BUSINESS SERVICE ORDER FORM SERVICE ORDERbright house I
NETWORKS ??
Business Name
City of Clearwater
Contact
Dan Mayer
Billing Address Suite
100 S Myrtle Ave 3rd Fl
Account Executive
Ralph Imbriani
Federal Tax ID Tax Exempt Certificate
Business Service Order Form
Service Order
Master Account Number
8234170020017358
Phone
727-562-4662
city
Clearwater
Phone
813-917-0884
Tax Exempt Status
? Federal ? State
Customer Purchase Order Number
Fax
State Zip
FI 133756
Fax
? Local ? Other
SA ID Service Address Ratecenter Hub/Nods Service Order ID Main BTN
001 100 S Myrtle Ave
002 12851 McMullen Booth Rd
003 700 Bayway Blvd
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Type Name Title Primary TN Secondary TN Email
Technical Access Howard McChesn Ntwk Engr 727-562-4672 howard.mcchesney@myclearwate?
• •- • •
Order Type Change/Transfer Description
Add Location Addition
Internet Install Date/Time Native Install Date/Time Port Install Date/Time
Current LEC Porting Partial/Full Port
Account Authorization LEC BTN
Additional Order Comments
Agreement renewal, see below.
PROPRIETARY CONFIDENTIAL Page 1 of 2 City of Clearwater Police Dept 3 yr renewal
Service Order
bright house Business Service Order Form
NETWORKS \_ i Service Order
Services Fees, and Terms -
10Mbps Metro Ethernet 7
Existing 001 1 $0.00 $799.00 $799.00 3 year
5Mbps Metro Ethernet Existing 002 1 $0.00 $469.00 $469.00 1 year
5Mbps Metro Ethernet Existing 003 1 $0.00 $469.00 $469.00 3 year
"Prices do not include applicable taxes and governmental fees that must be paid by Customer in addition to the specified fees.
The services products, prices and terms identified on this Service Order constitute Bright House
Networks Business Solutions's offer to provide such services on such terms. Until Customer has
accepted this offer by signing as appropriate below, Bright House Networks Business Solutions
reserves the right to rescind this offer at any time, at its sole discretion.
This Service Order shall be renewable for successive terms unless at least thirty (30) days prior to the
expiration of the then-current term, either party notifies the other party of such party's intent not to
renew this Service Order. Service Order terms and corresponding monthly billing will commence on
actual service installation date.
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Authorized 6INature for ght House Authorize ' natur r City of
Networks Busin utions Clearwater
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Printed Name and Title Printed Name and Title
Date Signed Date Signed
PROPRIETARY CONFIDENTIAL Pa 2 of 2 City of Clearwater Police Dept 3 yr renewal
9e Service Order
Bright House Networks
Service Order Agreement
Account Number 8234170020017358
CUSTOMER: CITY OF CLEARWATER, FLORIDA
100 S. MYRTLE AVE.
CLEARWATER, FL 33756
By:
Name: William B. Horne II
Title: City Manag r
Date:
Approved as to form:
Leslie K. Dougall-Sides - Assistant City Attorney
Attest:
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Cynthia E. G eau - City Clerk -
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