Consumer Safety Technology, LLC.

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

Lease
Date: 03/24/2023

Lessee Lessor
Edgar Urista Medina Customer ID: 1713429 Consumer Safety Technology, LLC.
1190 Julie lane Lease Begin: March 24, 2023 11035 Aurora Ave,
Manhattan, KS 66502 Lease End: September 24, Urbandale, IA 50322.
2023 Toll free 877-777-5020
Phone: (785) 969-1685
Email: [email protected]

Term of Lease: The initial term of this Lease is 6 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 includes handheld, relay(s), cord, harness, and mouthpieces

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

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

Ver 1992.3 1 1713429

Doc ID: 20230324150735002

Sertifi Electronic Signature
 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
$38.58 Data Processing Fee
withdrawn Bi-Weekly on every other and state mandated fees, if
($3.00 per time, plus $16.10 applicable)
Friday of each month.
sales tax, as
Your first Lease payment of $38.58 is
Device Fee (includes $0.00 applicable, estimated
due at Lease signing on 03/24/2023
sales tax) total) (includes sales
followed by 13 payments of $38.58.
tax)
Delivery Fee (includes The total of your monthly Lease
$0.00 Shipping and Handling
sales tax) payments is $540.12 (includes sales $0.00
tax). (includes sales tax)
Setup Fee (includes $32.15 Your first Device Protection Plan Plus
Administrative Closing
sales tax) fee of $10.43 is due at Lease signing $64.31
Fee (includes sales tax)
on 03/24/2023 followed by 13
State Transact Fee $0.00 payments of $10.43. The total of your State Fee(s) $0.00
Device Protection Plan $10.43 Device Protection Plan Plus fees are
Plus Fee (includes $146.02 (includes sales tax).
sales tax)

Total $81.16 Total $80.41 Total $798.70

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.

No Show Fee $50.00 Expedited Shipping Fee Starting At: $19.30

Lockout Fee $80.40 Late Payment Charge $4.99, subject to any state restrictions
Early Cancellation Fee $160.80 Vehicle Switch Fee $32.16
Initial Replacement Fee $26.80 Labor Per Hour $53.60
Data Log Fee $25.00 Return Check Fee $15.00
The lesser of $30.00, or the maximum amount
Reset Calibration Fee $42.88 Chargeback Fee allowed by state law

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).

Ver 1992.3 2 1713429

Doc ID: 20230324150735002

Sertifi Electronic Signature
NOTICE: THIS LEASE CONTAINS (1) PRIOR EXPRESS WRITTEN CONSENT FOR MARKETING COMMUNICATIONS VIA AUTOMATED, ARTIFICIAL, OR
PRERECORDED MEANS. CONSENT IS NOT REQUIRED AS A CONDITION TO PURCHASE A GOOD OR SERVICE, PLEASE SEE SECTION 2 FOR MORE
INFORMATION, AND (2) 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
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: $798.70. 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.Customer agrees to pay all additional mandated state fees caused by the
addition of state(s) for reporting purposes. We will provide to Customer promptly upon the addition of state(s) an addendum setting forth the additional
estimated mandated state fees.
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.
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.

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

(Please see Section 12 on automatic renewal, as well as the
information below on automatic payments).

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 14 of your Lease.

