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HomeMy Public PortalAbout2016 Letter of Authorizationat&t Letter of Authorization Customer Entity ("Customer") Village of Key Biscayne AT&T Corp. and Affiliates ("AT&T)l Customer Contact Information Michael Fleming Name AT&T Sales Contact Information Primary Sales Contact Name Erik Armstrong Telephone: 305-365-8912 Fax: 305-365-5556 Email Addressmfleming@keybiscayne.fl.gov CityKey Biscayne State/Province FL CountryUSA Domestic/International Zip Code33149 AT&T Sales Contact Information: Street Address 13450 W Sunrise Blvd City Sunrise State/Province FL Country USA Domestic/International Zip Code 33323 Master Account Number 1. I authorize and appoint AT&T as my agent to take the steps necessary to switch providers, including to access records in the possession of AT&T or any other telephone/circuit service provider pertaining to my existing service and to handle all arrangements with the Local Exchange Company(s) (LEC) to change (or establish) AT&T Long Distance Service, `Local Toll' Service, Local Service and International Service to (or with) AT&T. AT&T may, upon Customer's express authorization in each instance, offer such service for all telephone lines associated with the main Billed Telephone Number(s) (BTNs) in the attachment, and to issue instructions to and to otherwise deal with the LEC regarding the BTNs. 2. It is understood that: Only one carrier may be designated for Long Distance Service on any individual telephone number. Only one carrier may be designated for 'Local Toll' Service on any individual telephone number. Only one carrier may be designated for Local Service on any individual telephone number. Only one carrier may be designated for International Service on any individual telephone number. 3. I understand that I may be required to pay a one time charge per line to switch providers. If I later wish to retum to my current service provider, I may be required to pay a reconnection charge to that company. 4. Customer Authors AT&T to Establish or Switch Seances Checked to AT&T for the locations and/or the BTNs and Working Telephone Numbers (WtNs) listed in an attachment to this Authorization: Long Distance (InterLATA Toll, induding international outside of Hawaii) Local Toll (IntraLATA Toll) ®YES ❑ NO ®YES ❑ NO Local Exchange Service Cellular ®YES ❑ NO ®YES ❑ NO ®YES ❑ NO International Service (For Hawaii Only) 5. Customer's authorization is applicable to the locations or to the BTNs and WTNs listed in an attachment to this Authorization. AT&T will maintain a record of such locations, BTNs and WTNs as attached. If Customer has multi -lines or multi -locations and has executed a negotiated agreement(s) with AT&T under which Customer may add lines during the course of the term agreement, Customer may add Telephone Numbers without the need to submit a new LOA when those lines are added during the term period. ®YES ❑ NO 6. This appointment revokes any prior appointments for the services involved here and may be revoked at any time and shall continue in force unless and until revoked by Customer. Signatory attests that he or she has reviewed the attachment to this Authorization, understands the above Letter of Authorization, is at least 18 years of age and is authorized to execute this Letter of Authorization on behalf of Customer. SUBSCRIBER: (Full Legal Business Name) Mail or email to: By: ignature) (Customer pletes) Date: rant Nam A4 r CUI e f E2a1 t y) Gt Title EIN (TX) / 7-, // /�`",r9 (,7 I S fie. raw" 1 AT&T means AT&T Telco and/or AT&T LD and/or AT&T Corp. "AT&T Telco" means the applicable local telephone company subsidiary of AT&T Inc. serving the area location associated with the telephone number(s) at issue: Southwestern Bell Telephone Company d/b/a AT&T Arkansas, AT&T Kansas, AT&T Missouri, AT&T Oklahoma, or AT&T Texas; Pacific Bell Telephone Company d/b/a AT&T Califomia; Nevada Bell Telephone Company d/b/a AT&T Nevada; Illinois Bell Telephone Company d/b/a AT&T Illinois; Indiana Bell Telephone Company, Incorporated d/b/a AT&T Indiana; Michigan Bell Telephone Company d/bla AT&T Michigan; The Ohio Bell Telephone Company d/b/a AT&T Ohio; Wisconsin Bell, Inc. d/bla AT&T Wisconsin; The Southern New England Telephone Company d/b/a AT&T Connecticut; BellSouth Telecommunications, Inc. doing business as one of the following AT&T Southeast, AT&T Alabama, AT&T Florida, AT&T Georgia, AT&T Kentucky, AT&T Louisiana, AT&T Mississippi, AT&T North Carolina, AT&T South Carolina, and AT&T Tennessee; AT&T Communications of the Southern States, LLC; TC Systems, Inc.; SBC Long Distance, LLC; or BellSouth Long Distance, Inc. "AT&T LD" means the applicable long distance company subsidiary of AT&T Inc.: TC Systems, Inc; SNET America, Inc. dlb/a AT&T Long Distance East; SBC Long Distance, LLC d/b/a AT&T Long Distance; or BellSouth Long Distance, Inc. d/b/a AT&T Long Distance Service or BellSouth Long Distance Service, Inc V 18.0 — 18Mar2010 atsa Letter of Authorization List of Locations/Telephone Numbers Customer Entity ("Customer") AT&T Corp. and Affiliates ("AT&T) Customer Contact Information Name AT&T Sales Contact Information Primary Sales Contact Name Telephone : Fax: Email Address City State/Province Country Domestic/International Zip Code AT&T Sales Contact Information: Street Address City State/Province Country Domestic/International Zip Code Master Account Number Location Addresses List all BTN's and WTN's Number & Street: City: ST: Zip: - - Number & Street: City: ST: Zip: - - Number & Street: City: ST: Zip: - - Number & Street: City: ST: Zip: - - Number & Street: City: ST: Zip: - - Number & Street: City: ST: Zip: - - Number & Street: City: ST: Zip: - - Number & Street: City: ST: Zip: - - Number & Street: City: ST: Zip: - - Number & Street: City: ST: Zip: - - Number & Street: City: ST: Zip: - - Number & Street: City: ST: Zip: - - Number & Street: City: ST: Zip: - - Number & Street: City: ST: Zip: - - Number & Street: City: ST: Zip: - - Number & Street: City: ST: Zip: - - Number & Street: City: ST: Zip: - - Number & Street: City: ST: Zip: - - Number & Street: City: ST: Zip: - - Number & Street: City: ST: Zip: - - Number & Street: City: ST: Zip: - - Number & Street: City: ST: Zip: - - Number & Street: City: ST: Zip: - - Number & Street: City: ST: Zip: - - Number & Street: City: ST: Zip: - - Number & Street: City: ST: Zip: - - Number & Street: City: ST: Zip: - - Number & Street: City: ST: Zip: - - Number & Street: City: ST: Zip: - - Number & Street: City: ST: Zip: - - Number & Street: City: ST: Zip: - - Number & Street: City: ST: Zip: - - Number & Street: City: ST: Zip: - - Number & Street: City: ST: Zip: - - Number & Street: City: ST: Zip: - - V 18.0 — 18Mar2010