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Kustom Signals, Inc.

Ordering Instructions (EXHIBIT D)

Radar Equipment Devices

VENDOR/COMPANY NAME:

Kustom Signals, Inc.

       

SPURS VENDOR NUMBER(FEIN/FEID):

43-1757730

       

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:

Kevin Hilboldt

Title:

Assistant Bids and Proposals Manager

Street Address, City, State, Zip:

9325 Pflumm Road, Lenexa, KS 66215

Email Address:

khilboldt@kustomsignals.com

Phone Number(s):

800-458-7866

Fax Number:

913-492-1703

       

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:

9325 Pflumm Road

City, State, Zip:

Lenexa, KS 66215

Phone Number:

800-458-7866

Toll Free Number:

 

Ordering Fax Number:

913-492-1703

Internet Address:

www.kustomsignals.com

Federal ID Number:

43-1757730

Remit Address:

9325 Pflumm Road

City, State, Zip:

Lenexa, KS 66215

Email Address:

info@kustomsignals.com

       

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.

EMERGENCY SITUATIONS(EXHIBIT F)

Kustom Signals, Inc.

 

Radar Equipment Devices

   

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

Radar Equipment Devices

   
   

CONTACT PERSON (24 HOURS)

Stacia Carter

   

EMERGENCY TELEPHONE NUMBER

913-302-9653

   

PAGER TELEPHONE NUMBER

N/A

   

CELLULAR TELEPHONE NUMBER

913-302-9653

   

ANSWERING SERVICE / AFTER HOURS TELEPHONE NUMBER

800-458-7866

   

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

   

VENDOR COMPANY NAME:

Kustom Signals, Inc.