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HomeMy WebLinkAboutItem 8 - 20140527130320994 �� o o�C,eeaM,° �70� Jani-King of Minnesota,Inc. 5930 Shingle Creek Pkwy. Brooklyn Center,MN 55430 (763)746-7333 Fax: (763)746-7334 Other Franchising Centers May 27, 2014 United States Albuquerque Atlanta•Austin Baltimore The City of Lake Elmo Baton Rouge Adam Bell Birmingham Boston•Buffalo 3800 Laverne Ave North Charleston Lake Elmo, MN 55042 Charlotte•Chicago Cincinnati•Cleveland Colton•Columbia Columbus•Dallas Dayton•Denver Dear Adam: Detroit•Fort Worth Greensboro Thank you for meeting with me and discussing your housekeeping needs for your facility. Greenville/Spartanburg Hampton Roads Jani-King of Minnesota, Inc. appreciates this opportunity. Hartford•Hawaii Houston•Huntsville Enclosed is our completed proposal fora professionally operated cleaning program, including Indianapolis• Jackson 1� h h p Y P g p g , g Jacksonville•Kansas City the cleaning schedule. Knoxville•Las Vegas Los Angeles•Louisville Madison•Memphis The total monthly charge represents your only cost, and is inclusive of: Miami•Milwaukee Minneapolis•Mobile Nashville•New Jersey 0 All labor New Orleans All supervision New York•Oakland Oklahoma City•Orlando . All equipment for cleaning Philadelphia•Phoenix All Pittsburgh•Portland payroll, payroll taxes, insurance, etc. Raleigh/Durham Rhode Island• Richmond Each Jani-Kin representative is full covered b an insurance program that protects you and Sacramento g h Y Y 1� g 1�� St.Louis•Salt Lake City your business in several ways. This comprehensive program provides complete coverage, San Antonio•San Diego including General Liability, Compensation, Destruction, Dishonesty,San Francisco•Seattle g bilitY� Workers' Com ti 1> > Dtti > Dih ty, and Southeast Mississippi Disappearance Crime Insurance and Lost Key Insurance. Tampa Bay•Tucson Tulsa-Washington,D.C. Please contact me in the event you have questions regarding this proposal or for additional Australia information you deem necessary in assessing our proposal. Belgium Brazil Trusting we may be of service, Canada France Great Britain Hong Kong Mark Hunter Korea Account Executive Mexico (763) 746-7337 New Zealand Portugal Spain Taiwan THE JANI-KING FRANCHISING CONCEPT JANI-KING is a commercial cleaning service, in the business since 1969, that has dramatically changed the commercial cleaning and maintenance industry. JANI-KING recognized years ago that serious problems existed with conventional cleaning services. These problems stemmed from a lack of proper supervision and communication and little concern about a job well done. At JANI-KING, we realize that quality work is directly related to the individual workers' training, motivation and supervision. Locating quality individuals who possess the ability to consistently supervise and motivate cleaning personnel can solve these problems. At JANI-KING, we look for an individual who will care as much about your building as you do. Because we cannot provide individuals with ownership in your company or your building, acts which would surely promote the quality and concern we look for, we offer individuals ownership in a business - a JANI-KING franchise. The JANI-KING FRANCHISING CONCEPT has enabled us to provide clients throughout the world, both large and small, with a business person who has the intelligence, attitude, desire and determination to maintain the high cleaning standards that you demand for your building. Each JANI-KING AUTHORIZED FRANCHISEE has successfully completed an extensive training program and, as a member of our team, has the procedures, personnel, equipment, insurance, bonding and support necessary to become an integral part of your maintenance program. Our franchisees' concern - the dedication to your building -cannot be equaled. It is a pleasure to share the JANI-KING program with you, a program that has been the answer to cleaning problems encountered by building managers throughout the world. Please do not hesitate to call us for any additional information you might need. GENERAL PROCEDURES I. SUPERVISION ® JANI-KING will stay in close contact with the management concerning all work performed. ® All JANI-KING personnel will be trained and supervised to perform to the best of their ability in order to accomplish the cleaning you deserve. ® All personnel will be checked regularly as to performances and ability to maintain JANI-KING standards. II. WAGE SCALE ® All personnel will be paid no less than the minimum wage required by Federal Law. ® Work hours,workweek,job methods, procedures, pay periods, and pay scale will be thoroughly explained to all personnel. III. SECURITY PROCEDURES AND INSURANCE • JANI-KING representatives will work closely with management in regard to the use of acceptable personnel. ® Before leaving the building, JANI-KING personnel will check to ensure