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HomeMy WebLinkAboutAgreement_General_2/9/2023_UNISTRUTvi UNISTRUT Service Company 24400 Sperry Drive, Cleveland, OH 44145 e CREDIT APPLICATION (440) 348-9450 (800) 621-2508 Fax. (440) 385-0126 Email:infaOunistrulohio. cam ~.unishutohlo.com Business Name Phone # Fax # Vi I la e 0� es� mil--766 a -6-700 94�-7cDB-D708 Business Str t Address LlAccounts Payable Phone # Accounts Payable Contact 345 -Ie .ues�a riu�e 5rv1--Ab8-OyEa Saner PUC(4ride- City, State and Zt ode Number of years in Business Name of President/Owner j 1, � FL 334(09 Cn5 rs. ]YetemV a hki Vfti e Busines ILL TO Address City, State Zip Code 13co LLLOS4-a , F L 33 q 69 Business SHIP TO Address City, a Zip Code FF� br�a�,e- lzoarj I —(%�(,LesqA F--(- -�� qfD Comnanv Email Addressso that we can Email shipment tracking info. Your Email Address Type of Business (Circle all that apply) Contractor Manufacturer Distributor Proprietorship Partnership Other GOV fnMent / Are you tax exempt?(Indicate which applies) ✓ Yes, all purchases will be tax exempt. Blanket exemption MUST be attached. Yes, exemption certificates will be provided for each exempt order. None of my purchases will be tax exempt Requested Credit Amount I g First time Customers will be required to Prepay 50% of Order Value. If credit is granted, I understand that the terms of sale are NET 30 DAYS. In consideration of Unistrut Service Company of Ohio extending credit to the above business we do hereby agree, jointly and individually to pay for all material and labor as it applies, supplied to our company. In the event it becomes necessary for the account to be placed with a third party for collection, we agree to pay all costs, including reasonable attorney's fees and court costs. We agree to immediately notify Unistrut Service Company of Ohio of any change in address or form of said business. This instrument shall remain in force until written notice of revocation is received by Unistrut Service Company of Ohio. Jeremy Allen ��'"si9"ed byJwe1TJ Allen C Signature y Owe:2U22.1Z13XAS32-05*W Title V� `(Q •\ WQmie+i Date Printed Name -Sere rr A l(e r "r65 Years Supporting Industry" PUBLIC RECORDS. In accordance with Sec. 119.0701, Florida Statutes, CONTRACTOR must keep and maintain this Agreement and any other records associated therewith and that are associated with the performance of the work described in the Proposal or Bid. Upon request from the Village's custodian of public records, CONTRACTOR must provide the Village with copies of requested records, or allow such records to be inspected or copied, within a reasonable time in accordance with access and cost requirements of Chapter 119, Florida Statutes. A CONTRACTOR who fails to provide the public records to the Village, or fails to make them available for inspection or copying, within a reasonable time may be subject to attorney's fees and costs pursuant to Sec. 119.0701, Florida Statutes, and other penalties under Sec. 119.10, Florida Statutes. Further, CONTRACTOR shall ensure that any exempt or confidential records associated with this Agreement or associated with the performance of the work described in the Proposal or Bid are not disclosed except as authorized by law for the duration of the Agreement term, and following completion of the Agreement if the CONTRACTOR does not transfer the records to the Village. Finally, upon completion of the Agreement, CONTRACTOR shall transfer, at no cost to the Village, all public records in possession of the CONTRACTOR, or keep and maintain public records required by the Village. If the CONTRACTOR transfers all public records to the Village upon completion of the Agreement, the CONTRACTOR shall destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. If the CONTRACTOR keeps and maintains public records upon completion of the Agreement, the CONTRACTOR shall meet all applicable requirements for retaining public records. Records that are stored electronically must be provided to the VILLAGE, upon request from the Village's custodian of public records, in a format that is compatible with the Village's information technology systems. IF CONTRACTOR HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO CONTRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS AGREEMENT, PLEASE CONTACT THE VILLAGE CLERK, RECORDS CUSTODIAN FOR THE VILLAGE, AT (561) 768-0440, OR AT Imcwilliams@teguesta.org, OR AT 345 TEQUESTA DRIVE, TEQUESTA, FLORIDA 33469. Pursuant to Article XII of the Palm Beach County Charter, the Office of the Inspector General has jurisdiction to investigate municipal matters, review and audit municipal contracts and other transactions, and make reports and recommendations to municipal governing bodies based on such audits, reviews, or investigations. All parties doing business with the Village shall fully cooperate with the inspector general in the exercise of the inspector general's functions, authority, and power. The inspector general has the power to take sworn statements, require the production of records, and to audit, monitor, investigate and inspect the activities of the Village, as well as contractors and lobbyists of the Village in order to detect, deter, prevent, and eradicate fraud, waste, mismanagement, misconduct, and abuses. "The Village of Tequesta strives to be an inclusive environment. As such, it is the Village's policy to comply with the requirements of Title II of the American with Disabilities Act of 1990 ("ADA") by ensuring that the Contractor's [ agreement /bid documents and specifications ] are accessible to individuals with disabilities. To comply with the ADA, the Contractor shall provide a written statement indicating that all [ agreement /bid documents and specifications], from Contractor, including files, images, graphics, text, audio, video, and multimedia, shall be provided in a format that ultimately conforms to the Level AA Success Criteria and Conformance Requirements of the Web Content Accessibility Guidelines 2.0 (Dec. 11, 2008) ("WCAG 2.0 Level AA"), published by the World Wide Web Consortium ("WK"), Web Accessibility Initiative ("WAI"), available at www.w3.org/TR/WCAG/."