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GEO-19-0001 PBT
Former George AFB Page 61 of 65 Lease for Airfield Property boundaries for each of these LF/DPs):
a. The Lessee (its sublessees or licensees) shall not damage/disturb/destroy/ tamper with/alter, or authorize others to damage/disturb/destroy/tamper with/alter, any component of a LF/DP’s Landfill Remedial System including but not limited to the earthen/engineered cover, settlement monuments, fencing or signage, and/or any equipment or infrastructure used to protect, preserve, or monitor a LF/DP. This prohibition also precludes any activity or Alteration that affects surface water drainage patterns by damaging/destroying/ altering the storm drainage channels/system in the vicinity of a LF/DP’s fenced area.
b. Aside from an emergency, only the Air Force will access a LF/DP’s fenced area. Otherwise, the Lessee must notify the Air Force if it (its sublessees or licensees) has a need to access a LF/DP’s fenced area. If emergency access is required, the Lessee must notify the Air Force within twenty-four (24) hours after accessing a LF/DP’s fenced area caused by such an emergency.
c. The Lessee (its sublessees or licensees) shall protect all Air Force groundwater monitoring wells associated with any LF/DPs, whether currently installed or installed in the future, and preserve Air Force access to them (as depicted on the plats with the legal description of the boundaries for each of these LF/DPs).
26.5. The Lessee will minimize the destruction, loss, or degradation of wetlands found in the Leased Premises and identified in Exhibit G-2, Page 2 of 2 ("Sensitive Habitats") hereto.
Before locating new construction in jurisdictional wetlands, the Lessee shall find in writing that there is no practicable alternative for such new construction and that the construction includes all practicable measures to minimize harm to the wetlands from such use. In making that finding, the Lessee may take into account economic, environmental and other pertinent factors. In addition, the Lessee shall provide an opportunity for early public review of any plan or proposal for new construction in jurisdictional wetlands. Before locating new construction in the jurisdictional wetlands, the Lessee shall contact the United States Army Corps of Engineers and obtain a permit or waiver under Section 404 of the Clean Water Act. For purposes of this "!
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GEO-19-0001 PBT
Former George AFB Page 62 of 65 Lease for Airfield Property Condition, the term "new construction" includes building structures or facilities, draining, dredging, channelizing, filling, diking, impounding, and related activities.
26.6. The Lessee will consult with the Department of Agriculture, U.S. Fish and Wildlife Service ("USFWS") to determine if a mitigation/compensation package for endangered species habitat losses resulting from Lessee's development and operations is required. Pursuant to Section 7 of the Endangered Species Act, the Air Force will consult with the USFWS on the compensation package. The Lessee shall implement any mitigation/compensation package approved by the USFWS. Endangered or threatened species, and their habitats, located on the Leased Premises are identified in Exhibit G-2, Page 2 of 2.
26.7. The National Historic Preservation Act ("NHPA") is the primary law governing actions affecting cultural resources. In compliance with NHPA, the Air Force conducted an architectural inventory and evaluation of George AFB, including the Leased Premises. The Air Force has completed its consultation with the California Historic Preservation Officer ("SHPO").
The California SHPO has concurred with the finding that there are no structures on George AFB eligible for listing in the National Register for Historic Places. As prior studies indicated there are no significant properties or paleontological resources on George AFB, reuse activities will not impact protected cultural resources. If such resources are identified in the future, the Lessee shall comply will all applicable laws regarding the impact of its activities on such resources.
CONDITION 27
GOVERNMENT REPRESENTATIVES AND THEIR SUCCESSORS
27.1. The BEC with the assistance of AFCEC/CIB staff has been duly authorized to administer this Lease. The on-site SM is the local point of contact and a liaison with the BEC.
27.2. Except as otherwise specifically provided, any reference herein to BEC shall include his or her duly appointed successors and his or her authorized representatives.
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GEO-19-0001 PBT
Former George AFB Page 63 of 65 Lease for Airfield Property CONDITION 28
AMENDMENTS
28.1. This Lease may be amended at any time by mutual agreement of the Parties in writing and signed by a duly authorized representative of each of the respective Parties hereto.
Amendments to this Lease executed on behalf of the Air Force must be signed by an authorized representative of the Secretary of the Air Force.
CONDITION 29
EXHIBITS
29 .1. Three (3) sets of exhibits are attached to and made a part of this Lease, as follows:
Exhibit A-1 Depictions of the Leased Premises
Exhibit B-1 Legal Description of the Leased Premises
Exhibit C Physical Condition Report (PCR)
[refer to the PCR attached to the Original Lease]
Exhibit D Environmental Condition Report (ECR)
[refer to the ECR attached to the Original Lease]
Exhibit E [Omitted]
Exhibit F Application for Airport Public Benefit Transfer and Acceptance [refer to the attachment to the Original Lease]
Exhibit G-1/2 Restrictions on Use of Leased Premises and Areas of Special Notice
Exhibit H [Omitted]
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GEO-19-0001 PBT
Former George AFB Page 64 of 65 Lease for Airfield Property CONDITION 30
REPORTING TO CONGRESS
30.1. Pursuant to the Defense Authorization Amendments and Base Closure and Realignment Act ("BCRA"), P. L. 100-526, this Lease is not subject to 10 U.S.C. § 2662.
