TOTALHOURS

IMPORTANT FOR CUSTOMER: BY EXECUTION OF THIS FORM, CUSTOMER CERTIFIES THEY ARE AN AUTHORIZED REPRESENTATIVE OF THE COMPANY, HOURS SHOWN ARE CORRECT, WORK WAS DONE SATISFACTORILY, AND THAT CUSTOMER AGREES TO THE TERMS AND CONDITIONS ON REVERSE SIDE OF THIS FORM.PLEASE DRAW LINE THROUGH UNUSED SPACES ABOVE.

Exact Staff is available 24/7 - 365 days a year by calling your branch office.Exact Staff incurs substantial recruiting, screening, administrative and marketing expenses in connection with the temporary employee named above. Customer agrees that if Customer hires Employee within one year of this date, without agreement from Exact Staff, Customer will pay Exact Staff’s standard conversion fee of 1% per thousand to 25% of employee’s annual wage.

I hereby certify that these hours and fates are correct, I have taken all required meal and rest breaks for the hours worked under this time-card, and that no injuries were suffered and I have no unreported injuries or illnesses. I understand that timecards must be completed and received by 3:00 PM on Monday. I understand that when this current assignment ends, it is my responsibility to contact my Exact Staff supervisor for reassignment. Failure to do so may be considered my voluntary resignation. Yo certifico por este medio que estas horas y fechas están correctas, yo he tomado todos los recesos requeridos de la comida y de descanso para las horas trabajadas debajo de este tarjeta de tiempo, y que no se sufrieron ningunas lesiones y no tengo ningunas lesiones o enfermedades no denunciadas. Entiendo que las tarjetas de tiempo deben de estar completas y entregadas a mas tardar las 3:00 PM el dia Lunes. Entiendo que cuando se termine este trabajo actual, es mi responsabilidad de contactar a mi supervisor de Exact Staff para el sigutente trabajo. Al no hacerlo será considerado mi resignacion.

THIS TIME CARD MUST BE COMPLETED AND IN YOUR EXACT STAFF OFFICE BY 3:00 PM MONDAY. TO ENSURE THAT YOU ARE TIMELY PAID.

ESTA TARJETA DE TIEMPO DEVE DE SER ENTRGADA A SU OFICINIA DE EXACT STAFF NO MAS TARDAR DE LUNES A LAS 3:00 PM.

SOCIAL SECURITY NUMBER (LAST 4 DIGITS ONLY) / NÚMERO DE SEGURO SOCIAL (4 últimos dígitos SOLAMENTE)

X X X X X

Exac

t Staf

f res

erve

s the

sole

righ

t to

estab

lish

wage

s an

d frin

ge b

enefi

ts of

its

emplo

yees

and

ass

umes

res

pons

ibility

for

paym

ent o

f suc

h co

mpen

satio

n, wi

th-ho

lding

and

pay

ment

of all

requ

ired

payro

ll tax

es, w

orke

rs' c

ompe

nsati

on a

nd o

ther

statut

ory b

enefi

ts, ex

cept

wher

e spe

cifica

lly im

pose

d by l

aw on

Cus

tomer

. Th

e cu

stome

r nam

ed o

n the

reve

rse si

de o

r the

ir re

pres

entat

ive (h

erein

refer

red

to as

"Cus

tomer

"), w

ill ex

ercis

e go

od ju

dgme

nt an

d ma

nage

ment

relat

ing to

the

day-

to-da

y sup

ervis

ion an

d tra

ining

, spe

cifica

lly ta

ilore

d to t

he sp

ecific

job r

equir

emen

ts of

Exac

t Staf

f's e

mploy

ees

assig

ned

to Cu

stome

r's w

ork

site,

includ

ing a

ll sa

fety

and

haza

rdou

s mate

rials

traini

ng.

Custo

mer w

ill ma

intain

its p

remi

ses a

nd w

ork a

reas

in co

mplia

nce

with

all a

ppli-

cable

laws

, reg

ulatio

ns, a

nd o

rdina

nces

, and

pro

vide

a sa

fe, n

on-d

iscrim

inator

y, no

n-ho

stile

work

envir

onme

nt. C

ustom

er w

ill fur

ther c

omply

, at it

s own

exp

ense

, with

the

direc

tives

of

Exac

t St

aff's

worke

rs' c

ompe

nsati

on c

arrie

r, or

any

gov

ern-

menta

l ag

ency

as

they

relat

e to

chan

ges

in the

wor

kplac

e tha

t are

inten

ded

to pr

o-vid

e a

safer

wor

k en

viron

ment

for E

xact

Staff

's em

ploye

es. T

his in

clude

s the

Cus

-tome

r pr

ovidi

ng a

nd/or

ens

uring

use

of

perso

nal p

rotec

tive

equip

ment

and

clothi

ng a

s re

quire

d by

law

or a

s de

emed

nec

essa

ry by

Exa

ct St

aff o

r Exa

ct St

aff's

worke

rs'

