HomeMy WebLinkAbout1994-386
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94-386
RESOLUTION NO.
3 RESOLUTION OF THE CITY OF SAN BERNARDINO AUTHORIZING AND
DIRECTING THE TELECOMMUNICATIONS DIVISION TO AWARD A TELEPHONE
4 LONG DISTANCE SERVICE CONTRACT TO MCI COMMUNICATIONS.
5 THEREFORE, BE IT RESOLVED BY THE MAYOR AND COMMON COUNCIL
OF THE CITY OF SAN BERNARDINO THAT:
6
SECTION 1.
The Telecommunications Division is hereby
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authorized and directed to award a telephone long distance
service contract to MCI communications.
SECTION 2. The new contract shall be for the same long
distance services as exists currently with the City and will
last for a term of three years.
I HEREBY CERTIFY that the foregoing resolution was duly
adopted by the Mayor and Common Council of the City of San
Bernardino at a
regular
meeting thereof, held on the
19th day of
December
, 1994, by the following vote, to wit:
COUNCIL MEMBERS: AYES NAYS ABSTAIN ABSENI'
NEGRETE x
CURLIN x
HERNANDEZ X
OBERHELMAN X
DEVLIN x
POPE-LUDLAM x
MILLER x
Q~ CLA-I'~
"-
City Clerk
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94-386
1
RESOLUTION OF THE CITY OF SAN BERNARDINO AUTHORIZING AND
2 DIRECTING THE TELECOMMUNICATIONS DIVISION TO AWARD A TELEPHONE
LONG DISTANCE SERVICE CONTRACT TO MCI COMMUNICATIONS.
The foregoing resolution is hereby approved this 21st
day of
December
, 1994.
----r6y~ /tu~
Tom Minor, Mayor
Approved as to form
and legal content:
JAMES F. PENMAN
City Attorney
B~~J
94 386
PTS 2000 Vnet Enrollment Form
Complete this form to enrol/In the prs 2000 Vnet Plan.
-.
BILLING ADDRESS INSTALL ADDRESS
~ ~ 'Set" t3e,tLaJ--rl; l'Ll) Si~ ~iA
Custo er Name Uunsdlctlon or Agency)
, -r -e.J..e.U; m M.oU,,( t ~5 I 300 )JorTk: II[)/! 5'1: D;'Sptff.ct
Address . Address. Room Number of Install Demarc
9,0'0 /Vt>-t--f1:;.. ,\ tl" -S-r:
Address line 2 Address
Sl '" "'&..,. ~NlCU-olI~ LA C(). 4t q S;?'i'\ ~rf'-.Q.rd;1A..?J cA q~L( If
Cily. Slale. ZIP City. State. ZIP
~r-ul'~ /.hI I C~O q) '3<;>'4 -5/65 '''b~C-L t-LJ (j6V 3"1'-/-6165
Billing Contact Name Phone # InstalL TechnIcal Contact Name Phone#
Type of Eligibility:
_County ~MuniCipallty Requested in-Service Date for first order
- School Dlstnct _Special Dis!nCl I Remarks:
_ Township _Local Government ASSOCla1l0ns
,
_Other Eiigible Entitles
Check all that apply. Complete separate technical order descriptions
for each.
_ T1 Dedicated Access _Separate Voice Grade Estimated Revenue
Lmes (DALs) DALs
_PICed Switched telephone #s _VnetCards If customer desires a term other than month-to-month, please indi-
FAX Lines SWitched 56 cate below:
- -
. List ANls on Attachment. Existing MCI Customer 01 year o 2 year o 3 year
Corp. ID. # 99136835 o Yes El.NO
I ENROLLMENT Completion of this form by Customer, and acceptance by MCI. enrolls Customer in the PTS 2000 Vnet plan, based on MCI
I tariff. FCC NO.1. Enrollment IS for a month-to-month term which begins upon completion of installation of the service. Mel will bill customer.
I and customer will pay MCI for the services rendered hereunder.
