06.09.26_Agreement_OMP Playground Flooring Replacement_FINAL

AGREEMENT FOR RENOVATION SERVICES

THIS AGREEMENT FOR SGT. STEVE OWEN MEMORIAL PARK PLAYGROUND SURFACING REPLACEMENT PROJECT (this “AGREEMENT”) is made and entered into this 9th day of June 2026, 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”).

RECITALS

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

SGT. STEVE OWEN MEMORIAL PARK PLAYGROUND SURFACING REPLACEMENT PROJECT

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 the “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 "C". 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 $488,223.40 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. 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

(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.

13. 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.

14. 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.

15. 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.

16. 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.

17. 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.

18. 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.

19. 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.

20. Insurance.

A. The CONTRACTOR, 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 $5,000,000
Including Products/Completed Operations; Contractual Liability/Independent Contractors; Property Damage
(Coverage shall be at least as broad as ISO form CG2010 11/85 or CG2010 07/04 and CG2037 07/04 combined, or an equivalent providing ongoing and completed operations)
Commercial Automobile Liability $2,000,000
Combined Single Limit per Accident for
Bodily Injury and Property Damage
(Coverage shall be at least as broad as ISO form CA00 01) Workers Compensation

Statutory Limits
As Required by the State of California
Employers' Liability

Each Accident $1,000,000
Bodily Injury by Disease $1,000,000
Each Employee $1,000,000
(A Waiver of Subrogation must be provided on behalf of the Certificate Holder for the Workers Compensation & Employers' Liability policies)

B. Insurance 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. Insurance 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:

"SGT. STEVE OWEN MEMORIAL PARK PLAYGROUND SURFACING
REPLACEMENT PROJECT"
"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.

21. 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.

22. 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.

23. 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.

24. 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 single 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.

25. 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”
Proposal and Quote

Commencement, Completion, Term & Payment Clause
Performance and Labor Bonds

26. Governing Law.

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

27. 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.

28. 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"

PROPOSAL AND QUOTE
Proposal for

City of Lancaster

Prepared by

06-01-2026
Job # 116749-01

Sgt Steve Owen Memorial Park PIP Repair

435-245-5055 | www.gwpark.com

Sgt Steve Owen Memorial Park PIP Option 1B

Customer:

City of Lancaster
44933 N. Fern Avenue
Lancaster, CA 93534
United States
Ship to Zip: 93534
Prepared for:

Matt Hults
Phone: 6617236009
[email protected]
Prepared by:

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

Quantity Part # Description Unit Price Amount
10900 PIP GTImpax - PIP $29.67 $323,403.00
List P rice $394,393.91, discounted per (OMNIA Contract

PIP
10,900 Total SF
350 SF, 4' CFH
Quote includes a 1.5" cushion layer and a 0.5" EPDM 14mm wear layer 5050 SF, 8' CFH
Quote includes a 3.25" cushion layer and a 0.5" EPDM 14mm wear layer 5500 SF, 12' CFH
Quote includes a 5" cushion layer and a 0.5" EPDM 14mm wear layer Includes 4 color mixes - see below for breakdown:
- 350 sf with a color mix of 50% Red & 50% Black
- 2800 sf with a color mix of 50% Grey & 50% Black
- 2250 sf with a color mix of 50% Beige & 50% Black
- 5500 sf with a color mix of 50% Blue & 50% Black
De
sign includes multiple wavy bands using the 4 colors listed above Includes 12 TTA Inserts 192 SF
• 6 Slide Exits  4' x 4')
• 6 Swing Inserts  4' x 4')
Aromatic Binder
Prevailing Wage

3016 TURF GTImpax - Turf Surfacing $26.90 $81,130.40
List P rice $98,939.6, discounted per (OMNIA Contract

Turf
3016 SF
PP Elite Turf

1.5" Buffings
Envirofill Infill
Nailers by OTHERS
Prevailing Wages

1 INSTALL Install - Mobilization
- Furnish Approx 550 LF of Temp Fence
- Prevailing Wages
$4,490.00 $4,490.00

Page 1 of 5 ends

QUOTE
1167490103 • 06/01/2026

1 INSTALL Install - Demo
- Remove and Dispose of 13,900 SF of PIP and Turf
- Recompact Subbase for new Surfacing
- If New Subbase is required, additional cost will be a change order - Includes all Labor & Material
- Includes Removal of all Trash and Spoil
- Prevailing Wages
$70,585.00 $70,585.00
1 INSTALL Other Product 1 - Soil Compaction
Prevailing Wages
$1,270.00 $1,270.00
1 P&P Payment and Performance Bond - Payment and Performance Bond $7,345.00 $7,345.00 Contract: OMNIA #2017001134 Sub Total $488,223.40

Grand Total $488,223.40

Comments
Your Sales Rep is Quinn Connell. Please reach out to Quinn at 4359019544 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.

