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Business Class Service Agreement PW & CH AW CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) ‘....+/' 11/19/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT MARSH USA INC. NAME: 1717 Arch Street PHONE FAX Philadelphia,PA 19103-2797 E-MAIL Attn:Comcast.Certs@marsh.com Fax:212-948-0360 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# 05194-ALL-GAWU-13-14 CCBBS PHILA PA NO "" INSURER A:ACE American Insurance Company 22667 INSURED INSURER B:ACE Property And Casualty Ins Co 20699 COMCAST BROADBAND SECURITY,LLC D/B/A XFINITY HOME INSURER C: Indemnity Ins Co Of North America 43575 ONE COMCAST CENTER INSURER D: 1701 JOHN F.KENNEDY BOULEVARD PHILADELPHIA,PA 19103 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: CLE-003810489-04 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE A POLICY EFF POLICY EXP SR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 4,900,000 A X COMMERCIAL GENERAL LIABILITY XSL G27327643 12/01/2013 12/01/2014 DAMAGE TO RENTED PREMISES(Ea occurrence) $ 4,900,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 4,900,000 X $100,000 SIR GENERAL AGGREGATE _ $ 25,000,000 GE 'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 6,000,000 - X POLICY PRO JECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 10,000,000 (Ea accident) _$ A X ANY AUTO ISA H08815069 12/01/2013 12/01/2014 rBODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 B EXCESS LIAR CLAIMS-MADE AGGREGATE $X00 G27372831 12/01/2013 12/01/2014 5,000,000 DED RETENTION$ $ C WORKERS COMPENSATION WLRC47873691(AOS) 12/01/2013 12/01/2014 X WC STATU- OTH- AND EMPLOYERS'LIABILITY TORY l IMITS ER A ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N WLRC47873708(CA) 12/01/2013 12/01/2014 E L EACH ACCIDENT $ 2,000,000 A OFFICER/MEMBER EXCLUDED? N N/A(Mandatory in NH) WLRC4787371A(MN) E L DISEASE-EA EMPLOYEE 12/01/2013 12/01/2014 $ 2,000,000 A DESCRIPTION OF OPERATIONS below SCFC47873721(WI) 12/01/2013 12/01/2014 E L DISEASE-POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) RE:BUSINESS LICENSE APPLICATION CITY OF OKEECHOBEE IS INCLUDED AS ADDITIONAL INSURED WITH RESPECT TO GENERAL LIABILITY POLICY AND AUTOMOBILE LIABILITY POLICY WHERE REQUIRED BY WRITTEN CONTRACT WITH THE NAMED INSURED $100,000 PER OCCURRENCE SELF INSURED RETENTION APPLIES ONLY TO THE ABOVE GENERAL LIABILITY POLICY CERTIFICATE HOLDER CANCELLATION CITY OF OKEECHOBEE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 55 SOUTHEAST 3RD AVENUE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN OKEECHOBEE,FL 34974 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashl Mukherjee ,. 4..ct..,+.4-av 1.0 4E-1'6a.A -a x- ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Page 1 of 1 Nathan Pippin From: "Nathan Pippin" <npippin @cityofokeechobee.com> To: "Krohn, Michael" <scott krohn @cable.comcast.com> Sent: Tuesday, August 09, 2011 3:11 PM Attach: 2011-08-11 Comcast- Business Class Service Order Agreement.pdf; City of Okeechobee - Sales Tax Exemption.pdf Subject: Re: Comcast service Scott attached in PDF is the signed agreement & a copy of the City's tax exemption. Please let me know ASAP what we need to do next. It is very important that the services is here, installed & ready to roll by 8/22 at the latest. Thanks! Nathan Original Message From: Krohn, Michael To: npippincityofokeechobee.com Sent: Monday, August 08, 2011 2:32 PM Subject: Comcast service Very Truly Yours, Scott Krohn Business Account Executive © rncat. BUSINESS CL (954) 668-5419 Direct 8/10/2011 (comcast. BUSINESS CLASS SERVICE ORDER AGREEMENT Account Name: City of Okeechobee Public Works ID#:5552854 CUSTOMER INFORMATION (Service Location) Address 1 500 NW 11TH AVE City OKEECHOBEE Address 2 State FL Primary Contact Name Brian Whitehall ZIP Code 34972 Business Phone (863)763-3372 X212 County Cell Phone Email Address bwhitehall@cityofokeechobee.com Pager Number Primary Fax Number Technical Contact Name Tech Contact On-Site? No Technical Contact Business Phone Technical Contact Email Property Manager Contact Name Property Mgr. Phone COMCAST BUSINESS CLASS SERVICES Selection(X) Business Class Voice Business Class