comp

ensa

tion

insur

er. E

xact

Staff

and

its

worke

rs' c

ompe

nsati

on c

arrie

r sha

ll ha

ve

the ri

ght t

o ins

pect

Custo

mer's

pre

mise

s at a

ny tim

e to

ensu

re th

at a

safe

workp

lace

is be

ing p

rovid

ed E

xact

Staff

's em

ploye

es. C

ustom

er a

gree

s to

indem

nify,

defen

d an

d ho

ld ha

rmles

s Ex

act S

taff f

rom

any

and

all lo

sses

, liab

ility,

expe

nses

(inc

luding

co

urt c

ost a

nd a

ttorn

ey's

fees),

and

clai

ms fo

r dam

age

of an

y na

ture

whats

oeve

r, wh

ich E

xact

Staff

may

incu

r, su

ffer,

beco

me lia

ble fo

r, or

whic

h ma

y be

ass

erted

or

claim

ed a

gains

t Exa

ct St

aff a

s a

resu

lt of

Custo

mer's

mate

rial b

reac

h of

any

of its

ob

ligati

ons u

nder

the

agre

emen

t or b

ecau

se o

f any

alle

ged

violat

ion b

y Cus

tomer

of

any

feder

al, s

tate,

or lo

cal l

aws,

includ

ing O

SHA,

EEO

C, D

FEH,

immi

grati

on la

ws,

civil r

ights

law a

nd o

ther e

mploy

ment

laws i

nclud

ing th

e Na

tiona

l Lab

or R

elatio

ns A

ct or

bec

ause

of a

ny a

cts, a

llege

d ac

ts, o

miss

ions o

r alle

ged

omiss

ions b

y Cus

-tome

r's

emplo

yees

or of

ficer

s. Cu

stome

r ack

nowl

edge

s and

agr

ees t

hat E

xact

Staff

emp

loyee

s are

not

allow

ed

to op

erate

a ve

hicle

of an

y kind

for C

ustom

er's

bene

fit or

at t

he re

ques

t of C

ustom

er.

Custo

mer a

gree

s to

acce

pt ful

l res

pons

ibility

for a

ny b

odily

injur

y, pr

oper

ty da

mage

, fire

, the

ft, co

llision

or p

ublic

liabil

ity cl

aim a

rising

from

an

Exac

t Staf

f emp

loyee

bein

g as

ked

by C

ustom

er, o

r one

of i

ts su

pervi

sory

emplo

yees

, to

oper

ate m

achin

ery

or

equip

ment,

or d

rive

a ve

hicle,

whe

ther o

wned

by E

xact

Staff

's em

ploye

e or

own

ed o

r re

nted

by C

ustom

er. C

ustom

er a

gree

s no

t to

allow

Exa

ct St

aff's

emplo

yee

to wo

rk off

shor

e, on

or a

bove

wate

r, in

or u

nder

the

grou

nd, in

the

air o

r outs

ide o

f the

Stat

e wi

thout

Exac

t Staf

f's e

xpre

ss w

ritten

con

sent.

Cus

tomer

s wi

ll not

reloc

ate o

r cha

nge

the a

ssign

ment

or jo

b du

ties

of an

Exa

ct St

aff e

mploy

ee w

ithou

t prio

r app

rova

lof

Exac

t Staf

f.

Custo

mer a

nd fo

r 365

days

after

such

emplo

ymen

t end

s. Cu

stome

r fur

ther a

gree

s tha

t if

Custo

mer r

efers

any E

xact

Staff

Emp

loyee

to an

y othe

r enti

ty or

refer

s any

othe

r enti

ty to

any E

xact

Staff

Emp

loyee

durin

g the

term

of th

e Exa

ct St

aff's

Emplo

yee's

assig

nmen

t to

Custo

mer a

nd fo

r 365

days

after

such

emplo

ymen

t end

s, an

d said

entity

hire

s the

Ex

act S

taff E

mploy

ee, C

ustom

er w

ill be

liable

for a

nd w

ill pa

y to E

xact

Staff

the E

xact

Staff

stan

dard

conv

ersio

n fee

for t

hat E

mploy

ee of

one p

erce

nt pe

r tho

usan

d to t

wenty

-fiv

e per

cent

on E

mploy

ee's

annu

al wa

ge.

