBOARD 1.00 1.00 0.00 each 0.00 0.00 2500A 480Y/277V 3PH 4W SB 4 I-LINE ML PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 800A 480Y/277V 3PH 4W DP1 5 NF ML PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 200A 480Y/277V 3PH 4W H1A 6 NF ML PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 400A 480Y/277V 3PH 4W H1B 7 NF ML PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 400A 480Y/277V 3PH 4W H1C 8 NF ML PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 200A 480Y/277V 3PH 4W H1D 9 NF SPD PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 200A 480Y/277V 3PH 4W H2D 10 NQ SPD (INTERIOR) - A-NQ PANELBOARD 1.00 1.00 0.00 each 0.00 0.00 Cash Discount 0.00 If Paid By 05/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 04/05/24 8466556-03 PO. NO.PAGE # 10943 GEAR 2 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 04/01/24 05/10/24 225A 208Y/120V 3PH 4W L1A1 11 NQ SPD PANEL (INTERIOR) - B-NQ PANELBOARD 1.00 1.00 0.00 each 0.00 0.00 225A 208Y/120V 3PH 4W L1A1 12 NQ SPD PANEL (INTERIOR) - A-NQ PANELBOARD 1.00 1.00 0.00 each 0.00 0.00 225A 208Y/120V 3PH 4W L1B 13 NQ SPD PANEL (INTERIOR) - B-NQ PANELBOARD 1.00 1.00 0.00 each 0.00 0.00 225A 208Y/120V 3PH 4W L1B 14 NQ SPD PANEL (INTERIOR) - A-NQ PANELBOARD 1.00 1.00 0.00 each 0.00 0.00 225A 208Y/120V 3PH 4W L1C1 15 NQ SPD PANEL (INTERIOR) - B-NQ PANELBOARD 1.00 1.00 0.00 each 0.00 0.00 225A 208Y/120V 3PH 4W L1C1 16 NQ SPD PANEL (INTERIOR) - A-NQ PANELBOARD 1.00 1.00 0.00 each 0.00 0.00 225A 208Y/120V 3PH 4W L1D1 17 NQ SPD PANEL (INTERIOR) - B-NQ PANELBOARD 1.00 1.00 0.00 each 0.00 0.00 225A 208Y/120V 3PH 4W L1D1 18 NQ SPD PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 150A 208Y/120V 3PH 4W L1D2 Cash Discount 0.00 If Paid By 05/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 04/05/24 8466556-03 PO. NO.PAGE # 10943 GEAR 3 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 04/01/24 05/10/24 19 NQ SPD PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 100A 208Y/120V 3PH 4W L1A2 20 NQ SPD PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 150A 208Y/120V 3PH 4W L1C2 21 NQ SPD PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 150A 208Y/120V 3PH 4W L2C 22 NQ ML PANEL (INTERIOR)1.00 1.00 0.00 each 0.00 0.00 30A 208Y/120V 3PH 4W UPS 26 EXN75T3HFIS 1.00 0.00 1.00 each 0.00 0.00 75kVA 480V-208Y/120V TL1B 29 EXN75T3HFIS 1.00 0.00 1.00 each 0.00 0.00 75kVA 480V-208Y/120V TL1C1 32 EXN75T3HFIS 1.00 0.00 1.00 each 0.00 0.00 75kVA 480V-208Y/120V TL1D 35 EXN45T3HFIS 1.00 0.00 1.00 each 0.00 0.00 45kVA 480V-208Y/120V TL1C2 39 EXN45T3HFIS 1.00 0.00 1.00 each 0.00 0.00 Cash Discount 0.00 If Paid By 05/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 04/05/24 8466556-03 PO. NO.PAGE # 10943 GEAR 4 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 04/01/24 05/10/24 45kVA 480V-208Y/120V TL2C 42 EXN45T3HFIS 1.00 0.00 1.00 each 0.00 0.00 45kVA 