Pricing is subject to change. Request updated pricing when purchasing from quotes more than 30 days old.

Shipping to Site Address:
43063 10th St. West
Lancaster, CA 93534
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.

Prevailing Wages
Omnia Contract #4001608

Page 2 of 5 ends

QUOTE
1167490103 • 06/01/2026

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.

Page 3 of 5 ends

QUOTE
1167490103 • 06/01/2026

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: $488,223.40

Signature: Date:

Printed Name: Title:

Acceptance of this proposal indicates your agreement to the terms and conditions stated herein.

DIR# 1000015526 CSLB#855664

Page 4 of 5 ends

QUOTE
1167490103 • 06/01/2026

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 5 of 5 ends

EXHIBIT “B”

COMMENCEMENT, 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 contract for Sgt. Owen Memorial Park Playground Surfacing Replacement 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 $488,223.40. 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”
Performance and Labor Bonds

PERFORMANCE BOND
KNOW ALL MEN BY THESE PRESENTS: THAT WHEREAS, the City of Lancaster, County of Los Angeles, State of California, on June 9, 2026, has awarded to Playcore Wisconsin, Inc dba GameTime c/o Great Western, hereinafter designated as the "Principal," a contract to provide Sgt. Steve Owen Memorial Park Playground Surfacing Replacement Project, 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 Four Hundred Eighty-eight Thousand Two Hundred Twenty-three Dollars and Forty Cents ($488,223.40) 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 THAT, 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.

Playcore Wisconsin, Inc dba GameTime c/o Great Western
Principal
By:
«Surety»
Surety
By:

LABOR AND MATERIAL BOND
KNOW ALL MEN BY THESE PRESENTS: THAT WHEREAS, the City of Lancaster, County of Los Angeles, State of California, on June 9, 2026 has awarded to Playcore Wisconsin, Inc dba GameTime c/o Great Western, hereinafter designated as the "Principal," a contract for the construction of Sgt. Steve Owen Memorial Park Playground Surfacing Replacement Project, 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 Four Hundred Eighty-eight Thousand Two Hundred Twenty-three Dollars and Forty Cents ($488,223.40) lawful money of the United States of America, for the 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.

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.

Playcore Wisconsin, Inc dba GameTime c/o Great Western
Principal
By:

«Surety»
Surety
By:

CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)
08/01/2025
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.

THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.

If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

PRODUCER
**MARSH USA, LLC.

Two Alliance Center
3560 Lenox Road, Suite 2400
Atlanta, GA 30326
Attn: [email protected] / Fax: 212-948-4321 CN102326389-CAS-GAUWX-23-24
CONTACT . NAME:

PHONE
(A/C, No, Ext):

FAX
(A/C, No):

E-MAIL
ADDRESS:

INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A : Evanston Insurance Company 35378

INSURED
PlayCore Wisconsin, Inc.
dba GameTime
150 PlayCore Drive SE
Fort Payne, AL 35967
INSURER B : Continental Casualty Company 20443
INSURER C : American Casualty Company Of Reading, Pa 20427 INSURER D : Transportation Insurance Co 20494
INSURER E : N/A N/A
INSURER F : The Continental Insurance Company 35289
COVERAGES CERTIFICATE NUMBER: ATL-006006235-01 REVISION NUMBER: 0

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.

NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE

ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

INSR

LTR TYPE OF INSURANCE ADDL
INSD
SUBR

WVD POLICY NUMBER

POLICY EFF
(MM/DD/YYYY)

POLICY EXP
(MM/DD/YYYY) LIMITS
A X COMMERCIAL GENERAL LIABILITY MKLV2PBC002465 08/01/2025 08/01/2026 EACH OCCURRENCE $ 2,000,000

CLAIMS-MADE X OCCUR

DAMAGE TO RENTED
$ 100,000 PREMISES (Ea occurrence)
X SIR $250,000 Per Occ. MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY X PRO LOC PRODUCTS - COMP/OP AGG $ 4,000,000
JECT
OTHER: POLICY AGGREGATE $ 10,000,000
B AUTOMOBILE LIABILITY 7039895527 08/01/2025 08/01/2026 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000
X ANY AUTO BODILY INJURY (Per person) $
OWNED

