R91-002RESOLUTION NO.~gl-~
A RESOLUTION OF THE CITY COMMISSION DF THE
CITY OF BOYNTON BEACH, FLORIDA, AUTHORIZING
AND DIRECTING THE MAYOR AND CITY CLERK TO
EXECUTE A CERTAIN SERVICE AGREEMENT BETWEEN
THE CITY OF BOYNTON BEACH AND CELLUI~AR ONE;
A COPY OF SAID AGREEMENTS BEING ATTACHED HERETO
AS EXHIBIT "A"; AND PROVIDING AN EFFECTIVE DALE.
NOW, THEREFORE, BE IT RESOLVED by the City Commission of the City
of Boynton Beach, Florida, that:
Section 1. The Mayor and City Clerk are hereby authorized and
directed to execute certain service agreements for the E-9-1-1 back up
telephones between the City of Boynton Beach and Cellular One; a copy of
said agreements are attached hereto as Exhibit "A".
passage.
ATTEST~-
(Corporate Se~l }
Section 2. This Resolution shall take effect immediately upon
PASSED AND ADOPTED this ~ day of January, 19gl.
CII ~
CIT~OF~B~NTON BEACH, FLORIDA
s-sioner -
Commi ss i oner
and
PL Cycle
EASE TYPE OR PRINT AND COMPLETE N FULL RCH
'~-- ~m .,~., ~ ASE Fq SERV CE [ LEAS~=
, BILLING INFORMATION.-. '~ULTI-PHONE ACCOUNT?
/~ _ . '"~i~es If Yes, Account Cf
CREDIT i~ ~ Tax cf_ .' (City! P~lrcfia~se OrdeK# (State)
PARENT COMPANY: (If different from Billing information aoove)
Parent Company Name: Business Telephone # ( ) ~ , ·
Parent Corn
TYPE OF BI,I~-';;.'-~,.~ (Check One)
[3 Corporaffen [3- Partnemhip [] Sole Pmpdetorship
State IncorpOrated 7
Otii~~& Bmdstmet # _
City: State: ' ~ Tip:
BANI( H~=t-t=HENCES:
Bank Name/Location:_
Account ~ -
Account #:
Bank Telephone Number:.
(Minimum I year and credit liq~it of $500.00 or greater).
Account #:
Account #: -.
_ Account ~.
Type of Account:
~Type of Account
· Type of Accounti'
Model
SELECTED
CHARGE
Customer please
MONTHLY
VOICE MAILBOX .
FEATURE SELECTED:
SECUPJ'P
(If different from Customer completing/signing this Ag!l!
~:~.-::~_ ~=ement) , . ~. :"
~,==,~ (Street) .... ~
..... '~tle
~umuant to this
INFORMATION: Includ ng Existing Account and/or Ce u ar Number(s):
Date of Birth
State Issued~.~ * Home F;hone-(,
to proceed
of
~f this
NAME (Plea. se print): "'
TITLE:
CUSTOMER
Com
Care
Agreement
AC~;v,~i oh Date.
__ Pi. EASE TYPE OR PRINT AND COMPLETE IN FULL ')~PURCHASE [~SERVICE ONLY ~ - [~] LEASE
..... [] NEW '~XISTING CUSTOMER I-1RESPONSIBILI'i'~ CHANGE '
-..~ILLING INFORMATION MULTI-PHONE ACCOUN]'? []No,., ~es: If Yes, Account ~,,
- ~: - ~tilling Name.~- · · ' Bus ness Phone # . *
.~_ '~ 'eg A~emss (Street) .... (City) ' ! ' [State) : ' ' :~ ~ code)
~i CREDITINPO~{~IATION: FederelTax~ ~ PurchaseOrddrff
. ~i ~ pARENT COMPANY: (If_different from Billing Information above) ~ ~ / :,.
? Parent Company Name: Bu~ines~ Telephone #( )
~rYPE OF' BUSINESS (Check One)
~ Corporation [~ Partnership [] Sole Proprietorship
State Incorporated
SiC Code:
Dun &' BrEdstme~ #
' C~ty: State: ~ 'Zip;
BANK REFERENCES:
Bank Name/Location:
Account #: ',
Account #:
Account ~
lank Telephone Number: ( ' )
TRADE i-~=rm~f~NCES: 3 Required (Minimum 1 year and. credit limit of $500,00 or grea~et').:,
Type of Account:
Type of Account:
Type of Account:-
Bank Officer(Name):
1. Name: · - : "* Account #:
~. Name: Account ~,
INFORMATION .....
