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Home My WebLink About20093314.tiffRG25-02x1 (1203A) 9/01 Qwest AGREEMENT TO CHANGE RESPONSIBILITY FOR TELEPHONE SERVICE he parties to this agreement are Qwcst, the customer: and the applicant: Commun ity Developmentlnsti tote-HeadStar+ Incoming Subscriber Whereas Qwest provides telephone service at the following address: 341 14 Ave Greeley, CO Weld County Government Outgoing Subscriber with assigned telephone number 970 - 351 - 03 t2 to the Customer. The Customer and the Applicant desire to transfer the service and the number to the Applicant. The parties agree as follows: I. The Outgoing Subscriber consents to have Qwest transfer the service and telephone number to the Incoming subscriber. 2. The Outgoing Subscriber agrees to pay all outstanding charges previously billed on the service. 3. The Outgoing Subscriber agrees to pay any additional charges due or to become due to Qwest for service provided to the date of transfer of service to the Incoming Subscriber. 4. Afler the date of transfer of the service to the Incoming Subscriber, the Incoming Subscriber agrees to pay all charges for the service billed by Qwest according to applicable tarilTs or price schedules. 5. After this agreement is received and accepted by Qwest, it will become effective on the date the service is transferred on Qwest records from the Outgoing Subscriber to the Incoming Subscriber. 6. If this form is not received by (10 business days), we will cancel the request for supersedure and continue to provide service in the name of the outgoing subscriber. It is understood that Qwest has the right not to reassign the telephone number if, for any reason, it chooses not to do so. Weld Count Board of Commissioners ubscriber Name Printed 2 Outgo n(Subscriber Signature William F. Caries. Chair Title of Person Signing 12/16/2O09 Date Community Development Institute -Head Start Incu rst ubseriber,Name Printed 2OAlai nimi g Subscriber Signature 1 �,I.w.' C - Title of Person Signing taro9 Date FOR OFFICE USE ONLY: Date signed form received: Date orders issued: CM ©eYa9 2009-3314 Qwest AGREEMENT TO CHANGE RESPONSIBILITY FOR TELEPHONE SERVICE The parties to this agreement are Qwest, the customer: and the applicant: Incoming Subscriber Whereas Qwest provides telephone service at the following address: 1400 37 Street Evans, CO Communi tyDeve lopmentl nstitute-HeadStar+ RG25-0281 (1203A)9/01 Weld County Government Outgoing Subscriber with assigned telephone number 970 - 339 - 3085 to the Customer. The Customer and the Applicant desire to transfer the service and the number to the Applicant. The parties agree as follows: 1. The Outgoing Subscriber consents to have Qwest transfer the service and telephone number to the Incoming subscriber. 2. The Outgoing Subscriber agrees to pay all outstanding charges previously billed on the service. 3. The Outgoing Subscriber agrees to pay any additional charges due or to become due to Qwest for service provided to the date of transfer of service to the Incoming Subscriber. 4. After the date of transfer of the service to the Incoming Subscriber, the Incoming Subscriber agrees to pay all charges for the service billed by Qwest according to applicable tariffs or price schedules. 5. After this agreement is received and accepted by Qwest, it will become effective on the date the service is transferred on Qwest records from the Outgoing Subscriber to the Incoming Subscriber. 6. If this form is not received by (10 business days), we will cancel the request for supersedure and continue to provide service in the name of the outgoing subscriber. It is understood that Qwest has the right not to reassign the telephone number if, for any reason, it chooses not to do so. Weld Count Board of Commissioners Outaoirubscriber Name Printed [going uubsc r b r Signature William F. Garcia, Chair Title of Person Signing 12/16/2009 Community Development Institute -Head Start oomiiinngS 'ber Name Printed Incoming Su criber Signature Sift Title of Person Signing 12-1(5105 Date Date FOR OFFICE USE ONLY: Date signed form received: Date orders issued: Qwest AGREEMENT TO CHANGE RESPONSIBILITY FOR TELEPHONE SERVICE The parties to this agreement are Qwest, the customer: CommunityDeveIopmcntlnstitute-HeadStar i and the applicant: Incoming Subscriber Whereas Qwest provides telephone service at the following address: 2201 34 Street Evans,CO RG25-02x1 (1203A) 9/01 Weld County Government Outgoing Subscriber with assigned telephone number 970 - 330 - 3220 to the Customer. The Customer and the Applicant desire to transfer the service and the number to the Applicant. The parties agree as follows: 1. The Outgoing Subscriber consents to have Qwest transfer the service and telephone number to the Incoming subscriber. 2. The Outgoing Subscriber agrees to pay all outstanding charges previously billed on the service. 3. The Outgoing Subscriber agrees to pay any additional charges due or to become due to Qwest for service provided to the date of transfer of service to the Incoming Subscriber. 4. After the date of transfer of the service to the Incoming Subscriber, the Incoming Subscriber agrees to pay all charges for the service billed by Qwest according to applicable tariffs or price schedules. 5. After this agreement is received and accepted by Qwest, it will become effective on the date the service is transferred on Qwest records from the Outgoing Subscriber to the Incoming Subscriber. 6. If this form is not received by (10 business days), we will cancel the request for supercedure and continue to provide service in the name of the outgoing subscriber. It is understood that Qwest has the right not to reassign the telephone number if, for any reason, it chooses not to do so. Weld Count Board of Commissioners Q¢tgscriber Name Printed Outgoing Subscriber Signature William F. Garcia, Chair Title of Person Signing 12/16/2009 Date Community Development Institute -Head Start IncomirtU'Subscriber Name Printed IncominQSubbsQscriber Signature J L'7C� Title of Person Signinger �� FOR OFFICE USE ONLY: Date signed form received: Date orders issued: iZ/rs/oq Date est AGREEMENT TO CHANGE RESPONSIBILITY FOR TELEPHONE SERVICE The parties to this agreement arc Qwest, the customer: Commun ityDevel opmentl nsti Lute-HeadStar+ Incoming Subscriber Whereas Qwest provides telephone service at the following address: 320 Maple Frederick, CO and the applicant: RG25-0281 (1203A) 9/01 Weld County Government Outgoing Subscriber with assigned telephone number 303 - 833 - 2230 to the Customer. The Customer and the Applicant desire to transfer the service and the number to the Applicant. The parties agree as follows: 1. The Outgoing Subscriber consents to have Qwest transfer the service and telephone number to the Incoming subscriber. 2. The Outgoing Subscriber agrees to pay all outstanding charges previously billed on the service. 3. The Outgoing Subscriber agrees to pay any additional charges due or to become due to Qwest for service provided to the date of transfer of service to the Incoming Subscriber. 4. After the date of transfer of the service to the Incoming Subscriber, the Incoming Subscriber agrees to pay all charges for the service billed by Qwest according to applicable tariffs or price schedules. 5. After this agreement is received and accepted by Qwest, it will become effective on the date the service is transferred on Qwest records from the Outgoing Subscriber to the Incoming Subscriber. 6. If this form is not received by (10 business days), we will cancel the request for supercedure and continue to provide service in the name of the outgoing subscriber. It is understood that Qwest has the right not to reassign the telephone number if, for any reason, it chooses not to do so. Weld Coujv Board of Commissioners bscriber Name Printed 7 Outgoing Subscriber Signature William F. Garcia, Chair Title of Person Signing 12/16/2009 Date Community Development Institute -Head Start criber Nam&Printed I cn oming$(tbscribe�r�'S��i��g'yn'a�'t�`u+r/e�pJ/�/�J Title of Person Signing (2- (5/oc FOR OFFICE USE ONLY: Date signed form received: Date orders issued: Date RG25-0281 (1203A) 9/01 Qwest AGREEMENT TO CHANGE RESPONSIBILITY FOR TELEPHONE SERVICE The parties to this agreement are Qwest, the customer: CommunityDevelopmentl nstitute-HeadStar+ Incoming Subscriber Whereas Qwest provides telephone service at the following address: 320 Maple Frederick, CO and the applicant: Weld County Government Outgoing Subscriber with assigned telephone number 303 - 833 - 5523 to the Customer. The Customer and the Applicant desire to transfer the service and the number to the Applicant. The parties agree as follows: 1. The Outgoing Subscriber consents to have Qwest transfer the service and telephone number to the Incoming subscriber. 2. The Outgoing Subscriber agrees to pay all outstanding charges previously billed on the service. 3. The Outgoing Subscriber agrees to pay any additional charges due or to become due to Qwest for service provided to the date of transfer of service to the Incoming Subscriber. 4. After the date of transfer of the service to the Incoming Subscriber, the Incoming Subscriber agrees to pay all charges for the service billed by Qwest according to applicable tariffs or price schedules. 5. After this agreement is received and accepted by Qwest, it will become effective on the date the service is transferred on Qwest records from the Outgoing Subscriber to the Incoming Subscriber. 