Laserfiche WebLink
CUSTOMER SERVICE AGREEMENT CITY <br /> Ria m-..dxrra...sv- <br /> s„nn„a.,.,:. LIBRARY 133A”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: 98206-2130 <br /> Phone No.: Fax: Phone No.: 425-257-7023 Fax: <br /> Contact: Contact: James Souder <br /> Email Email jsouderiWeverettwa.00v <br /> County: Snohomish In City Limits? County: Snohomish In City Limits? <br /> Quantity Container Size Waste Type Rate(gal/ea) Frequency 0 SUN MON TUE WED THUR FRI SAT <br /> 23 Red Bag WA Tariff On Call E <br /> c <br /> rn <br /> `-04 <br /> N <br /> NE 2a <br /> E <br /> W C W <br /> 0 <br /> a <br /> a`0 <br /> a <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-Rale Restricted 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 /> to Acct.Number Price Group TWW OSHA OSHA Compliance <br /> D <br /> Z Tax Code Bill to Acct# Replacement Bio Box Replacement Box Charge <br /> W <br /> Lu <br /> W SIC Code Disposal Site $ 40.00 Replacement Reusable Tub Lost/Replacement Tub Charge <br /> 0Minimum Per Stop Minimum Per Stop <br /> Municipality Promotion Code $ 20.00 <br /> 2 Prey.Provider Sales Force# $ 12.00 Overweight Per Cont. Overweight Per Container <br /> W <br /> I-- <br /> u) Job Number Parent Number Enviro Fee www.wm.com/fec <br /> Q — <br /> Fuel Surcharge <br /> Container Size Maximum Weight limits allowed <br /> AT Sc Container Size Maximum Weight <br /> T� 17 Gallon Reusable Tub 40 Lbs <br /> _• 23 Gallon Box 40 Lbs <br /> r • 30 Gallon Box 50 Lbs <br /> City Clerk 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 THE TERMS AND CONDITIONS OF THIS AGREEMENT SET <br /> FORTH ABOVE AND ATTACHED(WHICH ARE INCORPORATED HEREIN)AND THAT HE/SHE HAS THE AUTHORITY TO SIGN.ALL DELIVERY AND PICK UP DATES ARE SUBJECT TO <br /> CHANGE DEPENDING ON ROUTE SERVICE IN THE PARTICULAR SERVICE/MARKET AREA. <br /> CU' R: . / WMjTHCARE SOLUTIONS OF WASHINGTON: <br /> AUTHOR- I�p NATUR r AUTHORIZED SIGNATURE <br /> A..A'f't?i __.1. on f f fl av D r A ct ct --7-6--,--c- u s Ally S <br /> NAM ,TI E(PRI T••-TYPE) I NAME,TITLE(PRINT OR TYPE) <br /> Iit- 9-6/ p I7- - a- - 4 — <br /> DATE DATE <br /> (Please date and initial if more than one location) <br /> AP OVED AS�jO F i'� •!�. -(0 i Zt g{� PAGE 1 OF 2 <br /> DATE INITIAL <br /> . , ty Attorney <br />