Common use of Benefits Chart Clause in Contracts

Benefits Chart. See Benefits Chart on the following page. Wastren-EnergX Mission Support, LLC PORTS USW Benefit Plans Date: January 18, 2011 MEDICAL PLAN 100/90% PPO Plan Deductible In Network: Individual $0 Family $0 Out of network: Individual $100 Family $200 Out-of-Pocket Max In Network: Individual $0 Family $0 Out of network: Individual $600 Family $1200 Lifetime Max $1,000,000 Includes $10,000 yearly restoration. Office Visit Co-pay None MEDICAL PLAN (CONT’D.) 100/90% PPO Plan Benefits Doctor Visit In: 100% - No deductible Out: 90% - After deductible Second Surgical Opinion 100% However, Aetna recommends any SSO be covered at the same benefit levels as the physician charges. Hearing Aids 1 aid per ear per member covered at 100%. Not subject to deductible $500 max every 3 years. Physical Therapy 60 day visit limit per condition X-Ray and Lab. In: 100% - No deductible Out: 90% - After deductible Inpatient Hospital / Surgery In: 100% - No deductible Out: 90% - After deductible Outpatient Surgery In: 100% - No deductible Out: 90% - After deductible Pre-Admission & Post- Confinement Testing In: 100% - No deductible Out: 90% - After deductible (Aetna follows hospital guidelines to determine time frames for testing.) MEDICAL PLAN (CONT’D.) 100/90% PPO Plan Preventative Care Immunization In: 100% - No deductible Out: 90% - After deductible Flu shots are covered. Must be medically necessary. Well-Child In: 100% - No deductible Out: 90% - After deductible 6 visits year 1. 2 visits ages 1-2. Ages 2-6 = 1 per 12 mo. Ages 7-64 = 1 per 24 mo. Well-Woman In: 100% - No deductible Out: 90% - After deductible Limit 1 per cal year Routine Physical Exam In: 100% - No deductible Out: 90% - After deductible Limit to 1 visit each 24 months for ages 7-64 Routine Mammogram In: 100% - No deductible Out: 90% - After deductible For age 40+. Limit 1 per cal year Plan pays up to $85 Emergency Care Doctor Office In: 100% - No deductible Out: 90% - After deductible Emergency Room 100% - No deductible Emergency Conditions For treatment of sudden/serious onset of illness or injury Ambulance 90% - After deductible (must be medically necessary) 100/90% PPO Plan

Benefits Chart. See Benefits Chart on the following page. Wastren-EnergX Mission Support, LLC PORTS USW Benefit Plans Date: January 18, 2011 MEDICAL PLAN Medical Plan 100/90% PPO Plan Deductible In Network: Individual $0 Family $0 Out of network: Individual $100 Family $200 Out-of-Pocket Max In Network: Individual $0 Family $0 Out of network: Individual $600 Family $1200 Lifetime Max $1,000,000 Includes $10,000 yearly restoration. Office Visit Co-pay None MEDICAL PLAN Medical Plan (CONT’D.Cont’d.) 100/90% PPO Plan Benefits Doctor Visit In: 100% - No deductible Out: 90% - After deductible Second Surgical Opinion 100% However, Aetna recommends any SSO be covered at the same benefit levels as the physician charges. Hearing Aids 1 aid per ear per member covered at 100%. Not subject to deductible $500 max every 3 years. Physical Therapy 60 day visit limit per condition X-Ray and Lab. In: 100% - No deductible Out: 90% - After deductible Inpatient Hospital / Surgery In: 100% - No deductible Out: 90% - After deductible Outpatient Surgery In: 100% - No deductible Out: 90% - After deductible Pre-Admission & Post- Confinement Testing In: 100% - No deductible Out: 90% - After deductible (Aetna follows hospital guidelines to determine time frames for testing.) MEDICAL PLAN Medical Plan (CONT’D.Cont’d.) 100/90% PPO Plan Preventative Care Immunization In: 100% - No deductible Out: 90% - After deductible Flu shots are covered. Must be medically necessary. Well-Child In: 100% - No deductible Out: 90% - After deductible 6 visits year 1. 2 visits ages 1-2. Ages 2-6 = 1 per 12 mo. Ages 7-64 = 1 per 24 mo. Well-Woman In: 100% - No deductible Out: 90% - After deductible Limit 1 per cal year Routine Physical Exam In: 100% - No deductible Out: 90% - After deductible Limit to 1 visit each 24 months for ages 7-64 Routine Mammogram In: 100% - No deductible Out: 90% - After deductible For age 40+. Limit 1 per cal year Plan pays up to $85 Emergency Care Doctor Office In: 100% - No deductible Out: 90% - After deductible Emergency Room 100% - No deductible Emergency Conditions For treatment of sudden/serious onset of illness or injury Ambulance 90% - After deductible (must be medically necessary) 100/90% PPO Plan