480V-208Y/120V TL2D 48 DASKGS100 1.00 0.00 1.00 each 0.00 0.00 MECHANICAL LUG KITS TL1A2 50 BGL36100 1.00 0.00 1.00 each 0.00 0.00 ECB 100A 42kAIC 51 B125S 1.00 0.00 1.00 each 0.00 0.00 NEMA 1 SURFACE COVER CB ENCLOSURE ECB 100A 42kAIC 52 SN100FA 1.00 1.00 0.00 each 0.00 0.00 NEUTRAL ASSEMBLY INSULATED GROUND ECB 100A 42kAIC 53 HDL36150 1.00 1.00 0.00 each 0.00 0.00 ECB 150A 22kAIC 54 J250S 1.00 1.00 0.00 each 0.00 0.00 NEMA 1 ENCLOSURE FOR CB ECB 150A 22kAIC 55 SN400LA 1.00 1.00 0.00 each 0.00 0.00 NEUTRAL ASSEMBLY INSULATED GROUND ECB 150A 22kAIC 56 HDL36150 1.00 1.00 0.00 each 0.00 0.00 ECB 150A 14kAIC Cash Discount 0.00 If Paid By 05/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 04/05/24 8466556-03 PO. NO.PAGE # 10943 GEAR 5 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 04/01/24 05/10/24 57 J250S 1.00 1.00 0.00 each 0.00 0.00 NEMA 1 ENCLOSURE FOR CB ECB 150A 14kAIC 58 SN400LA 1.00 1.00 0.00 each 0.00 0.00 NEUTRAL ASSEMBLY INSULATED GROUND ECB 150A 14kAIC 59 VHU363 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 100A 3POLE UNFUSE DOAU-1 60 GTK0610 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL DOAU-1 61 VHU364 1.00 1.00 0.00 each 0.00 0.00 TYPE1 600V 200A 3POLE UNFUSE DOAU-2 62 PKOGTA2 1.00 0.00 1.00 each 0.00 0.00 GRD ASSY 240V + 600V 100-200 DOAU-2 63 VHU361RB 2.00 0.00 2.00 each 0.00 0.00 HDSS TYPE3R 600V 30A 3 POLE UNFUSE EF-1,2 64 GTK03 2.00 0.00 2.00 each 0.00 0.00 GROUND KIT CU/AL EF-1,2 65 VHU361RB 2.00 0.00 2.00 each 0.00 0.00 Cash Discount 0.00 If Paid By 05/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 04/05/24 8466556-03 PO. NO.PAGE # 10943 GEAR 6 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 04/01/24 05/10/24 HDSS TYPE3R 600V 30A 3 POLE UNFUSE SF-1,2 66 GTK03 2.00 0.00 2.00 each 0.00 0.00 GROUND KIT CU/AL SF-1,2 67 VHU361 1.00 0.00 1.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-1.2 68 GTK03 1.00 0.00 1.00 each 0.00 0.00 GROUND KIT CU/AL VRF-1.2 69 VHU361 1.00 0.00 1.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-2 70 GTK03 1.00 0.00 1.00 each 0.00 0.00 GROUND KIT CU/AL VRF-2 71 VHU361 1.00 0.00 1.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-2.2 72 GTK03 1.00 0.00 1.00 each 0.00 0.00 GROUND KIT CU/AL VRF-2.2 73 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-3.2 Cash Discount 0.00 If Paid By 05/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 04/05/24 8466556-03 PO. NO.PAGE # 10943 GEAR 7 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 04/01/24 05/10/24 74 GTK03 1.00 0.00 1.00 each 0.00 0.00 GROUND KIT CU/AL VRF-3.2 75 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE 1 600V 30A 3POLE UNFUSE VRF-4 76 GTK03 1.00 0.00 1.00 each 0.00 0.00 GROUND KIT CU/AL VRF-4 77 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-4.2 78 GTK03 1.00 0.00 1.00 each 0.00 0.00 GROUND KIT CU/AL VRF-4.2 79 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-4.3 