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2024-10-07 I01F_01 Public Safety Building_Pmt Est 10
AGENDA ITEM: CITY OF WAUKEE, IOWA CITY COUNCIL MEETING COMMUNICATION MEETING DATE: October 7, 2024 AGENDA ITEM:Consideration of approval of Payment Estimate No. 10 (Combined) for the Waukee Public Safety Building Project in the amount of $2,854,614.70. FORMAT:Consent Agenda SYNOPSIS INCLUDING PRO & CON: Work continues to progress in earnest on the Waukee Public Safety Building. Pay Estimate No. 10 for the Waukee Public Safety Building project covers concrete, steel structure and erection, roofing, glass/glazing, framing, mechanical, plumbing and electrical as well as several other smaller items associated with the project. FISCAL IMPACT INCLUDING COST/BENEFIT ANALYSIS: Payment Estimate No. 10 is in the amount of $2,854,614.70. COMMISSION/BOARD/COMMITTEE COMMENT: STAFF REVIEW AND COMMENT: RECOMMENDATION: Approve Pay Estimate No. 10 ATTACHMENTS: I. Pay Estimate No. 10 PREPARED BY:Brad Deets, City Administrator REVIEWED BY: PUBLIC NOTICE INFORMATION – NAME OF PUBLICATION: DATE OF PUBLICATION: I1F1 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 09:30:14 ET on 09/30/2024 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: (3B9ADA4A) 1 APPLICATION NO: 010 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: September 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)155,321.61 3. TOTAL CONTRACT SUM TO DATE (Item C Totals)29,023,836.11 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)12,738,161.98 5. RETAINAGE (Item H Totals)636,908.10 6. LESS PREVIOUS TOTAL PAYMENTS (Item I Totals) 9,246,639.18 TOTAL OF AMOUNTS CERTIFIED ...........................................................2,854,614.70 7. CURRENT PAYMENT DUE (Item J Totals)2,854,614.70 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: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 9/30/2024 9/30/2024 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 09:30:06 ET on 09/30/2024 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: (3B9ADAA9) 1 APPLICATION NO.:010 APPLICATION DATE:September 25, 2024 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:September 01, 2024 PERIOD TO:September 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 19,408.92 2,924,408.92 278,660.15 36,950.00 315,610.15 5.00%15,780.51 165,088.82 134,740.82 2,608,798.77 10.79% Building Concrete Jordison Const 1,271,000.00 0.00 1,271,000.00 925,278.40 0.00 925,278.40 5.00%46,263.92 550,648.50 328,365.98 345,721.60 72.80% Precast Material Enterprise Precast 1,833,316.00 -2,822.13 1,830,493.87 1,833,316.00 0.00 1,833,316.00 5.00%91,665.80 1,741,650.20 0.00 -2,822.13 100.15% Steel Material TSF Structures 1,932,100.00 2,890.00 1,934,990.00 1,929,990.00 0.00 1,929,990.00 5.00%96,499.50 1,513,822.46 319,668.04 5,000.00 99.74% Erection Northwest Steel 1,064,188.00 2,160.00 1,066,348.00 980,986.50 0.00 980,986.50 5.00%49,049.33 769,369.92 162,567.26 85,361.50 91.99% Metal Panels Forman Ford 575,239.00 0.00 575,239.00 258,040.12 0.00 258,040.12 5.00%12,902.01 213,435.22 31,702.89 317,198.88 44.86% Roofing Academy Roofing 998,000.00 1,420.00 999,420.00 918,000.00 0.00 918,000.00 5.00%45,900.00 657,020.00 215,080.00 81,420.00 91.85% Glass & Glazing Ford Metro 1,069,100.00 0.00 1,069,100.00 582,331.00 0.00 582,331.00 5.00%29,116.55 251,051.75 302,162.70 486,769.00 54.47% Overhead Doors Skold Door 310,000.00 1,346.00 311,346.00 57,590.00 0.00 57,590.00 5.00%2,879.50 15,295.00 39,415.50 253,756.00 18.50% Frame & Drywall Hilsabeck Schacht 2,562,500.00 2,536.31 2,565,036.31 116,498.50 0.00 116,498.50 5.00%5,824.93 0.00 110,673.58 2,448,537.81 4.54% Fire Protection