OWP Amendment 1 — South San Francisco City Council, March 13, 2024 (part 2 of 3)

Invoice
Number
27573 12/19/22 693766 Lori Darrah
Customer Order Number
Ship
Date
Invoice
Date
Account
Representative
Quote
Number
Line Quantity Catalog Number / Description Unit Price
Extended
Amount
Library - 330 Library Admin Open
RG-C401
Tag For:
541 2.00 T RG-C602 GREATOPENI 595.47 1,190.94
Trace Lat File,3 Drw,30Wx18-1/4Dx39-7/8H
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
Trace 3-Hi Counterweight Factory
Installed Selection
W 3-Dwr c-wt. Factory Installed
30" Laterals/DD Laminate Top Option
~ No Selection_Upgrade___
Trace 3-Drw Front/Lock Options
A __Full Pull Square Front___
UM_KEY_ALIK Specify Key Plan on PO
Library - 330 Library Admin Open
RG-C602
Tag For:
542 1.00 T ROSX601 GREATOPENI 345.00 345.00
2 High Open Shelf Lateral,
30"Wx18 1/4"Dx28 3/8"H
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
30" Laterals/DD Laminate Top Option
~ No Selection_Upgrade___
Library - 332 Library Director
ROSX601
Tag For:
543 1.00 T ROSX701 GREATOPENI 359.49 359.49
2 High Open Shelf Lateral,
36"Wx18 1/4"Dx28 3/8"H
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
36" Laterals/DD Laminate Top Option
~ No Selection_Upgrade___
Library - 332 Library Director
ROSX701
Tag For:
544 1.00 T ROSX801 GREATOPENI 394.68 394.68
2 High Open Shelf Lateral,
42"Wx18 1/4"Dx28 3/8"H
EXHIBIT A-2
DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C Progress Payment Invoice

Page 142 ends

Invoice
Number
27573 12/19/22 693766 Lori Darrah
Customer Order Number
Ship
Date
Invoice
Date
Account
Representative
Quote
Number
Line Quantity Catalog Number / Description Unit Price
Extended
Amount
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
42" Laterals/DD Laminate Top Option
~ No Selection_Upgrade___
Library - 332 Library Director
ROSX801
Tag For:
545 1.00 T CG-47F4 GREATOPENI 911.83 911.83
42Wx18-1/4Dx77-3/8H Double Door Storage
Cabinet (5 Adjustable shelves)
Pull Options for Double Door Storage
Cabinet
A Full Pull Square Front
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
Key Series Options
~ Skip Option is Standard UM Series
Lock-Flat
Key-Alike Request Option
UM_KEY_ALIK Specify Key Plan on PO
Library - 332 Library Director
CG-47F4
Tag For:
546 1.00 T RG-C338 GREATOPENI 460.23 460.23
Lateral File 30"Wx18 1/4"Dx28 3/8"H W/
(2) Box & (1) File Drw
Trace Drawer Front Option- Combo
Box/File 3 Drawers
A __Full Pull Square Front___
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
Trace 2-Hi Counterweight Factory
Installed Selection
~ No Counterweight Installed
30" Laterals/DD Laminate Top Option
~ No Selection_Upgrade___
Key Series Options
~ Skip Option is Standard UM Series
Lock-Flat
Key-Alike Request Option
UM_KEY_ALIK Specify Key Plan on PO
EXHIBIT A-2
DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C Progress Payment Invoice

Page 143 ends

Invoice
Number
27573 12/19/22 693766 Lori Darrah
Customer Order Number
Ship
Date
Invoice
Date
Account
Representative
Quote
Number
Line Quantity Catalog Number / Description Unit Price
Extended
Amount
Library - 332 Library Director
RG-C307
Tag For:
547 1.00 T SRU-5638 GREATOPENI 253.57 253.57
Slim with one-sided drawer and metal
top. 20H x 18-7/8D x 12W. Right side
drawer access
Front Drawer Pull Options - A,Q,
S - Non-Special
A __Full Pull Square Front___
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
Key Series Options
~ Skip Option is Standard UM Series
Lock-Flat
Key-Alike Request Option
UM_KEY_ALIK Specify Key Plan on PO
Library - 332 Library Director
PN=SRU-5638
Tag For:
548 2.00 T RG-C501 GREATOPENI 466.44 932.88
Trace Lat File,2 Drw,42Wx18-1/4Dx28-3/8H
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
Trace 2-Hi Counterweight Factory
Installed Selection
~ No Counterweight Installed
42" Laterals/DD Laminate Top Option
~ No Selection_Upgrade___
Trace 2-Drw Front/Lock Options
A __Full Pull Square Front___
UM_KEY_ALIK Specify Key Plan on PO
Library - 332 Library Director
RG-C501
Tag For:
549 1.00 T ROSX601 GREATOPENI 345.00 345.00
2 High Open Shelf Lateral,
30"Wx18 1/4"Dx28 3/8"H
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
30" Laterals/DD Laminate Top Option
EXHIBIT A-2
DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C Progress Payment Invoice

Page 144 ends

Invoice
Number
27573 12/19/22 693766 Lori Darrah
Customer Order Number
Ship
Date
Invoice
Date
Account
Representative
Quote
Number
Line Quantity Catalog Number / Description Unit Price
Extended
Amount
~ No Selection_Upgrade___
Library - 333 Library Manager (Adam)
ROSX601
Tag For:
550 1.00 T CG-02F3 GREATOPENI 479.20 479.20
36Wx18-1/4Dx28-3/8H Double Door Storage
Cabinet (1 Adjustable Shelf)
Pull Options for Double Door Storage
Cabinet
A Full Pull Square Front
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
36" Laterals/DD Laminate Top Option
~ No Selection_Upgrade___
Key Series Options
~ Skip Option is Standard UM Series
Lock-Flat
Key-Alike Request Option
UM_KEY_ALIK Specify Key Plan on PO
Library - 333 Library Manager (Adam)
CG-02F3
Tag For:
551 1.00 T CG-03F4 GREATOPENI 528.54 528.54
42Wx18-1/4Dx28-3/8H Double Door Storage
Cabinet (1 Adjustable Shelf)
Pull Options for Double Door Storage
Cabinet
A Full Pull Square Front
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
42" Laterals/DD Laminate Top Option
~ No Selection_Upgrade___
Key Series Options
~ Skip Option is Standard UM Series
Lock-Flat
Key-Alike Request Option
UM_KEY_ALIK Specify Key Plan on PO
Library - 333 Library Manager (Adam)
CG-03F4
Tag For:
552 1.00 T RG-C338 GREATOPENI 460.23 460.23
Lateral File 30"Wx18 1/4"Dx28 3/8"H W/
EXHIBIT A-2
DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C Progress Payment Invoice

Page 145 ends

Invoice
Number
27573 12/19/22 693766 Lori Darrah
Customer Order Number
Ship
Date
Invoice
Date
Account
Representative
Quote
Number
Line Quantity Catalog Number / Description Unit Price
Extended
Amount
(2) Box & (1) File Drw
Trace Drawer Front Option- Combo
Box/File 3 Drawers
A __Full Pull Square Front___
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
Trace 2-Hi Counterweight Factory
Installed Selection
~ No Counterweight Installed
30" Laterals/DD Laminate Top Option
~ No Selection_Upgrade___
Key Series Options
~ Skip Option is Standard UM Series
Lock-Flat
Key-Alike Request Option
UM_KEY_ALIK Specify Key Plan on PO
Library - 333 Library Manager (Adam)
RG-C307
Tag For:
553 1.00 T SRU-5638 GREATOPENI 253.57 253.57
Slim with one-sided drawer and metal
top. 20H x 18-7/8D x 12W. Right side
drawer access
Front Drawer Pull Options - A,Q,
S - Non-Special
A __Full Pull Square Front___
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
Key Series Options
~ Skip Option is Standard UM Series
Lock-Flat
Key-Alike Request Option
UM_KEY_ALIK Specify Key Plan on PO
Library - 333 Library Manager (Adam)
PN=SRU-5638
Tag For:
554 1.00 T ROSX601 GREATOPENI 345.00 345.00
2 High Open Shelf Lateral,
30"Wx18 1/4"Dx28 3/8"H
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
EXHIBIT A-2
DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C Progress Payment Invoice

Page 146 ends

Invoice
Number
27573 12/19/22 693766 Lori Darrah
Customer Order Number
Ship
Date
Invoice
Date
Account
Representative
Quote
Number
Line Quantity Catalog Number / Description Unit Price
Extended
Amount
30" Laterals/DD Laminate Top Option
~ No Selection_Upgrade___
Library - 334 Library Manager
(Angela)
ROSX601
Tag For:
555 1.00 T CG-V8F3 GREATOPENI 969.10 969.10
36"Wx23 1/2"Dx77 3/8"H Double Door
Storage Cabinet 6 High,
with 5 Adjustable Shelves
Pull Options for Double Door Storage
Cabinet
A Full Pull Square Front
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
Key Series Options
~ Skip Option is Standard UM Series
Lock-Flat
Key-Alike Request Option
UM_KEY_ALIK Specify Key Plan on PO
Library - 334 Library Manager
(Angela)
CG-V8F3
Tag For:
556 1.00 T CG-02F3 GREATOPENI 479.20 479.20
36Wx18-1/4Dx28-3/8H Double Door Storage
Cabinet (1 Adjustable Shelf)
Pull Options for Double Door Storage
Cabinet
A Full Pull Square Front
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
36" Laterals/DD Laminate Top Option
~ No Selection_Upgrade___
Key Series Options
~ Skip Option is Standard UM Series
Lock-Flat
Key-Alike Request Option
UM_KEY_ALIK Specify Key Plan on PO
Library - 334 Library Manager
(Angela)
CG-02F3
Tag For:

EXHIBIT A-2
DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C Progress Payment Invoice

Page 147 ends

Invoice
Number
27573 12/19/22 693766 Lori Darrah
Customer Order Number
Ship
Date
Invoice
Date
Account
Representative
Quote
Number
Line Quantity Catalog Number / Description Unit Price
Extended
Amount
557 1.00 T CG-03F4 GREATOPENI 528.54 528.54
42Wx18-1/4Dx28-3/8H Double Door Storage
Cabinet (1 Adjustable Shelf)
Pull Options for Double Door Storage
Cabinet
A Full Pull Square Front
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
42" Laterals/DD Laminate Top Option
~ No Selection_Upgrade___
Key Series Options
~ Skip Option is Standard UM Series
Lock-Flat
Key-Alike Request Option
UM_KEY_ALIK Specify Key Plan on PO
Library - 334 Library Manager
(Angela)
CG-03F4
Tag For:
558 1.00 T RG-C338 GREATOPENI 460.23 460.23
Lateral File 30"Wx18 1/4"Dx28 3/8"H W/
(2) Box & (1) File Drw
Trace Drawer Front Option- Combo
Box/File 3 Drawers
A __Full Pull Square Front___
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
Trace 2-Hi Counterweight Factory
Installed Selection
~ No Counterweight Installed
30" Laterals/DD Laminate Top Option
~ No Selection_Upgrade___
Key Series Options
~ Skip Option is Standard UM Series
Lock-Flat
Key-Alike Request Option
UM_KEY_ALIK Specify Key Plan on PO
Library - 334 Library Manager
(Angela)
RG-C307
Tag For:
559 1.00 T SRU-5638 GREATOPENI 253.57 253.57
EXHIBIT A-2
DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C Progress Payment Invoice

Page 148 ends

Invoice
Number
27573 12/19/22 693766 Lori Darrah
Customer Order Number
Ship
Date
Invoice
Date
Account
Representative
Quote
Number
Line Quantity Catalog Number / Description Unit Price
Extended
Amount
Slim with one-sided drawer and metal
top. 20H x 18-7/8D x 12W. Right side
drawer access
Front Drawer Pull Options - A,Q,
S - Non-Special
A __Full Pull Square Front___
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
Key Series Options
~ Skip Option is Standard UM Series
Lock-Flat
Key-Alike Request Option
UM_KEY_ALIK Specify Key Plan on PO
Library - 334 Library Manager
(Angela)
PN=SRU-5638
Tag For:
560 1.00 T RG-C338 GREATOPENI 460.23 460.23
Lateral File 30"Wx18 1/4"Dx28 3/8"H W/
(2) Box & (1) File Drw
Trace Drawer Front Option- Combo
Box/File 3 Drawers
A __Full Pull Square Front___
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
Trace 2-Hi Counterweight Factory
Installed Selection
~ No Counterweight Installed
30" Laterals/DD Laminate Top Option
~ No Selection_Upgrade___
Key Series Options
~ Skip Option is Standard UM Series
Lock-Flat
Key-Alike Request Option
UM_KEY_ALIK Specify Key Plan on PO
PR - 317 P&R Rental Coord.