that the building is properly secured. ® JANI-KING will provide all necessary insurance and bonds on all JANI-KING personnel. AC"RfY CERTIFICATE OF LIABILITY INSURANCE PATE(MMIDDIYYYY) 1`- 6/1/z0145/31/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER LOCKTON COMPANIES,LLC-N DALLAS NCONTA AME: T 717 N.HARWOOD,LB#27 PH alc Ne,Ext; Fn c,No DALLAS TX 75201 E-MAIL 214-969-6700 ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURERA: Liberty Mutual Fire Insurance Company 23035 INSURED JANI-KING INTERNATIONAL,INC. INSURER St Paul File 1335106 and Marine Insumm Company 24767 JANI-KING LEASING,INC. JANI-KING FRANCHISING INC. INSURER C: Great American Insurance Company 16691 JANI-KING INC AND AND ITS SUBSIDIARIES 16865 DALfAS P INSURER D: Employers Insurance Company of Wausau 21458 ADDISON TX 75009 INSURER E: INSURER F- COVERAGES JANKIO2 CERTIFICATE NUMBER: 3633283 REVISION NUMBER: XXXXXXX THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDD MMIDDIYYYY LIMITS A GENERAL LIABILITY N N TB2-695-450953-213 6/1/2013 6/1/2014 EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 CLAIMS-MADE X❑OCCUR MED EXP An one person) s 10,000 PERSONAL&ADV INJURY $ 1000 000 GENERAL AGGREGATE $ 25 000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $ 2,000,000 PRO- POLICY JECT LOC $ A AUTOMOBILE LIABILITY N N ASS2-691-438428-013 6/1/2013 6/1/2014 COMBINED SINGLE LIMIT Ea accident $ 1000 000 X ANY AUTO BODILY INJURY(Per person) $ X)C)C)C= ALLOWNED HEULED AUTOS AUTOSSCD BODILY INJURY(Per accident,$ '� �� NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS paraccident $ ' '�X $ )DCXX= B X UMBRELLA LIAB X OCCUR N N ZUP-12PO1014-13-NF 6/1/2013 6/1/2014 EACH OCCURRENCE $25,000 000 EXCESS LIAB CLAIMS-MADE AGGREGATE $25,000,000 DED I I RETENTION$ $ XCXJ D WORKERS AND EMPLOYERSELIABILITY yI N N WCC-695-456062-893 6/1/2013 6/1/2014 X TORY LIMITS OTH- O FICANY ER,%EIMBER EXC UDEDETORIPARTNERIEX?ECUTIVEFNI NIA E.L.EACH ACCIDENT $ 1,000,000 (Mandatory in NH) E.L DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS baloav E-L DISEASE-POLICY LIMIT Is 1,000,000 C BLANKETEMP N N SAA024-90-47-01 12/5/2012 6/1/2014 $2,000,000 Each Occ> ence DISHONESTY DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES/(Attach ACORD 101,Additional Remarks Schedule,if more space is required) JAM-KING OF MINNESOTA,INC.(MINNEAPOLTS REGION,5930 SHINGLE CREEK PARKWAY,BROOKLYN CENTER,MN 55430 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 3633283 AUTHORIZED REPRESENTATIVE SPECIMEN rt ` ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION.All rights reserved The ACORD name and logo are registered marks of ACORD JANI-KING" MAINTENANCE AGREEMENT This Maintenance Agreement("Agreement")is made as of the Effective Date below by and between Jani-King of Minnesota ,Inc.("Jani- King")and City of Lake Elmo ("Client"). 1. PERFORMANCE OF SERVICES 1.1.Performance of the services scheduled shall begin the day of 2 1.2.The term of this Agreement shall be for one(1)year from the date services are scheduled to begin. 1.3.Jani-King will provide the services described in Exhibit A("Services")to the"Named Areas"which are defined in Exhibit A. 1.4.The Services shall be performed at the location(s)listed on Exhibit A of this Agreement. 1.5.Jani-King agrees to provide the Service to the Named Areas One W times per week on the days circled: Monday Tuesday Wednesday Thursday Friday Saturday Sunday 1.6.Jani-King agrees to furnish all equipment and tools necessary to provide the Services. 1.7. Client warrants that the Named Areas are free of asbestos and other hazardous materials. Client hereby agrees to hold Jani-King and its authorized franchise owners harmless from any liability resulting from any Jani-King personnel's exposure to hazardous or harmful materials located in the Named Areas. 2. PAYMENT OF SERVICES 2.1.Client agrees to pay to Jani-King each month the total minimum sum stated in the Pricing Schedule,attached hereto as Exhibit A,on or before the last day of each month the Services are rendered. Client also agrees to pay for any charges relating to an Initial Clean Option and any authorized additional cleans options,as described in Exhibit A,and any sales or use tax levied by a taxing authority on the value of the Services or supplies purchased. Client agrees that all payments made to Jani-King shall only be considered paid and properly credited when delivered to the address listed on the invoice. 2.2. Credits for holidays were pre-determined and given as part of the monthly charge herein, and no other adjustments will be made for those holidays. 2.3.From time to time, as the parties may agree,the monthly charge to be paid by Client may be increased or decreased to reflect an increase or decrease in the area of space serviced and the kind,amount,or frequency of the Service. Any modifications will only be binding if in writing and signed by both parties. In the event mutual agreement relating to frequency of service,type of service,space serviced,or amount to be paid cannot be reached,the frequency of service,type of service,space serviced or amount to be paid shall remain unchanged. 