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Home My WebLink About2025-0107 - - US Cellular 2025 - US Cellular Docusign Envelope ID:2C836FBA-B64E-4211-A6CE-28C1 EFA3D344 * uscellular. SERVICE ORDER FORM TERMS (Legally Binding Document) This Service Order is between You and USCC Services, LLC on behalf of its operating licensed affiliate doing business as UScellular in the Home Market ("USCC").This Service Order is governed by the MASTER SERVICE AGREEMENT("MSA") located at https://www.uscellular.com/legal, unless there is a separately signed agreement between You and USCC which is identified in this Service Order.Terms not defined herein are defined in the MSA. By signing below,you agree and acknowledge that You have read and understood the MSA terms and this Service Order,and that the person signing below has the authority to enter into this Service Order on Your behalf. BUSINESS LEGAL NAME AND ADDRESS Business Legal Name City of Auburn,WA Shipping Address Billing Address 1 East Main Street Business d/b/a(if applicable) Suite 320 Auburn,WA 98002 United States BUSINESS SET-UP INFORMATION—USCC INTERNAL USE 0 New Business Customer ❑Current Business Governed by Custom Email Address edusoleil@auburnwa.gov Customer Agreement Dated N/A Business Phone Number 402-274-3420 Contact Name(POC) Eric Dusoleil Account Number Of current Tax ID(ElN) 91-6001228 customer) Portal Setup Portal Contact N/A Portal Contact Email N/A (NA for Current User) (NA for Current User) ❑ Accept is Decline 0 Current Tax Exempt(Attach to File) 0 Yes No Estimated Value $1,224.00 (ECV) Service(s)Ordered under this SaaS/Vas Special Approval Sheet 0 Yes 0 Not Applicable 0 Toolbox Purchase: (Must Attach to File) 0 CHECK HERE IF Customer is eligible for Standard Rate Plan Changes and Standard Subsidy equipment for length of term Service Commitment TABLE 1-SERVICE(S)5 (Months)4 Cost Summary Initial MRC w/ Total Customer Quantity Rate Plan Name Term MRC Pricing MRC (Activations) Approval Detail 2 1 Ooma AirDial OPEX POTS Solution 1 Port 3yr 36 $42.00 $42.00 $42.00 2 Ooma AirDial OPEX POTS Solution 2 Port 3yr 36 $60.00 $60.00 $120.00 1 Business CD Pooled 500MB 36 $10.00 $10.00 $10.00 2 Business CD Pooled 1GB 36 $12.00 $12.00 $24.00 Grand Total Customer MRC(excludes applicable taxes,fees,and other charges) $196.00 Page 1 of 3 SERVICE ORDER MSA(Business Customer)v 10.03.2022 USCC Confidential Docusign Envelope ID:2C836FBA-B64E-4211-A6CE-28C1 EFA3D344 uscellular. TABLE 2—EQUIPMENT PURCHASES 5 Equipment Service (WITHOUT RETAIL INSTALLMENT Commitment CONTRACT)3 (Months)4 Equipment Cost Summary RETAIL COST Initial Upgrade (non-subsidized) Subsidized Special Description Term Approval Total Quantity Eligibility Price (Subsidized)2 Ooma AirDial 3 12 0 $10.00 $30.00 Ground Shipping Grand Total Customer Equipment Cost(excludes applicable taxes) $30.00 ❑CHECK HERE IF Customer is activating Customer owned equipment("COE") ❑ CHECK HERE IF Customer is purchasing Equipment through a Retail Installment Contract("RIC") DO NOT COMPLETE TABLE 2 FOR RIC PURCHASES.SUBMIT A RETAIL INSTALLMENT AGREEMENT(RIC)AND ATTACH TO THIS SERVICE ORDER ADDITIONAL/OTHER TERMS AND CONDITIONS(IF APPLICABLE) Accessory Discount/Exclusions Volume Commitment Revenue Commitment Promotional Credits Other Terms and Conditions 60 day return period approved by Ooma/USCC Team ❑Governed by Additional Terms for Sourcewell—Cooperative/Group Purchasing Additional purchases at the Rate Plan/stated cost may be purchased after the Effective Date of this Service Order provided that the Rate Plan,state cost or quantities(as applicable)are available. USCC has the right to discontinue any Rate Plan or Equipment availability at any time with or without notice. If additional purchases are permitted and made pursuant to this Service Order,such purchase(s)will be documented in Your account without requiring a new Service Order or addendum to this Service Order, and this Service Order will thereby be amended with respect to such additional purchase(s)as documented in Your account and without any further writing.You are responsible for reviewing Your account for any errors in billing or otherwise.See Section 7(c)of the MSA for billing and payment details. 2 Requires USCC Special Pricing Approval.Additional terms may apply. 3 If purchasing through a retail installment plan You must execute a Retail Installment Contract(RIC)and the attached RIC Initial Set-up Form must be completed.The RIC governs Your Equipment purchased on an installment plan. °Service Commitment(s)ETFs are based on 50%of the MRC of the terminated line of Service multiplied by the number of months remaining on the Commitment without proration and You may be required to return promotional credits.Subsidized Equipment ETFs are based on the Commitment term and type of Equipment purchased. Equipment Commitment ETFs are in addition to any Service Commitment ETFs.See Sections 9,10,11, 12 and 13 of the MSA for full details. 5 If additional space is needed for purchases,please check"Additional Purchases-Service Order Form Addendum Attached"in the signature block.The purchases on the Service Order Form Addendum are hereby incorporated by reference. Any"Grand Total"includes the total of purchases listed on the Service Order Form and any additional Service Order Form Addendum. Page 2 of 3 SERVICE ORDER MSA(Business Customer)v 10.03.2022 USCC Confidential Docusign Envelope ID:2C836FBA-B64E-4211-A6CE-28C1 EFA3D344 �;� uscellular. AGREED AND ACKNOWLEDGED BY THE PARTIES'AUTHORIZED REPRESENTATIVES USCC SERVICES,LLC "—Signed by: Agreed and Acknowledged Signature: fie,i ua txsatA, '—DC5IACAAFE3E4CD Printed Name:Randy Henderson Title: Manager, Solution Sales Date: 2/25/2025 City of Auburn,WA Signed by: Initial Agreed and Acknowledged Signature:1Qup - us. �� 17E9B2306D75465 Printed Name:DAVID TRAVIS Title: David Travis IT Di rector 2/27/2025 Date: Page 3 of 3 SERVICE ORDER MSA(Business Customer)v 10.03.2022 USCC Confidential