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, ------�_._�.__�__---, _ � SMALL BUSINESS CONT�R N�I��II�IIIIIIIN�I�lII�IIIIIINI ' b400UE03 � CONTRACT � CUSTOMER DATE A6COi1NT NO ��B LEAD � NO SOURCE� � • • •'• � I A�artn Monkoring and Not'rfication Services _ � Monthfy Service Charqe � Monthty Service Charge I m Burglary�B,v -------��- �---- --------------------- � tU'� ` � Orl$Ft2 52rvi[25 � O Holdup(HU.� �)r � ____________ _ j� O Guard Response O Interior O Exterior � � • --------------L--.�.__ ,- ` I O Duress � �"—/--�"� f- --- -----� j-s I i�n` t �__"' ,� J.� I 1�l� �� ,� "` I O Two-way voice —� Tot,31 Monthly Strvice Charge� `'�T'j" � ------ ! � O Gitical Condition Monitoring(CGM) r �� ----"—� --- 1 -- ----_ I '-,�-T OFlood OTemperature i� �'� I i s�� Initial Fee O Paralle3 Protec[ion �� O Annual UL Cert'rficate Fee "� � 'a I - ----------------- ----- j•�+ I O ADT DataSource �--I---------- -'-- _._..-.-_-- i� '�ADTto obtain Electrical Permit � O Open/Close Login �� j C�Municipaf Electrical Permit ;� �;z� S�� ----� � O Supervised Scheduled Open/Close � �O Customerto obtain and pay for inkiaUannual munidpal alarm use permit.Failure to � _ � obtain and provide ADT with ihe municipal alartn use permit registration number could � i resuh in no municipal fire/police response m an aiarm from the premises and/ar a fine. � �ADT Ent Solutions - -- - ! ( �O Other ! -------ry-------- ------�� !�t� t � I Other Services --------------�--------------- � Instailation Price � � �.r � � I �Quality Service Plan(QSP) �� i,� ` j ;Taxable Amount(Leave blank'rfADT-Owned) ;� O If Quality Service Plan(QSP)is Declined Customer -"`-�------'------------- — I must Initial here Non-Faxable Amount(Leaveblan[c'rfADT-Owned) ;� � I O Preventative MaintenanceJlnspections Per Year !� I O 7 O 2 03 O q O 6`_O 12 _ _ _ Connection/Ac[rvarion Fee ,¢ I - ------- i.�r � O Training � Sales Tax on Installation* �� , `� ��, , O Direct Connection Services � -_----_-_ ------- �� I Total Installation Charge* -------- !� .�� ;�, 1 --`-------�--------- I C'-�"'� � O Monthly Recurring Municipaf Fee Trip Charge Received 1 ; (SubjeR to change based on local law} i ��. ,N�; - O Customer to obtain and pay for municipal �� Deposit Received:100%deposit required<5500 ; � alarm use permi# i I Minimum 50%deposit required f500+ � ��-' � �O Money Order O Check 0 GediVpebit Card,� `�'�' ""� "'If applicable sales tax not shown,it will be added to the first invoice,if I not collected at the time of installation. �Balance Due` i Q� � � • • • • •- ,•P Quantity � Device Descripti r � I --� -1--c--- „�y��--- I Device Lowtion i � '--i-_ ;�.��,��av� i �� - - � I � . - � - _.ti�,`-��i'" „-t;-,-ri-::�� i, ">�.� ;y-�.,, 1 I _ j1 i�` y -.f_"'1 c :.� S? ..�u , r w,. . ^ � --'-�- — t: cc�, _��-1-_�_�._.._�YJ� ��}�''�, CS F-E � f � -------`- _:��T � � j I I � �',i'°r� I __ �1.�L-:�Y_�-_—__- �!�' .��4_ � I � ---�— '�_- _-_-___ -___'- � t .__�..s-�_ � I ^ r`-l� t '• i ' I --- � � I � —€� ---- I -- -- ----- � i I � __'____ � � I � —�--______—____---�_—____�__ � �� y '_--.--�----------'--'--- ' � ��c,� i --- ------- i I ; i ----- + � __�� -- -_-_ � ___ I ' t � �__�" - ---- '_ 1 I f � I I � j � ___"—_ � _—.'__—_ i ' ' I i _�-- '_' ---_—__— __" __,._ —_' _. i I � � � Estimated Installation Start Date � I I 2 Of 6 02073 AD7 LLC dba ADT Security Services. � • �---� -- __ A!!riqhts reserved.(OL13) �