(One Time
· Customer please initial:
Type (P,M,T)
-Telephoto
Telephone
BaHai #
SELECTED
SELECTED :.- ~ . . ~r
$
PAGER INFORMATION (if app cab e),
Pager Numbe¢; ( ~ )
ONE USER (If '
,;;;;=,=,,;. from Customer completing/signing this Agreement)
One User Address (Street)
Business Phone
(Please Print) .... Title D~te of B rth
(Zip)
~: Driver's License ~: * ' ' State Issued- ' Home Phor~e ( )
;uarantees, unconditionally and atali times, the payment when due of any and :ail obligations of the aba)ye-named
grsuant to this Agreement. The undersigned hereby waives noUea of, and cons~nta to,:any modificatien or extension of
Further, the undersigned waives any right to require Cellular One to proceed 'against Subscriber prior to enforcement of this
Date
INFORMATION: Including Existing Account and/or Cellular Number(s): ~:
, Business Sub~.~ ;;~=, conf rms the truth, and completeness of the above information ana acknowledges it has read all terms a~d condto~)ns on th ':~
sCredit andServiceAgreementtocludtogspecifica ythoseanneadn~ toPara~ra~hs= ~_.,~ =.._=____~ ...... -- ' i e reveme
po g gentles to turn sh Ce u ar One cred t records or h ste pml,~
NAME (Please print): '_ ....... :* -' ~ .... ~ ' ~:T~ ~:
(Officer/Owner):'' ~"~, ~,, ~ TITLE: ~/~ .... ~,?~'- DATE: /2 L~.~'~
.The. ur~d_as~g.ned [ ~r.a. nsfe _r~_, )hereby requests and authorizes Cellular One to e~tend Sen, ice to the above-named S~l~riber u~l;~ h~ ~urnb~r listed a~--,;~! ''~: ~; ~ :;?-' I
Paging Company:' ' ~' r
cu~-om6~s~
of th~s
that a
UNLESS
· Cellular .Wes{Commercial Blvd.
· One® Ft..~Lauderdale, FL 33309
(800) 542-3858 Customer Care
Account Number
CIRCLE REQUESTED EXCHANGE: Miami Ft. I an~rdale Deerfield R~-h
Agreement.
Activation Date
Ft_ Pieme Other:
~-= PLEASE TYPE OR PRINT AND COMPLETE IN FULL /~PURCHASE [] SERVICE ONLY [] LEASE
[] NEW CUSTOMER [~RESPONSIBILITY CHANGE
BILLING INFORMATION: MUL~TI-PHONE ACCOUNT?. []No '~=Yes; If Yss, Account ~..-
lng Name ~ Business Phone # Atte.~;,.,,,
Billing Address (Street)' (City). ~ (State) (Zip-Code)
-,.-CREDIT IN~-UHMATION: Federal Tax # Pumhase Order #
PARENT COMPANY:'(If different from_Billing Information above)
Parent Company Name:
Parent Company Address:
TYPE OF BUSINESS (Check One)
[3 Corporation [] Partnemhip [] Sole Proprietorship
State Incorp~-ated
Year Incorporated
Number of Employees
SIC Code:. _.
Dun & Bradstreet # -
Business Telephone # )
City: State:
BANK REFERENCES:
Bank Name/Location:
Zip:
Account ~..
Account #: ._.
Account Jr: -
Type of Account:
· ' Type of Account:
Type of Account:
Bank Telephone Number. (-) Bank Officer (Name):
TRADE ;;~.; ;-;;:'NCES: 3 Required (Minimum I year and c~dit limit of $500.00 or greater).. , _
1. Name: ~ccount ~ - ~ " Telephone: ( )
2. Name: Account ~. Telephone: ( )
3. Name; Accounl #: Telephone: (
PRODUCT INt-UHMATION
~.[. Manufacturer Model Type (RD,T) - - ~.~c;...ical Serial # LOCk ~ode
'~_NON-RECURRI.~NG CHARGES (One Time only) ~?* '-_- ~ ..~: _ . ~ .... . ., -. ,:
VOICE MAILBOX ; .....
