Okaloosa County BOCC — September 2, 2014 — reading text

01/01/11 01/01/15 E.L EACH ACC IDENT ER S 1,000,000 OFFICERlME,"BER EXCLUOED? A ('bndalory in NH) N :NIA I ,WC04H08906 (OR) I 01/01/1~ 01/01/15 E L DISEASE · EA E...PLOYEE S 1,000,000 II YC!:o . tJeSCSIOO undtH C DESCRIPTION OF OPERATIONS below i I I WC043408900 (FL) I 01/01/14 01/01/15 E L DISEASE · POLICY LI"',T S 1. 000, 000 B IWORK COMP/EMPLOYERS LIAB I I I ~C04)408904 (HE) I 01/01/14 01/01/15 SE:E ABOVE AMT OFINSURANCF I I I I, 8 WORK COMP/EMPLOYERS LIAB I WC04)408905(NJ/PA) 01/01/1~ 01/01/15 SE:E ABOVE AMT OFINSURANCE t C I WORK COMP IE:KPLOYERS LIAB ! WC04)40890)MA/ND/OH/WA/W~~1/01/1~ 01/01/15 SEE ABOVE AMT OFINSl1RANCe: OESCRIPTION o.f OPERA nONS I LOCA nONS I VEHICLES (ANiCh ACORD '01 , Additional Rllmarks Schedule, It morlt spice II required) COX COMMUNICATIONS GUL~ COAST, LLC , I CERTIFICATE HOLDER CANCELLA TlON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE OKALOOSA COUNTY BOARD O~ THE E)(PIRA TlON DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS ATTN: JOKN CHRISTOPER COMMlSSIONRRS 101 E. JAMES LEE BLVD. AUTHORIZED REPRESENTATIVE CHESTVIeW, FL )25)6 USA jfiJ~ © 1988-2010 ACORD CORPORA TION. All Tights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD prabhaaatl )7~99171 Packet Pg. 149 c ~ Cox Account Rep: Business· Carol Kni ght Cox SV5tem Address: Commercial Services Agreement 7/21/2014 Phone Number: 855-637-1206 3405 ~lcLemo re Drive I fax N umber: 877-873-70 44 I Pensacola FL 32514 c:u.eon-I!'foi _dud AutIIorizM c..ta_ II1II... IIIt'ann811on Legal Com ,,-any Name: OKAL00 5 A COUNTY BCC Full Name : Randy Sims Street A ddr ess: 302 N WILSON ST Billing Contact: ( 850) 689- 5046 City/State/Zip: CRESTVIEW, Florida 32536 Fax: Billing Add ress: Contact Number: (850) 689-5914 City/State/Zip: Email A ddress: rSim s@co.okaloosa.n.us Cox Account #: 135-0132891-01 ,I Service Description Ta_ MMI , . . Not Included Prey New Unit Term Servi ce Charges QTY QTY Price (Months) Monthly Recurring One Time Activation lit Setup Fees Access Recovery Fee - Bulk Facility 1 1 $ 5.00 I'I-M $ 5.00 FCC Access Charge - Bulk Facility 1 1 $46.2 5 M-M $46.25 Cox Digital Trunk PRJ 1 1 $400 .00 36 $ 400.00 oro Block - 20 1 1 $3.20 36 $3 .20 Block Operator Assisted Calls 1 1 $0.00 36 $ 0.00 Account Change Fee 0 1 $ 0.00 $0.00 Total s: $454 .45 $0 .00 L ~ ] Desc r i ptio n I Quantity I Unit Price I Tota' Fee I 1f..fCIII­ I o.oc.t8d SenrIce hcIIItI-.. I I For Ded icated Service Facilities (e.g. Private Lin e Type Services, Ethernet Services). By initialing here and sign ing below, I I ..... No I Customer represents that at least 10% of the traffic on the deSignated ci rcuit (s) is Inter-State in nature or is Internet traffic. ISIMKi.i'CcInditIcIN I Renewing existing service on new 36 month term. . PI _lilian .,..... By slgnmg this Agreement, you represent that you are the 'authorized Customer representative and the information above is true and correct. This Agreement binds Customer to the terms and conditions attached to this Agreement and any other terms and conditions applicable to the Services selected above, including without limitation, the Cox tariffs, Service Guides, state and federal regulations, the General Terms located at http: //w w2 .cox.com/aboutus/po licies/business-general-terms .cox, and the Cox Acceptable Use Policy (the 'AUP"). Customer acknowledges receipt and acceptance of the AUP and the General Terms by signing this Agreement, This Agreement is subject to credit approv a and Customer authorizes Cox to check credit. The prices above do not include applicable taxes, fees, assessments or surcharges which are additional and may change. Thi s proposal is valid provided Customer signs and delivers this Agreement to Cox unchanged within thirty (30) days from the date above. Cox may withdraw this proposal at any time prior to Customer's signature. If, within thirty (30) days after Customer's signature below, Cox determines that Customer's location is not serviceable under Cox's normal installation guidelines, Cox may terminate this Agreement without liability. If Customer terminates or decreases any Service that is part of a bundle offering, the remaining Services shall be subject to price increases for the remaining Term. Both parties agree that each party may use electronic signatures to sign this Agreement. Unless otherwise agreed to by the parti!'s in a written amendment to this Agreement, Customer shall satisfy the MRC set forth above for the duration of the Term. Cox may charge Customer a termination fee equal to the amount of the MRC reduction resulting from a partial termination of a Service multiplied by the number of months remaining in the Term. If Cox performs any work including construction or incurs any costs to provide Service to Customer and Customer