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GSA -Federal Supply Schedule Purchase Order
Date:
February 11, 2019
Vendor:
Verizon Wireless
Vendor Address:
10170 Junction Drive
Annapolis Junction, MD 20701
Vendor Email:
VZWFederal.Implementations@VerizonWireless.com
Phone:
1.800.561.6227 Option 3
FAX:
1.866.227.4978
Authorized By:
By signing below, I certify that I am have legal authority to bind the listed government agency , that
my agency is authorized to purchase under the GSA Federal Supply Schedule and that the use of all
products/services purchased is for authorized government use. ANY RESELLING OF
PRODUCTS/SERVICES PURCHASED UNDER THIS ORDER ARE STRICTLY PROHIBITED, as the contract
and governing regulations require that all FSS purchases will be used for governmental purposes
only and will not resold for �f r�sonal use.
Agency Name: �� f ie� °�
Signature of Authorized Official: , A 4
Printed or typed name: Elizabeth Roy_
Printed or typed title: SPOC
Contact Information:
Email address: elizabethroy@cityofcrestview.org
Phone number: (850) 682-1560 FAX number: fig?) -. (08 �- 1Z5 71
Billing Information:
City of Crestview
198 N. Wilson St.
Crestview, FL 32536
Account #0423299411-00004
Payment Terms:
Net 30
Description of
Goods/Services;
Pricing:
Cellular service on the accounts listed below (or attached) totaling 15 units in accordance with the
rate plans and terms and conditions now or in the future applicable to each of such lines pursuant
to GSA Federal Supply Schedule Number GS-35F-0119P,
Rate Plan(s): various
Equipment: various
Term:
February 11, 2019 for 12 months through 2020
(month) (day) (#) (year)
Funds Authorized:
Monthly Access Fees for service on 15 Lines (Estimated) $750.00
Equipment charge(s) on 15 Lines (Estimates) $2500.00
Total Access and Equipment Fees on 15 lines (Estimate) 511500.00
Plus applicable fees, taxes and charges
Contract #:
GSA Federal Supply Schedule Contract Number GS-35F-0119P, all terms and conditions are
Incorporated by reference.
Equipment
(Open Market):
None of the equipment listed are products listed on GSA Federal Supply Schedule Contract No. GS-
35F-0119P. All devices and/or accessories are "Open Market' items.
Miscellaneous:
Specify Phones,�Tjvery, Etc.: /--)
Customer Acceptance:
Signature: 4,,f;a_d_
Date:
For Verizon Wireless intemal use only: Approval: Date: