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INSTALLATION AGREEMENT NSS USE ONLY <br />(PLEASE PRINT) <br />OM Order # <br />CUSTOMER #: MR ID: DATE:Shop PO # <br />CUSTOMER NAME:SHIP TO ADDRESS: <br />BILLING CONTACT:CITY / STATE / ZIP:x BILL DIRECT <br />MAIL INVOICE? <br />BILLING ADDRESS:EQUIPMENT ADDRESS:x Yes No <br />CITY / STATE / ZIP:CITY / STATE / ZIP:BWE <br />CUSTOMER PO #:CUSTOMER CONTACT NAME:SEE BELOW <br />FORCASTED INSTALL DATE: CUSTOMER PHONE #: <br />STATEMENT OF WORK THE CUSTOMER IS RESPONSIBLE FOR OBTAINING PHONE LINES ARE PHONE LINES REQUIRED? Yes x No <br />CUSTOMER INVOICE NOTES x AT CUSTOMER'S LOCATION AT SERVICE CENTER <br />MILESTONE BILLING INFORMATION.EQUIPMENT <br />SERVICE CENTER:THIS SECTION CAN BE USED IF THE INSTALL WILL BE DONE IN PHASES.INSTALLATION $ <br />68,973.11 <br />CITY AND STATE: <br />Mobile Communications of America <br />Morrisville, NC 275THE CUSTOMER WILL BE BILLED FOR EACH MILESTONE AND MUST <br />AGREE TO RECEIVING SEPARATE INVOICES.THE ABOVE INSTALLATION AMOUNT IS <br />SERVICE CENTER:SUBJECT TO STATE AND LOCAL TAXING <br />CITY AND STATE:MILESTONE 1: $ MILESTONE 3: $JURISDICTIONS, TO BE VERIFIED BY <br />MOTOROLA. <br />SERVICE CENTER:MILESTONE 2: $ MILESTONE 4: $TAX EXEMPT: <br />CITY AND STATE:YES, ATTACH EXEMPT <br />CERTIFICATE <br />NO <br />MOTOROLA SERVICE REPRESENTATIVE SIGNATURE TELEPHONE # <br />N/A <br />N/A <br />THE CURRENT REVISION OF MOTOROLA'S SERVICE TERMS AND CONDITIONS, A COPY OF WHICH IS ATTACHED TO THIS SERVICE AGREEMENT, IS INCORPORATED HEREIN BY THIS REFERENCE. <br />Hillsborough, NC 27278 <br /> Meadowlands DULYH <br />Main Dispatch Center removal and re-installation of radio console equipment for mold remediation. See detailed Statement of Work attached. <br />1000709553 <br />Orange County <br />Kevin Medlin <br />PO Box 8181 <br />Hillsborough, NC 27278 <br />204 4/2/2019 <br />AUTHORIZED CUSTOMER SIGNATURE TITLE DATE Effective 8/19/11 <br />.HYLQ0HGOLQ <br /> <br />[ <br /> <br />DocuSign Envelope ID: 9F672A0E-9FCB-4354-99B8-69B1DEDAAD2CDocuSign Envelope ID: DE9704E5-844F-413C-813F-68BC33D96277 <br />  <br /> <br />