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1 /KCPL Partners in Safety

2 KCPL PRESCRIPTION SAFETY EYEWEAR PROGRAM KCPL employees that are reuired to wear safety glasses in their work are entitled to ONE pair of prescription safety glasses every 12 months. KCPL employees that are reuired to work outdoors will be allowed EITHER one pair of prescription safety glasses with tinted lenses PLUS one pair with clear lenses OR one pair of prescription safety glasses with Transition lenses. All prescription safety glasses, with the exception of wraparound frames, will have permanently attached sideshields. The details of what is included in this program are listed in this document. Any upgrades beyond what is approved in the KCPL program may be added at the employee s own expense. Should be paid at the time the order is placed. The following procedure and program guidelines are provided to facilitate the ordering process. Procedure: 1) The employee obtains the examination and prescription from their personal optician or eye doctor on their own time. 2) The employee will report to a panel optician and identify themselves as a KCPL employee and will give the optician their KCPL employee number. 3) Optician accesses SEMS for authorization using employee ID number. SEMS card authorized by to opticians. 4) The optician will complete the order form, as supplied to them by, then fax the completed form to. 5) The glasses will be manufactured according to the prescription and will be shipped back to the optician that placed the order. 6) The optician will check the prescription for accuracy then call the employee to come in for fitting and adjustment of the completed glasses. Note: A change in frame style will reuire new measurements for bifocal and progressive lens wearers. If you are placing your order at the Retail Store in Lenexa, KS then you will also pick up your completed order there. Corporate Safety July 9, 2010

3 Program Includes STRAIGHT-TOP 28mm STRAIGHT-TOP 7x28mm Level 1 KCPL Company Paid Items: SINGLE VISION BIFOCAL TRIFOCAL PROGRESSIVE - Tier 1-6 Safety Frame - Polycarbonate, CR-39 or glass lenses - Single Vision, Bifocal or Trifocal Lens - Any Lens Power/Add Power - Up To Level 2 Progressive - Any Prism - Scratch Resistant Coating - Protective Carrying Case (#2617 or #5967) - Permanent Sideshields (no detachables allowed) - Shipping & Handling (First Class Mail) - Transitions lenses if reuired to work outdoors - Other upgrades may be added at employee expense only KCPL Doctor Panel 9/30/10 Doctor Address City State Zip Phone Kansas Dr. Harold A. Frieden 727 Commercial Atchison KS Great Plains Vision LLC 2010 Central Dodge City KS Steve C. Mitchell Sr. 624 S. National Ft. Scott` KS Retail Store 8101 Lenexa Drive Lenexa KS , ext. 218 Dr. Andrew J. Hill 3 South Berkley Louisburg KS Dr. George Gage 8 South Broadway Louisburg KS Eyecare Associates of Osawatomie 524 Osawotomie KS Dr's Herriott and Herriott Ottawa Family Vision Clinic 1302 S. Main St. Ottawa KS Dr. George Gage 14 East Peoria Paola KS Missouri Godshall & Brock Quality Eyecare 2248 S. 7 Highway Blue Springs MO Dr. John L. Noe 204 W. Chestnut Butler MO Park Optical, Inc E. Ohio St. Clinton MO Eyecare Specialities 1104 E. Ohio St. Clinton MO Family Vision Center 701 E. Hospital Road Eldorado Springs MO SVS Vision E. 40 Highway Kansas City MO Bennett Eye Care Midwest 6080 N. Oak Traffic Way Kansas City MO Gerry Optical 5601 Antioch Road Kansas City MO Waterman and Linderer 15 W. Franklin Liberty MO /20 Optical 22 S. Jefferson Ave. Marshall MO Paul or Harold Poynter 503 Main Maryville MO Eyecare Professionals, Inc. 111 N. Main St. Nevada MO Dr. Stephen Christy 1905 Swift Ave. North Kansas City MO Dr. Bennett 1708 Lafayette Sedalia MO Fields Eye Site 2320 N. Belt Hwy St. Joseph MO Dr. M.T. Aldrich 1427 Village Drive St. Joseph MO John L. Holcomb 1210 Oklahoma Ave. Trenton MO Eyecare Specialties 601 E. Russell Ave., #A Warrensburg MO

4 Suggested Frame Selection 10/11 TR301S CS65 VL-6 PSS-50 Eye/Bridge Size ; ; Spring Hinge Gray Temples - 145, 150 Spring hinges Khaki PC264 CS64 stone 934 Eye/Bridge Size ; Spring Hinge Gunmetal Antiue Goldtone Antiue Eye/Bridge Size Temples- 135 stone 955 ST4 PSS-14 Eye/Bridge Size Temples Eye/Bridge Size ; Temples - 145,150 Pantera ST3 PSS-13 Eye/Bridge Size Temples Eye/Bridge Size ; Temples - 145,150 PC250 CS82 ST2 Eye/Bridge Size ; 56-16, ; DG90 PSS-6 Pewter Goldtone Eye/Bridge Size ; ; Antiue with adjustable soft silicone nose pads ST1 Eye/Bridge Size ; Spring hinges adjustable soft silicone nose pads Goldtone Eye/Bridge Size ; ; Antiue with adjustable soft silicone nose pads Sideshield is available in clear and gray.