[Remainder of page intentionally blank]
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GEO-19-0001 PBT
Former George AFB Page 1 of 3 Lease for Airfield Property Exhibit A-1
EXHIBIT A-1
DEPICTIONS OF THE LEASED PREMISES
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GEO-19-0001 PBT
Former George AFB Page 2 of 3 Lease for Airfield Property Exhibit A-1
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GEO-19-0001 PBT
Former George AFB Page 3 of 3 Lease for Airfield Property Exhibit A-1
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GEO-19-0001 PBT
Former George AFB Page 1 of 5 Lease for Airfield Property Exhibit B-1
EXHIBIT B-1
LEGAL DESCRIPTION OF THE LEASED PREMISES
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GEO-19-0001 PBT
Former George AFB Page 2 of 5 Lease for Airfield Property Exhibit B-1
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GEO-19-0001 PBT
Former George AFB Page 3 of 5 Lease for Airfield Property Exhibit B-1
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GEO-19-0001 PBT
Former George AFB Page 4 of 5 Lease for Airfield Property Exhibit B-1
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GEO-19-0001 PBT
Former George AFB Page 5 of 5 Lease for Airfield Property Exhibit B-1
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GEO-19-0001 PBT
Former George AFB Lease for Airfield Property
Exhibit G-2
EXHIBIT G-1
RESTRICTIONS ON USE OF LEASED PREMISES
AND
AREAS OF SPECIAL NOTICE
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GEO-19-0001 PBT
Former George AFB Lease for Airfield Property
Exhibit G-2
EXHIBIT G-2
RESTRICTIONS ON USE OF LEASED PREMISES
AND
AREAS OF SPECIAL NOTICE
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GEO-19-0001 PBT
Former George AFB Page 1 of 2 Lease for Airfield Property Exhibit G-2
EXHIBIT G-2, page 1 of 2
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GEO-19-0001 PBT
Former George AFB Page 2 of 2(1) Lease for Airfield Property Exhibit G-2
EXHIBIT G-2, page 2 of 2(1)
SENSITIVE HABITATS
THREATENED AND ENDANGERED SPECIES
The primary species of concern in the lease area are the desert tortoise ( Gopherus agassizii) and the Mojave ground squirrel (Spermophilus mohavenis). Undeveloped areas to the north and east of the crosswind runway and areas to the south and southwest of the main runway are known to be desert tortoise habitat, see attached excerpt from the George Air Force Base Final Environmental Impact Statement, March 1992. The desert tortoise is federally listed. All undeveloped portions of the installation are considered to be Mojave ground squirrel habitat by the California Department of Fish and Game. The Mojave ground squirrel is listed by the State as threatened and is a Category 2 candidate for Federal listing. Habitats associated with these species are presumed sensitive in the lease area.
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GEO-19-0001 PBT
Former George AFB Page 2 of 2(2) Lease for Airfield Property Exhibit G-2
EXHIBIT G-2, page 2 of 2(2)
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24.07.30 SCLAA Standard Sublease Page 29 Exqudrum, LLC Bldgs 787 and 788
EXHIBIT F
SELECTED FAA RULES AND REGULATIONS
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Certificate Of Completion
Envelope Id: 5273B11B-9D0E-89F3-8287-62D0C6750B82 Status: Completed Subject: Complete with Docusign: 26.06.25 Exquadrum LLC Bldg 787 & 788 Sublease For Execution.pdf Source Envelope:
Document Pages: 153 Signatures: 2 Envelope Originator:
Certificate Pages: 5 Initials: 0 Jacob Kern
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
[email protected]
IP Address: 24.182.14.221
Record Tracking
Status: Original
6/25/2026 3:10:52 PM
Holder: Jacob Kern
[email protected]
Location: DocuSign
Signer Events Signature Timestamp
Brendan Cooney
[email protected]
General Counsel
Mach Industries Inc.
Security Level: Email, Account Authentication
(None)
Signature Adoption: Drawn on Device
Using IP Address: 174.227.175.222
Signed using mobile
Sent: 6/25/2026 3:40:11 PM
Resent: 6/29/2026 3:14:35 PM
Resent: 6/30/2026 8:58:35 AM
Viewed: 6/30/2026 4:50:13 PM
Signed: 6/30/2026 5:04:25 PM
Electronic Record and Signature Disclosure:
Accepted: 6/30/2026 4:50:13 PM
ID: b6d390c5-3770-4b4c-8e83-75a1fcb3bdc0
Andre de Bortnowsky
[email protected]
Partner
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 24.43.91.238
Sent: 6/30/2026 5:04:27 PM
Viewed: 7/1/2026 8:09:53 AM
Signed: 7/1/2026 8:11:05 AM
Electronic Record and Signature Disclosure:
Accepted: 9/14/2021 8:07:41 AM
ID: 89fd4926-8d5b-469d-a54e-529db0d246c7
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Lilly Franco
[email protected]
Security Level: Email, Account Authentication
(None)
Sent: 7/1/2026 8:11:07 AM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Witness Events Signature Timestamp
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Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 6/25/2026 3:40:11 PM
Envelope Updated Security Checked 6/25/2026 4:39:01 PM
Envelope Updated Security Checked 6/25/2026 4:39:01 PM
Envelope Updated Security Checked 6/25/2026 4:39:01 PM
Certified Delivered Security Checked 7/1/2026 8:09:53 AM Signing Complete Security Checked 7/1/2026 8:11:05 AM
Completed Security Checked 7/1/2026 8:11:07 AM
Payment Events Status Timestamps
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Insurance
Certificates
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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:
CONTACT
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FAX
E-MAIL
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PRODUCER
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PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be e ndorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A st atement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
OTHER:
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THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE
ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND COND ITIONS OF SUCH POLICIES. *LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS SHOWN ARE INCLUSIVE OF AMOUNTS REQUESTED BY THE CERTI FICATE HOLDER AND MAY NOT REFLECT POLICY LIMIT AMOUNTS IN EXCESS OF THOSE REQUESTED. *Not Applicable in WY $
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ANY PROPRIETOR/PARTNER/EXECUTIVE
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DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
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CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2025/12) © 1988-2025 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
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NAX-29-1124 Page 1 of 1
ADDITIONAL INSURED
Policy Number: NAF6071865 Endorsement #: 24
Named Insured: Exquadrum, LLC
Company: Endurance Assurance Corporation Effective Date: 4/25/2026 Aviation Managers:
Date Issued: 7/1/2026
This endorsement is part of your policy and takes effect on the effective date of your policy unless another effective date is shown above.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
NAX-29-1124 Endorsement # 24 - Page 1 of 1
In consideration of the premium paid and notwithstanding anything in the policy to the contrary, this endorsement amends the policy as shown below:
The following is included as Additional Insured(s) but only to the extent permitted by law and only to the extent of liability imposed upon Additional Insured(s) solely as the result of an act or omission of the Named Insured or its employees in connection with the Named Insured’s aviation operations. If coverage provided to the Additional Insured is required by a contract or agreement, the insurance afforded to such Additional Insured will not be broader than that which you are required by the contract or agreement to provide for such Additional Insured.
