Trust Signature Page Alll trustees must sign this document. By signing below, | acknowledge that | understand and agree with the terms and conditions of the UBS Client Relationship Agreement, the Agreements and Disclosures booklet and addendum, and if applicable, the Agreements and Disclosures for IRAs, and the Retirement Plan Disclosures available at i: that Is enclosed or that | have previously received. J agree that the representations in these documents are accurate and that | will be bound by the terms and conditions in these documents, Trustee Certification By signing below, | represent that | have reviewed the Trust Agreement and any other documents governing the trust. As trustee, Ihave full power under the Trust Agreement to make this Trust Certification and have consulted with my legal counsel, if necessary. Investment and Other Powers and Restrictions We represent and warrant that, except as indicated below, we have broad investment and other powers under the trust agreement and applicable law to enter into transactions and to trade, buy, Sell, sell short or otherwise acquire, receive, deliver, assign, endorse for transfer, hold or dispose of all manner of securities, futures, currencies and commodities (including options or warrants on securities, futures, Currencies or commodities) or to purchase and surrender insurance policies and annuity contracts or interests in any of the foregoing in whatever form they may take, and whether by direct ownership or by interests in funds, partnerships, pools or other forms of collective ownership, except the types of investments specifically listed below: S8N OL NYUNL3Y ONY NOIS eee —— Loans and Other Credit Transactions We represent and warrant that we have broad powers under the trust agreement and applicable law to engage in borrowing and other loan and credit transactions with or through UBS for investment and non-investment purposes, inchuding margin loans, other loans, pledges, mortgages, hypathecations, repurchase and reverse repurchase transactions, letters of credit, credit facilities, and guarantees of the obligations of Mf the trust has multiple trustees or officers, can one trustee or officer act independently? Vv yes No If No, specify the number of signatures required: (specify number or * ail") If trustees do not have authority to hire an investment advisor or other third party, check here The person identified below is authorized to act as a successor trustee in the event of the death, resignation or removal of all of the current trustees: Name: Tithe: Address; Margin Agreement | agree that the Margin Agreement in the Client Relationship Agreement applies to all of my margin-eligible accounts opened now or in the future. This means that if | use margin privileges, UBS will hold the securities in the margined accounts as collateral against the amounts borrowed. | agree to keep sufficient positions in margined accounts to meet any margin calls UBS may issue. | also understand that securities in any margined account may be loaned to UBS or other persons or entities as described in the Margin Agreement. 1 understand that the Margin Agreement is not applicable to retirement accounts or any other accounts that are not eligible for margin Privileges at UBS (including IRAs, ERISA plans, Coverdell Education Savings Accounts, 403(b){7) Accounts, UGMA/UTMA, Estate or 529 Accounts). Electronic Delivery Consent As requested, | received my Agreements and Disclosures booklet and other account-related documents electronically at jroberts@nutter.com which is the e-mail address of record for ail . | understand that the information is also available at www.ubs.com/accountdisclosures or by request to my Financial Advisor at , Page 1 of 2 Continued on next page... * EFTA00089254

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Montpelier Trust For Trust Accounts: Y1 45170 Y1 45172 ¥1 45171 [Check here if you have been notified by the IRS that you ere subject to backup withholding, and therefore have Crossed out peragraph 2 in the Certification below. S8N OL NUNLY ONY NSIS Exempt Payee Code (if any) if your orgenization Is tax exempt please enter the appropriate code {codes 1 through 13 in the W9 instructions) Exemption from FATCA reporting code (if any):. W-9 Form Certification . Under penalties of perjury, I certify thet: (1) the number shown on this form is my correct taxpayer identification number The Client Relationship (or | am waiting for a number to be Issued to me), and 2) | am not subject to backup withholding because: (a) | am Agreemont contains a exempt from backup withholding, or b) | have not been notified by the Internal Revenue Service (RS) that | am subject to Prevdispute arbitration backup withholding as a result of a failure to report al interest and dividends, or (c) the IRS has notified me that | am no Slouse located ih the fina longer subject to backup withholding, and (3) | am’a U.S. citizen or other U.S. person (defined in the instructions), and (4) «a bitration.” The FATCA code(s) entered on this form (if any) indicating that | am exempt from FATCA reporting is correct. Certification Instruction: You must cross out item (2) above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to- report all interest and dividends on your tax return, The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding. SIGN AND’ OATE HERE Date Date | Address‘of Record’ 155 Seaport Boulevard ATTN: Nutter McClennen & Fish LLP Boston, MA 02210-2698 Page 2 of 2 | OIA 22 EFTA00089255

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$2N OLNYNLIY ONY NOIS 22 Montpelier Trust For Trust Accounts: Y1 45170 Y1 45172 Y1 45171 W-9 Form Certification fesse are subject to backup withholding, and therefore have crossed out paragraph 2 in the Certification below. Exempt Payee Code (if any) if your organization is tax exempt please enter the appropriate code {codes 1 through 13 in the W9 instructions) Exemption from FATCA reporting code (if any): Under penalties of perjury, | certify that: (1) the number shown on this form is my correct taxpayer identification number The Client Relationship {or | am waiting for a number to be issued to me), and 2) | am not subject to backup withholding because: (a) 1 am Agreement contains a exempt from backup withholding, or (b) ! have not been notified by the intemal Revenue Service (IRS) that | am subject to bre-clisp oe etl al backup withholding as a result of a failure to report all interest and dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and (3) 1 am a U.S. citizen or other U.S. person (defined in the instructions), and (4) ‘The FATCA code(s) entered on this form (if any) indicating that | am exempt from FATCA reporting is correct. section under the title “Arbitration.” Certification Instruction: You must cross out item (2) above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. The Internal Revenue Service does not require.your consent to any provision of this document other than the } certifications required to avoid backup withholding. Address-of Record: 155 Seaport Boulevard ATTN: Nutter McClennen & Fish LLP Boston, MA 02210-2698 Email. Address-of Record- IOUT EA EFTA00089256

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S8N OL NUNLAY ANY NOIS 22 Montpelier Trust For Trust Accounts: Y1 45170 Y¥1 45172 Y1 45171 =z: you ft that you are subject to backup withholding, and therefore have crossed Out paragraph 2 in the Certification below. Exempt Payee Code {if any) Hf your organization is tax exempt please enter the approy (codes 1 through 13 in the W9 instructions) Exemption from FATCA reporting code (if any): W-9 Form Certification Under penalties of perjury, | certify that: (1) the number shown on this form is my correct taxpayer identification number {or | am waiting for a number to be issued to me), and 2)! am not Subject to backup withholding because: (a) | am exempt from backup withholding, or (b) | have not been notified by the intemal Revenue Service (IRS) that | am subject to backup withholding as a result of a failure to report all interest and dividends, or (c) the IRS has notified me that! am no longer subject to backup withholding, end (3) | am a U.S. citizen or other U.S. person (defined in the instructions), and (4) The FATCA code(s) entered on this form (f any) indicating that | am exempt from FATCA feporting Is correct. Certification Instruction: You Must Cross ut item (2) above if you have been notified by the IRS that you are currently Subject to backup withholding because you have failed to feport all interest and dividends on your tax return. | The Internal Revenue Service does not tequire your consent to any provision of this document other than the | certifications required to avoid backup withholding. priate code The Client Relationship Agreement contains a pre-dispute arbitration clause located in the final section under the title “Arbitration.” Address-of Record 155 Seaport Boulevard ATTN: Nutter McClennen & Fish uP Boston, MA 02210-2698 Email: Address ‘of-Record AUTON EFTA00089257