Snohomish County PUD 1/4/2021 - Laserfiche WebLink

SNal if(l Ml':111.JVN1Y I 1'-- Public Utility District No. 1 of Snohomish County CUSTOMER SERVICE CONTRACT 1474 REV 10/2015 Describe work location and work to be performed: Date: 12/17/20 THE PUD WILL INSTALL A THREE PHASE BANK AND COORDINATE CUT-OVER FOR NW EVERETT FIRE STATION SERVICE. CUSTOMER AUTHORIZATION and COMMITMENT: I authorize Public Utility District No. 1 of Snohomish County(the"District") to perform the work described above and agree to pay the estimated amount within 15 days from the date of this contract and prior to the District scheduling any work to be performed. If I elect the Time and Materials option as the basis for the District's charges,I also agree to pay any actual costs of construction that are greater than the Estimated Amount within 30 days from the date of the District's Invoice. If I fall to make such payment, the District may assign my debt to a collection agency and a collection agency fee will be added to the amount of the debt assigned,as authorized by Section 19.16.500 of the Revised Code of Washington. If suit is brought, I promise to pay, in addition to the collection agency fee,a reasonable attorney fee and court costs. This contract shall be governed by the laws of the State of Washington with venue of any litigation in Everett, Snohomish County,Washington. Estimated Amount: $27,682 Date Paid: Receipt# BILLING INSTRUCTIONS ® Time and Materials(actual cost) Special Billing Instructions for the Time and Materials option: When all Job costs have been accumulated,refund or Invoice the customer any differential between the actual and estimated costs. CUSTOMER INFORMATION: Charge to: Authorization Name: Authorizati,leer): Address: ,l• •y: City/State/Zip: PrinTName&Title: Attention: Telephone Number: DISTRICT APPROVALS: Requested by: ANDREW RIFE _ Date: 12/17/20 Approved by: Date: SERVICE ORDER: 100072583 OPERATION: 0030 CONTRACT NUMBER: Distribution: 'Original to General Accounting Customer receives copy after District signature and approval Office of the City Attorney AT ST. APPROVED AS TO FORM David C.Hall,City Attorney City Clerk