BROOKWOOD TAMARAC PLAZA INVESTORS, LLC

Access Card Acceptance Form

I, ___________________________, hereby accept full responsibility for the use of access card number ____________________, which enables 24-hour access to building __________ at Tamarac Plaza.

I accept use of the card for myself only and will not let anyone else use my card for access to Tamarac Plaza office complex or any of the associated parking facilities. I accept the fact that the Landlord will terminate use of my card if anyone else is found using it, and that this card key is revocable and must be surrendered upon demand by Landlord.

I understand that there is a $25 charge for either a new or a replacement card.

If the card is lost or stolen, I will report it immediately to The Frederick Ross Company at Tamarac Plaza (303.696.0706). I will also report any misuse or security problems that occur.

If I misuse the system and it malfunctions, I agree to pay The Frederick Ross Company at Tamarac Plaza the current rate to reactivate the security system.

AGREED AND ACCEPTED this __________ day of _______________________, 200__.

SIGNATURE (key card user)_________________________________
TITLE_________________________COMPANY_________________________
BUILDING NUMBER AND SUITE_________________PHONE___________________

I approve of this employee’s access to building(s) ___________ at Tamarac Plaza office complex under the terms and conditions of this mutual agreement.

SIGNATURE (supervisor)_______________________TITLE____________________

Level of access:

______ Building Security
______ Covered, Unreserved Parking

______ Health Club
______ Uncovered/Surface Parking
______ Covered, Reserved Parking

FOR OFFICE USE ONLY:

Key entered:______

______