Ver 1992.3 3 1713429

Doc ID: 20230324150735002

Sertifi Electronic Signature
Bank Name Account Number Routing Number

Credit Card Number Expiration (Month/Year) MasterCard Discover

****-****-****-7173 04/2025 X 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. Marketing Communications.
2.1 By executing this Lease, you agree and consent to being contacted by CST (including, but not limited to, Intoxalock, US Court Assessments, New
Directions, Restorify, DUI.org, DUICare) and its affiliates (including, but not limited to, Breathe Easy Insurance Solutions, LLC and Alcohol Detection
Systems Technology, LLC) (collectively, ³CST Parties´ about expungements, insurance, substance and behavioral assessments and DUI related
products and services, and consent to CST Parties contacting you for marketing purposes either by telephone, text, mail or email (including through
the use of an automatic telephone dialing system, or by artificial or prerecorded means) at the phone number(s), email address or other contact
information (including via SMS and MMS) provided by you to CST Parties, even if the phone number provided is on a corporate, state or national Do
Not Call Registry, without regard to the time of day. You understand that you can revoke your consent to being contacted via telephone or text for
marketing purposes by CST Parties at any time by visiting https://www.intoxalock.com/do-not-contact/ and specifying the CST Party and
communication channel for which you would like to revoke your consent. Consent is not required as a condition to purchase a good or service. 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 2.1 INCLUDED. PLEASE INCLUDE YOUR NAME, MAILING ADDRESS, AND ACCOUNT NUMBER WHEN MAKING SUCH
A REQUEST.
2.2 You represent and warrant that you are the subscriber and/or the regular user of the telephone number that you provided to us.
3. General Communications.
3.1 Informational Communications. 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.
3.2 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.
3.3 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 notify us using the contact information included in Section 2.1. 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.
3.4 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/, which may be modified by Intoxalock from time to time at its sole discretion, in accordance with applicable law. You
acknowledge that it is your responsibility to check the Privacy Policy periodically for any changes. Your continued use of the Intoxalock website, products or
services following the posting of changes will mean that you accept and agree to any changes to the Privacy Policy.
4. 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.
5. Calibration.
5.1 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.
5.2 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.
5.3 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.

Ver 1992.3 4 1713429

Doc ID: 20230324150735002

Sertifi Electronic Signature
6. Other Charges and Taxes.
6.1 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.
6.2 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.
6.3 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.
6.4 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.
6.5 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.
6.6 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.
6.7 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.
6.8 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.
7. 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.
8. 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.
9. 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 6. 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.
10. 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 shipping and handling fees as set forth on page 2 of this Lease and described in Section 6. 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.
11. 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.
12. Term.
12.1 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 12.2. 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.

Ver 1992.3 5 1713429

Doc ID: 20230324150735002

Sertifi Electronic Signature
12.2 Automatic Renewal.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.
12.3 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.
12.4 A Device Fee set forth on page 2 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:

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

12.4.2 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
as set forth on page 2 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

12.4.3 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.

12.4.4 The Device Fee is also subject to forfeiture as provided in other provisions of this Lease.
12.5 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.
12.6 You may voluntarily cancel your Lease before the end of your original Lease term if you:

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

12.6.2 Pay us an early cancellation fee as set forth on page 1 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.

12.6.3 Return the Device to us;

12.6.4 Pay all monthly Lease payments due for each month of the Lease term, through the month in which you have completed all of the early
cancellation requirements set forth above in Sections 12.6.1, 12.6.2 and 12.6.3; and

12.6.5 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 12.6.1, 12.6.2, and 12.6.3. 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.
13. Default.
13.1 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.
13.2 You are in default under this Lease if:

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

13.2.2 You cancel your Lease prior to the end of the Lease term, except as provided in Section 12.6; or

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

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

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

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

13.2.7 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

13.2.8 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 13.3.

Ver 1992.3 6 1713429

Doc ID: 20230324150735002

Sertifi Electronic Signature
13.3 You agree to the following as damages following your default:

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

13.3.2 Return the Device to us; plus

13.3.3 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 12.6.1, 12.6.2 and 12.6.3; plus

13.3.4 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 12.6.1, 12.6.2 and 12.6.3; and

13.3.5 Your liability (if any) for our losses under Section 14.
14. 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.
15. Device Features and Data Collected.
15.1 You acknowledge and consent to the following functions and/or capabilities of the Device:

15.1.1 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;

15.1.2 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

15.1.3. 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.
15.2 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.
15.3 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:

15.3.1 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;

15.3.2 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;

15.3.3 Communications that you have had with us; and

15.3.4 Any other information related to our dealings with you and the products and services provided by us to you or on your behalf.
16. Construction of Lease, Acceptance of Lease, Return of Lease, and Other General Terms.
16.1 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.
16.2 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 15. 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.
16.3 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 12 of this Lease.
16.4 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.
16.5 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.
16.6 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.
16.7 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.
16.8 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.

