Declaration of Contractual Relationship (DCR)

(“Supplier”) hereby acknowledges and represents as follows:

Supplier has entered or plans to enter into a contractual agreement (the “Agreement”) to provide goods and/or services to Pella Corporation. As a condition of providing goods and/or services under the current or anticipated Agreement, Pella Corporation requires that their agent, Global Risk Management Solutions (“GRMS”), be provided valid evidence of insurance naming Pella Corporation as Additional Insured on supplier’s Comprehensive General Liability policy. Pella Corporation c/o Global Risk Management Solutions shall be specified as the Certificate Holder of said policies and shall be entitled to a 30-day notification of any material changes or cancellations.

The format for the Additional Insured language shall be substantially as follows:

“Pella Corporation is named Additional Insured including products completed operations with a Waiver of Subrogation on Comprehensive General Liability policy as their interest may appear in regard to work performed or services provided by the named insured. Such policy is primary and non-contributory.”

Insurance coverage must remain current and any lapse in coverage may result in not receiving an Agreement or the termination of the Agreement.