ENTERPRISE SOLUTIONS SERVICE ORDER DocuSign Envelope ID:4F5229D7-CC79-41 F3-A6E8-68711AFC485C
RR14R IT HOUSE N Tw RK8
enterprise solutions `,' ENTERPRISE SOLUTIONS SERVICE ORDER
BILLING INFORMATION
Business Name Master Account Number
City of Clearwater 5-465368-01
Hierarchy Account
Contact Phone Alternate
Sabrina Chute F7275624671
Billing Address City State Zip
100 S Myrtle Ave Clearwater FL 33756
Account Executive Phone Alt Phone
Ralph Imbriani
Federal Tax ID Tax Exempt Certificate Tax Exempt Status
596000289 85-8012740095C-1 Yes
CONTACT •- •
Type Name Title Primary TN Alternate TN Email
Authorized Dan Mayer Director of IT (727)562-4662 daniel.mayer @myclearwater.com
Agent
ORDER INFORMATION
Order Type
Renewal- MACD
Porting Partial/ Full
No
Additional Order Comments
Renewal/Upgrade
PROPRIETARY and CONFIDENTIAL Page 1 of 5 Order#006i000000eYOsQ
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SERVICES, FEES, and TERMS by LOCATION
City of Clearwater-2816 Park Trail Lane-Wood Valley PD—Service Address:2816 Park Trail Lane Clearwater,FL 33759-2737—Main BTN:
Action Qty One Time Charges Monthly Recurring Total MRC Service Period Product
Product/Service (NRC) Charge(MRC) (Months) Description
City of Clearwater-1720 Overbrook Ave-Fire Station 51 —Service Address: 1720 Overbrook Ave Clearwater,FL 33755-1934—Main BTN:
Action Qty One Time Charges Monthly Recurring Total MRC Service Period Product
Product/Service (NRC) Charge(MRC) (Months) Description
City of Clearwater-1498 S Martin L King Jr Ave-S Greenwood PD—Service Address: 1498 S Martin L King Jr Ave Clearwater,FL 33756-3447—
Main BTN:
Action Qty One Time Charges Monthly Recurring Total MRC Service Period Product
Product/Service (NRC) Charge(MRC) (Months) Description
Old Replace-
Upgrade
City of Clearwater-1460 Lakeview Rd-Fire Station 47—Service Address: 1460 Lakeview Rd Clearwater,FL 33756-6517—Main BTN:
Action Qty One Time Charges Monthly Recurring Total MRC Service Period Product
Product/Service (NRC) Charge(MRC) (Months) Description
Old Replace-
Upgrade
WON
City of Clearwater-1426 S Martin L King Jr Ave-Norton Rec Ctr—Service Address: 1426 S Martin L King Jr Ave Clearwater,FL 33756-3447—
Main BTN:
Action Qty One Time Charges Monthly Recurring Total MRC Service Period Product
Product/Service (NRC) Charge(MRC) (Months) Description
Old Replace-
Upgrade
WON
City of Clearwater-700 Bayway Blvd-Beach Police—Service Address:700 Bayway Blvd Clearwater,FL 33767—Main BTN:
-•-- • • 9 '.•- • • 0- - so. 111111- • •
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Action Qty One Time Charges Monthly Recurring Total MRC Service Period Product
Product/Service (NRC) Charge(MRC) (Months) Description
Old Replace- 5Mbps Metro
Metro Ethernet 5Mbps Upgrade W Ethernet
0 - - 1 0 ME
City of Clearwater-1310 N Martin Luther King Jr.Ave-N Greenwood PD—Service Address: 1310 N Martin Luther King Jr.Ave Clearwater,FL
33755-3226—Main BTN:
Action Qty One Time Charges Monthly Recurring Total MRC Service Period Product
Product/Service (NRC) Charge(MRC) (Months) Description
Old Replace- 5Mbps Metro
Metro Ethernet 5Mbps Upgrade Ethernet
WON
