Warranty Registration Form

AWO WS

WARRANTY REGISTRATION FORM WINDSHIELD PROTECTION VEHICLE OWNER INFORMATION NAME ADDRESS CITY / STATE / ZIP HOME / WORK / CELL PHONE EMAIL SELLING DEALER INFORMATION NAME ADDRESS DEALER AUTHORIZED NAME AND SIGNATURE VEHICLE INFORMATION YEAR / MAKE / MODEL CURRENT ODOMETER VEHICLE IDENTIFICATION NUMBER WPPWS PURCHASE PRICE $ PURCHASE DATE

WARRANTY REGISTRATION: This Warranty registration form must be completed and submitted to Administrator within thirty (30) days from the latter of: the date of purchase of the vehicle or the date of product application. This Warranty applies only to the products that have been applied to the vehicle at the time of Warranty registration. Administrator assumes no liability for the failure of the dealer to submit this Warranty on behalf of the vehicle owner. To verify that the Warranty has been submitted and accepted, vehicle owner may contact Administrator at the telephone number and mailing address listed below or at ww w .pe r maplat e .com.

SPECIFIC WARRANTY COVERAGE FOR PRODUCT IS SET FORTH ON THE REVERSE SIDE

COVERAGE OPTIONS AND TERM SELECTION

LUXURY WINDSHIELD PROTECTION PROGRAM (WPP)

Standard Luxur y

1 Year 2 Year 3 Year 4 Year 5 Year

IF COVERAGE OPTION IS SELECTED AND NO TERM BOX IS CHECKED,IS MARKED ABOVE, THE VEHICLE WILL BE ENROLLED FOR THE MAXIMUM TERM WILL APPLYFOR WHICH IT IS ELIGIBLE

Administrator: Siskin Enterprises, Inc.  P.O. Box 58  Salt Lake City, Utah 84110 Call Toll Free (800) 453-8470; or E-mail: [email protected] 785785TT (Rev. 410-16) ***NOTIFY ADMINISTRATOR OF COVERED DAMAGE WITHIN 14 DAYS; FAILURE TO DO SO WILL RESULT IN CLAIM DENIAL***

VEHICLE OWNER SIGNATURE I acknowledge receipt of this Warranty

Administrator: Siskin Enterprises, Inc.  P.O. Box 58  Salt Lake City, Utah 84110 Call Toll Free (800) 453-8470; or E-mail: [email protected] 785785TT (Rev. 410-16) PERMAPLATE LIMITED WARRANTY Definitions: Administrator, the manufacturer of PermaPlate products, shall mean Siskin Enterprises, Inc. Warranty shall mean this Limited Warranty Registration Form.

Warranty: Administrator hereby guarantees to the vehicle owner that such vehicle treated with PermaPlate products will not sustain damage as described below. This guarantee is effective for the duration of Warranty as per the term selected on the reverse side of this certificate. This warranty applies only to areas of the vehicle where proper application has been completed and does not cover damage existing prior to product application. This Warranty is a Limited Warranty and is subject to all terms and conditions as set forth on both sides of this document.

Right to Transfer: The above vehicle owner shall have the right to transfer this Warranty to the next owner of this vehicle free of charge. To complete such transfer, Administrator must be notified of the change in ownership within thirty (30) days from the date of transfer to such first subsequent owner.

WINDSHIELD PROTECTION PROGRAM ( WPP)

PermaPlate Windshield Protection: Should the front windshield that has been treated with the PermaPlate Windshield Protection Product become damaged by propelled rocks or other propelled road debris while driving on paved roadways, causing cracks and chips, Administrator will pay for the repair of the damage portion of the windshield. If Administrator’s certified technician determines that the covered windshield damage cannot be repaired, Administrator will allow for the damaged windshield to be replaced. Administrator reserves the right to replace the windshield with like kind and quality glass. If like kind and quality glass is not available. Administrator will replace the windshield with Original Equipment Manufacturer (OEM) glass. Coverage under this Warranty shall not exceed an aggregate total of $5,000.00 over the lifetime of this contract. Definitions: Luxur y Vehicle coverage applies to all vehicles manufactured by Acura, Audi, BMW, Cadillac, Hummer, Infiniti, Jaguar, Land Rover, Lexus, Lincoln, Mercedes-Benz, Porsche, SAAB and Volvo; as well as specifically the Chevrolet Cor vette and Dodge Viper. Coverage under this Warranty for luxur y vehicles shall not exceed an aggregate total of $5,000.00 over the lifetime of this contract. Luxur y Vehicles are eligible for luxur y coverage only. Standard Vehicle coverage applies to non- luxur y vehicles and shall not exceed an aggregate total of $1,200.00 over the lifetime of this contract or $600.00 for any one claim. Standard Vehicles, however, may upgrade to Luxury coverage at the time of purchase.