Internet X Business Class TV Service Term (Months) 36 COMCAST BUSINESS CLASS SERVICES DETAILS Business Class Voice* Business Class Packages VOICE SELECTIONS Quantity Unit Cost Total Cost Package Name: Full Feature Voice Lines PACKAGE DESCRIPTION Adtl.F.F.Voice Lines w/pkg. 4+Lines Basic Lines Fax Lines Toll Free Numbers Equipment Fee Business Class TV* VOICE OPTIONS Selection(X) Total Cost TV SELECTIONS Selection(X) Total Cost Voicemail Basic Directory Listing Suppression Fee Information&Entertainment Auto-Attendant Standard Voice offers&options not available in all markets. Preferred Business Class Internet* Music Choice Standalone INTERNET SELECTIONS Selection(X) Total Cost TV OPTIONS Selection Total Cost Starter Sports Pack** Preferred Music Choice W/Business Class Other Basic Connect X $39.95 Canales Selecto Equipment Fee X $7.00 Other Programming INTERNET OPTIONS Selection(X) Total Cost Other Programming Microsoft Outlook Office Email Other Programming Web Hosting-Starter TV OUTLETS Quantity Unit Cost Total Cost Web Hosting-Business Additional Outlets Web Hosting-Commerce HD TV Box Charges Web Hosting-Professional Static IP-1 mini mDTA/mDTA Type #of Outlets NRC MRC Static IP-5 Static IP-13 _ Static IP-29 'Not available in home offices or private view establishments.TV selections&options not available in all Static IP-61 markets. Customer acknowledges and understands Customer may be responsible for additional music licensing or copyright fees for music contained in any or all of the Services,including,but not limited to Static IP-125 'Video and/or Public View Video. Static IP 253 **Available for Information&Entertainment,Standard&Preferred TV offers only. Xfinity Wifi Internet selections&options not available In all markets. COMCAST BUSINESS CLASS TOTAL SERVICE CHARGES Business Class Selection(X) Unit Cost Total Cost Installation Fee X $49.00 $49.00 Total Monthly Service Charge I $46.95 Voice Activation Fee* Auto-Attendant Setup Fee Promotional Code(if applicable) Voice Jack Fee Less Discount(if applicable) $0.00 Toll Free Activation Fee Per line activation fee,up to four(4)line maximum charge. Total Installation Charges:* $49.00 Total Recurring Monthly Bill:* $46.95 Applicable federal,state,and local taxes and fees may apply. Does not include Custom Installation Fees referenced below. GENERAL SPECIAL INSTRUCTIONS OrderForm Version v11 Page 1 of 3 (corncast. BUSINESS CLASS SERVICE ORDER AGREEMENT Account Name: City of Okeechobee Public Works ID#:5552854 COMCAST BUSINESS CLASS INTERNET CONFIGURATION DETAILS Microsoft Office Communication Services Equipment Selection Modem Microsoft Office Outlook Email Included with Internet Service Business Class Web Hosting No Business Class Internet:Starter 2 Full Access Transfer Existing Comcast.net Email No Business Class Internet:Preferred 4 Full Access Number of Static IPs" Other: Basic Connect Not Included •If 5 or more Static IPs are requested a STATIC IP JUSTIFICATION FORM is required. COMCAST BUSINESS CLASS TV CONFIGURATION DETAILS Outlet Details Location Outlet Type Additional Comments: Outlet 1 -Primary Outlet 2-Additional Outlet 3-Additional Outlet 4-Additional OUTLETS 9 & UP QUANTITY Outlet 5-Additional Analog Outlet 6-Additional Digital Outlet 7-Additional HDTV Outlet 8-Additional DTA COMCAST BUSINESS CLASS VOICE CONFIGURATION DETAILS Phone# Type Voicemail Customer Equipment Phone System Type(Key System, PBX,Other) Phone System Manufacturer Fax Machine Manufacturer Alarm System Vendor Point of Sale Device Telco Closet Location Hunt Group Configuration Details Hunt Group Features Requested(Yes/No) Hunt Group Configuration Type Hunt Group Pilot Number Toll Free# Calling Origination Area Associated TN Directory Listing Details Directory (Published,Non-Published,Unlisted) Directory Listing Phone Number Additional Voice Details Directory Listing Display Name Caller ID(Yes/No) DA/DL Header Text Information Caller ID Display Name(max 15 char.) DA/DL Header Code Information Call Blocking(Yes/No) Standard Industry Code Information Auto Attendant(Yes/No) No OrderForm Version v11 Page 2 of 3 (c-orncast. BUSINESS CLASS SERVICE ORDER AGREEMENT Account Name: City of Okeechobee Public Works ID#:5552854 CUSTOMER BILLING INFORMATION Billing Account Name City of Okeechobee Public Works City OKEECHOBEE Billing Name(3rd Party Accounts) State FL Address 1 500 NW 11TH AVE ZIP Code 34972 Address 2 Billing Contact Email bwhitehall@cityofokeechobee.com Billing Contact Name Brian Whitehall Billing Contact Phone (863)763-3372 X212 Tax Exempt?