Ver 1992.3 7 1713429

Doc ID: 20230324150735002

Sertifi Electronic Signature
16.9 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 16 AND 19 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.
16.10 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.
16.11 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.
16.12 You understand and agree that CST may modify this Lease at any time with or without prior notice to you, to the extent allowed under applicable law.
17. Limited Warranty, Disclaimer, and Limitation of Remedies.
17.1 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.
17.2 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.
17.3 THE LIMITED WARRANTY AND REMEDIES SET FORTH AT SECTIONS 17.1 AND 17.2 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 17.1 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.
18. Limitations on Our Liability. Consistent with Section 17.2, which provides for the sole and exclusive remedy you may obtain from CST:
18.1 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.
18.2 CST will not be liable for your acts or omissions including, but not limited to, improper or incorrect shipping address.
18.3 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.
18.4 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.
18.5 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.
18.6 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.
18.7 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.
19. BINDING ARBITRATION AND CLASS ACTION WAIVER.
19.1 YOU AND CST AGREE TO RESOLVE ANY DISPUTES ARISING OUT OF OR RELATED TO THIS LEASE 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 written 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.
19.2 You and CST agree that the Federal Arbitration Act applies to this Lease.
19.3 You and CST agree that, except for small claims court cases, any dispute that in any way arises out of or relates to (i) this Lease, (ii) the collection, use,
processing, sharing or disclosure of your personal or biometric information, (iii) the Device or any other products or services you receive from us, (iv) any
advertising for any of our or our affiliates¶products or services, (v) 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, (vi) any disputes you have with our employees or agents,or (vii) any disputes about whether this arbitration
provision is enforceable, 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.
19.4 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.

Ver 1992.3 8 1713429

Doc ID: 20230324150735002

Sertifi Electronic Signature
 19.5 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.
19.6 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.
19.7 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.
19.8 If any provision of this Section 19 is held illegal or unenforceable in a judicial proceeding, such provision shall be severed and shall be inoperative, and
the remainder of this Section 19 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 19.6 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.
19.9 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 LEASE 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.
20. Signatures.
20.1 This Lease may be signed in counterparts.
20.2 This Lease may be signed by facsimile or by other electronic means.
20.3 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.
20.4 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.
20.5 IMPORTANT: READ BEFORE SIGNING. ALL OF THE TERMS OF THIS LEASE SHOULD BE READ CAREFULLY BEFORE YOU SIGN THIS LEASE.

20.6 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 EDGAR URISTA MEDINA

By: (Lessor) By:

Edgar Urista
%LeaseeSignature
(Lessee)
[email protected]

Name: Matt Yu %LeaseeSignedDate

Dated: 03/24/2023
It's: Chief Financial Officer
IMPORTANT!
Please send payments to:
Intoxalock
PO Box 8773
Carol Stream, IL 60197-8773

Ver 1992.3 9 1713429

Doc ID: 20230324150735002

Sertifi Electronic Signature
 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.).
Ver 1992.3 10 1713429

Doc ID: 20230324150735002

Sertifi Electronic Signature
 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

Ver 1992.3 11 1713429

Doc ID: 20230324150735002

Sertifi Electronic Signature
 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
Ver 1992.3 12 1713429

Doc ID: 20230324150735002

Sertifi Electronic Signature
 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.

Ver 1992.3 13 1713429

Doc ID: 20230324150735002

Sertifi Electronic Signature
 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.

