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<br />ATTACHMENT C <br /> <br />ORDER FORM <br /> <br />-¡¡;: 51. <br />nextlraOne <br /> <br />T1rnon~ LLC and!" tho applioahl. N"lirnOa~ LLC 'nh,ldin, A. Customer Name ("Customer"): <br />o . ~liate as identified in the Agreement ("NextiraOne") <br />2 ¡Post Oak Blvd., Suite 200 City of San Marcos <br />H, ·\on, TX 77056 <br />(713) 307-4000 0 Tax ID No. - <br /> rg Tax Exempt No. _ (If tax exempt, Certificate of Tax <br /> Exemption MUST be attached to Order.) <br /> State of Incorporation: . <br />NextiraOne Contact Name and Phone Number (for internal use only): Premises Address: See Master Exhibit A (MEA) <br />Theresa Johnson / Mary Wallish 713-307-7180/210-490-0691 <br />Customer Number (for internal use only): See MEA City: San Marcos State: TX Zip: 78666 <br />Customer Project/Order Number {for internal use only): Billing Address (if different): <br />Effective Date of Agreement: 8/ 1/04 0 MOA <br />Theterrns of the Agreement shall govern this Order. <br />Customer Purchase Order Number (ifapp1icable): City: State: Zip: <br />Date of Order Form: 7/12/04 Customer Contact Name, Phone Number and Email Address: <br /> Ramona Brown, 512-393-8115 <br />Term of Order: 48 months Brown Ramona@ci.san~marcos.tx.us <br /> <br />B. Select all applicable options: <br /> <br />o New Systems/Services Sale <br />o Adds/Upgrade to Existing Systern <br />o Installation Services <br />o CCA T Services <br />~ Other: <br /> <br />Telecom / Converged Services: <br />¡rg Telecorn./ Converged Support <br /> <br />Data / Converged Services: <br />o Data / Converged Support <br />o Project Management <br /> <br />o AgentSee Device Required <br /> <br />C. System Price (excluding applicable taxes and shipping*): $ *Check box ifshipping is included in Systern Price: 0 <br />D. Maintenance Service Fee (excludingapplicable taxes): $ . <br />E. CCAT Application License Fee (excluding applicable taxes): $ <br />F. Payment Terms (excluding applicable taxes and shipping): <br />Voice: Data: <br />If the Systern price is equal to or greater than $100.000: Payments are due upon receipt of invoice. Charges for installation <br />25% ofSystern Price due upon receipt of invoice $_ and irnplementation services are invoiced upon completion. <br />60% of Systern Price due at Delivery $ - <br />15% of System Price due at Cutover $ - Payment Terms: <br />Other: $ - $_ due at Delivery (equipment charge) <br />If the system price is less than $100.000: $_ due at Cutover (labor charge) <br />50% ofSystern Price due upon receipt of invoice $_ <br />50% of System Price due at Cutover $ - Other: <br />Other: $ - <br />For drop-ship orders: Requested On-Site Date: <br />50% of Systern Price due upon receipt of invoice $_ <br />50% of System Price due at Delivery $ - Late payrnents rnay result in suspension of work and in installation <br />Other: $ - and/or cutover delays. <br />Anticipated Delivery Date: <br />Anticipated Cutover Date: <br />Final Configuration Date: <br />V-'-:-1Jayrnents may resuJt in suspension of work and in installation <br />a\ !f cutover delays. <br />'-: <br /> <br />Customer Initials <br /> <br />Nextir·aOne. Confidential <br /> <br />(Rev. 8 Effective April 23, 2004) <br /> <br />Page 1 of:i <br />