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Home My WebLink About20053296.tiff PARTICIPATING ADDENDUM FOR QWEST MASTER CONTRACT FOR VOICE AND DATA SERVICES BETWEEN Weld County Government AND OWEST COMMUNICATIONS CORPORATION The undersigned hereby represents, acknowledges, and agrees as follows: 1. The undersigned is a State of Colorado department, agency or participating political subdivision. Such participating department, agency or political sub-division requests Qwest telecommunication services ("Service(s)") pursuant to the terms and conditions of the Qwest Communications Corporation — State of Colorado Master Contract for Voice and Data Services approved and signed by the State of Colorado on or about February 3, 2005, by and between Qwest Communications Corporation ("Qwest") and the State of Colorado ("State"), as amended, including its Exhibits and Attachments (hereafter the "Underlying Agreement"). 2. The undersigned participating department, agency or political sub-division (also referred to as "Customer") is executing this Participating Addendum for the purpose of purchasing Service from Qwest pursuant to the Underlying Agreement. Customer will be subject to all terms and conditions of this Participating Addendum and the Underlying Agreement. Customer will be responsible for any and all use of Services under this Participating Addendum and the Underlying Agreement, including but not limited to responsibility for payment obligations. Customer will be Qwest's customer of record for the Services provided to Customer under this Participating Addendum and the Underlying Agreement. 3. DESCRIPTION OF SERVICES. Qwest will provide to Customer the Services as set forth in the Underlying Agreement. To the extent Services are tariffed, and where such terms and conditions of the Qwest applicable tariffs do not conflict with the Underlying Agreement, the provisions of the tariff will apply and, in such cases, references in this Agreement to Service Schedule(s) will instead be deemed to refer to the applicable tariff. 4. TERM. This Participating Addendum is effective on the latest signature date and will expire co-terminously with the Underlying Agreement as provided in Section 3 of the Underlying Agreement. 5. PRIMARY CONTACT.The primary Customer contact individual for this Participating Addendum is as follows: Sue Quick 970-336-7200 6. This Participating Addendum and the Underlying Agreement set forth the entire agreement between the parties and supercede all previous communications, representations or agreements, whether oral or written, with respect to the subject matter hereof. Terms and conditions inconsistent with, contrary or in addition to the terms and conditions of this Participating Addendum and the Underlying Agreement will not be added to or incorporated into this Participating Addendum or the Underlying Agreement, by any subsequent purchase order or otherwise, and any such attempts to add or incorporate such terms and conditions are hereby rejected. The terms and conditions of this Participating Addendum and the Underlying Agreement will prevail and govern in the case of any such inconsistent or additional terms. CCD-PA v1 10-26-2004 cm poi‘.., Page 1 4,/72005-3296 IN WITNESS WHEREOF, the parties have executed this Participating Addendum as of the date of execution by both parties below. Weld County Gover ent Ow Communications Corporation + Authorized Sign