* No Billing Fax Number *If yes,please provide and attach tax exemption certificate. AGREEMENT 1.This Comcast Business Class Service Order Agreement sets forth the terms and conditions under which Comcast Cable Communications Management, LLC and its operating affiliates("Comcast")will provide the Services to Customer.This Comcast Business Class Service Order Agreement consists of this document("SOA"),the standard Comcast Business Class Terms and Conditions ("Terms and Conditions"), and any jointly executed amendments ("Amendments"), collectively referred to as the "Agreement". In the event of inconsistency among these documents, precedence will be as follows: (1)Amendments, (2)Terms and Conditions, and (3)this SOA.This Agreement shall commence and become a legally binding agreement upon Customer's execution of the SOA.The Agreement shall terminate as set forth in the Terms and Conditions(http://business.comcast.com/terms-conditions/index.aspx).All capitalized terms not defined in this SOA shall reflect the definitions given to them in the Terms and Conditions. Use of the Services is also subject to the then current High-Speed Internet for Business Acceptable Use Policy located at http://business.comcast.com/terms-conditions/index.aspx(or any successor URL), and the then current High -Speed Internet for Business Privacy Policy located at http://business.comcast.com/terms-conditions/index.aspx(or any successor URL), both of which Comcast may update from time to time. 2. Each Comcast Business Class Service("Service")carries a 30 day money back guarantee. If within the first thirty days following Service activation Customer is not completely satisfied, Customer may cancel Service and Comcast will issue a refund for Service charges actually paid by Customer,custom installation,voice usage charges,and optional service fees excluded. In order to be eligible for the refund, Customer must cancel Service within thirty days of activation and return any Comcast-provided equipment in good working order. In no event shall the refund exceed$500.00. 3. IF CUSTOMER IS SUBSCRIBING TO COMCAST'S BUSINESS CLASS VOICE SERVICE, I ACKNOWLEDGE RECEIPT AND UNDERSTANDING OF THE E911 NOTICE: E911 NOTICE Comcast Business Class Voice service ("Voice") may have the E911 limitations specified below: •In order for 911 calls to be properly directed to emergency services using Voice, Comcast must have the correct service address for the Voice Customer. If Voice is moved to a different location without Comcast's approval, 911 calls may be directed to the wrong emergency authority, may transmit the wrong address, and/or Voice(including 911) may fail altogether. •Voice uses electrical power in the Customer's premises. If there is an electrical power outage, 911 calling may be interrupted if the battery back-up in the associated multimedia terminal adapter is not installed,fails, or is exhausted after several hours. •Voice calls, including calls to 911, may not be completed if there is a problem with network facilities, including network congestion, network/equipment/power failure,or another technical problem. •Comcast will need several business days to update a Customer service address in the E911 system. All change requests and questions should be directed to 1-800-391-3000. USE OF VOICE AFTER DELIVERY OF THIS DOCUMENT CONSTITUTES CUSTOMER ACKNOWLEDGEMENT OF THE E911 NOTICE ABOVE. 4.To complete a Voice order, Customer must execute a Comcast Letter or Authorization ("LOA")and submit it to Comcast, or Comcast's third party order entry integrator, as directed by Comcast. 5. New telephone numbers are subject to change prior to the install. Customers should not print their new number on stationery or cards until after the install is complete. 