The Company waives its rights of subrogation against the Additional Insured as respects claims paid to the Named Insured. This waiver shall not affect any of the Insured's own rights under this policy.
The coverage provided under this Endorsement shall be considered primary and non-contributory from any other Insurance available to the Additional Insured.
Nothing in this Endorsement shall prejudice the Company's rights of recourse against the Additional Insureds as manufacturers, repairers, suppliers, or servicing agents where such rights of recourse would have existed had this agreement not been effected.
Southern California Logistics Airport Authority
18374 Phantom West
Victorville, CA 92394
All other terms and conditions of the policy remain unchanged.
THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY.
End of Endorsement – NAX-29-1124
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POLICY NO.: NAF6071865 ATTACHED TO CERTIFICATE # 5
Certificate # 5 Page 1 of 2
CERTIFICATE OF INSURANCE
THIS IS TO CERTIFY TO:
Southern California Logistics Airport Authority
18374 Phantom West
Victorville, CA 92394
THAT THE FOLLOWING POLICY OF INSURANCE HAS BEEN ISSUED TO:
Exquadrum, Inc.
13313 Sabre Blvd
Suite 1
Victorville, CA 92394
POLICY NUMBER: NAF6071865
POLICY PERIOD: From April 25, 2026 To April 25, 2027
INSURANCE COMPANY: Endurance Assurance Corporation
DESCRIPTION OF COVERAGES AND LIMITS OF LIABILITY: Please refer to attached schedule which is incorporated as a part hereof.
The above Certificate Holder is included as Additional Insured but only to the extent of liability imposed upon Additional Insured solely as the result of an act or omission of the Named Insured or its employees in connection with the Named Insured's aviation operations.
The coverage provided under this Certificate shall be considered primary and non-contributory from any other Insurance available to the Additional Insured.
The Company waives its rights of subrogation against the Additional Insured as respects Physical Damage claims. This waiver shall not affect any of the Insured's own rights under this policy.
The Additional Insured is provided with a Hold Harmless but only to the extent of liability imposed upon Additional Insured solely as the result of an act or omission of the Named Insured or its employees in connection with the Named Insured's aviation operations.
Nothing in this Certificate shall prejudice the Company's rights of recourse against the Additional Insureds as manufacturers, repairers, suppliers, or servicing agents where such rights of recourse would have existed had this agreement not been effected.
Subject to Date Change Recognition Endorsement.
Data included in this Certificate valid as of April 25, 2026.
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions and conditions of such policies.
Should the described policy be cancelled before the expiration date hereof, the issuing company will endeavor to give 30 days (10 days for non-payment) notice to the certificate holder named herein.
However, failure to mail such notice shall not impose any obligation nor any liability of any kind upon the Company, its representatives or agents.
By:
Date of Issue: April 23, 2026
W. Brown & Associates Insurance Services Certificate No.: 5
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POLICY NO.: NAF6071865 ATTACHED TO CERTIFICATE # 5
Certificate # 5 Page 2 of 2
SCHEDULE OF LOCATIONS
Location of Aviation premises owned, rented to or occupied by the Named Insured:
13313 Sabre Blvd, Victorville, CA, 92394
Type of Coverage:
LIMITS OF LIABILITY
General Aggregate Limit (Other than Products-Completed
Operations and Hangarkeepers) $5,000,000
Products-Completed Operations Aggregate Limit $5,000,000 Personal Injury & Advertising Injury Aggregate Limit $5,000,000 Each Occurrence Limit $5,000,000
Fire Damage Limit (Any One Fire) $100,000
Medical Expense Limit (Any One Person) $5,000
Premises Property Damage & Bodily Injury Deductible - $5,000 each loss Aircraft Property Damage Deductible - $5,000 per claim / $10,000 per claim Jet-Turbine / Deductible Per Loss - Unlimited
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COMMERCIAL AUTOMOBILE
CA 83 63 04 18
CA 83 63 04 18 Includes copyrighted material of Insurance Services Office, Inc., with its permission
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BUSINESS AUTO BROADENING ENDORSEMENT
This endorsement modifies insurance provided under the following form:
BUSINESS AUTO COVERAGE FORM
To the extent that the provisions of this endorsement provide broader benefits to the “insured” than other provisions of the policy, the provisions of this endorsement apply.
This is a summary of the various additional coverages and coverage modifications provided by this endorsement.
For complete details on specific coverages, consult the actual policy wording.