6. If this form is not received by (10 business days), we will cancel the request for supercedure and continue to provide service in the name of the outgoing subscriber. It is understood that Qwest has the right not to reassign the telephone number if, for any reason, it chooses not to do so. Weld County Board of Commissioners going.S Briber Name Printed Outgoing Subscriber Signature William F. Garcia, Chair Title of Person Signing 12/16/2009 Date Community Development Institute -Head Start ommiiinng �S fiber Name Printed kcal (ncoming Subriber Si nature ,Ssn Title of Person Signing eaf(Si oq FOR OFFICE USE ONLY: Date signed form received: Date orders issued: Date Qwest AGREEMENT TO CHANGE RESPONSIBILITY FOR TELEPHONE SERVICE The parties to this agreement are Qwest. the customer: and the applicant: CommunityDevelopmentInstitute-HeadStar} Incoming Subscriber Whereas Qwest provides telephone service at the following address: 1 175 Birch Street, Gilcrest, CO RG25-0281 (1203A) 9/01 Weld County Government Outgoing Subscriber with assigned telephone number 970 - 737 - 2774 to the Customer. The Customer and the Applicant desire to transfer the service and the number to the Applicant. The parties agree as follows: 1. The Outgoing Subscriber consents to have Qwest transfer the service and telephone number to the Incoming subscriber. 2. The Outgoing Subscriber agrees to pay all outstanding charges previously billed on the service. 3. The Outgoing Subscriber agrees to pay any additional charges due or to become due to Qwest for service provided to the date of transfer of service to the Incoming Subscriber. 4. After the date of transfer of the service to the Incoming Subscriber, the Incoming Subscriber agrees to pay ail charges for the service billed by Qwest according to applicable tariffs or price schedules. 5. After this agreement is received and accepted by Qwest, it will become effective on the date the service is transferred on Qwest records from the Outgoing Subscriber to the Incoming Subscriber. 6. If this form is not received by (10 business days), we will cancel the request for supersedure and continue to provide service in the name of the outgoing subscriber. It is understood that Qwest has the right not to reassign the telephone number if. for any reason, it chooses not to do so. Weld County Board of Commissioners � //( (3) scriber Name Printed V (� Outgoing Subscriber Signature William F. Garcia, Chair Title of Person Signing 12/16/2009 Date Community Development Institute -Head Start I comm Sub briber Signature iSaP2 Title of Person Signing tir )2((S/0, Date FOR OFFICE USE ONLY: Date signed form received: Date orders issued: I Ai RO25-028 I 'IPt ut 'tit Qwest AGREEMENT TO CHANGE RESPONSIBILITY FOR TELEPHONE SERVICE The parties to this agreement are Qwest. the customer: and the applicant: CommunityDevelopmentlnstitute-HeadStar-r- Incoming Subscriber Whereas Qwest provides telephone service at the following address: 300 Beech Street, Hudson, CO (1203A) 9/01 Weld County Government Outgoing Subscriber with assigned telephone number 303 - 536 - 0440 to the Customer. The Customer and the Applicant desire to transfer the service and the number to the Applicant. The parties agree as follows: 1. The Outgoing Subscriber consents to have Qwest transfer the service and telephone number to the Incoming subscriber. 2. The Outgoing Subscriber agrees to pay all outstanding charges previously billed on the service. 3. The Outgoing Subscriber agrees to pay any additional charges due or to become due to Qwest for service provided to the date of transfer of service to the Incoming Subscriber. 4. After the date of transfer of the service to the Incoming Subscriber, the Incoming Subscriber agrees to pay all charges for the service billed by Qwest according to applicable tariffs or price schedules. 5. After this agreement is received and accepted by Qwest, it will become effective on the date the service is transferred on Qwest records from the Outgoing Subscriber to the Incoming Subscriber. 6. If this form is not received by (10 business days), we will cancel the request for supercedure and continue to provide service in the name of the outgoing subscriber. It is understood that Qwest has the right not to reassign the telephone number if, for any reason, it chooses not to do so. Weld County Board of Commissioners Out etn ybscriber Name Printed {ncomin criber Name —Printed Incoming S scribe Signature l Si Title of Person Signing Community Development Institute -Head Start Outgoing Subscriber Signature William F. Garcia, Chair Title of Person Signing 12/16/2009 (ai ici aR Date Date FOR OFFICE USE ONLY: Date signed form received: Date orders issued: Outgoing Subscriber Signature William F. Garcia, Chair Title of Person Signing 12/16/2009 Qwest AGREEMENT TO CHANGE RESPONSIBILITY FOR TELEPHONE SERVICE The parties to this agreement are Qwest, the customer: and the applicant: CommunityDevelopmentlnstitute-HeadStar-i- Incoming Subscriber Whereas Qwest provides telephone service at the following address: 1315 4th Ave, Greeley, CO RG25-0281 (1203A) 9/01 Weld County Government Outgoing Subscriber with assigned telephone number 970 - 356 - 7408 to the Customer. The Customer and the Applicant desire to transfer the service and the number to the Applicant. The parties agree as follows: I . The Outgoing Subscriber consents to have Qwest transfer the service and telephone number to the Incoming subscriber. 