Custo

mer a

ccep

ts the

oblig

ation

to di

scus

s all m

atter

s con

cern

ing E

xact

Staff

’s em

ploye

e, inc

luding

with

out li

mitat

ion, e

mploy

ee’s

job as

signm

ents,

wag

es an

d pay

roll

proc

edur

es w

ith E

xact

Staff

and n

ot wi

th the

emplo

yee d

irectl

y.Th

e par

ties a

gree

that

Califo

rnia

law ap

plies

to th

is Ag

reem

ent a

nd th

at jur

isdict

ion an

d ve

nue f

or an

y acti

on re

gard

ing th

is ag

reem

ent s

hall l

ie ex

clusiv

ely in

the s

tate a

nd

feder

al co

urts

locate

d in L

os A

ngele

s Cou

nty.

EMPL

OYEE

INFO

RMAT

ION

1.Ov

ertim

e. Yo

u are

perm

itted t

o wor

k ove

rtime o

nly if

the C

ustom

er re

ques

ts an

d ap

prov

es su

ch w

ork.

Appr

oval

must

also b

e obta

ined f

rom

us be

fore o

vertim

e can

be

autho

rized

. Wor

king u

nauth

orize

d ove

rtime i

s a vi

olatio

n and

may

lead

to di

scipl

inary

actio

n.2.

Meals

/Bre

aks.

Your

mea

l per

iod w

ill be

deter

mine

d by t

he su

pervi

sor t

o who

m yo

u ar

e ass

igned

. An e

mploy

er m

ay no

t emp

loy an

emplo

yee f

or a

work

perio

d of m

ore t

han

five h

ours

per d

ay w

ithou

t pro

viding

the e

mploy

ee w

ith a

meal

perio

d of n

ot les

s tha

n 30

minu

tes, e

xcep

t that

if the

total

wor

k per

iod pe

r day

of th

e emp

loyee

is no

mor

e tha

n six

hour

s, the

mea

l per

iod m

ay be

waiv

ed by

the m

utual

cons

ent o

f both

the e

mploy

er an

d the

emplo

yee.

An em

ploye

r may

not e

mploy

an em

ploye

e for

a wo

rk pe

riod o

f mor

e tha

n 10

hour

s with

out p

rovid

ing th

e emp

loyee

with

a se

cond

mea

l per

iod of

not le

ss th

an 30

mi

nutes

, exc

ept th

at if t

he to

tal ho

urs w

orke

d is n

o mor

e tha

n 12 h

ours,

the s

econ

d mea

l pe

riod m

ay be

waiv

ed by

mutu

al co

nsen

t of th

e emp

loyer

and t

he em

ploye

e only

if the

firs

t mea

l per

iod w

as no

t waiv

ed. A

n emp

loyer

mus

t pro

vide r

est b

reak

s of 1

0 co

nsec

utive

minu

tes fo

r eve

ry 4 h

ours

worke

d (or

majo

r por

tion t

here

of) oc

curri

ng ne

ar

as po

ssibl

e to t

he m

iddle

of the

wor

k per

iod.

3.Yo

ur P

aych

eck.

It is y

our r

espo

nsibi

lity to

revie

w yo

ur pa

yche

ck an

d con

tact E

xact

Staff

in th

e eve

nt the

chec

k doe

s not

refle

ct all

hour

s wor

ked a

nd yo

ur m

eal b

reak

s.4.

Abse

nce/T

ardy

—Ca

ll Us A

t Onc

e. W

e will

conta

ct the

Cus

tomer

. Whe

n you

are

late,

or ca

nnot

work

the pr

escri

bed h

ours,

or if

you w

on’t b

e able

to re

port

to wo

rk, ca

ll us

.5.

Futu

re A

ssign

ment

s. If y

ou do

not c

ontac

t us a

fter e

ach a

ssign

ment,

we w

ill as

sume

you a

re no

t ava

ilable

for w

ork a

nd yo

u hav

e volu

ntarily

resig

ned.

Custo

mer u

nder

stand

s an

d ag

rees

that

Exac

t Staf

f pro

vides

emp

loyee

s to

work

unde

r Cus

tomer

's dir

ect m

anag

emen

t and

sup

ervis

ion, a

nd th

us E

xact

Staff

has

no

contr

ol ov

er a

nd a

ssum

es n

o re

spon

sibilit

y for

Cus

tomer

's su

pervi

sion,

inter

nal s

ecu-

rity s

ystem

s, or

othe

r inte

rnal

safeg

uard

s. Ac

cord

ingly,

Cus

tomer

agr

ees

to as

sume

so

le an

d co

mplet

e re

spon

sibilit

y, an

d ho

ld Ex

act S

taff h

arml

ess,

for a

ny lo

sses

or

claim

s tha

t res

ult fr

om a

n Ex

act S

taff e

mploy

ee's

theft

or lo

ss o

f any

equ

ipmen

t, me

rchan

dise,

cash

, sec

uritie

s, or

any

othe

r item

s of

value

, or f

rom

dama

ges

to an

y pr

oper

ty, p

erso

n, or

thir

d pa

rties

whats

oeve

r ca

used

by

Exac

t St

aff e

mploy

ees.