2.4.It is expressly agreed that the total minimum sum stated in the Pricing Schedule may be increased(i)annually by Jani-King by a percentage amount not to exceed the annual increase of the Consumer Price Index as most recently published in the Wall Street Journal,or(ii)by Jani-King at any time in the event of an increase in any applicable federal,state, or local minimum wage, living wage, or other wage required by law, in an amount necessary to comply with such an increase. 2.5.In the event payment for Services is not received within thirty(30)days from the date such payment is due,Jani-King may suspend Services to Client until such time Client has paid for all services rendered to date. Suspension of services by Jani-King under this Section shall not deprive Jani- King of any of its remedies or actions against Client for past or future payments due under this Agreement,nor shall the bringing of any action for payment of services or other rights contained herein be construed as a waiver of any Jani-King rights. Jani-King also reserves the right to cease providing services on trade credit and require that payments be made advance if it deems Client to be a credit risk. 3. INDEPENDENT BUSINESS RELATIONSHIP 3.1.It is expressly agreed that the Services will be provided by an authorized Jani-King franchise owner and employees of the franchise owner. 3.2.Jani-King and all authorized representatives are not employees of Client but are independent contractors. All Jani-King authorized franchise owners and the employees of the franchise owner will not be within the protection or coverage of Client's Workers'Compensation Insurance and no withholding of Social Security,Federal or State Income Tax or other deductions shall be made from the sums agreed to be paid to Jani-King herein, the same being contract payments and not wages. 3.3.Client agrees that during the term of this Agreement,and within one hundred and eighty(180)days after termination,that Client will not employ or engage as a contractor,any employees,agents,representatives or franchisees of Jani-King without the express written consent of Jani-King. Jani- King agrees that during the term of this Agreement and within one hundred and eighty(180)days after termination,it will not employ or engage as a contractor,any employees,agents or representatives of Client without the express written consent of Client. 4. RENEWAL AND TERMINATION 4.1. This Agreement shall be automatically extended and renewed for additional one(1)year terms on the same terms and conditions,unless either party shall give written notice,as described herein,of termination at least thirty(30)days prior to the scheduled expiration date. Otherwise,this Agreement may only be terminated for non-performance as set out below. 4.2.Non-performance is defined as the failure to perform any act stipulated under this Agreement. Before any termination for non-performance is effective,the terminating party must give the other party written notice,as described herein,specifying in detail the nature of any defect or failure in performance. Upon the effective date of the receipt of notice of non-performance,the non-terminating party shall have thirty(30)days in which to cure the defect in performance(the"Cure Period")to the reasonable satisfaction of the terminating party. In the event the defect is not satisfactorily cured within the Cure Period,the terminating party shall provide written notification to the non-terminating party of the failure to satisfactorily cure the defect. In the event the second notice is not received within five(5)days from the end of the Cure Period,all deficiencies will be deemed cured. MAINTENANCE AGREEMENT SIDE 1 OF 2 In the event the second notice is received within the required time period,this Agreement shall then terminate thirty(30)days from the date of the second written notice. 4.3.All notices between Client and Jani-King shall be in writing. Any notice shall be deemed duly served if such notice is deposited,postpaid and certified,with the United States Postal Service,or a recognized common parcel courier providing express,receipted delivery to the address stated on the signature page of this Agreement for Jani-King or Client. All other notices, including notices personally delivered to individuals performing services under this Agreement,shall be ineffective. Either party may change the address of notice by providing the other party written notice of such change. Time is of the essence for all notices required under the terms of this Agreement. 