The URL can be used to link to this page

Home My WebLink AboutAgreement_General_10/12/2017_Costa Farms ,.� BERNECKERS v�ilu Farms CammtNud W Ir,nanaNw 6,ninmi talu6ona Costa Farms, LLC NEW ACCOUNT CREDIT APPLICATION _ TERMS: NET 30 DAYS B-IL LTO: -- ----- SHIPT0 VIkJ I� U STREET S'fREt=T: )CO & J � CITY: 5FL CITY: STATE: Zip CODE: (AREA CODE)TELEPHONE NO. ZIP CODE: LJ (AREA CODE)TELEPHONE (AREA CODE)FAX N rO�.Q --^^ E-�AA{L ADDRESS `IC� u A 5ek PLEASE ATTACH FINANCIAL AND OPERTING STATEMENTS TO THIS APPLICATION TRADE REFERENCES (AREA CODE)TELEPHONE NO. (AREA CODE)FAX NO. 1. e m(A (^ a - --8Ux-a6(p-354(e _... 27 . _u ci e _ oo- 3 i C� . uC, America- (a --raaq BANK REFERENCES TELASpHONE N6 CONTACT NAME ACCOUNT NO. z. TYPE OF BUSINESS WHOLESALE' BROKER: RETAIL: GROWER: COMPANY STRUCTURE: CORPORATION: _ PARTNERSHIP; SOLEPROPRIETROSFIIP: COMPANY OFFICERS ADDRESS _ (AREA CODE)TELEPHONE NO. P,R�E/¢IDE,NTnQR DYVNER- U L' �e__ BUYER OR CONTACT PERSON: i ACCOUNTS PAYABLE CONTACT PERSON: AMOUNT OF CREDIT REQUESTED; :::]�ESTIMATEO NET WORTH: NO.YEARS IN BUSINESS: FLORIDA SALES TAX NO. IMPORT PERMIT NO.(CANADIANS ONLY) COMPANY FEDERAL I.D.# p)I.NE11°BRA $7{; j�! 59-(00gq()j� I _ n SIGNATURE: /� � �^ TITLE: a!'( PR DEN v T( ) OWNER tic TO THE BEST OF YOUR KNOWLEDGE: TI iC FdkffGOING IS CORRECT Costa Fenns,LLC.2180o SW 16e Avenue,Goulds,FL 33170,Toll Free No. (800)327-7074'Credit Dept.Fax No.(766)272-6133 BERNECKERS ��• V-'0r/fM Fa rms �oltY111rfCd bimr.•arvu►flMrllMlf wiuNonf. Costa Farms, LLC NEW ACCOUNT CREDIT APPLICATION TERMS: NET 30 DAYS PURCHASE AGREEMENT As a valued credit customer I understand and agree to the following terms: 1. All prices are F.O.B.Goulds, Florida. Prices are subject to change without notice. 2. All claims must be reported within (24) hours of receipt of product. Claims related to quality control issues must be accompanied with pictures and an authorization number(RGA#)must be obtained from Costa Nursery Farms. Please contact your CNF Sales Representative and mail your pictures with a note to: 22290 SW 162nd Avenue,Goulds, FL 33170. Attn: Accounts Receivable!Credit Dept. Claims related to shortages or/and damages on freight "collect" shinmenis must be filed with the Carrier. Costa Nursery Farms not being the consignee cannot file any claim for shortages or loss of product. Claims related your receiving personnel must note to shortages or/and damages on freight "gr,e aid"shipments on the bill of ladin .An authorization number (RGA#) must be obtained from Costa Nursery Farms within twenty-four(24)hours. 3. Costa Nursery Farms, Inc. invoices are dated and processed the day of shipment. Discount, if applicable, is allowed only within specified terms. 4. Invoices not paid within 30 days are subject to 1.5% interest charge per month, which I/we agree to pay. 5. Returned checks will be subject to a thirty-five dollars($35,00)service fee. 6. Should the account become delinquent to the point that legal action is necessary I/we agree to pay attorney fees and court costs. 7. If anytime there should be a change In the company's location, phone number or administrative structure, I / We will inform Costa Nursery Farms, Inc. Credit Department of the change. Acknowledged by: (signature Required) pp Print Name: M t C halal. 1`• Cap 7Ze --- Company Name: 1 Ut G 0� �� C'S� � Title: )t k l ASP_ ale r Costa Faring,LLC,21800 SW 1Be Avernte,Goulds,FL 3317%Toll Free No. (800)327.7074 Credit Dept.Fax No.(788)272.8133 BERNECKERS Forms re NO Costa Farms, LLC NEW ACCOUNT CREDIT APPLICATION TERMS: NET 30 DAYS GUARANTEE The undersign (jointly and severally)in consideration of your extendi credit to the above applicant, hereby unconditionally guarantee payment of ndebtedness, abilities, or obligati ,said applicant shall at any time owe C Nursery Farms, Inc. or any of its subsidiaries affiliated companies, We authoriz ou to obtain our consumer credit report from any or i-national credit bureaus. This guarantee shall be a oon roving, absolute a conditional guarantee and shall remain in full force and effect until exp ly revoked a written notice from the undersigned sent certified mail, return receipt r uested also, until all said indebtedness,liabilities, and obligations created before receive ch notice shall be fully paid. This guarantee extends to and inclu s an and all Interest due or to become due together with any and all costs an expenses, including but not limited to collection agency fees,attorney fees and court Incurred by C a Nursery Farms, Inc-or its affiliates,in connection with any matter eyed by this guaran e. EXECUTED this day of ,20 Hm*Addrm: Guarantors s we Street!C#y t Stye t359 &game( Pritt} SocW Sem rOy Nwfta C:oote Fen=,LLC,21040 SW 102"'Avenue,Gourds,FL 33110,ToR Free No. (800)327-70T4 I Cmdft Dept Fox No.(M)V2-533 BERNECKERS Farms Cam Wed fa inmvflve bwineu wkd mL Costa Farms, LLC NEW ACCOUNT CREDIT APPLICATION TERMS: NET 30 DAYS AUTHORIZATION TO RELEASE INFORMATION 1 hereby authorize our references and bank to release any information necessary to assist in establishing a Line of Credit. Date: /1-) --- '� �-7 Customer(s) Company's --�� Name: l�ll� Address: _ 349 .e u r� City/State/Zip Authorized by: (signature r" Required) Print Name: l ChG e L eu Z,ZO Title of Signer: 1 Wac I e / IQl?a te ____. Copies of said document can be used at anytime to recover informatlon as long as the company continues business relationship with the above-mentioned CREDITOR Costa Farms,LLC,21600 SW 162""Avenue,Goulds,FL 33170,Toll Free No, (800)321.7074 1 Credit Dept.Fax No.(786)272.6133 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 tirne in accordance with access and cost requirements of Chapter 119, Florida Statutes. A CONTRACTOR who fails to provide the pubic records to the Village, or fails to make them available for inspection or copying,within a reasonable time may be subject to attomey'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 N 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 pubic records disclosure requirements. If the CONTRACTOR keeps and maintain 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 ImcWII1ams u9ta.om, OR AT 346 TEQUESTA DRIVE, TEQUESTA, FLORIDA 33469.