City of Clearwater-1000 Edenville Ave-Tennis Complex—Service Address: 1000 Edenville Ave Clearwater,FL 33764—Main BTN:
Action Qty One Time Charges Monthly Recurring Total MRC Service Period Product
Product/Service (NRC) Charge(MRC) (Months) Description
Old Replace- 5Mbps Metro
Metro Ethernet 5Mbps Upgrade Ethernet
City of Clearwater-100 S Myrtle Ave-Main—Service Address: 100 S Myrtle Ave Clearwater,FL 33756—Main BTN:
Action Qty One Time Charges Monthly Recurring Total MRC Service Period Product
Product/Service (NRC) Charge(MRC) (Months) Description
Old Replace-
Upgrade W
City of Clearwater-706 N Missouri Ave—Service Address:706 N Missouri Ave Clearwater,FL 33755—Main BTN:
Action Qty One Time Charges Monthly Recurring Total MRC Service Period Product
Product/Service (NRC) Charge(MRC) (Months) Description
WON
City of Clearwater—Service Address: 100 S Myrtle Ave Clearwater,FL 33756—Main BTN:
Action Qty One Time Charges Monthly Recurring Total MRC Service Period Product
Product/Service (NRC) Charge(MRC) (Months) Description
City of Clearwater-1900 Grand Ave-DR Site—Service Address: 1900 Grand Ave Clearwater,FL 33765—Main BTN:
Action Qty One Time Charges Monthly Recurring Total MRC Service Period Product
Product/Service (NRC) Charge(MRC) (Months) Description
BR11GHT HOUSE r
enterpriise solutions ENTERPRISE SOLUTIONS SERVICE ORDER
Dedicated Internet Access Upgrade 1 $1,400.00 $1,400.00 36
City of Clearwater-1900 Grand Ave-DR Site—Service Address: 1900 Grand Ave Clearwater,FL 33765—Main BTN:
Action Qty One Time Charges Monthly Recurring Total MRC Service Period Product
Product/Service (NRC) Charge(MRC) (Months) Description
0O ..
Dedicated Internet Access Old Replace- -1 ($900.00) ($900.00) 7
20Mbps Renewal
Dedicated Internet Access Renewal 1 $900.00 $900.00 12
*Prices do not include applicable taxes and governmental fees that must be paid by Customer in addition to the specified fees
PROPRIETARY and CONFIDENTIAL Page 4 of 5 Order#006iOOOOOOeYOsQ
City of Clearwater-2251 Drew Street-East Library—Service Address:2251 Drew Street Clearwater,FL 33765—Main BTN:
Action Qty One Time Charges Monthly Recurring Total MRC Service Period Product
Product/Service (NRC) Charge(MRC) (Months) Description
Totals * $0.00 $6,950.00
DocuSign Envelope ID:4F5229D7-CC79-41 F3-A6E8-68711AFC485C
BRI HIIT HOUSE NIIETW O,RK
enterprise siolution,s ENTERPRISE SOLUTIONS SERVICE ORDER
The services products, prices and terms identified on this Service Order constitute Bright House Networks Enterprise Solutions'offer to provide such
services on such terms. Until Customer has accepted this offer by signing as appropriate below, Bright House Networks Enterprise Solutions reserves
the right to rescind this offer at any time,at its sole discretion.Service Order terms and corresponding monthly billing will commence on actual service
installation date.
I have received and agreed to the terms of Bright House Networks Business Solutions Services Master Agreement, as applicable and separately
provided to me by BHN. Terms and conditions are available at http://enterprise.brighthouse.com/about-us/our-policies/terms-and-conditions.html.
Business TV is delivered on a month to month basis and subject to increases.