Elite Fire Sprinkler 364,700.00 0.00 364,700.00 89,940.00 0.00 89,940.00 5.00%4,497.00 38,000.00 47,443.00 274,760.00 24.66% Mech & Plumbing Kruck Plumbing 5,947,000.00 8,025.42 5,955,025.42 1,724,879.00 1,139,057.00 2,863,936.00 5.00%143,196.80 1,944,827.65 775,911.55 3,091,089.42 48.09% Elec & Comm Van Maanen 4,711,425.00 132,217.09 4,843,642.09 1,213,265.18 100,121.60 1,313,386.78 5.00%65,669.34 1,046,740.50 200,976.94 3,530,255.31 27.12% Audio-Visual TriCity Electric 602,832.00 0.00 602,832.00 6,000.00 0.00 6,000.00 5.00%300.00 5,700.00 0.00 596,832.00 1.00% Earthwork Wenthold 803,330.50 0.00 803,330.50 420,225.03 0.00 420,225.03 5.00%21,011.25 325,873.31 73,340.47 383,105.48 52.31% 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 1,110,000.00 127,033.50 0.00 127,033.50 5.00%6,351.68 8,115.85 112,565.98 982,966.50 11.44% Landscape & Irrig Alpha Landscapes 653,784.00 -11,860.00 641,924.00 0.00 0.00 0.00 5.00%0.00 0.00 0.00 641,924.00 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 $155,321.61 $29,023,836.11 $11,462,033.38 $1,276,128.60 $12,738,161.98 5.00%$636,908.10 $9,246,639.18 $2,854,614.70 $16,285,674.14 43.89% Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Waukee Public Safety Building: Pay Application No. 10 Pay Apps Due to Ryan Co: 09/23/2024 Pay Apps Due to OPN: 10/02/2024 Council Packet Info to Waukee: 10/16/2024 by midnight Council Approval: 10/21/2024 Payment Due to Prime Contractors no later than: 10/31/2024 Prime Contractors Current (less retainage) Bid Package #1: General Construction (DDVI)$134,740.82 Bid Package #2: Building Concrete (Jordison Construction)$328,365.98 Bid Package #3: Precast Material (Enterprise Precast) Bid Package #4: Steel Material & Misc. Metals (TSF Structures) $319,668.04 Bid Package #5: Precast & Steel Erection (Northwest Steel)$162,567.26 Bid Package #6: Metal Panels (Forman Ford)$31,702.89 Bid Package #7: Roofing (Academy Roofing)$215,080.00 Bid Package #8: Glass & Glazing (Ford Metro)$302,162.70 Bid Package #9: Overhead Doors (Skold Door)$39,415.50 Bid Package #10: Framing, Drywall & Ceilings (Hilsabeck Schacht) $110,673.57 Bid Package #11: Fire Protection (Elite Fire Sprinkler)$47,443.00 Bid Package #12: Mechanical & Plumbing (Kruck Plumbing & Heating) $775,911.55 Bid Package #13: Electrical & Communications (Van Maanen Electric) $200,976.94 Bid Package #14: Audio-Visual (Tri-City Electric) Bid Package #15: Earthwork & Utilities (Wenthold Excavating) $73,340.47 Bid Package #16: SWPPP (Absolute Group) Bid Package #17: Site Concrete (Jordison Construction)$112,565.98 Bid Package #18: Landscaping & Irrigation (Alpha Landscapes) Pay Application Subtotal $2,854,614.70 * Bid Package #5 reduced by $0.01 due to past payment and retainage rounding. * Bid Package #6 reduced by $0.01 due to retainage rounding. * Bid Package #15 increased by $0.01 for past payment reconcile. * Bid Package #17 increased by $0.01 due to retainage rounding. Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC $46,263.92 $550,648.50 Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC $769,369.92 $162,567.26 $2,160 $1,066,348 Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC $12,902.01 $31,702.89 Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC APPLICATION AND CERTIFICATE FOR PAYMENT TO OWNER:City of Waukee Iowa PROJECT:Waukee Public Safety Facility APPLICATION NO.:234428-SEP24 Distribution to: 230 W Hickman Road PERIOD TO:9/30/2024 OWNER Waukee, IA 50263 VIA CONSTR MANGER: Ryan Companies, US Inc.PROJECT NOS.:0 ARCHITECT 111 E Grand Ave., Suite 200 0 CONTRACTOR FROM CONTRACTOR:SKOLD DOOR & FLOOR COMPANY Des Moines, IA 50309 5730 NE 17th Street Procore CONTRACT DATE:1/0/1900 Des Moines, IA 50313 VIA ARCHITECT: OPN Architects CONTRACT FOR:Sectional Overhead Doors The undersigned Contractor certifies that to the best of the Contractor's knowledge, infor- CONTRACTOR'S APPLICATION FOR PAYMENT mation and belief the Work covered by this Application for Payment has been completed Application is made for payment, as shown below, in connection with the Contract.in accordance with the Contract Documents, that all amounts have been paid by the Continuation Sheet, AIA Document G703, is attached.