Consumer Safety Technology, LLC.

https://myaccount.intoxalock.com
Toll Free: (877) 777-5020

Lease
Date: 03/18/2022

Lessee Lessor
ROSALEE Hall Customer ID: 1398665 Consumer Safety Technology, LLC.
230 old flat creek road Lease Begin: March 18, 2022 11035 Aurora Ave,
Lease End: March 18, 2023 Urbandale, IA 50322.
shelbyville, TN 37160 Toll free 877-777-5020
Phone: (931) 842-0691
Email: [email protected]
m

Term of Lease: The initial term of this Lease is 12 months.

Description of Leased Property: As a Lessee, I will Lease the Intoxalock® Device set forth directly below (hereafter ³Device´The charge for the loss of a
LegacyŒDevice can be up to $1,495.00 and the charge for the loss of an eLERT® Device or Home eLERTŒDevice can be up to $3,000.00. (Check
applicable Device leased directly below). The charge for each additional handheld can be up to $1,495.00 and the charge for each additional relay can be up
to $1,495.00.

LegacyŒDevice (Model 1001A) includes handheld, relay(s), cord, harness, and mouthpieces

eLERT® Device (Model 1001A) includes handheld, relay(s), cord, wire harness, mouthpieces, and may include camera and global positioning system (GPS)

Home eLERTŒDevice (Model 1001A) includes handheld, relay, cord, wire harness, mouthpieces, and may include camera and global positioning
system (GPS)

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 Amount Due at Lease Signing Lease & Fee Payments Other Charges (In addition to Lease Total of Payments
Your Lease payments and Device & Fee payments)
First Lease payment (The amount you will have paid by the
(includes sales tax) Protection Plan Plus fees will be end of the Lease, including sales tax
$48.28 Data Processing Fee
withdrawn Bi-Weekly on every other and state mandated fees, if
($3.00 per time, plus $39.48 applicable)
Friday of each month.
sales tax, as
Your first Lease payment of $48.28 is
Device Fee (includes $0.00 applicable, estimated
due at Lease signing on 03/18/2022
sales tax) total) (includes sales
followed by 26 payments of $48.28.
tax)
Delivery Fee (includes The total of your monthly Lease
$0.00 Shipping and Handling
sales tax) payments is $1,303.56 (includes sales $0.00
tax). (includes sales tax)
Setup Fee (includes $30.18 Your first Device Protection Plan Plus Total $1,748.02
Administrative Closing
sales tax) fee of $10.98 is due at Lease signing $65.84
Fee (includes sales tax)
on 03/18/2022 followed by 26
State Transact Fee $0.00 payments of $10.98. The total of your State Fee $12.50
Device Protection Plan $10.98 Device Protection Plan Plus fees are
Plus Fee (includes $296.46 (includes sales tax). TN ($12.50 Yearly)
sales tax)
Total $89.44 Total $117.82

Purchase Option at the end of Lease Term.

You do not have the option to purchase the leased property at the end of the lease term.
See your lease document for additional information on early termination, maintenance responsibilities, warranties, express shipping fees, late and default
charges, lockout and logfull charges, vehicle switches, repair fees, and any security interest, if applicable.
Other Important Terms.
The following fees include estimated taxes applicable at the time the parties enter into this Lease. Additional taxes may apply depending on the applicable
fees throughout the duration of your Lease.

ARS Return Fee $0.00 Expedited Shipping Fee Starting At: $19.76
No Show Fee $50.00 Late Payment Charge $4.99, subject to any state restrictions
Lockout Fee $54.88 Vehicle Switch Fee $32.93
Exchange Fee $0.00 Labor Per Hour $54.88
Early Cancellation Fee $219.50 Device Fee $0.00
The lesser of $30.00, or the maximum amount
Initial Replacement Fee $27.44 Chargeback Fee allowed by state law
Data Log Fee $25.00 Return Check Fee $15.00
Reset Calibration Fee $27.44
See your Lease terms below for an explanation of the fees charged by the service center (i.e., installation fee, removal fee, calibration fee, log full fee,
and vehicle switch fee).

Official Fees and Taxes.

The total amount you will pay for official fees (i.e., all required fees set forth on page 2) and taxes over the term of your Lease, whether included with your
recurring payments or assessed otherwise, is: $1,748.02. The actual total of official fees and taxes may be higher or lower depending on a number of factors,
including but not limited to: the tax rates in effect or the value of a Device at the time a fee or tax is assessed; changes in tax rates or other laws made during
the term of your Lease; changes in mandated state fees made during the term of your Lease; your eligibility in any applicable state financial assistance ignition
interlock program; or the quantity of other fees charged to you that are subject to taxes.
Maintenance.
You are responsible for the following maintenance and servicing of the Device. You are responsible for: 1) facilitating and paying for the installation of the
Device in your vehicle at an approved service center pursuant to Section 2 of your Lease; 2) facilitating periodic calibrations pursuant to Section 3 of your Lease
and the Intoxalock User¶s Manual; 3) facilitating and paying for the removal of the Device from your vehicle at an approved service center pursuant to Section 5
of your Lease; 4) not tampering with or damaging the Device in any manner; 5) exchanging or facilitating the calibration of the Device in the event of a lockout
pursuant to Section 7 of your Lease; and 6) addressing a log full as described in Section 8 of your Lease.
We are responsible for the following maintenance and servicing of the Device: assisting with the periodic calibration process pursuant to Section 3 of your
Lease and the Intoxalock User¶s Manual.
Warranties.
The Device is subject only to the express limited warranty described in Section 15 of your Lease that the Device will operate properly during the term of your
Lease. Section 15 of your Lease also contains limitations on the extent of your remedies in the event of a breach of this sole limited warranty.
Early Cancellation and Default.
Pursuant to Section 10.6 of your Lease, you may cancel your Lease on or before the end of your Lease if you: 1) provide written notice to us; 2) pay the early
cancellation fee; 3) return the Device to us; 4) pay all Lease payments due for each month of the Lease term through the month in which you fully comply with
these requirements; and 5) you forfeit any Device Fee.
Pursuant to Section 11 of your Lease, we may cancel your Lease before the end of the Lease term if you default in the performance of your obligations under
your Lease. Upon such cancellation, we will be entitled to all of the amounts set forth at Section 11.3 of your Lease, including without limitation an early
cancellation fee.

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Late Payments.
Late payments will be assessed a fee of $4.99 on the fourth day after the payment due date. These charges and timing of the charges are subject to any state
mandated maximums and minimums. Late payments, including the collection of any late payment, shall not operate to waive our right to cancel this Lease for
nonpayment of fees, subject to this Lease. Additionally, delinquent accounts may be subject to collection efforts, including but not limited to, the reporting of the
delinquent account to third party credit reporting agencies and collection recovery efforts.
Purchase Option Prior to the End of the Lease Term.
You do not have an option to purchase the Device.
THIS LEASE CONTAINS A BINDING ARBITRATION CLAUSE AND A CLASS ACTION WAIVER. IT REQUIRES THAT DISPUTES BE RESOLVED BY
ARBITRATION, RATHER THAN CLASS ACTION LAWSUITS OR JURY TRIALS (EXCEPT FOR MATTERS THAT MAY BE TAKEN TO SMALL CLAIMS
COURT). PLEASE SEE SECTION 18 FOR MORE INFORMATION.

The Lessee, Lessor, and Lease terms described above are an important part of this Lease and are incorporated herein as a part of this Lease.
"You" means Lessee (customer) and "'we" means Consumer Safety Technology, LLC (CST).
1. Payments.
I will pay all amounts owed by me under this Lease by:

X Automatic Pay Account by Debit Card, Credit Card, or Bank Debit

I will manually initiate payment by Debit Card, Credit Card, Bank
Debit, Check or Money Order made payable to:
Intoxalock
PO Box 8773
Carol Stream, IL 60197-8773

If you have signed this Lease and checked the Automatic Pay Account by Debit Card, Credit Card, or Bank Debit above (hereafter ³Automatic Pay Account´and
completed the Automatic Pay Account information set forth below, you authorize CST to initiate variable entries to the debit card, credit card, or bank account
noted below or to any other substitute account that you provide to us by phone, online while logged into any ³my account´session, or in writing at any time to
serve as an Automatic Pay Account. If the name of the card holder or account holder for the initial or any substitute Automatic Pay Account that you provide to
us is different than your name, your signature on this Lease constitutes your representation and warranty that you are authorized to provide us with the third
party¶s Automatic Pay Account information and that you may authorize variable charges on the third party¶s Automatic Pay Account to pay all amounts you owe
under this Lease. This authority will remain in effect throughout the term of your Lease and until we have received all payments that have been charged to the
Automatic Pay Account you have provided to us pursuant to the terms of your Lease, including without limitation charges that may be imposed after the
cancellation of your Lease, any charges you may owe after returning the Device to us and/or any liability you may have to us under Section 12 of your Lease.

Bank Name Account Number Routing Number

Credit Card Number Expiration (Month/Year) X MasterCard Discover

****-****-****-0020 01/2025 Visa Am Ex
Name of Card Holder - Print Exactly as it Appears on the Credit Card

Mailing address of Card Holder* City of Card Holder* State of Card Holder* Zip Code of Card Holder*
%CCMailingAddress %CCCity %CCState %CCZip

*If different than address on page 1 of this Lease

If you have signed this Lease and checked that you will manually initiate payment by Debit Card, Credit Card, Bank Debit, Check, or Money Order ³Manual
Payment Account´you will initiate payment initially and throughout the term of this Lease by phone, online while logged into any ³my account´session, or by
mail. If the name of the card holder or account holder for the initial or any subsequent payments under the Manual Payment Account are different than your
name, your signature on this Lease constitutes your representation and warranty that you are authorized to provide us with the third party¶s information to pay all
amounts you owe under this Lease. You may switch from a Manual Pay Account to an Automatic Pay Account at any time by contacting us.
2. Installation Fee, Setup Fee, and No Show Fee.
Call us to schedule the installation of the Device. Each service center sets its own installation fee. We do not receive any part of the installation fee. You will pay
the installation fee directly to the service center. In addition, you will pay a setup fee directly to us for the installation of the Device as set forth on page 2 of this
Lease. Should you not show up at the service center for the installation of the Device, we will charge a no show fee as set forth on page 2 of this Lease to
schedule another appointment at the service center for installation of the Device. Installation will not be completed unless you have paid us the ³Amount Due at
Lease Signing´as set forth on page 2 of this Lease.
3. Calibration.
3.1 State law requires the calibration of the handheld part of the Device throughout the term of this Lease. The Intoxalock User¶s Manual provides the current
calibration requirements for the Device and is available to you anytime at myaccount.intoxalock.com. Your account must be in good standing for your calibration
to process properly. Visit myaccount.intoxalock.com seven business days prior to your calibration to confirm the status of your account. To ensure uninterrupted
service, you may be required to sign a Lease, make all payments due, and/or return the Device so your calibration may process accordingly. Should you miss
your calibration appointment, and a new appointment must be scheduled, we will charge a reset calibration fee as set forth on page 2 of this Lease.
3.2 Your service center will provide you with an appointment date and time for your calibration. At your scheduled appointment, the handheld part of the Device
will be removed from your vehicle, calibrated by the service center, and returned to your vehicle. In the alternative, we may send a calibrated replacement
Device to you or to the service center depending on what the state allows if you have made all payments due and all Devices that have passed their service date
have been returned to us. If the Device is sent directly to you, you will be responsible for plugging in the replacement Device and returning to us the Device you
remove. Should the replacement Device be sent to the service center, you will take your vehicle to the service center for the replacement Device.