ure �` Aut ize 'ignatu M. J. Celle &O C71e_ Name Typed or Printed �s� '� Name Typed or rimed Chair Pro-Te 'C- !1 6 5 Title 11 i^ �s Title t_11/07/2005 _ CLY l! - t2 -OS Date -,r , • Date II Address for Notices: .,.I Address for Notices: Qwest Corporation 1801 California Street, 38`" Floor Denver,Colorado 80202 ATTESTING TO BOARD OF COUNTY Attn: Legal Department COMMISSIONER SI�GNNAT1iREESONLY ATTEST: �61� AT� SO_ WELD COUNTYCLERK TO THE BOARD BY:\ Q,TY 1I1� E $OhRo t DE TY CL_ K TO THE B RD CCD—PA v1 10-26-2004 Page 2 dCc's- 3d9G QCC (0432) LETTER OF AUTHORIZATION Q west (Authorization to Change Commercial Service Long Distance Carrier) Spirit of Service Revised: 10/28/2004 Pa.e 1 of 2 CUSTOMER INFORMATION Account ID: Sales Rep ID: E65H Product Account ID: Order Sign Date: Orion/CORE Order#: Bill Cycle: Type of Change: ® New ❑ Add to Account ❑ Admin. Change ❑ Partial Disconnect The undersigned customer wishes to switch its current long distance service to Qwest Communications Corporation ("Qwest").Qwest is hereby designated to act as the undersigned customer's agent for the purpose of: (1)notifying customer's local telephone company of the selection of Qwest as its primary interexchange carrier("PIC"), and (2)ordering, in connection with Qwest's provision of service, changes in and/or maintenance on specific telecommunications service including,without limitation, adding to or rearranging such telecommunications service(s). The undersigned customer's selection of Qwest will apply only to the telephone number(s)listed below.The undersigned customer hereby designates Qwest as its primary interexchange carrier for the following long distance services(Customer MUST check one or both of the following service types as appropriate): ® interLATA(including international)services; and/or ® intraLATA services. Unless otherwise expressly agreed to in writing, Qwest shall have no obligations or responsibility to arrange for termination or removal of telecommunications services provided by long distance providers.The undersigned customer shall remain responsible for terminating and removing any such unwanted services and circuits provided by other long distance providers. I understand that my local exchange carrier(LEC)may charge a fee to change long distance carriers and that I may contact my LEC to determine the specific charge. I represent that I have the authority to change communications carriers for each of the numbers identified below and that I am at least eighteen (18)years old. I understand that I may designate only one primary interexchange carrier for any one telephone number for state-to-state (interLATA), intrastate, and international usage;and that I may designate only one primary interexchange carrier for any one telephone nu er for intraLATA usage (where applicable). With these understandings, I select Qwest to provide the communications service types ' dicated above for each telephone numbers� � listed li below. muit Lcs✓ , /,• �' . E ' f i /zoos Signature (required) M. J. Gene, Ch. �� • •. 