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. 1. ORIGINAL CONTRACT SUM……………...…………………..$310,000.00 2. Net changed by Change Orders ……………………...…….$0.00 CONTRACTOR: 3. CONTRACT SUM TO DATE (Line 1 + 2) …………...……………$310,000.00 4. TOTAL COMPLETED & STORED TO DATE ……...…………$57,590.00 By:_________________________________Date:__________________September 23, 2024 (Column G on G703) 5. RETAINAGE:State of: IOWA a. _5_ % of Completed Work $2,879.50 County of: POLK (Column D + E on G703)Subscribed and Sworn to before b. _5_% of Stored Material $0.00 me this day: (Column F on G703) Total Retainage (Line 5a + 5b or Total in Column I of G703)$2,879.50 6. TOTAL EARNED LESS RETAINAGE………………………..$54,710.50 (Line 6 less Line 5 Total)Notary Public: 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT CERTIFICATE FOR PAYMENT (Line 6 from prior Certificates)……………………………………………………$15,295.00 8. CURRENT PAYMENT DUE …………………………………….$39,415.50 In accordance with the Contract Documents, based on on-site observation and the data 9. BALANCE TO FINISH, INCLUDING RETAINAGE comprising this application, the Construction Manager and Architect certifies to the Owner (Line 3 less Line 6)$255,289.50 that to the best of their knowledge, information and belief the Work has progressed as indicated, the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS AMOUNT CERTIFIED…………………...……………..$______________ Total changes approved in previous months by Owner $0.00 $0.00 Total approved this Month $0.00 $0.00 to the amount certified.) TOTALS $0.00 $0.00 CONSTRUCTION MANAGER: NET CHANGES by Change Order $0.00 By:_________________________________Date:__________________ ARCHITECT: By:_________________________________Date:__________________ This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Con- tractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. (Attach explanation if amount certified differs from the amount applied for Initial all figures on this Application and on the Continuation Sheet that are changed to conform September 23, 2024 05/18/2025 $1,346 $311,346 Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC CONTINUATION SHEET AIA DOCUMENT G703 PAGE 1 OF 1 PAGE APPLICATION NO:234428-SEP24 Skold Door & Floor Company, Inc.APPLICATION DATE:9/23/2024 5730 NE 17th Street PERIOD TO:9/30/2024 Des Moines, IA 50313 PROJECT NO:0 CONTRACT FOR:0 CONTRACT DATE:1/0/1900 A B C D E F G H I ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL %BALANCE RETAINAGE NO. VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G/C)TO FINISH APPLICATION STORED AND STORED (C-G) (D+E)(NOT IN TO DATE 5% D OR E)(D+E+F) Spec Section 08 3613 Sectional Overhead Doors 1 Shop Drawings 5,000.00 5,000.00 5,000.00 100%0.00 250.00 2 Material 110,000.00 0.00 0%110,000.00 0.00 3 Installation 8,200.00 0.00 0%8,200.00 0.00 Spec Section 08 4333 Four-Fold Doors 4 Shop Drawings 5,000.00 5,000.00 5,000.00 100%0.00 250.00 5 Material 166,900.00 41,490.00 41,490.00 25%125,410.00 2,074.50 6 Installation 8,800.00 0.00 0%8,800.00 0.00 7 P&P Bond 6,100.00 6,100.00 6,100.00 100%0.00 305.00 8 CR036 1,346.00 0.00 0%1,346.00 0.00 GRAND TOTALS 311,346.00 16,100.00 