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3.3 Each service center establishes its own calibration fee. We do not receive any part of the calibration fee. You will pay the calibration fee directly to the
service center. If the Device must be returned, you will be responsible for returning the removed Device to us if not returned by the service center. Keep a copy
of each calibration work order that we send you in your glove compartment.
4. Other Charges and Taxes.
4.1 ARS Return Fee. With each exchange Device that you receive, an ARS return shipping label will be provided. This label must be used to return your
exchanged equipment via the carrier named on the label. You will pay directly to us an ARS return fee as set forth on page 2 of this Lease for this mandatory
service when each Device is returned to us. You will be responsible for paying the carrier directly if an ARS label is not provided.
4.2 Data Processing Fee. For each Device, there will be a data processing fee assessed to your account for the downloading and processing of the data log.
The estimated data processing fee over the term of this Lease is set forth on page 2 of this Lease and is based on the noted estimated number of downloads
during the Lease term. The actual amount will vary from this estimate based on your usage of the Device and the number of downloads required by your State
based on your usage frequency and history.
4.3 Shipping and Handling. All shipping costs from CST will be at your expense. The minimum charge for each Device exchanged and shipped to you is set
forth on page 2 of this Lease. We do however offer express shipping options for an expedited shipping fee. Expedited shipping would be used strictly at your
request and expense as set forth on page 2 of this Lease.
4.4 Administrative Closing Fee. You will be assessed an administrative closing fee payable to us as set forth on page 2 of this Lease. This administrative
closing fee will be assessed when your de-installation appointment is scheduled by us or when the Device is returned to us, whichever occurs first.
4.5 Taxes. The current estimated total amount you will pay for sales and use taxes over the term of your Lease is set forth on page 2 of this Lease. The actual
amount of taxes for which you shall be liable may be higher or lower than the current estimated amount depending on the tax rates in effect from time to time in
your jurisdiction, the taxability of this Lease in the jurisdiction in which you reside, and the location of your residence which may change from time to time. You
agree to pay to us all sales and use taxes for which we may be liable in connection with this Lease. This provision will survive the cancellation of this Lease.
4.6 State Fees. If we are required to do so by applicable state laws and\or regulations, we will charge and collect any mandated state fees that may be in
addition to the other fees, charges, and taxes described in this Lease. We will also remit to the applicable governmental agency the required portion of all such
mandated state fees that we charge and collect from you, and retain the portion we are not required to remit pursuant to the applicable state laws and
regulations. The estimated amount and frequency of any such mandated state fees for your Lease are set forth on page 2 of this Lease. The actual amount of
mandated state fees for which you shall be liable may be higher or lower than the current estimated amount depending on any changes in mandated state fees
made during the term of your Lease. You agree to pay us all mandated state fees for which we may be liable in connection with this Lease.
4.7 Data Log Fee. For each data log request you make to CST, we will charge a data log fee as set forth on page 2 of this Lease.
4.8 Chargeback Fees/Return Check Fees. For all disputed credit card charges you will be assessed a chargeback fee of $30.00 and for all returned checks
you will be assessed a charge of $15.00 for each occurrence. These charges are subject to any state mandated maximum. By signing this lease you
acknowledge and agree to be bound by these charges if incurred by you during your lease period.
4.9 Additional Services. If you have entered into an addendum to this Lease for any additional services, you will be responsible for any fees set forth on page 2
of this Lease for those additional services.
5. Removal of Device from Your Vehicle.
On or before the end of your Lease you are required to contact us to schedule the removal of the Device from your vehicle. In some instances you will not be
able to schedule removal of your Device until we have received written authorization from the court or your monitoring authority. Further, we will not authorize a
removal if you have not made all payments due. You will take your vehicle to the service center, which will remove the Device. Each service center sets its own
removal fee. You will pay the removal fee directly to the service center. We do not receive any part of the removal fee. You will be responsible for returning to us
the removed Device if not returned by the service center.
6. Operation of Device.
You are required to wait 15 minutes after finishing any food or beverage before providing a deep lung breath sample. You agree not to tamper with the Device or
to attempt to start the vehicle except by blowing into the Device mouthpiece. The Device detects tampering and circumvention activities and we are required to
report such events to the proper authorities.
7. Lockouts.
It is possible that a Device will go into a lockout mode if any of the conditions set forth in the Intoxalock User¶s Manual occur. The display on the Device will warn
you if the Device has gone into lockout. Should you cause the Device to go into a lockout mode, you will be required to contact us. A lockout fee set forth on
page 2 of this Lease is payable to us and will be assessed for each occurrence in addition to the other relevant charges listed in Section 4. Any such lockout
fee assessed to you will be due and payable in full at the same time as your next Lease payment invoice is due and payable. Should we have to send a
calibrated replacement Device to you or to the service center you must have made all payments due and you must have returned to us all Devices that have
passed their service date. If the Device is directly sent to you, you will be responsible for plugging in the replacement Device and returning to us the Device you
remove. Should the replacement Device be sent to the service center, you will take your vehicle to the service center, which will perform the exchange. Each
service center sets its own fee for this service and you will pay the calibration fee directly to the service center. We do not receive any part of the calibration
fee. You will be responsible for returning the removed Device to us if not returned by the service center. A copy of each work order that we send you should be
kept in your glove compartment. For more information about lockout mode causes and the effect of going into lockout mode, see the Intoxalock® User¶s Manual
available to you anytime at myaccount.intoxalock.com.
8. Log Full.
The Device normally has sufficient capacity to retain necessary data between calibrations. Unusual driving patterns can result in more data than a Device can
retain, which may require an exchange of the Device. The display on the Device will warn you if the data log is approaching its capacity. Contact us to arrange
for shipment of a replacement device. We will charge you an exchange fee as set forth on page 2 of this Lease in addition to other charges listed in Section 4.
We will send a calibrated replacement Device to you or to the service center if you have made all payments due and have returned to us all Devices that have
passed their service date. If the Device is directly sent to you, you will be responsible for plugging in the replacement Device and returning to us the Device you
removed. Should the replacement Device be sent to the service center, you will take your vehicle to the service center, which will perform the exchange. Each
service center sets its own log full fee for this service. You will pay the log full fee directly to the service center. We do not receive any part of the log full fee.
You will be responsible for returning the removed Device to us unless returned by the service center. A copy of each work order that we send to you should be
kept in your glove compartment.

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9. Vehicle Switch.
Contact us to determine the requirements for a vehicle switch and to schedule an appointment. In some instances you will not be able to schedule removal of
the Device until we have received written authorization from the court or your monitoring authority. Should you need to have the Device removed from your
current vehicle and re-installed in a different vehicle you will be assessed a vehicle switch fee set forth on page 2 of this Lease payable to CST. All other costs
incurred will be payable to the service center. We do not receive any part of the fees paid to the service center. We will not authorize a vehicle switch if you
have not made all payments due and all Devices that have passed their service date have not been returned to us. Before we are able to schedule the vehicle
switch, we will need to have the following information pertaining to the new vehicle: VIN number, year/make/model, color, plate number, registered owner, state,
and county.
10. Term.
10.1 The initial term of this Lease is set forth on page 2 of this Lease. Any extension of the initial lease will be on a month-to-month term, subject to disclosures
set forth in section 10.2. Lease extensions and changes to any of the charges, fees or payments due to CST under this lease are not required to be in writing or
signed by both parties, provided the initial Lease was executed.
10.2 If you do not return the Device to us so that it is received by us no later than the first business day following the end of the original Lease term, then the
Lease term will automatically be extended in one month increments at the prevailing Lease rate until you return the Device to us pursuant to the terms of this
Lease. There will be no prorated Lease payments.
10.3 All provisions of this Lease will apply during any extension of the Lease term, including your obligation to schedule removal of the Device and return the
Device to us. You will be responsible for paying a removal fee to the service center.
10.4 A Device Fee equal to the first Lease payment will be paid if you chose to pay using a Manual Payment Account. A Device Fee will not be required if you
chose to pay using an Automatic Pay Account throughout the term of this Lease. The Device Fee provided for by this Lease will not be refunded to you unless
and until:

10.4.1 You have paid CST all amounts due CST under this Lease;

10.4.2 You have returned the Device to us in good working order so that it is received by us no later than the first business day after the end of your
original Lease term or any extension thereof provided for in a new written Lease document. If the Device is not returned within one business day
after the end of your original Lease term or any extension thereof provided for in a new written Lease document, you will be charged a Device Fee
equal to the first Lease payment as set forth on page 1 of your Lease which will be satisfied by the forfeiture of your Device Fee if paid,
otherwise will be charged to you and collected from you; and

10.4.3 You contact us to provide us with a current address at the time you return the Device to us so that we have a good, current address to use for
mailing of the Device Fee, if you paid a Device Fee. If you do not contact us to provide a current address for us to use to mail the Device Fee to
you within 180 days of your return of the Device to us, you will forfeit the right to receive a return of the Device Fee. The purpose of this provision
is to ensure that you receive your Device Fee at the address that is your current address at the time you return the Device to us to avoid a Device
Fee and other costs that are incurred by us if we mail a Device Fee to an old or otherwise no longer viable address. Substantial administrative
time and other time and expense are incurred by us with respect to Device Fee checks that are not promptly received and cashed by our
customers.