AUTOS ONLY
HIRED

AUTOS ONLY

SCHEDULED
AUTOS

NON-OWNED

AUTOS ONLY
BODILY INJURY (Per accident) $

PROPERTY DAMAGE
(Per accident) $
Comp./Coll. Ded.: $2,000 $

F X UMBRELLA LIAB

EXCESS LIAB

X OCCUR

CLAIMS-MADE
7039984806
RETENTION Umb Catastrophe $25,000
08/01/2025 08/01/2026 EACH OCCURRENCE $ 10,000,000
AGGREGATE $ 10,000,000
DED X RETENTION $ 0 $
C
C
D
G

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY Y / N

ANYPROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBEREXCLUDED? N
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below

N / A
7039895530 08/01/2025 08/01/2026 X PER

STATUTE OTH-
ER
7039895544
7039918871
08/01/2025
08/01/2025
08/01/2026
08/01/2026
E.L. EACH ACCIDENT $ 1,000,000
E.L. DISEASE - EA EMPLOYEE $ 1,000,000
7039929062 08/01/2025 08/01/2026 E.L. DISEASE - POLICY LIMIT $ 1,000,000

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 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 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.

CERTIFICATE HOLDER CANCELLATION

City of Lancaster
44933 Fern Avenue
Lancaster, CA 93534

AUTHORIZED REPRESENTATIVE

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID: CN102326389
LOC #: Atlanta

ADDITIONAL REMARKS SCHEDULE Page 2 of 2

AGENCY
**MARSH USA, LLC.�

NAMED INSURED
PlayCore Wisconsin, Inc.�
dba GameTime�
150 PlayCore Drive SE�
Fort Payne, AL 35967

POLICY NUMBER

CARRIER NAIC CODE
EFFECTIVE DATE:

ADDITIONAL REMARKS

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance

INSURERS AFFORDING COVERAGE/NAIC # �
INSURER G: National Fire Insurance Co Of Hartford (20478) �

Workers' Compensation (Continued): �
Carrier: Transportation Insurance Company�
Policy Number: 7039918885 (OH, ND, WY, WA)�
Dates: 08/01/2025 - 08/01/2026�
Carrier: Continental Insurance Company �
Policy Number: 7092684051 (CA)�
Dates: 08/01/2025 - 08/01/2026�

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 � WC 7 39895544 - CA�
WC 7 39918871 - AZ, OR, WI�

The ACORD name and logo are registered marks of ACORD
POLICY NUMBER: MKLV2PBC002465
EFFECTIVE: AUGUST 1, 2025
EXPIRES: AUGUST 1, 2026

COMMERCIAL GENERAL LIABILITY
CG 20 10 0413

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY

ADDITIONAL INSURED - OWNERS, LESSEES OR

CONTRACTORS - SCHEDULED PERSON OR

ORGANIZATION
This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

SCHEDULE

Name Of Additional Insured Person(s)
Or Organization(s)

Location(s) Of Covered Operations
As required by written contract executed by both parties prior to loss
All locations
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

1. Your acts or omissions; or

2. The acts or omissions of those acting on your
behalf;
in the performance of your ongoing operations for
the additional insured(s) at the location(s)
designated above.

However:

1. The insurance afforded to such additional
insured only applies to the extent permitted by
law; and

2. If coverage provided to the additional insured is
required by a contract or agreement, the
insurance afforded to such additional insured will
not be broader than that which you are required
by the contract or agreement to provide for such
additional insured.

B. With respect to the insurance afforded to these
additional insureds, the following additional
exclusions apply:

This insurance does not apply to "bodily injury" or
"property damage" occurring after:

1. 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

2. 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 a part of
the same project.

C. With respect to the insurance afforded to these
additional insureds, the following is added to
Section Ill - Limits Of Insurance:

If coverage provided to the additional insured is
required by a contract or agreement, the most we
will pay on behalf of the additional insured is the
amount of insurance:

1. Required by the contract or agreement; or

2. Available under the applicable Limits of
Insurance shown in the Declarations;
whichever is less.

This endorsement shall not increase the applicable
Limits of Insurance shown in the Declarations.

© Insurance Services Office, Inc., 2012 Page 2 of 2
CG20100413
POLICY NUMBER: MKLV2PBC002465
EFFECTIVE: AUGUST 1, 2025
EXPIRES: AUGUST 1, 2026

COMMERCIAL GENERAL LIABILITY
CG 20 37 0413
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED - OWNERS, LESSEES OR

CONTRACTORS - COMPLETED OPERATIONS
This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART

SCHEDULE

Name Of Additional Insured Person(s)
Or Organization(s)

Location And Description Of Completed Operations
As required by written contract executed by both
parties prior to loss
All locations
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

A. Section II - Who Is An Insured is amended to
include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only
with respect to liability for "bodily injury" or
"property damage" caused, in whole or in part, by
"your work" at the location designated and
described in the Schedule of this endorsement
performed for that additional insured and included
in the "products-completed operations hazard".