2. The Outgoing Subscriber agrees to pay all outstanding charges previously billed on the service. 3. The Outgoing Subscriber agrees to pay any additional charges due or to become due to Qwest for service provided to the date of transfer of service to the Incoming Subscriber. 4. After the date of transfer of the service to the Incoming Subscriber, the Incoming Subscriber agrees to pay all charges for the service billed by Qwest according to applicable tariffs or price schedules. 5. Alter this agreement is received and accepted by Qwest, it will become effective on the date the service is transferred on Qwest records from the Outgoing Subscriber to the Incoming Subscriber. 6. If this form is not received by (10 business days), we will cancel the request for supersedure and continue to provide service in the name of the outgoing subscriber. It is understood that Qwest has the right not to reassign the telephone number if, for any reason, it chooses not to do so. Weld County Board of Commissioners Outgoin Subscriber Name Printed Community Development Institute -Head Start I oming S er Name Priftted (L=C2 ,- �� —4 %Inncoomiing(S�u/bss iber Signature �`'� JINe tifiblaellt Title of Person Signing PI (5101 Date Date FOR OFFICE USE ONLY: Date signed form received: Date orders issued: RG25-0281 t;I, tit n/1 Qwest AGREEMENT TO CHANGE RESPONSIBILITY FOR TELEPHONE SERVICE The parties to this agreement are Qwest, the customer: and the applicant: CommunityDevelopmentlnstitute-HeadStar} Incoming Subscriber Whereas Qwest provides telephone service at the following address: 100 Broad Street Milliken, CO (1203A) 9/01 Weld County Government Outgoing Subscriber with assigned telephone number 970 - 587 - 2888 to the Customer. The Customer and the Applicant desire to transfer the service and the number to the Applicant. The parties agree as follows: I. The Outgoing Subscriber consents to have Qwest transfer the service and telephone number to the Incoming subscriber. 2. The Outgoing Subscriber agrees to pay all outstanding charges previously billed on the service. 3. The Outgoing Subscriber agrees to pay any additional charges due or to become due to Qwest for service provided to the date of transfer of service to the Incoming Subscriber. 4. Atter the date of transfer of the service to the Incoming Subscriber, the Incoming Subscriber agrees to pay all charges for the service billed by Qwest according to applicable tariffs or price schedules. 5. After this agreement is received and accepted by Qwest, it will become effective on the date the service is transferred on Qwest records from the Outgoing Subscriber to the Incoming Subscriber. 6. If this form is not received by (10 business days), we will cancel the request for supercedure and continue to provide service in the name of the outgoing subscriber. It is understood that Qwest has the right not to reassign the telephone number if. for any reason, it chooses not to do so. Weld County Board of Commissioners Out Subscriber Name Printed iJ Outgoing Subscriber Signature William F. Garcia, Chair Title of Person Signing 12/16/2009 Community Development Institute -Head Start In� s ber Name Printed Incoming Sub riber Signature (2ict Sae Mot &r Title of Person Signing / 24rs(p� Date Date FOR OFFICE USE ONLY: Date signed form received: Date orders issued: Qwest AGREEMENT TO CHANGE RESPONSIBILITY FOR TELEPHONE SERVICE The parties to this agreement are Qwest, the customer: and the applicant: CommunityDevelopmentlnstitute-HeadStar% Incoming Subscriber Whereas Qwest provides telephone service at the following address: 500 24 Ave Greeley, CO RG25-0281 (1203A) 9/01 Weld County Government Outgoing Subscriber with assigned telephone number 970 - 353 - 2796 to the Customer. The Customer and the Applicant desire to transfer the service and the number to the Applicant. The parties agree as follows: 1. The Outgoing Subscriber consents to have Qwest transfer the service and telephone number to the Incoming subscriber. 2. The Outgoing Subscriber agrees to pay all outstanding charges previously billed on the service. 3. The Outgoing Subscriber agrees to pay any additional charges due or to become due to Qwest for service provided to the date of transfer of service to the Incoming Subscriber. 4. After the date of transfer of the service to the Incoming Subscriber, the Incoming Subscriber agrees to pay all charges for the service billed by Qwest according to applicable tariffs or price schedules. 