HomeMy WebLinkAboutAgreement_General_08/10/2017 (4) GENERAL GMC TRUCK SALES & SERVICE, Inc.
dba VOLVO TRUCKS OF PALM BEACH
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`.AME — �r1 1s1 � CJl �S - — aHD`IE1-�100 VyoZ
ADURESS IW ufM e STY S \ _ ST FL :IP. 33 qLCT
,1 .nosundjal Social Se;ur ly I.ionber'_ - Ihver s U.Cerr$E -
Cate of Birri. Envoyer
Type of OrgantaUon_ .. -(;oration 7Parrershro =lnd:vcial
Type of Business-. n,1(�1,. yl t C II
,�/►
?neciCals (Officers) Pres.t 1�K Y i��� l Ol1zLV: VlPres.. _ Se:;'yeas
DO YOU ISSUE PURCHASE ORCERe7 Pweeuir.9 Age-I _
ArprDnmale Monihty Purchases anticipated _____—.
BANX ACCOUNTS: r n
Name ?-an CCit �TY11el�1CC, Name.
Address: ti .�-"eo Address:
i u+ stag: t Zip:33y o1 wr,. St": p
Tyoe e!Accnurr Type of Account:
Acccunt Number. 0418M04-7 Account Number
CREDIT REFERENSES: (MUST HAVE COMPLETE NAMES AND ADDRESSES) Please include Fax numbers.L
f YJ►Name: VQY1 L° elhn6l((Yyz Name: S4 . Lu Li Q R'� iu
Address: ��S�Q f 612� K� Amass:
City: I�l y)r 4 Y� State: k Zip: Gty': - t/C'{C(� State: Z*jp
Type cf Account b No.. 1 _ Type of Account b VC..
Name OC�—Ls I'�(L1ckwaye Name fegi AmenCLI.
Addressc �U (-S/� n f.Roo-b( Address U
City: 7fJ(I Yl$f-i e(d Slate MA_ Zip City l State" ZiC:
Type of kcccunt b No.. Type of Acc_-nt b No
SALES TAX PERMIT NUMBER ftf applicable) (1:r1--4 -59-E'�ll
In consideration for the granting of credit we(1)submit Inc above mrorination which you may rely on as limp accurate we III 16-ther aa:nor¢c you to nr_stj,a1e any and
all statements contained ne.ein and fu ther autricias any of our(my)eiednors to release information to y%regaw:no our%.-yi hnancai status
Tors arpliahun is submitted witn the u.derstancmg that all charges are due and payable by the teeth 1101h)of)fie n1C^!'folk—.purchas! M. ,which ce Vie aounl is past
due and is subbct to interest charges of I V2%pe'moral which is an annuli percentage rate of 18% In adddon itis understood Irig reasdeabre ano ney'S of CV C;Un
lees will Do added to the account In the event of forced calecUcn witrl ce N11h(iut a law suit
Signed _ v L L« ` � BY CI IL7��'I �_ Z2U �j . Pt>sr,ton (IL AclA l `e r
Cor rate Name Officer or Auth e _
- --- BY.
Individual Name Individual Signature
(Signature o1 Individual required to guarantee payment of de9ts by co,p atior)
OATE.—7-1 <_l
(Please Attach Copy of Elusir,ess Letterhead%
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) 76840685,
OR AT Immilliams9leauesta.or. OR AT 345
TEQUESTA DRIVE, TEQUESTA, FLORIDA 33469.