Final_SPP_Playground_Contract — Lancaster City Council, November 18, 2025

AGREEMENT FOR RENOVATION SERVICES

THIS AGREEMENT FOR SAMARITAN'S PURSE PARK PLAYGROUND

IMPROVEMENTS
(this “AGREEMENT”) is made and entered into this 18th day of November 2025, by and between the CITY OF LANCASTER, a municipal corporation and charter city
(the “OWNER”), and PLAYCORE WISCONSIN, INC. DBA GAMETIME c/ o GREAT WESTERN (the “CONTRACTOR”).

RECI
TALS

WHEREAS, OW
NER desires to engage CONTRACTOR to perform certain
services, as provided herein, identified as:

SAMARITAN'S PURSE PARK PLAYGROUND IMPROVEMENTS
WHEREAS, the
principal members of CONTRACTOR are qualified and duly
registered/licensed under the laws of the State of California, and CONTRACTOR desires to accept such engagement.

NOW, THEREFORE, the parties agree as follows:

1. Parties.

The parties to this AGREEMENT are:

OWNER: City of Lancaster
CONTRACTOR: Playcore Wisconsin, Inc. dba GameTime c/o Great Western

2. Notices. All written notices required by or related to this AGREEMENT shall be sent by Certified Mail, Return Receipt Requested, postage prepaid and addressed as listed below. Neither party to this AGREEMENT shall refuse to accept such mail; parties to this AGREEMENT shall promptly inform the other party of any changes of address. All notices required by this AGREEMENT are effective on the day of receipt, unless otherwise indicated herein.

OWNER City of Lancaster
44933 North Fern Avenue
Lancaster,
CA 93534
Attention: Trolis Niebla, City Manager
CONTRACTOR PlayCore Wisconsin, Inc. dba GameTime c/o
Great Western Recreation
P.O. Box 680121
Fort Payne, AL 35967
Attention: Clint Whiteside, Director of Sales Administration [email protected]

3. Successors and Assigns. The terms hereof shall be binding upon and inure to the benefit of the successors and assigns of the parties hereto; provided, however, that no party hereto shall assign any of the benefits and burdens hereunder, whether voluntarily or by operation of law, without prior written consent of the other party, and any
such assignments without said consent shall be void.

4. Incorporation by Reference. The CONTRACTOR’S Proposal is hereby incorporated in
and made a part of this AGREEMENT. CONTRACTOR agrees to comply with all of the requirements set forth therein.

5. Precedence of AGREEMENT
Documents.

If
there is a conflict between AGREEMENT documents, the document highest in precedence shall control.

The precedence shall be:

First: This AGREEMENT
Second: The CONTRACTOR’S Proposal

6. Description of Work. OWNER hereby engages CONTRACTOR, and

CONTRACTOR
accepts such engagement, to perform the maintenance services set forth in t
he “Scope of Services” attached hereto as Exhibit “A” (collectively, the “Work”).

CONTRACTOR
shall perform and complete the Work, in a manner satisfactory to OWNER. The Parks, Arts, Recreation & Community Services Director or his or her designee shall have the right to review and inspect the Work during the course of its performance at such times as may be specified by the Parks, Arts, Recreation & Community Services Director, or his or her designee.

7. Contract Bonds
A. All bonds shall be in the form acceptable to the City Attorney and attached hereto as Exhibit "D". At the execution of the contract, the contractor shall furnish two (2) contract bonds as follows:
i. A Faithful Performance Bond in the amount of 100%
of the contract price
ii. A Labor and Material Bond in the amount of 100% of the contract price.

B. The
Faithful Performance and Labor bonds shall be submitted on forms furnished by the City. Said bonds shall be secured by an "admitted surety Insurer" (as defined In the California Code of Civil Procedure Section 995.120, or successor statute) who can either: (i) meet the minimum rating of A-:VII in the latest edition of the Best's Key Rating Guide Property-Casualty; or (ii) provide the following documentation as
mandated by the California Code of Civil Procedure Section 995.660, or successor statute:
i. The original, or certified copy, of the unrevoked
appointment, power of attorney, bylaws, or other
Instrument entitling or authorizing the person who executed the bond to do so.
ii. A certified copy of the certificate of authority of the Insurer Issued by the Insurance Commissioner.
iii. Evidence that the certificate of authority of the insurer has not been surrendered, revoked, canceled,
annulled, or suspended or, in the event that it has, that renewed authority has been granted.
iv. Copies of the insurer's most recent annual
statement and quarterly statement filed with the Department of Insurance pursuant to Article 10
(commencing with Section 900) of Chapter 1 of Part 2 of Division I of the Insurance Code.

C. Should any Surety at any time be unsatisfactory to the City, notice will be given the Contractor to that effect. No further payments shall be deemed due or will be made under the contract until a new Surety shall qualify and be accepted by the City.

8. Permits
A. No work shall be started within the street right-of-way or on City Property until the Contractor has obtained the necessary permits.

B. All permits applications, notices and Inspections required by the duly authorized governmental agency and/or servicing utility companies shall be obtained by the Contractor. No fee permits shall be obtained from the City of Lancaster. The Contractor shall apply for, arrange and obtain all inspections by the governmental agency and/or the servicing utility and he shall deliver all inspection certificates to the City Building and Safety Division prior to final acceptance of work. All fees, including but not limited to permit Issuance, inspection, plan check, and charges connected with any permits and/or applications shall be included in the original bid price and shall not be the cause for additional charges or claims by the Contractor.

9. Business License
The Contractor shall have a business license to perform work in the City of Lancaster.

10. Obligations of the OWNER.

A. OWNER shall pay CONTRACTOR for all work and services described In the Scope of Services at the rates included in the schedule of pricing, billed per the quantity of work actually completed. In no event shall OWNER be obligated to pay an amount in excess of $1,314,124.33 without an amendment to this AGREEMENT executed by both parties.

11. Obligations of the CONTRACTOR.

A. CONTRACTOR shall perform as required by this AGREEMENT.

CONTRACTOR also warrants performance in accordance with this AGREEMENT on behalf of itself and all subcontractors engaged for the performance of this AGREEMENT.