RG-C307
Tag For:
561 1.00 T SRU-5638 GREATOPENI 253.57 253.57
Slim with one-sided drawer and metal
top. 20H x 18-7/8D x 12W. Right side
drawer access
EXHIBIT A-2
DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C Progress Payment Invoice

Page 149 ends

Invoice
Number
27573 12/19/22 693766 Lori Darrah
Customer Order Number
Ship
Date
Invoice
Date
Account
Representative
Quote
Number
Line Quantity Catalog Number / Description Unit Price
Extended
Amount
Front Drawer Pull Options - A,Q,
S - Non-Special
A __Full Pull Square Front___
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
Key Series Options
~ Skip Option is Standard UM Series
Lock-Flat
Key-Alike Request Option
UM_KEY_ALIK Specify Key Plan on PO
PR - 317 P&R Rental Coord.

PN=SRU-5638
Tag For:
562 1.00 T RG-C501 GREATOPENI 525.43 525.43
Trace Lat File,2 Drw,42Wx18-1/4Dx28-3/8H
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
Trace 2-Hi Counterweight Factory
Installed Selection
W 2-Dwr c-wt. Factory Installed
42" Laterals/DD Laminate Top Option
~ No Selection_Upgrade___
Trace 2-Drw Front/Lock Options
A __Full Pull Square Front___
UM_KEY_ALIK Specify Key Plan on PO
PR - 317 P&R Rental Coord.

RG-C501
Tag For:
563 1.00 T RG-C338 GREATOPENI 460.23 460.23
Lateral File 30"Wx18 1/4"Dx28 3/8"H W/
(2) Box & (1) File Drw
Trace Drawer Front Option- Combo
Box/File 3 Drawers
A __Full Pull Square Front___
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
Trace 2-Hi Counterweight Factory
Installed Selection
~ No Counterweight Installed
30" Laterals/DD Laminate Top Option
~ No Selection_Upgrade___
EXHIBIT A-2
DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C Progress Payment Invoice

Page 150 ends

RG-C307
Tag For:
564 1.00 T SRU-5638 GREATOPENI 253.57 253.57
Slim with one-sided drawer and metal
top. 20H x 18-7/8D x 12W. Right side
drawer access
Front Drawer Pull Options - A,Q,
S - Non-Special
A __Full Pull Square Front___
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
Key Series Options
~ Skip Option is Standard UM Series
Lock-Flat
Key-Alike Request Option
UM_KEY_ALIK Specify Key Plan on PO
PR - 318 P&R Rental Spr.

PN=SRU-5638
Tag For:
565 1.00 T RG-C301 GREATOPENI 396.75 396.75
Trace Lat File,2 Drw,30Wx18-1/4Dx28-3/8H
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
Trace 2-Hi Counterweight Factory
Installed Selection
~ No Counterweight Installed
30" Laterals/DD Laminate Top Option
~ No Selection_Upgrade___
30" Trace 2-Drw Front/Lock Options
A __Full Pull Square Front___
UM_KEY_ALIK Specify Key Plan on PO
PR - 318 P&R Rental Spr.

RG-C301
Tag For:
566 1.00 T RG-C501 GREATOPENI 466.44 466.44
Trace Lat File,2 Drw,42Wx18-1/4Dx28-3/8H
EXHIBIT A-2
DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C Progress Payment Invoice

Page 151 ends

Invoice
Number
27573 12/19/22 693766 Lori Darrah
Customer Order Number
Ship
Date
Invoice
Date
Account
Representative
Quote
Number
Line Quantity Catalog Number / Description Unit Price
Extended
Amount
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
Trace 2-Hi Counterweight Factory
Installed Selection
~ No Counterweight Installed
42" Laterals/DD Laminate Top Option
~ No Selection_Upgrade___
Trace 2-Drw Front/Lock Options
A __Full Pull Square Front___
UM_KEY_ALIK Specify Key Plan on PO
PR - 318 P&R Rental Spr.

RG-C501
Tag For:
567 1.00 T RG-C338 GREATOPENI 460.23 460.23
Lateral File 30"Wx18 1/4"Dx28 3/8"H W/
(2) Box & (1) File Drw
Trace Drawer Front Option- Combo
Box/File 3 Drawers
A __Full Pull Square Front___
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
Trace 2-Hi Counterweight Factory
Installed Selection
~ No Counterweight Installed
30" Laterals/DD Laminate Top Option
~ No Selection_Upgrade___
Key Series Options
~ Skip Option is Standard UM Series
Lock-Flat
Key-Alike Request Option
UM_KEY_ALIK Specify Key Plan on PO
PR - 319 P&R Class Super
RG-C307
Tag For:
568 1.00 T SRU-5638 GREATOPENI 253.57 253.57
Slim with one-sided drawer and metal
top. 20H x 18-7/8D x 12W. Right side
drawer access
Front Drawer Pull Options - A,Q,
S - Non-Special
A __Full Pull Square Front___
Finish Selections by Manufacture (Paint
EXHIBIT A-2
DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C Progress Payment Invoice

Page 152 ends

Invoice
Number
27573 12/19/22 693766 Lori Darrah
Customer Order Number
Ship
Date
Invoice
Date
Account
Representative
Quote
Number
Line Quantity Catalog Number / Description Unit Price
Extended
Amount
Color)
0722 SC-Midnight Textured
Key Series Options
~ Skip Option is Standard UM Series
Lock-Flat
Key-Alike Request Option
UM_KEY_ALIK Specify Key Plan on PO
PR - 319 P&R Class Super
PN=SRU-5638
Tag For:
569 1.00 T RG-C301 GREATOPENI 396.75 396.75
Trace Lat File,2 Drw,30Wx18-1/4Dx28-3/8H
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
Trace 2-Hi Counterweight Factory
Installed Selection
~ No Counterweight Installed
30" Laterals/DD Laminate Top Option
~ No Selection_Upgrade___
30" Trace 2-Drw Front/Lock Options
A __Full Pull Square Front___
UM_KEY_ALIK Specify Key Plan on PO
PR - 319 P&R Class Super
RG-C301
Tag For:
570 1.00 T RG-C501 GREATOPENI 466.44 466.44
Trace Lat File,2 Drw,42Wx18-1/4Dx28-3/8H
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
Trace 2-Hi Counterweight Factory
Installed Selection
~ No Counterweight Installed
42" Laterals/DD Laminate Top Option
~ No Selection_Upgrade___
Trace 2-Drw Front/Lock Options
A __Full Pull Square Front___
UM_KEY_ALIK Specify Key Plan on PO
PR - 319 P&R Class Super
RG-C501
Tag For:
571 1.00 T RG-C338 GREATOPENI 460.23 460.23
Lateral File 30"Wx18 1/4"Dx28 3/8"H W/
EXHIBIT A-2
DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C Progress Payment Invoice

Page 153 ends

Invoice
Number
27573 12/19/22 693766 Lori Darrah
Customer Order Number
Ship
Date
Invoice
Date
Account
Representative
Quote
Number
Line Quantity Catalog Number / Description Unit Price
Extended
Amount
(2) Box & (1) File Drw
Trace Drawer Front Option- Combo
Box/File 3 Drawers
A __Full Pull Square Front___
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
Trace 2-Hi Counterweight Factory
Installed Selection
~ No Counterweight Installed
30" Laterals/DD Laminate Top Option
~ No Selection_Upgrade___
Key Series Options
~ Skip Option is Standard UM Series
Lock-Flat
Key-Alike Request Option
UM_KEY_ALIK Specify Key Plan on PO
PR - 320 P&R Class Coord.

RG-C307
Tag For:
572 1.00 T SRU-5638 GREATOPENI 253.57 253.57
Slim with one-sided drawer and metal
top. 20H x 18-7/8D x 12W. Right side
drawer access
Front Drawer Pull Options - A,Q,
S - Non-Special
A __Full Pull Square Front___
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
Key Series Options
~ Skip Option is Standard UM Series
Lock-Flat
Key-Alike Request Option
UM_KEY_ALIK Specify Key Plan on PO
PR - 320 P&R Class Coord.

PN=SRU-5638
Tag For:
573 1.00 T RG-C501 GREATOPENI 525.43 525.43
Trace Lat File,2 Drw,42Wx18-1/4Dx28-3/8H
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
Trace 2-Hi Counterweight Factory
EXHIBIT A-2
DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C Progress Payment Invoice

Page 154 ends

Invoice
Number
27573 12/19/22 693766 Lori Darrah
Customer Order Number
Ship
Date
Invoice
Date
Account
Representative
Quote
Number
Line Quantity Catalog Number / Description Unit Price
Extended
Amount
Installed Selection
W 2-Dwr c-wt. Factory Installed
42" Laterals/DD Laminate Top Option
~ No Selection_Upgrade___
Trace 2-Drw Front/Lock Options
A __Full Pull Square Front___
UM_KEY_ALIK Specify Key Plan on PO
PR - 320 P&R Class Coord.

RG-C501
Tag For:
574 1.00 T ROSX601 GREATOPENI 345.00 345.00
2 High Open Shelf Lateral,
30"Wx18 1/4"Dx28 3/8"H
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
30" Laterals/DD Laminate Top Option
~ No Selection_Upgrade___
PR - 321 P&R Manager
ROSX601
Tag For:
575 1.00 T ROSX701 GREATOPENI 359.49 359.49
2 High Open Shelf Lateral,
36"Wx18 1/4"Dx28 3/8"H
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
36" Laterals/DD Laminate Top Option
~ No Selection_Upgrade___
PR - 321 P&R Manager
ROSX701
Tag For:
576 1.00 T RG-C338 GREATOPENI 460.23 460.23
Lateral File 30"Wx18 1/4"Dx28 3/8"H W/
(2) Box & (1) File Drw
Trace Drawer Front Option- Combo
Box/File 3 Drawers
A __Full Pull Square Front___
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
Trace 2-Hi Counterweight Factory
Installed Selection
~ No Counterweight Installed
EXHIBIT A-2
DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C Progress Payment Invoice

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Invoice
Number
27573 12/19/22 693766 Lori Darrah
Customer Order Number
Ship
Date
Invoice
Date
Account
Representative
Quote
Number
Line Quantity Catalog Number / Description Unit Price
Extended
Amount
30" Laterals/DD Laminate Top Option
~ No Selection_Upgrade___
Key Series Options
~ Skip Option is Standard UM Series
Lock-Flat
Key-Alike Request Option
UM_KEY_ALIK Specify Key Plan on PO
PR - 321 P&R Manager
RG-C307
Tag For:
577 1.00 T SRU-5638 GREATOPENI 253.57 253.57
Slim with one-sided drawer and metal
top. 20H x 18-7/8D x 12W. Right side
drawer access
Front Drawer Pull Options - A,Q,
S - Non-Special
A __Full Pull Square Front___
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
Key Series Options
~ Skip Option is Standard UM Series
Lock-Flat
Key-Alike Request Option
UM_KEY_ALIK Specify Key Plan on PO
PR - 321 P&R Manager
PN=SRU-5638
Tag For:
578 1.00 T RG-C501 GREATOPENI 466.44 466.44
Trace Lat File,2 Drw,42Wx18-1/4Dx28-3/8H
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
Trace 2-Hi Counterweight Factory
Installed Selection
~ No Counterweight Installed
42" Laterals/DD Laminate Top Option
~ No Selection_Upgrade___
Trace 2-Drw Front/Lock Options
A __Full Pull Square Front___
UM_KEY_ALIK Specify Key Plan on PO
PR - 321 P&R Manager
RG-C501
Tag For:

EXHIBIT A-2
DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C Progress Payment Invoice

Page 156 ends

Invoice
Number
27573 12/19/22 693766 Lori Darrah
Customer Order Number
Ship
Date
Invoice
Date
Account
Representative
Quote
Number
Line Quantity Catalog Number / Description Unit Price
Extended
Amount
579 1.00 T ROSX601 GREATOPENI 345.00 345.00
2 High Open Shelf Lateral,
30"Wx18 1/4"Dx28 3/8"H
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
30" Laterals/DD Laminate Top Option
~ No Selection_Upgrade___
PR - 322 P&R Manager
ROSX601
Tag For:
580 1.00 T ROSX701 GREATOPENI 359.49 359.49
2 High Open Shelf Lateral,
36"Wx18 1/4"Dx28 3/8"H
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
36" Laterals/DD Laminate Top Option
~ No Selection_Upgrade___
PR - 322 P&R Manager
ROSX701
Tag For:
581 1.00 T RG-C338 GREATOPENI 460.23 460.23
Lateral File 30"Wx18 1/4"Dx28 3/8"H W/
(2) Box & (1) File Drw
Trace Drawer Front Option- Combo
Box/File 3 Drawers
A __Full Pull Square Front___
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
Trace 2-Hi Counterweight Factory
Installed Selection
~ No Counterweight Installed
30" Laterals/DD Laminate Top Option
~ No Selection_Upgrade___
Key Series Options
~ Skip Option is Standard UM Series
Lock-Flat
Key-Alike Request Option
UM_KEY_ALIK Specify Key Plan on PO
PR - 322 P&R Manager
RG-C307
Tag For:

EXHIBIT A-2
DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C Progress Payment Invoice

