HomeMy WebLinkAboutCity of Cape Canaveral PA - Government 2 _ 26 _ 2021 V1_Completed DocuSign Envelope ID:CO3B2AE5-ADE9-492F-A782-EOCC9C9DA6B5
LUUL JUIIIIIIIL DIVU., JUILU 1000
Atlanta,GA 30319
Fax:(781)577-4793 SERVICES ORDER FORM
Customer Service:1-844-617-1100 verIzon
Customer Service:
reveal.support(a verizonconnect.com connect
www.verizonconnect.com
GENERAL INFORMATION
Order Date: Customer Reference Number: VCF Salesperson Name: Region:
February 26,2021 Patrick Nuciforo VZT
Company Name: Officer or Owner: Telephone:
City of Cape Canaveral Melinda Huser (321)868-1220
Address(Mailing or Invoicing Address): Officer/Owner Email Address: Cell Phone:
601 THURM BLVD m.huser@cityofcapecanaveral.org (321)576-4442
City: State: Zip Code: Installation Contact if other than Officer/Owner: Telephone:
CAPE CANAVERAL FL 32920-4315
Accounts Payable Contact,if other than Officer/Owner: Telephone:
Please advise your VCF scheduler if there are multiple shipping or
installation addresses
Email:
SUBSCRIPTION SERVICES:
QUANTITY DESCRIPTION MONTHLY PER UNIT FEE MONTHLY TOTALS
30 Vehicle Tracking Subscription 18.95 USD 568.50 USD
30 Engine Connect Data Subscription 0.00 USD 0.00 USD
30 Fuel Card Integration Subscription 0.00 USD 0.00 USD
30 Driving Style Subscription 0.00 USD 0.00 USD
TOTAL MONTHLY AMOUNT 568.50 USD
Agreement Length: 12 Months from the Subscription Start Date. Excludes Applicable Taxes and Fees
The"Subscription Start Date"is the earlier of(i)the date of installation of any Equipment or(ii)90 days
from the execution of the Services Order Form.
ONE-TIME FEES( er Occurrence):
QUANTITY 1 DESCRIPTION I AMOUNT I EXTENDED PRICE
Total One-Time Fees 0.00 USD
COVERT INSTALLATION: Unknown EXCLUDES APPLICABLE TAXES AND FEES
ORDER TERMS:
Customer agrees that the purchase and/or licensing of the products and/or services set forth in this order is subject to the terms and conditions in the contract
between Verizon Connect NWF Inc.(VCN)(formerly Networkfleet, Inc.)and Sourcewell(formerly NJPA)(Contract#022217-NWF)that are in effect as of the
date the order was received by VCN ("Sourcewell Contract").The Sourcewell Contract terms and conditions are available at https://www.sourcewell-
mn.gov/cooperative-purchasing/022217-nwf. If,in accordance with the terms of the Sourcewell Contract,Customer and VCN have executed an additional
separate written agreement("Customer Addendum")with respect to the products and/or services set forth in this order,the terms and conditions set forth in the
Customer Addendum shall also apply with respect to the products and/or services set forth in this order.
INSTALLATION NOTES(not valid for changes to billing,payment or other contract terms):
Customer Name:
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