B. CONTRACTOR shall be responsible for payment of all employees’ and subcontractors’ wages and benefits, and shall comply with all requirements pertaining to
employer's liability, workers' compensation, unemployment insurance, and Social Security.

C. CONTRACTOR shall be responsible to coordinate the schedule for installation of the playground to meet completion of park from general contractor awarded the renovation for the Samaritan's Purse Park Project. Coordination shall include but may not be limited to staging, material delivery, beginning of equipment installation, construction site coordination with other trades, use of site utilities, and completion of equipment installation prior to Samaritan's Purse Park project completion.

12. Community Workforce Agreement (CWA)
A. This project shall comply with the requirements of the

13. Payment of Prevailing Wage.

A. The State of California, Department of Industrial Relations, has ascertained the general prevailing rate of wages and employer payments for health and welfare, vacation, pension, and similar purposes applicable to the work to be done. These rates shall be the minimum wage rates for this project.

These rates are on file with the OWNER and copies will be made available to any interested party upon request.

Attention is directed to
the provisions of Section 1777.5 (Chapter 1411, Statutes of 1968) and Section 1777.6 of the Labor Code concerning the employment of apprentices by the CONTRACTOR or any subcontractor under him.

Section 1777.5, as amended, requires the CONTRACTOR or subcontractor employing tradesmen in any apprenticeable occupation to apply to the joint apprenticeship committee nearest the site of the public works project and which administers the apprenticeship program in that trade for a certificate of approval. The certificate will also fix the ratio of apprentices to journeymen that will be
used in the performance of the contract. The ratio of apprentices to journeymen in such cases shall not be less than one to five except:
(A) When unemployment in the area of coverage by the joint apprenticeship committee has exceeded an average of 15% in the 90 days prior to the request for certificate; or

COMMUNITY WORKFORCE AGREEMENT BY AND BETWEEN THE CITY OF

LANCASTER AND LOS ANGELES/ORANGE COUNTIES BUIILDING AND

CONSTRUCTION TRADES COUNCIL AND THE SIGNATORY CRAFT COUNCILS AND UNIONS ("CWA") for all Project Work agreements executed after Ju ne 24, 2025. The Contractor and each of Its subcontractors, of whatever tier, shall be required to submit LETTER(S) OF ASSENT In accordance with the CWA, attached hereto as Exhibit "C".

B. No Contractor or subcontractor shall commence Project Work without having first provided a copy of the LETTER OF ASSENT as executed by It to the City forty- eight (48) hours before the commencement of Project Work, or within forty-eight (48) hours after the award of the Project Work to that Contractor (or subcontractor), whichever occurs later.

It shall be the responsibility of the prime Contractor to have each of Its subcontractors sign the documents described In the CWA, with the appropriate Craft Union prior to the subcontractor beginning work on covered projects.
(B) When the number of apprentices in training in the area exceeds a ratio of one to five; or (C) When the trade can show that it is replacing at least 1/30 of its membership through
apprenticeship training on an annual basis statewide or locally; or (D) When the CONTRACTOR provides evidence that he employs registered apprentices on all of his contracts on an annual average of not less than one apprentice to eight journeymen.

The CONTRACTOR is required to make contributions to funds established for the administration of apprenticeship programs if he employs registered apprentices or journeymen in any apprenticeable trade on such contracts and if other Contractors on the public works site are making such contributions.

The CONTRACTOR and any subcontractor under them shall comply with the requirements of Section
1777.5 and Section 1777.6 in the employment of apprentices.

Information relative to apprenticeship standards, wage schedules, and other requirements may be obtained from the Director
of Industrial Relations, ex officio the Administrator of Apprenticeship, San
Francisco, California, or from the Division of Apprenticeship Standards and its branch offices.

In the
event of a conflict between the requirements of the Labor Code and the CWA, the stricter standard shall apply.

B. The provisions of subsection A above shall be included in all solicitations or advertisements placed by or on behalf of CONTRACTOR for personnel to perform any services under this AGREEMENT. OWNER shall have access to all documents, data and records of CONTRACTOR and its subcontractors for purposes of determining compliance with the Prevailing Wage provisions of this Section.

14. Audit. OWNER shall have the option of inspecting and/or auditing all records and other written materials used by CONTRACTOR in preparing its statements to OWNER as a condition precedent to any payment to CONTRACTOR.

15. Hold Harmless and Indemnification. CONTRACTOR agrees to indemnify and hold harmless
the OWNER, its officers and employees, from and against any and all claims, losses, obligations, or liabilities
whatsoever, including reasonable Attorney’s fees, incurred in or in any manner arising out of or related to CONTRACTOR’S negligent or willful wrongful acts, errors or omissions, or those of its employees or agents. CONTRACTOR agrees to defend OWNER, its officers and employees, from and against any and all claims arising from any alleged negligent or wrongful acts, errors or omissions on the part of CONTRACTOR or on the part of its employees.

16. Amendments. Any amendment, modification, or variation from the terms of this AGREEMENT shall be in writing and shall be effective only upon mutual written approval by the Parks, Arts, Recreation & Community Services Director and CONTRACTOR.

17. Non-Discrimination and Equal Employment Opportunity.

A. In the performance of this AGREEMENT, CONTRACTOR
shall not discriminate against any employee, subcontractor, or applicant for employment because of race, color, religion, ancestry, sex, national origin, creed, gender, physical or mental disability, sexual orientation, gender identity, gender expression, medical condition, genetic information, marital status, military or veteran status, or age. CONTRACTOR will take
affirmative action to ensure that subcontractors and applicants are employed, and that employees are treated during employment without regard to their race, color, religion, ancestry,
sex, national origin, creed, gender, physical or mental disability, sexual orientation, gender identity, gender expression, medical condition, genetic information, marital status, military or veteran status, or age.

Affirmative action relating to employment shall include, but not be limited to the
following: employment, upgrading, demotion or transfer; recruitment; layoff or termination; rates of pay or other forms of compensation; and selection for training including apprenticeship.