,
NON-DISCLOSURE Neither party shall disclose the terms and conditions 01 thIs Agreement to a third party Without the pnor wnnen consent
of the other party.
LETTER OF AGENCY The undersrgned hereby apPoints MCI as agent for providing, ordenng, and maintainlOg the telecommunications
services included under the PTS 2000 Vnet Plan. Local Operating Companies. Other Common Carriers. and Equipment Vendors may deal di-
rectly with Me1 on all matters pertaining to the services ordered herein under. Local Operatmg Companies. Other Common Carriers. and Equip-
ment Vendors are released from any and all liability for making pertinent InformatIon available to MCI and for follOWing MCl's instructions With
reference to any changes to or maintenance on. said telecommumcations services. This authorization shall remain in eHect as long as Cus-
tomer receIves PTS 2000 Vnet.
'~N'r. 14/;( ~*,L~ 'S1l9t'n.~ iodrt/ 1l7-3-o -94
i 7am;;;t~t , Date
0'84- 5\33
Customer signature Phone Number
Mel REP Printed Name MCI Rep Phone Number
Distribution: 1) Original to Customer
MCl REP signature Copies to: 2) Local MCI Sales
3) MCI Gov1. Systems 3101/022
MCI REP SSN LocatlonlDept. Code t650 Tysons Blvd.
McLean. VA 22102
Aftn: Louise Pertler Fax(703)506-6602
NOTE: By submitting this Enrollment Form Customer hereby author- 4) Local CSC
izes Mel to provide Location LevelBilling Report Data to PTI.
;j?
~
~~B
Call 800-365-GOVT With Questions
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MeI
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94 386
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CERTIFICA TE OF EXEMPTION FROM FEDERAL EXCISE
TAXES ON COMMUNICATIONS SERVICES AND FACILITIES
The undersigned hereby certifies that the servIce furnished by MCI
Telecommunications Corporation (MC!) is exempt from the Federal Excise Tax on
Communications and Facilities imposed by the Internal Revenue Code (lRC) Section
425 I because the undersigned is exempt under fRC Section 4253 for such reason as
marked below (check one). The undersigned agrees to notify MCI in writing when the
claimed status no longer applied.
[ A nonprofit hospital referred to in the Internal Revenue Code Section 170(b)
(I) (A) (iii) which is exempt from income tax. under Section 501(a).
A nonprofit educational organization described in the Internal Revenue Code
Section 170(b) (I) (A) (ii) which is exempt from income tax. under Section
501(a).
[ A school which is operated as an activity of an organization described in the
Internal Revenue Code Section 501(c) (3) which is exempt from income tax.
under Section 50l(a), and operates as described in IRC Section 4253(j).
[X'] The U.S. Government. Government of a State. political subdivision of a State
or the District of Columbia.
[ The American Red Cross or an international organization described In the
Internal Revenue Code Sections 7701(a) (18) and 4253(c).
[ A news service company of the type referred to in the Internal Revenue Code
Section 4253(b).
[ Diplomatic. consular or other officers of foreign governments temporarily
residing in the United States who are nationals of the foreign country on a
diplomatic mission.
[ ] The service will be used exclusively in the rendering of a communications
service upon which tax. is imposed by the Internal Revenue Code Section 4251.
ft is understood that no tax. will be collected by MCI on charges for said service
and that it will be the responsibility of the undersigned to collect such tax. as
may be due from its customer.
'.
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94 386:
[ The service, which is defined in Section 4252(b) (2), is for use by a common
carrier, telephone or telegraph company, or radio broadcasting station or
network in the conduct of its business as such.
FOR THIS CERTIFICATE TO BE VALID YOU MUST CHECK ONE OF THE
ABOVE BOXES, SIGN AND DATE THE CERTIFICATE AND PROVIDE AN
EFFECTIVE DATE.
ANY MODIFICA TIONS TO THE ABOVE WILL RENDER THIS
CERTIFICATE NULL AND VOID.
