11. LEGO Education US COI

AID 2030881 · View on Simbli

Agenda Item

b. Bid 25-519 Catalog Discount ~ Career, Technical, and Agricultural Materials, Equipment & Supplies Contract Award Approval (Not to Exceed $2,000,000) ~ Updated 7.8.2026

Summary: Presented by: Dr. Sean Tartt, Acting, Chief Academic Officer, Teaching and Learning
Request: It is requested that the DeKalb County Board of Education approve the contract extension of Bid 25-519 Catalog Discount - Career Technical & Agricultural Materials, Equipment & Supplies to the following vendors: Amitrace Computer System, Carolina Biological Supply Company, Flinn Scientific Incorporated, Global Equipment Company, Incorporated, Learning Labs, Incorporated, LEGO Education Incorporated, NASCO Education LLC, Nisewonger Audio Visual Center, Incorporated, Paxton Patterson Incorporated, Sam Tell and Son Incorporated, and William J. Redmond & Son, Incorporated for an additional year in an amount not to exceed $2,000,000.
Why: Per Board Policy DJE, the Board of Education must approve the expenditure of any vendor that provides goods and/or services to the school district that may exceed $100,000 in purchases for the fiscal year. The bid establishes a contract with the identified vendors to provide efficient service and quality products while reducing costs.
Details: Bid 25-519 will provide access to a broad spectrum of Career, Technical, and Agricultural Education (CTAE) materials, equipment, and supplies that may be purchased at discounted prices from multiple vendors. The contract includes up to four, one-year extension options contingent upon DCSD’s offer to such extension, the successful offeror’s acceptance, and the approval of the DeKalb County Board of Education to extend the contract.

A formal Invitation to Bid Catalog Discounts - Career Technical & Agricultural Materials, Equipment & Supplies, was issued on Thursday, January 30, 2025, through the DCSD Purchasing Department. The solicitation was posted on the DCSD website. An electronic notification was sent to 53 vendors from the DCSD Vendor Bid List and 1257 vendors through the State of Georgia Procurement Registry. Responses to the solicitation were received on Tuesday, February 25, 2025, from 13 vendors. Eleven (11) vendors were deemed responsive to the solicitation requirements.
Financial impact: The total financial impact is not to exceed $2,000,000.

Charge Codes:

100.1000.561000.00011.7940.3011.8010.035.0000
100.1000.561100.00011.7940.3011.8010.035.0000
100.1000.530000.00011.7940.3011.8010.035.0000
100.1000.530000.42121.7940.3550.8010.035.0000
100.1000.573000.00011.7940.3011.8010.035.0000
100.1000.561500.00011.7940.3011.8010.035.0000
100.1000.561600.00011.7940.3011.8010.035.0000
406.1000.530000.38321.7940.3324.8010.035.2025
406.1000.561000.38321.7940.3324.8010.035.2025
406.1000.561100.38321.7940.3324.8010.035.2025
406.1000.561500.38321.7940.3324.8010.035.2025
406.1000.561600.38321.7940.3324.8010.035.2025
406.1000.573000.38321.7940.3324.8010.035.2025
406.2230.561000.38321.7940.3324.8010.035.2025
406.2300.530000.38321.7940.3324.8010.035.2025
Contact: Dr. Sean Tartt, Acting Chief Academic Officer, Division of Teaching and Learning, 678.676.0731
Dr. Rose Prejean-Harris, Assistant Superintendent (6-12), Division of Teaching and Learning, 678.676.0137
Mrs. Doryiane Gunter, Director, Career, Technical, and Agricultural Education, 678.676.0451
Effective: Upon Board Approval- July 14, 2026
Status: Approved by the Office of Legal Affairs
                                                                                                                                                                    Page 1 of 2
                                                                                                                                                                  DATE (MM/DD/YYYY)
                                             CERTIFICATE OF LIABILITY INSURANCE                                                                                     05/29/2026
  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 have ADDITIONAL INSURED provisions or be endorsed.
  If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
  this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
                                                                                            CONTACT
PRODUCER
                                                                                            NAME:      WTW Certificate Center
Willis Towers Watson Northeast, Inc.                                                        PHONE                                                   FAX
c/o 26 Century Blvd                                                                         (A/C, No, Ext): 1-877-945-7378                          (A/C, No): 1-888-467-2378
                                                                                            E-MAIL
P.O. Box 305191                                                                             ADDRESS: certificates@wtwco.com
Nashville, TN   372305191 USA                                                                                  INSURER(S) AFFORDING COVERAGE                                NAIC #