'fl;. % JE Date * • «• NTV CLERK T BOARD Company Name: Weld County Go sS ,t;,,• . g� Multiple Page LOA Contact: Sue Quick i 1 -;j� •11711K� W YY1S Pase 1 of 2 Title: Telecom Manager t �� Lttn IT i E BOARD (Customer Initials) • Billing Address:PO BOX 758 ,� ' f; Lt City:Greeley Stay•'i'1.j IZip Code:80632-0758 Phone Number:970-336-7200 I Fax Number: Comments: CUSTOMER SELF PIC'd !! Telephone Number(s) to be PIC'ed #of Index Bill-to Access Method Telephone # PAC Code Digits Number (BTN) VI 1+ n 10XXX 970-304-6400 V NV N 1 + n 10XXX 970-353-6171 V NV N 1+ 10XXX 970-353-9479 NV f NV NI 1+ 1OXXX 970-323-0273 V nNV NI 1 + n 10XXX 970-323-9226 V NV N 1+ 1 OXXX 970-323-8850 NV NV N 1+ 1 OXXX 970-330-3220 V NV N 1 + n 10XXX 970-330-5140 V NV N 1+ 1OXXX 970-330-5142 nV nNV 11+ 1OXXX 970-330-5143 V NV NI 1 + n 10XXX 970-330-5700 fly NV N 1+ 1 OXXX 970-339-5823 nV NV 0?ODs -3 5'6 QCC (0432) LETTER OF AUTHORIZATION Q W 8 S t. (Authorization to Change Commercial Service Long Distance Carrier) sP;nr or service Revised: 10/28/2004 Page 2 of 2 Orion/CORE Order ID: (Account ID: Customer Name: Weld County Government Additional Telephone Numbers to be PIC'd # of Index Bill-to Access Method Telephone # PAC Code Digits Number ® 1+ 1OXXX 970-336-0089 V ENV ® 1 + ❑ 10XXX 970-336-0090 V NV ® 1+ ❑ 10XXX 970-336-0091 ❑V ENV ® 1+ 10XXX 970-336-0092 ❑V ENV ® 1+ ❑ 10XXX 970-339-3085 V NV ® 1 + ❑ 1OXXX 970-346-7640 ❑V ENV ® 1+ ❑ 10XXX 970-346-8246 ❑V ENV ® 1+ 1 OXXX 970-336-0239 V NV ® 1 + ❑ 10XXX 970-336-0241 V NV ® 1+ 1OXXX 970-351-0312 ❑V ENV ® 1+ 1OXXX 970-352-2627 V ENV ® 1 + ❑ 10XXX 720-652-4200 V NV ® 1+ 1 OXXX 970-356-1213 V NV ® 1+ 1OXXX 970-356-1212 V NV ® 1 + ❑ 10XXX 970-352-5277. V NV ® 1 + 10XXX 970-352-6493 ❑V ENV ® 1+ 1 OXXX 970-352-6679 ❑V ENV ® 1+ 10XXX 970-352-6813 ❑V ENV ® 1 + ❑ 10XXX 970-352-6982 ❑V ENV ® 1+ 1 OXXX 970-352-7037 V NV ® 1+ ❑ 10XXX 970-352-9478 ❑V ENV ® 1 + ❑ 10XXX 970-353-2543 V NV ® 1+ ❑ 10XXX 970-353-2729 ❑V ENV ® 1+ 1OXXX 970-353-2825 V ENV ® 1 + ❑ 1 OXXX 970-353-0564 V NV ® 1 + 10XXX 970-353-2796 ❑V NV ® 1+ 10XXX 970-353-4503 ❑V ENV ❑ 1+ ❑ 10XXX ❑V ENV 1 + ❑ 10XXX ❑V ENV 1+ 10XXX ❑V ENV 1+ ❑ 10XXX V NV ❑ 1 + ❑ 10XXX ❑V ENV 1+ 10XXX V ENV ❑ 1+ 1OXXX V NV 1 + ❑ 10XXX ❑V ENV QCC (0432) LETTER OF AUTHORIZATION Q W e S t. • (Authorization to Change Commercial Service Long Distance Carrier) Spirit of Service Revised: 10/28/2004 Pa.e 1 of 2 CUSTOMER INFORMATION Account ID: Sales Rep ID: E65H Product Account ID: Order Sign Date: Orion/CORE Order#: Bill Cycle: Type of Change: ® New ❑ Add to Account ❑ Admin. Change El Partial Disconnect The undersigned customer wishes to switch its current long distance service to Qwest Communications Corporation ("Qwest").Qwest is hereby designated to act as the undersigned customer's agent for the purpose of: (1) notifying customer's local telephone company of the selection of Qwest as its primary interexchange carrier("PIC"), and (2)ordering, in connection with Qwest's provision of service,changes in and/or maintenance on specific telecommunications service including,without limitation, adding to or rearranging such telecommunications service(s). The undersigned customer's selection of Qwest will apply only to the telephone number(s)listed below.The undersigned customer hereby designates Qwest as its primary interexchange carrier for the following long distance services(Customer MUST check one or both of the following service types as appropriate): interLATA(including international)services; and/or intraLATA services. Unless otherwise expressly agreed to in writing, Qwest shall have no obligations or responsibility to arrange for termination or removal of telecommunications services provided by long distance providers.The undersigned customer shall remain responsible for terminating and removing any such unwanted