18. Termination for Convenience. The OWNER may terminate this AGREEMENT at any time without cause by giving fifteen (15) days written notice to CONTRACTOR of such termination and specifying the effective date thereof. In that event, all finished or unfinished documents and other materials shall, at the option of OWNER, become the OWNER's property. If this AGREEMENT is terminated by OWNER as provided herein, CONTRACTOR will be paid a total amount equal to its costs as of the termination date, plus ten percent (10%) of that amount for profit. In no event shall the amount payable upon termination exceed the total maximum compensation set forth in Section 3. A., above.

19. Termination for Cause.

A. The OWNER may, by written notice to CONTRACTOR, terminate the whole or any part of this AGREEMENT in any of the following circumstances:
a. If CONTRACTOR fails to perform the services required by this AGREEMENT within the time specified herein or any authorized extension thereof; or
b. If CONTRACTOR fails to perform the services called for by this AGREEMENT or so fails to make progress as to endanger performance of this AGREEMENT in accordance with its terms, and in either of these circumstances does not correct such failure within a period of ten (10) days (or such longer period that OWNER may authorize in writing) after receipt of notice from OWNER specifying such failure.

B. In the event OWNER terminates this AGREEMENT in whole or in part as provided above in paragraph A of this Section, OWNER may procure, upon such terms and in such manner as it may deem appropriate, services similar to those terminated.

C. If this AGREEMENT is terminated as provided above in paragraph A, OWNER may require CONTRACTOR to provide all finished or unfinished documents, data, studies, drawings, maps, photographs, reports, etc., prepared by CONTRACTOR. Upon such termination, CONTRACTOR shall be paid an amount equal to the contract amount, less the cost of hiring another CONTRACTOR to complete CONTRACTOR's services. In the event no new CONTRACTOR is employed, CONTRACTOR shall be paid an amount equal to the value of the work performed. In ascertaining the value of the work performed up to the date of termination, consideration shall be given to completed work and work in progress, complete and incomplete drawings, and other documents whether delivered to OWNER or in possession of CONTRACTOR, and authorized reimbursement expenses.

D. If, after notice of termination of the AGREEMENT under the provisions of this Section, it is determined, for any reason, that CONTRACTOR was not in default, or that the default was excusable, then the rights and obligations of the parties shall be the same as if the notice of termination had been issued pursuant to Section 10.

20. Independent Contractor. CONTRACTOR is an independent contractor and shall have no power or authority to incur any debt, obligation or liability on behalf of the OWNER. It is expressly understood between the parties to this AGREEMENT that no employee/employer relationship is intended or created; CONTRACTOR is an independent contractor.

21. Insurance.

A. The CONTR
ACTOR, at its expense, shall maintain in effect
at all times during the performance of work under this AGREEMENT not less than the following coverage and limits of insurance, which shall be maintained with insurers listed "A-, VIII" or better in the Best's Key Rating Guide and that are admitted insurers in the State of California:

Commercial General Liability
Each Occurrence $2,000,000
Per Project General Aggregate Including
Products/Completed Operations Including
Contractual Liability/Independent Contractors
Including Broad Form Property Damage
Commercial Automobile Liability Combined
Single Limit per Accident for Bodily Injury and
Property Damage Workers Compensation
As Required by the State of California
$5,000,000
$2,000,000
Employer’s Liability Statutory
Each Accident Limits
Bodily Injury by Disease
Each Employee $1,000,000
$1,000,000
$1,000,000
B. Insu
rance shall be at least as broad as ISO form CG 20 10 11 85 or CG 20 10 10 01 and CG 20 37 10 01 covering Commercial General Liability. Commercial Automobile coverage shall be at least as broad as ISO form CA 00 01. Umbrella liability in an amount of $10,000,000 shall follow form over General Liability and Automobile Liability.

C. The CONTRACTOR’s insurance shall apply separately to each insured against whom claim is made or suit is brought, except with respect to the limits of the insured’s liability.

D. A Waiver of Subrogation must be provided on behalf of the Certificate Holder for the Workers Compensation/Employers Liability policies and a copy of the endorsement must accompany the certificate.

E. Any deductibles or self-insurance retentions must be declared and approved by the OWNER.
i. CONTRACTOR carries a General Liability policy with a self- insured retention of $250,000 and Worker's Compensation policy with self-insured of$150,000. CONTRACTOR accepts full responsibility for the satisfaction of such self-insured retentions and OWNER shall not be called upon to contribute.

F. All insurance shall be primary and non-contributory as respects the OWNER insured entities. Any insurance or self-insurance maintained by the OWNER insured entities shall be in excess of the CONTRACTOR’S insurance and shall not contribute with it.

G. The coverage provided under this contract shall not contain any special limitations on the scope of protection afforded to the OWNER insured entities.

H. Insu
rance provided and maintained by CONTRACTOR must
be placed with insurers with a rating of A-, VIII or better by Best’s Key Rating Guide, latest edition, and that are admitted insurers in the State of California.

I. Insurance written on a “claims made” basis must be renewed for a period of five (5) years after this contract expires or is terminated. Such insurance must have the same coverage and limits as the policy that was in effect during the term of this contract and will cover CONTRACTOR for all claims made by the OWNER insured entities arising out of any acts or omissions of CONTRACTOR or its officers, employees, or agents during the time this AGREEMENT was in effect.

J. CONTRACTOR shall furnish the OWNER with Certificates of Insurance and with original endorsements effecting coverage required by this contract. The certificates and endorsements for each insurance policy are to be signed by a person authorized by the insurer to bind coverage on its behalf. All certificates and endorsements are to be received and approved by the OWNER before work commences.

K. Any failure to comply with reporting provisions of the policies shall not affect coverage
provided to the OWNER insured entities.

L. Certificates of Insurance must be deposited with the OWNER for all
coverage required by this contract. Certificates, Policies, or Endorsements shall meet the following requirements:

1. Show that the insurance policy has been endorsed to state that coverage shall not be suspended, voided, cancelled, reduced in coverage or in limits except after 30 days prior written notice (10 days written notice for non- payment) by Certified Mail, return receipt requested to the OWNER.