SCHEDULE
Coverage Limit of Insurance
Who is an Insured - Employees, Partners, Members, Volunteers and Board Members
Included
Automatic Additional Insureds - By Contract and Primary and Non-Contributory Provision
Included
Leased Auto Coverage Included
Owned Subsidiaries and Newly Acquired or Formed
Organizations
Included
Supplementary Payments - Bail Bonds $5,000
Supplementary Payments - Loss of Earnings $1,000 - Per Day Fellow Employee Included
Physical Damage Coverage Extensions - Towing $200 - Any Auto Physical Damage Coverage Extensions - Glass Breakage No Deductible Physical Damage Coverage Extensions - Transportation
Expenses
$100 - Per Day
$3,000 - Maximum
Hired Auto Physical Damage Coverage $100 - Per Day
$3,000 - Maximum
Total Theft of a Covered Auto $500 - Personal Items
$1,000 - Reasonable Expenses to Return
Stolen Auto
Auto Loan / Lease Gap Protection Included
Customization Coverage $2,000
Newly Acquired Owned Autos and Donated Autos Physical
Damage Coverage
$100,000
Rental Reimbursement Coverage $100 per day up to 30 days $500 for reasonable expenses to remove and
replace your materials and equipment
Accidental Discharge - Airbag Coverage Included
Original Equipment Manufacturer OEM Part Replacement Included Multiple Deductibles Included
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Office, Inc., with its permission
CA 83 63 04 18
SCHEDULE (Continued)
Coverage Limit of Insurance
Notice and Knowledge of Occurrence - Duties in the Event of Accident, Claim, Suit or Loss
Included
Blanket Waiver of Subrogation By Written Contract Included Unintentional Errors And Omissions Included
Mental Anguish Included
A. WHO IS AN INSURED - EMPLOYEES, PARTNERS, MEMBERS, VOLUNTEERS AND BOARD MEMBERS The following is added to Section II - Covered Autos Liability Coverage, Paragraph A.1. Who Is An Insured:
d. Any “employee”, partner or member of yours while using a covered “auto” you don't own, hire or borrow in your business or your personal affairs.
e. Anyone volunteering services to you while using a covered “auto” you don't own, hire or borrow in activities necessary to your business. Anyone else who furnishes that “auto” is also an “insured”. f. Board members (or their spouses) while renting a vehicle while on business for the named insured.
B. AUTOMATIC ADDITIONAL INSUREDS BY CONTRACT AND PRIMARY AND NON-CONTRIBUTORY
PROVISION
1. Section II - Covered Autos Liability Coverage , Paragraph A.1. Who is An Insured is amended to include as an Insured any person or organization whom you are required to add as an Additional Insured on this policy under a written contract or written agreement in effect on the date of the “accident”; and signed by all parties prior to the “accident.”
2. This person or organization is an Additional Insured only to the extent you are liable for an “accident” caused, in whole or in part, by the use of a covered “auto” being driven by you or any “insured.” However:
a. The insurance afforded to such Additional Insured only applies to the extent permitted by law; and b. If coverage provided to the Additional Insured is required by a written contract or written agreement, the insurance afforded to such Additional Insured will not be broader than that which you are required by the written contract or written agreement to provide for such Additional Insured.
3. With respect to insurance provided to an Additional Insured the following provisions apply:
a. This insurance is primary to and will not seek contribution from any other insurance available to an Additional Insured under your policy provided that:
(1) The Additional Insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the Additional Insured. b. When a written contract or written agreement does not require this insurance to be primary or primary and non-contributory, this insurance is excess over any other insurance for which the Additional Insured is designated as a Named Insured.
c. Regardless of the written contract or written agreement between you and an Additional Insured, this insurance is excess over any other insurance whether primary, excess, contingent or any other basis for which the Additional Insured has been added as an additional insured on other policies. d. If coverage provided to the additional insured is required by a written contract or written agreement, the most we will pay on behalf of the additional insured is the amount of insurance:
(1) Required by the written contract or written agreement; or (2) Available under the applicable Limits of Insurance show in the Declarations; whichever is less.
C. LEASED AUTO COVERAGE
With respect to insurance provided to an Additional Insured who is a lessor of a “leased auto” the following provisions apply:
1. Section II - Covered Autos Liability Coverage , Paragraph A. Coverage is amended by adding the following:
a. Any “leased auto” designated or described in the Schedule will be considered a covered “auto” you own and not covered “auto” you hire or borrow.
!
CA 83 63 04 18 Includes copyrighted material of Insurance Services Office, Inc., with its permission
b. For a covered “auto” that is a “leased auto” Who Is An Insured is changed to include as an “Insured” the lessor.
c. The coverages provided under this endorsement apply to any “leased auto” described in the Schedule until the expiration date shown in the Schedule, or when the lessor or his or her agent takes possession of the “leased auto,” whichever occurs first.
2. Section IV - Business Auto Conditions , Paragraph A.4. Loss Payment - Physical Damage Coverages is amended by adding the following:
a. We will pay, as interest may appear, you and the lessor for “loss” to a “leased auto.” b. The insurance covers the interest of the lessor unless the “loss” results from fraudulent acts or omissions on your part.
c. If we make any payment to the lessor, we will obtain his or her rights against any other party.
3. Section V - Definitions is amended by adding the following definition:
“Leased auto” means any “auto” leased or rented to you including any substitute, replacement or extra “auto” needed to meet seasonal or other needs, under a leasing or rental agreement that requires you to provide direct primary insurance for the lessor.
D. OWNED SUBSIDIARIES AND NEWLY ACQUIRED OR FORMED ORGANIZATIONS Section II - Covered Autos Liability Coverage, Paragraph A.1. Who Is An Insured is amended by adding the following:
The following are “insureds”:
1. Any subsidiary which is a legally incorporated entity of which you maintain ownership or majority interest on the effective date of this Coverage Form, except:
a. Any subsidiary that is an insured under any other automobile liability policy. b. Any subsidiary which would be an insured under any other automobile liability policy but for the termination of such policy or exhaustion of such policy's Limits of Insurance.
2. Any organization you newly acquire or form, and in which you maintain ownership or majority interest, but only for the period beginning when you first maintained majority interest until the end of the policy period of this Coverage Form, or the next anniversary of the inception date of this Coverage From, whichever is earlier. However, the newly acquired or formed organization is not an “Insured”:
a. For “bodily injury” or “property damage” resulting from an “accident” that occurred before you acquired or formed the organization.
b. If it is an insured under any other automobile liability policy or would be an insured under any other automobile liability policy but for the termination of such policy or exhaustion of such policy's Limits of Insurance.