10.4.4 The Device Fee is also subject to forfeiture as provided in other provisions of this Lease.
10.5 If you are not required to pay a Device Fee under this Lease because you have arranged to pay all amounts due under this Lease by an Automatic Pay
Account, we reserve the right to collect a Device Fee immediately upon any credit card or debit card payment declination communicated to us by your credit
card company or bank.
10.6 You may voluntarily cancel your Lease before the end of your original Lease term if you:

10.6.1 Provide us with written notice of your early cancellation of your Lease;

10.6.2 Pay us an early cancellation fee as set forth on page 2 of this Lease, unless we agree to waive your payment of the early cancellation fee
because the governmental authority that mandated your use of a Device has authorized you to remove the Device from your vehicle
before the end of your original Lease term.

10.6.3 Return the Device to us;

10.6.4 Pay all recurring Lease payments due for the duration of the Lease term, through the month in which you have completed all of the early
cancellation requirements set forth above in Sections 10.6.1, 10.6.2 and 10.6.3; and

10.6.5 Forfeit any Device Fee paid by you.

As provided above, you will forfeit any Device Fee paid by you if you cancel your Lease before the end of your original Lease term however, you will not
be responsible for paying any Lease payments for any month after you have completed all of the early cancellation requirements set forth above in
Sections 10.6.1, 10.6.2, and 10.6.3. The exception to forfeiting your Device Fee is if you can prove in writing from the appropriate governing or
monitoring authority that you are no longer required to have a Device.
11. Default.
11.1 We are in default under this Lease if we fail to install, calibrate, repair or replace the Device within 10 days after you call us to schedule the activity,
provided that you have made all payments due and have returned to us the Device past its service date. If we are in default, you may cancel this Lease by
notifying us; and you will have no further obligations under this Lease other than the obligation to present your vehicle at the service center for removal of the
Device and returning the Device to CST. You will be responsible for paying a removal fee to the service center.

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11.2 You are in default under this Lease if:

11.2.1 You fail to schedule a calibration within 10 days after the deadline for each calibration; or

11.2.2 You cancel your Lease prior to the end of the Lease term, except as provided in Section 10.6; or

11.2.3 You fail to make any payments due under this Lease within 10 days after the payment is due; or

11.2.4 You fail to return the Device to us within 10 days after we send you a replacement Device; or

11.2.5 A Device is damaged while it is in your possession; or

11.2.6 You tamper with, or circumvent, the proper use of the Device; or

11.2.7 You communicate with CST and/or its employees or agents in a manner determined by CST, in its reasonable discretion, to be threatening,
harassing, degrading, damaging, obscene, or objectionable; or

11.2.8 You are not in compliance with any applicable statutes, regulations, court orders, or the terms of this Lease.

We may cancel your Lease following your default by notifying you however, cancellation will not affect our right to damages noted in Section 11.3.
11.3 You agree to the following as damages following your default:

11.3.1 Pay us an early cancellation fee as set forth on page 2 of your Lease; plus

11.3.2 Return the Device to us; plus

11.3.3 Pay all recurring Lease payments due throughout each month of the original Lease term, or any automatic extension of the Lease term, through
the month in which you have completed all of the early cancellation requirements set forth above in Sections 10.6.1, 10.6.2 and 10.6.3; plus

11.3.4 Forfeit the Device Fee paid by you. As provided above, you will forfeit your Device Fee if you cancel your Lease before the end or your original
Lease term, or any automatic extension of the Lease term however, you will not be responsible for paying any Lease payments for any month
after you have completed all of the early cancellation requirements set forth above in Sections 10.6.1, 10.6.2 and 10.6.3; and

11.3.5 Your liability (if any) for our losses under Section 12.
12. Your Responsibility for the Device.
You are responsible for returning the leased Device to us immediately after the Device is removed from your vehicle if not returned by the service center. IF
THE DEVICE IS NOT RETURNED TO US WITHIN 10 DAYS, STARTING WITH THE DAY A REPLACEMENT DEVICE IS SHIPPED OUT TO YOU, YOU WILL
BE ASSESSED A LATE PAYMENT CHARGE AS SET FORTH ON PAGE 1 OF THIS LEASE. You are liable for any damages to the Device between the time
the Device is installed in your vehicle and the time the Device is returned to CST. You are also liable for the total loss of the Device from theft, vandalism, or
any other cause. The Device is valued as set forth on page 2 of this Lease.
13. Device Features and Data Collected.
13.1 You acknowledge and consent to the following functions and/or capabilities of the Device:

13.1.1 A camera that may take photos and/or video of the interior of your vehicle, you and others who may be present in your vehicle, the contents of
your vehicle, and your physical surroundings;

13.1.2 A global positioning system ³GPS´that may record and transmit GPS information, including but not limited to the location of the Device and
your vehicle; and

13.1.3. Real time data reporting providing near real-time communication of Device data log records pertaining to your account (including, but not limited
to photos, video and GPS information) to CST¶s server and transmitted to CST¶s website.
13.2 YOU ARE RESPONSIBLE FOR NOTIFYING PASSENGERS OR OPERATORS OF THE VEHICLE IN WHICH THE DEVICE IS INSTALLED OF THE
EXISTENCE OF THE DEVICE'S CAMERA AND GPS FUNCTIONALITY AND THE FACT THAT PICTURES AND/OR VIDEO AND THEIR LOCATION WILL BE
TAKEN BY THE DEVICE. YOU THEREFORE AGREE TO INDEMNIFY, RELEASE AND HOLD US SAFE AND HARMLESS FROM, AND TO DEFEND US
FULLY AND COMPLETELY WITHOUT LIMITATION FROM ANY AND ALL CLAIMS, EXPENSES, AND COSTS (INCLUDING ATTORNEYS' FEES) BROUGHT
BY PASSENGERS OR OPERATORS IN YOUR VEHICLE OR BY ANY OTHER PERSONS THAT MAY BE INCLUDED IN THE DEVICE ¶S PHOTO, VIDEO
AND/OR GPS RECORDS.
13.3 You acknowledge and consent to CST releasing Device data log records and other information related to your account and your use of a Device to any
county, state, federal or judicial official, law enforcement or other law, judicial or governmental official. The information that we may release includes all of the
following:

13.3.1 All Device data log records pertaining to your account with us, including without limitation photos, videos, information about test results, lockout
events, global positioning system ("GPS") data including the location of the Device and your vehicle at specific times, and other information
gathered and stored in the Device's data log records pertaining to your account;

13.3.2 All account information, including the fact that you are our customer, the specific products and services that you receive from us from time to time,
all usage information related to your use of the Device, the date or dates upon which you began and/or resumed leasing the Device from us, and
your Lease payment information;

13.3.3 Communications that you have had with us; and

13.3.4 Any other information related to our dealings with you and the products and services provided by us to you or on your behalf.

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14. Construction of Lease, Acceptance of Lease, Return of Lease, and Other General Terms.
14.1 This Lease including the "Description of Leased Property" on page 2 of this Lease constitutes the entire Lease between the parties; and it supersedes all
negotiations, preliminary agreements, agreements in principal, and other discussions prior to the signing of this Lease relating to its subject matter.
14.2 Your acceptance of a Device shipped to you or the execution of this Lease, whichever occurs first, constitutes acceptance by you of all the terms and
conditions of this Lease, including your consent to the collection and release of information described in Section 13. This also verifies that you have been
informed of all charges and fees contained in this Lease and that you accept all such charges and fees we apply to your account with respect to your use of a
leased Device.
14.3 The lease term begins as of the date noted on the first page of this Lease and shall extend for the period noted in Section 10 of this Lease.
14.4 Your acceptance of a Device verifies that you have been instructed on the proper use and care of the Device and that you understand how to use the
Device in accordance with its use instructions and specifications.
14.5 You must sign and return a copy of this Lease upon your receipt and acceptance of the Device. The service center will not have any obligation to calibrate
the Device unless you have returned a signed copy of this Lease to us.
14.6 Your acceptance of the Device constitutes your representation that you own or lease the vehicle in which you have requested that the Device be installed
or that you otherwise have the authority and right to install the Device in the vehicle in which you have requested that the Device be installed.
14.7 A party's waiver of a breach of any term of this Lease will not constitute a waiver of any subsequent breach of the same or another term contained in this
Lease. A party's subsequent acceptance of performance by the other party will not be construed as a waiver of a preceding breach of this Lease other than
failure to perform the particular act.
14.8 In the event any provision of this Lease is held unenforceable, in whole or in part, the remaining provisions of this Lease will not be affected unless the
unenforceable provision materially alters the rights of either party and it is impossible to adjust for the unenforceable provision.
14.9 You and CST agree that the Federal Arbitration Act and with the substantive laws of the state in which you reside, without reference to its principles of
conflicts of laws, will be applied to govern, construe and enforce all of the rights and duties of the parties arising from or related in any way to this Lease.
UNLESS YOU AND CST AGREE OTHERWISE, IN ACCORDANCE WITH SECTIONS 14 AND 18 OF THIS LEASE, YOU AND CST CONSENT TO THE
EXCLUSIVE PERSONAL JURISDICTION OF AND VENUE IN ARBITRATION OR SMALL CLAIMS COURT LOCATED IN THE STATE IN WHICH YOU RESIDE
FOR ANY SUITS OR CAUSES OF ACTION ARISING OUT OF OR RELATED TO, DIRECTLY OR INDIRECTLY, THIS LEASE.
14.10 You accept responsibility for all positive alcohol readings that may be recorded by your Device and you acknowledge that we have provided you with
information about the consumption or usage of certain classes or categories of products other than adult alcoholic beverages and other circumstances that may
cause the Device to record positive readings.
14.11 This Lease may be signed in counterparts and by facsimile or other electronic means. The parties further agree that a copy of this signed Lease shall
have full force and effect and that we are not obligated to retain any original signed Lease document on file in order to enforce all of the terms and provisions of
this Lease.
15. Limited Warranty, Disclaimer, and Limitation of Remedies.
15.1 Except as otherwise provided in this Section, we warrant that the Device will operate properly during the term of this Lease. You agree to immediately
notify us if the Device fails to operate properly and, in such a case, your sole remedy and our sole obligation will be for us to repair or replace the Device without
charge at our service center which is nearest to you as soon as such work can be scheduled at a mutually convenient time. This limited warranty of repair or
replacement will not apply after any attempt to tamper with or otherwise damage the Device, or if the Device has otherwise been subject to misuse, abuse, or
alteration or if any attempt has been made to repair the Device at any location other than our authorized service center. If the limited warranty for repair or
replacement does not apply you will be charged an initial replacement fee set forth on page 2 of this Lease. In addition you will be charged for the replacement
parts needed and the labor costs incurred to repair the Device. CST charges labor at a rate set forth on page 2 of this Lease.
15.2 Your SOLE AND EXCLUSIVE REMEDY with respect to any injury, loss, damage, or expense suffered or incurred with respect to or in any way related to
the Device which is the subject of this Lease will be the repair or replacement of the Device without charge during the period of this Lease. The sole purpose of
this exclusive remedy shall be to provide you with free repair or replacement of a defective Device in the manner provided herein. This exclusive remedy shall
not be deemed to have failed of its essential purpose as long as we repair and replace a defective Device within a reasonable period of time.
15.3 THE LIMITED WARRANTY AND REMEDIES SET FORTH AT SECTIONS 15.1 AND 15.2 ARE IN LIEU OF ALL OTHER WARRANTIES AND REMEDIES
WITH RESPECT TO THE DEVICE WHICH IS THE SUBJECT OF THIS LEASE, AND THERE ARE NO OTHER WARRANTIES, WHETHER EXPRESS OR
IMPLIED, OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, OR OTHERWISE. NO OTHER REMEDY OTHER THAN THE REPAIR OR
REPLACEMENT WARRANTY REMEDY SET FORTH AT SECTION 15.1 WILL BE AVAILABLE TO YOU. WE WILL NOT BE LIABLE UNDER ANY THEORY OF
TORT, CONTRACT, STRICT LIABILITY OR ANY OTHER LEGAL OR EQUITABLE THEORY FOR CONSEQUENTIAL OR INCIDENTAL DAMAGES,
PERSONAL INJURY DAMAGE, PROPERTY DAMAGES, PUNITIVE DAMAGES OR ECONOMIC LOSSES WHICH ARE CLAIMED TO HAVE ARISEN UNDER,
IN CONNECTION WITH, OR RELATED TO THIS LEASE. For example, we will not be liable for loss of wages because your vehicle will not start and we will not
be responsible for any damages caused to person or property as a result of a vehicle accident involving any vehicle in which the Device which is the subject of
this Lease is installed. NO WARRANTIES, WHETHER EXPRESS OR IMPLIED, SHALL EXIST BEYOND THE APPLICABLE TERM OF THIS LEASE.
16. Limitations on Our Liability. Consistent with Section 15.2, which provides for the sole and exclusive remedy you may obtain from CST:
16.1 CST will not be liable for any damage, whether direct, incidental, special, or consequential, that may result from the shipping of the Device to or from CST.
16.2 CST will not be liable for your acts or omissions including, but not limited to, improper or incorrect shipping address.
16.3 CST will not be liable for loss, damage, or delay caused by events we cannot control, including but not limited to acts of God, war, strikes, weather
conditions, acts of public enemies, or acts of public authorization with actual or apparent authority.
16.4 CST will not be liable for delays in shipping provided that the Device was shipped in a timely manner and that the package was shipped in good faith to
arrive within a specified period of time.
16.5 CST will not be liable for any loss, damages, or expenses incurred by you as the result of the acts or omissions of an authorized service center.
16.6 CST will not be liable for any loss, damages, or expenses which relate to or arise out of any work that is performed on a Device by anyone other than an
authorized technician or service center.
16.7 CST will not be liable for any loss, damages, or expenses which relate to or arise out of any lost Devices, delays in service, damage to vehicles or loss of
income or profits relating to the use or service of the Device.
17. Communications
17.1 You authorize us and our service providers to contact you from time to time in writing, by email, by phone, or by text message at any address or
telephone number you provide to us and/or our service providers, including cell phone numbers, for all purposes relating to the servicing of your account, this
Lease, the Device, or to collect any amounts you owe. You understand that the calls and/or text messages may be made to you using technologies including,
but not limited to, automatic telephone dialing systems or artificial or prerecorded voice messages.