2. List in the “Descriptions of Operations/Locations/Vehicles/Special Items” section:
"SAMARITAN'S PURSE PARK IMPROVEMENTS"
"City of Lancaster, its elected officials, officers, employees and volunteers are included as additional covered parties, but only insofar as the operations under this contract are concerned."

3. List in the “Certificate Holder” section:

The City
of Lancaster
44933 Fern Avenue
Lancaster,
California 93534

4. List in
the “Cancellation” section:

Should any of the above described policies
be cancelled before the
expiration date thereof, notice will be delivered in accordance with the policy provisions.

M. CONTRACTOR shall include all subcontractors as an insured under its policies or shall furnish separate certificates and endorsements for each subcontractor. Subcontractors are subject to the same insurance requirements as the CONTRACTOR.

N. The coverage shall contain no special limitations on the scope of protection afforded to the insured entities. The CONTRACTOR’S insurance coverage shall
be primary insurance as respects the
OWNER’S insured entities.

22. Commencement and Completion of Work. The execution of this AGREEMENT by the parties does not constitute an authorization to proceed. The services of CONTRACTOR shall commence when the OWNER, acting by and through its Parks, Arts, Recreation & Community Services Director or his or her designee, has issued the notice to proceed.

CONTRACTOR shall have no claim for compensation for any services or work which has not been authorized by the OWNER'S notice to proceed.

23. Data Provided to CONTRACTOR. OWNER shall provide to CONTRACTOR, without charge, all data,
including reports, records, maps and other
information, now in the OWNER's possession which may facilitate the timely performance of the work described in the Scope of Services.

24. CONTRACTOR's Warranties and Representations. CONTRACTOR warrants and represents to OWNER as follows:

A. CONTRACTOR has not employed or retained any person or entity, other than a bona fide employee working exclusively for CONTRACTOR, to solicit or obtain this AGREEMENT.

B. CONTRACTOR has not paid or agreed to pay any person or entity, other than a bona fide employee working exclusively for CONTRACTOR, any fee, commission, percentage, gift, or any other consideration contingent upon or resulting from the execution of this AGREEMENT. Upon any breach or violation of this warranty, OWNER shall have the right, in its sole discretion, to terminate this AGREEMENT without further liability,
or, in the alternative, to deduct from any sums
payable hereunder the full amount or value of any such fee, commission, percentage or gift.

C. CONTRACTOR has no knowledge that any officer or employee of the OWNER has any interest, whether contractual, noncontractual, financial, proprietary, or otherwise, in this transaction or in the business of the CONTRACTOR, and that if any such interest comes to the knowledge of CONTRACTOR at any time, a complete written disclosure of such interest will be made to OWNER, even if such interest would not be deemed a prohibited "conflict of interest" under applicable laws.

D. Upon the execution of this AGREEMENT, CONTRACTOR has no interest, direct or indirect, in any transaction or
business entity which would conflict with or in
any manner hinder the performance of services and work required by this AGREEMENT, nor shall any such interest be acquired during the term of this AGREEMENT.

25. Resolution of Disputes.

A. Disputes regarding the interpretation or application of any provisions of this AGREEMENT shall, to the extent reasonably feasible, be resolved through good faith negotiations between the parties.

B. If the parties cannot resolve the dispute through good faith negotiations, either party may give Notice of Dispute to the other party. The Notice of Dispute shall state the nature
of the dispute and the corrective action necessary to remedy the dispute.

After Notice of Dispute, the parties shall first attempt to resolve any disputes by mediation. The parties shall agree on a s ingle mediator. Mediation shall be conducted in Los Angeles County, California. Each party shall pay its own attorneys’ fees and the costs of mediation shall be split equally between the parties.

If the dispute has not been resolved by mediation within 45 days after Notice of Dispute, or the parties are unable to agree to a mediator within 15 days after Notice of Dispute, then the parties may pursue all
available rights and remedies.

26. Exhibits.

The following exhibits to which reference is made in this AGREEMENT are deemed incorporated herein in their entirety. In the event of a conflict between the terms hereof and the exhibits hereto, this Agreement shall control, followed by the Exhibits in order of priority:

Exhibit "A"
Exhibit “B”
Exhibit "C"

27. Governing Law.

This AGREEMENT shall be governed by the laws of the State of California.

28. Effective Date.

This AGREEMENT shall become effective as of the date set forth below on which the last of the parties, whether OWNER or CONTRACTOR, executes this AGREEMENT.

Exhibit "D"
Scope of Services & Price Proposal
Commencement, Completion, Term & Payment Clause
Community Workforce Agreement
Performance and Labor Bonds

29. Levine Act
For use with Licenses, Permits, POs, and RFPs
Company/Applicant Name
California Levine Act Statement
California Government Code Section 84308, commonly referred to as the "Levine Act," prohibits any Lancaster official from participating in any action related to a contract or application if he or she receives any political contributions totaling more than $500 within the previous twelve months, and for twelve months following the date a final decision is rendered.

T
he Levine Act also requires a Lancaster City official who has received such a contribution to disclose the contribution on the record of the proceeding.

Current Lancaster City Council Members are listed at:
https://www.cityoflancasterca.org/government/city-officials/city-council-copy C
urrent Planning Commissioners are listed at:
https://www.cityoflancasterca.org/government/commissions-appointments/planning Proposers are responsible for accessing this link to review the names prior to answering the following questions.

1. Have you or your company, or any agent/board member on behalf of you or your company/entity, made any political contributions of more than $500 to any Lancaster City Council Member or other city official in the 12 months preceding the date of the submission of your proposal or application, or the anticipated date of any Council action?
YES If yes, please identify the Council Member(s)/city official(s):

2. Do you or your company/entity, or any agency on behalf of you or your company/entity, anticipate or plan to make any political contribution of more than $500 to any Lancaster City Council Member or other city official in the 12 months following any Council action related to your proposal or application? YES If yes, please identify the Council Member(s) /city official(s):

NO (Please note that if this is a contract lasting more than one (1) year that you must update this form if there are any contributions made after the contract is awarded) Answering yes to either of the two questions above does not preclude the Lancaster City Council from awarding a contract or approving an application or any subsequent action. It does however, preclude the identified Council Member (s) from participating in any actions related to your proposal or application.