E. SUPPLEMENTARY PAYMENTS
1. Section II - Covered Autos Liability Coverage , Paragraph A.2.a.(2) is deleted and replaced with the following:
(2) Up to $5,000 for cost of bail bonds (including bonds for related traffic law violations) required because of an “accident” we cover. We do not have to furnish these bonds.
2. Section II - Covered Autos Liability Coverage, Paragraph A.2.a.(4) is deleted and replaced with the following:
(4) All reasonable expenses incurred by the “Insured” at our request, including actual loss of earnings up to $1,000 a day because of time off from work.
F. FELLOW EMPLOYEE
Section II - Covered Autos Liability Coverage, Paragraph B.5.b. is amended with the addition of the following:
This exclusion does not apply to “bodily injury” resulting from the use of a covered “auto” you own or hire. This Coverage is excess over any other collectible insurance.
G. PHYSICAL DAMAGE COVERAGE EXTENSIONS - TOWING
Section III - Physical Damage Coverage, Paragraph A.2. Towing is deleted in its entirety and replaced with the following:
2. Towing
We will pay up to $200 for towing and labor costs incurred each time a covered “auto” is disabled.
However, the labor must be performed at the place of disablement. No deductible applies to this enhancement.
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Office, Inc., with its permission
CA 83 63 04 18
H. PHYSICAL DAMAGE COVERAGE EXTENSIONS - GLASS BREAKAGE Section III - Physical Damage Coverage, Paragraph A.3. Glass Breakage - Hitting a Bird or Animal - Falling Objects or Missiles is amended by adding the following:
No deductible for covered “autos” applies to “loss” resulting from glass breakage.
I. PHYSICAL DAMAGE COVERAGE EXTENSIONS - TRANSPORTATION EXPENSES Section III - Physical Damage Coverage, Paragraph A.4.a. Transportation Expenses is deleted in its entirety and replaced with the following:
a. Transportation Expenses
We will pay up to $100 per day to a maximum of $3,000 for temporary transportation expense incurred by you because of “loss” to a covered “auto”. We will pay only for those covered “autos” for which you carry either Comprehensive or Specified Causes of Loss Coverage. We will pay for temporary transportation expenses incurred until the covered “auto” is returned to use or we pay for its “loss,” regardless of the policy's expiration.
We will pay under this Coverage Extension only that amount of Transportation Expenses which is not already provided under Paragraph O. Rental Reimbursement Coverage Extension of this endorsement.
J. HIRED AUTO PHYSICAL DAMAGE COVERAGE
Section III - Physical Damage Coverage, Paragraph A.4. Coverage Extensions is amended to add the following:
Hired Auto Physical Damage Coverage
If Comprehensive Coverage, Specified Causes of Loss or Collision Coverage is shown in the Declarations for any covered “auto”, then the same type of Physical Damage Coverage is provided for any Hired Auto, subject to the following:
1. The most we will pay for any one “accident” or “loss” is the lesser of:
a. The actual cash value of the covered “auto” at the time of the “loss”; or b. The actual cost to repair or replace such covered “auto” at the time of the “loss”.
2. The Limit of Insurance as determined under Paragraph 1. above, will be reduced by any applicable Comprehensive or Collision deductible for each covered “auto”. This deductible will be equal to the largest deductible applicable under any coverage for such covered “auto”. No deductible applies to “loss” caused by fire or lightning.
3. The coverage provided by this Coverage Extension will be excess over any other collectible insurance.
4. Subject to Paragraphs 1., 2., and 3. above, we will provide the broadest coverage applicable to any covered “auto” shown in the Declarations.
5. For coverage provided under this coverage extension, the last sentence of Paragraph A.4.b. of Section III - Physical Damage Coverage, is deleted and replaced with the following:
However, the most we will pay for any expenses for loss of use is $100 per day, to a maximum of $3,000 per “accident” if loss of use results from an “accident” for which you are legally liable and the lessor incurs a financial loss.
K. TOTAL THEFT OF A COVERED AUTO
Section III - Physical Damage Coverage, Paragraph A.4. Coverage Extensions is amended to add the following:
Total Theft of a Covered Auto
In the event of the total theft of a covered “auto”:
1. Coverage includes personal items in the covered “auto” at the time of loss up to a maximum of $500. No deductible applies to this coverage.
2. We will pay reasonable expenses for returning the stolen covered “auto” to you once it is recovered, up to a maximum of $1,000. No deductible applies to this coverage.
L. AUTO LOAN / LEASE GAP PROTECTION
Section III - Physical Damage Coverage, Paragraph A.4. Coverage Extensions is amended to add the following:
In the event of a total “loss” of a covered “auto” shown in the Declarations for which Physical Damage Coverage is provided, we will provide coverage for any unpaid amount due on the lease or loan for such covered “auto”, less the following:
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CA 83 63 04 18 Includes copyrighted material of Insurance Services Office, Inc., with its permission
1. The amount paid under the Physical Damage Coverage Section of the Policy for that covered “auto”; and
2. Any:
a. Overdue lease or loan payments at the time of the “loss”; b. Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; c. Security deposits not returned by the lessor;
d. Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance purchased with the loan or lease; and
e. Carry-over balances from previous loans or leases.
M. CUSTOMIZATION COVERAGE
Section III - Physical Damage Coverage, Paragraph A.4. Coverage Extensions is amended to add the following:
1. We will pay with respect to a covered “auto” for “loss” to automobile customization which includes special carpeting and insulation, height - extended roofs and custom murals, paintings, vinyl wraps or other details or graphics.
2. Our limit of liability for “loss” to automobile customizations in any one “loss” shall be the least of:
a. The actual cash value of the stolen or damaged property; b. The amount necessary to repair or replace the property; or c. $2,000.
This Coverage Extension does not apply to electronic equipment.