Page 157 ends

Invoice
Number
27573 12/19/22 693766 Lori Darrah
Customer Order Number
Ship
Date
Invoice
Date
Account
Representative
Quote
Number
Line Quantity Catalog Number / Description Unit Price
Extended
Amount
582 1.00 T SRU-5638 GREATOPENI 253.57 253.57
Slim with one-sided drawer and metal
top. 20H x 18-7/8D x 12W. Right side
drawer access
Front Drawer Pull Options - A,Q,
S - Non-Special
A __Full Pull Square Front___
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
Key Series Options
~ Skip Option is Standard UM Series
Lock-Flat
Key-Alike Request Option
UM_KEY_ALIK Specify Key Plan on PO
PR - 322 P&R Manager
PN=SRU-5638
Tag For:
583 1.00 T RG-C501 GREATOPENI 466.44 466.44
Trace Lat File,2 Drw,42Wx18-1/4Dx28-3/8H
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
Trace 2-Hi Counterweight Factory
Installed Selection
~ No Counterweight Installed
42" Laterals/DD Laminate Top Option
~ No Selection_Upgrade___
Trace 2-Drw Front/Lock Options
A __Full Pull Square Front___
UM_KEY_ALIK Specify Key Plan on PO
PR - 322 P&R Manager
RG-C501
Tag For:
584 1.00 T ROSX601 GREATOPENI 345.00 345.00
2 High Open Shelf Lateral,
30"Wx18 1/4"Dx28 3/8"H
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
30" Laterals/DD Laminate Top Option
~ No Selection_Upgrade___
PR - 323 P&R Director
ROSX601
Tag For:

EXHIBIT A-2
DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C Progress Payment Invoice

Page 158 ends

Invoice
Number
27573 12/19/22 693766 Lori Darrah
Customer Order Number
Ship
Date
Invoice
Date
Account
Representative
Quote
Number
Line Quantity Catalog Number / Description Unit Price
Extended
Amount
585 1.00 T RG-C338 GREATOPENI 460.23 460.23
Lateral File 30"Wx18 1/4"Dx28 3/8"H W/
(2) Box & (1) File Drw
Trace Drawer Front Option- Combo
Box/File 3 Drawers
A __Full Pull Square Front___
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
Trace 2-Hi Counterweight Factory
Installed Selection
~ No Counterweight Installed
30" Laterals/DD Laminate Top Option
~ No Selection_Upgrade___
Key Series Options
~ Skip Option is Standard UM Series
Lock-Flat
Key-Alike Request Option
UM_KEY_ALIK Specify Key Plan on PO
PR - 323 P&R Director
RG-C307
Tag For:
586 1.00 T SRU-5638 GREATOPENI 253.57 253.57
Slim with one-sided drawer and metal
top. 20H x 18-7/8D x 12W. Right side
drawer access
Front Drawer Pull Options - A,Q,
S - Non-Special
A __Full Pull Square Front___
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
Key Series Options
~ Skip Option is Standard UM Series
Lock-Flat
Key-Alike Request Option
UM_KEY_ALIK Specify Key Plan on PO
PR - 323 P&R Director
PN=SRU-5638
Tag For:
587 2.00 T RG-C501 GREATOPENI 466.44 932.88
Trace Lat File,2 Drw,42Wx18-1/4Dx28-3/8H
Finish Selections by Manufacture (Paint
EXHIBIT A-2
DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C Progress Payment Invoice

Page 159 ends

Invoice
Number
27573 12/19/22 693766 Lori Darrah
Customer Order Number
Ship
Date
Invoice
Date
Account
Representative
Quote
Number
Line Quantity Catalog Number / Description Unit Price
Extended
Amount
Color)
0722 SC-Midnight Textured
Trace 2-Hi Counterweight Factory
Installed Selection
~ No Counterweight Installed
42" Laterals/DD Laminate Top Option
~ No Selection_Upgrade___
Trace 2-Drw Front/Lock Options
A __Full Pull Square Front___
UM_KEY_ALIK Specify Key Plan on PO
PR - 323 P&R Director
RG-C501
Tag For:
588 1.00 T ROSX601 GREATOPENI 345.00 345.00
2 High Open Shelf Lateral,
30"Wx18 1/4"Dx28 3/8"H
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
30" Laterals/DD Laminate Top Option
~ No Selection_Upgrade___
PR - 324 P&R Director
ROSX601
Tag For:
589 1.00 T RG-C338 GREATOPENI 460.23 460.23
Lateral File 30"Wx18 1/4"Dx28 3/8"H W/
(2) Box & (1) File Drw
Trace Drawer Front Option- Combo
Box/File 3 Drawers
A __Full Pull Square Front___
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
Trace 2-Hi Counterweight Factory
Installed Selection
~ No Counterweight Installed
30" Laterals/DD Laminate Top Option
~ No Selection_Upgrade___
Key Series Options
~ Skip Option is Standard UM Series
Lock-Flat
Key-Alike Request Option
UM_KEY_ALIK Specify Key Plan on PO
Tag For: PR - 324 P&R Director
EXHIBIT A-2
DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C Progress Payment Invoice

Page 160 ends

Invoice
Number
27573 12/19/22 693766 Lori Darrah
Customer Order Number
Ship
Date
Invoice
Date
Account
Representative
Quote
Number
Line Quantity Catalog Number / Description Unit Price
Extended
Amount
RG-C307
590 1.00 T SRU-5638 GREATOPENI 253.57 253.57
Slim with one-sided drawer and metal
top. 20H x 18-7/8D x 12W. Right side
drawer access
Front Drawer Pull Options - A,Q,
S - Non-Special
A __Full Pull Square Front___
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
Key Series Options
~ Skip Option is Standard UM Series
Lock-Flat
Key-Alike Request Option
UM_KEY_ALIK Specify Key Plan on PO
PR - 324 P&R Director
PN=SRU-5638
Tag For:
591 2.00 T RG-C501 GREATOPENI 466.44 932.88
Trace Lat File,2 Drw,42Wx18-1/4Dx28-3/8H
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
Trace 2-Hi Counterweight Factory
Installed Selection
~ No Counterweight Installed
42" Laterals/DD Laminate Top Option
~ No Selection_Upgrade___
Trace 2-Drw Front/Lock Options
A __Full Pull Square Front___
UM_KEY_ALIK Specify Key Plan on PO
PR - 324 P&R Director
RG-C501
Tag For:
592 6.00 T SRU-5638 GREATOPENI 253.57 1,521.42
Slim with one-sided drawer and metal
top. 20H x 18-7/8D x 12W. Right side
drawer access
Front Drawer Pull Options - A,Q,
S - Non-Special
A __Full Pull Square Front___
Finish Selections by Manufacture (Paint
EXHIBIT A-2
DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C Progress Payment Invoice

Page 161 ends

Invoice
Number
27573 12/19/22 693766 Lori Darrah
Customer Order Number
Ship
Date
Invoice
Date
Account
Representative
Quote
Number
Line Quantity Catalog Number / Description Unit Price
Extended
Amount
Color)
0722 SC-Midnight Textured
Key Series Options
~ Skip Option is Standard UM Series
Lock-Flat
Key-Alike Request Option
UM_KEY_ALIK Specify Key Plan on PO
PR - 329 P&R Admin
PN=SRU-5638
Tag For:
593 5.00 T RG-C301 GREATOPENI 396.75 1,983.75
Trace Lat File,2 Drw,30Wx18-1/4Dx28-3/8H
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
Trace 2-Hi Counterweight Factory
Installed Selection
~ No Counterweight Installed
30" Laterals/DD Laminate Top Option
~ No Selection_Upgrade___
30" Trace 2-Drw Front/Lock Options
A __Full Pull Square Front___
UM_KEY_ALIK Specify Key Plan on PO
PR - 329 P&R Admin
RG-C301
Tag For:
594 1.00 T RG-C501 GREATOPENI 466.44 466.44
Trace Lat File,2 Drw,42Wx18-1/4Dx28-3/8H
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
Trace 2-Hi Counterweight Factory
Installed Selection
~ No Counterweight Installed
42" Laterals/DD Laminate Top Option
~ No Selection_Upgrade___
Trace 2-Drw Front/Lock Options
A __Full Pull Square Front___
UM_KEY_ALIK Specify Key Plan on PO
PR - 329 P&R Admin
RG-C501
Tag For:
595 1.00 T EL-2909 GREATOPENI 220.45 220.45
Work Surface Supporting, F/F,
EXHIBIT A-2
DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C Progress Payment Invoice

Page 162 ends

Invoice
Number
27573 12/19/22 693766 Lori Darrah
Customer Order Number
Ship
Date
Invoice
Date
Account
Representative
Quote
Number
Line Quantity Catalog Number / Description Unit Price
Extended
Amount
27-3/4Hx17-7/8Dx15-1/4W
Finish Selections by Manufacture (Paint
Color)
0722 SC-Midnight Textured
Adds Accessories To F/F Ped
~ No Selection of Option
Pedestal F/F Front/Lock Options
A __Full Pull Square Front___
UM_KEY_ALIK Specify Key Plan on PO
PR - 329 P&R Admin
A-FF
Tag For:
596 1.00 T SUR Steelcase 9,525.00 9,525.00

STEELCASE COMMODITY SURCHARGE
597 1.00 T DES ONEWORKPLA 715.60 715.60

DESIGN SERVICES
598 200.00 T PM ONEWORKPLA 115.00 23,000.00

PROJECT MANAGEMENT SERVICES
599 1.00 T INS AdvancedIn 99,498.00 99,498.00
Labor to Receive all Steelcase product direct @
jobsite during normal hours
- Receive all other product @ AIS warehouse and
deliver to site during normal hours in (3) trips
- Install all during normal hours in (1) phase

INVOICE TOTALS
Sub Total 417,912.23
Sales Tax
Estimated Tax Rate - 9.875% 41,268.83
Total 459,181.06

50.00 Please Pay This Amount: 229,590.53
Invoice Percent
EXHIBIT A-2
DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C

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EXHIBIT A-3
DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C

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EXHIBIT A-3
DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C

LIMITED WARRANTY
Humanscale offers the following warranties on its products, subject to any exclusions and limitations as set forth below:

Product Warranty
Customer’s Own Material (COM, COL) No Warranty
Switch Mouse 1 Year, 24/7 Warranty
Technology Products 3 Years, Limited Warranty
Keyboard Trays 15 Years, 24/7 Warranty
Palm Rests & Mouse Pads 5 Years, 24/7 Warranty
Element Series Lights 10 Years, 24/7 Warranty
Horizon Series Lights 10 Years, 24/7 Warranty
Diffrient Series Lights 5 Years, 24/7 Warranty
Nova Series Lights 10 Years, 24/7 Warranty
Float Table, (Mechanical)* 5 Years, 24/7 Warranty
eFloat and Electric Float*** 5 Years, 24/7 Warranty
QuickStand Sit/Stand Workstation, QuickStand Lite, QuickStand Eco, QuickStand Underdesk 5 Years, 24/7 Warranty
Fabric/Cushions/Arm Pads/Wood 5 Years, Single-Shift Warranty M2, M/Flex & Para/Flex Monitor Arms 15 Years, 24/7 Warranty M2.1, M8.1, M/Flex for M2.1 and M/Flex for M8.1 Monitor Arms 15 years, 24/7 Warranty M4, M7 & M8 Monitor Arms with Gas Cylinder Components 10 Years, 24/7 Warranty M10 and M/Flex for M10 Monitor Arms 10 Years, 24/7 Warranty World One Task Chair 7 Years (Parts and Components) 3 Years (Arm Pads and Textiles), Single-Shift Warranty
Ballo Stool** 3 Years, Single-Shift Warranty
Vessel Lights† 10 Years, 24/7 Warranty, 3 Years 24/7 Warranty for the power supply driver
M/Connect 3 Years, 24/7 Warranty
M/Power 3 Years, 24/7 Warranty
M/Connect 2 3 Years, 24/7 Warranty
FR100, FR300, FR500 Footrocker 15 Years, 24/7 Warranty
Monarch Mat 3 Years, 24/7 Warranty
Office IQ 1 Year, 24/7 Warranty
Summa 10 Years, Single-Shift Warranty
Separation Panels 5 Years, 24/7 Warranty
Pro Click Mouse 2 Years, 24/7 Warranty
NeatLinks 5 Years, 24/7
NeatTech 5 Years, 24/7
All other seating and products detailed in a current Humanscale Price Guide, unless otherwise specified 15 Years, 24/7 Warranty All other products NOT detailed in a current Humanscale Price Guide
Varies; consult your Humanscale representative for
details
*Modifying or tampering with any part of the base of the Float Table will render the warranty void. The warranty on the Float Table applies to the base and work surface if the table top is provided by Humanscale,

EXHIBIT EXHIBIT BB
DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C and only to base if the table top is provided by a third-party, provided that the third-party table top meets the following requirements: (i) has a depth of 36” or less, (ii) has a width of 72” or less, and (iii) the total weight load including work surface is no more than 130 lbs for the standard base and no more than 160 lbs for the heavy duty base.
** Note: Ballo is not a task chair. It has not passed the BIFMA or European EN standards for office seating.