Date Signature of authorized individual
X
9/21/25
GameTime c/o Great Western
IN WITNESS WHEREOF, the parties hereto have caused this AGREEMENT to be executed and attested by their respective officers thereunto duly authorized.

CITY OF LANCASTER

LANCASTER, CALIFORNIA
By:

Trolis Niebla, City Manager
Dated:

PLAYCORE WISCONSIN, INC dba
GAMETIME c/o

GREAT WESTERN
By:

Clint Whiteside, Director of Sales
Administration
Dated:

ATTEST:

City Clerk
APPROVED AS TO FORM:

City Attorney RM
CONTRACT SUBMISSION APPROVAL:

Department Head
EXHIBIT "A"

SCOPE OF WORK AND PRICE PROPOSAL
The work to be performed under this contract shall include:

A. Scope of Work
Proposal for
City of Lancaster
Prepared by
05-01-2025
Job # 108506-01
Samaritan's Purse Park Playground Option 3C
435-760-5103 | www.gwpark.com

City of Lancaster
Attn: Angela Clayborne
44933 N. Fern Avenue
Lancaster, CA 93534
United States
Phone: 661-723-6074
[email protected]
Ship to Zip93535
QuantityPart # Description Unit Price Amount
2-5 Area
1 RDU GameTime - Custom 2-5 Playground-
Reference Drawing 108506-01-Opt 3
$99,966.18 $99,966.18
2-5 Equipment NOT Included with Grant Pricing
1 4087RPGameTime - Kids In Space Roof- Hex $13,224.00 $13,224.00 1 4089RPGameTime - Solar System Ramp LK 147" $18,190.00 $18,190.00 1 4297RPGameTime - Astronaut Panel $1,472.00 $1,472.00
1 4507RPGameTime - Fuel Truck $10,480.00 $10,480.00
2-5 Freestanding Equipment
1 6363 GameTime - Rocket Spring Rider $2,060.00 $2,060.00 1 6285I GameTime - UFO Spring Rider $1,459.00 $1,459.00 1 5208 GameTime - Saucer Swing (Galv) $6,299.00 $6,299.00 1 6369 GameTime - Sea Plane Two-Person Spring Rider $2,999.00 $2,999.00 1 7035 GameTime - Spiral Game, F/S $2,854.00 $2,854.00
1 4682 GameTime - Jazz C Major $4,650.00 $4,650.00
1 QRM455GT-Shade - IS25253510 ISOSCELES SAIL 25X25X35X10 $11,986.00 $11,986.00 5-12 Area
1 RDU GameTime - Custom 5-12 Playground-
Reference Drawing 108506-01-Opt 3
$266,098.36$266,098.36
5-12 Equipment NOT Included with Grant Pricing
1 6267SPGameTime - VistaStar 2 (Hybrid) $23,602.00 $23,602.00 2 4087RPGameTime - Kids In Space Roof- Hex $13,224.00 $26,448.00 1 4297RPGameTime - Astronaut Panel $1,472.00 $1,472.00
1 4298RPGameTime - Rocket Panel $1,560.00 $1,560.00
1 6983RPGameTime - Rocket Roof $14,960.00 $14,960.00
1 14928 GameTime - NDS Inclusive Play Sign Package
1 14927 GameTime - NDS Play On Sign Package
5-12 Area Freestanding Equipment
GameTime C/O Great Western Recreation
P.O. Box 680121
Fort Payne, AL 35967
Office: 435-245-5055 Fax: 435-245-5057
www.gwpark.com
09/03/2025
Quote #
108506-01-11
Samaritan's Purse Park Playground Option 3E - CPRS GRANT CWO

Page 1 of 6 ends

QuantityPart # Description Unit Price Amount
Swing Set
1 5194 GT-Shade - Four Bay Swing Shade $23,453.00 $23,453.00 1 RDU GameTime - Swing Set-
Reference Drawing 108506-01-Opt 3
$12,953.00 $12,953.00
1 RDU GameTime - Gadget $14,190.00 $14,190.00
1 3256 GameTime - Cantata Chimes $7,021.00 $7,021.00
1 3274 GameTime - Sensory Wave Seat $2,753.00 $2,753.00 1 4681 GameTime - Jazz A Minor $4,650.00 $4,650.00
1 6243 GameTime - Tri Runner $18,599.00 $18,599.00
1 6246 GameTime - Solo Spinner $2,504.00 $2,504.00
1 6262 GameTime - Inclusive Whirl - Basic $16,933.00 $16,933.00 2 QRM464GT-Shade - IS30304214 ISOSCELES SAIL 30X30X42X14 $21,151.00 $42,302.00 3 28028 GT-Site - Sway Bench $2,402.00 $7,206.00
2 X13988 GT-Shade - Sealed Drawings w/Calculations $1,294.00 $2,588.00 11168 PIP GT-Impax - Poured in Place Surfacing-
**List Price $505,828.69, discounted per Omnia Contract PIP
11,168 sf, 8'-10' CFH
Includes (8) 100% colors
345 Total SF, 10' CFH, 10,823 Total SF, 8' CFH
Color 1 = Red = 1,660 sf, 8' CFH
Color 2 = Orange = 1,050 sf, 8' CFH
Color 3 =110 Total SF
Color 1 = Yellow = 5 sf, 10' CFH
Color 2 = 105 SF, 8' CFH
Color 4 = Dark Blue = 515 sf, 8' CFH
Color 5 = Green = 265 sf, 8' CFH
Color 6 = Grey = 535 sf, 8' CFH
Color 7 = Dark Grey = 110 sf 8' CFH
Color 8 = 6,923 Total SF
Color 1 = Light Blue = 340 sf 10' CFH
6,583 SF 8' CFH
Design includes main base color, and includes 27 small 4 pointed stars,1 large shooting star with flames using 2 colors, 1 satelite shape, 2 cloud
shapes, 1 astronaut shape with hose, 1 moon planet shape with 9 crater shapes, 1 earth planet shape with base color, 1 Astronaut and several land mass shapes
No TTA
Aliphatic Binder
Prevailing Wages
Union Project Wages
Based on good job access
Borders / Sub base / Site prep BY OTHERS
$37.14 $414,779.52
GameTime C/O Great Western Recreation
P.O. Box 680121
Fort Payne, AL 35967
Office: 435-245-5055 Fax: 435-245-5057
www.gwpark.com
09/03/2025
Quote #
108506-01-11
Samaritan's Purse Park Playground Option 3E - CPRS GRANT CWO