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17.2 You consent to receive calls and text messages to encourage the purchase or lease of DUI-related products and services by or on behalf of CST and its
affiliates, including Breathe Easy Insurance Solutions, LLC, at the telephone number(s) provided in this Lease, including through -the use of an automatic
telephone dialing system or artificial or pre-recorded voice. Consent is not a condition of purchase. YOU UNDERSTAND THAT YOU CAN EMAIL
[email protected] OR SEND A REQUEST TO CONSUMER SAFETY TECHNOLOGY, LLC, ATTN: LEGAL DEPARTMENT, 11035 AURORA AVE., DES
MOINES, IA 50322, TO REQUEST AND SIGN A LEASE WITHOUT THE CONSENT LANGUAGE CONTAINED IN THIS SECTION 17.2 INCLUDED.
17.3 You agree that your telephone communications with us, our affiliates and/or service providers may be monitored and/or recorded to assure the quality of
our service or for other reasons.
17.4 You understand that if you do not want to receive communication as described in this Section 17, you must (i) provide us with written notice revoking your
prior consent, (ii) in that written notice, you must include your name, mailing address, and account number, and (iii) if you are requesting communications to
cease via telephone(s) and/or email, please provide the specific phone number(s) and email address.
17.5 You represent and warrant that you are the subscriber and/or the regular user of the telephone number that you provided to us.

17.5.1 If you provide telephone number(s) for which you are not the subscriber, you understand that you shall indemnify us for any costs and expenses,
including reasonable attorneys¶fees, incurred as a result of us contacting or attempting to contact you at the number(s).

17.5.2 If at any time you intend to stop using the telephone number that you provided to us, including canceling your service plan or selling or transferring
the telephone number to another party, you agree that you will complete the revocation process set forth in Section 17.4 prior to ending your use of
the telephone number. You understand and agree that your agreement to do so is a material part of this Lease. You further agree that, if you
discontinue the use of your telephone number without notifying us of such change, you agree that you will be responsible for all costs (including
attorneys¶fees) and liabilities incurred by us, or any party that assists in the delivery of the text messages, as a result of claims brought by any
individual(s) later assigned that telephone number. This duty and agreement shall survive any cancellation or termination of this Lease.

17.6 You acknowledge that we will collect and use your information in accordance with the terms of our Privacy Policy, currently available at
https://www.intoxalock.com/privacy-policy/.
18. BINDING ARBITRATION AND CLASS ACTION WAIVER.
18.1 YOU AND CST AGREE TO RESOLVE DISPUTES ONLY BY ARBITRATION OR IN SMALL CLAIMS COURT AS DISCUSSED BELOW. YOU
UNDERSTAND THAT BY THIS AGREEMENT YOU ARE GIVING UP THE RIGHT TO BRING A CLAIM IN COURT OR IN FRONT OF A JURY. AN
ARBITRATOR CAN AWARD YOU THE SAME DAMAGES AND RELIEF, AND MUST HONOR THE SAME TERMS IN THIS LEASE, AS A COURT WOULD,
BUT ARBITRATION PROCEDURES ARE SIMPLER AND MORE LIMITED THAN RULES APPLICABLE TO COURT, INCLUDING THE REVIEW OF ANY
DECISION OR RESULT. If you do not want to be subject to this arbitration provision, you may opt out. To do so, within 30 days of the date of your installation of
the Device, you must send notice to Consumer Safety Technology, LLC, Attn: Legal Department, 11035 Aurora Ave., Des Moines, IA 50322, stating your intent
to opt out of this arbitration provision, as well as your name, mailing address, and account number. Should you not opt out of this arbitration provision within the
30-day period, you and CST shall be bound by the terms of this arbitration provision.
18.2 You and CST agree that the Federal Arbitration Act applies to this Lease.
18.3 You and CST agree that, except for small claims court cases, any dispute that in any way arises out of or relates to this Lease, the Device or any other
products or services you receive from us, or from any advertising for any of our or our affiliates¶products or services, or from our efforts to collect amounts you
may owe us under this Lease, for the Device or for any other products or services you receive from us, including any disputes you have with our employees or
agents, will be resolved by arbitration by one or more neutral arbitrators before the American Arbitration Association ³AAA´You can also bring any issues you
may have to the attention of federal, state, or local government agencies, and if the law allows, they can seek relief against us for you. This agreement to
arbitrate continues to apply even after you have stopped receiving products and services from us.
18.4 Unless you and CST agree otherwise, the arbitration will take place in the state and county in which you reside. The AAA¶s consumer arbitration rules will
apply. You can get procedures, rules and fee information from the AAA, which you can find at www.adr.org.
18.5 You and CST agree that for claims within the jurisdictional limit of the small claims court in the state in which you reside, either you or CST can choose to
bring an individual action in small claims court instead of proceeding in arbitration. Furthermore, if the claims in any request or demand for arbitration could have
been brought in small claims court, then either you or CST may choose to have the claims heard in small claims court, rather than in arbitration, at any time
before the arbitrator is appointed, by notifying the other party of that choice in writing. If the limitation on bringing actions to small claims court is found to be
invalid, then this provision shall be severable and the matter will proceed in arbitration. In no way will this provision allow for an action to be brought on a class
or collective basis.
18.6 THIS AGREEMENT DOES NOT ALLOW CLASS OR COLLECTIVE ARBITRATIONS EVEN IF THE AAA PROCEDURES OR RULES WOULD.
NOTWITHSTANDING ANY OTHER PROVISION OF THIS LEASE, THE ARBITRATOR MAY AWARD MONEY OR INJUNCTIVE RELIEF ONLY IN FAVOR OF
THE INDIVIDUAL PARTY SEEKING RELIEF AND ONLY TO THE EXTENT NECESSARY TO PROVIDE RELIEF WARRANTED BY THAT PARTY¶S
INDIVIDUAL CLAIM. NO CLASS, REPRESENTATIVE OR PRIVATE ATTORNEY GENERAL OR GENERAL INJUNCTIVE RELIEF THEORIES OF LIABILITY
OR PRAYERS FOR RELIEF MAY BE MAINTAINED IN ANY ARBITRATION HELD UNDER THIS AGREEMENT. ANY QUESTION REGARDING THE
ENFORCEABILITY OR INTERPRETATION OF THIS PARAGRAPH SHALL BE DECIDED BY A COURT AND NOT THE ARBITRATOR.
18.7 If either of us intends to seek arbitration under this Lease, the party seeking arbitration must first notify the other party of the dispute in writing at least 60
days in advance of initiating the arbitration. Notice to arbitrate should be sent to Consumer Safety Technology, LLC, Attn: Legal Department, 11035 Aurora
Ave., Des Moines, IA 50322. The notice must include enough information to allow us to identify your account as well as to assess and attempt to resolve your
claim, including the name of the CST account holder, a description of the claim, the specific facts supporting the claim, the damages you claim to have suffered
and the relief you are seeking. The notice requirement is designed to allow CST to make a fair, fact-based offer of settlement if it chooses to do so. You cannot
proceed to arbitration unless you provide this information. The sufficiency of this notice is an issue to be decided by a court prior to the filing of any demand for
arbitration. If you have provided this information and we are unable to resolve our dispute within 60 days, either party may then proceed to file a claim for
arbitration. CST will reimburse any filing fee that the AAA charges you for arbitration of the dispute. If that arbitration proceeds, CST will also pay any
administrative and arbitrator fees charged later. If the arbitrator determines that your claim was filed for purposes of harassment or is patently frivolous, the
arbitrator will require you to reimburse CST for any filing, administrative or arbitrator fees associated with the arbitration. If you choose to be represented by an
attorney and prevail in the arbitration, CST will reimburse all reasonable attorneys¶fees, as determined by the arbitrator.
18.8 If any provision of this Section 18 is held illegal or unenforceable in a judicial proceeding, such provision shall be severed and shall be inoperative, and
the remainder of this Section 18 shall remain operative and binding on you and CST. Notwithstanding the foregoing, if for some reason the prohibition on class
arbitrations set forth in Section 18.6 cannot be enforced as to all or part of a dispute, then the agreement to arbitrate will not apply to that dispute or part of the
dispute.