THE EXEMPT STATUS OF THE UNDERSIGNED IS EFFECTIVE AS
OF _~I\. I) lqqt./.
C AT-V ~ ~Gll'\. is.a.l\.ardl~C:>
ORG~IZA TION
MCI CUSTOl\.-lER ACCOUNT NUMBER(S)
q 5 - b 00077"2-
FEDERAL TAX ID NUMBER
I swear under penalty of fines, imprisonment, or both, together with cost of
pm<~.ltH;vd that the statements contained herein are true to the best of my knowledge.
/ mn. ~ mc:r~ I~ 'dJ3-cty
SIGNATURE TIT DATE
Please return this certificate to:
MCl Telecommunications Corporation
Eastern Division - Colonial Place One
2111 Wilson Blvd.
Suite 1 ()()()
Arlington, VA 22202
exempt
94-386
MULTI-STATE SALES TAX EXEMPTION CERTIFICATE
CONTINUOUS
VENDOR:
Address:
City:
MeI Tdecommunicaliolls Corporation (~Mel")
PURCHASER:
Address:
City: c:I .- r-.
Nature of Purchaser's business:
State:
Zip:
(" Purchaser")
fA-
Zip: q ;J<{ l If
I hereby certify that the purchase of long distance telecommunications services
purchased on and after 10 - I - q ~ (date) are or were purchased
for a tax-exempt use by the entity marked below:
religious organization
non-profit educational institution
charitable organization
volunteer fire. ambulance. or rescue company
qualifying hospital or health care facility
x: state. local or federal governmental uuit
other (specify)
and arc exempt from sales aud use tax of the state marked below pursuant to applicable law:
AI.
AR
AZ*
~CA
_CO
FL
[A
lL
_KS
MD
MN
NO
OH
_OK*
RI
_SC
TX
_UT
VT
WI
Purchaser cerrifies that it is entitled to an exempt status for the claimed exemptions
in the above-nOled states. Purchaser furrher understands that any person who fraudulently issues
to any vendor. such as MCI. or agent of the state a cerrificate or statement in writing for the purpose
of evading payment of sales tax. in addition to being liable for payment of sales tax and any applicable
penalties. may also be liable for tine and/or puuislnnent as provided by law.
lllis cerrificate shall continue in force until revoked by Purchaser and sltall be considered a
-70f;;;:"'de~ess the order specifies otherwise. / ;J. J3 .,,,,,
Purchaser' 5 Authorized Sigl1amre
Date
-fom rnl'no r
Print Name([itle
mo. 'toR..
.3S'''4 - 5 J.~~
Telephone Number
5"- Ooon
Sales Tax Exemption Number
JI(
* Arizona and Oklahoma hold a vendor liable for sales tax due on any sales with respect to
which an exemption cerrificate is found to be invalid for whatever reason.
5/90 - Me! Telecommunications
exmconl
02/22/95
01/04/95
16:56 . FAX 909 467 3150 Mer LA AGENTS
.09:10 TELECOM ~ gag 467 3103
PTS 2000 Vnet Enrollment Form
Com~fI~ /hI! lOn'll to ItlfOlf ifIlh& prs 2000 V~~I PI.n,
141002
NO.4?9 003
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'i-
I BILUNG ADDRESS INSTALL ADDRESS I
I ~ "..
j (11i ~. ~ "'R..oNI.U'd; P.7\ (l.-g.
: CUSI r Name IJurisdiction or Agency) Site NafTI
i~ .' 3t)C !Jo rtt "l) II s-r: D;~
l ~'''''''''II1'LLilAL'D"'''1:T"C''t\..3
: "'dd.esa Address. Aoom Number Of InSlaIl Oemarc
I
i 900-0 N__-ti-. ... () II ~r
, 4ddr&aa II"" 2 Addre..