80 GTK03 1.00 0.00 1.00 each 0.00 0.00 GROUND KIT CU/AL VRF-4.3 81 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-5 82 GTK03 1.00 0.00 1.00 each 0.00 0.00 Cash Discount 0.00 If Paid By 05/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 04/05/24 8466556-03 PO. NO.PAGE # 10943 GEAR 8 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 04/01/24 05/10/24 GROUND KIT CU/AL VRF-5 83 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-5.2 84 GTK03 1.00 0.00 1.00 each 0.00 0.00 GROUND KIT CU/AL VRF-5.2 85 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-5.3 86 GTK03 1.00 0.00 1.00 each 0.00 0.00 GROUND KIT CU/AL VRF-5.3 87 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-6.2 88 GTK03 1.00 0.00 1.00 each 0.00 0.00 GROUND KIT CU/AL VRF-6.2 89 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-6.3 90 GTK03 1.00 0.00 1.00 each 0.00 0.00 GROUND KIT CU/AL VRF-6.3 Cash Discount 0.00 If Paid By 05/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 04/05/24 8466556-03 PO. NO.PAGE # 10943 GEAR 9 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 04/01/24 05/10/24 91 VHU361 4.00 4.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE BCU-1,2,3,4 92 GTK03 4.00 0.00 4.00 each 0.00 0.00 GROUND KIT CU/AL BCU-1,2,3,4 93 VHU361RB 1.00 0.00 1.00 each 0.00 0.00 HDSS TYPE3R 600V 30A 3 POLE UNFUSE MAU-2 94 GTK03 1.00 0.00 1.00 each 0.00 0.00 GROUND KIT CU/AL MAU-2 95 VHU361 3.00 3.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE VRF-1,3,6 96 GTK03 3.00 0.00 3.00 each 0.00 0.00 GROUND KIT CU/AL VRF-1,3,6 97 VHU361 1.00 1.00 0.00 each 0.00 0.00 HDSS TYPE1 600V 30A 3 POLE UNFUSE ACOMP-1 98 GTK03 1.00 0.00 1.00 each 0.00 0.00 GROUND KIT CU/AL ACOMP-1 99 VHU361RB 1.00 1.00 0.00 each 0.00 0.00 Cash Discount 0.00 If Paid By 05/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 04/05/24 8466556-03 PO. NO.PAGE # 10943 GEAR 10 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 04/01/24 05/10/24 HDSS TYPE3R 600V 30A 3 POLE UNFUSE ACOMP-2 100 GTK03 1.00 1.00 0.00 each 0.00 0.00 GROUND KIT CU/AL ACOMP-2 101 VN324N 2.00 2.00 0.00 each 0.00 0.00 HDSS TYPE1 240V 200A 3 POLE FUSED EWH-1,2 102 PKOGTA2 2.00 0.00 2.00 each 0.00 0.00 GROUND ASSY EWH-1,2 103 SRVSQDSER 1.00 1.00 0.00 each 0.00 0.00 NEC TTESTING ONLY NEC BKR TESTING 104 SRVINAAARCETO 1.00 1.00 0.00 each 0.00 0.00 SC,TCC, AF & AF BDY LBL STUDIES 105 I-LINE ML PANEL (INTERIOR)-I-LINE-PANELBOARD 1.00 1.00 0.00 each 0.00 0.00 400A 480Y/277V 3P 4W AC COMBINER 106 HU365R 1.00 0.00 1.00 each 0.00 0.00 SWITCH NONFUSIBLE HD 600V 400A 3P 3R AC COMBINER DISCONNECT 107 H600SN 1.00 0.00 1.00 each 0.00 0.00 NEUTRAL ASSY INSULATED GROUND AC COMBINER DISCONNECT Cash Discount 0.00 If Paid By 05/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 04/05/24 8466556-03 PO. NO.PAGE # 10943 GEAR 11 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 04/01/24 05/10/24 108 PKOGTA2 1.00 0.00 1.00 