41,490.00 0.00 57,590.00 18%253,756.00 2,879.50 Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 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 9/23/2024 Holmes Murphy &Associates 2727 Grand Prairie Parkway Waukee IA 50263 Tristyn Paup 515-974-4604 tpaup@holmesmurphy.com Integrity Insurance Company 10288 KRUPLUPC Kruck Plumbing &Heating Co Inc. 734 7th Street Boone,IA 50036 1000539868 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 Stored Materials Material:DWBP,Hydronic Fittings,GRDs,DOAU and BCU $450,000 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: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 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: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 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: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 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: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 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: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 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: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 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: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 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: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 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: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 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: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 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: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 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: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 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: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 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: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 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: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 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: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 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. 24 12/18/23 1810 217th Road Boone, IA 50036 Kruck Plumbing & Heating 23rd September Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 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: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 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: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 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: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 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 Chad Houston CHAD HOUSTON 12/18/23 Kruck Plumbing & Heating 24 President $417,206 September 23rd Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 6 Exhibit A to Bill of Sale The Property Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 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 9/20/2024 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 6E57919 08/01/2024 08/01/2025 X Scheduled Equipment - Special Cause of Loss Installation Floater See Remarks $1,500,000 5,000 5,000 RE: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 $100,121.00. City of Waukee Iowa 230 W Hickman Road Waukee, IA 50263 Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 1 OFF-SITE STORAGE AGREEMENT – PRIME CONTRACTOR FACILTY THIS AGREEMENT, made this 20th day of September, 2024, by and between Van Maanen Electric, Inc.