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DowSign Envelope ID:C2CE71C7-3EA6-4635-56913SEOBFSBEDCFF <br /> CUSTOMER SERVICE AGREEMENT <br /> solo In, s <br /> ms'. LIBRARY 133A nn HEALTHCARE <br /> 2947-WM Healthcare Solutions of Washington*8111 1st Ave South*SEATTLE WA 98108 <br /> THIS OFFER IS VALID UNTIL: EFFECTIVE DATE: November 9,2016 <br /> CONTRACT NUMBER: REASON CODE: NBO New Business Permanent <br /> SALES PERSON: Matt Toner TERM IN MONTHS 36 <br /> Customer. • SEE EXHIBIT A Billing Name: City of Everett/Accounting <br /> Jim Souder <br /> Service Address: Billing Address PO Box 12130 <br /> City: State: Zip: City: Everett State: WA Zip:98206-213C <br /> Phone No.: Fax: Phone No.: 425-257-7023 Fax: <br /> Contact Contact James Souder <br /> Email Email lsouderWeverettwa.gov <br /> County: Snohomish In City Limits? County: Snohomish In City Limits'? <br /> Quantity Container Size Waste Type Rate(gal/ea) Frequency 2 SUN MON TUE WED THUR FRI SAT <br /> 23 Red Bag WA Tariff On Call 2 <br /> c <br /> at <br /> N y N <br /> .E o E <br /> W '2 w <br /> O <br /> a <br /> 04 <br /> 0. <br /> O <br /> Special Instructions <br /> Preferred Delivery Date: Quantity: 1 Preferred First P/U Wait/On Call <br /> Hours of Operation: SEE EXHIBIT A <br /> Map Coordinates: ... <br /> Special Notes:Multiple sites,See EXHIBIT A <br /> Dollar Amount <br /> >- Customer Dept. Rate Restriction RR-Rate Rotted Flat Rate Flat Monthly Disposal Rate <br /> J <br /> Z <br /> p P.O.Number Date of Increase $ 20.00 On Call On Call Service Call <br /> W <br /> rn Acct.Number Price Group TWW OSHA OSHA Compliance <br /> D <br /> F— <br /> Z Tax Code Bill to Acct# Replacement Bio Box Replacement Box Charge <br /> W <br /> UJ <br /> W SIC Code Disposal Site $ 40.00 Replacement Reusable Tub Lost/Replacement Tub Charge <br /> Z Municipality Promotion Code $ 20.00 Minimum Per Stop Minimum Per Stop <br /> Q <br /> Prey.Provider Sales Force# $ 12.00 Overweight Per Cont. Overweight Per Container <br /> W <br /> E- Job Number Parent Number Enviro Fee www.wm.com/fec <br /> Q <br /> Fuel Surcharge <br /> Container Size Maximum Weight limits allowed <br /> Container Size Maximum Weight <br /> 17 Gallon Reusable Tub 40 Lbs <br /> 23 Gallon Box 40 Lbs <br /> 30 Gallon Box 50 Lbs <br /> 31 Gallon Reusable Tub 60 Lbs <br /> 43 Gallon Reusable Tub 60 Lbs <br /> THIS IS AN AGREEMENT.EACH UNDERSIGNED INDIVIDUAL ACKNOWLEDGES THAT HE/SHE HAS READ AND UNDERSTANDS THETERMS AND CONDITIONS OF THIS <br /> AGREEMENT SET FORTH ABOVE AND ATTACHED(WHICH ARE INCORPORATED HEREIN)AND THAT HE/SHE HAS THE AUTHORITY TO SIGN.ALL DELIVERY AND PICK <br /> UP DATES ARE SUBJECT TO CHANGE DEPENDING ON ROUTE SERVICE IN THE PARTICULAR SERVICE/MARKET AREA. <br /> CUSTOMER: WM HEALTHCARE.SOLUTIONS OF WASHINGTON: <br /> AUTHORIZED SIGNATURE AUTHORIZED SIGNATURE <br /> James souder <br /> NAME,TITLE(PRINT OR TYPE) NAME,TITLE(PRINT OR TYPE) <br /> DATE DATE <br /> (Please date and initial if more than one location) <br /> PAGE 1 OF 2 <br /> DATE 88 INITIAL <br />