each 0.00 0.00 GROUND ASSY AC COMBINER DISCONNECT 109 8538SCA21V84CFF4H30P1T 1.00 1.00 0.00 each 0.00 0.00 NON-FUSE COMBO STARTER HOSE DRYER HOIST 110 8903LXG20V83CFF4R6T 2.00 2.00 0.00 each 0.00 0.00 NON-FUSE COMBO STARTER C1, C2 111 8903LG60V02 1.00 1.00 0.00 each 0.00 0.00 LIGHTING CONTACTOR 600V 30A GEN EM RELAY 112 9001KYK111 4.00 4.00 0.00 each 0.00 0.00 CONTROL STATION + OPERATORS EF AND SF HOAS 115 SQD LOTPRICE-3 1.00 0.00 1.00 each 18920.47 18920.47 Non Stock 116 SQD Q23225NS 1.00 0.00 1.00 each 0.00 0.00 47061 ENCLOSURE CIRCUIT BREAKER 240V 225 ECB- 150A L1C2 117 SQD Q23225NS 1.00 0.00 1.00 each 0.00 0.00 47061 ENCLOSURE CIRCUIT BREAKER 240V 225 ECB- L1A2 FEEDER 118 SQD PKOGTA2 1.00 0.00 1.00 each 0.00 0.00 43267 EQUIP GRD ASSY 240V + 600V 100-200 ECB- 150A L1C2 Cash Discount 0.00 If Paid By 05/10/24Continued THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 LINE NO. PRODUCT AND DESCRIPTION QUANTITY ORDERED QUANTITY B.O. QTY SHIPPED QTY U/M NET PRICE AMOUNT (NET) 3E - WINDSOR HEIGHTS 953 73RD ST WINDSOR HEIGHTS, IA 50324 (515) 2730100 FAX (515) 2730108 BILL TO: INVOICE - DIRECT ORDER INVOICE DATE INVOICE NO. 04/05/24 8466556-03 PO. NO.PAGE # 10943 GEAR 12 REMIT TO: Consolidated Electrical Distributor PO BOX 850365 MINNEAPOLIS, MN 55485-0365 SHIP TO: VAN MAANEN ELECTRIC,INC WAUKEE PUBLIC SAFETY FACILITY 500 SPEEDWAY DRIVE General Delivery NEWTON, IA 50208-1131 PLACED BY INSTRUCTIONS REFERENCE CASH DISCOUNT SCOTT HANDELAND Q-4534744 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **Direct 04/01/24 05/10/24 119 SQD LOTPRICE-4 1.00 1.00 0.00 each 198511.87 0.00 Non Stock 96 Lines Total Qty Shipped Total 52 Total 18920.47 Taxes 1135.23 Invoice Total 20055.70 Cash Discount 0.00 If Paid By 05/10/24Last Page THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITH PRIOR NOTICE. TO VIEW AND PAY ONLINE USE THIS ENROLLMENT TOKEN VAN MAANEN ELECTRIC,INC 500 SPEEDWAY DRIVE PO BOX 1131 NEWTON, IA 50208-1131 http://3e-co.billtrust.com LFR TBZ VGV DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 C.E.D., INC. 12060 MEREDITH DRIVE URBANDALE, IA 50323 T: 5152658121 F: 5152658126 Invoice SOLD TO: VAN MAANEN ELECTRIC INC 500 IOWA SPEEDWAY DRIVE NEWTON, IA 50208 SHIP TO: VAN MAANEN ELECTRIC INC 500 IOWA SPEEDWAY DRIVE NEWTON, IA 50208 INVOICE NO. 1884-1062662 INVOICE DATE 03/28/2024 PLEASE SHOW INVOICE NO. AND REMIT TO: PO BOX 850654 MINNEAPOLIS, MN 55485-0654 ACCOUNT #/NAME D9-54376 WAUKEE PUBLIC SAFETY FACILITY JOB NAME WAUKEE PUBLIC SAFETY CABLE TRAY CUSTOMER ORDER NO. 10940 SALESPERSON 1014 MJM SHIPPING INFORMATION PREPAID SHIP VIA SHIP DATE 03/26/2024 QTY ORDERED 77 77 154 4 4 2 2 5 5 6 PRODUCT CODE MPHUS MPHUS MPHUS MPHUS MPHUS MPHUS MPHUS MPHUS MPHUS MPHUS A9IJC-12-144 AV0SBI-12-144 A3S-144 ALIJC-12H45-12 AV0SBI-12H45-12 ALIJC-12H90-12 AV0SBI-12H90-12 ALIJC-12T-12 AV0SBI-12T-12 A3S-HA DESCRIPTION QTY SHIPPED 77 77 154 4 4 