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HomeMy Public PortalAboutPure Water TechnologyPURE A T TECHNOLOY OF THEvLF COAST 2405 Langley Avenue Pensacola, FL 32504 Telephone: (850) 912-8920 Customer Legal Name: City of Crestview Billing Address (if di rent) Customer / t e.t? n j a., ©Se Address: 198 N Wilson St. Address: C .��/� i / / {� City: Crestview County: Okaloosa City: County: State: FL Zip:32536 State: Zip: Contact: Elizabeth Roy Phone: 850-682-1560 Fax: Salesperson: EQUIPMENT AND PAYMENTS QTY UNIT DESCRIPTION RATE PER UNIT RATE TOTAL 1 Pure Water Technology 3i System $59.00 $59.00 # SUBTOTAL $ Term of Agreement *Payment Amount: Month to Month 1ST Payment in Advance 0.00 Sales Tax $0* Total $59.00 $59.00 Delivery & Installation Charge 0.00 Total $100.00 *Plus applicable tax Monthly Base Installation Charge_ Waived ( $100.00) Total Payment Due: $59.00 PLEASE READ BEFORE SIGNING: THE CUSTOMER AGREES TO RENT FROM VENDOR THE EQUIPMENT LISTED ABOVE. THE CUSTOMER AGREES TO ALL TERMS AND CONDITIONS CONTAINED IN THIS RENTAL AGREEMENT. THE CUSTOMER AGREES THIS RENTAL AGREEMENT IS FOR THE RENTAL TERM INDICATED ABOVE AND CANNOT BE CANCELLED FOR ANY REASON. Company Full Name (Please Print) DATE A ill op Cees7- FED TAX ID • rued Signature 561 -4706o,a(5 Authorized Signer's Printed Name Title i7 Cry eicei-lc__ Author' Representative 04 Pure Water Technology of , e G f Coast, In DELIVERY AND ACCEPTANCE CERTIFICATION THE RENTER HERBY CERTIFIES THAT ALL EQUIPMENT REFERED TO ABOVE HAS BEEN DELIVERED, IS FULLY INSTALLED AND THE MANAGED SERVICE IS IN GOOD OPERATING ORDER. RENTER UNCONDITIONALLY ACCEPTS THE EQUIPMENT AND REQUESTS THAT RENTING COMPANY SIGN THIS RENTAL AND PAY THE EQUIPMENT VENDOR. Date of delivery , i5 >2,Authorized Signer 4 SEND INVOICE TO E-MAIL: Rentor: Pure Water Technology of The Gulf Coast, Inc. ADDITIONAL AGREEMENT TERMS AND CONDITIONS 1. OWNERSHIP OF EQUIPMENT: Pure Water Technology of the Gulf Coast, Inc., hereinafter sometimes referred to as "PWT", is the sole owner and titleholder to the Equipment. PWT shall have the right, in its sole discretion, to change, substitute or remove any of the Equipment. Further, Customer agrees not to modify, remove or conceal any identification notices or markings affixed to the Equipment. Customer has no right to sell, transfer, encumber, sublet or assign the Equipment or this Agreement to any other entity. PWT may sell, transfer or assign this Agreement and/or ownership of Equipment, to any entity and said party will have the same rights and benefits available to PWT. 2. LOCATION AND USE OF EQUIPMENT: Customer will keep the Equipment at the location where installed and must obtain PWT's written permission to move the Equipment. Customer will allow PWT or its agents to inspect the Equipment at any reasonable time. Customer will use the Equipment only for its intended purpose of purifying water and will not modify, change or alter the Equipment in any manner or allow Equipment to be affixed to the premises in such a manner as to become a permanent part thereof. Customer agrees to maintain the Equipment in the manner prescribed by PWT as set forth in the oral and written instructions provided and failure to do so will result in Customer's default of this Agreement. 3. PAYMENTS: The first monthly payment will be due on the date set forth herein above and all future monthly payments will be due on each consecutive month on the same date. If Customer fails to make any payment within 10 days of the due date, Customer agrees to pay a late fee of 15% of the payment due or $25.00, whichever amount is greater. In the event Customer makes payment with a check which is returned by the bank for any reason, Customer agrees to pay the sum of $25.00, said sum to be in addition to any other penalty, payment, amount or remedy allowed by law. If the cost or tax vanes from the estimate, you authorize us to adjust the payments proportionately, up or down, not to exceed twenty percent (20%). Customer authorizes PWT to contact any consumer credit agency for information on Customer in connection with this transaction. 4. EQUIPMENT RESPONSIBILITY AND INSURANCE: Customer is responsible for the Equipment until removed by PWT and shall exercise all due care in use, handling and storage of Equipment. Customer will comply with all local, state and federal laws applicable to the operation and maintenance of the Equipment, and will take full responsibility for correcting any defects, providing any remedies and payment of any sums of any nature. Customer will keep Equipment in as good condition as received, excepting ordinary wear and tear. Customer will obtain and maintain insurance for any losses or injury of any nature caused by Equipment at all times the Equipment is located on the premises of Customer, which insurance will protect PWT from