PLAN SELECTED CHARGE - - MONTHLY SERVICE CHARGE ?,- . ~ $ '
VOICE MAILBOX -
0 ~.~ __ FEATURE SELECTED: $_
SELECTED '~'J*'~- , ~':' - ' ' ~ ' ' SECURITY ACCESS CODE .... I',' I
~ ' $ /,-~ c~ ~'- (Must be 4-digit Number) r . ~ . '
-,~ $ VOICE.., MAILBOX # (if different) ~ ,' . '_ .' '
3NE USER (If different from Customer Cu.,p;eting/$;~.;.9 this Agreement)
Cellular One User Address (Street)
'' Business Phone
PERSONAL GUARANTOR
Personal Guarantor Name (Please Print). . Title Date of Birth
Social Security #: - Driver's License ,~: " State Issued Home Phone ( )
The undersigned hereby personally guarantees, uncond~ocally and at all times, the payment when due of any and all obligations of the above-ha
Subscriber to Co u ar One pursuant to this Aareement The undersi~-~'~ ~^.~,.- ..-: ........ reed
the guaranteed obligation. Further, the undersigned waives any right to require Collular One to proceed against Subscr bar pr or to enfomement of this
ADDITIONAL INFORMATION: Including Existing Account and/or Cellular Number(s):
s ibrd ;'~ ~j;r~ ubs~Jn°ews~ ~ur~ ~ :Sn dS sUber v~iricebe~g~;~ i~
NAME (Please print)~
(~icer/Owner):
'O ~;~ ~C~ ~ en~ agre~ that
Bu pess Credit and Service Agreement'
CREDIT INFORMATION: Federa Tax #
PARENT COMI~ANY.. (if different from Bilting Information above~'~' Pumhase Order #
Parent eany Name: __
OF B
Sole Pro~rJetomhip
BANK REFERENCES:
Bani( Name/Location: __
Business Telephone #~
Zip:
Number of Employees __
~SIC Code: _
Dun & Bradstreet #-- ~Number: ~
EFERENCES: 3 Required (Minimum 1 year and credit limit of $,500.00 or greater).
Account #: _
Type of Acc:punt:
r'ype of Account:
Type of Account:
Telephone:
__ <r~ephone:
Phone
(One Time only)
Customer please ini§aE_:' - ~
- ~_ MONTHLY
SE~_~CE CHARGE
Addmee (Street)
VOICE MAILBOX-
MONTHLY SERVICE CHARGE
VOICE MAILBOX
FEATURE SELECTED:.
SECURITY ACCESs CODE
(Must be 4'digit Number)
VOICE MAILBOX # Jif dif:lemnt)
Paging Company: f - .
ompletJng/s~gnmg th~s Agreement) .
.. _'~ ~ ;; (City) - (State) - (zip~'~-
Name (Please Print}.
~'~urity #: _ D ' ' Title_ ~ Date of Birth ~.
river s License /t: ..
State Issued~. Home Phon~(_ ) ~--- --
guarantees, unconditionally and at all times, the payment when due of any and all obtigat OhS of the above-nam
p~ant to th,s Agre~ent The ur~lers,g,ne.,d( jh~mby ~u~;ives not,ce of, and po~sen, ts to ;~ny rr~ification or extensioneo~
gation. Further, the undersigned waives any right ~o require Cellular One to proceed against Subscriber pnor to enforcement of this
Signature
-- -- Date'
Including Existing Account and/or Cellular Number(s):
A~jreement_in . _g specifically those appearing in Paraaraohs 3 and ? ~.n_o~W_ledg,.es. it has re~d all terms and Conditions *-
TITL E~ ~ *-. ,~-~-~ _~.~_~. . .. ~DATE:J~--Ji~'I~
hereby requests and authorizes Cellular One o ~+ ...... UMBERS · - ., '
. , . e number sted above, whic is esentl ·
r as a sub,~dber for 8erv ce a~d lo refuse
CUSTOMER