2 2 5 5 6 PRICE 203.82 42.51 22.71 89.71 12.30 97.71 21.00 138.60 22.98 21.98 E E E E E E E E E E DISC.EXTENSION 15694.14 3273.27 3497.34 358.84 49.20 195.42 42.00 693.00 114.90 131.88 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 T T T T T T T T T T C O D E P E R C / D MERCHANDISE SALES TAX 0.00000 SHIPPING CHARGE 24049.99 0.00 0.00 TOTAL DUE 24,049.99 Page 1 of 1 TITLE TO MERCHANDISE AND RISK OF LOSS OR DAMAGE PASSES AT POINT OF SHIPMENT. CLAIMS FOR SHORT OR DAMAGED MERCHANDISE SHOULD BE MADE TO CARRIER. MERCHANDISE RETURNED WITHOUT OUR CONSENT WILL NOT BE ACCEPTED. A RESTOCKING CHARGE WILL BE MADE ON RETURNED GOODS UNLESS DEFECTIVE OR THROUGH ERROR ON OUR PART. A SERVICE CHARGE OF 1 ½% PER MONTH, BUT NOT TO EXCEED THE HIGHEST AMOUNT LAWFULLY ALLOWED BY APPLICABLE STATE LAW, WILL BE MADE ON ALL PAST DUE ACCOUNTS. THIS SALE IS SUBJECT TO OUR TERMS LOCATED AT SALES.OUR-TERMS.COM, WHICH WE MAY CHANGE FROM TIME TO TIME WITHOUT PRIOR NOTICE. CODE: TO ADVISE YOU PROMPTLY CONCERNING YOUR ORDER, THIS CODE IS USED ON OUR INVOICES. B - BACK ORDERED. WILL SHIP AS SOON AS RECEIVED UNLESS INSTRUCTED TO CANCEL. C - CANCELLED. NOT IN STOCK. UNABLE TO PURCHASE LOCALLY. NET PAYMENT IS DUE BY THE 15TH OF THE MONTH FOLLOWING PURCHASE DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 Material 240 1/2" CONDUIT ‐ EMT 25,000 3/4" CONDUIT ‐ EMT 24,000 1" CONDUIT ‐ EMT 4,000 1 1/4" CONDUIT ‐ EMT 292 1 1/2" CONDUIT ‐ EMT 2,000 2" CONDUIT ‐ EMT 283 2 1/2" CONDUIT ‐ EMT 142 3" CONDUIT ‐ EMT 140 4" CONDUIT ‐ EMT 1306 3/4" CONDUIT ‐ EMT ‐ RED FIRE ALARM 27 1 1/4" ELBOW 90 DEG ‐ EMT 91 1/2" ELBOW 90 DEG ‐ EMT 78 2" ELBOW 90 DEG ‐ EMT 15 2 1/2" ELBOW 90 DEG ‐ EMT 12 3" ELBOW 90 DEG ‐ EMT 24 1/2" CONN SS STL ‐ EMT 5932 3/4" CONN SS STL ‐ EMT 1250 1" CONN SS STL ‐ EMT 219 1 1/4" CONN SS STL ‐ EMT 71 1/2" CONN SS STL ‐ EMT 58 2" CONN SS STL ‐ EMT 12 2 1/2" CONN SS STL ‐ EMT 83" CONN SS STL ‐ EMT 12 1/2" COUPLING SS STL ‐ EMT 5773 3/4" COUPLING SS STL ‐ EMT Unit Price Total Price Material Transfer Form Material Transfered By: Ben Nelson Job Name & Location: 2382 - Waukee Public Safety Date of Transfer: 4/3/2024 Outgoing Material X Returned to Stock STORED ON-SITEDocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 2271 1" COUPLING SS STL ‐ EMT 179 1 1/4" COUPLING SS STL ‐ EMT 46 1 1/2" COUPLING SS STL ‐ EMT 234 2" COUPLING SS STL ‐ EMT 58 2 1/2" COUPLING SS STL ‐ EMT 38 3" COUPLING SS STL ‐ EMT 24 1/2" POUND ON ARL EMT50 1/2 NM TERMINATOR 126 3/4" POUND ON ARL EMT75 3/4IN NM TERMINATOR 421 1" POUND ON ARL EMT100 1‐IN NM TERMINATOR 224 1 1/4" POUND ON ARL EMT125 1‐1/4 NM TERMINATOR 11 1/2" POUND ON ARL EMT150 1‐1/2 NM TERMINATOR 112 2" POUND ON ARL EMT200 2‐IN NM TERMINATOR 56 4" POUND ON ARL EMT400 4‐IN NM TERMINATOR 20 1 1/4" THREADED BUSHING ‐ PLASTIC 61 1/2" THREADED BUSHING ‐ PLASTIC 72 2" THREADED BUSHING ‐ PLASTIC 16 2 1/2" THREADED BUSHING ‐ PLASTIC 