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Public Utility District No. 1 of Snohomish County <br /> CUSTOMER SERVICE CONTRACT <br /> 1474 REV 10/2015 Date: 6/28/2021 <br /> Describe work location and work to be performed: <br /> RE: 3702 TULALIP AVE <br /> SET NEW VAULT AND RE-ROUTE PRUUG SYSTEM FOR CITY OP EVERERTT. <br /> CUSTOMER AUTHORIZATION and COMMITMENT: I authorize Public Utility District No. 1 of Snohomish County(the`District")to perform the <br /> work described above and agree to pay the estimated amount within 15days from the date of this contract and prior to the District scheduling <br /> any work to be performed.If I elect the The and Materials option as the basis for the District's charges,I also agree to pay any actual costs of <br /> 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 <br /> 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 <br /> 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 <br /> 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 <br /> Everett,Snohomish County,Washington. <br /> Estimated Amount: $ 25,371.00 Dale Paid: Receipt# <br /> BILLING INSTRUCTIONS <br /> I] Time and Materials (actual cost) <br /> Special Billing Instructions for the Time and Materials option: When ail job costs have been accumulated,refund or invoice <br /> the customer anydifferentlal between the actual and estimated costs. <br /> CUSTOMER INFORMATION: <br /> Charge to: Authorization <br /> CITY OF EVERFTT EX 21019 <br /> Name: Authorization(P:0.Number): <br /> PO Box 12130 ----, <br /> bAddress: _ A orizesi.l�y: <br /> Everett, WA 98206 <br /> Gi l<-- �' t� �f MrLc(XL- <br /> -City/State/Zip: Print Name&Title: <br /> Accounts Payable <br /> Attention: Telephone Number: <br /> DISTRICT APPROVALS: <br /> Requested by: ANDREW RIFE Date: 6/2/2021 <br /> Approved by: <br /> SERVICE ORDER: 100079778 OPERATION 60 CONTRACT NUMBER: <br /> Distribution: <br /> •Original to General Accounting <br /> 'Customer receives copy after District signature and approval <br /> A T: <br /> Gvt <br /> City Clerk <br />