HomeMy WebLinkAboutC21-080 Pitney BowesORDER AMENDMENT Contract Number Your Business Information Full Legal Name of Client Federal Tax ID # Billing Address: Street City State Zip Code Billing Contact Name Billing Contact Phone # Billing Account # Installation Address: Street City State Zip Code Installation Contact Name Installation Contact Phone # Installation Account # Amendment To Your Payment Plan *Does not include any applicable sales, use, or property taxes which will be billed separate. Your Signature Below Both parties acknowledge and agree that this document shall be deemed an amendment to the originally signed agreement. By signing below, you agree to be bound by all terms of this Order Amendment including any additional terms that are located in the Pitney Bowes Terms which are applicable to the items added herein. The Pitney Bowes Terms are available at http://www.pb.com/termsconditions and are incorporated by reference. Client Signature Print Name Pitney Bowes Signature Title Print Name Date Title Email Address Date Sales Information Account Rep Name1 Sales Rep ID Split District Account Rep Name 2 Sales Rep ID Split District US158404.2 11/18 Page 1 of 1 See Pitney Bowes Terms for additional terms and conditions ©2018 Pitney Bowes Inc. All rights reserved. Options to be Added Confirmation Services SendPro Web E-Return Receipt SendPro Enterprise Inview/Budget Manager Track MyMail Cell Connection Device SLA Meter PITNEY BOWES GLOBAL SERVICE APPROVAL NAME: SIGNATURE: DATE: Add: Payment Amount Monthly Amount* Billed Quarterly at* Remove: Payment Amount Monthly Amount* Billed Quarterly at* NOTE: ADDING OR REMOVING SLA APPLIES TO ENTIRE CONTRACT. PB GLOBAL SERVICE APPROVAL SIGNATURE BELOW IS REQUIRED PRIOR TO SUBMISSION FOR PROCESSING Options to be Removed Confirmation Services SendPro Web E-Return Receipt SendPro Enterprise Inview/Budget Manager Track MyMail Cell Connection Device SLA Meter Eagle County PO Box 850 Eagle CO 81631 Mariya Trifonova (970) 328-3515 11067469 500 Broadway CO 81631 Mariya Trifonova (970) 328-3515 1697311 $ 25.00 $ 75.00 Tanner Bang 713469 100 4 Eagle DocuSign Envelope ID: 26AB2B2B-3A88-4182-AEFA-95D8CC4FEC32 Major Account Manager Tanner Bang 3/16/2021jeff.shroll@eaglecounty.us 3/16/2021 County Manager Jeff Shroll C21-080