Ver 1992.3 14 1713429

Doc ID: 20230324150735002

Sertifi Electronic Signature
 TOWBUSTERS WITH VEHICLES LISTED

Home Office: Nation Motor Club, LLC., 5600 Broken Sound Boulevard, Boca Raton, FL 33487
MEMBER INFORMATION VEHICLE INFORMATION
Name Year Make Model
Edgar Urista Medina 1. 2009 NISSAN VERSA
Address
1190 Julie lane 2.
City State Zip
Manhattan KS 66502 3.
SELLER INFORMATION
4.
Business Name Seller ID

Consumer Safety Technology, LLC. 5.

Address
11035 Aurora Ave MEMBERSHIP INFORMATION
City State Zip Effective Date Expiration Date
Des Moines IA 50322 3/24/2023
For Emergency Roadside Assistance Only Call 1-844-226-7522
Member #: ITX1713429
Seller Code: 120981
Plan Letter: AB
This is not an Insurance Contract.
This is not an Automobile Physical Damage or Automobile Liability insurance contract.
Your Membership contains Our 24-hour emergency road service telephone number for You to call when Your Covered Vehicle is disabled.
When arranging for Roadside Assistance, please call 1-844-226-7522 and reference Your Producer Code, Member Number and Plan Letter
(located above). You will not be required to pay any additional fee or sum in addition to the Membership Fee when Your service is for a tow up
to one hundred dollars ($100) or other covered service listed below. You are entitled to one (1) covered service within a seventy-two-hour (72)
period. Covered services not obtained through Us are limited to a maximum reimbursement amount of fifty dollars ($50).
• Towing - Up to one hundred dollars ($100) at no out of pocket expense to You. If additional cost is required due to excessive mileage, cost
will be negotiated prior to sending out a service vehicle. Such Additional cost 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 Covered Vehicle to proceed
safely under its own power.
• Tire Service: Includes changing a flat tire with Your good spare.
• Battery Service: Jumpstart or boost a dead battery.
• Delivery Service: Including gasoline, water, oil, or any supplies necessary to send Your Covered Vehicle on its way. You are
responsible for the actual cost of fluid and/or supplies delivered.
• Lockout Services: We will send a locksmith if You are accidentally locked out of Your Covered Vehicle. Access to passenger compartment
only.
Limit: No more than five (5) service calls within the contract period.
ADDITIONAL BENEFITS
• Theft Hit & Run Protection: We will pay a person, (excluding Member or Member's family) five hundred dollars ($500) for information
leading to the arrest and conviction of a person for the theft of a Your Covered Vehicle or tagged valuable articles.
• Rental Car Discounts: You may access car rental discounts for: NATIONAL (1-877-222-9058 ID# XZ41148
PIN# NSD); THRIFTY (1-800-367-2277 ID# 0010027892); and ENTERPRISE (1-800-736-8222 ID# XZ41148
PIN# NSD).
• Concierge Benefits: You may contact Our Concierge center at 1-855-963-1683, and give the Seller code number listed on the front of this
Agreement, 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; i) traffic alerts; and j) sport scores. 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.
TERMS AND CONDITIONS
• You, Your, Member means the individual(s) listed in the Member Information section at the top of this Membership.
• We, Us or Our means the Provider/Administrator of the Motor Club benefits and services.
• Seller is the Seller listed in the Seller Information section at the top of this Membership.
• Covered Vehicle means the vehicle(s) listed in the registration section at the top of this Membership.
• All benefits are available to You up to Your benefit limit, as described throughout this Membership, without any additional payments. You are
responsible for any non-covered expenses.
• Your Membership begins on the date your ignition interlock device is installed and continues until the date your ignition interlock lease ends,
after which your membership will automatically continue for subsequent month-to-month terms until cancelled by a party pursuant to the terms
herein.
• All of the benefits and services of Your Motor Club Membership are described herein and are applicable throughout the United States,
Canada and Puerto Rico.
• All services and benefits are Administered through Nation Safe Drivers, LLC. dba Nation Safe Drivers located at 5600 Broken Sound
Boulevard, Boca Raton, FL 33487. In California: All services and benefits are Administered through Nation Motor Club, LLC. located at
Page 1 of 4
Doc ID: 20230324150735002
Sertifi Electronic Signature
 5600 Broken Sound Boulevard, Boca Raton, FL 33487. California Motor Club Permit Number: 5157-3. In Alabama, Alaska & Utah: All
services and benefits are Administered through Nation Safe Drivers Services, Inc.
• All claims must be reported to the Administrator at 5600 Broken Sound Boulevard, Boca Raton, FL 33487; 888-684-9327.
• 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 1-888-684-9327, Monday through Friday, from 8:30 am - 5 pm eastern time.
• You may obtain a full copy of Our company's privacy notice at www.nsdmc.com or by sending a written request to the Administrator, Attention:
Privacy Notice Department, 800 W. Yamato Road, Suite 100, Boca Raton, Florida 33431.
Where We or Seller are required to give you notice, we may do so by email, text message, or regular mail using the contact information you have
provided in the Membership Information section at the top of this Membership.

