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Amendment To
Commercial Services Agreement
12/19/2017
Cox Account Rep:
Carol Knight
Cox System Address:
Phone Number:
850-393-5478
3405 McLemore Drive
Fax Number:
877-873-7044
Pensacola, FL 32514
Customer Information
Authorized Customer Representative Information
Legal Company Name:
CITY OF CRESTVIEW - City Hall
Full Name:
Elizabeth Roy
Street Address:
198 N WILSON ST
Billing Contact:
( 850) 682- 1560
City/State/Zip:
Crestview, Florida 32536
Fax:
Billing Address:
Contact Number:
( 850) 682- 1560
City/State/Zip:
Email Address:
Cox Account #:
135-0062833-02,135-0071355-01,
135-0084342-02
Merge Bill
No
Taxes and Fees Not Included
Service Description
Prey
QTY
New
QTY
Unit
Price
Term
(Months)
Service
Charges
One Time
Activation &
Setup Fees
Monthly
Recurring
Cox Optical Internet 100 Mbps
0
1
$910.00
48
$910.00
Included Static IP Address - /30
0
1
$0.00
48
$0.00
Managed CPE Int Pkg A Security
0
1
$125.00
48
$125.00
Cox Optical Internet Installation
0
1
$0.00
$0.00
Optical Customer Base Code
0
1
$0.00
$0.00
Managed CPE Installation
0
1
$0.00
$0.00
Totals:
$1,035.00
$0.00
Equipment Charges
Description
Quantity
Unit Price
Total Fee
Version 09 /4.2017
Page 1 4.47 58 PM
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Special Conditions
Upgrade to 100M COI adding Managed Router with Security.
Promotion Details
By signing this Amendment to Commercial Services Agreement ("Amendment"), Customer represents that it is the authorized
Customer representative and the information above is true and correct. This Amendment amends the Commercial Services
Agreement last executed by Cox and Customer (the "CSA") and binds Customer to the terms and conditions contained in this
Amendment and in the CSA, including without limitation, (i) the Service Terms incorporated into the CSA, (ii) the General Terms
located at http://ww2.cox.com/aboutus/policies/business-general-terms.cox and (iii) any other terms and conditions applicable to
the Services, including without limitation, the Cox tariffs, Service Guides set forth at
http://ww2.cox.com/business/voice/regulatory.cox, State and Federal regulations, the AUP posted at
http://ww2.cox.com/aboutus/policies/business-policies.cox (the "AUP"), and Cox's Internet Service Disclosures located at
www.cox.com/internetdisclosures. Customer acknowledges receipt and acceptance of the Service Terms, the AUP, General Terms,
and all other referenced terms and conditions by signing this Amendment. This Amendment is subject to credit approval and
Customer authorizes Cox to check credit. The prices above do not include applicable taxes, fees, assessments or surcharges which
are additional and may change. This proposal is valid provided Customer signs and delivers this Amendment to Cox unchanged
within thirty (30) days from the date above. By signing this Amendment, Customer acknowledges that if (i) the transport Service(s)
(e.g. Private Line Type Services, Ethernet Services) cross state boundaries or (ii) at least 10% of traffic on said transport Service(s)
is Interstate in nature or designated for Internet traffic, then the entire transport Service(s) is considered Interstate. Customer has
reviewed the interstate/intrastate designation of the transport Service(s) listed in the Service Description above and attests that all
such designations are correct. Each party may use electronic signatures to sign this Amendment, provided the electronic signature
method used by Customer is acceptable to Cox. This Amendment shall be effective upon execution by Customer and "Acceptance"
by Cox. "Acceptance" of this Amendment by Cox shall occur upon the earlier of (i) Cox's countersignature of this Amendment or (ii)
Cox's implementation of the changes to the Agreement that are set forth in this Amendment. Customer acknowledges that it has
read and understands the 911 disclosures in Section 2 of the Service Terms.
Customer Authorized Signature
Cox Communications Gulf Coast, LLC; Cox Florida Telcom,
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Signature:
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Date:
Version 09 14 2017 Page 2 4 -17 58 PM