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Home My Public Portal AboutCox Communications Police DepartmentCOX Amendment To Commercial Services Agreement 5/15/2012 Cox Account Rep: I KC Wallace Cox System Address: , 320 Racetrack Road NW Phone Number: 850-314-8190 Fax Number: 877-873-2185 • Fort Walton Beach, FL 32547 Customer Information Authorized Customer Representative Information Legal Company Name: CITY OF CRESTVIEW POLICE DEPT Full Name: Street Address: 201 STILLWELL BLVD Billing Contact: 850-682-3544 City/State/Zip: r Gestview, Florida 32536 Fax: Billing Address: Contact Number: City/State/Zip: Email Address: Cox Account #: 135-0103637-02 Taxes and Fees Not Included Service Description Prey QTY New QTY Unit Price Term (Months) Type Service Charges Monthly Recurring One Time Activation & Setup Fees VoiceManager Anywhere Basic Voicemail Box Cox Business VoiceManager Line Network Interface Fee - Multi Line 3 3 3 3 $9.05 $0.00 $25.95 $6.92 36 M-M 36 M-M New New New New $27.15 $0.00 $77.85 $ 20.76 Cox Nickle Plan (250) 1 $0.00 36 New $0.00 Cox Nickel Call Plan - 3 Year 1 $0.00 36 New $0.00 Totals: $125.76 $0.00 €quipment Charges' Description Quantity Unit Price Total Fee Fe in et customer, please Mitt Inter -State Service. By initialing here and signing below, Customer represents that at least 10 % of the traffic on the designated arcud(s) is Inter -State in nature or is Internet traffic. Merge Sit No Special Conditions Upgrading current fines to VM lines & Adding one line motion Details The undersigned represents that he/she is the Customer or is the Authorized Customer Representative identified above and is authorized to sign this Agreement on behalf of Customer for the services in this Agreement. The undersigned further represents that the Customer Information and the Authorized Customer Representative Information is true and correct. This Agreement binds Customer to the Rates, Terms and Conditions of Service applicable to each of the services selected above, including any termination penalties that may apply. Customer understands that telephone services selected above are provided by Cox Florida Telcom, LP, and that such services are generally subject to rates, terms and conditions contained in tariffs on file with the Florida Public Service Commission and/or the Federal Communications Commission, and that such regulations may change from time to time. All Services are subject to the Terms and Conditions on Pages 2 & 3attached hereto. Internet, Data, Web Hosting and/or Web Confereneng, CoxMail(sm) E-Mail Services, if selected by Customer, are subject to Acceptable Use Polices located at www.coxbusiness.com/acceptableusepolicy.pdf and Customer acknowledges receipt of these by signing below. The undersigned authorizes Cox to check credit and this Agreement is subject to credit approval. Prices listed do not include applicable taxes, fees, assessments or surcharges. If, within thirty days after Customer's signature below, Cox determines that Customer's location is not serviceable under Cox's normal installation guidelines, Cox may terminate this Agreement without liability to Customer. Custom Authorized Signature Cox Communications Gulf Coast, LLC; Cox Florida Telcom, LP al640 ef k. i, 246 IX � e° Y Signature. Print: Title Position: 5'- Signature: Pnnt: Title Position: Date. Date: Polic-e dot S-hllwerf 1 : 5/15/2012 5:35:26 PM Business` Business Name Service Address. Service City, State, Zip. Letter of Agency CITY OF CRESTVIEW POLICE DEPT 201 STILLWELL BLVD Crestview, FL 32536 Billing Co Name Billing Address Billing City, State, Zip I understand that only one telecommunications service provider may be designated as my preferred carrier for each type of service for each telephone line However, a single service provider may provide my local exchange, local toll (IntraLATA toll) and long distance (mterLATA toll and International long distance) service By signing this Letter of Agency ("LOA"), whether by electronic signature or other legally valid method of signature, the undersigned hereby appoints Cox Florida Telcom, LP ("Cox") to act as an agent on its behalf to switch its (1) local service telephone provider, (2) local toll service provider, and/or (3) long distance service provider Cox. If a box is not initialed or checked Cox is not to switch service providers for