5. After this agreement is received and accepted by Qwest, it will become effective on the date the service is transferred on Qwest records from the Outgoing Subscriber to the Incoming Subscriber. 6. If this form is not received by (10 business days), we will cancel the request for supercedurc and continue to provide service in the name of the outgoing subscriber. It is understood that Qwest has the right not to reassign the telephone number if, for any reason, it chooses not to do so. Weld County Boa d of Commissioners Outi4?nu SubscfibEi4 ame Printed /If'; Outgoing Subscriber Signature William F. Garcia, Chair Title of Person Signing 12/16/2009 Community Development Institute -Head Start ming Sptsttiber Name Printed Dui iji2 Incoming Subsbriber Signature (ate,Sfk fla t a Title of Person Signing i24 (sI M Date Date FOR OFFICE USE ONLY: Date signed form received: Date orders issued: Qwest AGREEMENT TO CHANGE RESPONSIBILITY FOR TELEPHONE SERVICE The parties to this agreement are Qwest, the customer: and the applicant: Incoming Subscriber Whereas Qwest provides telephone service at the following address: 1202 Main St, Platteville, CO Com muni tyDevel op mentl nsti tute-HeadStart RG25-0281 (1203A) 9/01 Weld County Government Outgoing Subscriber with assigned telephone number 970 - 785 - 2324 to the Customer. The Customer and the Applicant desire to transfer the service and the number to the Applicant. The parties agree as follows: I. The Outgoing Subscriber consents to have Qwest transfer the service and telephone number to the Incoming subscriber. 2. The Outgoing Subscriber agrees to pay all outstanding charges previously billed on the service. 3. The Outgoing Subscriber agrees to pay any additional charges due or to become due to Qwest for service provided to the date of transfer of service to the Incoming Subscriber. 4. After the date of transfer of the service to the Incoming Subscriber, the Incoming Subscriber agrees to pay all charges for the service billed by Qwest according to applicable tariffs or price schedules. 5. After this agreement is received and accepted by Qwest, it will become effective on the date the service is transferred on Qwest records from the Outgoing Subscriber to the Incoming Subscriber. 6. If this form is not received by (10 business days), we will cancel the request for supercedure and continue to provide service in the name of the outgoing subscriber. It is understood that Qwest has the right not to reassign the telephone number if, for any reason, it chooses not to do so. Weld Cou tv :•ard of Commissioners iber Name Printed utgoing Subscriber Signature William F. Garcia, Chair Title of Person Signing 12/16/2009 Date Community Development Institute -Head Start ming 94$5b{iber Name Printed Incoming Subscriber Signature bad SS*. *. itakta cr-' Title of Person Signing )4(67oc) FOR OFFICE USE ONLY: Date signed form received: Date orders issued: Date al19- 33, Qwest AGREEMENT TO CHANGE RESPONSIBILITY FOR TELEPHONE SERVICE The parties to this agreement are Qwest, the customer: Comm un ityDevelop m entl nstitute-HeadS tarJ- and the applicant: Incoming Subscriber Whereas Qwest provides telephone service at the following address: 2500 1st Ave, Greeley, CO RG25-0281 (1203A) 9/01 Weld County Government Outgoing Subscriber with assigned telephone number 970 - 356 - 5036 to the Customer. The Customer and the Applicant desire to transfer the service and the number to the Applicant. The parties agree as follows: 1. The Outgoing Subscriber consents to have Qwest transfer the service and telephone number to the Incoming subscriber. 2. The Outgoing Subscriber agrees to pay all outstanding charges previously billed on the service. 3. The Outgoing Subscriber agrees to pay any additional charges due or to become due to Qwest for service provided to the date of transfer of service to the Incoming Subscriber. 4. After the date of transfer of the service to the Incoming Subscriber, the Incoming Subscriber agrees to pay all charges for the service billed by Qwest according to applicable tariffs or price schedules. 5. After this agreement is received and accepted by Qwest, it will become effective on the date the service is transferred on Qwest records from the Outgoing Subscriber to the Incoming Subscriber. 6. If this form is not received by (10 business days), we will cancel the request for supercedure and continue to provide service in the name of the outgoing subscriber. It is understood that Qwest has the right not to reassign the telephone number if, for any reason, it chooses not to do so. Weld County--soard of Commissioners 'ber Name Printed Outgoing ubscriber Signature William F. Garcia, Chair Title of Person Signing 12/16/2009 Community Development Institute -Head Start Incoming Syhssayber Name glinted 1)114 ALLLI 1' m- Incoming Subscriber Signature Cead sty iiTitle of Person Signing 171 iQ ui Date Date FOR OFFICE USE ONLY: Date signed form received: Date orders issued: 02009- 3.3/ Hello