8589-12 Authorize AT&T contract for Centrex telephone service

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} .t.. AT&T ILEC Centrex Service ("Service") '' C~ t~cl Pricing Schedule/Confirmation of Service Order ^ Pricing Schedule fo AT&T Agreement Reference No. ® Confirmation of Service Order If neither box above is checked then this document is a standalone Confirmation of Service Order. `This document may be used as a Pricing Schedule only if attached to an Agreement referred to internally at AT&T as a UA MSA, UA MA or UA SSTC. Customer "Customer" AT&T "AT&T") City of Lakewood For purposes of this Pricing Schedule/Confirmation of Service 12650 Detroit Ave Order, AT&T means the Service Provider(s) specifically Lakewood Oh 44107 USA identified herein. Customer Contact (for notices) AT&T Sales Contact Information and for Contract Notices ®Prima Sales Contact Name: Michael Coletla Account Rep Name: Scott E Maurer Title: Information Systems Manager Title: Sr. Account Manager Telephone: 216-529-6666 Fax: Telephone: 216-822-0723 Fax: 216-822-8541 Email: E-mail: michael.colelta@lakewoodoh.net sm8951@alt.com Address for notices, if different from above: Street Address: 45 Erieview Plaza Rm 1360 Street Address City: Cleveland State: OH Zip Code: 44114 City With a cooy to: State Zip Code AT&T Corp. USA One AT&T Way, Bedminster, NJ 07921-0752 Attn: Master Agreement Support Team E-mail: mastCcilatt.com AT&T Authorized Agent or Re resentative Information ( if applicable) ^Prima Sales Contact Name: Company Name: Agent Street Address: City: State: Zip Code: Telephone: Fax: Email: Agent Code Customer agrees to purchase Service in the quantities and according to the prices and terms and conditions set forth in this Pricing Schedule/Confirmation of Service Order and the applicable Tariff(s) and Guidebook(s). If this document serves as a Confirmation of Service Order (as indicated above), the Confirmation of Service Order is subject to: (a) the terms of the applicable Tariff, if the Service is offered pursuant to Tariff; or (b) the AT&T Business Service Agreement (BSA), if the Service is not offered pursuant to Tariff. Tariffs, Guidebooks and the BSA can be found at www.att.com/serviceoublications. Service is provided by the AT&T Incumbent Local Exchange Carrier (ILEC) Affiliate(s) identified below as the Service Provider(s). Throughout the remainder of this document, this document shall be referred to as the "Pricing Schedule". Customer (by its authorized representative) AT&T (by its authorized representative) B: B: Printed or Typed Name: Printed or Typed Name: Title: Title: Date: Date: AT&T and Customer Confidential Information Centrex Service OH_CSO_UA_PS Page 1 of 2 12!31/11 k13241