liability for any and all damages or injuries and Customer will also obtain and maintain insurance against loss or damage to the Equipment for any reason. Customer agrees that the amount of insurance against loss or damage to the Equipment shall not be less than its full replacement value. All insurance will show PWT as a loss payee and additional insured. PWT may file claims and endorse insurance checks on Customer's behalf in connection with any insurance issued. In the event the Equipment is lost or damaged and/or becomes inoperable for any reason, Customer agrees to continue to make payments under this Agreement until the end of the term of the Agreement or until insurance proceeds are paid to PWT as per this Agreement. In any event, Customer agrees to defend, indemnify and hold harmless PWT from any and all claims of any nature, arising from this Agreement and/or Equipment. 5. RENEWAL: After the initial term of the Agreement and/or any extension thereof, this Agreement will automatically renew for an additional twelve months unless Customer notifies PWT in writing 90 days prior to the expiration of the initial term or any extension thereof. At termination of the Agreement, Customer agrees to pay any charges as may be determined by PWT for removal and return of the Equipment to PWT as well as to continue making monthly payments until such Equipment is received in good working condition by PWT or its agent. 6. DEFAULT: In the event PWT terminates the contract for cause, that is due to Customer's default for any reason, including but not limited to, non-payment or improper care, usage or handling of the Equipment, Customer will be responsible for payment of the remaining term of the contract as well as for damages, removal and shipping charges incurred by PWT. Further in the event of default, Customer waives any and all right to notice before PWT removes any of the Equipment from Customer's premises and further waives any requirement that PWT posts bond in connection with any such removal. 7. ENFORCEMENT: If for any reason it is necessary for PWT to enforce any term and/or condition of this Agreement, including but not limited to in connection with termination or default of the Agreement, Customer agrees to pay reasonable attorney's fees and all costs associated with such action. Further, Customer agrees that this Agreement will be governed under the laws of the State of Florida and Customer agrees that any action arising hereunder will be submitted only to any court in the county of Escambia, State of Florida and further Customer waives any right to trial by jury in any such action. Finally, any delay or failure to exercise any right by PWT as provided under this Agreement will not prevent PWT from exercising any rights at any later time. 8. UCC FILING: Customer authorizes PWT or any of its agents or representatives to sign any document in connection with the Uniform Commercial Code on Customer's behalf. Customer agrees that by executing this Agreement, Customer authorizes PWT to file on its behalf, and without its execution, a Uniform Commercial Code financing statement and any and all other instruments necessary to perfect PWT's interest in this Agreement or any of the Equipment, as well as any continuation statements, modification or termination documents relating thereto. Finally, PWT may file a copy of this Agreement as a part of any such financing statement. 9. NOTICES: Any notice required for any purpose under this Agreement shall be directed to Customer and PWT at the respective addresses first set forth herein above with delivery either in hand or by first class US Mail or any other delivery verifying receipt by Customer or PWT. For your convenience, we may accept a facsimile copy of this Agreement with facsimile signatures. You agree facsimile copy will be treated as an original and will be admissible as evidence of this Agreement. 10. ENTIRE AGREEMENT: This Agreement constitutes the entire Agreement between Customer and PWT and supersedes and cancels any and all previous Agreements between the parties. This Agreement may not be amended or modified except by written instrument executed by duly authorized representatives of Customer and PWT. Further, included by reference herein, is any document provided to Customer by PWT in connection with the delivery and/or installation and/or use of the Equipment as well as inclusion of any documentation provided by PWT to Customer which identifies goods and services ordered, prices, quantities and/or serial numbers of the Equipment. Finally, if any part of this Agreement is found to be invalid, than it shall not invalidate the entire Agreement, and any remaining terms of the Agreement shall be considered to remain in full force and effect such that the Agreement shall be modified only to the minimum extent as permitted by law.