The Ballo in an exercise chair that is designed for dynamic seating and frequent movement. All Ballo instructions should be followed to ensure a comfortable experience. *** Modifying or tampering with any part of the base of the eFloat or electric Float will render the warranty void. The warranty on the eFloat and electric Float applies to the base and work surface if the table top is provided by Humanscale, and only to base if the table top is provided by a third-party, provided that the thirdparty table top meets the following requirements: (i) has a depth of 36” or less, (ii) has a width of 72” or less, and (iii) a total weight load including work surface of no more than 200 lbs. †The warranties for the Vessel lights exclude labor and other costs associated with the installation and/or removal of the lights from ceilings, walls, fixtures, etc. Further, Humanscale has no warranty obligations if the product is affected by internal or external environmental conditions (including but not limited to water, moisture, outdoor use, or temperature damage), power fluctuations, improper power supply, or if the product is not installed and used in compliance will all applicable standards and electrical codes.

These warranties are available to the original end-user customer only and are non-transferable. For these warranties to be valid, the Humanscale product must have been purchased directly from Humanscale and/or an authorized dealership, distributor, retailer and/or reseller of Humanscale products. If products are procured through an authorized dealership, distributor, retailer and/or reseller, the end-user customer must be registered with Humanscale for the warranty to be in effect. Humanscale warrants that, at the time of customer’s receipt, the product will be in good working order and will be free from defects in materials and workmanship for the duration of the warranty term, as set forth above. These warranties do not apply to normal wear and tear or damage caused by accident, neglect, product abuse, misuse and/or failure to follow instructions relating to the product’s installation or intended use. Humanscale will not be responsible for damage due to service, maintenance, modifications or tampering by anyone other than a Humanscale authorized representative.

Humanscale will not be responsible for injury or damage caused by or associated with the installation and/or use of products in any manner other than in strict conformance with the instructions set forth in its installation manuals and instruction sheets and/or product literature. These warranties do not cover damage caused by a carrier or transportation of the product from one location to another, or alterations made by owner. Humanscale does not warrant damages or defects to the products under the following conditions: an Act of God, damage from electrical power problems, usage of parts or components not supplied by Humanscale, failure to perform preventative maintenance, or damage caused by peripherals not supplied by Humanscale.

EXHIBIT B
DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C In the event a product or product part is defective in material or workmanship during the warranty period, and Humanscale receives written notice of the defect within the warranty period, Humanscale will determine with customer if the defect is covered under warranty. Humanscale, at its option, may repair or replace the defective product or product part determined to be under warranty with the same or comparable product or product part as determined by Humanscale, at customer’s location or at a designated Humanscale location. The labor costs associated with the repair of the product or product part may be the responsibility of Humanscale if the product or product part is determined to be under warranty. Humanscale must pre-approve the labor costs prior to the repair or replacement of warranty products or product parts. Customer must contact Humanscale to obtain a Return Authorization through the Humanscale Customer Care Department. Performance of any repair or replacement does not renew or extend the warranty period. If, after examining and testing a returned product or product part, Humanscale determines that the product or product part is not defective, Humanscale will notify customer and return the product or product part to customer. Customer will be responsible for the freight charges associated with the return of non-defective products or product parts. To return a product or product part for repair that is not covered by warranty, Customer must request a Return Authorization through the Humanscale Customer Care Department. Customer will bear the costs of labor and freight charges associated with non-warranty repair. Customer will be charged a standard repair fee, specific to the product, for any product that is repaired outside of the warranty period. Repairs on products out of warranty also carry a 90-day warranty, effective the day that Customer receives the repaired product or product part. For products that are not covered under warranty: Customer may upgrade to a newer, functionally equivalent product at the list price; the product or product part will be returned to Customer; or Customer can request in writing that Humanscale dispose of the product or product part for Customer, in which case a fee may apply as designated by local law.

DISCLAIMER

THIS LIMITED WARRANTY IS IN LIEU OF ALL OTHER REPRESENTATIONS, WARRANTIES OR

CONDITIONS, EXPRESS OR IMPLIED, INCLUDING, BUT NOT LIMITED TO, ANY IMPLIED

REPRESENTATIONS, WARRANTIES OR CONDITIONS OF MERCHANTABILITY, FITNESS FOR A

PARTICULAR PURPOSE, NON-INFRINGEMENT, NON-INTERFERENCE, AND ALL OTHER WARRANTIES ARISING FROM COURSE OF DEALING OR USAGE OF TRADE.

Humanscale does not warrant that customer’s use of the Humanscale product will be uninterrupted or error free. Any implied warranties that may be imposed by law are limited in duration to the Limited Warranty period, to the greatest extent allowed by law. Some states or countries do not allow a limitation on how long an implied warranty lasts or the exclusion or limitation of incidental or consequential damages for consumer products. In such states or countries, some exclusions or limitations of this Limited Warranty may not apply.

This Limited Warranty is subject to change without notification.

EXHIBIT EXHIBIT BB
DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C

EXHIBIT

EXHIBIT BB
DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C

EXHIBIT B
DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C

EXHIBIT B
DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 7061213 Form 590 2020

TAXABLE YEAR
2021 Withholding Exemption Certificate

CALIFORNIA FORM
590
The payee completes this form and submits it to the withholding agent. The withholding agent keeps this form with their records.

Withholding Agent Information
Name
Name □ SSN or ITIN □ FEIN □ CA Corp no. □ CA SOS file no.

Address (apt./ste., room, PO box, or PMB no.)
City (If you have a foreign address, see instructions.) State ZIP code Exemption Reason
Check only one box.

By checking the appropriate box below, the payee certifies the reason for the exemption from the California income tax withholding requirements on payment(s) made to the entity or individual.

CERTIFICATE OF PAYEE: Payee must complete and sign below.

To learn about your privacy rights, how we may use your information, and the consequences for not providing the requested information, go to ftb.ca.gov/forms and search for 1131. To request this notice by mail, call 800.852.5711.

Under penalties of perjury, I declare that I have examined the information on this form, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. I further declare under penalties of perjury that if the facts upon which this form are based change, I will promptly notify the withholding agent.

Type or print payee’s name and title ___________________________________________________ Telephone _________________ Payee Information
□ Individuals — Certification of Residency:

I am a resident of California and I reside at the address shown above. If I become a nonresident at any time, I will promptly notify the withholding agent. See instructions for General Information D, Definitions.

Payee’s signature ▶ Date ______________________
□ Corporations:

The corporation has a permanent place of business in California at the address shown above or is qualified through the California Secretary of State (SOS) to do business in California. The corporation will file a California tax return. If this corporation ceases to have a permanent place of business in California or ceases to do any of the above, I will promptly notify the withholding agent. See instructions for General Information D, Definitions. □ Partnerships or Limited Liability Companies (LLCs):

The partnership or LLC has a permanent place of business in California at the address shown above or is registered with the California SOS, and is subject to the laws of California. The partnership or LLC will file a California tax return. If the partnership or LLC ceases to do any of the above, I will promptly inform the withholding agent. For withholding purposes, a limited liability partnership (LLP) is treated like any other partnership. □ Insurance Companies, Individual Retirement Arrangements (IRAs), or Qualified Pension/Profit-Sharing Plans:

The entity is an insurance company, IRA, or a federally qualified pension or profit-sharing plan. □ California Trusts:

At least one trustee and one noncontingent beneficiary of the above-named trust is a California resident. The trust will file a California fiduciary tax return. If the trustee or noncontingent beneficiary becomes a nonresident at any time, I will promptly notify the withholding agent.
□ Estates — Certification of Residency of Deceased Person:

I am the executor of the above-named person’s estate or trust. The decedent was a California resident at the time of death.

The estate will file a California fiduciary tax return.

□ Nonmilitary Spouse of a Military Servicemember:

I am a nonmilitary spouse of a military servicemember and I meet the Military Spouse Residency Relief Act (MSRRA) requirements. See instructions for General Information E, MSRRA. □ Tax-Exempt Entities:

The entity is exempt from tax under California Revenue and Taxation Code (R&TC) Section 23701 ______ Internal Revenue Code Section 501(c) _____
the withholding agent. Individuals cannot be tax-exempt entities. (insert letter) or
(insert number). If this entity ceases to be exempt from tax, I will promptly notify City of South San Francisco One Workplace L. Ferrari, LLC ✔ 77-0516002 2500 De La Cruz Blvd. Santa Clara CA 95050 ✔ Lori Darrah Jones (415) 867-6491 06/15/2022
DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C ADFH Holder Identifier : 7777777707070700077761616045571110766717006204547307542126672417311073641577147321120736151102162001307163411233731102074662271761677640705737752357323307325111170172120076727242035772000777777707000707007 7777777707070700073525677115456000776040543577512107635005475364464073655005657374220742666374352311107023226243063111070222272421631110713333634316300007122327242173110077756163351765540777777707000707007 Certificate No : 570095297904

CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
09/14/2022
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.

PRODUCER
Aon Risk Services Central, Inc.

Chicago IL Office
200 East Randolph
Chicago IL 60601 USA
PHONE
(A/C. No. Ext):

E-MAIL
ADDRESS:

INSURER(S) AFFORDING COVERAGE NAIC #
(866) 283-7122
INSURED INSURER A: Zurich American Ins Co 16535
INSURER B: Underwriters At Lloyds London 15792
INSURER C: Travelers Property Cas Co of America 25674
INSURER D:

INSURER E:

INSURER F:

FAX
(A/C. No.): (800) 363-0105

CONTACT
NAME:

One Workplace L. Ferrari, LLC.

Attn: Mike Spencer
2500 De La Cruz Boulevard
Santa Clara CA 95050 USA
COVERAGES CERTIFICATE NUMBER: 570095297904 REVISION NUMBER:

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. Limits shown are as requested

POLICY EXP
(MM/DD/YYYY)

POLICY EFF
(MM/DD/YYYY)
SUBR
WVD
INSR
LTR

ADDL TYPE OF INSURANCE INSD POLICY NUMBER LIMITS

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR

POLICY LOC

EACH OCCURRENCE

DAMAGE TO RENTED
PREMISES (Ea occurrence)
MED EXP (Any one person)

PERSONAL & ADV INJURY

GENERAL AGGREGATE

PRODUCTS - COMP/OP AGG
X
X
X
GEN'L AGGREGATE LIMIT APPLIES PER:
$2,000,000
$500,000
$10,000
$2,000,000
$4,000,000
$4,000,000
A GLO509889013 04/01/2022 04/01/2023
PROJECT
OTHER:

AUTOMOBILE LIABILITY

ANY AUTO
OWNED

AUTOS ONLY

SCHEDULED
AUTOS

HIRED AUTOS
ONLY

NON-OWNED

AUTOS ONLY
BODILY INJURY ( Per person)

PROPERTY DAMAGE
(Per accident)
X
X
X X
BODILY INJURY (Per accident)
$2,000,000 A 04/01/2022 04/01/2023 COMBINED SINGLE LIMIT (Ea accident)
BAP 5098889-13

EXCESS LIAB

X OCCUR

CLAIMS-MADE AGGREGATE

EACH OCCURRENCE
DED
$15,000,000
$15,000,000
04/01/2022
Umbrella/Excess Liability
UMBRELLA LIAB C CUP2T10491022NF 04/01/2023

RETENTION
X
E.L. DISEASE-EA EMPLOYEE
E.L. DISEASE-POLICY LIMIT
E.L. EACH ACCIDENT $1,000,000
X
OTHER
A 04/01/2022 04/01/2023 PER STATUTE
$1,000,000
Y / N
(Mandatory in NH)

ANY PROPRIETOR / PARTNER / EXECUTIVE
OFFICER/MEMBER EXCLUDED? N N / A

WORKERS COMPENSATION AND

EMPLOYERS' LIABILITY
If yes, describe under
DESCRIPTION OF OPERATIONS below
$1,000,000
WC509888814
PLC0034500 03/02/2022 04/01/2023 Per Claim
Claims-Made Deductible $50,000
Aggregate $3,000,000
B Archit&Eng Prof $3,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of South San Francisco is included as Additional Insured in accordance with the policy provisions of the General Liability policy. General Liability policy evidenced herein is Primary and Non-Contributory to other insurance available to an Additional Insured, but only in accordance with the policy's provisions. A Waiver of Subrogation is granted in favor of City of South San Francisco in accordance with the policy provisions of the General Liability policy. Umbrella Liability policy Follows Form.

Should the General Liability, Automobile Liability and Workers' Compensation policies be cancelled before the expiration date thereof, the policy provisions will govern how notice of cancellation may be delivered to certificate holders in accordance with the policy provisions of each policy.

The ACORD name and logo are registered marks of ACORD

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE

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

DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C AGENCY CUSTOMER ID:

ADDITIONAL REMARKS SCHEDULE
LOC #:

ADDITIONAL REMARKS

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

CARRIER NAIC CODE

POLICY NUMBER

AGENCY NAMED INSURED
See Certificate Number:

See Certificate Number:
570095297904
570095297904
Aon Risk Services Central, Inc.
570000076981
ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits.

INSURER

INSURER(S) AFFORDING COVERAGE
Page _ of _
NAIC #
One Workplace L. Ferrari, LLC.

