VOICE SERVICE ORDER FORM
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Voice Service Order Form ?Otelecom_
Contract Classification ? Master Services Agreement an Fife Date of Original on File:
NEW ?TWfcstarwJardTermsaMCon6nonsonFile Date of Original on File: 03101103
This Service Order is entered into by tw, telecom holdings inc. by and through its wholly owned subsidiaries that are certified to provide the services being ordered hereunder
(collectively "TWTC") and City of Clearwater, Florida rCustomer"). It is effective upon execution by both Parties
(-Effective Date").
The voice services described herein are governed by TWTC's applicable tariff or price list on file with the state public utilities commission or similar regulatory body (or, in the states of
Oregon, Kentucky, Washington, North Carolina, Ohio and Indiana, they are governed by TWTC's Standard Terms and Conditions or Master Services Agreement executed by Customer,
and in Ohio by TW TC's service catalog posted at www.twtelecom.com).
Federal Subscriber Line Charges ("FSLC") will be assessed for VersiPak, ISDN PRIs, Digital and Analog Trunks, and Business Line services, but not for Voice Ti, IP Trunks, or
VersiPak bundles. Updated FSLC rates are posted to the TWTC web site at www.tvAelecom.com and are subject to change. Additional charges may be assessed if Customer causes a
delay In installation, or requires an extension of a network demarcation or inside wiring.,-
Customer may not use the services to provide voice content related services including; yvltoufimi?etion, chat lines. If Customer breaches this provision. TWTC may Immediately
terminate or suspend the services ordered hereunder and collect any applicable Iermin,41k jF g¢s. Customer agrees to notify TWTC Immediately It it breaches this provision.
Customer is solely liable for and will indemnify, defend and hold TWTC harmless from, aWaims, demands, costs, damages, kisses, liabilities and expenses of any nature arising from
such breach, plus any costs and attorneys' fees incurred by TWTC in enforcing this provision.
Customer may not use the voice services as a substitute for carrier Interconnection or switched access services and must immediately notify TWTC if it does so. If Customer is using
service to support prepaid calling card calls, Customer acknowledges that any use of service for the transport of originating or terminating pre paid calling card traffic is subject to the
requirements outlined In the order contained In FCC 06.79 (June 30, 2006). Customer agrees to remit any intrastate or Interstate access charges directly to the appropriate carrier.
TWTC may disconnect services if the violation is not cured within 10 days following written notice. Customer must indemnify, defend and hold TWTC harmless from all claims,
demands, damages and expenses arising from or related to Customer's breach of this provision. TWTC does not support resale of switched services to end users including, but not
limited to, support for E911 addressing, local number portability, calling name delivery, end user billing, and directory listings unless special arrangements are agreed to in writing by
TWTC.
Services provided herein are not designed for, but may be capable of being used by Customers with, remote metering, supervisory control and alarm signaling. To the extent Customer
uses services to facilitate remote metering, supervisory control and alarm signaling purposes, Customer is solely responsible for ensuring compatlblfity. Customer agrees that TWTC has
no responsibility or liability for Customer's use of the Services for remote metering, supervisory control an/or alarm signaling.
TWTC % kill send only the Customer's Billing Telephone Number (BTN) to the E911 Selective Router for transfer to the appropriate Public Safety Answering Point (PSAP). Only the
physical address listed for the BTN will be displayed at the PSAP. TWTC will not send the station number or location (the Automatic Number Identification or 'ANI') of the telephone set
making the E911 call unless special arrangements are made and agreed to in writing. If Customer wishes to identify the individual station from which an Egt t call originates, It must
utilize a Private Switch/Automatic Location Identification (PS/ALI) software that Interlaces with the host ALI database or a third party vendor to enter end user information Into the host
ALI database. If Customer opts not to provide end riser location Information for individual stations, neither TWTC nor its affiliates are responsible for providing end user information to
the Eg11 system.
Upon expiration of a term contract, the service term will automatically renew at the same terms and conditions for successive 12-month terms (or as otherwise stated in the Standard
Terms and Conditions if applicable) unless either party notifies the other In writing thirty (30) days prior to the expiration of the then current term that it wishes to terminate the service.