83" THREADED BUSHING ‐ PLASTIC 244 3/4" CONDUIT ‐ RMC ‐ GALV 558 1" CONDUIT ‐ RMC ‐ GALV 60 2" CONDUIT ‐ RMC ‐ GALV 20 3" CONDUIT ‐ RMC ‐ GALV 11" COUPLING ‐ RMC ‐ GALV 31 1/4" COUPLING ‐ RMC ‐ GALV 62" COUPLING ‐ RMC ‐ GALV 32 1/2" COUPLING ‐ RMC ‐ GALV 43" COUPLING ‐ RMC ‐ GALV 22" ELBOW 90 DEG ‐ RMC ‐ GALV 52 3/4" LOCKNUT ‐ STEEL 70 1" LOCKNUT ‐ STEEL 54 1 1/4" LOCKNUT ‐ STEEL 18 2" LOCKNUT ‐ STEEL 42 1/2" LOCKNUT ‐ STEEL DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 10 3" LOCKNUT ‐ STEEL 44" LOCKNUT ‐ STEEL 11" BUSHING GRDG INSUL 150 DEG 31 1/4" BUSHING GRDG INSUL 150 DEG 41 1/2" BUSHING GRDG INSUL 150 DEG 12" BUSHING GRDG INSUL 150 DEG 32 1/2" BUSHING GRDG INSUL 150 DEG 83" BUSHING GRDG INSUL 150 DEG 11 2" ENTRANCE FITTING ‐ THREADED ‐ RMC 430 1/2" CONDUIT ‐ PVC40 10,200 3/4" CONDUIT ‐ PVC40 16,000 1" CONDUIT ‐ PVC40 446 1 1/4" CONDUIT ‐ PVC40 01 1/2" CONDUIT ‐ PVC40 2,200 2" CONDUIT ‐ PVC40 1,200 2 1/2" CONDUIT ‐ PVC40 1,200 3" CONDUIT ‐ PVC40 2,593 3 1/2" CONDUIT ‐ PVC40 1,700 4" CONDUIT ‐ PVC40 43 1/2" ELBOW 90 DEG ‐ PVC40 1,185 3/4" ELBOW 90 DEG ‐ PVC40 324 1" ELBOW 90 DEG ‐ PVC40 50 1 1/4" ELBOW 90 DEG ‐ PVC40 01 1/2" ELBOW 90 DEG ‐ PVC40 20 2" ELBOW 90 DEG ‐ PVC40 14 2 1/2" ELBOW 90 DEG ‐ PVC40 22 3" ELBOW 90 DEG ‐ PVC40 30 3 1/2" ELBOW 90 DEG ‐ PVC40 32 4" ELBOW 90 DEG ‐ PVC40 2,411 3/4" COUPLING ‐ PVC 644 1" COUPLING ‐ PVC 58 1 1/4" COUPLING ‐ PVC 01 1/2" COUPLING ‐ PVC DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 22 2" COUPLING ‐ PVC 28 2 1/2" COUPLING ‐ PVC 44 3" COUPLING ‐ PVC 60 3 1/2" COUPLING ‐ PVC 72 4" COUPLING ‐ PVC 1267 3/4" ADAPTER MALE ‐ PVC 205 1" ADAPTER MALE ‐ PVC 27 1 1/4" ADAPTER MALE ‐ PVC 01 1/2" ADAPTER MALE ‐ PVC 22" ADAPTER MALE ‐ PVC 42 1/2" ADAPTER MALE ‐ PVC 63" ADAPTER MALE ‐ PVC 44" ADAPTER MALE ‐ PVC 82 3/4" LOCKNUT ‐ STEEL 43" BUSHING ‐ PLASTIC 71" ADAPTER FEM ‐ PVC 27 1 1/4" ADAPTER FEM ‐ PVC 43" ADAPTER FEM ‐ PVC 24" ADAPTER FEM ‐ PVC 134 1" END BELL ‐ PVC 21 1/4" END BELL ‐ PVC 01 1/2" END BELL ‐ PVC 20 2" END BELL ‐ PVC 13 2 1/2" END BELL ‐ PVC 14 3" END BELL ‐ PVC 30 3 1/2" END BELL ‐ PVC 34 4" END BELL ‐ PVC 120 1" 2‐H STRAP ‐ PVC 32 1/2" 1‐H STRAP ‐ EMT ‐ STEEL 3954 3/4" 1‐H STRAP ‐ EMT ‐ STEEL 245 1" 1‐H STRAP ‐ EMT ‐ STEEL 348 1 1/4" 1‐H STRAP ‐ EMT ‐ STEEL 21 1/2" 1‐H STRAP ‐ EMT ‐ STEEL DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 42" 1‐H STRAP ‐ EMT ‐ STEEL 117 3/4" STRUT STRAP 83 1" STRUT STRAPS 52 1 1/4" STRUT STRAPS 35 1 1/2" STRUT STRAPS 206 2" STRUT STRAPS 35 2 1/2" STRUT STRAPS 18 3" STRUT STRAPS 21" 1‐H STRAP ‐ RMC ‐ MALL 41 3/4" MINNIE W/BOLT 1,466 CADDY 812M24 ‐ 1/2 OR 3/4" SNAP CLOSE CLIP ‐ BTM MNT ON 1/4" FLNG HNGR 2,638 CADDY 16M24 ‐ 1" SNAP CLOSE CLIP ‐ BTM MNT ON 1/4" FLNG HNGR 165 CADDY 20M24 ‐ 1 1/4" SNAP CLOSE CLIP ‐ BTM MNT ON 1/4" FLNG HNGR 2,634 CADDY CS812 ‐ 1/2 OR 3/4" EMT OR MC/AC CLIP TO STUD FOR 1 1/2" DEEP BOX 89 CADDY CS812D ‐ 