EXCLUSIONS
This Membership does not cover the following: a) Any violation of motor vehicle or traffic laws relating to the operation of a motor 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; ; f) Any service requiring removal of snow or ice from or around Your Covered
Vehicle(s), 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
Covered 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
Covered 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.

CANCELLATION
A. 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,
less the amount of any claims paid or payable. If You cancel this Membership after the first thirty (30) days, You will be refunded by the
Administrator on a prorated basis, less a cancellation fee of fifty ($50) dollars ($50) and the amount of any claims paid or payable. You may
cancel this Travel Club at any time by contacting Customer Service at [email protected].

B. We and Seller reserve the right to cancel this Membership at any time, giving notice as defined herein. Cancellation may occur for the
following reasons: (1) Excessive claims as determined by Us or Seller, (2) Having a past-due balance; or, (3) if this Membership service is no
longer offered. Seller reserves the right to transfer your Membership to a substantially similar plan or program upon notice to You.

TRANSFER
This Membership cannot be transferred by You.

STATE PROVISIONS
The following state specific requirements apply if you purchased Your Membership as a resident of one of the following states:

CALIFORNIA
The Theft Reward benefit is replaced in its entirety by the following: We will pay a person, (excluding Member's family or relatives) five
hundred dollars ($500) for information leading to the arrest and conviction of a person for the theft of a Member's Covered Vehicle(s).
Paragraph A of 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, the amount of the refund will be prorated based on the number of days remaining on the contract term. The refund will be
payable to You or the Lienholder when financing has been provided for the Membership. All cancellation requests must be submitted in writing to
the Seller at the address indicated under Seller Information at the top this Membership or as may be subsequently updated and signed by You.
Whether this Agreement is cancelled by You or the Administrator or Seller, a cancellation fee or the amount of claims incurred or paid will
not be deducted from any returned premiums.
Other Offices: Nation Motor Club, LLC., 818 West Seventh Street, Los Angeles, CA 90017

LOUISIANA
Paragraph A of 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 Seller at the address indicated under Seller Information at the top this Membership or as may be subsequently updated
and signed by You.

MARYLAND
Paragraph A of 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. All cancellation requests must be submitted in writing to the Seller at the address
indicated under Seller Information at the top this Membership or as may be subsequently updated and signed by You.
Other Offices: Nation Motor Club, LLC., 351 West Camden Street, Baltimore, MD 21201; (410) 225-2995

MASSACHUSETTS
Paragraph A of 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

Page 2 of 4
Doc ID: 20230324150735002
Sertifi Electronic Signature
submitted in writing to the Seller at the address indicated under Seller Information at the top this Membership or as may be subsequently updated
and signed by You.