the category Identified in that check Porting Telephone number(s) X 850-682-3544 If this box is checked, by signing below, I appoint Cox to become my new telephone service provider for local telephone service for the phone number(s) listed above and any other future telephone numbers added to this account unless I indicate otherwise I appoint Cox to act as my agent to make this change happen Unless numbers are listed below, all numbers above apply Telephone Number(s) X If this box is checked, by signing below, I appoint Cox to become my new telephone service provider for local toll telephone service for the phone number(s) listed above and any other future telephone numbers added to this account unless I indicate otherwise I appoint Cox to act as my agent to make this change happen Unless numbers are listed below, all numbers above apply Telephone Number(s) If Cox will not be the local toll provider, list the local toll provider and the corresponding ported number(s) If this box is checked, by signing below, I appoint Cox to become my new telephone service provider for long distance (includes International long distance) telephone service for the phone number(s) listed above and any other future telephone numbers added to this account unless I indicate otherwise I appoint Cox to act as my agent to make this change happen Unless numbers are listed below, all numbers above apply X Telephone Number(s) If Cox will not be the long distance provider, list the long distance provider and the corresponding ported number(s) I understand that I may be required to pay a change of service or activation fee to switch local exchange, local toll, and/or long distance (which includes International long distance) providers to Cox Florida Telcom, LP I understand that after the change of my local telephone service to Cox any existing DSL service may be disconnected by my former service provider I also understand that my former service provider may assess penalties for early termination I also understand that Cox may have different calling areas, rates, and charges than my current telephone company, and I am willing to be billed accordingly. By signing below, I acknowledge and accept the service characteristics described above I have read and understood this Letter of Agency I am at least eighteen years of age and legally consent to change telephone companies for services to the telephone number(s) listed above I also hereby consent to signing this LOA by electronic signature or other legally valid signature method. IIIv Signature: Sales ► Date: 5/4?'/l rye._ a ace Fax: 877-873-2185 Email: kenneth ace@cox com Business" Cox Business Directory Listing Confirmation 5/15/2012 Dear CITY OF CRESTVIEW POLICE DEPT: Your Directory Listing in the local telephone business white pages and yellow is set forth below. Please review your listing and provide any corrections to Cox Business. Customer's rights and Cox's liability for errors or omissions in Directory Listings are set forth in Cox's Local Exchange Tariff on file with the state corporation commission. Listing Type: Listing Publication: Additional Listing Type: DL Action: DL Type. Listing No new directory listings Yellow Page Listing Yellow Page Header: Foreign Directory Listing: (Please list book(s) By signing, the customer acknowledges and confirms the Directory Listing is correct or should be changed as marked. Print Name: r/ ► Signature: / ► Date: 51.2 / .2 Sales Rep: KC Wallace Fax: 877-873-2185 Email: kenneth.wallace@cox com Posey, Brenda From: Leslie Brosofsky [leslie@kmsbusiness.com] Sent: Tuesday, May 15, 2012 5:44 PM To: Posey, Brenda Subject: Crestview Police Dept Attachments: City of Crestview.pdf Brenda, Here is the paperwork that needs your signature to bring over 423-7922 to Cox. You currently have two lines with them and this would make the third — that is why it shows qty 3 on the contract. If you have any questions, please don't hesitate to call me. Have a good evening, Leslie Brosofsky Office Administrator KMS Communications 850.433.1131 1 phone 850.438.0295 1 fax leslie(almisbusiness.com 'Under Florida law, e-mail addresses are public records. ,[ you do not want your e-rrinq ;,.'.ssres5; released in response to a public -record: request, do not send electronic mail to this r:ntitsi Ire: eaci, ,;contact this office by phone or in writing, t