2012-194 EMS - Eaton Corporation for Check if UPS struck by Lightning is repairable $ Not Listed

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CUSTOMER RELIABILITY CENTER (Single -Phase Services) a Service: 800- 356 -5757 (option 1) FAIRT N Fax: 919 -654 -7145 Powedna Business Worldwide Email: SinglePhaseServiceSupport@eaton.com FROM: 11111P WME U4 CC: To request standard time and material service, please complete the following checklist: ❑ Review the attached Time and Material Service Agreement, Terms and Conditions and Rate Schedule ( "T &M Package "); ❑ Required: Complete section 1 with "Invoice To" and "Service Site" addresses; ❑ If a PO number is referenced, a copy of the complete PO is needed as part of this agreement; T &M PackageTerms and Conditions shall supersede all others; PO made out to: Eaton Corporation, PO Box 93531, Chicago, IL 60673 -3531; ❑ Include a copy of any applicable Tax Exemption Certificates ❑ Complete all information in Section 2; Note that the "Quoted Price" column is for parts and services quoted by Eaton and may not be applicable; ❑ Sign and date the T &M Package in Section 3; ❑ Initial approval of the response time and product size being requested; ❑ Return all 4 pages for single -phase products to: -0 Fax: 919-654-7145 -► Email: SinglePhaseSerViceSupport@eaton.com For evidence of insurance coverage, an electronic version of a Memorandum of Insurance can be found at the following web site: www.marsh.com1moi ?client =0308. The site can be accessed 24 hours /seven days a week, thereby providing you with quick access to and confirmation of Eaton Corporation insurance information. You will be able to download and print the electronic Memorandum of Insurance for inclusion in your files. If you experience any difficulties with this website address, the memorandum can also be accessed at www.Marshweb.com /clients /4692 /moi.nsf. Thank you. Service Coordinator: Fax Cover shoat for T &M Package Revision: January 1, 2012