                                                                                            INSURER A :   ACE American Insurance Company                                    22667
INSURED                                                                                     INSURER B :   Trumbull Insurance Company                                        27120
LEGO Brand Retail, Inc. dba          LEGO Education US
                                                                                            INSURER C :   Twin City Fire Insurance Company                                  29459
1001 Boylston Street
Boston, MA 02116                                                                            INSURER D :   Indian Harbor Insurance Company                                   36940
                                                                                            INSURER E :

                                                                                            INSURER F :
COVERAGES                                   CERTIFICATE NUMBER: W46261091                                                        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. LIMITS SHOWN ARE INCLUSIVE OF AMOUNTS REQUESTED BY THE CERTIFICATE
HOLDER AND MAY NOT REFLECT POLICY LIMIT AMOUNTS IN EXCESS OF THOSE REQUESTED. *Not Applicable in WY
INSR                                              ADDL SUBR                                          POLICY EFF   POLICY EXP
 LTR             TYPE OF INSURANCE                INSD WVD              POLICY NUMBER               (MM/DD/YYYY) (MM/DD/YYYY)                            LIMITS
           COMMERCIAL GENERAL LIABILITY                                                                                           EACH OCCURRENCE               $         10,000,000
                                                                                                                                  DAMAGE TO RENTED
               CLAIMS-MADE         OCCUR                                                                                          PREMISES (Ea occurrence)      $          1,000,000
 A                                                                                                                                MED EXP (Any one person)      $              10,000
                                                   Y                   OGL G46674005                04/01/2026 04/01/2027 PERSONAL & ADV INJURY                           10,000,000
                                                                                                                                                                $
       GEN'L AGGREGATE LIMIT APPLIES PER:                                                                                         GENERAL AGGREGATE             $         10,000,000
                      PRO-                                                                                                                                                10,000,000
           POLICY     JECT          LOC                                                                                           PRODUCTS - COMP/OP AGG        $

           OTHER:                                                                                                                                               $
       AUTOMOBILE LIABILITY                                                                                                       COMBINED SINGLE LIMIT         $          3,000,000
                                                                                                                                  (Ea accident)
           ANY AUTO                                                                                                               BODILY INJURY (Per person)    $
 B         OWNED                SCHEDULED                               10UENBK8G50                 06/01/2026 04/01/2027 BODILY INJURY (Per accident) $
           AUTOS ONLY           AUTOS
           HIRED                NON-OWNED                                                                                         PROPERTY DAMAGE               $
           AUTOS ONLY           AUTOS ONLY                                                                                        (Per accident)
                                                                                                                                                                $
           UMBRELLA LIAB           OCCUR                                                                                          EACH OCCURRENCE               $
           EXCESS LIAB             CLAIMS-MADE                                                                                    AGGREGATE                     $

              DED          RETENTION $                                                                                                                          $
       WORKERS COMPENSATION                                                                                                            PER             OTH-
       AND EMPLOYERS' LIABILITY                                                                                                        STATUTE         ER
                                            Y/N
 C     ANYPROPRIETOR/PARTNER/EXECUTIVE                                                                                            E.L. EACH ACCIDENT            $          1,000,000
       OFFICER/MEMBER EXCLUDED?              No   N/A                   10 WB AZ7P0T                04/01/2026 04/01/2027
       (Mandatory in NH)                                                                                                          E.L. DISEASE - EA EMPLOYEE $             1,000,000
       If yes, describe under                                                                                                                                              1,000,000
       DESCRIPTION OF OPERATIONS below                                                                                            E.L. DISEASE - POLICY LIMIT   $
 D     Property Limit of Liability                                    US00090392PR26A               04/01/2026 04/01/2027 Amount of Insurance                   $781,250,000
       Per Occurrence
       including Business Income
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Special Form/Replacement Cost Basis
Property Per Occurrence Deductible: $78,125
Brand Retail Store Deductible $7,813
Indemnity Period Waiting Period: 24 Hours