5. GENERAL PROVISIONS 5.1. In the event it becomes necessary for either party to institute suit against the other to secure or protect its rights under this Agreement,the prevailing party shall be entitled to all associated costs of the suit,including reasonable allorney's fees,administrative fees,court costs and damages as part of any judgment entered in its favor. 5.2.The terms of this Agreement shall be binding upon and inure to the benefit of Jani-King and Client and their respective heirs,representatives, successors and assigns,except as otherwise herein provided. This Agreement shall be binding on Jani-King at the time of execution by an authorized Jani-King agent. In the event this Agreement is executed by an authorized franchise owner of Jani-King,it shall not be binding on Jani-King until it has been approved and executed by an authorized Jani-King agent. Jani-King franchise owners are not authorized to bind Jani-King to this Agreement. 5.3. Any waiver by either party to this Agreement of a breach of any term or condition of this Agreement shall not constitute a waiver of any subsequent breach of the same or any other term or condition of this Agreement. 5.4.Jurisdiction and venue for any suit brought on this Agreement shall be in the governmental division of the county where the Jani-King regional office is located. 5.5.The parties acknowledge that this Agreement and the exhibits supersede all prior agreements,representations,and understandings of the parties. No changes to this Agreement will be effective unless signed by both parties and attached hereto. 5.6. If any provision of this Agreement is held to be illegal, invalid or unenforceable under present or future laws, such provision shall be fully severable;this Agreement shall be construed and enforced as if such illegal, invalid or unenforceable provision had never comprised a part of this Agreement;and,the remaining provisions of this Agreement shall remain in fill force and effect and shall not be affected by such illegal,invalid,or unenforceable provision or by its severance from this Agreement. IN WITNESS WHEREOF,the Parties hereto have set their hands this_day of 120 Jani-King of Minnesota Inc. City of Lake Elmo Client Name Signature of Jani-King's Authorized Agent Signature of Client's Authorized Agent Mark Hunter/Account Executive Print Name/Title Print Name/Title Notice Address for Jani-King: Billing and Notice Address of Client: 5930 Shingle Creek Parkway 3800 Laverne Avenue N Address Address Brooklyn Center,MN 55430 Lake Elmo,MN 55042 City,State,ZIP City,State,ZIP MAINTENANCE AGREEMENT SIDE 2 OF 2 EXHIBIT A Cleaning Schedule & Pricing Schedule CLEANING SCHEDULE One (1) time per week, Saturday, between the hours of 8:00am and 11:00pm. Location Where Services Will Be Performed: BUSINESS NAME: City of Lake Elmo ADDRESS: 3800 Laverne Avenue N Lake Elmo, MN 55402 A. Entrance(s), Lobby, Reception Area Empty all trash receptacles, replace liners, as needed, and remove trash to a collection Weekly point. (Client to furnish trash receptacles liners) Squeegee both sides of glass doors removing prints and smudges; wipe frames. Weekly Vacuum walk off mats and traffic lanes. Weekly Spot treat soiled carpet areas. Weekly Dust mop hard surface floors. Weekly Damp mop hard surface floors, taking care to get into corners, along edges and Weekly beneath furniture. Police outside area including sidewalks, etc. removing all litter and debris. Weekly Dust all horizontal and vertical surfaces. Weekly Thoroughly vacuum all carpeting, taking care to get into corners, along edges and Monthly beneath furniture. Spot wipe walls, light switches and doors removing fingerprints, smudges, and spills. Monthly Complete all high dusting, including exhaust fans and air ventilators within reach. Monthly Thoroughly wash windows (interior and exterior on ground level, interior only on Quarterly second/etc.floor) and partition glass on both sides. Damp wipe all window/glass frames. (Weather permitting) Dust horizontal blinds. Quarterly B. Hallways, Stairwells Empty all trash receptacles, replace liners, as needed, and remove trash to a collection Weekly point. (Client to furnish trash receptacles liners) Spot wipe partition glass removing prints and smudges. Weekly Page 1 of 4 05/27/14 Thoroughly dust all horizontal and vertical surfaces, including windowsills, ledges, Weekly moldings, telephones,pictures, office furniture and all manner of furnishings. Clean drinking fountain(s) or water cooler(s) removing watermarks and splashes on Weekly sides, fonts and surrounding walls. Vacuum traffic lanes. Weekly Dust mop all hard surface floors. Weekly Damp mop hard surface floors, taking care to get into corners, along edges and Weekly beneath furniture. Spot treat soiled carpet areas. Weekly Thoroughly vacuum all carpeting, taking care to get into corners, along edges and Monthly beneath furniture. Spot wipe walls, light switches and doors removing