Page 2 of 6 ends

Quantity Part # Description Unit Price Amount
1 INSTALL Install - Site Work -
•Provide/install Crushed Miscellaneous Base (CNB) materials compacted to 90% for 10,470 sqft at 4” depth.
•Prevailing wages.
•CWA labor agreement included.
•Price includes one (1) move-on only
$42,959.94 $42,959.94
1 INSTALL Install - Installation Playground Equipment-Opt 3B- •Installation only of (1) Gametime Structure #108506-01-Opt 3B •Footings excavation, and concrete.
•Equipment assembly.
•Removal of spoils.
•Prevailing wages.
•CWA labor agreement included.
•Equipment must be offloaded and stored by others; prior to TJ Janca mobilization** •Price includes one (1) move-on only.
$314,365.00 $314,365.00
1 PPBOND GameTime - Payment and Performance Bond $19,760.00 $19,760.00 Contract: OMNIA #2017001134 Sub Total $1,456,796.00
Grant ($218,687.95)
Estimated Freight $25,813.88
Tax $50,202.40
Total $1,314,124.33
Comments
Your Sales Rep is Tyler Kyriopoulos. Please reach out to Tyler at 435-760-5103 if you should have any questions regarding this quote.

Due to the volatility of freight costs, the freight pricing is subject to change at the time of order. **Material Surcharge reflects raw material price increase. Subject to change at time of order.** ***CPRS Grant Cash with Order Pricing--order MUST be paid in full at time of order. ***Not all equipment is eligible for Grant Pricing.
***Grant Cash with Order Pricing--order MUST be paid in full at time of order.

Shipping to Site Address:
44501 5th St E
Lancaster, CA 93535
*Freight charges are based on listed zip code and are subject to change if shipping information changes. *Deposit may be required.

Permitting not included, unless otherwise noted.

Installation Team will arrange and offload materials
Prevailing Wages
City of Lancaster OMNIA Contract # 4001608
GameTime C/O Great Western Recreation
P.O. Box 680121
Fort Payne, AL 35967
Office: 435-245-5055 Fax: 435-245-5057
www.gwpark.com
09/03/2025
Quote #
108506-01-11
Samaritan's Purse Park Playground Option 3E - CPRS GRANT CWO

Page 3 of 6 ends

Remit Payment to:

GameTime
P.O. Box 680121
Fort Payne, AL 35968

Taxes:

All applicable taxes will be added at time of invoicing unless otherwise included or a tax-exempt certificate is provided.

If sales tax exempt, you must provide a copy of certificate to be considered exempt.

Prices:

FOB Factory.

Orders:

All orders shall be in writing by purchase order, contract, or similar document made out to PlayCore Wisconsin Inc., dba GameTime.

Standard GameTime equipment orders over $100,000 may require a deposit of 25% at the time of order and an additional 25% at or before order ships Standard orders with equipment, installation and surfacing are requested to be split billed.

Equipment, Taxes & Freight as noted above
Installation and Surfacing billed as completed and Due Upon Receipt.

Terms:

Cash With Order Discount (CWO): Orders for GameTime equipment paid in full at time of order via check, Electronic Funds Transfer (ACH or wire) are eligible for a three percent (3%) cash with order discount.

Payment via credit card: If you elect to pay by credit card, GameTime charges a 2.50% processing fee that is assessed on the amount of your payment. This fee is shown as a separate line item and included in the total amount charged to your credit card. You have the option to pay by check, ACH or Wire without any additional fees.

Credit terms are Net 30 days, subject to approval by the GameTime Credit Manager. A completed credit application must be submitted and approved prior to the order being received. Please allow at minimum 2 days for the credit review process. GameTime may also require:

Completed Project Information Sheet (if applicable)
Copies of Payment and Performance Bonds (if applicable) A 1.5% per month finance charge will be imposed on all past due invoices.

Retainage not accepted.

Orders under $5,000 require payment with order.

Landmark Design GFRC:

Orders require a 50% deposit at the time of order.

GameTime C/O Great Western Recreation
P.O. Box 680121
Fort Payne, AL 35967
Office: 435-245-5055 Fax: 435-245-5057
www.gwpark.com
09/03/2025
Quote #
108506-01-11
Samaritan's Purse Park Playground Option 3E - CPRS GRANT CWO

Page 4 of 6 ends

ACCEPTANCE OF QUOTATION:

Billing and Shipping information will be as stated on quote unless indicated below.

Change billing information to:

Address: _______________________________________________________

________________________________________________________

Contact: _______________________________________________________

Change shipping information to:

Address: _______________________________________________________

________________________________________________________

Contact: _______________________________________________________

Colors: Per Renderings Yes or No

Palette _____________________________

Per Submittals ____________________________________________________________

Other Colors, please specify __________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________

Purchase Amount: $1,314,124.33

Signature: _______________________________________ Date: _____________________ Printed Name: ____________________________________ Title: _______________________ Acceptance of this proposal indicates your agreement to the terms and conditions stated herein.

DIR# 1000015526 CSLB#855664
GameTime C/O Great Western Recreation
P.O. Box 680121
Fort Payne, AL 35967
Office: 435-245-5055 Fax: 435-245-5057
www.gwpark.com
09/03/2025
Quote #
108506-01-11
Samaritan's Purse Park Playground Option 3E - CPRS GRANT CWO

Page 5 of 6 ends

INSTALLATION CONDITIONS:

ACCESS: Site should be clear, level and allow for unrestricted access of trucks and machinery.

