Property Manager Permit Request Form

The information you provide in this request form will be reviewed and confirmed prior to being issued a Permit Pass. Hualalai Resort requires this information for resort security, to prevent unauthorized resort entry, and accurately grant permission to worksites on Hualalai Resort grounds.

Mahalo for your understanding.

COMPANY INFO

PROPERTY MANAGER INFORMATION

HOMEOWNER INFORMATION

REQUIRED MINUMUM INSURANCE COVERAGE

Please confirm that your company carries the Required Minimum Insurance Coverage. Upload a copy of your General Liability Insurance to expedite the permitting process.

Type of Insurance

General Liability

General Aggregate (Per Project)

1,000,000

Products/completed operations Aggregate

1,000,000

Each Occurrence

500,000

Personal/Bodily Injury

500,000

Fire Damage (any one fire)

25,000

Medical Expense (any one Person)

2,500

Additional Insured List:

Hualalai Common Equity Holdings, LLC, Hualalai Investors, LLC, it’s subsidiaries, affiliates, officers, Directors, trustees, employees, agents

Certificate Holder:

Hualalai Common Equity Holdings, LLC

Hualalai Investors, LLC

Attn: Hualalai Villas & Homes Department

P.O. Box 2970 Kailua-Kona, HI 96745

SIGNATURE AUTHORIZATION FOR PERMITS

The listed persons below are authorized to request and pickup permit(s) from the HCA Construction Office. Unauthorized requests will not be processed. Authorized persons will be asked to provide identification for confirmation at time of picking up a pass.

Supervisors may be contacted to confirm authorization.

DRIVER & VEHICLE INFO

ALL vehicles and drivers must be registered with Hualalai Resort prior to obtaining a Permit Pass. To minimize violation of Hualalai Resort Work Rules and to reduce Permit Fees/Fines to you, it's suggested that companies have their employees carpool to work sites.

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ALL requests must provide proof of insurance, vehicle registration, and state issued driver's license (United States) for permit issuance. Supervisors may be contacted to confirm authorization.

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• Vehicle Insurance (current & unexpired)

• Vehicle Registration (current & unexpired)

• Authorized drivers will be asked to present their Driver's License (current & unexpired) at the Security Gate prior to entry. (State issued- U.S. driver's license, NO international driver’s licenses accepted)

HUALALAI NO WORK SCHEDULE & WORK RULES

All of us here at Hualalai Resort take special pride in the appearance of our Resort and are sensitive to the experiences and perceptions of our residents and guests. We ask the same of you as you enter the property to work on various projects.

Quiet weekend work is permitted with a valid vendor permit. Quiet work requires no loud equipment or work that causes a nuisance or street congestion in neighborhoods.

ACKNOWLEDGMENTS

Homeowner/ Property Manager is required to notify Resort Security, HCA or HVH IMMEDIATELY upon change of property manager. Failure to do so may result in unauthorized access to the property. By signing below, Homeowner/ Property Manager authorizes the Property Manager to act on Homeowner’s behalf to care for the property and to access the property as needed. Homeowner agrees to hold HILLC dba Four Seasons Resort Hualalai and its employees, Four Seasons Hotels, Ltd., the HCA and HRMLLC harmless for any damage or loss that may occur from the issuance of the permit.

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Please provide proof of the fully executed Property Manager Assignment & Approval Form.

I acknowledge and agree that all information I have provided is accurate and correct.

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I do hereby agree that myself, my employees and all subcontractors or their agents I employ for the above project shall abide by the rules at all times while on Hualalai Resort property.

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I acknowledge having read the HUALALAI RESORT NO WORK SCHEDULES and HUALALAI RESORT WORK RULES. I further acknowledge having notified all members working on my jobsite that any behavior resulting in a negative guest experience will not be tolerated and that immediate action will be taken upon notification of any unacceptable situations.