5 Suggested Frame Selection VL1 BC115 CS60 Eye/Bridge Size ; Dark Bronze Dark Steel VL2 PSS-50 BC109 CS96 VL3 Eye/Bridge Size ; ; Temples - 135, 140 BC101 C101 Antiue Gold Demi-Amber Demi-Red Eye/Bridge Size ; SL2 PSS-50 Eye/Bridge Size ; ; Hunter Demi-Gray Demi-Amber Goldtone Temples- 145, 150 Eye/Bridge Size Temples FC707 CS60 FC705 CS94 Eye/Bridge Size ; Antiue Dark Gunmetal Eye/Bridge Size ; Gray FC706 CS60 SW06E Eye/Bridge Size ; Antiue Silver Matte Antiue Eye/Bridge Size Temples Sideshields Integrated Matte with orange tips Matte with yellow tips SW07WI Eye/Bridge Size Temples Sideshields Integrated Blue Gunmetal Sideshield is available in clear and gray.

6 Suggested Frame Selection BSG BSG2 Eye/Bridge Size Temples Demi Desert Sand Silver Eye/Bridge Size Temples Purple Red Silver BSG4 MAXIM Eye/Bridge Size Eye/Bridge Size Wiley X Supply Division only ROUT BRICK Eye/Bridge Size Gloss Eye/Bridge Size Gloss Matte Crystal Metallic AIRRAGE JAKE Eye/Bridge Size Gloss Matte Crystal Metallic Crystal Bronze Eye/Bridge Size Temples Gloss Fade CURVE Eye/Bridge Size Gloss

7 Tiered Frame Schedule To view the complete frame selection go to I N C L U D E D Tier TITMUS WILEY X HUDSON ON-GUARD U.S. SAFETY Rx Inserts 1-4 MPD, SP83, SC2000, SC900, 70F, 3003, BC101, BC102, BC104, BC109, BC115, FC601, FC702, FC703, FC704, FC705, FC706, FC707, FC709, SC910, SC915, SW06, SW06E, SW07, TM10 EL1, EL2, EL3, SL1, SL2, SL3, SL920, SL921, VL1, VL2, VL3, VL4, VL5, VL6 27S, 34S, 42, 43, 43S, 68S, 69, 70, 71, 78, 79, 79S, 85, 91, 92, 93, 94, 95, 101, 102, 104, 105, 106, 106S, 112, 113, 114, 137S, 250S, SG200, SG201, SG232, SG300, SG301, SG302, SG303 Phoenix, Aviator, Glider, Hornet DX, Lancer, Legend XT, Roanoke, Newport, Pantera, 110, 410, 420, 430, InfraSpec Guard-Dogs Insert, Hornet DX Insert, Legend XT Insert, North65 Insert, Stealth Goggle Insert, Uvex XC Insert 5 PC8A, PC261, PC264, PC266, PC267, PC268, PC269, PC280 DG20 16, 17, 18, 19, 20, 31, 32, 34, 45, 45NP, 53, 54, 56, 65, 72, 80, 81, 82, 84, 86, 87, 90, 103, 313, SG107, SG108, SG110, SG111, SG121, SG122 6 PC250, TR301S, TR302S, TR303, TR304, TR305, TR306S, TR307S, TR308S, TR309S, TR310S, TR311S, TR312S DG49, DG50, DG51, DG55, DG63, DG88, DG89, DG90, DG91, DG92, DG93, DG94, DG95, DG96, MS1, ST1, ST2, ST3, ST4 16C, 30, 31C, 35, 36, 108, 115, 116, 125, 126, 133, 135, 143, 144, 145, 150, 301, 302, 303, 304, 305, 307, 309, 309NP, 310, 310NP, 311, 312, 312NP, 314, 317, 318, 321, 322, SG101, SG102, SG103, SG104, SG105, SG106, SG115, SG118, SG120, SG130, SG131, SG228 - BSG, BSG2, BSG3, BSG4, Hoops, Zappa, Z001 Avon Route, Brick, Airrage, Jake, Curve KCPL Customer Service Representative: Rene Grandberry, , ext. 291 Karen Kono, RN, COHN Manager, Safety & Medical 4400 E. Front St. - Kansas City, MO Tel: Fax: Cell: karen.kono@kcpl.com

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