N. NEWLY ACQUIRED OWNED AUTOS AND DONATED AUTOS PHYSICAL DAMAGE COVERAGE Section III - Physical Damage Coverage, Paragraph A.4. Coverage Extensions is amended to add the following:
1. If Comprehensive, Specified Causes of Loss, or Collision Coverage is provided by this Policy, the coverage is extended to apply to Physical Damage “loss” to your newly acquired owned “autos” and donated autos.
We will provide the broadest coverage available to any covered “auto” shown in the Declarations.
2. The most we will pay for “loss” to a newly acquired “auto” or donated auto is the least of:
a. The actual cash value of the damaged or stolen property as of the time the “loss,” or your actual cost of purchase of the newly acquired “auto”, whichever is more; b. The actual cost of:
(1) Replacing the damaged or stolen property with other property of like kind and quality; or (2) Repairing the damaged property without deduction for depreciation; or c. $100,000.
However, the most we will pay for all covered physical damage “loss” for newly acquired autos and donated autos occurring during the policy period shown on the Declarations is $100,000.
3. For each newly acquired “auto” our obligation to pay “loss” will be reduced by a deductible equal to the highest deductible applicable to any “auto” for that coverage. No deductible will be applied to “loss” caused by fire or lightning.
4. Coverage under this Extension, for newly acquired owned “autos” is afforded until you notify us to add the newly acquired owned vehicle to your auto schedule or until the end of the policy period, whichever is earlier.
O. RENTAL REIMBURSEMENT COVERAGE EXTENSION
Section III - Physical Damage Coverage, Paragraph A.4. Coverage Extensions is amended to add the following:
1. For those covered “autos” for which you carry Comprehensive or Specified Cause of Loss Coverage:
a. We will pay up to $100 per day, for up to 30 days, for Rental Reimbursement Expenses incurred by you for the rental of an “auto” because of a “loss” to a covered “auto”. b. We will pay up to $500 for reasonable and necessary expenses incurred by you to remove and replace your materials and equipment from the covered “auto”.
2. We will pay under this coverage extension only that amount of your Rental Reimbursement Expenses which is not already provided under Paragraph I. Transportation Expenses of this endorsement.
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Office, Inc., with its permission
CA 83 63 04 18
P. ACCIDENTAL DISCHARGE - AIRBAG COVERAGE
Section III - Physical Damage Coverage, Exclusion B.3.a. does not apply to “loss” due and confined to the accidental discharge of an airbag. No deductible applies to this coverage.
Q. ORIGINAL EQUIPMENT MANUFACTURER (OEM) PART REPLACEMENT Section III - Physical Damage Coverage, Paragraph C.1. Limits of Insurance is amended to include the following:
We will pay the cost to replace the damaged parts (excluding glass and mechanical parts) with new Original Equipment Manufacturer (OEM) replacement parts if the damage parts cannot be repaired.
R. MULTIPLE DEDUCTIBLES
Section III - Physical Damage Coverage, Paragraph D. Deductible is amended to add the following:
When two or more covered “autos” sustain “loss” in a single incident, a single Physical Damage deductible will apply to the total “loss” for all covered “autos.” That deductible will be the largest of all deductibles applying to any of the covered “autos” involved in the single incident.
S. NOTICE AND KNOWLEDGE OF OCCURRENCE - DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT
OR LOSS
1. Section IV - Business Auto Conditions, Paragraph A.2.a. is deleted and replaced with the following:
a. In the event of “accident,” claim, “suit” or “loss,” you must give us or our authorized representative notice as soon as practicable of the “accident” or “loss” after the “accident” or “loss” is known to you (if you are an individual), one of your partners (if you are a partnership), or one of your officers or any personnel responsible for insurance, risk management, or loss prevention (if you are a corporation).
Notice shall include:
(1) How, when and where the “accident” or “loss” occurred; (2) The “insured's” name and address; and
(3) To the extent possible, the names and addresses of any injured persons and witnesses.
2. Section IV - Business Auto Conditions , Paragraph A.2.b(2) is deleted and replaced with the following:
(2) As soon as practicable send us copies of any request, demand, order, notice, summons or legal paper received concerning the claim or “suit” after the claim or “suit” is known to you (if you are an individual), one of your partners (if you are a partnership), or one of your officers or any personnel responsible for insurance, risk management, or loss prevention (if you are a corporation).
T. BLANKET WAIVER OF SUBROGATION BY WRITTEN CONTRACT
Section IV - Business Auto Conditions, Paragraph A.5. is amended to add the following:
However, we waive any right of recovery we may have against any person or organization to the extent required of you by a written contract or written agreement signed by all parties prior to any “accident” or “loss”, provided that the “accident” or “loss” arises out of the operations contemplated by such written contract or written agreement. The waiver applies only to the person or organization designated in such written contract or written agreement.
U. UNINTENTIONAL ERRORS AND OMISSIONS
Section IV - Business Auto Conditions, Paragraph B.2. is amended to add the following:
However, if you should unintentionally mispresent or conceal information to us at any time, we will not deny coverage under this policy based on this unintentional error or omission.
This provision does not affect our right to cancel or non-renew your coverage or collect additional premium for any added exposures.
V. MENTAL ANGUISH
Section V - Definitions, Definition C. “Bodily Injury” is deleted and replaced by the following:
“Bodily Injury” means physical injury, sickness or disease sustained by a person including death resulting from any of these. “Bodily Injury” also means mental injury, mental anguish, humiliation or shock if directly resulting from physical injury, sickness or disease to that person.
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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 04 84
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT_WC 00 03 13_04/84 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
06/19/2026
Policy No.
TWC 7031811 10
Endorsement No.
Insured
Mach Industries
Premium
Insurance Company: Countersigned by
Berkley Regional Insurance Company
WC 00 03 13 04 84 © 1983 National Council on Compensation Insurance Page 1 of 1
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS
ENDORSEMENT
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
Schedule
Any person or organization for which you have agreed to waive your rights of recovery in a written contract, provided such contract was executed prior to the date of loss.
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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 04 84
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA_WC 04 03 06_04/84 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
06/19/2026
Policy No.