6. Modifications:All modifications to the Agreement, if any, must be captured in a written Amendment, executed by an authorized Comcast Senior Vice President and the Customer.All other attempts to modify the Agreement shall be void and non-binding on Comcast. Customer by signing below, agrees and accepts the Terms and Conditions of this Agreement. CUSTOMER SIGNATURE FOR COMCAST USE ONLY By signing below,Customer agrees and accepts the Terms and Conditions of Sales Representative: Michael Krohn this Agreement.General Terms and Conditions can be found at http://business.comcast.com/terms-conditions/index.as . Sales Representative Code: 77039 Signature:, *` / � Sales Manager/Director Scott Costa // Sales Manager/Director Print: �,(J<'-] / N . Py')rl- Title: 1,1441-7;,1),,s- ��, Division: Central Date: / >,. Lead ID: 5552854 OrderForm Version v11 Page 3 of 3 o ca.S ' JSINESS CLASS SERVICE ORDEE 3REEMENT Account Name: City of Okeechobee City Hall ID#:4263953 CUSTOMER BILLING INFORMATION Billing Account Name City of Okeechobee City Hall City Okeechobee Billing Name(3rd Party Accounts) State FL Address 1 55 SE 3rd Ave ZIP Code 34974 Address 2 Billing Contact Email npippin @cityofokeechobee.com Billing Contact Name-Brian-Wtritehatl 9 - ! i Billin Contact Phone (863)763-3372 X221 Tax Exempt?*$ /•{ Billing Fax Number •If yes,please provide and attach tax exemption certificate. AGREEMENT 1.This Comcast Business Class Service Order Agreement sets forth the terms and conditions under which Comcast Cable Communications Management,LLC and its operating affiliates("Comcast")will provide the Services to Customer.This Comcast Business Class Service Order Agreement consists of this document("SOA"),the standard Comcast Business Class Terms and Conditions("Terms and Conditions"),and any jointly executed amendments("Amendments"),collectively referred to as the"Agreement".In the event of inconsistency among these documents,precedence will be as follows:(1)Amendments,(2)Terms and Conditions,and(3)this SOA. f his Agreement shall commence and become a legally binding agreement upon Customer's execution of the SOA.The Agreement shall terminate as set forth in the Terms and Conditions(http://business.comcast.com/terms-conditions/index.aspx).All capitalized terms not defined in this SOA shall reflect the definitions given to them in the Terms and Conditions.Use of the Services is also subject to the then current High-Speed Internet for Business Acceptable Use Policy located at http://business.comcast.com/terms-conditions/index.aspx(or any successor URL),and the then current High -Speed Internet for Business Privacy Policy located at http://business.comcast.com/terms-conditions/index.aspx(or any successor URL),both of which Comcast may update from time to time. 2.Each Comcast Business Class Service("Service")carries a 30 day money back guarantee.If within the first thirty days following Service activation Customer is not completely satisfied,Customer may cancel Service and Comcast will issue a refund for Service charges actually paid by Customer,custom installation,voice usage charges,and optional service fees excluded.In order to be eligible for the refund, Customer must cancel Service within thirty days of activation and return any Comcast-provided equipment in good working order.In no event shall the refund exceed$500.00. 3.IF CUSTOMER IS SUBSCRIBING TO COMCAST'S BUSINESS CLASS VOICE SERVICE,I ACKNOWLEDGE RECEIPT AND UNDERSTANDING OF THE E911 NOTICE: E911 NOTICE Comcast Business Class Voice service("Voice")may have the E911 limitations specified below: •In order for 911 calls to be properly directed to emergency services using Voice,Comcast must have the correct service address for the Voice Customer.If Voice is moved to a different location without Comcast's approval,911 calls may be directed to the wrong emergency authority,may transmit the wrong address,and/or Voice(including 911)may fail altogether. •Voice uses electrical power in the Customer's premises.If there is an electrical power outage,911 calling may be interrupted if the battery back-up in the associated multimedia terminal adapter is not installed,fails,or is exhausted after several hours. •Voice calls,including calls to 911,may not be completed if there is a problem with network facilities,including network congestion, network/equipment/power failure,or another technical problem. •Comcast will need several business days to update a Customer service address in the E911 system.All change requests and questions should be directed to 1-800-391-3000.USE OF VOICE AFTER DELIVERY OF THIS DOCUMENT CONSTITUTES CUSTOMER ACKNOWLEDGEMENT OF THE E911 NOTICE ABOVE. 