fingerprints, smudges, and spills. Monthly Complete all high dusting, including exhaust fans and air ventilators within reach. Monthly Thoroughly wash windows (interior and exterior on ground level; interior only on Quarterly second/etc.floor) and partition glass on both sides. Damp wipe all window/glass frames. (Weather permitting) Dust horizontal blinds. Quarterly C. General Offices, Conference/Training Room, Work Area Empty all trash receptacles, replace liners, as needed, and remove trash to a collection Weekly point. (Client to furnish. trash receptacles liners) Thoroughly dust all horizontal and vertical surfaces, including desktops, files, Weekly windowsills, ledges, moldings, chair bases, telephones, computers, pictures, office furniture and all manner of furnishings. Vacuum traffic lanes. Weekly Dust mop all hard surface floors. Weekly Damp mop hard surface floors, taking care to get into corners, along edges and Weekly beneath furniture. Spot treat soiled carpet areas. Weekly Thoroughly vacuum all carpeting, taking care to get into corners, along edges and Monthly beneath furniture. Spot wipe walls, light switches and doors removing fingerprints, smudges, and spills. Monthly Complete all high dusting, including exhaust fans and air ventilators within reach. Monthly Damp wipe telephones with disinfectant. Monthly Thoroughly wash windows (interior and exterior on ground level; interior only on Quarterly second/etc.floor) and partition glass on both sides. Damp wipe all window/glass frames. (Weather permitting) Dust horizontal blinds. Quarterly Page 2 of 4 05/27/14 A Restrooms (3) Three Empty all trash and sanitary napkin receptacles, replace liners, as needed and wipe Weekly receptacles clean. Remove trash to a collection point. (Client to furnish trash receptacles liners) Stock towels, tissue, and hand soap. Wipe/polish dispensers as needed. (Client to Weekly furnish supplies) Toilets and urinals to be cleaned and sanitized inside and outside. Polish bright work. Weekly Toilet seats to be wiped clean on both sides. Weekly Scour and sanitize all basins. Polish bright work. Weekly Remove splash marks from walls around basins. Weekly Dust horizontal surfaces, including partitions, top of mirrors, and frames. Clean and Weekly polish mirrors. Sweep or dust mop hard surface floor. Weekly Mop and rinse hard surface floor. Weekly Report any restroom repairs needed to the maintenance department. Weekly Wipe all restroom partitions on both sides. Monthly Pour fresh water down floor drains to refresh water in the sewer line. Monthly Spot wipe walls, light switches and doors removing fingerprints, smudges, and spills. Monthly Complete all high dusting, including exhaust fans and air ventilators within reach. Monthly Machine strip all tile floors, taking care to get into corners, along edges and Quarterly beneath furniture. Rinse, reseal and refinish all tile floors. Thoroughly scrub and rinse ceramic floors. Quarterly E. Break Room, Coffee Station Empty all trash receptacles, replace liners, as needed, and remove trash to a collection Weekly point. (Client to furnish trash receptacles liners) Wipe clean fronts, tops, and sides of trash receptacles. Weekly Stock and wipe/polish dispensers as needed. (Client to furnish supplies) Weekly Damp wipe counters to remove coffee rings and spillage. Weekly Clean and damp wipe tables and chairs. Weekly Clean and sanitize sink. (Client responsible for dishes) Weekly Clean drinking fountain(s) or water cooler(s) removing watermarks and splashes on Weekly sides, fronts and surrounding walls. Spot clean cabinets and exterior of appliances to present a neat appearance. Weekly Clean interior of microwaves removing food particles and stains. Weekly Dust mop hard surface floors. Weekly Page 3 of 4 05/27/14 Damp mop hard surface floors, taking care to get into corners, along edges and Weekly beneath furniture. Spot wipe walls, light switches and doors removing fingerprints, smudges, and spills. Monthly Complete all high dusting, including exhaust fans and air ventilators within reach. Monthly Thoroughly wash windows (interior and exterior on ground level; interior only on Quarterly second/etc.floor) and partition glass on both sides. Damp wipe all window/glass frames. (Weather permitting) Dust horizontal blinds. Quarterly F. Building Grounds Notify management of any concerns on facility using our memo pad system. Weekly G. Janitor Closets Clean, arrange and inspect equipment and chemicals in specified areas. Maintain sink, Weekly shelves, floor and walls clean and in orderly manner. PRICING SCHEDULE The Service, as defined in the Agreement, will be performed for the monthly charge of- Two Hundred Thirty Five Dollars ($23 5.00) (Tax Not Included) Client's Authorizing Signature/Date Jani-King Signature/Date Mark Hunter/Account Executive Print Name/Title Print Name/Title Page 4 of 4 05/27/14