DeKalb County School District is included as an Additional Insured with respects to General Liability as required by

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
 DeKalb County School District
 1701 Mountain Industrial Blvd
 Stone Mountain, GA 30083
                                                                                              © 1988-2025 ACORD CORPORATION. All rights reserved.
ACORD 25 (2025/12)                                     The ACORD name and logo are registered marks of ACORD
                                                              SR ID: 30004190                  BATCH: 4466177
                                                         AGENCY CUSTOMER ID:
                                                                     LOC #:


                                 ADDITIONAL REMARKS SCHEDULE                                                        Page   2   of   2

AGENCY                                                           NAMED INSURED
                                                                 LEGO Brand Retail, Inc. dba    LEGO Education US
Willis Towers Watson Northeast, Inc.
                                                                 1001 Boylston Street
POLICY NUMBER                                                    Boston, MA 02116
See Page 1
CARRIER                                             NAIC CODE
See Page 1                                          See Page 1   EFFECTIVE DATE: See   Page 1
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER:        25   FORM TITLE: Certificate of Liability Insurance
written contract.




ACORD 101 (2008/01)                                                              © 2008 ACORD CORPORATION. All rights reserved.
                                   The ACORD name and logo are registered marks of ACORD
                               SR ID: 30004190        BATCH: 4466177              CERT: W46261091
Additional Coverage Information
Property Policy # US00090392PR26A



For purposes of the overall Policy Limit, any recoverable income loss associated with EQUIPMENT BREAKDOWN
is considered TIME ELEMENT, and any and all other recoverable amounts associated with EQUIPMENT
BREAKDOWN are considered PROPERTY DAMAGE


2. SUBLIMITS
    a. Sublimits are part of and not in addition to the Policy Limit. Sublimits do not increase the Policy Limit or any
       other sublimits.
    b. If a sublimit for a peril or type of coverage is shown as ‘Aggregate', such sublimit shall apply in the aggregate
       to all such losses occurring during the POLICY PERIOD, regardless of the number of “location”(s),
       coverage(s), or “occurrence”(s) involved.
    c. If no sublimit is shown as the sublimit of any item listed below, then no separate sublimit applies for that
       item.
    d. No coverage is provided under this Policy for a peril or type of loss or damage if ‘NCP’ (No Coverage
       Provided) is shown as the sublimit.
    e. If not specifically stated below, a sublimit shall apply on a per “occurrence” basis to the total loss or damage
       at all Insured Location(s) and for all coverages involved, regardless of the number or type(s) of coverage(s)
       involved.
    f.   If “flood” directly results from “earth movement”, Windstorm, Hail or “named storm”, the “flood” sublimit
         applies within, and shall also serve to erode, any sublimit for such peril.
    g. Certain coverages have more specific sublimits or exclusions when they arise as a result of “earth
       movement”, “flood”, Windstorm, Hail or “named storm” and, if applied to loss arising in connection with other
       perils, are subject to the overall sublimit for such coverages stated in the SUBLIMITS section of this Policy.


      $78,125,000             “Earth movement”, per occurrence, in the aggregate, except not to exceed the
                              following which are a part of and not in addition to this “earth movement” limit:
                              $46,875,000         for all loss arising from direct physical damage in HIGH HAZARD
                                                  EARTH MOVEMENT ZONES listed below, per occurrence, in the
                                                  aggregate except not to exceed the following which are a part of
                                                  and not in addition to this HIGH HAZARD EARTH MOVEMENT
                                                  ZONE limit
                                                  $46,875,000          for all loss arising from direct physical damage
                                                                       in the State of California

                                                  $35,384,644          for all loss arising from direct physical damage
                                                                       in PACIFIC NORTHWEST SEISMIC ZONE 1

                                                  $5,007,838           for all loss arising from direct physical damage
                                                                       in the State of Hawaii

                                                  NCP                  for all loss arising from direct physical damage
                                                                       in the State of Alaska

                                                  NCP                  for all loss arising from direct physical damage
                                                                       in Puerto Rico

                              $10,766,245         for all loss arising from direct physical damage in MODERATE
                                                  HAZARD EARTH MOVEMENT ZONE ZONES listed below, per
                                                  occurrence, in the aggregate except not to exceed the following
                                                  which are a part of and not in addition to this MODERATE