STORAGE: Customer is responsible for providing a secure location to off-load and store the equipment during the installation process. Once equipment has delivered to the site, the owner is responsible should theft or vandalism occur unless other arrangements are made and noted on the quotation.

FOOTER EXCAVATION: Installation pricing is based on footer excavation through earth/soil only. Customer shall be responsible for unknown conditions such as buried utilities (public & private), tree stumps, rock, or any concealed materials or conditions that may result in additional labor or materials cost.

UTILITIES: Owner is responsible for locating any private utilities.

ADDITIONAL COSTS: Pricing is based on a single mobilization for installation unless otherwise noted. Price includes ONLY what is stated in this quotation. If additional site work or specialized equipment is required, pricing is subject to change.

Page 6 of 6 ends

2 Color HDPE
2 Color HDPE 2
Accent
Accent 2
Arch
Basic
Basic 2
Batting Cage
Buffings
Cabling
Climber Nets
Coated Site
Deck:PVC
EPDM
Fabric 1
Fabric 2
Fence Guard
Fun Formz
Handgrip
HDPE
HDPE 2
Metal Roof
Netting
Plastic Lumber
RB Frame PC
RB Slat PC
RB Frame TP
RB Slat TP
Recycle Wood
Rock Plastic
Roof
Roof 2
Roto Plastic
Roto Plastic 2
Sky Wheel
Thermoplast
Tube
Uni Plastic
Wallcano
Web
Windscreen
2025 Custom Color Sheet
Starting Palette
Project:

Custom
Colors:

Red/White
NA
White
White
White
Metallic
Metallic
NA
Brown
Black
NA
NA
NA
Gray
True Blue
NA
NA
NA
NA
Dolphin Gray
Dolphin Gray
NA
NA
NA
NA
NA
NA
NA
NA
Deep Grantie
NA
NA
Blue
NA
Blue
Deep Granite
NA
NA
NA
NA
NA
NA
108506-01-Opt 3B
Reset
2-5 Fabric - Sun Burst
2-5 Accent - Starlight Black
5-12 Fabric - Silver
2-5 Metal Roof - Orange
2-5 Basic - Starlight Black
2-5 Roto - Orange&Red
Slides on Rocket - Champaign
HDPE on Rocket - Dolphin Grey
Swing Benches Accent-Blue

EXHIBIT “B”

COMMENCEM ENT, COMPLETION, TERM AND PAYMENT
CLAUSE
Time for Commencement and Completion. CONTRACTOR shall begin installation, and complete the work as per the coordination with general contractor awarded the renovation contract for Samaritan's Purse Park Project. It is anticipated that performance of the work will be completed within 180 calendar days from commencement. In the event of delays caused by weather, the Contractor and City agree to work together to mutually determine an extended completion date.

Term. This agreement shall become effective and shall be in full force and effect upon the execution of the Agreement by the City and the CONTRACTOR. This Agreement shall continue in full force and effect from the effective date of the Agreement, until work is complete (the “Term”), unless the Agreement is sooner terminated in accordance with the Terms and Conditions in the Agreement.; Payment. The City of Lancaster shall reimburse the CONTRACTOR for actual costs, including labor costs and employee benefits incurred by the CONTRACTOR in performance of the work, in an amount not to exceed
$1,314,124.33. Actual costs shall not exceed the estimated rates and other costs as set forth in the CONTRACTOR’S proposal. Any additional work will require a separate Authorization for CONTRACTOR Services signed by both parties. CONTRACTOR shall not be reimbursed for actual travel expenses incurred in the performance of the work.

EXHIBIT “C”

COMMUNITY WORKFORCE AGREEMEN T

EXHIBIT "D"

PERFORMANCE AND LABOR BONDS

PERFORMANCE BOND
KNOW ALL MEN BY THESE PRESENTS: TH AT WHEREAS, the City of Lancaster, County of Los Angeles, State of California, on November 18, 2025, has awarded to Playcore Wisconsin, Inc. dba GameTime c/o Great Western, hereinafter designated as the "Principal," a contract to provide Samaritan's Purse Park Playground Improvements, together with appurtenances thereto; and
WHEREAS, said Principal is required under the terms of said contract to furnish a bond for the faithful performance of said contract;
NOW THEREFORE, we, Playcore Wisconsin, Inc. dba GameTime c/o Great Western as Principal, and «Surety» as Surety, are held and firmly bound unto the City of Lancaster, California, hereinafter called the Contracting Agency in the penal sum of one hundred percent (100%) of the amount of One Million Three Hundred Fourteen Thousand One Hundred Twenty- four Dollars and Thirty-three Cents ($1,314,124.33) lawful money of the United States of America, for payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors, jointly and severally, firmly by these presents.

THE CONDITION OF THE OBLIGATION IS SUCH THA T, if the hereby bonded Principal, his or its heirs, executors, administrators, successors, or assigns, shall in all things stand to and abide by and well and truly keep and perform all the undertakings, terms, covenants, conditions and agreements in the said contract and any alteration thereof, made as therein provided, all within the time and in the manner therein designated and in all respects according to their true intent and meaning, then this obligation shall become null and void, otherwise it shall be and remain in full force and effect. The obligation of Surety hereunder shall continue so long as any obligation of Principal remains.

FURTHER, the said Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration or modification of the Contract Document or of the work to be performed thereunder, shall in any way affect its obligation on this bond, and it does hereby waive notice of any such change, extension of time, alteration or modification of the Contract Documents or of work to be performed thereunder.

IN WITNESS WHEREOF, one (1) original of this instrument, which shall for all purposes be deemed an original thereof, has been duly executed by the Principal and Surety herein named on the ________ day of ____________________, 20___.

