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HomeMy WebLinkAboutC20-417 Visionary BroadbandService Order Form email: business@visionarybroadband.com phone: 307.687.9933 fax: 307.682.2519 postal mail: Visionary Broadband . PO Box 2799 . Gillette WY 82717-2799 physical: Visionary Broadband . 1001 S Douglas Hwy . Suite 201 . Gillette WY 82716 Please execute Service Order Form and fax a copy to the number above, then mail a hard copy to the address above. ver 0519 Coterminous upgrade of SO-00003901 (aka ECAT2019-001) from 100Mbps/100Mbps DIA at the Z Location to a 500Mbps/500Mbps DIA through 6.18.24. The MRC will increase from $199 MRC to $299 MRC. Monthly CPE Lease $0.00 Visionary Fiber $299.00 Percentage of Interstate Utilization (PIU – 0% or 100%): 0 % Charges: Term: 43 Months $299.00 MRC, does not include current taxes $0.00 NRC NRC = Non-Recurring Cost, MRC = Monthly Recurring Cost 217 Eldon Wilson Rd Gypsum CO 81637 Company Name: Eagle County Regional Airport (ECAT) Contact Name: Jake Klearman Billing Email: itinvoices@eaglecounty.us Billing Address: PO Box 850 City/State/Zip: Eagle CO 81631 Phone: 9703283581 Tax ID: Circuit Description: Location A Company: Visionary Broadband Service Address: Local Contact: Local Phone: Location Notes: Visionary Communications, Inc. signed: dl.signhere.2 print: dl.fullname.2 title: dl.title.2 Account Number: SF-275223 Service Order Number: SO-00018007 Contract Date: November 3, 2020 Requested Due Date: November 6, 2020 Jurisdiction certification: Internet Location Z Company: Eagle County Regional Airport (ECAT) Service Address: Local Contact: Local Phone: Location Notes: Eagle County Regional Airport (ECAT) signed: dl.signhere.1 print: Jeff Shroll title: Your signature below acknowledges you have read, understand and accept the Terms of this Service Order Form. This Service Order Form is subject to the Network Service Master Agreement between the companies below executed on 5/4/15, including the term length displayed on this form, and that you are duly authorized to execute and deliver this Contract as of the date set forth below. DocuSign Envelope ID: 017858FB-7EF5-4955-9944-DC6070D97281 Gina Dillard VP Of Operations County Manager C20-417 DocuSign Envelope ID: 017858FB-7EF5-4955-9944-DC6070D97281 DocuSign Envelope ID: 017858FB-7EF5-4955-9944-DC6070D97281 DocuSign Envelope ID: 017858FB-7EF5-4955-9944-DC6070D97281 DocuSign Envelope ID: 017858FB-7EF5-4955-9944-DC6070D97281 DocuSign Envelope ID: 017858FB-7EF5-4955-9944-DC6070D97281 DocuSign Envelope ID: 017858FB-7EF5-4955-9944-DC6070D97281 DocuSign Envelope ID: 017858FB-7EF5-4955-9944-DC6070D97281 DocuSign Envelope ID: 017858FB-7EF5-4955-9944-DC6070D97281 DocuSign Envelope ID: 017858FB-7EF5-4955-9944-DC6070D97281 DocuSign Envelope ID: 017858FB-7EF5-4955-9944-DC6070D97281 DocuSign Envelope ID: 017858FB-7EF5-4955-9944-DC6070D97281 DocuSign Envelope ID: 017858FB-7EF5-4955-9944-DC6070D97281 DocuSign Envelope ID: 017858FB-7EF5-4955-9944-DC6070D97281 DocuSign Envelope ID: 017858FB-7EF5-4955-9944-DC6070D97281 DocuSign Envelope ID: 017858FB-7EF5-4955-9944-DC6070D97281