Surplus Lines Template (version August 2025)                                                                 Page 2 of 17
                                                  HAZARD EARTH MOVEMENT ZONE limit



                                                  $6,946,260           for all loss arising from direct physical damage
                                                                       in NEW MADRID SEISMIC ZONE
                                                  $3,819,986           for all loss arising from direct physical damage
                                                                       in PACIFIC NORTHWEST SEISMIC ZONE 2
      $312,500,000            “Flood”, per occurrence, in the aggregate, except not to exceed the following which
                              are a part of and not in addition to this “flood” limit:
                              $78,125,000         for all loss arising from direct physical damage in HIGH HAZARD
                                                  FLOOD ZONES, per occurrence, in the aggregate
                              $78,125,000         for all loss arising from direct physical damage in MODERATE
                                                  HAZARD FLOOD ZONES per occurrence, in the aggregate
      $156,250,000            Windstorm, Hail not associated with a “named storm”, except
                              $156,250,000        Convective Storm
      $156,250,000            “Named storm”, per occurrence, in the aggregate, except not to exceed the following
                              which are part of and not in addition to this “named storm” limit:
                              $93,217,869         for all loss arising from direct physical damage in HIGH HAZARD
                                                  WIND ZONE, per occurrence, in the aggregate
                              $156,250,000        for all loss arising from direct physical damage in MODERATE
                                                  HAZARD WIND ZONE, per occurrence, in the aggregate
      $39,062,500             Strike, Riot or Civil Commotion
      $39,062,500             Vandalism
      No Sublimit             All other perils insured by this Policy but not specified above
      $78,125,000             ACCOUNTS RECEIVABLE
      $156,250,000            BRANDS AND LABELS
      No Sublimit             CONSEQUENTIAL REDUCTION IN VALUE
      NCP                     CONTROL OF DAMAGED PROPERTY
      $156,250,000            COURSE OF CONSTRUCTION
      $156,250,000            DEBRIS REMOVAL, or 25% of PD loss, whichever is less
      $3,906,250              DECONTAMINATION COSTS
      NCP                     DEFERRED PAYMENTS
      $156,250,000            DEMOLITION AND INCREASED COST OF CONSTRUCTION
      NCP                     ELECTRONIC DATA PROCESSING EQUIPMENT AND ELECTRONIC DATA
      $78,125,000             ERRORS AND OMISSIONS
      $156,250,000            EQUIPMENT BREAKDOWN, except not to exceed the following which are part of
                              and not in addition to this EQUIPMENT BREAKDOWN limit:
                              $100,000             Ammonia contamination
                              $100,000             Expediting expense


Surplus Lines Template (version August 2025)                                                                Page 3 of 17
                              $100,000           Hazardous substances
                              $100,000           Spoilage
                              $100,000           Water damage
      NCP                     EXPEDITING COSTS
      $1,562,500              FINE ARTS, except not to exceed $10,000 per item
      $3,906,250              FIRE DEPARTMENT SERVICE CHARGES
      $3,906,250              LAND AND WATER CONTAMINANT OR POLLUTANT CLEANUP, REMOVAL
                              AND DISPOSAL
      NCP                     MISCELLANEOUS UNNAMED LOCATIONS
      $78,125,000             NEWLY ACQUIRED LOCATIONS(90 days reporting, excluding High Hazard Earth
                              Movement, High Hazard Flood & Named Storm; up to $25,000,000, 30 days reporting
                              for High Hazard Earth Movement, High Hazard Flood, and High Hazard Windstorm;
                              after 90 days NCP for Earth Movement, Flood, and Named Storm)
      NCP                     Outdoor Property
      NCP                     PROFESSIONAL FEES
      NCP                     PROTECTION AND PRESERVATION OF PROPERTY
      $39,062,500             SERVICE INTERRUPTION – PROPERTY DAMAGE
      NCP                     RADIOACTIVE DECONTAMINATION
      $312,500                TRANSPORTATION
      $78,125,000             TAX TREATMENT OF PROFITS
      NCP                     TEMPORARY REMOVAL OF PROPERTY
      NCP                     VACANCY
      NCP                     VALUABLE PAPERS AND RECORDS
      NCP                     GROSS EARNINGS
      $591,760,567            GROSS PROFITS
      $78,125,000             EXTRA EXPENSE
      NCP                     COMMISSIONS, PROFITS AND ROYALTIES
      NCP                     LEASEHOLD INTEREST
      NCP                     RENTAL INSURANCE
      $591,760,567            TIME ELEMENT INTERDEPENDENCY
      30 Days                 CIVIL OR MILITARY AUTHORITY, up to one (1) mile from a covered “location”
                              involved in the loss or damage.
      NCP                     CONTINGENT TIME ELEMENT - NAMED, at location(s) shown on the schedule
                              attached to this Policy
      NCP                     CONTINGENT TIME ELEMENT – UNNAMED, at unscheduled properties
      NCP                     IMPOUNDED WATER