TYPE OF INSURANCE

POLICY NUMBER LIMITS
OTHER
B Archit&Eng Prof PLC0034500 03/02/2022 04/01/2023 Agg
Deductible
$150,000
Claims-Made
ADDL
INSD
INSR
LTR
SUBR
WVD
POLICY

EFFECTIVE
DATE
(MM/DD/YYYY)
POLICY

EXPIRATION
DATE
(MM/DD/YYYY)
ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD
DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C Prof Issuing Carriers
AGENCY CUSTOMER ID:

ADDITIONAL REMARKS SCHEDULE
LOC #:

ADDITIONAL REMARKS

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

CARRIER NAIC CODE

POLICY NUMBER

AGENCY NAMED INSURED
See Certificate Number:

See Certificate Number:

Aon Risk Services Central, Inc.
570000076981
570095297904
570095297904
Page _ of _
One Workplace L. Ferrari, LLC.

Ascot Specialty Insurance Company - 20%
Everest Indemnity Insurance Company - 25%
Scottsdale Ins Company - 15%
Underwriters At Lloyds London - 40%
Aegis Consortium 4893 - 12.85%
Brit Syndicate 2987 - 15.71%
Hamilton Syndicate 4000 - 5.72%
KI Syndicate 1618 - 5.72%
ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD
DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C U-GL-2162-A CW (02/19)

Page 1 of 4 ends

Includes copyrighted material of Insurance Services Office, Inc., with its permission.

INTERNAL USE ONLY
Additional Insured – Automatic – Owners, Lessees Or
Contractors
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

Policy No. Effective Date:

This endorsement modifies insurance provided under the:

Commercial General Liability Coverage Part
A. Section II – Who Is An Insured is amended to include as an additional insured any person or organization whom you are required to add as an additional insured under a written contract or written agreement executed by you, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" and subject to the following:

1. If such written contract or written agreement specifically requires that you provide that the person or organization be named as an additional insured under one or both of the following endorsements:
a. The Insurance Services Office (ISO) ISO CG 20 10 (10/01 edition); or b. The ISO CG 20 37 (10/01 edition),
such person or organization is then an additional insured with respect to such endorsement(s), but only to the extent that "bodily injury", "property damage" or "personal and advertising injury" arises out of:
(1) Your ongoing operations, with respect to Paragraph 1.a. above; or (2) "Your work", with respect to Paragraph 1.b. above,
which is the subject of the written contract or written agreement.

However, solely with respect to this Paragraph 1., insurance afforded to such additional insured:
(a) Only applies if the "bodily injury", "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement; and
(b) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the "products-completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured.

2. If such written contract or written agreement specifically requires that you provide that the person or organization be named as an additional insured under one or both of the following endorsements:
a. The Insurance Services Office (ISO) ISO CG 20 10 (07/04 edition); or b. The ISO CG 20 37 (07/04 edition),
such person or organization is then an additional insured with respect to such endorsement(s), but only to the extent that "bodily injury", "property damage" or "personal and advertising injury" is caused, in whole or in part, by:
(1) Your acts or omissions; or
(2) The acts or omissions of those acting on your behalf, GLO509889013 4/1/2022
DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C U-GL-2162-A CW (02/19)

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Includes copyrighted material of Insurance Services Office, Inc., with its permission.

INTERNAL USE ONLY
in the performance of:
(a) Your ongoing operations, with respect to Paragraph 2.a. above; or (b) "Your work" and included in the "products-completed operations hazard", with respect to Paragraph

2.b. above,
which is the subject of the written contract or written agreement.

However, solely with respect to this Paragraph 2., insurance afforded to such additional insured:
(i) Only applies if the "bodily injury", "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement; and
(ii) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the "products-completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured.

3. If neither Paragraph 1. nor Paragraph 2. above apply and such written contract or written agreement requires that you provide that the person or organization be named as an additional insured:
a. Under the ISO CG 20 10 (04/13 edition, any subsequent edition or if no edition date is specified); or b. With respect to ongoing operations (if no form is specified), such person or organization is then an additional insured only to the extent that "bodily injury", "property damage" or "personal and advertising injury" is caused, in whole or in part by:
(1) Your acts or omissions; or
(2) The acts or omissions of those acting on your behalf, in the performance of your ongoing operations, which is the subject of the written contract or written agreement.

However, solely with respect to this Paragraph 3., insurance afforded to such additional insured:
(a) Only applies to the extent permitted by law;
(b) Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured; and
(c) Only applies if the "bodily injury", "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement.

4. If neither Paragraph 1. nor Paragraph 2. above apply and such written contract or written agreement requires that you provide that the person or organization be named as an additional insured:
a. Under the ISO CG 20 37 (04/13 edition, any subsequent edition or if no edition date is specified); or b. With respect to the "products-completed operations hazard" (if no form is specified), such person or organization is then an additional insured only to the extent that "bodily injury" or "property damage" is caused, in whole or in part by "your work" and included in the "products-completed operations hazard", which is the subject of the written contract or written agreement.

However, solely with respect to this Paragraph 4., insurance afforded to such additional insured:
(1) Only applies to the extent permitted by law;
(2) Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured;
(3) Only applies if the "bodily injury" or "property damage" occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (4) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the "products-completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured.

DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C U-GL-2162-A CW (02/19)

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Includes copyrighted material of Insurance Services Office, Inc., with its permission.

INTERNAL USE ONLY
B. Solely with respect to the insurance afforded to any additional insured referenced in Section A. of this endorsement, the following additional exclusion applies:

This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or surveying services including:

1. The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or

2. Supervisory, inspection, architectural or engineering activities.

This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services.

C. Solely with respect to the coverage provided by this endorsement, the following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of Section IV – Commercial General Liability Conditions:

The additional insured must see to it that:
(1) We are notified as soon as practicable of an "occurrence" or offense that may result in a claim; (2) We receive written notice of a claim or "suit" as soon as practicable; and (3) A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non-contributory.

D. Solely with respect to the coverage provided by this endorsement:

1. The following is added to the Other Insurance Condition of Section IV – Commercial General Liability Conditions:

Primary and Noncontributory insurance
This insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that:
a. The additional insured is a Named Insured under such other insurance; and b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured.

2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition under Section IV – Commercial General Liability Conditions:

This insurance is excess over:

Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or "suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by a written contract or written agreement to provide coverage to the additional insured on a primary and noncontributory basis.

E. This endorsement does not apply to an additional insured which has been added to this Coverage Part by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured.

F. Solely with respect to the insurance afforded to an additional insured under Paragraph A.3. or Paragraph A.4. of this endorsement, the following is added to Section III – Limits Of Insurance:

Additional Insured – Automatic – Owners, Lessees Or Contractors Limit The most we will pay on behalf of the additional insured is the amount of insurance:

DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C U-GL-2162-A CW (02/19)

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Includes copyrighted material of Insurance Services Office, Inc., with its permission.

INTERNAL USE ONLY

1. Required by the written contract or written agreement referenced in Section A. of this endorsement; or

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

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

All other terms, conditions, provisions and exclusions of this policy remain the same.

DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C U-GL-1521-B CW (01/19)

Page 1 of 2 ends

Includes copyrighted material of Insurance Services Office, Inc., with its permission.

INTERNAL USE ONLY
Blanket Notification to Others of Cancellation
or Non-Renewal
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

Policy No. Effective Date:

This endorsement applies to insurance provided under the:

Commercial General Liability Coverage Part
A. If we cancel or non-renew this Coverage Part by written notice to the first Named Insured, we will mail or deliver notification that such Coverage Part has been cancelled or non-renewed to each person or organization shown in a list provided to us by the first Named Insured if you are required by written contact or written agreement to provide such notification. Such list:

1. Must be provided to us prior to cancellation or non-renewal;

2. Must contain the names and addresses of only the persons or organizations requiring notification that such Coverage Part has been cancelled or non-renewed; and

3. Must be in an electronic format that is acceptable to us.

B. Our notification as described in Paragraph A. of this endorsement will be based on the most recent list in our records as of the date the notice of cancellation or non-renewal is mailed or delivered to the first Named Insured. We will mail or deliver such notification to each person or organization shown in the list:

1. Within 10 days of the effective date of the notice of cancellation, if we cancel for non-payment of premium; or

2. At least 30 days prior to the effective date of:
a. Cancellation, if cancelled for any reason other than nonpayment of premium; or b. Non-renewal, but not including conditional notice of renewal, unless a greater number of days is shown in the Schedule of this endorsement for the mailing or delivering of such notification with respect to Paragraph B.1. or Paragraph B.2. above.

C. Our mailing or delivery of notification described in Paragraphs A. and B. of this endorsement is intended as a courtesy only. Our failure to provide such mailing or delivery will not:

1. Extend the Coverage Part cancellation or non-renewal date;

2. Negate the cancellation or non-renewal; or

3. Provide any additional insurance that would not have been provided in the absence of this endorsement.

GLO509889013 4/1/2022
DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C U-GL-1521-B CW (01/19)

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Includes copyrighted material of Insurance Services Office, Inc., with its permission.

INTERNAL USE ONLY
D. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided to us as described in Paragraphs A. and B. of this endorsement.

SCHEDULE
The total number of days for mailing or delivering with respect to Paragraph B.1. of this endorsement is amended to indicate the following number of days: * The total number of days for mailing or delivering with respect to Paragraph B.2. of this endorsement is amended to indicate the following number of days: ** * If a number is not shown here, 10 days continues to apply. ** If a number is not shown here, 30 days continues to apply.

All other terms and conditions of this policy remain unchanged.

DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C Blanket Notification to Others of Cancellation
or Non-Renewal
U-CA-832-A CW (01/13)

Page 1 of 1 ends

Includes copyrighted material of Insurance Services Office, Inc., with its permission.

Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Add’l. Prem Return Prem.

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

This endorsement modifies insurance provided under the:

Commercial Automobile Coverage Part
A. If we cancel or non-renew this Coverage Part by written notice to the first Named Insured, we will mail or deliver notification that such Coverage Part has been cancelled or non-renewed to each person or organization shown in a list provided to us by the first Named Insured if you are required by written contract or written agreement to provide such notification. However, such notification will not be mailed or delivered if a conditional notice of renewal has been sent to the first Named Insured. Such list:

1. Must be provided to us prior to cancellation or non-renewal;

2. Must contain the names and addresses of only the persons or organizations requiring notification that such Coverage Part has been cancelled or non-renewed; and

3. Must be in an electronic format that is acceptable to us.

1. Within seven days of the effective date of the notice of cancellation, if we cancel for non-payment of premium; or

2. At least 30 days prior to the effective date of:
a. Cancellation, if cancelled for any reason other than nonpayment of premium; or b. Non-renewal, but not including conditional notice of renewal.

C. Our mailing or delivery of notification described in Paragraphs A. and B. of this endorsement is intended as a courtesy only. Our failure to provide such mailing or delivery will not:

1. Extend the Coverage Part cancellation or non-renewal date;

2. Negate the cancellation or non-renewal; or

3. Provide any additional insurance that would not have been provided in the absence of this endorsement.

D. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided to us as described in Paragraphs A. and B. of this endorsement.

All other terms and conditions of this policy remain unchanged.

BAP 5098889-13 4/1/2022 4/1/2022 4/1/2023 30-380000
DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C WC 99 06 43 Page 1 of 1
(Ed. 01-13) Includes copyright material of the National Council on Compensation Insurance, Inc. used with its permission. © 2012 Copyright National Council on Compensation Insurance, Inc. All Rights Reserved.

WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 43

BLANKET NOTIFICATION TO OTHERS OF CANCELLATION OR NONRENEWAL ENDORSEMENT This endorsement adds the following to Part Six of the policy.

PART SIX

CONDITIONS
Blanket Notification to Others of Cancellation or Nonrenewal

1. If we cancel or non-renew this policy by written notice to you, we will mail or deliver notification that such policy has been cancelled or non-renewed to each person or organization shown in a list provided to us by you if you are required by written contract or written agreement to provide such notification. However, such notification will not be mailed or delivered if a conditional notice of renewal has been sent to you. Such list:
a. Must be provided to us prior to cancellation or non-renewal; b. Must contain the names and addresses of only the persons or organizations requiring notification that such policy has been cancelled or non-renewed; and
c. Must be in an electronic format that is acceptable to us.

2. Our notification as described in Paragraph 1. above will be based on the most recent list in our records as of the date the notice of cancellation or non-renewal is mailed or delivered to you. We will mail or deliver such notification to each person or organization shown in the list:
a. Within seven days of the effective date of the notice of cancellation, if we cancel for non-payment of premium; or
b. At least 30 days prior to the effective date of:
(1) Cancellation, if cancelled for any reason other than nonpayment of premium; or (2) Non-renewal, but not including conditional notice of renewal.

3. Our mailing or delivery of notification described in Paragraphs 1. and 2. above is intended as a courtesy only.

Our failure to provide such mailing or delivery will not:
a. Extend the policy cancellation or non-renewal date;
b. Negate the cancellation or non-renewal; or
c. Provide any additional insurance that would not have been provided in the absence of this endorsement.

4. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided to us as described in Paragraphs 1. and 2. above.

All other terms and conditions of this policy remain unchanged.