services and circuits provided by other long distance providers. I understand that my local exchange carrier(LEC)may charge a fee to change long distance carriers and that I may contact my LEC to determine the specific charge. I represent that I have the authority to change communications carriers for each of the numbers identified below and that I am at least eighteen (18)years old. I understand that I may designate only one primary interexchange carrier for any one telephone number for state-to-state (interLATA), intrastate, and international usage; and that I may designate only one primary interexchange carrier for any one teleph e number for intraLATA usage(where applicable). With these understandings, I select Qwest to provide the communications servic:. pes indicated above for each of the telephone numbers listed below.Adateti11/07/2005 Signature (requi d)M. J. Geile r it r.,:� �J �� _ i _ ' Date Company Name: Weld Count o �+`'� ' i�"'' "'.le Page LOA Contact: Sue Quick1 at e 1 of 2 Title: Telecom manager O T t BOARD (Customer Initials) Billin. Address:PO BOX 758 Cit :Greeley a�+ ''i Zip Code:80632-0758 Phone Number:970-336-7200 Fax Number: Comments: CUSTOMER SELF PIC'd !! Telephone Number(s) to be PIC'ed # of Index Bill-to Access Method Telephone # PAC Code Digits Number (BTN) • 1+ n 10XXX 970-356-1220 Fly nNV N 1 + n 10XXX 970-356-2110 Fly nNV N 1+ 10XXX 970-356-4001 Di nNV N 1+ 10XXX 970-356-4002 V nNV N 1 + n 10XXX 970-356-4003 Fly nNV • 1+ 10XXX 970-356-4004 V NV • 1+ n 10XXX 970-356-4005 Fly nNV N 1+ 10XXX 970-356-4006 fly nNV N 1+ 10XXX 970-356-4007 V NV IX 1 + 10XXX 970-356-4008 nV nNV N 1+ 10XXX 970-356-4000 nV nNV N 1+ 10XXX 970-356-5189 V NV ' V5-- 99 QCC (0432) LETTER OF AUTHORIZATION QW @ 5 t. (Authorization to Change Commercial Service Long Distance Carrier) spirit of s..m• Revised: 10/28/2004 Page 2 of 2 Orion/CORE Order ID: Account ID: Customer Name: Weld County Government Additional Telephone Numbers to be PIC'd # of Index Bill-to Access Method Telephone # PAC Code Digits Number ® 1 + ❑ 10XXX 970-356-4531 ❑V NV ® 1+ 1 0XXX 970-356-5288 ❑V ENV ® 1+ 1 0XXX 970-356-5852 ❑V ENV ® 1 + ❑ 10XXX 970-356-7408 ❑V ENV N 1+ J 10XXX 970-392-9963 ❑V ENV ® 1+ 1 0XXX 970-434-7797 F V ENV ® 1+ ❑ 10XXX 970-523-9402 ❑V NV ® 1 + ❑ 10XXX 970-434-7744 ❑V ENV ® 1+ 1 0XXX 303-536-0440 ❑V ENV ® 1+ 10XXX 970-587-2888 V NV ® 1 + ❑ 10XXX 970-587-4508 ❑V ENV ® 1+ 10XXX 303-857-2987 ❑V ENV ® 1+ 10XXX 303-857-7870 V ENV ® 1+ ❑ 10XXX 303-678-8096 ❑V ENV N 1+ 10XXX 970-737-2774 ❑V ENV ® 1+ 10XXX 970-785-2324• V ENV N 1 + ❑ 10XXX 970-785-2753 ❑V ENV N 1+ 10XXX 303-833-2230 V NV N 1+ ❑ 10XXX 303-833-4337 ❑V ENV ® 1 + ❑ 10XXX 303-833-4345 ❑V ENV ® 1+ 10XXX 303-833-5523 ❑V ENV N 1+ 10XXX 303-833-6578 V ENV 1 + ❑ 10XXX V NV 1+ 10XXX ❑V ENV ❑ 1+ 10XXX V ENV 1 + ❑ 10XXX ❑V ENV 1+ ❑ 10XXX ❑V ENV 1+ ❑ 10XXX ❑V ❑NV ❑ 1+ ❑ 10XXX V NV 1 + 10XXX ❑V ENV 1+ 10XXX V ENV 1+ ❑ 10XXX ❑V NV 1+ 10XXX ❑V ENV ❑ 1+ ❑ 10XXX V NV ❑ 1 + ❑ 10XXX ❑V ENV QCC (0432) RespOrg - Domestic Toll-Free Number Q we St (Responsible Organization Change Form) Revised 5/12/04 CUSTOMER NFORMATION Account ID: Sales Rep Sales ID:E65H Sales Rep CUID tthonus Order Sign Date: Orion/CORE Order#: Product Info: Product Account ID: Type of Change: 0 New ❑Add to Account ❑Admin.Change O Partial Disconnect Letter of Agency The undersigned hereby authorizes Qwest Communications Corporation(QCC)to act as the Responsible Organization("RESPORG")for