LAKE COUNTY SCHOOLS. January 31, Mr. James R. Owens Modular Document Solutions Crystal Commerce Loop Fort Myers, Florida 22855

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LAKE

COUNTY

SCHOOLS

Leading our Children to Success Purchasing Department

29529 CR 561  Tavares  FL 32778

(352) 253-6760  Fax: (352) 253-6761  http://lake.k12.fl.us

“Equal Opportunity in Education and Employment”

Superintendent: School Board Members: Susan Moxley, Ed.D. District 1

Bill Mathias District 2 Rosanne Brandeburg District 3 Tod Howard District 4 Debbie Stivender District 5 Kyleen Fischer RENEWAL OPTION January 31, 2014 Mr. James R. Owens

Modular Document Solutions 12320 Crystal Commerce Loop Fort Myers, Florida 22855

RE: RFP #2960DB Copiers Walk-Up

Dear Mr. Owens:

The Lake County School Board has accepted your offer to renew your annual contract for the above referenced RFP. The contract term in this agreement will be firm through December 31, 2014.

Per contract specifications, it is your responsibility to provide the Purchasing Department with current copies of your certificate of insurance naming the School Board of Lake County, Florida, as an additional insured and to maintain the required coverages for the duration of the contract term. If you have not already done so, please forward this information as soon as possible. Failure to submit a fully completed original certificate of insurance signed by an authorized representative of the insurer providing such coverage may cause your company to be in default and subject to cancellation of the contract.

We look forward to working with you during this contract period. If you have questions, please call me at (352) 253-6766.

Sincerely,

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LAKE

COUNTY

SCHOOLS

Leading our Children to Success Procurement Services

29529 CR 561  Tavares  FL 32778

Superintendent: School Board Members: Susan Moxley, Ed.D. District 1

Bill Mathias District 2 Rosanne Brandeburg District 3 Tod Howard District 4 Debbie Stivender District 5 Kyleen Fischer NOTICE OF AWARD November 1, 2013 Mr. James R. Owens

Modular Document Solutions 12320 Crystal Commerce Loop Fort Myers, Florida 33966-1082

RE: RFP #2960DB Copiers: Walk-up Contract Assumption Dear Mr. Owens:

At their me eting held on September 9, 201 3, the Lake County Sc hool Board approved t he assignment and assumption of t he above referenced RFP to your firm. Enclosed, for your records, is an executed copy of your agreement with the Lake County School Board.

Per contract specif ication, it is your responsi bility to pro vide the Purchasing De partment with current copies of your certificate of insurance naming the LCSB as an additional insured and to maintain the required co verage’s for the duratio n of the co ntract term. If you have not alread y done so, please forward this information as soon as possible. Failure to submit a full completed original certificate of in surance signed by an authorized re presentative of the insu rer providing such coverage may cause your company to be in defa ult and sub ject to can cellation of the contract.

The contract will be in e ffect through June 30, 2014. Purchase orders will be issued as needed. We look forward to working with you. If you have questions, please contact me at 352-253-6766 or [email protected].

Sincerely,

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LAKE

COUNTY

SCHOOLS

Leading our Children to Success

Purchasing Department

29529 CR 561  Tavares  FL 32778

Superintendent: School Board Members: Susan Moxley, Ed.D. District 1

Bill Mathias District 2 Rosanne Brandeburg District 3 Tod Howard District 4 Debbie Stivender District 5 Kyleen Fischer RENEWAL OPTION June 27, 2013 Mr. Robert Christensen Danwood America, Inc.

8010 Sunport Drive, Suite 110 Orlando, Florida 32809

RE: RFP #2960DB Copiers Walk-Up

Dear Mr. Christensen:

The Lake County School Board has accepted your offer to renew your annual contract for the above referenced RFP. The contract term in this agreement will be firm through June 30, 2014.

Per contract specifications, it is your responsibility to provide the Purchasing Department with current copies of your certificate of insurance naming the School Board of Lake County, Florida, as an additional insured and to maintain the required coverages for the duration of the contract term. If you have not already done so, please forward this information as soon as possible. F ailure to submit a fully completed original certificate of insurance signed by an authorized representative of the insurer providing such coverage may cause your company to be in default and subject to cancellation of the contract.

We look forward to working with you during this contract period. If you have questions, please call me at (352) 253-6766.

Sincerely,

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DATE (MM/DD/YYYY)

CERTIFICATE OF LIABILITY INSURANCE

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).