However:

1. The insurance afforded to such additional
insured only applies to the extent permitted by
law; and

2. If coverage provided to the additional insured is
required by a contract or agreement, the
insurance afforded to such additional insured
will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured.

8. With respect to the insurance afforded to these
additional insureds, the following is added to Section
Ill - Limits Of Insurance:

If coverage provided to the additional insured is
required by a contract or agreement, the most we will
pay on behalf of the additional insured is the amount
of insurance:

1. Required by the contract or agreement; or

2. Available under the applicable Limits of
Insurance shown in the Declarations;
whichever is less.

This endorsement shall not increase the applicable
Limits of Insurance shown in the Declarations.

© Insurance Services Office, Inc., 2012 Page 1 of 1
CG 20 37 0413
POLICY NUMBER: MKLV2PBC002465
EFFECTIVE: AUGUST 1, 2025
EXPIRES: AUGUST 1, 2026

COMMERCIAL GENERAL LIABILITY
CG 24 04 05 09

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY

AGAINST OTHERS TO US
This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART

SCHEDULE

The following is added to Paragraph 8. Transfer Of
Rights Of Recovery Against Others To Us of
Section IV - Conditions:

We waive any right of recovery we may have against
the person or organization shown in the Schedule
above because of payments we make for injury or
damage arising out of your ongoing operations or
"your work" done under a contract with that person or
organization and included in the "products-completed
operations hazard". This waiver applies only to the
person or organization shown in the Schedule above.

© Insurance Services Office, Inc., 2008 Page 1 of 1
CG 24 04 05 09
Information reguired to complete this Schedule, if not shown above, will be shown in the Declarations.

Name Of Person Or Organization:

As required by written contract executed by both parties prior to loss CNA
I
Product Name
Business Auto

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

This endorsement modifies insurance provided under the following:

AUTO DEALERS COVERAGE FORM

BUSINESS AUTO COVERAGE FORM

MOTOR CARRIER COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement.

This endorsement identifies person{s) or organization{s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form .

This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below.

Named Insured: PlayCore Group, Inc.

SCHEDULE
Name Of Person(s) Or Organization(s): " Any person or organization whom you have agreed to include as an additional insured under a written contract, provided such contract was executed prior to the date ofloss." Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II - Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph 0.2. of Section I - Covered Autos Coverages of the Auto Dealers Coverage Form.

DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE Endorsement Effective Date: 08/01/2025
CNA
Form No: CA 20 48 10 13
Endorsement Effective Date: 08/01/2025
Endorsement No: TBD; Page: TBD
Underwriting Company: CONTINENTAL CASUALTY COMPANY
Product Name
Business Auto

Policy No: BUA 7039895527
Policy Effective Date: 08/0l /2025
Policy Page: TBD

:1> Copyright Insurance Services Office, Inc., 2011
y
Workers Compensation And Employers Liability Insurance
Policy Endorsement

We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.

This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.

Any person or organization for which the employer has agreed by written contract, executed prior to loss, may execute a waiver of subrogation. However, for purposes of work performed by the employer in Missouri, this waiver of subrogation does not apply to any construction group of classifications as designated by the waiver of right to recover from others (subrogation) rule in our manual.

Schedule
Any Person or Organization on whose behalf you are required to obtain this waiver of our right to recover from under a written contract or agreement.

The premium charge for the endorsement is reflected in the Schedule of Operations.

All other terms and conditions of the policy remain unchanged.

This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers,:
itakes effect on the Policy Effective Date of said policy at the hour stated in said policy, unless another ! effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below. ·· -------------------------- --·

Form No: WC 00 03 13 (04-1984) C
Endorsement Effective Date: 08/01/2025 Endorsement Expiration Date: 08/01/2026 o Endorsement No: 38; Page: 1 of 1 p
Underwriting Company: American Casualty Company of Reading, Pennsylvania, 151 N Franklin St, r Chicago, IL 60606 i
CNA

ght 1983 National Council on Compensation Insurance.

Policy No: we 7039"895530,
WC7039895544, WC 7039918871,
WC 7039929062
Policy Effective Date: 08/01/2025
Policy Page: 271 of 394

Lancaster City CouncilJune 9, 2026

Lancaster City Council
June 9, 2026