TWC 7031811 10
Endorsement No.
Insured
Mach Industries
Premium
Insurance Company: Countersigned
by
Berkley Regional Insurance Company
WC 04 03 06 04 84 1998 by the Workers' Compensation Insurance Rating Bureau of California.
All rights reserved. From the WCIRB's California Workers' Compensation Insurance Forms Manual 2001.
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS
ENDORSEMENT - CALIFORNIA
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule.
The additional premium for this endorsement shall be 2% of the California workers' compensation premium otherwise due on such remuneration.
Schedule
Person or Organization Job Description
Any person or organization for which you have agreed to waive your rights of recovery in a written contract, provided such contract was executed prior to the date of loss.
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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
CANCELLATION
ACORD 28 (2016/03)
© 2003-2015 ACORD CORPORATION. All rights reserved.
NOYES
NOYES
If YES, LIMIT: DED:Subject to Different Provisions:
Subject to Different Provisions:
NAMED STORM INCL
DED:If YES, LIMIT:
If YES, LIMIT:
If YES, LIMIT:
If YES, LIMIT:
If YES, LIMIT:
If YES, LIMIT:
If YES, LIMIT:
RENTAL VALUE
N/A
FUNGUS EXCLUSION (If "YES", specify organization's form used)
LIMITED FUNGUS COVERAGE
$
EARTH MOVEMENT (If Applicable)
WIND / HAIL INCL
ORDINANCE OR LAW
EQUIPMENT BREAKDOWN (If Applicable)
COINSURANCE
AGREED VALUE
REPLACEMENT COST
DED:
IS DOMESTIC TERRORISM EXCLUDED?
IS THERE A TERRORISM-SPECIFIC EXCLUSION?
Attach Disclosure Notice / DECTERRORISM COVERAGE
BLANKET COVERAGE
YES NO
COVERAGE INFORMATION
FLOOD (If Applicable)
PERMISSION TO WAIVE SUBROGATION IN FAVOR OF MORTGAGE
HOLDER PRIOR TO LOSS
If YES, %
DED:
COMMERCIAL PROPERTY COVERAGE AMOUNT OF INSURANCE: DED:
PERILS INSURED BASIC BROAD SPECIAL
- Demolition Costs
- Incr. Cost of Construction
- Coverage for loss to undamaged portion of bldg
DED:
DED:
DED:
DED:
DED:
If YES, indicate value(s) reported on property identified above: $ BUSINESS INCOME If YES, LIMIT: Actual Loss Sustained; # of months:
If YES, LIMIT:
AUTHORIZED REPRESENTATIVE
ADDITIONAL INTEREST
NAME AND ADDRESS
LENDER SERVICING AGENT NAME AND ADDRESSCONTRACT OF SALE
MORTGAGEE
LENDER'S LOSS PAYABLE
LOCATION / DESCRIPTION
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTA NDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS EVIDENCE OF PROPERTY INSURANCE MAY
BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. (ACORD 101 may be attached if more space is required) BUILDING OR BUSINESS PERSONAL PROPERTY
THIS EVIDENCE OF COMMERCIAL PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST.
ADDITIONAL NAMED INSURED(S)
NAMED INSURED AND ADDRESS
CODE:
AGENCY
CUSTOMER ID #:
SUB CODE:
E-MAIL
ADDRESS:
(A/C, No, Ext):
PHONE
FAX
(A/C, No):
PRODUCER NAME,
CONTACT PERSON AND ADDRESS
EXPIRATION DATEEFFECTIVE DATE
THIS REPLACES PRIOR EVIDENCE DATED:
TERMINATED IF CHECKED
CONTINUED UNTIL
IF MULTIPLE COMPANIES, COMPLETE SEPARATE FORM FOR EACH
COMPANY NAME AND ADDRESS NAIC NO:
POLICY TYPE
POLICY NUMBERLOAN NUMBER
EVIDENCE OF COMMERCIAL PROPERTY INSURANCE
DATE (MM/DD/YYYY)
The ACORD name and logo are registered marks of ACORD
PROPERTY INFORMATION
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ACORD 101 (2008/01)
The ACORD name and logo are registered marks of ACORD
© 2008 ACORD CORPORATION. All rights reserved.
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE:
ADDITIONAL REMARKS
ADDITIONAL REMARKS SCHEDULE Page of
AGENCY CUSTOMER ID:
LOC #:
AGENCY
CARRIER NAIC CODE
POLICY NUMBER
NAMED INSURED
EFFECTIVE DATE:
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IL 00 17 11 98
IL 00 17 11 98 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1
COMMON POLICY CONDITIONS
All Coverage Parts included in this policy are subject to the following conditions.
A. Cancellation
1. The first Named Insured shown in the Declara-
tions may cancel this policy by mailing or de-
livering to us advance written notice of cancel-
lation.
2. We may cancel this policy by mailing or deliv-
ering to the first Named Insured written notice
of cancellation at least:
a. 10 days before the effective date of cancel-
lation if we cancel for nonpayment of pre-
mium; or
b. 30 days before the effective date of cancel-
lation if we cancel for any other reason.
3. We will mail or deliver our notice to the first
Named Insured's last mailing address known to
us.
4. Notice of cancellation will state the effective
date of cancellation. The policy period will end
on that date.
5. If this policy is cancelled, we will send the first
Named Insured any premium refund due. If we
cancel, the refund will be pro rata. If the first
Named Insured cancels, the refund may be
less than pro rata. The cancellation will be ef-
fective even if we have not made or offered a
refund.
6. If notice is mailed, proof of mailing will be suf-
ficient proof of notice.
B. Changes
This policy contains all the agreements between
you and us concerning the insurance afforded.
The first Named Insured shown in the Declara-
tions is authorized to make changes in the terms
of this policy with our consent. This policy's terms
can be amended or waived only by endorsement
issued by us and made a part of this policy.
