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<br />Special Constructean Proposal
<br />on~~~~t ~ ~Y
<br />fob ~u~h~~~~~o~ Noe B~A~..,., .
<br />Date: 8~I~~_.. _._
<br />BiCfin AddreX
<br />weri~ ~..~Catl~n.
<br />utaer: ~t of feu ene ~,,~h:.nd._llaliiard
<br />ttentl~~; Pete ~~~~,~~ OUnt bane
<br />~~ ~..~~ ~arri ~~-~ay._._...._.._.._ .........................:......._...... u end
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<br />f:~ug~r~~_,,.....~F~:... ~~~_fi._.___,.. , , ....
<br />D~~ipt~o~ a~~d1o~ ~~~i~~c~t~on ofi war ~~ b~ ~~~o~~n~d ~~ wet u~d~ phis Prop~~l ~"w~~k'~~;
<br />west w~f~ t~e~ch 7' f rem cur ~ an ~ h to the a~Cey of Vilird P~ two cend in ~oi~~ tench ~r~vided by
<br />cost contractor apprax ~~ ~ Provide twe vaults c~bCe and spiicin section threw. en~eve eid cabie ~ror~
<br />existing run Does net rer~arr~ t~~cture. Oust to provide power to avoid gene~tar noise in pound the
<br />clack work,
<br />Advance Payment {required before work begins};
<br />~ ~ ~,a~~8
<br />one undyed Ten Thaund Fifty~fMour iallars and I~as
<br />Total charges:
<br />For the worl~ pertorr~ed hereunder, Customer will be respans~ble for these Charges only, unless a change Order is signed by
<br />bath parties in accordance with ectian 4 below. All changes shall be paid prier to cor~mencement of the '~varl~ ~"Advance
<br />Payment"}. ~~, in Cwst's sole discretia~, G~west approves ~ Purchase order in lieu of Advance Payment, west will submit an
<br />invoice of charges to Customer upon full execution of the Agreement far Change Order}. For Cavernmental ustomer ~~ly,
<br />Cwest will submit an ~r~voice of charges upon car~pletion of the llvork. All Customers gill pay the invoice within forty five ~4}
<br />days of receipt, All past duo undisputed accounts will be assessed a late #ee at f 4°l~ APP. No vl~orls shall commence prior to
<br />receipt of Advance Payment or acceptance by Qwest of a Purchase order. Notwit#~standing, Custor~er shall also be
<br />repans~ble for foreign, federal, state and ~aca1 taxes assessed in connection with the worry inc~ud~ng without l~mjtation, all use,
<br />sales, value added, surcharges, exciser franchises, commercial, grass receipts, license, privilege ar other similar charges,
<br />~rhether charged to or against Qwest or uston~er, but excludlr~g ar~y taxes based on C~west's net income.
<br />Nate: if applicable, the work proposed here is separate from any work that ray be performed pursuant to any other order ar
<br />agreement, including but net limited to ~ l~re~erv'rce l~eguest l:or cell site provisioning, The Proposal may be withdrawn by
<br />C~west if net accepted by the Custar~er within ~ days, Ulan ~x~~~#~o~ by both p~~ti~s, ~h'r I~~"gp~a~ ~~d ~h~
<br />~t~a~h~~ Tr ~~d andit~a~ ha~~ ~~ti'~~te a ind~g ~g~ee~nn~ upon ~h~ pati~~
<br />Caw ~rp~ra~~vn
<br />~~orr~~r
<br />Authoraed signature
<br />. ~ ~~ ~~ ~ Authar~~ed Signature
<br />Name PrintedlTyped~ ~
<br />._........._ _,~,,,,,.~~,_ -----.----...w_: ~ ----.-- Narne PrintedlT~yped;
<br />Title; ~~a~~~_T~~~~~ A~~n~..-.~.--- Title:
<br />~a.te~ .--... _._........_ .. _..----... _.._ ---- .. D~te~
<br />i f 7./ 1 R Yi F~~~ S ~~~•., ~il \M/ 3f Y{'~~~i~~ 9 ~~~ ~~~, Y i ~R ~ ~/ Y~./~~ ` 11~ # ~~ F~ Y~~T.1~~11
<br />~r~po~al 0 2~p 1 Qwest corporation ~'~.~ ~ version: ~~~1 ~~~8
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