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KirmsCommunications Inc.

Ordering Instructions (EXHIBIT D)

 

Communication Towers, New, Lease, Removal and Maintenance

 

VENDOR/COMPANY NAME:

KIRMS COMMUNICATIONS INC.

 
         

SPURS VENDOR NUMBER(FEIN/FEID):

65-0515548

 
         

eQuote/Agreement Administration

   
         

Please identify the person who shall be responsible for administering the Agreement on your behalf if award is made, and include an emergency contact phone number:

 
         

Name:

HARRY W KIRMS JR

 

Title:

KIRMS COMMUNICATIONS INC.

 

Street Address, City, State, Zip:

601 W MOODY BLVD BUNNELL FLORIDA 32110

 

Email Address:

kirms@bellsouth.net

 

Phone Number(s):

386 586-3593

 

Fax Number:

386 586-3596

 
         

If the person responsible for answering questions about the eQuote is different from the person identified above, please provide the same information for that person.

 
         

Name:

HARRY W KIRMS JR

 

Title:

KIRMS COMMUNICATIONS INC.

 

Street Address, City, State, Zip:

601 W MOODY BLVD BUNNELL FLORIDA 32110

 

Email Address:

kirms@bellsouth.net

 

Phone Number(s):

386 586-3593

 

Fax Number:

386 586-3596

 

Direct Orders

   

Please provide the following information about where the Customers should direct orders. You must provide a regular mailing address. If equipped to receive purchase orders electronically, you may also provide an Internet address.

 
         

Street Address or P.O. Box:

601 W MOODY BLVD

 

City, State, Zip:

BUNNELL FLORIDA 32110

 

Phone Number:

386 586-3593

 

Toll Free Number:

   

Ordering Fax Number:

386 586-3596

 

Internet Address:

KIRMSCOMMUNICATIONS.COM

 

Federal ID Number:

65-0551548

 

Remit Address:

601 W MOODY BLVD

 

City, State, Zip:

BUNNELL FLORIDA 32110

 

Email Address:

kirms@bellsouth.net

 
         

Yes No

 

WILL ACCEPT THE STATE OF FLORIDA PURCHASING CARD (VISA)

 

Circle one

       

Attach additional addresses for all locations in Florida authorized to perform services under this Agreement. All locations must be registered in MyFloridaMarketPlace.

 

VENDOR COMPANY NAME:

 
   

AUTHORIZED DEALERS/DISTRIBUTORS AND/OR SERVICE REPRESENTATIVES LOCATIONS:

(EXHIBIT E)

Communication Towers, New, Lease, Removal and Maintenance

   
   

LIST BELOW CONTACT INFORMATION FOR ONE OR MORE FLORIDA REPRESENTATIVES, INCLUDING MAILING AND EMAIL ADDRESSES, AND TELEPHONE NUMBERS.

   

COMPANY NAME & FEID/FEIN

US POSTAL & EMAIL ADDRESSES, & TELEPHONE #

PALM BEACH COUNTY Y HO

YHo@co.palm-beach.fl.us

   
           

EMERGENCY SITUATIONS (EXHIBIT F)

   

Communication Towers, New, Lease, Removal and Maintenance

   

Emergency situations, resulting from events such as natural disasters, may require immediate supply of commodities and services to various government entities.

   

If your firm is capable and willing to supply item(s) offered in this solicitation during an emergency, please complete the following:

   

AGREEMENT TITLE

PRESIDENT

   
   

CONTACT PERSON (24 HOURS)

HARRY KIRMS

   

EMERGENCY TELEPHONE NUMBER

386 586-3593

   

PAGER TELEPHONE NUMBER

 
   

CELLULAR TELEPHONE NUMBER

561 718-0111

   

ANSWERING SERVICE / AFTER HOURS TELEPHONE NUMBER

 
   

The above information will be used by this office should the State of Florida determine an emergency situation exists.