(“Prime Contractor”) and City of Waukee, Iowa (“Grantee”). WHEREAS, Grantee, as the Owner, and Prime Contractor entered into that certain Contract Agreement dated December 18th, 2023 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 500 Iowa Speedway Drive Newton, IA 50208 ( “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. Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 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: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 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 Van Maanen Electric, Inc By:_ Its: President GRANTEE City of Waukee, Iowa By:______________________ Its:______________________ Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 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: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 5 Exhibit B Form of Bill of Sale BILL OF SALE Van Maanen Electric, Inc ("Seller"), in consideration of the sum of sixty six thousand eight hundred fourteen Dollar(s) and seventy six cents ($66,814.766) 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 December 18th , 2023(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 April 25th, 2024 Van Maanen Electric, Inc By Its Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 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. 09/09/24 8571225-00 PO. NO.PAGE # 10942 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 H.CALL 24 HRS PRIOR TO DELIVERY SHOP # 641/791-9473 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **BEST WAY 09/04/24 10/10/24 1 PURE V2M-C120B-BK CANOPY 60.00 0.00 60.00 each 197.65 11859.00 MARK: TYPE 14A/B 1 Lines Total Qty Shipped Total 60 Total 11859.00 Taxes 711.54 Invoice Total 12570.54 Cash Discount 0.00 If Paid By 10/10/24Last 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: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 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. 09/10/24 8469929-00 PO. NO.PAGE # 10942 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 HAND CALL 24 HRS. B/F DELIVERY SHOP # 641/791-9473 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **FedEx Grnd 09/03/24 10/10/24 1 ISO TL2-AC-R-1-BA-MTEB 8.00 8.00 0.00 each 200.00 0.00 MARK:TYPE XA 3 ISO ELT2-AC-R-1M-FT-BA-MRC-AU 3.00 3.00 0.00 each 185.00 0.00 MARK:TYPE XC 6 ISO ELT2-AC-R-1M-AG-BK-MPA12-AU 6.00 6.00 0.00 each 226.00 0.00 MARK:TYPE XE 7 ISO ELT2-AC-R-2M-AG-BK-MPA12-AU 7.00 7.00 0.00 each 251.00 0.00 MARK:TYPE XF 8 ISO E3MAC-3000-1P-IA-OA-C3 1.00 1.00 0.00 each 11795.00 0.00 MARK:TYPE INV2 9 ISO FACTORY STARTUP & WARRANTY 1.00 1.00 0.00 each 1500.00 0.00 MARK:TYPE INV2 10 ISO RWL-AC-R-1-GY-MTEBP 7.00 0.00 7.00 each 92.00 644.00 MARK: TYPE XB 11 ISO ELT2-AC-R-1M-AG-BA-MPA-AU 1.00 1.00 0.00 each 226.00 0.00 MARK: TYPE XC-P 12 ISO ELT2-AC-R-2M-FT-BA-MRC-AU 7.00 7.00 0.00 each 185.00 0.00 MARK: TYPE XD 9 Lines Total Qty Shipped Total 7 Total 644.00 Taxes 38.64 Invoice Total 682.64 Cash Discount 0.00 If Paid By 10/10/24Last 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: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 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. 09/10/24 8469918-00 PO. NO.PAGE # 10942 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 HAND CALL 24 HRS. B/F DELIVERY SHOP # 641/791-9473 38.20 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **R&L FRT 09/07/24 10/10/24 1 MODF FH-W1811-54-MB-DK 10.00 0.00 10.00 each 382.00 3820.00 54" BLACK CEILING FAN w/ SIMULATED WOOD BLADES MARK:TYPE F1 1 Lines Total Qty Shipped Total 10 Total 3820.00 Taxes 229.20 Invoice Total 4049.20 Cash Discount 38.20 If Paid By 10/10/24Last 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: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 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. 