This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Policy No. Endorsement No.

Insured Premium $
Insurance Company
WC509888814
Zurich American Ins Co
One Workplace L. Ferrari, LLC.
4/1/2022
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(Rev. October 2018)
Department of the Treasury
Internal Revenue Service
Request for Taxpayer
Identification Number and Certification
▶ Go to www.irs.gov/FormW9 for instructions and the latest information.

Give Form to the
requester. Do not
send to the IRS.

Print or type.

See Specific Instructions on page 3.
1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. 2 Business name/disregarded entity name, if different from above 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes.

Individual/sole proprietor or
single-member LLC
C Corporation S Corporation Partnership Trust/estate
Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) ▶ Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner.

Other (see instructions) ▶
4 Exemptions (codes apply only to
certain entities, not individuals; see
instructions on page 3):

Exempt payee code (if any)
Exemption from FATCA reporting
code (if any)
(Applies to accounts maintained outside the U.S.)
5 Address (number, street, and apt. or suite no.) See instructions. 6 City, state, and ZIP code
Requester’s name and address (optional)
7 List account number(s) here (optional)
Part I Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later.

Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter.

Social security number
– –
or
Employer identification number
–
Part II Certification
Under penalties of perjury, I certify that:

1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and

2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and

3. I am a U.S. citizen or other U.S. person (defined below); and

4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.

Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.

Sign
Here Signature of
U.S. person ▶ Date ▶
General Instructions
Section references are to the Internal Revenue Code unless otherwise noted.

Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9.

Purpose of Form
An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following. • Form 1099-INT (interest earned or paid)
• Form 1099-DIV (dividends, including those from stocks or mutual funds)
• Form 1099-MISC (various types of income, prizes, awards, or gross proceeds)
• Form 1099-B (stock or mutual fund sales and certain other transactions by brokers)
• Form 1099-S (proceeds from real estate transactions)
• Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition)
• Form 1099-C (canceled debt)
• Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN.

If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later.

Cat. No. 10231X Form W-9 (Rev. 10-2018)
One Workplace L. Ferrari, LLC
✔ P
2500 De La Cruz Boulevard
Santa Clara, CA 95050
7 7 0 5 1 6 0 0 2
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By signing the filled-out form, you:

1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued),

2. Certify that you are not subject to backup withholding, or

3. Claim exemption from backup withholding if you are a U.S. exempt payee. If applicable, you are also certifying that as a U.S. person, your allocable share of any partnership income from a U.S. trade or business is not subject to the withholding tax on foreign partners' share of effectively connected income, and

4. Certify that FATCA code(s) entered on this form (if any) indicating that you are exempt from the FATCA reporting, is correct. See What is FATCA reporting, later, for further information.

Note: If you are a U.S. person and a requester gives you a form other than Form W-9 to request your TIN, you must use the requester’s form if it is substantially similar to this Form W-9.

Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are:
• An individual who is a U.S. citizen or U.S. resident alien; • A partnership, corporation, company, or association created or organized in the United States or under the laws of the United States; • An estate (other than a foreign estate); or
• A domestic trust (as defined in Regulations section 301.7701-7).

Special rules for partnerships. Partnerships that conduct a trade or business in the United States are generally required to pay a withholding tax under section 1446 on any foreign partners’ share of effectively connected taxable income from such business. Further, in certain cases where a Form W-9 has not been received, the rules under section 1446 require a partnership to presume that a partner is a foreign person, and pay the section 1446 withholding tax. Therefore, if you are a U.S. person that is a partner in a partnership conducting a trade or business in the United States, provide Form W-9 to the partnership to establish your U.S. status and avoid section 1446 withholding on your share of partnership income.

In the cases below, the following person must give Form W-9 to the partnership for purposes of establishing its U.S. status and avoiding withholding on its allocable share of net income from the partnership conducting a trade or business in the United States.
• In the case of a disregarded entity with a U.S. owner, the U.S. owner of the disregarded entity and not the entity;
• In the case of a grantor trust with a U.S. grantor or other U.S. owner, generally, the U.S. grantor or other U.S. owner of the grantor trust and not the trust; and
• In the case of a U.S. trust (other than a grantor trust), the U.S. trust (other than a grantor trust) and not the beneficiaries of the trust.

Foreign person. If you are a foreign person or the U.S. branch of a foreign bank that has elected to be treated as a U.S. person, do not use Form W-9. Instead, use the appropriate Form W-8 or Form 8233 (see Pub. 515, Withholding of Tax on Nonresident Aliens and Foreign Entities).

Nonresident alien who becomes a resident alien. Generally, only a nonresident alien individual may use the terms of a tax treaty to reduce or eliminate U.S. tax on certain types of income. However, most tax treaties contain a provision known as a “saving clause.” Exceptions specified in the saving clause may permit an exemption from tax to continue for certain types of income even after the payee has otherwise become a U.S. resident alien for tax purposes.

If you are a U.S. resident alien who is relying on an exception contained in the saving clause of a tax treaty to claim an exemption from U.S. tax on certain types of income, you must attach a statement to Form W-9 that specifies the following five items.

1. The treaty country. Generally, this must be the same treaty under which you claimed exemption from tax as a nonresident alien.

2. The treaty article addressing the income.

3. The article number (or location) in the tax treaty that contains the saving clause and its exceptions.

4. The type and amount of income that qualifies for the exemption from tax.

5. Sufficient facts to justify the exemption from tax under the terms of the treaty article.

Example. Article 20 of the U.S.-China income tax treaty allows an exemption from tax for scholarship income received by a Chinese student temporarily present in the United States. Under U.S. law, this student will become a resident alien for tax purposes if his or her stay in the United States exceeds 5 calendar years. However, paragraph 2 of the first Protocol to the U.S.-China treaty (dated April 30, 1984) allows the provisions of Article 20 to continue to apply even after the Chinese student becomes a resident alien of the United States. A Chinese student who qualifies for this exception (under paragraph 2 of the first protocol) and is relying on this exception to claim an exemption from tax on his or her scholarship or fellowship income would attach to Form W-9 a statement that includes the information described above to support that exemption.

If you are a nonresident alien or a foreign entity, give the requester the appropriate completed Form W-8 or Form 8233.

Backup Withholding
What is backup withholding? Persons making certain payments to you must under certain conditions withhold and pay to the IRS 24% of such payments. This is called “backup withholding.” Payments that may be subject to backup withholding include interest, tax-exempt interest, dividends, broker and barter exchange transactions, rents, royalties, nonemployee pay, payments made in settlement of payment card and third party network transactions, and certain payments from fishing boat operators. Real estate transactions are not subject to backup withholding.

You will not be subject to backup withholding on payments you receive if you give the requester your correct TIN, make the proper certifications, and report all your taxable interest and dividends on your tax return.

Payments you receive will be subject to backup withholding if:

1. You do not furnish your TIN to the requester,

2. You do not certify your TIN when required (see the instructions for Part II for details),

3. The IRS tells the requester that you furnished an incorrect TIN,

4. The IRS tells you that you are subject to backup withholding because you did not report all your interest and dividends on your tax return (for reportable interest and dividends only), or

5. You do not certify to the requester that you are not subject to backup withholding under 4 above (for reportable interest and dividend accounts opened after 1983 only).

Certain payees and payments are exempt from backup withholding.

See Exempt payee code, later, and the separate Instructions for the Requester of Form W-9 for more information.

Also see Special rules for partnerships, earlier.

What is FATCA Reporting?
The Foreign Account Tax Compliance Act (FATCA) requires a participating foreign financial institution to report all United States account holders that are specified United States persons. Certain payees are exempt from FATCA reporting. See Exemption from FATCA reporting code, later, and the Instructions for the Requester of Form W-9 for more information.

Updating Your Information
You must provide updated information to any person to whom you claimed to be an exempt payee if you are no longer an exempt payee and anticipate receiving reportable payments in the future from this person. For example, you may need to provide updated information if you are a C corporation that elects to be an S corporation, or if you no longer are tax exempt. In addition, you must furnish a new Form W-9 if the name or TIN changes for the account; for example, if the grantor of a grantor trust dies.

Penalties
Failure to furnish TIN. If you fail to furnish your correct TIN to a requester, you are subject to a penalty of $50 for each such failure unless your failure is due to reasonable cause and not to willful neglect.

Civil penalty for false information with respect to withholding. If you make a false statement with no reasonable basis that results in no backup withholding, you are subject to a $500 penalty.

DocuSign Envelope ID: 8A7B2C0D-50F6-4864-96B8-CC4EC837DEA6 DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C Form W-9 (Rev. 10-2018) Page 3
Criminal penalty for falsifying information. Willfully falsifying certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment.

Misuse of TINs. If the requester discloses or uses TINs in violation of federal law, the requester may be subject to civil and criminal penalties.

Specific Instructions
Line 1
You must enter one of the following on this line; do not leave this line blank. The name should match the name on your tax return.

If this Form W-9 is for a joint account (other than an account maintained by a foreign financial institution (FFI)), list first, and then circle, the name of the person or entity whose number you entered in Part I of Form W-9. If you are providing Form W-9 to an FFI to document a joint account, each holder of the account that is a U.S. person must provide a Form W-9.
a. Individual. Generally, enter the name shown on your tax return. If you have changed your last name without informing the Social Security Administration (SSA) of the name change, enter your first name, the last name as shown on your social security card, and your new last name.

Note: ITIN applicant: Enter your individual name as it was entered on your Form W-7 application, line 1a. This should also be the same as the name you entered on the Form 1040/1040A/1040EZ you filed with your application.
b. Sole proprietor or single-member LLC. Enter your individual name as shown on your 1040/1040A/1040EZ on line 1. You may enter your business, trade, or “doing business as” (DBA) name on line 2. c. Partnership, LLC that is not a single-member LLC, C
corporation, or S corporation. Enter the entity's name as shown on the entity's tax return on line 1 and any business, trade, or DBA name on line 2.
d. Other entities. Enter your name as shown on required U.S. federal tax documents on line 1. This name should match the name shown on the charter or other legal document creating the entity. You may enter any business, trade, or DBA name on line 2.
e. Disregarded entity. For U.S. federal tax purposes, an entity that is disregarded as an entity separate from its owner is treated as a “disregarded entity.” See Regulations section 301.7701-2(c)(2)(iii). Enter the owner's name on line 1. The name of the entity entered on line 1 should never be a disregarded entity. The name on line 1 should be the name shown on the income tax return on which the income should be reported. For example, if a foreign LLC that is treated as a disregarded entity for U.S. federal tax purposes has a single owner that is a U.S. person, the U.S. owner's name is required to be provided on line 1. If the direct owner of the entity is also a disregarded entity, enter the first owner that is not disregarded for federal tax purposes. Enter the disregarded entity's name on line 2, “Business name/disregarded entity name.” If the owner of the disregarded entity is a foreign person, the owner must complete an appropriate Form W-8 instead of a Form W-9.

This is the case even if the foreign person has a U.S. TIN.

Line 2
If you have a business name, trade name, DBA name, or disregarded entity name, you may enter it on line 2.

Line 3
Check the appropriate box on line 3 for the U.S. federal tax classification of the person whose name is entered on line 1. Check only one box on line 3.

IF the entity/person on line 1 is
a(n) . . .

THEN check the box for . . .
• Corporation Corporation
• Individual
• Sole proprietorship, or
• Single-member limited liability
company (LLC) owned by an
individual and disregarded for U.S.
federal tax purposes.

Individual/sole proprietor or singlemember LLC
• LLC treated as a partnership for
U.S. federal tax purposes,
• LLC that has filed Form 8832 or
2553 to be taxed as a corporation,
or
• LLC that is disregarded as an
entity separate from its owner but
the owner is another LLC that is
not disregarded for U.S. federal tax
purposes.

Limited liability company and enter
the appropriate tax classification.
(P= Partnership; C= C corporation;
or S= S corporation)
• Partnership Partnership
• Trust/estate Trust/estate
Line 4, Exemptions
If you are exempt from backup withholding and/or FATCA reporting, enter in the appropriate space on line 4 any code(s) that may apply to you.

Exempt payee code.
• Generally, individuals (including sole proprietors) are not exempt from backup withholding.
• Except as provided below, corporations are exempt from backup withholding for certain payments, including interest and dividends. • Corporations are not exempt from backup withholding for payments made in settlement of payment card or third party network transactions. • Corporations are not exempt from backup withholding with respect to attorneys’ fees or gross proceeds paid to attorneys, and corporations that provide medical or health care services are not exempt with respect to payments reportable on Form 1099-MISC.