Limits of Coverage: PermaPlate Windshield Protection may ONLY be purchased at the time of vehicle sale or upon installation of a new windshield with proof of installation by an authorized dealer. Administrator will not cover: pre-existing damage, cracks or other damages caused by any peril other than the impact of small rocks or flying road debris. Examples of excluded items include, without limitation: stress cracks, pitting, collision or similar accident, inclement weather conditions (i.e. lightning, earthquake, hailstorm, sandstorm, etc), factory defects, damage due to theft, vandalism, acts of war or terrorism, damage occurring while driving off paved roadways, or windshield replacement necessitated by failure of the vehicle owner to take reasonable steps to mitigate further damage from occurring. RV’s, motorcycles and exotic vehicles are not eligible for this Warranty. Exotic vehicles include, but are not limited to Alfa Romeo, Austin Healy, Aston Martin, Bentley, Bugatti, Checker, Citroen, Daihatsu, Ferrari, Fisker, International, Lamborghini, Lotus, Maserati, Maybach, McLaren, MG, Panoz, Peugeot, Rolls Royce, Saleen, Shelby, Tesla, Triumph, and TVR.

Repair Obligations: If warranty covered damage has occurred, Administrator will pay only for the repair of the damaged por tioncovered damage of the vehicle. Administrator reserves the right to inspect for liability or may request estimates for repair and/or photographs of the damage to determine the validity of the claim. Administrator has sole discretion in determining and implementing repair procedures. Such repairs will be performed with reasonable promptness and with quality workmanship. Administrator has no obligation for reimbursement of transportation or inconvenience costs during time of repair. Administrator’s obligation shall be limited to the lesser of: the balance remaining of the aggregate total; the per incident maximum for standard coverage as defined above; the repair; or, if necessary, the removal and replacement of the windshield with OEM or like kind quality glass.

Claim Procedure: To be valid, a claim must be filed during the warranty term selected and may only be paid on a properly registered and, if applicable, properly transferred Warranty. In order to reasonably minimize further damage which might occur, a claim also must be filed within fourteen (14) days from the earlier of either the appearance of damage covered by this Warranty or the time when damage could have been discovered upon reasonable observation or inspection by contacting Administrator at the telephone number, address or web site listed below. FAILURE TO PURSUE A CLAIM WITHIN SIXTY (60) DAYS FROM THE ONSET OF DAMAGE VOIDS THE WARRANTY PERTAINING TO SUCH DAMAGE. ANY REPAIR UNDERTAKEN WITHOUT EXPRESS, WRITTEN AUTHORIZATION FROM ADMINISTRATOR WILL NOT BE ELIGIBLE FOR REIMBURSEMENT.

SISKIN ENTERPRISES, INC. IS THE PROVIDER OF THIS PROTECTION PRODUCT GUARANTEE. TERMS AND CONDITIONS ARE AS STATED ABOVE AND CANNOT BE ALTERED. THIS GUARANTEE IS A PRODUCT GUARANTEE

Administrator: Siskin Enterprises, Inc.  P.O. Box 58  Salt Lake City, Utah 84110 Call Toll Free (800) 453-8470; or E-mail: [email protected] 785785TT (Rev. 410-16) AND IS NOT INSURANCE. The PermaPlate products are permanently applied to the covered vehicle; therefore this protection product guarantee is NON-CANCELABLE and NON-REFUNDABLE. This protection product guarantee specifically excludes Siskin from liability for incidental or consequential damages caused by use of these products. Some states do not allow the exclusion or limitation of incidental or consequential damages, so the above limitation or exception may not apply to you. No express rights are given under this protection product guarantee except for those specifically described herein. This protection product guarantee gives you specific legal rights and you may also have other rights which vary from state to state. Obligations of the protection product guarantee provider under this protection product guarantee are insured under a reimbursement policy. If covered service is not provided by Guarantee provider before the 60th day from date of valid claim initiation, vehicle owner may apply directly to Wesco Insurance Company (a member of AmTrust Group), 59 Maiden Lane, 43 rd Floor, New York, NY 10038 for benefits afforded under this protection product guarantee.

Administrator: Siskin Enterprises, Inc.  P.O. Box 58  Salt Lake City, Utah 84110 Call Toll Free (800) 453-8470; or E-mail: [email protected] 785785TT (Rev. 410-16)