09/11/24 8468544-00 PO. NO.PAGE # 10942 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 HAND CALL 24 HRS. B/F DELIVERY SHOP# 641/791-9473 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **FedEx Grnd 07/25/24 10/10/24 1 ECO F170 1S HO 35 8 15 K H A 4.00 0.00 4.00 each 596.00 2384.00 MARK:TYPE S7 2 ECO LDCM-PL-120-277-010V-GR 4.00 0.00 4.00 each 249.00 996.00 MARK:TYPE S7 3 ECO F170 1S HO 35 8 20 K H A 2.00 0.00 2.00 each 596.00 1192.00 MARK:TYPE S12 4 ECO LDCM-PL-120-277-010V-GR 2.00 0.00 2.00 each 246.00 492.00 MARK:TYPE S12 5 ECO F170 2V HO 35 8 40 K H C 2.00 0.00 2.00 each 596.00 1192.00 MARK:TYPE S13 6 ECO LDCM-PL-120-277-010V-GR 2.00 0.00 2.00 each 246.00 492.00 MARK:TYPE S13 7 ECO L60 I 48 12 35 80 MULT 55X55 K 14.00 14.00 0.00 each 608.00 0.00 MARK:TYPE 24(8©/11©/18©) 8 ECO L60 I 12 12 35 80 MULT 55X55 K 7.00 7.00 0.00 each 249.00 0.00 MARK:TYPE 24(11©/18©) 9 ECO CBL-6P-LBK-LDR-UNV-10 5.00 5.00 0.00 each 60.00 0.00 MARK:TYPE 24(8©/11©/18©) 10 ECO N1 CSD 10© 835 VL 1D SC MF MB 1.00 1.00 0.00 each 792.00 0.00 44 MB PSS 8 MARK:TYPE 39A 11 ECO N1 CSD 14© 835 VL 1D SC MF MB 1.00 1.00 0.00 each 1196.00 0.00 2ACT MB PSS 8 MARK:TYPE 39B 17 ECO CBL-6P-LBK-LDR-UNV-10 14.00 14.00 0.00 each 60.00 0.00 MARK:TYPE EX7(9©/12©) Cash Discount 0.00 If Paid By 10/10/24Continued 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: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 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. 09/11/24 8468544-00 PO. NO.PAGE # 10942 2 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 HAND CALL 24 HRS. B/F DELIVERY SHOP# 641/791-9473 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **FedEx Grnd 07/25/24 10/10/24 18 ECO L45-E-48-04-35-80-MULT-120-K 49.00 49.00 0.00 each 640.00 0.00 MARK:TYPE EX8(94©/104©) 20 ECO L45-E-12-04-35-80-MULT-120-K 2.00 2.00 0.00 each 260.00 0.00 MARK:TYPE EX8(94©) 22 ECO CBL-6P-LBK-LDR-UNV-10 4.00 4.00 0.00 each 60.00 0.00 MARK:TYPE EX8(94©/104©) 23 ECO L60-E-48-10W-35-80-MULT-30.00 30.00 0.00 each 999.00 0.00 55X55-K MARK: TYPE EX7 (9©/12©) 24 ECO L60-E-12-10W-35-80-MULT 12.00 12.00 0.00 each 368.00 0.00 55X55-K MARK: TYPE EX7 (9©) 17 Lines Total Qty Shipped Total 16 Total 6748.00 Taxes 404.88 Invoice Total 7152.88 Cash Discount 0.00 If Paid By 10/10/24Last 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: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 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. 09/16/24 8468208-04 PO. NO.PAGE # 10942 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 HAND CALL 24 HRS. B/F DELIVERY SHOP# 641/791-9473 561.51 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **UPS GROUND 08/07/24 10/10/24 1 LTH RSS 15 4B PT DBLXD 18.00 0.00 18.00 each 1251.00 22518.00 MARK:TYPE S1 2 LTH RADPT LED P3 30K SYM MVOLT 18.00 18.00 0.00 each 1312.00 0.00 PT4 NLTAIR2 DBLXD MARK:TYPE S1 3 LTH RSS 30 5B DM19AS FBCSTL2PC 15.00 0.00 15.00 each 1312.00 19680.00 VD DBLXD MARK:TYPE S2/S3/S4 4 LTH DSX1 LED P4 30K 80CRI TFTM MVOLT 1.00 1.00 0.00 each 863.00 0.00 RPA NLTAIR2 PIRHN DBLXD MARK:TYPE S2 6 LTH RSS 30 4-5B DM19AS FBCSTL2PC 5.00 0.00 5.00 each 1420.00 7100.00 VD CPL34/12B DBLXD MARK:TYPE S3-C 8 LTH DSX1 LED P9 30K 80CRI T5W MVOLT 2.00 2.00 0.00 each 925.00 0.00 RPA NLTAIR2 PIRHN DBLXD MARK:TYPE S4 9 LTH RSS 30 5B DM19AS FBCSTL2PC 1.00 0.00 1.00 each 1419.00 1419.00 VD CPL34/12C DBLXD MARK:TYPE S5-C 11 LTH RSS 30 5B DM28AS FBCSTL2PC 2.00 0.00 2.00 each 1420.00 2840.00 VD CPL34/12A DBLXD MARK:TYPE S6-C 14 LTH RSS 20 5B DM19AS FBCSTL2PC 1.00 0.00 1.00 each 1239.00 1239.00 VD DBLXD MARK:TYPE S11 Cash Discount 561.51 If Paid By 10/10/24Continued 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: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 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. 