the following toll-free(8XX)numbers. The undersigned understands that this authorization is in accordance with all applicable Qwest state and federal tariffs(currently,Qwest Tariffs No.2 and No.3)and any accompanying terms and conditions therein. Toll-Free Current New Ring-to New/ Switched/ Number RESPORG ID RESPORG ID Number Area of Service Port Dedicated 800-234-2534 MCI LGT01 970-356-8016 p48%p1 5p lO mat nal ®Port ❑Ded 800-436-9276 MCI LGT01 970-356-4015 048 Canada :New 0Swi vi/PR 5❑ In❑International ®Port ❑Ded 877-470-7222 MCI LGT01 970-336-7222 0 VI/ O50 I0 Canada at International ®Poi ElSwi ❑Ded LGT01 °❑VI/P°s0 0 Canada ONew o International ❑Port ❑Swi ❑Ded LGT01 O48 O50 O Canada ❑New 0Swi ❑VI/PR ❑ International ❑Port ❑Ded O48 O50 LGT01 El VI/PR O International ❑Port ❑Ded Initial One of the Following The undersigned is not an agent for any third party. The undersigned represents and warrants that it is the exclusive end user subscriber of the toll-free(8XX)number(s)listed herein and agrees to indemnify,defend and hold Qwest harmless from all liability and expenses for any breach of that representation and warranty. The undersigned is acting as an expressed authorized agent on behalf of a third party who controls the toll-free(8XX) number(s)listed above. Please list the third party for which you are acting on behalf of: (Proof of Letter of Agency for telecommunications,including but not limited to RESPORG,is required). NOTICE REGARDING USAGE-RELATED INFORMATION In the course of providing service to you,we will possess certain usage-related information about the quantity,type and destination of telecommunications services you use.You have a right,and we have a duty,to protect the confidentiality of this information.This information may be useful to tailor our products and services to your needs and to enhance our ability to meet all of your telecommunications needs.With your approval,we will use your usage-related information to offer you other Qwest(or its affiliates)products or services that may satisfy your needs and to respond to your concerns if you have become dissatisfied or cancel any of our services.Of course,your decision will not harm the quality of service Qwest(or its affiliates)provides,and we will honor your choice until you expressly tell us otherwise. O Yes, I,the undersigned customer,hereby authorizes Qwest and agents acting on its behalf to:(I)use billing and usage information related to my account to evaluate whether I would benefit from other telecommunications services offered by Qwest,and(II)market such other telecommunications services to me. By signing this form,the undersigned also acknowledges that if this is a new toll-free(8XX)number,this toll-free(8XX)number will not be assigned to the undersigned until the toll-free(8XX)number is actually ringing to the ring-to number listed above.The undersigned further represents,warrants and agrees to indemnify,defend and hold Qwest harmless from any damages that may arise from this new toll-free(8XX) number not being avail le to the undersigned. Understood an gree)i: Sig ature quired✓tea, 11/07/2005 Date �j�•n—ile, Chair Pro—Tern �`•i�y• •� (as listed on current Billing Invoice): 1 i' State: I Zip Code: on • •b- I Fax Number: F•• INTE•NAL USE •NLY Sales Username: Pro;;dbat� , , J q City: ATTEST: �!///J�//d/w`i/�/�//�( WELD COUNTY CLERK TO THE BOARD. BY: (link 005719 ' . TO THE ARD O7cos-,6a96 Hello