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AERC.Com, Inc (Dba AERC Recycling Solutions
| Ordering Instructions (EXHIBIT D) | |||||
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RECLAIMING MERCURY FROM SPENT LAMPS, ALONG WITH PROPER DISPOSAL OF END OF LIFE BALLASTS AND BATTERIES FROM RECYCLING SERVICES 2007-2008 | |||||
| VENDOR/COMPANY NAME: | AERC Recycling Solutions | ||||
| SPURS VENDOR NUMBER(FEIN/FEID): | |||||
| 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: | Chris Waechter | ||||
| Title: | Regional Sales Manager | ||||
| Street Address, City, State, Zip: | 4317-J Fortune Place, West Melbourne, FL 32904 | ||||
| Email Address: | cwaechter@aercrecycling.com | ||||
| Phone Number(s): | 321-952-1516 | ||||
| Fax Number: | 321-952-1060 | ||||
| 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. | |||||
| 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: | 4317- J Fortune Place | ||||
| City, State, Zip: | West Melbourne, FL 32904 | ||||
| Phone Number: | 321-952-1516 | ||||
| Toll Free Number: | N/A | ||||
| Ordering Fax Number: | 321-952-1060 | ||||
| Internet Address: | www.aercrecycling.com | ||||
| Federal ID Number: | 23-3064816 | ||||
| Remit Address: | 3 Goldmine Road | ||||
| City, State, Zip: | Flanders, NJ 07836 | ||||
| Email Address: | tdepaola@aercrecycling.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. | |||||
| VENDOR COMPANY NAME: | AERC Recycling Solutions | ||||
| AUTHORIZED DEALERS/DISTRIBUTORS AND/OR SERVICE REPRESENTATIVES LOCATIONS: | |||||
| (EXHIBIT E) | |||||
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RECLAIMING MERCURY FROM SPENT LAMPS, ALONG WITH PROPER DISPOSAL OF END OF LIFE BALLASTS AND BATTERIES FROM RECYCLING SERVICES 2007-2008 | |||||
| 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 # | ||||
| N/A | N/A | ||||
| EMERGENCY SITUATIONS (EXHIBIT F) | |
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RECLAIMING MERCURY FROM SPENT LAMPS, ALONG WITH PROPER DISPOSAL OF END OF LIFE BALLASTS AND BATTERIES FROM RECYCLING SERVICES 2007-2008 | |
| 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 |
RECLAIMING MERCURY FROM SPENT LAMPS, ALONG WITH PROPER DISPOSAL OF END OF LIFE BALLASTS AND BATTERIES FROM RECYCLING SERVICES 2007-2008 |
| CONTACT PERSON (24 HOURS) | Tracy Depaola |
| EMERGENCY TELEPHONE NUMBER | 321-517-6108 |
| PAGER TELEPHONE NUMBER | |
| CELLULAR TELEPHONE NUMBER | 321-517-6108 |
| ANSWERING SERVICE / AFTER HOURS TELEPHONE NUMBER | 321-517-6108 |
| The above information will be used by this office should the State of Florida determine an emergency situation exists. | |