MISSISSIPPI
Paragraph A of 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 Seller at the address indicated under Seller Information at the top this Membership or as may be subsequently updated
and signed by You. Other Offices: Nation Motor Club, LLC., 645 Lakeland East Drive, Suite 101, Flowood, MS 39232

MONTANA
Paragraph A of 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. All cancellation requests must be submitted in writing to the Seller at the address
indicated under Seller Information at the top this Membership or as may be subsequently updated and signed by You.
Other Offices: Nation Motor Club, LLC., 208 North Broadway, Suite 313, Billings, MT 59404

NEVADA
Paragraph A of 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. All cancellation requests must be submitted in writing to the Seller at the address
indicated under Seller Information at the top this Membership or as may be subsequently updated and signed by You.
Other Offices: Nation Motor Club, LLC. dba Nation Safe Drivers, 311 South Division Street, Carson City, NV 89703

NEW MEXICO
Paragraph A of 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. All cancellation requests must be submitted in writing to the Administrator and signed
by You. Other Offices: Nation Motor Club, LLC., 123 East Marcy, Santa Fe, NM 87501

OKLAHOMA
Paragraph A of the Cancellation section of this Membership is replaced in its entirety by the following: This Membership can be cancelled by You
or the Administrator at any time. You will be entitled to the unused portion of the amount paid for the Membership calculated on a prorated basis
over the period of the contract, without any deductions. The refund will be payable to You or the Lienholder, where applicable. All cancellation
requests must be submitted in writing to the Administrator and signed by You. Other Offices: Nation Motor Club, LLC., 1833 South Morgan
Road, Oklahoma City, OK 73128

TENNESSEE
The Theft Hit & Run Protection benefit in this Membership is not applicable.

UTAH
Paragraph A of the Cancellation section of this Membership is replaced in its entirety by the following: You may cancel this Membership within
the first ten (10) days of the purchase date, if no claim has been made, and receive a full refund of the total Membership purchase price, less
the applicable cancellation fee in the amount of fifty dollars ($50). We may only cancel this Membership under the following grounds: (1)
Material misrepresentation; (2) Substantial change in the risk assumed, unless the insurer should reasonable have foreseen the change or
contemplated the risk when entering into the Membership; (3) Substantial breaches of contractual duties, conditions, or warranties attainment of
the age specified as the terminal age for coverage. If this Membership is canceled due to non-payment, We will mail written notice of
cancellation to You and will cancel Your Membership no sooner than at least ten (10) days after the delivery or first-class mailing of a written
notice. If this contract is canceled for any of the reasons listed above, We will mail written notice of cancellation to You and will cancel Your
Membership no sooner than thirty (30) days after the delivery or first-class mailing of a written notice. If the Administrator cancels this
Membership at any time, You will be entitled to a prorated refund of the Membership less a cancellation fee of fifty dollars ($50). In general, if
Administrator cancels this Membership, Administrator will mail to You written notice of cancellation at least thirty (30) days before the
cancellation date. However, if Administrator cancels this Membership within the first sixty (60) days after the Membership purchase date,
Administrator will mail to You written notice of cancellation at least ten (10) days before cancellation date.
WISCONSIN
Paragraph A of 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., 8040 Excelsior Drive, Suite 200, Madison, WI 53717
WYOMING
Paragraph A of 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. All cancellation requests must be submitted in writing to the Administrator and
signed by You.
Other Offices: Nation Motor Club, LLC., 1712 Pioneer Avenue, Suite 200, Cheyenne, WY 82001

ALASKA, NEW YORK, VERMONT: Travel Club services are not available.

Page 3 of 4
Doc ID: 20230324150735002
Sertifi Electronic Signature
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. I understand that coverage afforded under this
Membership applies only to the Covered Vehicle(s) listed in the registration section of this Membership. This Membership does not comply
with the financial responsibility or no-fault laws of any state or territory. 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: I acknowledge this authorization will remain in effect until cancelled; however, cancellation of this authorization does not
relieve Me of My obligation to pay all amounts due for My membership.

Edgar Urista 03/24/2023

_____________________________________________
[email protected] _____________
Signature of Member(s) Date

Page 4 of 4
Doc ID: 20230324150735002
Sertifi Electronic Signature