HomeMy WebLinkAboutAgreement_General_05/04/2017 CUES, INC.
CUSTOMER INFORMATION SHEET
DATE: y12el j-I Enter Accounts Payable address below,
if different from address at left.
Bill To: U' Q e 0• ( ue- cL
M5 e cues i VC
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ATTN:AIP SUPERVISOR
Tax Exempt? (i) N If nN
mpt,attach Certificate. CU will charge tax unless Certificate is on file.
Invoices to be mailed Y Invoices to be e-mailed N II""
E-mail address to send invoices + S a.Ofe CC m CUrbe -tC ue� ,Org
ASP Supervisor's Name S0.YY1 G�U Phone ,Dj_7(oq3 -J
FAX#
Enter"Ship To"addresses desired if different from address on top:
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mo Lida
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I certify that I understand CUES terms are strict 30 days from invoice and that we will notify CUES in writing of
any disputes involving an invoice within the terms'period. I further certify that I understand past due accounts
are subject to immediate credit cancellation.Also, I understand that under certain circumstances Cues may
determine it necessary to collect a deposit or full payment prior to shipment of an order.
Aeseaatiflg Manager or Officer Adq&` Cat-7-0 Date
Title V'AOLa gc � cr
J
Return completed form: CUES, Inc.
Attention: Credit Manager
3600 Rio Vista Ave.
Orlando, FL 32805
Please return the fully completed and signed sheet as soon as possible.You may scan and e-mail this form to
AccountSReceivableO .CUesinc.Com to expedite processing your order.
CUES Form:Credit Applicalion.doc
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) 768-0685,
OR AT Imawilliamig,8"up,sta.gra. OR AT 345
TEQUESTA DIRIVE, T -QUES TA, FLORIDA 33469.