Customer Name: City of Clearwater Florida
Service Address: 1700 N. Belcher Road Billie Address: 100 S Myrtle Avenue,
Clearwater, FL 33765 Clearwater, FL 33756-5520
TERM: 24 Months
ft. J
Monthly,, _ Non-Recurring
Grand Total (Detailed Price Description Below) Recurring $504.30 Charges "NRC" $267.50
Charges "MRC"
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Customer and the individual signing below represent that such Individual has the authority to bind Customer to this Agreement.
tw telecom holdings Inc.
Signature:
Print Name: Richard Santoro
Title: Vice President /General Manager
Dale:
Sales Person: Catherine Martin
Appr9qed as to form:
Signature: /L
Print Name: e S ie OUga l es
Title: Assistant City Attorney
Date:
4Atst: signature: Print NameE. Goudeau
Title: City ark
Date: // / 3 zoo _
Special Provisions for Individual Telephone Number (ITN's): Excluding Services provided in Texas and Hawaii, each ITN by Customer hereunder, either at the time of this
Service Order or thereafter, will be charged at $0.15 MRC and $0.35 NRC. ITN rates for Services Provided in Hawaii and Texas are specified in TWTC's applicable tariffs.
VOICE SERVICES: VOICE Ti Unit Price Quantity Monthly Total Unit Install Total Install
Voice T1 - 2Wa (PRI) Flal $425.00 1 $425.00 $100.00 $100.00
<Select Service> <Select Usage T e>
<Select Service> <Select Usage T pe>
<Select Service> <Select Usage T e>
Voice Ti Feature Please describe
Voice 71 Feature Please describe
1
Voice T 1 Feature Please describe
IM 002/005
Customer: Ci o earwater, Florida
A
Signature:
Print Name: William B. Home II
Title: City Manager
Date:
A '.
VOICE SERVICES: TELEPHONE NUMBERS Unit Puce Quantity Monthly Total Unit Install Total Install
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Individual Telephone Number (ITN)
ITN • 100 numbers or less HI $0,15 50 $7.50 $0.35 $17.50
ITN • realer than 100 HI '.$0.00 0 $0.00 $0.00 $0.00
VOICE SERVICES: LOCAL LOOP (VOICE) I Unit Price 1 Ouanti Monthly Total Unit Install Total Install
Local Lo Voice $151.80 1 $161.80 $150.00 S150.06
LONG DISTANCE SERVICES NON-USAGE : Unit Price Quanti Monthly Total Unit Install Total Install
Dedicated Access Facility - Digital Signal
Dedicated Access Facili - PRI Signal
Account Codes
Toll Free
Toll Free Special Routing
Toll Free Vanity Number
Toll Free Directory Listing
Other: 5000 Free MOU a month per PRI $0.00 5000 $0.00 $0.00 $0.00
LONG DISTANCE SERVICES (USAGE): Monthly MOU
(3) 1+ Intrastate J
Intralsta RPM (1) 1+ Interstate RPM 6xx Intrastate /
Intralats RPM (1) 8xx Interstate RPM
TW Telecom Lan istanow
VoIP VPN 1+ Site to Site Calgn 4 0.040 $0.028
Lo Distance i+ $0.040 $0.026
Lon Distance 8xx $0.040 $0,026
Long Distance Bundle Pkgs: Package
MOU (3)
MRC 1+ Add'll
Intrastate/
Irdralata RPM (2) 1+ Add'I
Interstate RPM
(2) 6xx Add'I
Intrastate/
Intralsta RPM (2)
8xx Add'I Interstate RPM (2)
VoIP VPN 1+ Site to Site Calling 4 0.040 $0.026
Bundled Lon Distance 1+/8XX $0.040 $0.026 $0.040 $0.026
Addl Bundled Lon Distance 1+/8XX BOB's $1040 $0.026 $0.040 $0.026
Addl Interstate Lon Distance Bundle ICS only) $0.026 $0,026
Addl intrastatellntralata Lon Distance Bundle ICB 50.040 50.040
Switchless:
Lo Distance Switchless 1+ $0.000 $0.000
Lo Distance Switchless Bxx $0.000 $0.000
Other:
Cahn Card Service 0.000 $0.000 $0,000 $0.000
(1) RPM = rate per minute
(2) Add'I RPM = The rate per minute that will be charged after the amount of the packaged minutes are used.
