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Insurance Requirements Addendum <br /> <br />QTY PRODUCT EQUIPMENT VALUE/BUILDING DEDUCTIBLE PER UNIT <br />1 <br />1 <br /> <br />CL4024 <br />MO4010 <br /> <br />$38995.00 <br />$20218.00 <br /> <br />$4000.00 <br />$2000.00 <br /> <br />Lessee: <br /> <br />ORANGE COUNTY <br /> <br />Pursuant to the Williams Scotsman Lease Agreement and its Terms and Conditions ("Agreement"), a Lessee is obligated to provide insurance <br />to Williams Scotsman, Inc. ("Lessor") with the following insurance coverage: <br />1. Commercial General Liability Insurance: policy of combined bodily injury and property damage insurance insuring Lessee and <br />Lessor against any liability arising out of the use, maintenance, or possession of the Equipment. Such insurance shall be in an amount <br />not less than $1,000,000 per occurrence, naming the Lessor as Additional Insured and Loss Payee. <br />2. Commercial Property Insurance: covering all losses or damage, in an amount equal to 100% of the Equipment Value set forth in the <br />Lease providing protection against perils included within the classification and special extended perils (all "risk" insurance), naming the <br />Lessor as Additional Insured and Loss Payee. <br />By signing below, the Lessee agrees to the terms and conditions stated herein. All other general Terms and Conditions of the Agreement shall <br />remain the same and in full force and effect. Each party is hereby authorized to accept and rely upon a facsimile or electronic signature of the <br />other party on this Addendum. Any such signature shall be treated as an original signature for all purposes. <br />Commercial General Liability Insurance <br />Lessee elects to participate in the Commercial General Liability Insurance Program, whereby Lessee will receive insurance coverage through <br />American Southern Insurance Company ("Insurer") and administered by Allen Insurance Group ("Agent"). The Lessee acknowledges and <br />agrees that the policy issued by the Insurer is a third party liability policy that covers those amounts that Lessee is legally obligated to pay due <br />to bodily insurance and property damage arising from the proper use and occupancy of Equipment leased from Williams Scotsman up to the <br />policy limits. Coverage is subject to underwriting and specific terms and conditions set forth in the policy. An outline of cover is available upon <br />request. By signing below, Lessee understands and agrees that the Lessor is not providing the insurance coverage and serves only as a billing <br />agent for the Insurer and its Agent; and, accordingly, it assumes no liability therefore. <br />Signature of Lessee: \s1\ Print Name: \n1\ Date: \d1\ <br /> <br />Damage Waiver Program <br />Lessee elects to participate in the Lessor's Damage Waiver Program. Lessee understands and agrees that under this program, the Lessor <br />waives, for a fee, Lessee's obligation to carry Commercial Property Insurance and Lessee's liability to Lessor for repair or replacement of the <br />modular units leased from Williams Scotsman resulting from loss or damage as specified in the Lease Agreement. Lessee remains liable to <br />Williams Scotsman for the amount of the damage deductible per unit of equipment noted above. Please refer to the Agreement for specific <br />details on coverage, exclusions and restrictions on coverage. The Property Damage Waiver is not and shall not constitute a contract for <br />insurance. <br />Signature of Lessee: \s1\ Print Name: \n1\ Date: \d1\ <br /> <br />Please return this signed document with the signed lease agreement. <br /> <br />Williams Scotsman, Inc. <br />905 Ellis Road <br />Durham NC 27703 <br /> <br /> <br /> <br />Your WillScot Representative <br />Caren Small, Territory Sales Manager <br />Phone: (919)957-9955 <br />Email: caren.small@willscot.com <br />Toll Free: 800-782-1500 <br /> <br /> <br />Contract Number: 1634146 <br />Revision: 8 <br />Date: April 19, 2022 <br /> <br />Page 3 of 4 <br /> <br />DocuSign Envelope ID: F8EBDA2B-E1C9-4C03-80ED-E37FE36A5811