The following codes identify payees that are exempt from backup withholding. Enter the appropriate code in the space in line 4. 1—An organization exempt from tax under section 501(a), any IRA, or a custodial account under section 403(b)(7) if the account satisfies the requirements of section 401(f)(2)
2—The United States or any of its agencies or instrumentalities 3—A state, the District of Columbia, a U.S. commonwealth or possession, or any of their political subdivisions or instrumentalities 4—A foreign government or any of its political subdivisions, agencies, or instrumentalities
5—A corporation
6—A dealer in securities or commodities required to register in the United States, the District of Columbia, or a U.S. commonwealth or possession
7—A futures commission merchant registered with the Commodity Futures Trading Commission
8—A real estate investment trust
9—An entity registered at all times during the tax year under the Investment Company Act of 1940
10—A common trust fund operated by a bank under section 584(a) 11—A financial institution
12—A middleman known in the investment community as a nominee or custodian
13—A trust exempt from tax under section 664 or described in section 4947
DocuSign Envelope ID: 8A7B2C0D-50F6-4864-96B8-CC4EC837DEA6 DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C Form W-9 (Rev. 10-2018) Page 4
The following chart shows types of payments that may be exempt from backup withholding. The chart applies to the exempt payees listed above, 1 through 13.

IF the payment is for . . . THEN the payment is exempt
for . . .

Interest and dividend payments All exempt payees except for 7
Broker transactions Exempt payees 1 through 4 and 6
through 11 and all C corporations.

S corporations must not enter an
exempt payee code because they
are exempt only for sales of
noncovered securities acquired
prior to 2012.

Barter exchange transactions and
patronage dividends
Exempt payees 1 through 4
Payments over $600 required to be
reported and direct sales over
$5,0001
Generally, exempt payees
1 through 52
Payments made in settlement of
payment card or third party network
transactions
Exempt payees 1 through 4
1 See Form 1099-MISC, Miscellaneous Income, and its instructions. 2 However, the following payments made to a corporation and reportable on Form 1099-MISC are not exempt from backup withholding: medical and health care payments, attorneys’ fees, gross proceeds paid to an attorney reportable under section 6045(f), and payments for services paid by a federal executive agency.

Exemption from FATCA reporting code. The following codes identify payees that are exempt from reporting under FATCA. These codes apply to persons submitting this form for accounts maintained outside of the United States by certain foreign financial institutions. Therefore, if you are only submitting this form for an account you hold in the United States, you may leave this field blank. Consult with the person requesting this form if you are uncertain if the financial institution is subject to these requirements. A requester may indicate that a code is not required by providing you with a Form W-9 with “Not Applicable” (or any similar indication) written or printed on the line for a FATCA exemption code.

A—An organization exempt from tax under section 501(a) or any individual retirement plan as defined in section 7701(a)(37) B—The United States or any of its agencies or instrumentalities C—A state, the District of Columbia, a U.S. commonwealth or possession, or any of their political subdivisions or instrumentalities D—A corporation the stock of which is regularly traded on one or more established securities markets, as described in Regulations section 1.1472-1(c)(1)(i)
E—A corporation that is a member of the same expanded affiliated group as a corporation described in Regulations section 1.1472-1(c)(1)(i) F—A dealer in securities, commodities, or derivative financial instruments (including notional principal contracts, futures, forwards, and options) that is registered as such under the laws of the United States or any state
G—A real estate investment trust
H—A regulated investment company as defined in section 851 or an entity registered at all times during the tax year under the Investment Company Act of 1940
I—A common trust fund as defined in section 584(a)
J—A bank as defined in section 581
K—A broker
L—A trust exempt from tax under section 664 or described in section 4947(a)(1)
M—A tax exempt trust under a section 403(b) plan or section 457(g) plan
Note: You may wish to consult with the financial institution requesting this form to determine whether the FATCA code and/or exempt payee code should be completed.

Line 5
Enter your address (number, street, and apartment or suite number).

This is where the requester of this Form W-9 will mail your information returns. If this address differs from the one the requester already has on file, write NEW at the top. If a new address is provided, there is still a chance the old address will be used until the payor changes your address in their records.

Line 6
Enter your city, state, and ZIP code.

Part I. Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. If you are a resident alien and you do not have and are not eligible to get an SSN, your TIN is your IRS individual taxpayer identification number (ITIN). Enter it in the social security number box. If you do not have an ITIN, see How to get a TIN below.

If you are a sole proprietor and you have an EIN, you may enter either your SSN or EIN.

If you are a single-member LLC that is disregarded as an entity separate from its owner, enter the owner’s SSN (or EIN, if the owner has one). Do not enter the disregarded entity’s EIN. If the LLC is classified as a corporation or partnership, enter the entity’s EIN.

Note: See What Name and Number To Give the Requester, later, for further clarification of name and TIN combinations.

How to get a TIN. If you do not have a TIN, apply for one immediately.

To apply for an SSN, get Form SS-5, Application for a Social Security Card, from your local SSA office or get this form online at www.SSA.gov. You may also get this form by calling 1-800-772-1213.

Use Form W-7, Application for IRS Individual Taxpayer Identification Number, to apply for an ITIN, or Form SS-4, Application for Employer Identification Number, to apply for an EIN. You can apply for an EIN online by accessing the IRS website at www.irs.gov/Businesses and clicking on Employer Identification Number (EIN) under Starting a Business. Go to www.irs.gov/Forms to view, download, or print Form W-7 and/or Form SS-4. Or, you can go to www.irs.gov/OrderForms to place an order and have Form W-7 and/or SS-4 mailed to you within 10 business days.

If you are asked to complete Form W-9 but do not have a TIN, apply for a TIN and write “Applied For” in the space for the TIN, sign and date the form, and give it to the requester. For interest and dividend payments, and certain payments made with respect to readily tradable instruments, generally you will have 60 days to get a TIN and give it to the requester before you are subject to backup withholding on payments. The 60-day rule does not apply to other types of payments.

You will be subject to backup withholding on all such payments until you provide your TIN to the requester.

Note: Entering “Applied For” means that you have already applied for a TIN or that you intend to apply for one soon.

Caution: A disregarded U.S. entity that has a foreign owner must use the appropriate Form W-8.

Part II. Certification
To establish to the withholding agent that you are a U.S. person, or resident alien, sign Form W-9. You may be requested to sign by the withholding agent even if item 1, 4, or 5 below indicates otherwise.

For a joint account, only the person whose TIN is shown in Part I should sign (when required). In the case of a disregarded entity, the person identified on line 1 must sign. Exempt payees, see Exempt payee code, earlier.

Signature requirements. Complete the certification as indicated in items 1 through 5 below.

1. Interest, dividend, and barter exchange accounts opened before 1984 and broker accounts considered active during 1983.

You must give your correct TIN, but you do not have to sign the certification.

2. Interest, dividend, broker, and barter exchange accounts opened after 1983 and broker accounts considered inactive during 1983. You must sign the certification or backup withholding will apply. If you are subject to backup withholding and you are merely providing your correct TIN to the requester, you must cross out item 2 in the certification before signing the form.

3. Real estate transactions. You must sign the certification. You may cross out item 2 of the certification.

4. Other payments. You must give your correct TIN, but you do not have to sign the certification unless you have been notified that you have previously given an incorrect TIN. “Other payments” include payments made in the course of the requester’s trade or business for rents, royalties, goods (other than bills for merchandise), medical and health care services (including payments to corporations), payments to a nonemployee for services, payments made in settlement of payment card and third party network transactions, payments to certain fishing boat crew members and fishermen, and gross proceeds paid to attorneys (including payments to corporations).

5. Mortgage interest paid by you, acquisition or abandonment of secured property, cancellation of debt, qualified tuition program payments (under section 529), ABLE accounts (under section 529A), IRA, Coverdell ESA, Archer MSA or HSA contributions or
distributions, and pension distributions. You must give your correct TIN, but you do not have to sign the certification.

What Name and Number To Give the Requester
For this type of account: Give name and SSN of:

1. Individual The individual

2. Two or more individuals (joint
account) other than an account
maintained by an FFI
The actual owner of the account or, if
combined funds, the first individual on
the account1

3. Two or more U.S. persons
(joint account maintained by an FFI)
Each holder of the account

4. Custodial account of a minor
(Uniform Gift to Minors Act)
The minor2

5. a. The usual revocable savings trust
(grantor is also trustee)
b. So-called trust account that is not
a legal or valid trust under state law
The grantor-trustee1
The actual owner1

6. Sole proprietorship or disregarded
entity owned by an individual
The owner3

7. Grantor trust filing under Optional
Form 1099 Filing Method 1 (see
Regulations section 1.671-4(b)(2)(i)
(A))
The grantor*
For this type of account: Give name and EIN of:

8. Disregarded entity not owned by an
individual
The owner

9. A valid trust, estate, or pension trust Legal entity4

10. Corporation or LLC electing
corporate status on Form 8832 or
Form 2553
The corporation

11. Association, club, religious,
charitable, educational, or other taxexempt organization The organization

12. Partnership or multi-member LLC The partnership

13. A broker or registered nominee The broker or nominee For this type of account: Give name and EIN of:

14. Account with the Department of
Agriculture in the name of a public
entity (such as a state or local
government, school district, or
prison) that receives agricultural
program payments
The public entity

15. Grantor trust filing under the Form
1041 Filing Method or the Optional
Form 1099 Filing Method 2 (see
Regulations section 1.671-4(b)(2)(i)(B))
The trust
1 List first and circle the name of the person whose number you furnish.

If only one person on a joint account has an SSN, that person’s number must be furnished.
2 Circle the minor’s name and furnish the minor’s SSN.
3 You must show your individual name and you may also enter your business or DBA name on the “Business name/disregarded entity” name line. You may use either your SSN or EIN (if you have one), but the IRS encourages you to use your SSN.
4 List first and circle the name of the trust, estate, or pension trust. (Do not furnish the TIN of the personal representative or trustee unless the legal entity itself is not designated in the account title.) Also see Special rules for partnerships, earlier.
*Note: The grantor also must provide a Form W-9 to trustee of trust.

Note: If no name is circled when more than one name is listed, the number will be considered to be that of the first name listed.

Secure Your Tax Records From Identity Theft
Identity theft occurs when someone uses your personal information such as your name, SSN, or other identifying information, without your permission, to commit fraud or other crimes. An identity thief may use your SSN to get a job or may file a tax return using your SSN to receive a refund.

To reduce your risk:
• Protect your SSN,
• Ensure your employer is protecting your SSN, and
• Be careful when choosing a tax preparer.

If your tax records are affected by identity theft and you receive a notice from the IRS, respond right away to the name and phone number printed on the IRS notice or letter.

If your tax records are not currently affected by identity theft but you think you are at risk due to a lost or stolen purse or wallet, questionable credit card activity or credit report, contact the IRS Identity Theft Hotline at 1-800-908-4490 or submit Form 14039.

For more information, see Pub. 5027, Identity Theft Information for Taxpayers.

Victims of identity theft who are experiencing economic harm or a systemic problem, or are seeking help in resolving tax problems that have not been resolved through normal channels, may be eligible for Taxpayer Advocate Service (TAS) assistance. You can reach TAS by calling the TAS toll-free case intake line at 1-877-777-4778 or TTY/TDD 1-800-829-4059.

Protect yourself from suspicious emails or phishing schemes.

Phishing is the creation and use of email and websites designed to mimic legitimate business emails and websites. The most common act is sending an email to a user falsely claiming to be an established legitimate enterprise in an attempt to scam the user into surrendering private information that will be used for identity theft.

DocuSign Envelope ID: 8A7B2C0D-50F6-4864-96B8-CC4EC837DEA6 DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C Form W-9 (Rev. 10-2018) Page 6
The IRS does not initiate contacts with taxpayers via emails. Also, the IRS does not request personal detailed information through email or ask taxpayers for the PIN numbers, passwords, or similar secret access information for their credit card, bank, or other financial accounts.

If you receive an unsolicited email claiming to be from the IRS, forward this message to [email protected]. You may also report misuse of the IRS name, logo, or other IRS property to the Treasury Inspector General for Tax Administration (TIGTA) at 1-800-366-4484. You can forward suspicious emails to the Federal Trade Commission at [email protected] or report them at www.ftc.gov/complaint. You can contact the FTC at www.ftc.gov/idtheft or 877-IDTHEFT (877-438-4338).

If you have been the victim of identity theft, see www.IdentityTheft.gov and Pub. 5027.

Visit www.irs.gov/IdentityTheft to learn more about identity theft and how to reduce your risk.

Privacy Act Notice
Section 6109 of the Internal Revenue Code requires you to provide your correct TIN to persons (including federal agencies) who are required to file information returns with the IRS to report interest, dividends, or certain other income paid to you; mortgage interest you paid; the acquisition or abandonment of secured property; the cancellation of debt; or contributions you made to an IRA, Archer MSA, or HSA. The person collecting this form uses the information on the form to file information returns with the IRS, reporting the above information.

Routine uses of this information include giving it to the Department of Justice for civil and criminal litigation and to cities, states, the District of Columbia, and U.S. commonwealths and possessions for use in administering their laws. The information also may be disclosed to other countries under a treaty, to federal and state agencies to enforce civil and criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism. You must provide your TIN whether or not you are required to file a tax return. Under section 3406, payers must generally withhold a percentage of taxable interest, dividend, and certain other payments to a payee who does not give a TIN to the payer.

Certain penalties may also apply for providing false or fraudulent information.