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 18.9 IF, FOR ANY REASON, A CLAIM PROCEEDS IN COURT RATHER THAN THROUGH ARBITRATION, EACH PARTY HERETO HEREBY
IRREVOCABLY WAIVES ALL RIGHT TO TRIAL BY JURY IN ANY LITIGATION, ACTION, PROCEEDING, CROSS CLAIM, OR COUNTERCLAIM IN ANY
COURT (WHETHER BASED ON CONTRACT, TORT, OR OTHERWISE) ARISING OUT OF, RELATING TO OR IN CONNECTION WITH (i) THIS
AGREEMENT OR THE VALIDITY, PERFORMANCE, INTERPRETATION, COLLECTION OR ENFORCEMENT HEREOF OR (ii) THE ACTIONS OF SUCH
PARTY IN THE NEGOTIATION, AUTHORIZATION, EXECUTION, DELIVERY, ADMINISTRATION, PERFORMANCE OR ENFORCEMENT HEREOF.
19. Signatures.
19.1 This Lease may be signed in counterparts.
19.2 This Lease may be signed by facsimile or by other electronic means.
19.3 My signature below indicates that I have been trained on the proper use of the Device installed. Training was provided either by personal demonstration
from the technician installing the Device, by phone, through receipt of an Intoxalock User¶s Manual, and/or by viewing a User¶s video. I acknowledge that the
Intoxalock User¶s Manual and User¶s video are available through my account online. If you are unable to access MyAccount online, please contact us at 1-877-
777-5020. Further, my signature below confirms that anyone driving the vehicle that the Device is installed in should review and understand the training
materials.
19.4 My signature below indicates that I have read the Intoxalock User's Manual and understand that certain commonly used products contain alcohol
including, but not limited to: mouthwash, hand sanitizer, perfumes/colognes, and liquid cold medicines. I agree that while leasing this Device I will not use any
such products. Also, I understand that I am not to eat or drink ANYTHING at least 15 minutes prior to providing a breath sample. I further understand that I am
responsible and accountable for any and all alcohol readings regardless of their source.
19.5 IMPORTANT: READ BEFORE SIGNING. ALL OF THE TERMS OF THIS LEASE SHOULD BE READ CAREFULLY BEFORE YOU SIGN THIS LEASE.

19.6 YOUR SIGNATURE ON THIS LEASE VERIFIES THAT YOU HAVE READ, UNDERSTOOD, AND AGREE TO COMPLY WITH ALL OF THE TERMS
SET FORTH IN THIS LEASE.
CONSUMER SAFETY TECHNOLOGY, LLC ROSALEE HALL

By: (Lessor) By:

Rosalee J. Hall
%LeaseeSignature
(Lessee)
[email protected]

Sales Representative %LeaseeSignedDate

It's: Dated: 03/18/2022

IMPORTANT!
Please send payments to:
Intoxalock
PO Box 8773
Carol Stream, IL 60197-8773

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 Consumer Safety Technology, LLC.
11035 Aurora Ave,
Urbandale, IA 50322.
Toll free 877-777-5020

Device Protection Plan Plus + Addendum

THE CONSUMER SAFETY TECHNOLOGY, LLC DEVICE PROTECTION PLAN PLUS + ADDENDUM (HEREINAFTER
REFERRED TO AS THE ''PLAN'') IS A LEGAL CONTRACT BETWEEN YOU AND CONSUMER SAFETY
TECHNOLOGY, LLC, D/B/A INTOXALOCK, LOCATED AT 11035 AURORA AVE, DES MOINES IOWA 50322. As part of
this Plan, you may elect one or all of three options included in this Plan (1) Device Protection Plan, (2) Sleeve Lease,
and (3) Roadside Assistance Travel Club which will be billed to you in equal monthly or bi-weekly payments as set forth
in your Good Faith Estimate. The terms and conditions for each option are provided for below:

DEVICE PROTECTION PLAN ³DPP´

1. This DPP is not a contract of insurance. If you disagree with any of these provisions, you should not
use this DPP.

2. Qualifying Products: Subject to any exclusions set forth in this DPP, this DPP covers the CST
products listed below (each, a ³Product´CST may update this list at any time.

a. Legacy Model 1001A

b. eLERT Model 1001A, RB-C100 Relay, CM-VGA1 Camera
c. Home Monitoring Unit Model 1001A, RB-C100 Relay, CM-VGA1 Camera

3. Coverage: During the term of this DPP, we will provide for the repair or replacement of your Product
resulting from a claim included in section 4, not to exceed our limit of liability. Non-original manufacturer's
parts may be used for repair of the Product if original parts are unavailable or more costly. At our sole
discretion, if we determine that we cannot economically service your Product as specified in this DPP, we
may replace your Product with a replacement product of like kind and quality that performs to the factory
specifications of the original Product. If we provide you with a replacement product under this DPP, we
reserve the right to retain ownership of your defective product. This DPP does not replace any CST service
guarantee but provides certain additional benefits during and after the term of that guarantee. At CST's sole
discretion, we may require that you return the Product as a condition to receiving a replacement and will
provide you with a shipping container and a prepaid shipping label. Should you fail to return the defective
Product within ten (10) days of the claim submission, charges for the unreturned Product will apply as
outlined in your CST Lease Agreement. This DPP provides coverage for the following claims upon receipt of
the required deductible:

a. Fire: Physical damage to the Product caused by fire, excessive heat or smoke and which is
supported by a report identifying the Product issued by a law enforcement agency, fire
department or insurance carrier. The deductible for claims submitted for fire damage is two-
hundred dollars ($200.00).
b. Theft: Loss of the Product, or necessary attachments, by the unlawful taking of property by
a third party without your knowledge, consent or permission and which is supported by a
report identifying the Product issued by a law enforcement agency. The deductible for
claims submitted for theft is two-hundred dollars ($200.00).
c. Automobile Accident: Loss or damage to the Product resulting from an automobile
accident, regardless of causation or fault, and which is supported by a report identifying the
Product issued by a law enforcement agency or insurance carrier. The deductible for
automobile accident is two-hundred dollars ($200.00).
d. Natural Disaster: Loss or damage to the Product resulting from a natural event such as
flood, earthquake, or hurricane and which is supported by a report identifying the Product
by a law enforcement agency, governmental agency or insurance carrier. The deductible for
claims submitted for natural disaster is two-hundred dollars ($200.00).
e. Third-Party Intentional Damage: Loss or damage to the Product resulting from the
intentional acts of a third party and which is supported by a report identifying the Product
issued by a law enforcement agency or insurance carrier. The deductible for claims
submitted for third party intentional damage is two-hundred dollars ($200.00.).

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 f. Accidental Damage: Physical damage to the Product that occurs suddenly, as the result of
an unexpected and/or non-deliberate external action. The deductible for claims submitted
for accidental damage is five-hundred dollars ($500.00).

4. Term of Coverage and Cancellation: THE DPP COVERAGE COMMENCES ONE (1) BUSINESS
DAY FROM THE DATE OF PURCHASE OF THE DPP AND IS EFFECTIVE FOR A PERIOD OF SIX (6)
MONTHS, BILLED MONTHLY, UNLESS CANCELLED. AFTER SIX (6) MONTHS, THE DPP WILL
AUTOMATICALLY RENEW ON A MONTH-TO-MONTH BASIS UNLESS THE DPP IS CANCELLED OR
TERMINATED AS SET FORTH IN THE LIMITS OF LIABILITY SECTION OF THIS DPP. In the event your
Product is being serviced when your coverage under this DPP terminates, coverage under this DPP will be
extended until the covered repair has been completed. This DPP can be cancelled by you at any time for
any reason by surrendering or providing notice to CST via email at [email protected]. This DPP may
be cancelled by us for any reason by notifying you in writing at least thirty (30) days prior to the effective
date of cancellation, which notice shall state the effective date and the reason for cancellation. If the DPP is
cancelled you will not receive a prorated refund of the price paid for the DPP but will not be billed for any
additional months.

5. To Submit a Claim: All claims must be emailed to [email protected] for processing within
thirty (30) days of the event giving rise to the loss or damages to the Product. Claims submitted after the
expiration or cancellation of coverage will be denied. Your CST account must be active and current in
payments to be eligible for service. Non-payment of fees incurred under this DPP shall result in a claim
denial unless and until all amounts owing by you are paid in full. By submitting a claim you acknowledge
and agree that any data recovered or obtained from the Product will be transmitted pursuant to any state or
county requirements, regardless of whether the device was repaired or replaced. Any and all costs
associated with the installation and/or removal costs incurred in connection with submitting a claim under
this DPP are solely your responsibility. CST shall remain responsible for all costs incurred as result of
returning the damaged Product for repair or submission under this DPP.

6. Deductible: In the event that you experience a loss or damage requiring service on a CST Product,
you will be required to pay the deductible set forth in Section 2. The deductible must be paid in full and
received in advance of the service being provided.