• • • •- •
By signing below, I choose Bright House Networks, LLC("BHN")as my preferred provider for local, long distance and international long
distance telephone service(s)for the above service address and the telephone numbers(s). I authorize BHN to serve as my agent to
effectuate the change of my telephone service for each such service. I understand that only one preferred provider may be designated for
each telephone service associated with the telephone number(s)listed above. I am at least 18 years of age and legally authorized to change
telephone service providers for service providers for services associated with such telephone number(s).
E911 Notification-The Enterprise Solutions voice-enabled equipment is electrically powered and, in the event of a power outage or Bright
House Networks Enterprise Solutions network failure, Enhanced 9-1-1 services may not be available.The Bright House Networks Enterprise
Solutions Services Master Agreement prohibits moving the voice-enabled premise equipment to a new address. If you do so, Enhanced 9-1-1
services may not operate properly and emergency operators will be unable to accurately identify the caller's address in an emergency. If you
would like to move your service you must call Bright House Networks.
After expiration of the original Service Period,except where prohibited by law,this Service Order shall renew automatically for successive renewal
terms,each for a period of time equal to the original Service Period or such lesser period as required by law, unless either Party serves the other Party
with written notice of non-renewal of this Service Order at least thirty(30)days prior to the expiration of the then-current original Service Period or
renewal term,as applicable.
----------------------------------------------------------------------- -------------------------------------------------------------------------------
Authorized Signature for Bright House Networks, LLC Authorized Signature for City of Clearwater
Dan Mayer, Director of IT
------------------------------------------------------------------------ --------------------------------------------------------------------------------
Printed Name and Title Printed Name and Title
------------------------------------------------------------------------ -------------------------------------------------------------------------------
Date Signed Date Signed
PROPRIETARY and CONFIDENTIAL Page 5 of 5 Order#006i000000eYOsQ
DocuSign Envelope ID:4F5229D7-CC79-41 F3-A6E8-68711AFC485C
BRIGHT HOUSE', NETWORKS
enterpr se solutions
FEDERAL UNIVERSAL SERVICE FUND CERTIFICATION
Service providers such as Bright House Networks contribute to the federal universal service fund fee
("USF") and other federal regulatory funds based on their interstate telecommunications service
revenues as calculated from Form 499. According to FCC regulations, a service is considered
jurisdictionally interstate if more than 10%of the traffic is ultimately bound for the Internet or to
locations outside the state.
With respect to the Metro Ethernet service that you receive from Bright House Networks,please check one of
the following:
Customer certifies that its use of the Bright House Networks Metro Ethernet Services is
such that more than 10%of the traffic is jurisdictionally interstate according to FCC
regulations. That is, more than 10%of the traffic carried on the Metro Ethernet Service is
ultimately bound for the Internet or a location outside the state.
X Customer certifies that its use of the Bright House Networks Metro Ethernet Services is
such that 10%or less of the traffic is jurisdictionally interstate according to FCC
regulations. That is, 10%or less of the traffic carried on the Metro Ethernet service is
ultimately bound for the Internet or a location outside the state. Customer understands
that Bright House Network's normal practice is to apply USF and any other appropriate
interstate fees or taxes on the Metro Ethernet Services, and that Bright House Networks
will be making an exception based on the present certification. Customer agrees to
defend, indemnify and hold harmless Bright House Networks from and against any claims,
liabilities, damages and expenses, including reasonable attorneys' and other professionals'
fees, arising out of or relating to any violation of Bright House Networks' USF contribution
requirements or other FCC or other legal or regulatory requirements relating to
Customer's certification regarding its use of the Metro Ethernet Service. Customer agrees
to provide Bright House Networks with documentation in support of this certification as
may be needed by Bright House Networks to respond to an inquiry from a government
authority or its agent regarding the proper classification and assessment of these services.
Agreed to by Customer (Business Name) City of Clearwater
Authorized Signature:
Printed Name Dan Mayer
Title Director of IT
Date June 7, 2016
Please mail to Bright House Networks,4145 S. Falkenburg Road,Suite 7,Attn: NEO-USF, Riverview, FL 33578