Surplus Lines Template (version August 2025)                                                        Page 4 of 17
      $156,250,000            INGRESS/EGRESS, subject to a distance limitation of one (1) mile from a covered
                              “location” involved in the loss or damage.
      $39,062,500             PROTECTION AND PRESERVATION OF PROPERTY – TIME ELEMENT
      $390,625,000            RESEARCH AND DEVELOPMENT
      $39,062,500             SERVICE INTERRUPTION – TIME ELEMENT.
      NCP                     SOFT COSTS


TIME LIMITS:
    No coverage is provided by this Policy for any loss incurred beyond the Time Limit specified:
      90 Days                 NEWLY ACQUIRED LOCATIONS – following date of acquisition
      24 Months               PERIOD OF INDEMNITY
      30 Days                 CIVIL OR MILITARY AUTHORITY – consecutive days
      30 Days                 INGRESS/EGRESS – consecutive days
      90 Days                 Ordinary payroll


WAITING PERIODS:
    Coverage is provided by this Policy only if the Waiting Period indicated is exceeded by the period of interruption
    or period of time during which access and/or ingress/egress is prohibited. If the Waiting Period is exceeded
    then coverage will apply in excess of the applicable Deductible.
      72 Hours                SERVICE INTERRUPTION
      48 Hours                CIVIL OR MILITARY AUTHORITY
      48 Hours                INGRESS/EGRESS


DEDUCTIBLES:
    In each case of loss covered by this Policy, the Company will be liable only if the Insured sustains loss or
    damage, including any insured TIME ELEMENT loss, in a single “occurrence” greater than the applicable
    deductible below, and then only for its share of the amount covered by this Policy in excess of the applicable
    deductible.
    1. When this Policy insures more than one “location”, the deductible will apply against the total loss covered
       by this Policy in an “occurrence” except that a deductible that applies on a per “location” basis, if specified,
       will apply separately to each “location” where the direct physical loss or damage occurred and/or the
       claimed TIME ELEMENT loss was sustained regardless of the number of location(s) involved in the
       “occurrence”.
    2. Unless stated otherwise, if two or more deductibles apply to an “occurrence”, the total to be deducted will
       not exceed the largest deductible applicable. For the purpose of this provision, when a separate
       PROPERTY DAMAGE and a separate TIME ELEMENT deductible apply, the sum of the two deductibles
       will be considered a single deductible. If two or more deductibles apply on a per “location” basis in an
       “occurrence” the largest deductible applicable to each “location” will be applied separately to each such
       “location”.
    3. When a % deductible is stated below, whether separately or combined, the deductible is calculated as
       follows:




Surplus Lines Template (version August 2025)                                                              Page 5 of 17
         A. PROPERTY DAMAGE - % of total insurable values at the time of the loss at each covered “location”
            involved in the loss or damage.

         B. TIME ELEMENT - % of the full TIME ELEMENT values that would have been earned in the twelve (12)
            month period following the “occurrence” by use of the facilities at the “location” where the physical
            damage occurred plus that proportion of the full TIME ELEMENT values at all other “location”(s) where
            TIME ELEMENT loss ensues that was directly affected by use of such facilities and that would have
            been earned in the twelve (12) month period following the “occurrence” by utilization of:

               i. all of the Insured’s operations at any Insured Location(s) where direct physical loss or damage
                  occurred and

              ii. in the case of CONTINGENT TIME ELEMENT, that portion of operations of the third party which are
                  affected. Plus,

              iii. that portion of the operations sustaining insured TIME ELEMENT loss at any other “location”(s)
                   where insured TIME ELEMENT loss ensues.