7. Replacement Products: We may replace your Product with a NEW, REMANUFACTURED, OR A

PRODUCT OF LIKE KIND AND QUALITY THAT PERFORMS TO THE FACTORY SPECIFICATIONS OF
THE ORIGINAL PRODUCT. What is Not Covered, includes but is not limited to: (1) INCIDENTAL OR
CONSEQUENTIAL DAMAGES, INCLUDING BUT NOT LIMITED TO, LOSS OF USE, LOSS OF
BUSINESS, LOSS OF PROFITS, LOSS OF DATA, DOWNTIME AND CHARGES FOR TIME AND
EFFORT; (2) INTENTIONAL ACTS OR CRIMINAL ACTS BY YOU; (3) MISUSE, ABUSE, OR PRODUCTS
WITH ALTERED OR MISSING SERIAL NUMBERS; (4) INTRODUCTION OF FOREIGN OBJECTS INTO
THE PRODUCT OR DAMAGE RESULTING FROM IMMERSION IN FOOD OR LIQUID; (5)
UNAUTHORIZED PRODUCT MODIFICATIONS OR ALTERATIONS, "NO PROBLEM FOUND"
DIAGNOSIS, FAILURE TO FOLLOW THE MANUFACTURER'S INSTRUCTIONS OR PRODUCTS
SUBMITTED IN A CONDITION IN WHICH ADEQUATE INSPECTION IS IMPOSSIBLE; (6) DAMAGE
RESULTING FROM NORMAL WEAR AND TEAR, INCLUDING SCRATCHES ON ALL PLASTIC
SURFACES AND EXTERNALLY EXPOSED PARTS; (7) DEFECTS OR DAMAGE COVERED BY THE
CST DEVICE WARRANTY (8) DAMAGE WHICH IS NOT REPORTED DURING DPP TERM; (9) PRE-
EXISTING CONDITIONS OR PROBLEMS.

8. Changes to the DPP: WE MAY CHANGE THE MONTHLY CHARGE FOR THE DPP, OR WE MAY
CHANGE THESE TERMS AND CONDITIONS FROM TIME TO TIME UPON THIRTY (30) DAYS WRITTEN
NOTICE TO YOU. SUCH NOTICE MAY BE PROVIDED AS A MAILING, THROUGH MY ACCOUNT, VIA
EMAIL OR BY ANY OTHER REASONABLE METHOD. IF YOU DO NOT AGREE TO THE MODIFIED
CHARGES OR TERMS OF THE DPP, YOU MAY CANCEL THE DPP AT ANY TIME IN ACCORDANCE
WITH THESE TERMS AND CONDITIONS. THE PAYMENT OF APPLICABLE CHARGES BY YOU, OR A
REQUEST FOR SERVICE UNDER THE DPP, AFTER RECEIVING SUCH NOTICE OF A CHANGE IN THE
CHARGES OR TERMS AND CONDITIONS OF THE DPP WILL BE DEEMED TO BE CONSENT BY YOU
OF THE NOTIFIED CHANGE(S).

9. Limits of Liability: Under the DPP, claims cannot exceed the Per Claim Limit, which is the fair market
value of the Product, not to exceed three thousand ($3,000.00) dollars. In addition, the cumulative total of
claims for all covered products made shall not exceed the aggregate limit of this DPP of six thousand
dollars ($6,000.00) during twelve (12) consecutive months enrolled in this DPP. We will be responsible for
informing you, at the time of the claim, if you have reached the six thousand ($6,000.00) dollars aggregate

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 limit. In the event that you reach the annual aggregate limit for claims within twelve (12) consecutive
months and the product requires additional repairs, we will provide you with information on how to get the
product repaired or replaced; however, we will not be responsible for any costs related to these repairs or
Product replacement.

10. Transferability: This DPP is not transferable.

11. Disputes: Most of your concerns about the DPP can be addressed simply by contacting us at
[email protected]. In the event we cannot resolve any dispute with you, YOU AND WE AGREE TO
RESOLVE THOSE DISPUTES SOLELY THROUGH SMALL CLAIMS COURT INSTEAD OF THROUGH
COURTS OF GENERAL JURISDICTION OR ARBITRATION. YOU AND WE AGREE TO WAIVE OUR
RIGHTS TO A TRIAL BY JURY AND THE RIGHT TO PARTICIPATE.

12. State Specific Matters:

a. Kentucky: For customers in the state of Kentucky, you are hereby notified that the holder of
the performance bond issued in connection with this Agreement is Fidelity and Deposit
Company of Maryland, and their address is C/O Zurich American Insurance Co, Attn:
Surety Claims, 1299 Zurich Way, Schaumburg, IL 60196-1056. You are entitled to make a
direct claim against the insurer upon the failure of the maker to pay any claim within 60
days after the claim has been filed with CST.
b. Virginia, South Carolina and Delaware: For customers with leases originating in the state of
Virginia, South Carolina or Delaware, you are hereby notified that any charges,
deductibles, repair costs and/or device replacement costs required under this DPP shall be
limited to the schedules and amounts set forth by the laws of that state. Additionally, South
Carolina customers with unresolved complaints or questions should contact the South
Carolina Department of Insurance, 1201 Main Street, Suite 100, Columbia, SC 29201 or
(800) 768-3467.

SLEEVE LEASE ³LEASE´

1. Coverage: During the term of this Lease, we will provide for the replacement of your ignition interlock
device sleeve ³Sleeve´once every six (6) months, calculated as set forth in paragraph two (2) below.
The sleeve will be provided at the time of the installation of your ignition interlock device, or if already
installed, a Sleeve will be shipped directly to your home address listed on your account. For so long as
this lease remains in effect, you are entitled to a new Sleeve every six (6) months at no cost.
Replacement Sleeves prior to the eligibility date will be billed directly to your account at the rate of $9.99.
This lease does not replace, modify or add any benefits, warranties or guarantees otherwise related to
your ignition interlock device and the Sleeve does not provide any protection to the device. All warnings,
instructions for use and other guidance provided to you on the care and maintenance of the ignition
interlock device remains unchanged and should be fully followed.

2. Term of Coverage and Cancellation: THE LEASE COMMENCES ONE (1) BUSINESS DAY FROM THE
DATE OF PURCHASE OF THE LEASE AND IS EFFECTIVE FOR A PERIOD OF SIX (6) MONTHS,
BILLED MONTHLY, UNLESS CANCELLED. AFTER SIX (6) MONTHS, THE LEASE WILL
AUTOMATICALLY RENEW ON A MONTH-TO- MONTH BASIS UNLESS THE LEASE IS CANCELLED
OR TERMINATED AS SET FORTH IN THE LIMITS OF LIABILITY SECTION OF THIS LEASE. This
Lease can be cancelled by you at any time for any reason by surrendering or providing notice to CST via
email at [email protected]. No other methods of cancellation will be accepted. This Lease may be
cancelled by us for any reason by notifying you in writing at least thirty (30) days prior to the effective
date of cancellation, which notice shall state the effective date and the reason for cancellation. If the
Lease is cancelled you will not receive a prorated refund of the price paid for the Lease but will not be
billed for any additional months.

3. Lease Payment Terms: You will be billed for the Lease purchase price in equal monthly installments and
as set forth in the good faith estimate provided to you. Additional copies of your Lease, Good Faith
Estimate and accompanying documents may be found in your My Account online.

4. To Request a Sleeve: All requests for replacement Sleeves shall be made by contact Customer Service
at 1-877-777-0260 or by emailing [email protected]. Claims submitted after the expiration or
cancellation of coverage will be denied. Your CST account must be active and current in payments to be
eligible for a replacement Sleeve. You must be not less than six (6) months from the date of the
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 commencement of this Agreement or last delivery of a Sleeve to be eligible for a free Sleeve. Non-
payment of fees incurred under this Lease shall result in a replacement denial unless and until all
amounts owing by you are paid in full.

5. Replacement Sleeves: We may choose to replace your Sleeve with a NEW, REMANUFACTURED, OR
A PRODUCT OF LIKE KIND AND QUALITY THAT PERFORMS TO THE FACTORY SPECIFICATIONS
OF THE ORIGINAL PRODUCT at our sole election.

6. Changes to the Lease: WE MAY CHANGE THE MONTHLY CHARGE FOR THE LEASE, OR WE MAY
CHANGE THESE TERMS AND CONDITIONS FROM TIME TO TIME UPON THIRTY (30) DAYS
WRITTEN NOTICE TO YOU. SUCH NOTICE MAY BE PROVIDED AS A MAILING TO YOUR ADDRESS
ON FILE, THROUGH MY ACCOUNT, VIA EMAIL OR BY ANY OTHER REASONABLE METHOD. IF
YOU DO NOT AGREE TO THE MODIFIED CHARGES OR TERMS OF THE LEASE, YOU MAY
CANCEL THE LEASE AT ANY TIME IN ACCORDANCE WITH THESE TERMS AND CONDITIONS.
THE PAYMENT OF APPLICABLE CHARGES BY YOU, OR A REQUEST FOR SERVICE UNDER THE
LEASE, AFTER RECEIVING SUCH NOTICE OF A CHANGE IN THE CHARGES OR TERMS AND
CONDITIONS OF THE LEASE WILL BE DEEMED TO BE CONSENT BY YOU OF THE NOTIFIED
CHANGE(S).

7. Indemnification: In addition to your obligations contained in your CST lease, you also agree to indemnify,
defend, and hold harmless us, our Affiliates, and our and their respective officers, directors, employees,
representatives, and agents against any Claim that arises from or relates to this Lease or the Sleeve(s),
including any personal injury, death, or property damage of any kind. You acknowledge and agree that
this Sleeve is provided solely for aesthetic purposes and is not intended to provide any protective or
functional benefits for your ignition interlock device.

8. Limits of Liability: We WILL NOT BE LIABLE (WHETHER IN CONTRACT, WARRANTY, TORT

(INCLUDING NEGLIGENCE, PRODUCT LIABILITY, OR OTHER THEORY), OR OTHERWISE) TO YOU
OR ANY OTHER PERSON FOR COST OF ANY SLEEVE, RECOVERY, OR RECOUPMENT OF ANY
AMOUNTS PAID BY YOU IN CONNECTION WITH THIS LEASE, OR FOR ANY LOSS OR PUNITIVE
OR CONSEQUENTIAL DAMAGES ARISING OUT OF OR RELATING TO THIS LEASE OR THE USE
THEREOF ON ANY IGNITION INTERLOCK DEVICE. FURTHER, OUR AGGREGATE LIABILITY
ARISING OUT OF OR IN CONNECTION WITH THIS AGREEMENT OR THE TRANSACTIONS
CONTEMPLATED WILL NOT EXCEED AT ANY TIME THE TOTAL AMOUNTS DURING THE PRIOR SIX
MONTH PERIOD PAID BY YOU TO CST IN CONNECTION WITH THIS SLEEVE LEASE.