(3) MOU = Minutes of Use
(4) VoIP VPN Site to Site Caging is designated to 1+ calls that originate and terminate on the TWTC Network.
(5) International packaged minutes are for land line terminated calls only. Mobile terminated calls are not included and are charged at standard rates.
(6) For Additional Long Distance Bundles, in order to be eligible for this product, the monthly long distance traffic must be at least 40% interstate.
(7) For Additional Long Distance Bundles, Customer understands and accepts that if for three consecutive months the Intralalatintrastale MOU makes up more than 60% of the
overall monthly traffic. TWTC has the right to remove the bundle and change the rate per minute to the pre-defined tariff rate.
International Blocking Option: Customer accepts international toll blocking option - Customer Representative Initials:
For additional Information regarding international toll blocking and International/offshore pricing (including Alaska, Hawaii, Puerto Rico, US Virgin Islands and Guam) for
TWTC long distance services, please refer to the appropriate TWTC interstate or International Terms and Conditions/Price List documents available at www.twtelecom.com.
For Dedicated Long Distance Services, Customer understands and accepts that if, any local calls are routed over the dedicated access facility, each call will be charged a Long Distance
rate per minute. It is the Customer's responsibility to route all of Its local calls over its local facility.
VOICE SERVICES TOTAL $584.30 $2b7.50
LONG DISTANCE SERVICES TOTAL (NON•USAGE $0.00 $0.00
TOTAL MONTHLY RECURRING AND NON-RECURRING CHARGES $584.30 5287.50
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LONG DISTANCE SERVICES LETTER OF AGENCY telecom-
PREFERRED CARRIER FREEZE
Customer hereby authorizes TWTC to place a preferred carrier freeze ("PIC Freeze") for the service(s) checked below. This means that all service(s) checked
below and placed from the telephone numbers designated below for such service(s) will be carried by TWTC, and Customer cannot change this selection unless
Customer authorizes a oft of the PIC Freeze. Customer can lift the PIC Freeze in one of two ways: (1) it can submit a written and signed authorization to TWTC
stating its intent to lilt any or all of the PIC Freezes designated below: or (2) it can participate in a three-way conference call among itself, TWTC and the new
carrier it has selected to be its preferred carrier, in which it provides TWTC with appropriate verification data and it states its intent to lift any or all of the PIC
Freezes designated below, Customer understands that It will not be able to make a change In carrier selection unless it lifts the PIC Freeze via one of the two
methods described above.
This selection may involve a charge imposed by the telephone company providing local service to these numbers.
Customer
Customer understands that only one telecommunications carrier may be designated as the preferred OorLATA toll carrier for any single telephone number,
( ) IntraLATA Toll Service
Preferred Carrier on which PIC Freeze applies: 1w telecom
Customer authorizes TWTC to implement a PIC Freeze for inlraLATA too service from the carrier designated above for the following telephone numbers:
Telephone Telephone Telephone
Area Code Number Area Code Number Area Code Number
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InterLATA Toll Service
Preferred Carrier on which PIC Freeze applies: tw, telecom
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Customer understands that only one telecommunications carrier may be designated as the preferred intraLATA toll carrier for any single telephone number.
Q 005/005
Customer and the Individual signing below represent that such individual has the authority to bind Customer to this Letter of Agency. This Letter of Agency revokes all previous letters
of agency regarding long distance service provided to the telephone numbers shown above.
CUSTOMER NAM
City of Clearwate Florid By:
Title:
Signature:
Date:
CUSTOMER BILLING ADDRESS:
100 S Myrtle Avenue,
Clearwater, FL 33756-5520
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