1/2 OR 3/4" EMT OR MC/AC CLIP TO STUD FOR 2 1/8 DEEP BOX 602 CADDY CS16 ‐ 1" EMT OR MC/AC CLIP TO STUD FOR 2 1/8 DEEP BOX 55 CADDY 812MB1824 ‐ 1/2 OR 3/4" CONDUIT+BOX SUPPORT ‐ BTM MNT ON 1/4" FLNG 224 SMALL BLUE WIRECONN IDEAL 30‐172 SIZE 72B 1,146 ORANGE WIRE NUT IDEAL 30‐073 73B 72 YELLOW WIRECONN IDEAL 30‐451 SIZE 451 13,541 RED WIRECONN IDEAL 30‐452 SIZE 452 210 BLUE WIRECONN IDEAL 30‐454 SIZE 454 39 WIRE CONN RED 197 ARL NM95 3/4 NM PLSTC CABLE CONN 24 4x 1 1/2" OCT BOX COMB KO 16 4x 2 1/8" OCT BOX COMB KO 638 4x 1 1/2" SQ BOX 3/4" KO 2066 4x 1 1/2" SQ BOX COMB KO 852 4x 2 1/8" SQ BOX 3/4" KO 584 4x 2 1/8" SQ BOX COMB KO 41 4" SQ BOX EXT TO 1G DEVICE 68 4" SQ BOX EXT RING COMB KO 1,113 4" SQ 1G PLSTR RING 5/8" RISE DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 566 4" SQ 1G MUD RING 2" RISE 72 4" SQ 2G PLSTR RING 5/8" RISE 14" SQ 2G MUD RING 2" RISE $257,275.00 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 Material 50,000 #12 THHN 40,000 #10 THHN 18,000 # 8 THHN 2,000 # 6 THHN 1,000 # 4 THHN 1,200 # 3 THHN 100 #3/0 THHN 30,000 #14 THHN Unit Price Total Price $40,830.00 Material Transfer Form Material Transfered By: Ben Nelson Job Name & Location: 2382 - Waukee Public Safety Date of Transfer: 4/3/2024 Outgoing Material X Returned to Stock DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 Invoice #: 309588APPLICATION AND CERTIFICATE FOR PAYMENT 1Page Contractor Architect Owner Distribution to : 87A176370 City of Waukee Public Safety Contract Date: Project Nos: Contract For: Via Architect: Tri-City Electric Company of IowaFrom Contractor: Ryan Companies Project:To Owner: 1 Period To: Application No. : 111 E. Grand Avenue, Suite 200 6225 N Brady St Davenport, IA 52806 Des Moines, IA 50309 Application Date : 4/22/2024 Due Date :5/22/2024 $0.00 $300.00 day ofSubscribed and sworn to before me this County of:State of: 4. Total Completed and Stored To Date . . . . . . . . . . . . . . . Notary Public: $0.00 0.00%of Stored Materialb. Application is made for payment, as shown below, in connection with the Contract. Continuation Sheet is attached. a. 5. Retainage : $300.00 ARCHITECT'S CERTIFICATE FOR PAYMENT My Commission expires: $5,700.00 5.00% By:____________________________________Date:______________$6,000.00 $602,832.00 Tri-City Electric Company of IowaCONTRACTOR:$602,832.00 The undersigned Contractor certifies that to the best of the Contractor's knowledge, information, and belief, the work covered by this Application for Payment has been completed in accordance with the Contract Documents. That all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and payments received from the Owner, and that current payment shown herein is now due. $0.00 $5,700.00 In accordance with the Contract Documents, based on on-site observations and the data comprising the above application, the Architect certifies to the Owner that to the best of the Architect's knowledge, information, and belief, the Work has progressed as indicated, the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. 