9. Disclaimer and Release: The Sleeve is provided "AS-IS." As a user of the Sleeve, you agree to use at
your own risk. TO THE FULLEST EXTENT PERMISSIBLE BY LAW, WE AND OUR AFFILIATES
DISCLAIM: (i) ANY REPRESENTATIONS OR WARRANTIES REGARDING THIS LEASE, THE SLEEVE
OR THE TRANSACTIONS CONTEMPLATED BY THIS LEASE, INCLUDING ANY IMPLIED
WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, OR NON-
INFRINGEMENT. We do not warrant that the Sleeve should be used for anything other than aesthetic
purposes, only.

10. Transferability: This Lease is not transferable in any manner.

11. Disputes: Most of your concerns about the Lease can be addressed simply by contacting us at
[email protected]. In the event we cannot resolve any dispute with you, YOU AND WE AGREE TO
RESOLVE THOSE DISPUTES SOLELY THROUGH SMALL CLAIMS COURT INSTEAD OF THROUGH
COURTS OF GENERAL JURISDICTION OR ARBITRATION. YOU AND WE AGREE TO WAIVE OUR
RIGHTS TO A TRIAL BY JURY AND THE RIGHT TO PARTICIPATE.

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 CST d/b/a ³INTOXALOCK´TRAVEL CLUB AND INTOXALOCK ROADSIDE ASSISTANCE

1. Intoxalock Travel Club and Intoxalock Roadside Assistance are NOT contracts for insurance. Intoxalock
sells a Travel Club product offering ³Travel Club´in all states except New York, Utah and Alaska.
Intoxalock sells a Roadside Assistance product offering ³Roadside Assistance´in New York, Utah and
Alaska. For specific coverage of benefits, please see your membership documents to you at the time of
sale and the information provided below.

2. Travel Club and Roadside Assistance are provided by a partner, Nation Safe Drivers. Customers
electing either Travel Club or Roadside Assistance will receive membership documents at the time of
purchase, including but not limited to, a Travel Club or Roadside Assistance Agreement and an
Acknowledgement of Benefits. These documents will contain the Terms and Conditions, Benefits
Explanation, Exclusions, Cancellation Information and Termination Information pursuant to which Nation
Safe Drivers provides Travel Club and Roadside Assistance to you. By signing this Lease and
incorporated Addendum you acknowledge and agree that acceptance of the membership documents
does not require your signature. Nation Safe Drivers is responsible for processing all claims related to
Travel Club and Roadside Assistance and Intoxalock is unable to provide assistance other than in
connection with the initial sale. Benefits may be changed or cancelled in accordance solely with the
provisions of Nation Safe Drivers¶policies. For questions, contact the administrator, Nation Motor Club,
LLD, d/b/a Nation Safe Drivers, at 800 West Yamato Road, Suite 100, Boca Raton, FL 33431.

3. Other: WE WILL NOT BE LIABLE (WHETHER IN CONTRACT, WARRANTY, TORT (INCLUDING

NEGLIGENCE, PRODUCT LIABILITY, OR OTHER THEORY), OR OTHERWISE) TO YOU OR ANY
OTHER PERSON FOR COST OF ANY POLICY, RECOVERY, OR RECOUPMENT OF ANY AMOUNTS
PAID BY YOU IN CONNECTION WITH THIS PRODUCT, OR FOR ANY LOSS OR PUNITIVE OR
CONSEQUENTIAL DAMAGES ARISING OUT OF OR RELATING TO THIS TRANSACTION. FURTHER,
OUR AGGREGATE LIABILITY ARISING OUT OF OR IN CONNECTION WITH THIS AGREEMENT OR
THE TRANSACTIONS CONTEMPLATED WILL NOT EXCEED AT ANY TIME THE TOTAL AMOUNTS
DURING THE PRIOR SIX MONTH PERIOD PAID BY YOU TO INTOXALOCK IN CONNECTION WITH
THIS TRAVEL CLUB OR ROADSIDE ASSISTANCE POLICY.

4. Disclaimer and Release: TO THE FULLEST EXTENT PERMISSIBLE BY LAW, WE AND OUR
AFFILIATES DISCLAIM: (i) ANY REPRESENTATIONS OR WARRANTIES REGARDING THE TRAVEL
CLUB OR ROADSIDE ASSISTANCE PRODUCT OR THE TRANSACTIONS CONTEMPLATED BY THIS
TRANSACTION, INCLUDING ANY IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A
PARTICULAR PURPOSE, OR NON-INFRINGEMENT. For all other terms and conditions please see
your Nation Safe Drivers policy documents provided to you at the time of sale.

5. Disputes: All disputes related to Travel Club or Roadside Assistance should be directed to Nation Safe
Drivers, at 800 West Yamato Road, Suite 100, Boca Raton, FL 33431.

6. Travel Club and Roadside Assistance may be reinstated at our discretion without executing new coverage
documents after your cancellation by contacting customer service and requesting reinstatement.

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 Home Office: Nation Motor Club, LLC • 800 W. Yamato Road, Suite 100 • Boca Raton, FL 33431

MEMBER INFORMATION SELLER INFORMATION

First Name MI Last Name Name
ROSALEE Jane Hall Consumer Safety Technology, LLC.
Address Address
230 old flat creek road 11035 Aurora Ave
City State Zip Code City State Zip Code
shelbyville TN 37160 Des Moines IA 50322
Phone Number Email Address Phone Number Producer Code
120981
(931) 842-0691 [email protected] (877) 777-5020

VEHICLE INFORMATION BENEFICIARY INFORMATION

Year Make Model First Name MI Last Name
2011 NISSAN Rogue
Relationship to Beneficiary
MEMBERSHIP INFORMATION
Effective Date Billing Frequency Producer Code
3/18/2022 Bi-Weekly
120981 24-HOUR TRAVEL CLUB
Membership Fee Plan Letter Member Number
$4.00 B ITX1398665

This is not an Insurance Contract.

This is not an Automobile Physical Damage or Automobile Liability insurance contract.
24- HOUR TRAVEL CLUB
When arranging for Travel Club, please call 1-844-226-7522 and reference the Producer Code, Plan Letter and Member Number (listed in the
registration section above). You will not be required to pay any fee or sum when Your requested service is for a Covered Travel Club service listed
below. You are entitled to one (1) Covered Travel Club service within a seventy two (72) hour period. Please Note: Covered services not obtained
through Us are limited to a maximum reimbursement amount of fifty ($50) dollars. Limit: No more than five (5) Covered Travel Club service calls
within twelve (12) months.

Covered Travel Club Services:

 Towing - Up to fifteen (15) miles at no out of pocket expense to You. Additional mileage is available and will be negotiated prior to sending
out a service vehicle. Additional mileage is to be paid by You directly to the service provider at the time of service.
 Mechanical First Aid: Any minor adjustment that a dispatched service provider might perform to allow Your Vehicle to proceed safely
under its own power.
 Battery Service: Jumpstart or boost a dead battery.
 Delivery Service: Including gasoline, water, oil, or any supplies necessary to send Your Vehicle on its way. You are responsible for the
actual cost of fluid and/or supplies delivered.
 Tire Service: Changing a flat tire with Your spare tire or towing a Your Vehicle with a flat tire to the nearest repair facility.
 Lockout Services: We will send a locksmith if You are accidentally locked out of Your Vehicle. Access to motorcycle compartment only.
 Extrication and Winching: If Your Vehicle goes off the road, we’ll send a service vehicle to get you back on track. Your Vehicle will be
extricated when it can be safely reached from a normally traveled road by a service Vehicle with automobile servicing equipment operated
by one person. If additional help is needed, You may choose to pay for additional services on-scene. In such case, the service provider may
utilize additional persons or equipment, where available, that are needed to free your vehicle. You will be responsible for paying the service
provider at the time service is rendered. Note: Extrication and Winching is limited to fifteen (15) feet from maintained roadway, one (1)
service provider, and up to thirty (30) minutes of service time.

Important Note: You must be with the Vehicle when the service provider arrives, unless it is unsafe to remain with the Vehicle, as they cannot service
an unattended Vehicle. Service provided must be for a Covered Travel Club Service referenced above. Covered Travel Club Assistance Services
are rendered as “emergency services” and are available only to a Vehicle that is unable to proceed safely under its own power due to disablement as a
result of unavoidable circumstances. Covered Travel Club Services are not intended to be a substitute for regular maintenance or repair
of Your Vehicle.

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 Claims Procedures: If for any reason Covered Travel Club services cannot be obtained by calling the toll-free number listed above, You may qualify
for reimbursement of Your receipted roadside assistance expenses. For reimbursement consideration send Your original paid receipts, as soon as
possible and in no event later than sixty (60) days after occurrence, to Our Claims Administrator, National Adjustment Bureau, LLC (NAB), at 800
W. Yamato Road, Suite 100, Boca Raton, FL 33431. Qualifying submissions will be reimbursed up to the maximum amount of fifty dollars ($50).

ADDITIONAL BENEFITS
 Theft Hit & Run Protection: We will pay a person, (excluding You or Your family) five hundred dollars ($500) for information leading to
the arrest and conviction of a person for the theft of a Your Vehicle or tagged valuable articles.
 Rental Car Discounts: You may access car rental discounts for: NATIONAL (877-222-9058 ID# XZ41148 PIN# NSD); THRIFTY (800-
367-2277 ID# 3031352); ENTERPRISE (800-736-8222 ID# XZ41148 PIN# NSD); AVIS (800-331-1212 AWD# A619900); and BUDGET
(800-527-0700 BCD# 2656300)
 Concierge Benefits: You may contact Our Concierge center at 1-855-963-1683, and give the producer code number, listed above, twenty
four (24) hours a day / seven (7) days a week, to speak with a representative who will assist You with the following concierge services: a)
emergency message relays to family friends or co-workers; b) hotel and rental car availability; c) ATM locations; d) locate medical facilities;
e) theme park and local attraction information; f) restaurant locations; g) movie schedules and locations; h) directional assistance; and i)
traffic alerts. Please Note: Services provided are for informational purposes ONLY. You are responsible for making any/all payment
arrangements and for setting up benefits that require additional billing, such as the actual cost of hotel rooms, rental cars, etc. Payment is to
be made directly by You to the providers, vendors or establishments.