I 1Yl' CA 9':). 4t If' ~AI'I ~rd.;"'-lJ CA Q,.4/f
I SlI" ~f1'It2. to\.tJ
ICily. S.a.a. ZIP lIy. Slale. ZIP 1.J;J ITu4iit ') ....~.I_""/,/. If;
"b,..,.. . . Li:iJJ (1..0 '\) 3~q - 51 ~S ""'"- ".. '
aoling ComeCl Name Phone. Install. TeChnical ConraCl Name PhO/lll.
, Tvpe or ElIgibllll)':
I_coonty X-Munic:lpality Alauel!lted In.Service Oate fortihlt oroer ...
. _$cnoO/ OISlnd _Spoelal Oistric~ RemarKS:
.
_To_llIp _Local Government ASSOCIQllOns
_Olher Eligible Entiti.s
Check aUlnat IQpty. Campi". ..parate teCh"ical order olscrlptions
-)(aCh.
Tl OedJcalAd Ace.... _Sepllrat8 Voice Grado ESlI/Tlated Revenue
LinealCAUI DALs
_PICod SwilCheo telephone ~s _VnetCan:lS If customer delills a lenn olha, Inan montl1.,o.month. please indI-
_FAX Lines _Swllcneo 56 Cllle below:
. USl ANI. on Anachmen" , Existing Mer CU$IOmer 01 yea, 02 y.ar O3yeer
Corp. 10. . 99136635 o Y.s lltNo
ENROLLMENT Complotion 01 thl. torm oy Coslom", and .c<:e~tanc. by MCI. enrolls Co"ome' in Ih. PTS 2000 Vnol pian. baaed on Mel
laIiff. FCC No,l. EorO/lm.nl'S for a "'o/IIIHo.monm lerm wnich beg,ns upon compll1ion ollnatallallon of 1M service. MCI will bill CUs'ornor.
and eU5tom.r w~1 pay Mel for the .ervlces rendtred hereundilf.
NON-DISCLOSURE NeUner par1y shall discla.. tn, terms ano conClltiOl"l5 of tnlS Agreemen1 10 a Ihlrd pany wilnoul me ~or wrinen consent
of Iho OIho' party.
LETTeR OF AGENCY The undetSignec "et.by a",QlnIs Mel as agent for ProViding. ordering. and main1aiI'Mng the telecommun.catlona
oervlces included ""der tho PTS 2000 Vnet Plan. Local Operallng Compan'ee. OtI1o, Common Ca,",,.. and EQUlp....n' Vendors "'ey d,al dl.
rectly with MCI on all maners p,..e,,,lng 10 Ihe ..rvices ordereo ho'e;"""de.. LotlIl Opera""Il Compeni... Oll1or Common Carriers. and EqUip.
I'IWnt VAndora 81' released from any and allliaOility tor making J)GMll'lent InformallOll available 10' Mel and lor fotJowtng Me1'S JnAlructions 'Antt,
rolerence to any cnanges lO or maintenance on, said tlilecommunlcalions servtcttl. This aUlttorization shall remain In effec:t alleng 8S eLlS-
lamar receIVes PTS 2000 Vnet.
~... tJ;Jj ~J~~ Sll~~~ fMr/. J j,;" ~O - '? L.j
7~ue~1 I Date
~ ~4- 0135
C~t~~re Phone NlJlTIber
--rc-B - :5/2. /
U.-9-~ J rC::;-#-t//VJ5 ,
MCI~~ ~~ MCt Aep Phone NumDer
Distributloo~ 1) O1I;ioallo CUllom.r
MCI ~EP 519natu,. c:t6 ~ Copias 10: 2) Locel MCI Salas
3) MCI Clovt. Sy.tem. 31011022
50" 2- 9-d tf /" ~ C1?9 (fg,/. 1650 Tyson. ElWd.
MCI AEP SSN Looa~ontCepL COd. McLean, VA 22102
Attn: Louise Petti., F.I(703)S06-660~
NOTe; By 8ubmtn:ing this Enrollment Fo/Tl'l Customer harQby author. ') Lace! CSC
izes MCt 10 provide Location ~ev8181l1ing Aepen Data 10 PTI.
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