    4. When the TIME ELEMENT deductible is shown as a multiple of “actual daily value”, from each claim will
       be deducted the value of the “actual daily value” times said number.

      $7,813 Property          All coverages for Retail Store locations
      Damage and Time
      Element
      Combined
      $78,125 Property         All coverages for all other locations
      Damage and Time
      Element
      Combined

      $7,813 Property          “Earth movement”, except as indicated below:
      Damage and Time
      Element
      Combined for
      Retail Store
      locations and
      $78,125 Property
      Damage and Time
      Element
      Combined for all
      other locations
      2% of loss,              “Earth movement” in HIGH HAZARD EARTH MOVEMENT ZONES
      subject to a
      minimum of
      $7,813 for Retail
      Store locations
      and $78,125 for all
      other locations
      and a maximum of
      $1,171,875

      2% of loss,              “Earth movement” in MODERATE HAZARD EARTH MOVEMENT ZONES
      subject to a
      minimum of
      $7,813 for Retail
      Store locations
      and $78,125 for all

Surplus Lines Template (version August 2025)                                                         Page 6 of 17
      other locations
      and a maximum of
      $1,171,875

      $7,813                   “Flood"
      Property Damage
      and Time Element
      Combined for
      Retail Store
      locations and
      $78,125 Property
      Damage and Time
      Element
      Combined for all
      other locations
      2% of Property           “Flood" in HIGH HAZARD EARTH MOVEMENT ZONES
      Damage and 2%
      of Time Element,
      subject to a
      minimum of
      $7,813 for Retail
      Store locations
      and $78,125 for all
      other locations
      and a maximum of
      $1,171,875

      2% of Property           “Flood" in MODERATE HAZARD EARTH MOVEMENT ZONES
      Damage and 2%
      of Time Element,
      subject to a
      minimum of
      $7,813 for Retail
      Store locations
      and $78,125 for all
      other locations
      and a maximum of
      $1,171,875
      $7,813 Property          “Named storm”, except as indicated below:
      Damage and Time
      Element
      Combined for
      Retail Store
      locations and
      $78,125 Property
      Damage and Time
      Element
      Combined for all
      other locations

      2% of Property           “Named storm” in High Hazard Wind Zones
      Damage and 2%
      of Time Element,
      subject to a
      minimum of
      $7,813 for Retail


Surplus Lines Template (version August 2025)                                     Page 7 of 17
      Store locations
      and $78,125 for all
      other locations
      and a maximum of
      $1,171,875


      2% of Property           “Named storm” in MODERATE Hazard Wind Zones
      Damage and 2%
      of Time Element,
      subject to a
      minimum of
      $7,813 for Retail
      Store locations
      and $78,125 for all
      other locations
      and a maximum of
      $1,171,875


      $7,813 Property          Windstorm, Hail not associated with a “named storm”, except as indicated below:
      Damage and Time
      Element
      Combined for
      Retail Store
      locations and
      $78,125 Property
      Damage and Time
      Element
      Combined for all
      other locations

      2% of Property           Windstorm, Hail not associated with a “named storm” in High Hazard Wind Zones
      Damage and 2%
      of Time Element,
      subject to a
      minimum of
      $7,813 for Retail
      Store locations
      and $78,125 for all
      other locations
      and a maximum of
      $1,171,875


      2% of Property           Windstorm, Hail not associated with a “named storm” in Moderate Hazard Wind
      Damage and 2%            Zones
      of Time Element,
      subject to a
      minimum of
      $7,813 for Retail
      Store locations
      and $78,125 for all
      other locations
      and a maximum of
      $1,171,875




Surplus Lines Template (version August 2025)                                                            Page 8 of 17
      2% of Property           Convective Storm
      Damage and 2%
      of Time Element,
      subject to a
      minimum of
      $7,813 for Retail
      Store locations
      and $78,125 for all
      other locations
      and a maximum of
      $1,171,875




Surplus Lines Template (version August 2025)      Page 9 of 17