1. Original Contract Sum . . . . . . . . . . . . . . . . . . . . . . . . . . 8. Current Payment Due . . . . . . . . . . . . . . . . . . . . . . . . . . . 7. Less Previous Certificates For Payments . . . . . . . . . . . . 6. Total Earned Less Retainage . . . . . . . . . . . . . . . . . . . . . . Total Retainage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . of Completed Work 3. Contract Sum To Date . . . . . . . . . . . . . . . . . . . . . . . . . . 2. Net Change By Change Order . . . . . . . . . . . . . . . . . . . . CONTRACTOR'S APPLICATION FOR PAYMENT CHANGE ORDER SUMMARY Additions Deductions Total changes approved $0.00 $0.00 Total Approved this Month TOTALS $0.00$0.00 Net Changes By Change Order $0.00 9. Balance To Finish, Plus Retainage . . . . . . . . . . . . . . . . .$597,132.00 AMOUNT CERTIFIED (Attach explanation if amount certified differs from the amount applied. Initial all figures on this Application and on the Continuation Sheet that are changed to conform with the amount certified.) ARCHITECT: This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment, and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. in previous months by Owner By:____________________________________Date:______________ $5,700.00 $0.00 $0.00 October 16, 2026 April 202422nd ScottIowa 4/22/24 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 CONTINUATION SHEET Page 2 of 2 (Not in D or E)(D+E+F) To Date(D+E) Application In Place Stored and Stored No.Value From Previous This Period Presently Completed (G / C)To Finish (C-G) Item Total Description of Work Scheduled Materials %Balance RetainageWork Completed A B C D E F G H I Contract : 87A176370 City of Waukee Public Safety 309588Invoice # : Architect's Project No.: To: 4/22/2024Application Date : 1Application No. :Application and Certification for Payment, containing Contractor's signed certification is attached. In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where variable retainage for line items may apply.Due Date :5/22/2024 0.00 0.00 0.00% 0.00 0.00 0.00 0.00 0.001City of Waukee Public Safety 300.00 0.00 100.00% 6,000.00 0.00 6,000.00 6,000.00 0.002Submittals 0.00 0.00 0.00% 0.00 0.00 0.00 28,707.33 28,707.333AV Rough-in Material 0.00 0.00 0.00% 0.00 0.00 0.00 18,500.00 18,500.004AV Cabling 0.00 0.00 0.00% 0.00 0.00 0.00 470,000.00 470,000.005AV Material 0.00 0.00 0.00% 0.00 0.00 0.00 68,124.67 68,124.676AV Installation 0.00 0.00 0.00% 0.00 0.00 0.00 9,000.00 9,000.007AV Testing 0.00 0.00 0.00% 0.00 0.00 0.00 2,500.00 2,500.008Training 0.00 6,000.00 0.00 6,000.00 1.00% 596,832.00 300.00Grand Totals 602,832.00 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345 DocuSign Envelope ID: 84A07F84-A837-4CEB-A53B-A5F35DE7E345