The name and corporate seal of each corporate party being hereto affixed and these presents duly signed by its undersigned representative pursuant to authority of its governing body. .
«Contractor»
Principal
«Surety»
By:

By:

Surety

LABOR AND MATERIAL BOND
KNOW ALL MEN BY THESE PRESENTS: TH AT WHEREAS, the City of Lancaster, County of Los Angeles, State of California, on November 18, 2025 has awarded to Playcore Wisconsin, Inc. dba GameTime c/o Great Western , hereinafter designated as the "Principal," a contract for the construction of Samaritan's Purse Park Playground Improvements, together with appurtenances thereto, and
WHEREAS, said Principal is required to furnish a bond in connection with said contract providing that if said Principal, or any of his or its subcontractors, shall fail to pay for any materials, provisions, provender, or other supplies or equipment used in, upon or about the performance of the work contracted to be done, or for any work or labor done thereon of any kind, the Surety of this bond will pay the same to the extent hereinafter set forth; NOW THEREFORE, we, Playcore Wisconsin, Inc. dba GameTime c/o Great Western as Principal, and «Surety» as Surety, are held and firmly bound unto the City of Lancaster, California, hereinafter called the "Contracting Agency" in the penal sum of hundred percent (100%) of bid One Million Three Hundred Fourteen Thousand One Hundred Twenty-four Dollars and Thirty-three Cents ($1,314,124.33) lawful money of the United States of America, for payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators and successors, jointly and severally, firmly by these presents.

THE CONDITION OF THIS OBLIGATION IS SUCH THAT if said principal, his or its heirs, executors, administrators, successors or assigns, shall fail to pay for any materials, provisions, provender, or other supplies or equipment used in, upon, for or about the performance of the work contracted to be done, or for amounts due under applicable State law for any work or labor thereon of any kind, and provided that the persons, companies or corporations so furnishing said materials, provisions, provender, or other supplies, equipment, appliances or power used in, upon, for or about the performance of the work contracted to be executed or performed, or any persons, company or corporation renting or hiring teams, implements, machinery or power, for or contributing to said work to be done, or any person who performs work or labor upon the same, or any person who supplies both work and material therefor, shall have complied with the provisions of applicable State law, then said Surety will pay the same in or to an amount not exceeding the amount hereinabove set forth, and also will pay in case suit is brought upon this bond, such reasonable attorney’s fees as shall be fixed by the court, awarded and taxes as in the above mentioned Statute provided. The bond shall insure to the benefit of any and all persons, companies and corporations entitled to file claims under applicable State law, so as to give a right of action to them or their assigns in any suit brought upon this bond.

FURTHER, the said Surety, for value received, hereby stipulates and agrees that no change, extension of time, alteration or modification of the Contract Documents or of the work to be performed thereunder shall in any way affect its obligations on this bond, and it does hereby

waive notice of such change, extension of time, alteration or modification of the Contract Documents or of work to be performed thereunder.

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-MAIL
ADDRESS:

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
ER
OTH-

STATUTE
PER

LIMITS(MM/DD/YYYY)

POLICY EXP
(MM/DD/YYYY)

POLICY EFF

POLICY NUMBERTYPE OF INSURANCELTR
INSR
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

CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED

AUTOS ONLY

POLICY AGGREGATE
D
08/01/2025
X
08/01/2026
08/01/2025
0 X
C
20494
4,000,000
N/A
7039895544
35378
10,000,000
A
X
F
08/01/2026
G
X
American Casualty Company Of Reading, Pa
08/01/2025
CN102326389-CAS-GAUWX-23-24
1,000,000
20443
.

ATL-006006235-01
08/01/2025
X
4,000,000
08/01/2025
X
08/01/2026
7039929062
0 08/01/2026
2,000,000
X
The Continental Insurance Company
1,000,000
1,000,000
B
08/01/2026
10,000,000
08/01/2025
X
08/01/2026
20427
7039895527
10,000
08/01/2025
7039895530
7039918871
7039984806
100,000
completion of the referenced project, on a primary and non-contributory basis via attached CG 2010 and CG 2037 (04/13 versions), when required by written contract. A Waiver of Subrogation applies in favor of the additional insured on the Workers Compensation policy, when required by written contract.

RE: Samaritan Purse Park - OMNIA Contract #2017001134
City of Lancaster, its elected officials, officers, employees, and volunteers are included as additional insured, but only insofar as the operations under this contract, as their interests may appear, during and until Transportation Insurance Co
dba GameTime
PlayCore Wisconsin, Inc.

Fort Payne, AL 35967
150 PlayCore Drive SE
2,000,000
Evanston Insurance Company
Two Alliance Center
**MARSH USA, LLC.

Atlanta, GA 30326
3560 Lenox Road, Suite 2400
Attn: [email protected] / Fax: 212-948-4321 MKLV2PBC002465
Continental Casualty Company
N
Lancaster, CA 93534
City of Lancaster
44933 Fern Avenue
08/01/2025
C
N/A
1,000,000
Comp./Coll. Ded.: $2,000
SIR $250,000 Per Occ.
35289
X
RETENTION Umb Catastrophe $25,000
10,000,000
08/01/2026

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE:

ADDITIONAL REMARKS
ADDITIONAL REMARKS SCHEDULE Page of
AGENCY CUSTOMER ID:

LOC #:

AGENCY

CARRIER NAIC CODE

POLICY NUMBER

NAMED INSURED
EFFECTIVE DATE:
**MARSH USA, LLC.�
Dates: 08/01/2025 - 08/01/2026�
Policy Number: 7039918885 (OH, ND, WY, WA)�
Workers' Compensation (Continued): �
Carrier: Transportation Insurance Company�
INSURERS AFFORDING COVERAGE/NAIC #��
INSURER G: National Fire Insurance Co Of Hartford (20478)�� WC 7 39895530 - AL,CO,FL,GA,ID,IL,IN,KS,KY,MA,ME,MD,MI,MN,MO,MT,NV,NY,NC,OK,PA,SC,TN,TX,UT,VA � Dates: 08/01/2025 - 08/01/2026�
2 Atlanta
Certificate of Liability Insurance
WC 7 39895544 - CA�
Carrier: Continental Insurance Company �
WC 7 39918871 - AZ, OR, WI�
25 Policy Number: 7092684051 (CA)�
dba GameTime�
PlayCore Wisconsin, Inc.�
150 PlayCore Drive SE�
2 CN102326389
Fort Payne, AL 35967

Lancaster City CouncilNovember 18, 2025

Lancaster City Council
November 18, 2025