DocuSign Envelope ID: 8A7B2C0D-50F6-4864-96B8-CC4EC837DEA6 DocuSign Envelope ID: 3CA34FAA-A243-4646-9CC7-6D4E64EF10A7 DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 













 
  

EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 


























  
 
    


EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   

  
  
  
  
  
  
  
  
  
  
  
  
  
  

 
     


 

     


 

     





EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 
 

    
 




 

    




 

    



 

     





 

     






EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
  

    






 

     





 

     


 

     

 

     









EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 







 

     
















 

     
 

     








EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 



 

        

 

     




 

    

 

     



 

     






EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 










 

 
 
 


EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   

 


 


  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 


 


 


  
  
  
  
  
  

EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
  
 

 
 
     








 
     













 

       





EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 







 



 

     

 

     








 

     


 

     


EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 











 

     













 

       





EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 







 



 

     

 

      




















EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 
 

     





 

     


 

     







 

     









EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 




 

     


 

     







 

     













EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 
 


     





 

     





 

    






 

     





 

    

EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 





 

     





 

        
   
 

 

     
 

     



EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 








 

     










 

     






 

     



EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 










 

     


 

     





 

     
 

     







EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 




 

     










 

     

 









 

     



EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 










 

     


 


     





 

     


 

     





EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 
 

     
 

     











 

     










 


EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 
 
 


EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   

  
  
  
  
  
  
  
  
  
  
  
  
  
 


  
  
  
  
  
  
  
 


  
  
  
  
  
  
 


EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 

 
 
 
 
 
 

 
    



 

     

 

     















EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 

 

     



 

     





 

     





 

     
 

     

 

     

EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 
 

      
 





 

     







 

     








 

     






EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 


 

     











 

     
 

     






 

     






EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 


 

     








 

      
 





 

     








 

     



EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 




 

     







 

     











 
     
 

     




EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 









 

     






 

     





 

    
 







EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
  

     


 

    





 







 

     





 

     





EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 
 

      





 

     


 

     


 

     



 

     




 


EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
     


 

     


 

     


 

     





 

     




 

     




 


EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
     


 

     


 

    




 

     



 



    






 



     

EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 










 

     



 



    






 


     






EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 





 

     



 



    






 


     










EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 

 

     




 

     




 

     


 

     









 

     

EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 










 

     

 

     






 

     










EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
  

     











 

     
 

     






 

 
 
 


EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   

 
  
  
  
  
  
 


  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  

EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
  
  
  
  
 


 


  
  
  
  
 


  
  
  
  
  
  
 


  
  
  
  
  
  
  
  
  
  
  
  
  

EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
  
 

 
 
 

 
 
 

  

 
      




 

    






 

     




EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 












 

     















 

     



EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 


 


      




 

    






 

     














EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 


 

     















 

     












EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
  

     





 

     





 

     




 

     





 

     



EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
  

     





 

     





 

     


 

    






 

      





EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
  

      




 

     



 

     
 

     










 





 


EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
     



 

     
 

      













 


     



 

     

EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
  


    



 

    



 

     



 

    




 

    




 

    




 


EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
    




 

     

 

     

 

     

 

     

 

     

 

     
 

     

 

    

EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 

 

     

 

     

 

     















 

     






EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 










 

     
















 

     




EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 











 

     


 

    



 

     
 





 

      

EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
  





 

      
 





 

     







 

     






 

      

EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
  





 

     








 

      


 






 

     

 
 



EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 
 

     





 

     





 

     





 

     






EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 







 

     





 

     
 

     


 

     








EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
  

     











 

     










 

     






EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 





 

     

 

     





 

     


 

     









EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 
 

     
     
















 

     




 

     




EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 

 

    


 

     





 

     

 
     

 
      




 
     






EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
  

     





 

     




 

    






 

     





 

     


EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 



 

      





 

      













 

     




EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
  

     
 

     
















 

     

 

     






EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
  

     


 

     












 

     





 

     





EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 




 

     
     
















 

     








EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
  







 

     




 

    


 

     





 

     





EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
  

     


 

     


 

     


 

     











 

     




EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 






 

     
















 

     








EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 







 

     
 

     






 

    






 

     




EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
  

       












 

      













 


EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
     



 

     
















 

     











EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 




 

     



 

     


 

    






 

     
 

     





EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 











 

     















 

    






EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 
 

     





 

      




 

      




 

     



 

     

EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
  

     




 

     
















 

     



 

     
 

      

EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 












 

     



 

     
 

     




 

    





EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 









 

     















 

     








EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
  







 

     















 

     
 







EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 

 

     
 








 

 
 
 


EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   

 
  
 


 


  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 


  
  
  
  
 



 
 
 

EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   

 
     




 

     



 

 


      

 


     













EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 



 

     











 

     





 

     




 

EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
  


      


 


     
















 

     







EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 




 

     





 

     




 

     


 

     




 

    



EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 

 

     


 

    





 

     








 

     








 

     

EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 



 

     




 

     




 

     



 

     


 

     





 

EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 

 


     



 


     
 


     

 


     


 


     



 



     

EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 


 



      
 



      


 


 


     



 


     
 


     


EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
  


     


 


     



 



     



 



      
 



     






EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 

 

     





 

     


 

     





 

     





 

     

EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 


 

     
 

     



 

     





 

     





 

     




EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
  

     
 

     



 

     





 

     





 

     



 

    

EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 
 

     



 

     















 

     



 


     
 



EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
     
     
















 
     




 

     








EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 



 

    









 

     





 

     



 

     





EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 
 

     





 

     



 

     


 

       












 



EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
     
 


     





 

      





 

    






 

     






EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
  

    






 

     





 

     


 

     





 

     


EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 














 

     


 

     





 

     





EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 











 

 
 
 


EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   

 


  
  
  
 


  
  
  
  
  
  
  
  
  
  
  
 


  
  
  
  
 


  
  
  
  
  
  

EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 


  
  
  
  
  
  
  
  
  
  
  
  
  
 


 

 
 
 
     





 

     






EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
  

     







 


      



 


     
















EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 
 

     





 

     





 

     





 

     
 

     



 


EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
     





 

     


 
 


      

 


     














EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 


 

     
 

     











 

     






 

     
 

    

EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 

 
    



 

     





 

     





 

     













EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 



 

     
















 

     











EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 





 

     



 

     




 

     
 















EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
  


     
 


     



 

     





 

    






 

     




EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
  

     
 

     



















 

     








EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 











 

     



















 


EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
     










 

     











 

     








EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 


 

     


 

     





 

      






 

     

 



 



EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
  

     





 

     













 

     










EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 

 

     










 

     


 

     
 

     










EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 

 

     






 

     



 

     


 

     



 

     




 


EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
     


 

 
 
 

     

 

     


 

     

    
 

 

    


 

    




EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
  

     
 

     


 

     


     


 

     


     
 

     

 

     
 

     

EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
  

     
 

     
 

     
 

     
 

 
 
 

     

 
     

 
     
 
     
 
     

EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
     
 
     
 
     
 
     
 
     
 
 
 

    



    



     

     

    

EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 

     

     
 
 
 

    

     
    

    

    

     

     
     
    

    

    


EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
    

    

    

     
    

     
     
     
     
    

     
 
 
 



 
     
     

EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
    

 
 
 

 
 




     
     
     








     

 
 
 
 
 

EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
  
 
 
 
 

     
 

     
 

     
 

     

 

     

 

     
 

    

 
 
 


EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
     

     
     
     
     

    

     
     

    

    

 
 






 



EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C 

   
 
 
 

 
 
 


EXHIBIT B
DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C ADFH Holder Identifier : 7777777707070700077761616045571110766717006204547307542126672417311073641577147321120736151102162001307563051673775502074262631365233200701733752313763307361111570136520076727242035772000777777707000707007 7777777707070700073525677115456000776151452466513007724014474375574072744015647375320752777375242310107122326353173010070233362521720000713233734216311007023237342173111077756163351765540777777707000707007 Certificate No : 570099106839

CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
04/21/2023
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

Chicago IL Office
200 East Randolph
Chicago IL 60601 USA
PHONE
(A/C. No. Ext): E-MAIL ADDRESS:

INSURER(S) AFFORDING COVERAGE NAIC # (866) 283-7122
INSURED INSURER A: Zurich American Ins Co 16535
INSURER B: Lloyd's Syndicate No. 2987 AA1128987
INSURER C: Travelers Property Cas Co of America 25674
INSURER D:

INSURER E:

INSURER F:

FAX
(A/C. No.): (800) 363-0105
CONTACT NAME:

One Workplace L. Ferrari, LLC.

Attn: Mike Spencer
2500 De La Cruz Boulevard
Santa Clara CA 95050 USA
COVERAGES CERTIFICATE NUMBER: 570099106839 REVISION NUMBER:

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, Limits shown are as requested

POLICY EXP (MM/DD/YYYY) POLICY EFF (MM/DD/YYYY) SUBR WVDINSR LTRADDL TYPE OF INSURANCE INSD POLICY NUMBER LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR

POLICY LOC
EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE

PRODUCTS - COMP/OP AGG
X
X
XGEN'L AGGREGATE LIMIT APPLIES PER:
$2,000,000
$500,000
$10,000
$2,000,000
$4,000,000
$4,000,000
A GLO509889014 04/01/2023 04/01/2024
PRO- JECT OTHER: AUTOMOBILE LIABILITY ANY AUTO

OWNED AUTOS ONLY

SCHEDULED
AUTOS

HIRED AUTOS ONLY NON-OWNED AUTOS ONLY
BODILY INJURY ( Per person) PROPERTY DAMAGE
(Per accident) X
X
X X
BODILY INJURY (Per accident)
$2,000,000 A 04/01/2023 04/01/2024 COMBINED SINGLE LIMIT (Ea accident)
BAP 5098889-14

EXCESS LIAB

X OCCUR CLAIMS-MADE AGGREGATE
EACH OCCURRENCE DED $15,000,000
$15,000,000
04/01/2023
Umbrella/Excess Liability
UMBRELLA LIAB C CUP2T10491023NF 04/01/2024

RETENTION
X
E.L. DISEASE-EA EMPLOYEE
E.L. DISEASE-POLICY LIMIT E.L. EACH ACCIDENT $1,000,000 X

OTH- ER
A 04/01/2023 04/01/2024 PER STATUTE $1,000,000
Y / N
(Mandatory in NH) ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER N N / A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY If yes, describe under DESCRIPTION OF OPERATIONS below $1,000,000 WC509888815
PLC0034501 04/01/2023 04/01/2024 Per Claim
Claims-Made Deductible $50,000
Aggregate $3,000,000
Architects & Engineers
Professional
B $3,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of South San Francisco is included as Additional Insured in accordance with the policy provisions of the General Liability policy. General Liability policy evidenced herein is Primary and Non-Contributory to other insurance available to an Additional Insured, but only in accordance with the policy's provisions. A Waiver of Subrogation is granted in favor of City of South San Francisco in accordance with the policy provisions of the General Liability policy. Umbrella Liability policy follows form.

CERTIFICATE HOLDER CANCELLATION
City of South San Francisco AUTHORIZED REPRESENTATIVE 400 Grand Avenue South San Francisco CA 94080 USA
ACORD 25 (2016/03)
©1988-2015 ACORD CORPORATION. All rights reserved
The ACORD name and logo are registered marks of ACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C AGENCY CUSTOMER ID: ADDITIONAL REMARKS SCHEDULE
LOC #:

ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance EFFECTIVE DATE: CARRIER NAIC CODE

POLICY NUMBER
AGENCY NAMED INSURED See Certificate Number:

See Certificate Number:
570099106839
570099106839
Aon Risk Services Central, Inc.
570000076981
ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits.

INSURER

INSURER(S) AFFORDING COVERAGE
Page _ of _
NAIC #
One Workplace L. Ferrari, LLC.

TYPE OF INSURANCE

POLICY NUMBER LIMITS OTHER
B Architects & Engineers
Professional
PLC0034501 04/01/2023 04/01/2024 Agg Deductible $150,000 Claims-Made

ADDL INSD

INSR LTR

SUBR WVD

POLICY EFFECTIVE DATE (MM/DD/YYYY) POLICY EXPIRATION DATE (MM/DD/YYYY) ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C Prof Issuing Carriers
AGENCY CUSTOMER ID: ADDITIONAL REMARKS SCHEDULE
LOC #:

ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance EFFECTIVE DATE: CARRIER NAIC CODE

POLICY NUMBER
AGENCY NAMED INSURED See Certificate Numbe
See Certificate Numbe
Aon Risk Services Central, Inc.
570000076981
570099106839
570099106839
Page _ of _
One Workplace L. Ferrari, LLC.

Ascot Specialty Insurance Company - 20%
Everest Indemnity Insurance Company - 25%
QBE Europe SA/NV - 2.50%
QBE UK Limited - 2.50%
Scottsdale Ins Company - 20%
Lloyds of London Participation:

Aegis Consortium 4893 - 11.25%
Brit Syndicate 2987 - 13.75%
Hamilton Syndicate 4000 - 5.00%
ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID: CE78EEF8-8C24-41B4-A2DD-D6727E063E2C U-GL-2162-A CW (02/19)

Page 1 of 4 ends

South San Francisco City CouncilMarch 13, 2024

South San Francisco City Council
March 13, 2024