Benefits Chart. See Benefits Chart on the following page. Wastren-EnergX Mission Support, LLC PORTS USW Benefit Plans Date: January 18March 22, 2011 2007 MEDICAL PLAN 100/90% PPO Plan Deductible In Network: Individual $0 Family $0 Out of network: Individual $100 Family $200 Out-of-Pocket Max In Network: Individual $0 Family $0 Out of network: Individual $600 Family $1200 Lifetime Max $1,000,000 Includes $10,000 yearly restoration. Office Visit Co-pay None MEDICAL PLAN (CONT’D.) 100/90% PPO Plan Benefits Doctor Visit In: 100% - No deductible Out: 90% - After deductible Second Surgical Opinion 100% However, Aetna recommends any SSO be covered at the same benefit levels as the physician charges. Hearing Aids 1 aid per ear per member covered at 100%. Not subject to deductible $500 max every 3 years. Physical Therapy 60 day visit limit per condition X-Ray and Lab. In: 100% - No deductible Out: 90% - After deductible Inpatient Hospital / Surgery In: 100% - No deductible Out: 90% - After deductible Outpatient Surgery In: 100% - No deductible Out: 90% - After deductible Pre-Admission & Post- Confinement Testing In: 100% - No deductible Out: 90% - After deductible (Aetna follows hospital guidelines to determine time frames for testing.) MEDICAL PLAN (CONT’D.) 100/90% PPO Plan Preventative Care Immunization In: 100% - No deductible Out: 90% - After deductible Flu shots are covered. Must be medically necessary. Well-Child In: 100% - No deductible Out: 90% - After deductible 6 visits year 1. 2 visits ages 1-2. Ages 2-6 = 1 per 12 mo. Ages 7-64 = 1 per 24 mo. Well-Woman In: 100% - No deductible Out: 90% - After deductible Limit 1 per cal year Routine Physical Exam In: 100% - No deductible Out: 90% - After deductible Limit to 1 visit each 24 months for ages 7-64 Routine Mammogram In: 100% - No deductible Out: 90% - After deductible For age 40+. Limit 1 per cal year Plan pays up to $85 Emergency Care Doctor Office In: 100% - No deductible Out: 90% - After deductible Emergency Room 100% - No deductible Emergency Conditions For treatment of sudden/serious onset of illness or injury Ambulance 90% - After deductible (must be medically necessary) 100/90% PPO Plan

Benefits Chart. See Benefits Chart on the following page. Wastren-EnergX Mission Support, LLC PORTS USW Benefit Plans Date: January 18March 22, 2011 MEDICAL PLAN 2007 Medical Plan 100/90% PPO Plan Deductible In Network: Individual $0 Family $0 Out of network: Individual $100 Family $200 Out-of-Pocket Max In Network: Individual $0 Family $0 Out of network: Individual $600 Family $1200 Lifetime Max $1,000,000 Includes $10,000 yearly restoration. Office Visit Co-pay None MEDICAL PLAN Medical Plan (CONT’D.Cont’d.) 100/90% PPO Plan Benefits Doctor Visit In: 100% - No deductible Out: 90% - After deductible Second Surgical Opinion 100% However, Aetna recommends any SSO be covered at the same benefit levels as the physician charges. Hearing Aids 1 aid per ear per member covered at 100%. Not subject to deductible $500 max every 3 years. Physical Therapy 60 day visit limit per condition X-Ray and Lab. In: 100% - No deductible Out: 90% - After deductible Inpatient Hospital / Surgery In: 100% - No deductible Out: 90% - After deductible Outpatient Surgery In: 100% - No deductible Out: 90% - After deductible Pre-Admission & Post- Confinement Testing In: 100% - No deductible Out: 90% - After deductible (Aetna follows hospital guidelines to determine time frames for testing.) MEDICAL PLAN Medical Plan (CONT’D.Cont’d.) 100/90% PPO Plan Preventative Care Immunization In: 100% - No deductible Out: 90% - After deductible Flu shots are covered. Must be medically necessary. Well-Child In: 100% - No deductible Out: 90% - After deductible 6 visits year 1. 2 visits ages 1-2. Ages 2-6 = 1 per 12 mo. Ages 7-64 = 1 per 24 mo. Well-Woman In: 100% - No deductible Out: 90% - After deductible Limit 1 per cal year Routine Physical Exam In: 100% - No deductible Out: 90% - After deductible Limit to 1 visit each 24 months for ages 7-64 Routine Mammogram In: 100% - No deductible Out: 90% - After deductible For age 40+. Limit 1 per cal year Plan pays up to $85 Emergency Care Doctor Office In: 100% - No deductible Out: 90% - After deductible Emergency Room 100% - No deductible Emergency Conditions For treatment of sudden/serious onset of illness or injury Ambulance 90% - After deductible (must be medically necessary) 100/90% PPO Plan