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Home My WebLink About2022 - AV Voluntary DisconnectTo:Attention: Direct Dial:Fax: E-Mail: A.Please accept this letter as an authorized written request to disconnect Business Class Services for: Company Name Address City State Zip Account #Group ID MACD# Ticket # B.Select one: Stop Service Date: New Address: City: State: Zip: Reason: X Check all that apply: Voice Internet Video00 Trunking Business Voice Edge Smart Office000 Voice Port Out I will be porting my number(s) to: C.Approval Authorized Signature Date of Request Print Name Contact Telephone Number Final 'Bill To' Address D.Important Information regarding your company's Business Class Account EARLY TERMINATION FEE AND NOTICE OF TERMINATION Start Service Date: For Coax based services: Pursuant to the General Terms and Conditions (GTC) of my company's Comcast Business Class Service Order Agreement. My company may be liable for 75% of the balance remaining if services are disconnected or terminated during the initial term (Early Termination Fee). My company will also be billed for any Comcast Equipment that is not returned to a Comcast Service Center (like cable modem and television set-top boxes). If the GTC). My company will be responsible for outstanding amounts due for the Services through the actual date of termination. To view the GTC go to http://business.comcast.com/terms-conditions-smb If my company decides to reconnect its Business Class account, it will be assigned a new email address and Static IP (if applicable) and/or telephone number(s), as applicable. If my company is taking (porting) its telephone number(s) to another provider, it must contact the new provider to set up service. The new provider will contact Comcast to terminate the company's Business Class Voice Service (to ensure there will be no loss of service during the transfer). Pursuant to Comcast's records, ___________________________ Early Termination Fee liability (PRI Trunk, Business Voice Edge Accounts): Disconnect Request Form Pursuant to Comcast's records, ___________________________Early Termination Fee liability (Business Internet, Business Voice, Business Video Accounts): Transfer Existing Service Permanent Disconnect For Fiber based services: i. 100% of the monthly recurring charges with respect to months 1-12 of the Service Term; plus ii. 80% of the monthly recurring charges with respect to months 13-24 of the Service Term; plus iii. 65% of the monthly recurring charges with respect to months 25 through the end of the Service Term; plus iv. 100% of any remaining, unpaid Custom Installation Fees. outstanding amounts due for the Services through the actual date of termination. My company may also be liable for Termination Charges equal to the costs and expenses incurred by Comcast in installing or preparing to install the Service plus twenty percent (20%). Termination Charges shall be immediately due and payable upon cancellation or termination and shall be in addition to any and all accrued and unpaid charges for the Service rendered by Comcast through the date of cancellation or termination. Termination Charges will be calculated as follows: Termination Charges shall not apply to Service terminated by Customer as a result of Comcast's material and uncured breach in accordance with Article 5.2 of the General Terms and Conditions. To view the GTC go to http://business.comcast.com/terms-conditions-ent/Enterprise_Services- General-Terms-Conditions. For Product Specific Attachments, go to http://business.comcast.com/terms-conditions-ent/Enterprise_Trunk-Service- PSA for Trunk (PRI) Services or http://business.comcast.com/terms-conditions-ent/comcast-business-voiceedge-psa for Business Voice Edge Services. From:Colin Schmalz To:Melissa Bailey Subject:FW: Completed: Comcast Business Voluntary Disconnect Request Date:Friday, April 8, 2022 11:32:26 AM Attachments:AV Voluntary Disconnect Form _ Merged_v2.pdf Here’s the signed cancellation for the SIP service. Please keep a copy for our records. I am still working on the internet piece. Thanks, Colin From: DocuSign System <dse@docusign.net> Sent: Friday, April 8, 2022 11:30 AM To: Colin Schmalz <cschmalz@auburnwa.gov> Subject: Completed: Comcast Business Voluntary Disconnect Request CAUTION: The following message originated from outside the City of Auburn. Be careful opening links and attachments Your document has been completed Sent on behalf of West Division Advanced Voice Retention at Comcast Colin_Schmalz, All parties have completed the envelope 'Comcast Business Voluntary Disconnect Request'. Did you enjoy your DocuSign experience? To get DocuSign for your business to easily sign, send, and manage documents, visit the Cloud Solutions Marketplace from Comcast Business. Cloud Solutions is an online marketplace of business grade cloud solutions. It offers a carefully selected collection of best-in-class cloud solutions for Comcast Business customers. Visit Cloud Solutions today. To view, download or print the completed document click below. View in DocuSign Alternately, you can access these documents by visiting docusign.com, clicking the "Access Document" link, and using this security code: 24984559C5BA4678AF859BFE71E3C7071 DocuSign. 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