HomeMy WebLinkAboutCAG2018-0997 - Original - Water Engineering Technologies, LLC - 3 Hot & Cold Purified Water Dispensers - 05/25/2018t¡l,AÎEFI Iñ¡OIN¡¡IIINO T¡C¡¡INOLOOIEE
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ÞISTRIBUTOR:
Water Engineering Technologies, LLC
P.O, Box 58218
seanle, wA 98138
253-893.7520
Company Full Legal Name:Company Name:
City of Kent Police Department
Contactl Phone #:Contact:
Robert Scholl
Phone #:
253-856-5800
Equipment Locatlon Address:Address:
220 Ath Ave S
C¡ty, State, Zip:City, State, Zip
Kent, WA 98032
Email:TIN#r Email:
rscholl@kentwa.gov
P.O.#:
Org Type: I Corp n LLc f] Partnership flother State incorporated/o rganized :
CUSTOMER INFORMATION BILLING INFORMATION f different)
60 *ot $
(plus taxes)
180 00 E}Quarterly ü Check
E Monthly I ACH
BITLING FRE SPECIAI- INSTRUCT]Of\SRENIAL TERI'l MONTHLY PAYIVIENT
3- Model 3i Hot & Cold Purified Water Dispensers
! See attached equlpment schedule (lf appllcable).
Installation Fee
$ Q /unit=å
4
*
Other Fees*=:h
UIPMENT SCHËDULE ACCOUNT SETUP FÊESE
By prwldlng the bank acçount lnformation herein, I (we), as the account holder(s), authorize the D¡strlbutor or lts asslgnee and our
or lts flnanclal lnstltutlon to debit our account for the amounts due or to become due under the teÌms of this Rental Agreement. Thls
authorizatlon will remain in effect until written notificatlon of termlnation is recelved by the Distrlbutor or its assignee.
Account Name: Authorized Slgnen
Routing #l Account #:
ACH INSTRUCI'IONS
Agreed and Accepted by:
Gustomer:
¿
Signature Nðme
Tltle Date
v
Title Date
Customer acknowledges havlng read and understood all of the terms of this Rental Agreement, including page 2
hereof, and agrees to be bound by all of the terms herein upon execution of this Rental Agreement,
Reference Number (for lnternal use only)page I of 2
CAG2018-0997
IÀ,A'TE INOIñl¡¡FIIô¡O TIC:HNOLC'BIII¡
www.wetcoolers.com
DISTRIBUTOR:
Water Engineering Technologies, LLC
P.0. Box 58218
Seattle, WA 98138
zs3-893-7520
Customer Name:City of Kent Police Department
DELIVERY AND ACCEPTANCE CERTIFICATE
Customer and Distributor certiff that all Equipment described in the RentalAgreement has been
delivered and properly installed according to the RentalAgreement. Customer acknowledges that
the Equipment is in good condition and is performing satisfactorily. Customer hereby accepts the
equipment unconditionally and irrevocably in accordance with the RentalAgreement and
understands that invoicing willcommence upon receipt of this Certificate showing execution by
Customer. Distributor acknowledges its obligation to provide maintenance services in accordance
with any maintenance agreement separately entered into between Distributor and Customer.
Customer: Do natsign ffiis Certifícate until you have actually receîved, installed, inspected
and accepted all of the Equípmenf described ín the Renfal Agreement.
x /¿r*A,S-àf:/)
Customl lRuthorized Signature¡Name (Print)
Signature)Name (Print)
DateTitle
DateTitle
€/"t-//r
MODEL SERIAL #
5ee equ
Støtement al Assuronce
Distributor ls committed to provlding you wlth quality equipment, quallty servlce and quality drinking water. lf for
any reason you are not satisfied with the performance of your equipment or the level of service provlded, please
contact us directly for prompt assistance.
u
Reference Number (for internal use only)