C. Examination Of Your Books And Records
We may examine and audit your books and rec-
ords as they relate to this policy at any time during
the policy period and up to three years afterward.
D. Inspections And Surveys
1. We have the right to:
a. Make inspections and surveys at any time;
b. Give you reports on the conditions we find;
and
c. Recommend changes.
2. We are not obligated to make any inspections,
surveys, reports or recommendations and any
such actions we do undertake relate only to in-
surability and the premiums to be charged. We
do not make safety inspections. We do not un-
dertake to perform the duty of any person or
organization to provide for the health or safety
of workers or the public. And we do not warrant
that conditions:
a. Are safe or healthful; or
b. Comply with laws, regulations, codes or
standards.
3. Paragraphs 1. and 2. of this condition apply
not only to us, but also to any rating, advisory,
rate service or similar organization which
makes insurance inspections, surveys, reports
or recommendations.
4. Paragraph 2. of this condition does not apply
to any inspections, surveys, reports or recom-
mendations we may make relative to certifica-
tion, under state or municipal statutes, ordi-
nances or regulations, of boilers, pressure ves-
sels or elevators.
E. Premiums
The first Named Insured shown in the Declara-
tions:
1. Is responsible for the payment of all premiums;
and
2. Will be the payee for any return premiums we
pay.
F. Transfer Of Your Rights And Duties Under
This Policy
Your rights and duties under this policy may not
be transferred without our written consent except
in the case of death of an individual named in-
sured.
If you die, your rights and duties will be trans-
ferred to your legal representative but only while
acting within the scope of duties as your legal rep-
resentative. Until your legal representative is ap-
pointed, anyone having proper temporary custody
of your property will have your rights and duties
but only with respect to that property.
!
Certificate Of Completion
Envelope Id: 6AAD3CEF-04E1-8623-8062-D42324861A4F Status: Completed Subject: Complete with Docusign: 26.07.06 Exquadrum LLC Bldg 787 & 788 Sublease Partially Executed.pdf Source Envelope:
Document Pages: 174 Signatures: 1 Envelope Originator:
Certificate Pages: 4 Initials: 0 Jacob Kern
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
[email protected]
IP Address: 24.182.14.221
Record Tracking
Status: Original
7/7/2026 12:14:20 PM
Holder: Jacob Kern
[email protected]
Location: DocuSign
Signer Events Signature Timestamp
Sandra Bostick
[email protected]
Security Level: Email, Account Authentication
(None)
Signature Adoption: Uploaded Signature Image
Using IP Address: 24.182.14.221
Sent: 7/7/2026 12:16:54 PM
Resent: 7/8/2026 3:46:00 PM
Resent: 7/14/2026 9:16:59 AM
Viewed: 7/15/2026 3:08:29 PM
Signed: 7/15/2026 3:32:53 PM
Electronic Record and Signature Disclosure:
Accepted: 5/4/2023 11:05:23 AM
ID: 53399de6-7230-46b3-9520-235d899f6fae
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Lilly Franco
[email protected]
Security Level: Email, Account Authentication
(None)
Sent: 7/15/2026 3:32:55 PM
Viewed: 7/15/2026 4:55:48 PM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 7/7/2026 12:16:54 PM
Certified Delivered Security Checked 7/15/2026 3:08:29 PM Signing Complete Security Checked 7/15/2026 3:32:53 PM
Completed Security Checked 7/15/2026 3:32:55 PM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
ELECTRONIC RECORD AND SIGNATURE DISCLOSURE
From time to time, City of Victorville (we, us or Company) may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically through the DocuSign system.
Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature Disclosure (ERSD), please confirm your agreement by selecting the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system.
Getting paper copies
At any time, you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the ability to download and print documents we send to you through the DocuSign system during and immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents for a limited period of time (usually 30 days) after such documents are first sent to you. After such time, if you wish for us to send you paper copies of any such documents from our office to you, you will be charged a $0.00 per-page fee. You may request delivery of such paper copies from us by following the procedure described below.
Withdrawing your consent
If you decide to receive notices and disclosures from us electronically, you may at any time change your mind and tell us that thereafter you want to receive required notices and disclosures only in paper format. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below.
Consequences of changing your mind
If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can complete certain steps in transactions with you and delivering services to you because we will need first to send the required notices or disclosures to you in paper format, and then wait until we receive back from you your acknowledgment of your receipt of such paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to receive required notices and consents electronically from us or to sign electronically documents from us.
All notices and disclosures will be sent to you electronically
Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us.
How to contact City of Victorville:
You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows:
To contact us by email send messages to: [email protected]
To advise City of Victorville of your new email address To let us know of a change in your email address where we should send notices and disclosures electronically to you, you must send an email message to us at [email protected] and in the body of such request you must state: your previous email address, your new email address. We do not require any other information from you to change your email address.
If you created a DocuSign account, you may update it with your new email address through your account preferences.
To request paper copies from City of Victorville
To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an email to [email protected] and in the body of such request you must state your email address, full name, mailing address, and telephone number. We will bill you for any fees at that time, if any.
To withdraw your consent with City of Victorville
To inform us that you no longer wish to receive future notices and disclosures in electronic format you may:
i. decline to sign a document from within your signing session, and on the subsequent page, select the check-box indicating you wish to withdraw your consent, or you may; ii. send us an email to [email protected] and in the body of such request you must state your email, full name, mailing address, and telephone number. We do not need any other information from you to withdraw consent.. The consequences of your withdrawing consent for online documents will be that transactions may take a longer time to process..
Required hardware and software
The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: https://support.docusign.com/guides/signer-guide- signing-system-requirements.
Acknowledging your access and consent to receive and sign documents electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system.
By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm that:
x You can access and read this Electronic Record and Signature Disclosure; and x You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and
x Until or unless you notify City of Victorville as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by City of Victorville during the course of your relationship with City of Victorville.