HomeMy WebLinkAboutIntegra move agreement Integra Telecom of Minnesota, Inc. Today's Date April 22, 2010
6160 Golden Hills Drive t /J Account Name City of Oak Park Heights
Golden Valley, MN 55416 l nte gra Service Address 14168 Oak Park Blvd N Oak Park Heights, MN 55082
Phone: 763 -404 -7737 TELECOM Account Number 819372
Toll Free: 888 -444 -0620
Fax: 763- 746 -2003
Prepared By: Kate Karow Contract Term endin 12129/2012
Account Manager: Lea Johnson ❑ na apgicam MOVE ORDER INFORMATION
Customer Contact Information New Service Address 14168 Oak Park Blvd N Suite
Contact Name Gary Brunckhorst City, State Oak Park Heights, MN Zip 55082
Contact Number 651- 439 -4439 "Requested Move Date End of April, Early May
Email Address ghnmckhors10citvnfm •Mimmum Business days required once oonbact is received and accepted by Integra:
Fax Business Lines: 15 Days DSL: 20 Days T1: 30 Days
MOVE ORDER - New Service Address
Local services and Features I Monthly Unit Term Curve I Total ' w MOnt UNt Add/Change to Service
nt Pricing install
Cost I Discount I Month cost I D sc unt I Charges I Quantity I Total Monthly I T otal Charges insta
Ouanttty
Nexus Digital Local Loop $ 155.00 1 $ 155.00 Conversion
IAC 1 $ 25.25 1 $ 25.25
ICF $ 15.00 1 $ 15.00 $ 15.00 1 $ 15.00
Nexus Business Line $ 16.99 $ 6.00 14 $ 153.86 Conversion
ValuSelect Custom Plus (features) $ 12.50 $ 11.50 1 $ 1.00 Disconnect
Directory Listing - Additional $ 6.00 $ 5.00 1 $ 1.00 $ 6.00 $ 5.00 1 $ 1.00
OLSP Business Line $ 29.99 1 $ 29.99 $ 29.99 $ 45.00 5 $ 149.95 Waived
IAC $ 5.05 1 $ 5.05 $ 5.05 5 $ 25.25
ICF $ 3.25 1 $ 3.25 $ 3.25 5 $ 16.25
Novus PRI $ 210.00 $ 100.00 1 $ 110.00
Novus Data $ 199.00 $ 300.00 1 $ 199.00 Waived
DID Station Number $ 0.15 $ 0.10 100 $ 5.00
Offnet Loop Charge $ 75.00 $ 75.00 1
Call Forwarding Variable $ 6.00 $ 6.00 1
Remote Access Call Forwarding $ 4.00 $ 4.00 1
Long distance on OLSP line
rate is $0.07/0.07
Long distance on T1 rate is
$.025/.04
Estimated Subtotals' for Local Service: I $ 364.15 , 1$ 546.701 $
'Our Feature package includes a voice messaging premium box in the package. Other available features included in package = caller ID, call waiting ID, call transfer, call waiting, hunting,
3 way calling, selective call rejection, call forward variable and last call return
Current Pricing Add/Change to Service
Toll Services I Per Minus
❑ No Lange to existing Toll S Estimated Estimated Minutes Total Monthly Per Minute Rate Estimated Minutes Monthly Total Cost
Interstate $ 0.025 0 $ $ 0.025 0 $
Intrastate $ 0.04 0 $ $ 0.04 0 $
Toll Free Interstate $ - 0 $ $ - 0 $
Toll Free Intrastate $ 0 $ $ 0 $
LD ValuPlan Overage $ - 0 $ $ - 0 $ -
I Existina Pricing I Integra Proposed Services Estimate'
Estimated Total Monthly Charge' for all Services:` $ 364.15 $ 546.70
In addition, Extended Service Area charges (EAS) may apply depending on the customer's location of service.
Notes: Term Length ending 12/29/2012 %Savings Per Month -50%
Revenue Decrease or Increase ($182.55)
Customer moving services to same address (new building is being constructed just behind the current building), waiving move fees /Install fees per original contract notes, co- terminous
contract ending 12/29/12, upgrading to Novus PRI with 100 DIDs and adding 4 OLSP lines for a total of 5 analog lines, approval per Darin F
Directory Primary Listing ❑ No Additional UStIrW ❑ Additions usbrgs nttad - e ❑ No long. to adong listing I Including a suite, room or other
Company Name IND Change (address will be the same, but new building is being built) addition Directory Listing
Telephone Number to List I I information will incur a $6.00
Address I ❑ "x" To indude Su, e & Initial monthly fee.
Citv,Stale,Zlp I
Listinci Type: ❑ Biomass ❑ R- cienbal ❑ Pielished ❑ Nm- P.lisheo ❑ N, r IiSted ❑ OMIT Addles
This Agreement including Integra's Master Service Agreement, any schedules or attachments hereto, and Integra Telecom's policies and procedures located at www.integratelecom.com,
incorporated by reference herein, constitute a binding commitment between Integra Telecom and Customer, effective upon execution of this Service Agreement, and supercede all prior or
contemporaneous agreements, understandings or representations relating to the subject matter contained herein. Customer acknowledges that Customer has received, read, and understands
this Agreement and the Master Service Agreement, and agrees to be bound by all of the terms and conditions of the foregoing documents and policies. Early Termination fees may apply
// as set forth in Section 15 of the Integra Master Service Agreement.
Customer Acceptant: vc�! y t t_1l �U h 6- ! '�{�,1, '.0 J ,11� -\0
Print Name Authorized Si ature Date
Integra Telecom Acceptance: Jess) Routs, Care Manager
Prim Name signature Date
1 Estimated Total Charges are based on Customer information described herein. Actual Total Charges are subject to final Customer acceptance of Services activated. Monthly charges for long distance are estimated
based on customer's per minute charges. On average, your invoice may include approximately 10 to 18 percent in government - mandated surcharges, taxes and fees. In addition, Integra will impose the following Company
surcharges to support its provision of service: a Network Access Assessment (NAA) applied as a percentage of revenue to certain services; and an Interconnection Fee (ICF) and an Interstate Access Charge (IAC)
applied to voice services according to product. For a full description of these surcharges, taxes, and fees, visit: www intedratelecom.com