CONTACT

PRODUCER _NAME:

FAX PHONE

(A/C, No): (A/C, No, Ext):

E-MAIL ADDRESS:

INSURER(S) AFFORDING COVERAGE NAIC #

INSURER A : INSURED _{INSURER B :} INSURER C : INSURER D : INSURER E : INSURER F :

COVERAGES CERTIFICATE NUMBER: 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

ADDL SUBR

INSR POLICY EFF POLICY EXP

TYPE OF INSURANCE POLICY NUMBER LIMITS

LTR INSR WVD (MM/DD/YYYY) (MM/DD/YYYY)

GENERAL LIABILITY _{EACH OCCURRENCE} _$

DAMAGE TO RENTED

COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $

CLAIMS-MADE OCCUR MED EXP (Any one person) $

PERSONAL & ADV INJURY $ GENERAL AGGREGATE $

GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $

PRO- _$

POLICY JECT LOC

COMBINED SINGLE LIMIT

AUTOMOBILE LIABILITY _{(Ea accident)} _$

BODILY INJURY (Per person) $ ANY AUTO

ALL OWNED SCHEDULED _{BODILY INJURY (Per accident)} _$

AUTOS AUTOS

NON-OWNED PROPERTY DAMAGE _$

HIRED AUTOS AUTOS (Per accident)

$

UMBRELLA LIAB _OCCUR _{EACH OCCURRENCE} _$

EXCESS LIAB _CLAIMS-MADE _AGGREGATE _$

$ DED RETENTION $

WC STATU-

OTH-WORKERS COMPENSATION

TORY LIMITS ER

AND EMPLOYERS' LIABILITY _{Y / N}

ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $

N / A OFFICER/MEMBER EXCLUDED?

(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $

If yes, describe under

E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)

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.

AUTHORIZED REPRESENTATIVE

ACORD 25 (2010/05)

DANWO-1 OP ID: CL

02/13/2013

Phone: 813-661-0382 Crystin LeFew

South Pointe Insurance Svcs 3660 Erindale Dr. Valrico, FL 33596 Chris Crusey Fax: 866-643-7770 813-661-0382 866-643-7770 [email protected] Montgomery Ins 14613 AmTrust 23140

Danwood America Inc 8010 Sunport Dr #110 Orlando, FL 32809 1,000,000 A X X 01CI4820081 07/16/2012 07/16/2013 150,000 X 10,000 1,000,000 3,000,000 1,000,000 X Emp Ben. 1,000,000 1,000,000 A X 01CI4828591 07/16/2012 07/16/2013 3,000,000 A 01SU42460210 07/16/2012 07/16/2013 3,000,000 X 0 X B AWC1017353 11/01/2012 11/01/2013 1,000,000 1,000,000 1,000,000 A Crime 01CI4820081 07/16/2012 07/16/2013

School Board of Lake County Inc

Purchasing Department 29529 CR 561

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CERTIFICATE HOLDER

AUTHORIZED REPRESENTATIVE

CANCELLATION

DATE (MM/DD/YYYY)

CERTIFICATE OF LIABILITY INSURANCE

LOC JECT

PRO-POLICY

GEN'L AGGREGATE LIMIT APPLIES PER: OCCUR CLAIMS-MADE

COMMERCIAL GENERAL LIABILITY

GENERAL LIABILITY

PREMISES (Ea occurrence) $ DAMAGE TO RENTED

EACH OCCURRENCE $

MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $

$ RETENTION DED CLAIMS-MADE OCCUR $ AGGREGATE $ EACH OCCURRENCE $ UMBRELLA LIAB EXCESS LIAB

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) INSR

LTR TYPE OF INSURANCE POLICY NUMBER (MM/DD/YYYY)POLICY EFF (MM/DD/YYYY)POLICY EXP LIMITS

WC

STATU-TORY LIMITS OTH-ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT

$ $ $ ANY PROPRIETOR/PARTNER/EXECUTIVE

If yes, describe under

DESCRIPTION OF OPERATIONS below

(Mandatory in NH)

OFFICER/MEMBER EXCLUDED?

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY _{Y / N} AUTOMOBILE LIABILITY

ANY AUTO

ALL OWNED SCHEDULED

HIRED AUTOS NON-OWNED

AUTOS AUTOS

AUTOS

COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident)

PROPERTY DAMAGE _$

$ $ $

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIO D 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 WVD SUBR N / A $ $ (Ea accident) (Per accident)

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).

The ACORD name and logo are registered marks of ACORD

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

INSURED

PHONE (A/C, No, Ext): PRODUCER ADDRESS: E-MAIL FAX (A/C, No): CONTACT NAME: NAIC # INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F :

INSURER(S) AFFORDING COVERAGE

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

Tampa, FL 33606 07/16/14 X 3,000,000 35026356 35026356

Danwood America, Inc.

X

07/16/13

Attn: Purchasing Department

School Borard of Lake County, Florida

1,000,000 24724 19704 3,000,000 [email protected] X X 201 W. Burleigh Blvd. 1-813-229-8021 1,000,000 B 07/16/13 A 25CC3604851 01SU42460230 07/16/13

FIRST NATL INS CO OF AMER

2,000,000

X

AMERICAN STATES INS CO

08/01/2013

X Billy West

Meagan Sutton, CIC

A 10,000 813-739-6036 X 1,000,000 Tavares, FL 32778 07/16/14 X 01CI4820083 X Ste 200 300 W. Platt St. M. E. Wilson Co., Inc.

07/16/14

1,000,000

USA 10,000

30 Day notice of Cancellation applies except for 10 days notice for non-payment of premium per Florida Statute General Liability as required by written contract. Umbrella policy is follow form.

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