4.To complete a Voice order,Customer must execute a Comcast Letter or Authorization("LOA")and submit it to Comcast,or Comcast's third party order entry integrator,as directed by Comcast. 5.New telephone numbers are subject to change prior to the install.Customers should not print their new number on stationery or cards until after the install is complete. 6.Modifications:All modifications to the Agreement,if any,must be captured in a written Amendment,executed by an authorized Comcast Senior Vice President and the Customer.All other attempts to modify the Agreement shall be void and non-binding on Comcast.Customer by signing below,agrees and accepts the Terms and Conditions of this Agreement. CUSTOMER SIGNATURE FOR COMCAST USE ONLY By signing below,Customer agrees and accepts the Terms and Conditions of Sales Representative: Michael Krohn this Agreement.General Terms and Conditions can be found at http://business.comcast.corn/terms-conditio •/index.aspx. Sales Representative Code: Signature: �` �, � Sales Manager/Director John Lizana Print: l ' Sales Manager/Director Title: Division: Central G1A r'A)i J tz Date: '- ( Ii / r t Lead ID: 4263953 - OrderForm Version v9 Page 3 of 4 cast,, JSINESS CLASS SERVICE ORDEF 3REEMENT Account Name: City of Okeechobee City Hall ID#:4263953 IP Justification Form Comcast conforms to the North American IP Registry(ARIN)policies regarding IP address allocation.As part of its standard service,Comcast will assign up to eight IP addresses for customer use on their local area network(LAN).Customers can use this form for initial assignments and additional augments.Comcast requires a written justification form for any IP address blocks requested so that we can demonstrate to ARIN that IP addresses allocated to Comcast,or any underlying providers,are being used efficiently. Per ARIN guidelines(http://www.arin.net/intro.html),organizations will be assigned address space based on immediate utilization plus three month and six month projected utilization.Organizations must exhibit a high confidence level in their three month and six month utilization rate and supply documentation to justify the level of confidence. If you have any questions about the IP assignment policy or process,please refer to ARIN's IP Address Assignment Policy and Procedures,and RFC 2050 that can found at ftp://www.arin.net/rfc/rfc2050.txt. Please complete the following form and submit it to your Comcast sales representative. Customer Site Technical Contact Location City of Okeechobee City Hall 1 Name(First Last) Brian Whitehall 3a Street 55 SE 3RD AVE 2a Title 3b Rm/Ste/FI 2b Phone# (863)763-3372 X221 3c City,State Zip Okeechobee,FL 34974 2c Email npippin @cityofokeechobee.com 3d Phone# (863)763-3372 X221 2d Note:If more than one domain,use first domain 4.Domain registered. 5.Do you have previously assigned addresses from 0 Yes No 5b.If yes,what addresses were 6.Number of IP addresses requested/needed within 6 5 Note:If your organization already has IP space assigned, you must utilize 80%before applying for 7.Use the following Network Table to describe your IP assignments within the next six THIS IS REQUIRED IP Number IP Address(If known) Below,provide a description of use for each IP requested 1 2 3 4 5 I verify that I am authorized to represent the organization below and that the above information is true and correct.I understand that Internet Protocol Version 4 address space is limited and that users of the Internet are responsible for conserving address space and ensuring that space is utilized efficiently. Print Name Title Organization City of Okeechobee City Hall Phone#(day)(863)763-3372 X221 Email npippin @cityofokeechobee.com Fax OrderForm Version v9 Page 4 of 4