The URL can be used to link to this page

Home My WebLink AboutAgreement_General_7/15/2021_VerizonDocuSign Envelope ID: 6DE6BC3E-BDF1-4372-90DB-1A8DCEC�iD473 Verizon Connect NWF GSA # GS-07F-5559R verizon/ Hardware & Service Order Patrick Nuciforo Please review your contract agreement below. For questions,. please inquire with your sales contact patrick.nuciforo@verizonconnect.com CONTRACT INFORM ATION Date 07-15-21 Purchase Type Purchase Contract Type GSA GS07FSSS9R PO # ORDER INFORMATION Order Type Existing Business Customer Number VILL002 Account Sub Type PUBLIC SECTOR COMPANY INFORMATION Company Name Village of Teq u esta Doing Business As Address 136 BRIDGE RD City TEQU ESTA State FL £ip 33469-2714 Time Zone CONTACT INFORMATION Please s el ect the following roles: S:gnato ry, Accounts Payable, Install Main POC, Fleet Manager M ain User Role First N ame last Name Phone Eri Signatory Doug Chambers (561) 768-0483 dchambers@tequesta.org Install Main POC John Wallace (561)262-1049 jwallace@tequesta.org Shipping John Wallace (561) 262-1049 jwallace@tequesta.org Accounts Payable Michelle Thomas (561) 768-0426 mthomas@tequesta.org PRODUCTS & SERVICES DEVIL SEQ ITEM SKU CATEGORY CITY CONTRACT NRC PRICE NRC TOTAL MRC PRICE MRC TOTAL TERM 1 SOL-OTHER STAND ALONE PRODUCTS SOL-OTHER PRODUCTS SOLUTION 1 12 Months 0.00 130.00 0.00 0.00 1.1 DEVICE SWAP I -SWAP -UNIT SWAP 2 12 Months 65.00 130.00 0.00 0.00 'Sales Tax and Shipping are additional to this subtotal ' ON E TIM E CHARGE: $ 130 DO • MONTHLY RECURRING CHARGES: $ 0.00 COMMENTS SHIPPING INFORMATION LOCATION 1 LOCATION 2 LOCATION 3 Company Village of Tequesta J Contact John Wallace E-Mail jwallace@tequesta.org Phone 561-262-1049 Street Address 136BRIDGE RD city TEQU ESTA State FL LP Code 33469-2714 Country USA Shipping Method Ground Ground Ground Items to Ship TAX INFORMATION Tax Exe mpt X If Tax Exempt, provide State Tax Exempt form to: Otherwise, please enter our Tax ID below Tax ID ********* Credk Terms Requested DocuSign Envelope ID: 6DE6BC3E-BDF1-4372-90DB-1A8DCEC5D473 TER MS AND COND ITION S This order is pursuant to the Terms and Conditions of Verizon Connect NWF Inc's (VCN)(formerly Networkfleet) GSA Contract#GS-07F-5559R only. The PO# if listed above is for reference purposes only, including as a reference on any invoice from VCN. Any terms and conditions contained in a PO supplied by Village of Tequesta are rejected, void and have no force and effect. You acknowledge, guarantee, and warrant that you are legally authorized to enter into a recurring billing arrangement with VCN. Payment Terms are Net 30 days. You understand that in order to makeany alternate payment arrangements, you will contact VCN in writing at n wfaccountsrecei vabl e@verizonconnect.com t en (10) days prior to the scheduI ed charge date to make the appropriate c hanges which require VCN's written consent. This order is subject to acceptance by VCN and is not binding on VCN until it has been accepted by VCN by either sending you notice of acc eptanc e o r the shipm ent of the products you have ordered. You acknowledgethat Village of Tequesta has the power and authority to enter into this agreement and to perform its obligations hereunder, that the individual signing on behalf of Village of Tequesta has authority to do so, and that Village of Tequesta agrees to all of the terms and conditions of VCN's GSA Contract# G S-07F-5559R and agrees that this order is subject solely to the terms and conditions of VCN's GSA Contract#GS-07F-5559R. Notes: 1. Any of the listed equipment marked as OPEN MARKET are products that are not listed on GSA Federal Supply Schedu I eContract No. GS-07F-5559R (and, pursuant to FAR 8.402(f), should be noted applicably on all procurement documents including but not limited to Purchase Orders, BP As, or individual task or delivery orders). OPEN MARK ET p roducts are manufactured by third parties and maybe manufactured or substantially transformed in non -designated contries. Please contact us if you need country of origin information for a specific product. 2.Taxes and Shipping: a. Pricing provided does not include taxes. Taxes (if applicable) are applied to the month y invoice. b. Shipping: FOB Destination. Shipping is included in the price above. 3. If applic able: "City" for Configurable Upd ate Rat e: Notwithstanding th e "CW (qu antity) specifi ed abo ve, the Monthly Recu rr ing for the Confi gurabl e Updat e R ate each month will be d et ermin ed by the fast est actu al Configurable Upd ate Rat e p er d evic a en ab led by the Custom er at any ti me during th a respective month, A a Customers SSP . Configurable U pd ate Rate purchas es for the 5 000 series d evic a mod els requi re the custom er to enabl a th a specific Upd ate Rat a feature (i. e. 15, 30, 45, 60 seconds) on their S SP after d evic a activation and regist ration. CUSTOMER SIGNATURE X I have read and ag ree to th e t er ms and cond itions. Print N ame Jeremy Allen Signature ^.DoeuSigned//b/y: 0.1.1.(.1/l. 46FC7311368F4EE_. Position Village Manager Date 712112021 Certificate Of Completion Envelope Id: 6DE6BC3EBDF143729ODBlA8DCEC5D473 Subject: [EIVillage of Tequesta- 2 Swaps - Networkfleet Document Ready for Signature Source Envelope: Document Pages: 2 Signatures: 1 Certificate Pages: 1 Initials: 0 AutoNav: Enabled Envelopeld Stamping: Enabled Time Zone: (UTC-08:00) Pacific Time (US & Canada) Record Tracking Status: Original 7/15/2021 9:03:41 AM Signer Events Jeremy Allen dchambers@tequesta.org Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer Events Editor Delivery Events Agent Delivery Events Intermediary Delivery Events Certified Delivery Events Carbon Copy Events Witness Events Notary Events Envelope Summary Events Envelope Sent Certified Delivered Signing Complete Completed Payment Events Holder: Patrick Nuciforo patrick.nuciforo@vedzon.com Signature CDoeuSipnedQQby: �J66" Signature Adoption: Pre -selected Style Using IP Address: 12.229.132.130 Signature Status Status Status Status Status Signature Signature Status Hashed/Encrypted Security Checked Security Checked Security Checked Status DocuSign Status: Completed Envelope Originator: Patrick Nuciforo 2002 Summit Blvd Atlanta, GA 30319 patrick.nuciforo@verizon.com IP Address:13.110.74.8 Location: DocuSign Timestamp Sent: 7/15/2021 9:03:44 AM Viewed: 7/15/2021 11:56:14 AM Signed: 7/21/2021 1:51:59 PM Timestamp Timestamp Timestamp Timestamp Timestamp Timestamp Timestamp Timestamp Timestamps 7/15/2021 9:03:44 AM 7/15/2021 11:56:14 AM 7/21/2021 1:51:59 PM 7/21/2021 1:51:59 PM Timestamps