09/16/24 8468208-04 PO. NO.PAGE # 10942 2 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 HAND CALL 24 HRS. B/F DELIVERY SHOP# 641/791-9473 561.51 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **UPS GROUND 08/07/24 10/10/24 16 LTH RSS 20 5B DM19AS FBCSTL2PC VD 1.00 0.00 1.00 each 1355.00 1355.00 CPL34/12B DBLXD MARK:TYPE S11-C 19 MARK WHSPR LCTR 2X2 80CRI 35K 224.00 224.00 0.00 each 122.00 0.00 4000LM MIN1 MVOLT SWC ZT MARK:TYPE 1 20 GTHM EVO2 35/15 MWD MVOLT UGZ 47.00 47.00 0.00 each 156.00 0.00 TRW NCH AR LD MARK:TYPE 29A 22 GTHM EVO2WW 35/15 MVOLT UGZ 15.00 15.00 0.00 each 173.00 0.00 TRW NCH AR L D MARK:TYPE 30 23 GTHM ICO2SH 35/10 45D LTF MVOLT UGZ 13.00 13.00 0.00 each 177.00 0.00 TRW NCH AR LD MARK:TYPE 31 24 ACULX AX2 D G2 15LM 35K 80CRI 18.00 18.00 0.00 each 190.00 0.00 50D ZT MVOLT 2DH CS FM MARK:TYPE 34 25 HLTH HNLS13 3LONG MVOLT RED 4.00 4.00 0.00 each 172.00 0.00 ZT MIN5 INT BA MARK:TYPE 41A 26 HLTH HNLS13 6LONG MVOLT RED 12.00 12.00 0.00 each 396.00 0.00 ZT MIN5 INT BA MARK:TYPE 41B 27 LTH VCPGX LED V8 P6 35K 80CRI T5E 14.00 14.00 0.00 each 558.00 0.00 Cash Discount 561.51 If Paid By 10/10/24Continued 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: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 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. 09/16/24 8468208-04 PO. NO.PAGE # 10942 3 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 HAND CALL 24 HRS. B/F DELIVERY SHOP# 641/791-9473 561.51 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **UPS GROUND 08/07/24 10/10/24 MVOLT PM NLTAIR2 PIR UPL2 DNAXD MARK:TYPE 42A 28 LTH VCPGX LED V8 P6 35K 80CRI T5E 2.00 2.00 0.00 each 584.00 0.00 MVOLT PM NLTAIR2 PIR924 UPL2 DNAXD MARK:TYPE 42AE 37 LTH WDGE1 LED P1 35K 80CRI VW MVOLT 7.00 7.00 0.00 each 142.00 0.00 SRM AWS DMG DBLXD MARK:TYPE EX1 40 LTH WDGE2 LED P3SW 35K 80CRI VW MVOLT 3.00 3.00 0.00 each 203.00 0.00 SRM AWS PIR DBLXD MARK:TYPE EX9 42 LTH EVO2 35/20 MWD MVOLT UGZ TRW 4.00 4.00 0.00 each 156.00 0.00 NCH AR LD MARK: TYPE 29B 43 LTH VCPGX LED V8 P2 35K 80CRI T5W 28.00 28.00 0.00 each 494.00 0.00 MVOLT PM NLTAIR2 PIR UPL2 DNAXD MARK: TYPE 42B 44 LTH VCPGX LED V8 P2 35K 80CRI T5W 5.00 5.00 0.00 each 518.00 0.00 MVOLT PM NLTAIR2 PIR924 UPL2 DNAXD MARK: TYPE 42BE 45 LIT WDGE2 LED P4 35K 80CRI VW 3.00 3.00 0.00 each 212.00 0.00 MVOLT SRM AWS DMG DBLXD MARK: TYPE EX2 46 ACULX AX3 D G4 25LM 35K 80CRI 35D 14.00 14.00 0.00 each 234.00 0.00 EZ1 MVOLT ICAT 3DP BS SF WET MARK: TYPE EX5 Cash Discount 561.51 If Paid By 10/10/24Continued 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: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 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. 09/16/24 8468208-04 PO. NO.PAGE # 10942 4 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 HAND CALL 24 HRS. B/F DELIVERY SHOP# 641/791-9473 561.51 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **UPS GROUND 08/07/24 10/10/24 47 ACU LOT PRICE FOR LTG CONTROLS 1.00 1.00 0.00 each 63166.00 0.00 (26)NBRG 8 KIT (2)NCM ADCX RJB (52)NCM PDT 10 RJB (2)NECY MVOLT BAC SVS ENC GFXK (1)NECYD NLTAIR G2 (2)NHW 13 (2)NIO 1S (9)NIO X KIT (5)NPOD TOUCH WH (32)NPODMA 4S DX WH (5)NPODMA 4S DX GY (1)NPODMA 4S WH (37)NPODMA DX WH (11)NPODMA DX GY (14)NPODMA GY (27)NPODMA WH (130)NPP16 D EFP (53)NPP16 D ER EFP (55)NPP16 EFP (31)NPP16 ER EFP (5)NPP20 PL (2)NPP PCD EFP (1)NPP PCD ER EFP (4)NPS 80 (19)NRM PDT 9 (15)NRM PDT 9 ADCX (71)NRM PDT 10 (10)NRM PDT 10 ADCX (1)NRM PDT 10 LT 27 Lines Total Qty Shipped Total 43 Total 56151.00 Taxes 3369.06 Invoice Total 59520.06 Cash Discount 561.51 If Paid By 10/10/24Last 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: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 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. 