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Axon 8000 and Axon 4000 Extended Service Agreement (ESA)
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Company Name
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ESA Period
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Contact Name
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Bus / Fax
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Equipment Site
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Bill to:
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City, St Zip
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AXON SERIAL NUMBERS
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4000/8000
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8132-ZIP
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H/W Version
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S/W Version
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8131 SIUs 1________ 2________ 3________ 4________ 5________ 6________ 7________ 8________
PAYMENT PLAN (choose either Full or Limited, below):
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1.
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FULL SERVICE
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Price Each
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Extension
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Qty 1
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a. 8000/4000 chassis*
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1150
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1150
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b. Station Interface Units
(SIU)
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75
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c. 2nd Line Card
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150
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d. 2nd Line Card
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150
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e. Serial Port/AUX Card Set
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150
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f. 2nd Console
Card
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200
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g. 8131/8132 with one Disk
Drive
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1150
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h. Spare Cards &
Modules
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150
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i. Plus Chassis S/N
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1000
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j. WorkStation Telephone
Support
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100
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k. Remote WorkStation
Interface Unit
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200
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* with one each line,
console, memory, controller
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Total Annual
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and processor card.
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Semi Annual (Annual x
1.1/2)
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Quarterly
(Annual x 1.25/4)
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2.
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LIMITED SERVICE (Quarterly Rates not available)
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Total Annual (1/2 of Full
Service Rate
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Total Semi (1/2 of Full Service Rate)
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3.
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SPECTRUM DATA SAVER: This is an optional HIPAA Compliant
Disaster Recovery Program. Please
select the level of coverage desired.
(First 30 days of coverage is at no charge)
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o Up to 1GB,
$30/mo o 1 to 5GB,
$50/mo o 6 to 10GB,
$70/mo o 11 to 20GB,
$100/mo
o I do not wish
to protect our data using the Spectrum Data Saver Program at this time.
NOTE: An Extended Service Agreement for a second system qualifies for a 50% rate reduction.
IMPORTANT:
A. Remittance must be submitted with this
Agreement. This agreement will automatically
renew with the same annual, semi-annual or quarterly schedule upon the
anniversary date as applicable. Cancellation of the agreement by the client required 30-days advance
written notice.
B. It is the customer’s responsibility to
monitor the status of this Agreement.
C. ESA services will only be provided to participants who keep their account current. For accounts that are past due, services will be charged at prevailing rates until past due amounts are paid in full.
D. If the ESA has expired, a reinstatement fee is required as follows: $250 is expired up to 45 days and $500 if expiration exceeds 46 days.
The undersigned acknowledge they have read the Extended Service Agreement Terms and Conditions attached. Further, the undersigned agree the ESA is the complete and exclusive statement of the agreement between the parties and
supersedes all proposals or agreements, oral or written, and all other communications between the parties relating to the matter of the ESA.
This Agreement is not transferable to another customer
or to another Axon System.
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By
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By
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Axon Communications, A Division of Telescan LLC
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Customer Signature
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Date
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Date:
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