ACCIDENTAL DEATH & DISMEMBERMENT (AD&D) INSURANCE

If You suffer an accident which results in any of the losses below while riding in, entering, exiting, as a passenger or driving any land or water
Conveyance, except when acting as a driver of a Conveyance for hire, the insurance will pay the benefit amount(s) for the covered loss(es) below.
The loss(es) must occur within one (1) year after the date of the accident. The Principal Sum is the maximum You will receive for any one (1) loss.
The Insurance will not pay more than the Principal Sum for all losses due to the same accident.
Conveyance means any motorized craft, vehicle or mode of transportation licensed or registered by a governmental authority with competent
jurisdiction.

Principal Sum: $1,000

ACCIDENTAL LOSS Benefit Amount (% of Principal Sum)

 Loss of Life 100%
 Loss of both hands or feet or sight of both eyes 100%
or a combination of any two of loss of hand, loss of foot or loss of sight of one eye
 Loss of one hand or one foot or sight of one eye and loss of speech 100%
 Loss of one hand or one foot or sight of one eye and loss of hearing 100%
 Loss of speech and hearing 100%
 Loss of one hand or one foot or sight of one eye 50%
 Loss of speech or hearing 50%
 Loss of thumb and index finger of the same hand 25%

Loss of Hand means complete severance, as determined by a Physician, of at least four (4) fingers at or above the metacarpal phalangeal joint on the
same hand or at least three (3) fingers and the thumb on the same hand. The Insurance will consider such severance a Loss of Hand even if the hand,
fingers or thumb are later reattached. If the reattachment fails and amputation becomes necessary, then The Insurance will not pay an additional Benefit
Amount for such amputation. Loss of Foot means the complete severance of a foot through or above the ankle joint. The Insurance will consider such
severance a Loss of Foot even if the foot is later reattached. If the reattachment fails and amputation becomes necessary, then The Insurance will not
pay an additional Benefit Amount for such amputation. Loss of Sight means permanent loss of vision. Remaining vision must be no better than 20/200
using a corrective aid or device, as determined by a Physician. Loss of Speech means the permanent, irrecoverable and total loss of the capability of
speech without the aid of mechanical devices, as determined by a Physician. Loss of Hearing means permanent, irrecoverable and total deafness, as
determined by a Physician, with an auditory threshold of more than 90 decibels in each ear. The deafness cannot be corrected by any aid or device, as
determined by a Physician. Loss of Thumb and Index Finger means complete severance, through the metacarpal phalangeal joints, of the thumb and
index finger of the same hand, as determined by a Physician. The Insurance will consider such severance a Loss of Thumb and Index Finger even if a
thumb, an index finger or both are later reattached. If the reattachment fails and amputation becomes necessary, then The Insurance will not pay an
additional Benefit Amount for such amputation. "Severance" means the complete separation and dismemberment of the part from the body.

If a loss should occur, You must contact Co-Ordinated Benefit Plans LLC at P.O. Box 2622, Tampa, FL 33623 /Phone: 1-888-352-2986... or refer to
Nationsafe.com to obtain a claim form.

Nation Safe Drivers is providing this Insurance coverage at no cost to You. These benefits may be changed or cancelled in accordance with the
provisions of Our insurance policy. This may be done as a result of 1) a change of eligibility of Nation Motor Club, LLC dba Nation Safe Drivers; or
2) amendment or termination of the policy. A copy of Your insurance certificate will be mailed to You. For questions, contact the administrator, Nation
Motor Club, LLC dba Nation Safe Drivers located at 800 W. Yamato Road, Suite 100, Boca Raton, FL 33431; 800-338-2680.

This information is a brief description of the important features of this Insurance plan. It is not an insurance contract. Insurance benefits are underwritten
by Federal Insurance Company, a member insurer of the Chubb Group of Companies. Coverage may not be available in all states or certain terms may
be different where required by state law. Chubb NA is the U.S.-based operating division of the Chubb Group of Companies, headed by Chubb Ltd.
(NYSE:CB) Insurance products and services are provided by Chubb Insurance underwriting companies and not by the parent company itself.

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 DEFINITIONS
 You, Your means the individual(s) listed in the registration section of this Travel Club;
 We, Us or Our means the Provider/Administrator of the Travel Club services and benefits: Nation Motor Club, LLC. dba Nation Safe
Drivers, located at 800 W. Yamato Road, Suite 100, Boca Raton, FL 33431;
 Covered Vehicle means the vehicle listed in the registration section of this Membership or as updated by the customer.

TERMS AND CONDITIONS

 Benefits are not on a per person basis and all limits stated throughout this Travel Club are aggregate limits.
 All benefits are available to You up to Your benefit limit, as described throughout this Travel Club, without any additional payments. You
are responsible for any non-covered expenses;
 Your Travel Club membership begins on the date your ignition interlock device is installed, or, if you elect to purchase your Travel Club
membership after your ignition interlock device is installed, on the date of purchase, and continues until the date your ignition interlock lease
ends, after which your membership will automatically renew for subsequent terms until cancelled by You in accordance with the
“Cancellation” section below;
 All services and benefits are provided through Nation Motor Club, LLC. dba Nation Safe Drivers located at 800 W. Yamato Road, Suite 100,
Boca Raton, FL 33431. In Alabama and Utah: All services and benefits are Administered through Nation Safe Drivers Services, Inc.;
 All of the benefits and services of Your Travel Club membership are described herein and are applicable throughout the United States;
 This Travel Club membership cannot be transferred;
 For Customer Service please contact the Us at 800-338-2680, Monday through Friday, from 9 am - 4:30 pm eastern time;
 You have the right to file a complaint by submitting a written complaint to Our Customer Service Department at 800 W. Yamato Road, Suite
100, Boca Raton, FL 33431 or by calling 1-800-338-2680;
 Acceptance of this Company's privacy policy is a condition precedent to any contractual relationship. You may obtain a full copy of Our
company's privacy notice by sending a written request to the Administrator, Attention: Privacy Notice Department, 800 W. Yamato Road,
Suite 100, Boca Raton, Florida 33431.

EXCLUSIONS
This Membership does not cover the following: a) Any violation of motor vehicle or traffic laws relating to the operation of the Vehicle; b) Driving
under the influence of intoxicating liquors, narcotics or psychedelic drugs; c) Driving without a valid operator's permit, or leaving the scene of an
accident without disclosing identity, or failing to stop to ascertain injury and lend assistance (i.e. hit and run); d) When any motor vehicle is operated
without permission of the owner thereof; e) Any vehicle which does not meet the definition of Vehicle as defined in the terms and conditions section
above; f) Any service requiring removal of snow or ice from or around Your Vehicle, or from any driveway or premises, or street, highway or parking
area; g) Gas/credit card receipts are not accepted; h) Reimbursement sought for any bill which, in Our opinion appears to be false or fraudulent, and
not for the claimed services; i) Any parts of the Vehicle, rental battery or return of rental battery. Supplies or accessories furnished by garage or service
station shall be at the sole expenses of the Member; j) All repairs and material used in repairing flat tire, or services requiring more than one trip by
garage or service station shall be at the sole expense of the Member; k) By being involved in any traffic accident or any accident involving a motor
vehicle in which a Police Traffic Accident Report is not filed or made a matter of record; l) In which You or any person intentionally causes damage
to the Vehicle; drives in any competition, race or speed contest or in preparation for same; or causes any accident while committing or attempting to
commit a felony or other illegal act including but not limited to fleeing from police; m) Due to war or any warlike act, whether war is declared or not,
terrorism, acts of God or vandalism; (n) Any loss which is caused by or results from an intentionally self-inflicted injury, suicide or any attempt thereat,
voluntary self-administration of any drug or chemical substance not prescribed by or taken in accordance with the directions of a doctor; (o) Travel in
or upon any off-road motorized vehicle not requiring licensing as a motor vehicle; (p) Any sickness, except infection, which occurs directly from an
accidental wound or cut; (q) Any injury sustained while in the service of the armed forces of any country; (r) Any injury that results from Aviation
except as specifically provided within this Travel Club membership; (s) Loss resulting from injuries that occurred before the effective date listed in the
registration section of this Travel Club.

CANCELLATION
We reserve the right to cancel this Travel Club Service at any time by notifying you in writing. Cancellation may occur for the following reasons: (1)
Excessive claims as determined by Us; (2) Having a past-due balance; (3) or if this Travel Club Service is no longer offered. You may cancel this Travel
Club Service at any time by contacting Customer Service at [email protected].

STATE PROVISIONS
The following state specific requirements apply if Your Membership was purchased in one of the following states:

ARKANSAS: The Our Right to Recover Payment section is modified as follows: If We make a payment under this Membership and You have the
right to recover damages from another, You must: (a) Hold in trust for Us the proceeds of the recovery; (b) Reimburse Us to the extent of Our payment;
and (c) Not prejudice Our rights to recover. We will be entitled to recovery only after You have been fully compensated for the loss sustained.

LOUISIANA: The Cancellation section of this Membership is replaced in its entirety by the following: If this Membership is cancelled by You within
thirty (30) days from the Effective Date, You will receive a refund of the full purchase price. If You cancel this Membership after the first thirty (30)
days, You will be refunded on a prorated basis, less a cancellation fee of twenty five dollars ($25). All cancellation requests must be submitted in
writing to the Administrator and signed by You.

MISSISSIPPI: The Cancellation section of this Membership is replaced in its entirety by the following: If this Membership is cancelled by You within
thirty (30) days from the Effective Date, You will receive a refund of the full purchase price. If You cancel this Membership after the first thirty (30)
days, You will be refunded on a prorated basis, less a cancellation fee of twenty five dollars ($25). All cancellation requests must be submitted in
writing to the Administrator and signed by You. Other Offices: Nation Motor Club, LLC., 645 Lakeland East Drive, Suite 101, Flowood, MS 39232

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 TENNESSEE: The Theft Hit & Run Protection benefit is not applicable. New York, Vermont, Alaska: Travel Club Services are not available.

ACKNOWLEDGEMENT OF BENEFITS

By signing below, I acknowledge that I have read this Travel Club membership in its entirety and fully understand its content and acknowledge receipt
of a copy thereof. I further understand that this Travel Club is optional and it is not required in order to purchase or obtain an ignition interlock device
and that My acceptance of this Travel Club is voluntary. This Travel Club does not comply with the financial responsibility or no-fault laws of any state
or territory. Additionally, I acknowledge and authorize regularly scheduled charges to my credit card in accordance with the Membership Fee set forth
in this document for the duration of my membership, and throughout my auto renewal period(s). Note: This authorization will remain in effect until
cancelled; however, cancellation of this authorization does not relieve You of Your obligation to pay all amounts due for Your membership.

Rosalee J. Hall 03/18/2022

[email protected]
Signature of Purchaser Date

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