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rl&94— <br /> Fiber Broadband Service Order <br /> City of Decatur Illinois <br /> , <br /> #1 Gary K.Anderson Plaza <br /> Decatur,Illinois 62523-1196 <br /> Customer Name: Everside Health <br /> Customer Site ID: DECFIBER-City of Decatur Employee Health Clinic(Everside Health) <br /> Service Term: 24 Months <br /> Service Activation Date <br /> • <br /> City of Decatur Information Technology Dept. <br /> City of Decatur Illinois Everside Health Clinic <br /> 1 Gary K.Anderson Plaza 120 N.Franklin St.Suite 1 <br /> Decatur,Illinois 62523.1196 Decatur,IL 62523 <br /> Phone:(217)-424-2703 Phone:217-280-8578 <br /> mis(Adeaturii.amv _Andre,BurtonLVeversidehegith.com <br /> Billing Contact Everskle Health-Accounts Payable <br /> Billing Address 1 1400 w6watte St.Billing Address 2 Ste 350 <br /> Billing City,54 ZIP Osnvtr•CO 80202 <br /> Billing Phone (866)>�8-BOOS <br /> Billing ConbUe-mail �eversidehealth.com <br /> WA <br /> SSatic IP M M 50.00 3 S <br /> Total One Time Charges $ <br /> 50/50 Mbps Internet Service 24 mos <br /> Monthly Service Fee $325.00 24 $ 7,800.00 <br /> S <br /> Toal Service Charges $7,800.00 <br /> TOTAL THIS SERVICE ORDER- �— $7.800 <br /> This service order Is subject to terms and conditions of the Memorandum of Undersandng("MOU")currently In place between Customer and <br /> the City of Decatur.The Service Order may,from time to time,be modified at the Customer's written request and upon approval of the city of <br /> Decatur.In the event of a conflict between the MOU and this Service Order,this Service Order shall have precedence over the MOU. <br /> The monthly charges In this Service Order are based on a 60 Month Service term.Any termination or cancellation of service before the end of <br /> the arm shall be subject to an early termination tae of 50%of the remaining monthly service fees in the arm.Customer acknowledges and <br /> agrees to pay this fee upon early termination or cancellation. <br /> —The City of Decatur will commence annual billing after customer acceptance of the fiber which becomes the Service Activation Date. <br /> Customer will receive service once billing occurs. <br /> By signing below,you certify that you are authorized to sign on behalf of Customer and that Customer agrees to be bound by the terms and <br /> conditions contained herein. <br /> Please note:This Is not an Invoice.You will be invoiced by the City of Decatur separately.This quote Is valid until 3/31/2018 <br /> 4S-3449075 <br /> Customer FEIN(ea-aaN6aaa) Boling Sart Date <br /> Andre Burton MGR IT Implementation <br /> Print Customer golpresentative Name Tide <br /> _ 1/7/2022 <br /> Cu Representative Signature Date <br /> T h G AjqDn, Wolf(?, rMa��r� <br /> Print atur R presentative Name Tide <br /> I//91-� 9L <br /> a� <br /> City c D tur Representative sigrifithre Date <br />