Simi

larly,

Cus

tomer

agr

ees

to as

sume

com

plete

resp

onsib

ility

and

hold

Exac

t Staf

f ha

rmles

s for

any

loss

es o

r clai

ms th

at re

sult f

rom

Exac

t Staf

f emp

loyee

s hav

ing b

een

entru

sted

by C

ustom

er w

ith a

ny p

rope

rty, p

erso

n or

pre

mise

s, ca

sh, c

heck

s, ke

ys,

credit

car

ds, m

erch

andis

e, co

nfide

ntial

or tr

ade

secre

t info

rmati

on, n

egoti

able

instru

-me

nts, o

r othe

r valu

ables

. Cus

tomer

agr

ees

to pr

oper

ly su

pervi

se th

e wo

rk of

any

Exac

t Staf

f emp

loyee

ass

igned

to w

ork w

ith C

ustom

er.

Custo

mer u

nder

stand

s tha

t Exa

ct St

aff d

oes

not m

aintai

n er

rors

and

omiss

ions

cove

rage

, or o

ther p

rofes

siona

lliab

ility i

nsur

ance

, on

any e

mploy

ees t

hat it

pro

vides

to

Custo

mer.

Custo

mer

agre

es t

o re

view

and

appr

ove

all w

ork

perfo

rmed

by

the

emplo

yee

prior

to a

ccep

ting

the w

ork.

Custo

mer a

gree

s tha

t it w

ill as

sume

sole

and

co

mplet

e re

spon

sibilit

y, an

d ho

ld Ex

act S

taff h

arml

ess,

for a

ny a

nd a

ll los

ses o

r clai

ms

that r

esult

from

an

Exac

t Staf

f emp

loyee

's wo

rk, re

nder

ing a

pro

fessio

nal o

pinion

or

comm

itting

any

othe

r alle

ged

erro

r or o

miss

ion in

the

perfo

rman

ce o

f his/

her d

uties

for

Custo

mer.

Custo

mer a

gree

s to

indem

nify,

defen

d an

d ho

ld ha

rmles

s Ex

act S

taff,

its

subs

idiar

ies, a

ffiliat

es, a

nd a

gents

, inclu

ding

the e

mploy

er o

f rec

ord,

from

and

again

st all

loss

es, l

iabilit

y, ex

pens

e (in

cludin

g co

urt c

osts

and

attor

ney's

fees

). an

d cla

ims

for

dama

ge o

f any

natu

re w

hatso

ever

whic

h Ex

act S

taff m

ay in

cur,

suffe

r, be

come

liable

for

, or w

hich

may

be a

sser

ted o

r clai

med

again

st Ex

act S

taffa

s a

resu

lt of

the a

cts,

erro

rs, or

omiss

ion o

f Exa

ct St

aff em

ploye

es w

hile

perfo

rming

servi

ces f

or C

ustom

er.

Custo

mer w

aives

any

clai

ms a

gains

t Exa

ct St

aff u

nless

suc

h cla

ims

are

repo

rted

to Ex

act S

taff in

writi

ng b

y Cus

tomer

with

in 30

day

s afte

r the

occ

urre

nce.

Custo

mer a

gree

s to

terms

of N

ET u

pon

RECE

IPT

and

in the

eve

nt of

Custo

mer's

no

n-pa

ymen

t of E

xact

Staff

's inv

oices

, Cus

tomer

agr

ees

to be

resp

onsib

le for

all c

ol-lec

tion

expe

nses

, inc

luding

atto

rney

's fee

s, int

eres

t at t

he ra

te of

eighte

en p

erce

nt (1

8%) p

er a

nnum

and

cour

t cos

ts.

Custo

mer

agre

es n

ot to

direc

tly o

r ind

irectl

y ca

use

or p

ermi

t any

Exa

ct St

aff

Emplo

yee

assig

ned

to Cu

stome

r by

Exac

t Staf

f to

trans

fer to

ano

ther e

ntity'

s pa

yroll,

or to

per

form

servi

ces

for C

ustom

er w

hile

on th

e pa

yroll

of an

y pe

rson

or fi

rm o

ther

than

Exac

t Staf

f dur

ing th

e ter

m of

the E

xact

Staff

Emp

loyee

's as

signm

ent t

o Cu

stom-

er a

nd fo

r 365

day

s afte

r suc

h em

ploym

ent e

nds.

Custo

mer f

urthe

r agr

ees t

hat if

Cus

-tom

er re

fers a

ny E

xact

Staff

Emp

loyee

to a

ny o

ther e

ntity

or re

fers a

ny o

ther e

ntity

to Ex

act S

taff E

mploy

ee d

uring

the

term

of the

Exa

ct St

aff's

Emplo

yee's

ass

ignme

nt to

id881726 (03/2018)