09/17/24 8469929-01 PO. NO.PAGE # 10942 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 HAND CALL 24 HRS. B/F DELIVERY SHOP # 641/791-9473 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **FedEx Grnd 09/10/24 10/10/24 1 ISO TL2-AC-R-1-BA-MTEB 8.00 0.00 8.00 each 200.00 1600.00 MARK:TYPE XA 3 ISO ELT2-AC-R-1M-FT-BA-MRC-AU 3.00 0.00 3.00 each 185.00 555.00 MARK:TYPE XC 6 ISO ELT2-AC-R-1M-AG-BK-MPA12-AU 6.00 0.00 6.00 each 226.00 1356.00 MARK:TYPE XE 7 ISO ELT2-AC-R-2M-AG-BK-MPA12-AU 7.00 0.00 7.00 each 251.00 1757.00 MARK:TYPE XF 8 ISO E3MAC-3000-1P-IA-OA-C3 1.00 1.00 0.00 each 11795.00 0.00 MARK:TYPE INV2 9 ISO FACTORY STARTUP & WARRANTY 1.00 1.00 0.00 each 1500.00 0.00 MARK:TYPE INV2 11 ISO ELT2-AC-R-1M-AG-BA-MPA-AU 1.00 0.00 1.00 each 226.00 226.00 MARK: TYPE XC-P 12 ISO ELT2-AC-R-2M-FT-BA-MRC-AU 7.00 0.00 7.00 each 185.00 1295.00 MARK: TYPE XD 8 Lines Total Qty Shipped Total 32 Total 6789.00 Taxes 407.34 Invoice Total 7196.34 Cash Discount 0.00 If Paid By 10/10/24Last 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: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 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. 09/17/24 8469912-00 PO. NO.PAGE # 10942 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 HAND CALL 24 HRS. B/F DELIVERY SHOP # 641/791-9473 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **BEST WAY 09/13/24 10/10/24 1 ELP S170-H-09-S-08-M-V0-0-935-ZX 14.00 0.00 14.00 each 457.00 6398.00 MARK:TYPE EX6 1 Lines Total Qty Shipped Total 14 Total 6398.00 Taxes 383.88 Invoice Total 6781.88 Cash Discount 0.00 If Paid By 10/10/24Last 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: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 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. 09/17/24 8469697-00 PO. NO.PAGE # 10942 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 HAND CALL 24 HRS. B/F DELIVERY SHOP# 641/791-9473 53.12 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **BEST WAY 09/11/24 10/10/24 2 USAI B3RAL-15L2-35KS-T50-S-WH-11.00 0.00 11.00 each 264.00 2904.00 SA-UNV-D6E MARK:TYPE 33 3 USA1 M1RDL-09X1M/35KS-50-WH-NC-RM 8.00 0.00 8.00 each 301.00 2408.00 -CB27 RPD-01-09X1M- UNV-D6E MARK: TYPE 32 4 EEE AF 1.00 0.00 1.00 E 0.00 0.00 ALLOW FREIGHT 3 Lines Total Qty Shipped Total 20 Total 5312.00 Taxes 318.72 Invoice Total 5630.72 Cash Discount 53.12 If Paid By 10/10/24Last 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: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 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. 09/19/24 8469961-00 PO. NO.PAGE # 10942 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 HAND CALL 24 HRS. B/F DELIVERY SHOP # 641/791-9473 0.00 CUST #SHIP POINT SHIP VIA SHIPPED IF PAID BY 274990 ** Drop Ship **UPS GROUND 09/18/24 10/10/24 1 CCLT IX WG R NA AC REM 3.00 0.00 3.00 each 800.00 2400.00 WINDOW GLASS EXIT - AC ONLY MARK:TYPE XG 2 EEE AF 1.00 0.00 1.00 E 0.00 0.00 ALLOW FREIGHT 2 Lines Total Qty Shipped Total 4 Total 2400.00 Taxes 144.00 Invoice Total 2544.00 Cash Discount 0.00 If Paid By 10/10/24Last 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: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC 325,873.31 73,340.47 Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC $982,966.50 $112,565.98 Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC Docusign Envelope ID: B2CABDA7-F2F3-4D91-8258-9BFEF7D711CC