Protection One-2004-04Protection One®
818 Kansas Avenue AND AGREEMENT
Topeka, KS 66612
11
COMMERCIAL SALES PROPOSAL
Customer # Branch Number
) —
CS# Site Number
Customer Last Name
On Site Contact
Site Name
17 (— G rerrqte F. C.
Site Address
2 0 7 cf:. q
Billing Address (if different from above)
7 9 $— ?3, tsrh
First Name
MI Today's Date
4f. 6.;
City
r c',•‘;f rAtt
City
t.",) TerYace
Area Code
r
Area Code
9'0 9'
Contact Telephone Number
X 30 g
Site Telephone Number
State Zip Code
(7 3
State Zip Code
(CI 3
Customer acknowledges that: (a) Pro-One has explained the full range of protection, equipment, and services available to Customer: (b) additional protection over and above that provided herein is available and may be
obtained from Pro-One at an additional cost to the Customer; and (c) Customer desires and has contracted for only the equipment and services itemized herein and on any attached schedule of this Agreement.
1.Charges; Term. In consideration of thepquipment and services to be provided by Pro-One here under:
Customer promises to,paykb payable (I) as set forth in the Schedule of Protection of this proposal in agreement and (ii) $ payable at time of sale with a
remaining balance of (iii) to be paid upon completion of the installation and as a precondition to activation of the system and, if applicable, connection to Monitoring
Center or direct connection service.. In addition for the equipment and service(s) to be provided indicated above.
) Customer agrees to pay $ per month plus applicable taxes to be paid q annuallyquarterly in advance for a period of five (5) years effective from the date service
is operative under this agreement. After said five years, this agreement shall be automatically renewable yearly unless terminated by either party upon written notice at least 30
days prior to the anniversary date. Pro-One shall have the right to increase the annual service charge after the end of the first year of the initial term.
In the event Customer terminates this agreement prior to the end of then current contract term, the Customer agrees to pay, in addition to any charges for service rendered prior to termination, the service charges remaining to be paid for the
unexpired term of the Agreement as liquidated damages, and not as a penalty. Upon termination of this agreement, Pro-One may remove or upon written notice to the Customer, abandon in whole or in part, all devices, instruments, appliances,
cabinets, and other materials associated with the system and owned by Pro-One without obligation to repair or redecorate any portion of the Customer's Premises upon such removal, and the removal or abandonment of such materials shall
not be held to constitute a waiver of the right of Pro-One to collect any charges which have been accrued or may be accrued hereunder.
2.Additional charges. The Customer agrees to pay, in addition to service charges above, any false alarm assessments, taxes, fees or charges that are imposed by any government body, telephone or signal transmission Company (for
numbering or other charges) or costs of Pro-One related to reprogramming alarm controls and other devices to comply with such numbering or other changes relating to the installation or service provided under this Agreement, and to pay any
increase in charges at Pro-One for facilities required for transmission of signals under this Agreement. Any installation or other charges quoted in this agreement are based on Pro-One performing the installation or other services
with its own personnel. If for any mason the installation or such other services are performed by outside Contractors, charges payable by Customer hereunder may be higher than the quotes set forth herein. Customer agrees
to pay all service charges payable hereunder at rates established by Pro-One from time to time.
3.Default. Failure to pay amounts when due shall give Pro-One, in addition to any other remedies, the right to terminate this Agreement and to charge interest at the highest legal rate on the delinquent amounts. Customer agrees to pay all
costs, expenses and fees of Pro-One's enforcement of this Agreement, including collection expenses, court costs, and attorneys' fees.
4.Representations. Customer warrants that the Customer (1) has requested the equipment/services specified in this Agreement for its own use and not for the benefit of any third party, (2) owns the Premises in which the equipment is being
installed or that Customer has the authority to engage Pro-One to catty out the installation in the Premises and (3) will comply with all applicable laws, codes, and regulations pertaining to the use of the equipment/services.
TERMS AND CONDITIONS
A. Services: Signal Receiving and Notification Service shall be provided by Pro-One if this Agreement includes a charge for Signal Receiving and Notification Service and in the event an alarm signal registers at Pro-One's Monitoring Center,
Pro-One shall endeavor to notify appropriate governmental agencies or other authorities, and the representative of the Customer designated by Customer. In the event a burglar alarm signal or fire signal registers at Pro-One's Monitoring
Center. Pro-One at its sole discretion, may endeavor to contact the Premises by telephone to verify that the alarm is not false. Failing to contact the Customer promptly or questioning the nature of the response received upon such contact,
Pro-One shall endeavor to notify the appropriate governmental agencies or other authorities. In the event a supervisory signal or trouble signal registers at Pro-One's Monitoring Center, Pro-One shall endeavor to notify promptly a designated
representative of the Customer. In the event Alarm Verification Service is being furnished, it is mutually understood and agreed that equipment is being installed which, as to certain locations in the Premises, will require the activation of two
sensing devices, or a second activation of a single alarm sensor, or a continuous alarm event from a single sensor, in order for art alarm signal to be transmitted. It is mutually agreed that the Customer assumes full responsibility for the
operation of any and all bypass or switch units provided for disconnecting or reconnecting the alarm sounding and/or transmitting equipment at the Premises. The Customer represents that any vault to be protected by Pro-One hereunder by
sound or vibration detector systems has the minimum construction characteristics prescribed by the Underwriters' Laboratories Inc. The Customer agrees to test any ultrasonic, microwave, capacitance or other electronic equipment
designated on the Protection Schedule prior to setting the alarm system for closed periods, according to procedures established from time to time by Pro-One, and to notify Pro-One promptly in the event that such equipment fails to respond
to the test. If Customer has agreed herein to a 5 day Familiarization Period following completion of installation, and if needed an extension period, for Customer to become familiar with the system operation, then during this Familiarization
Period Customer agrees that in the event any signal (including an alarm signal) of any nature registers at Pro-One's Monitoring Center, Pro-One shall not: respond to any signals, endeavor to notify any governmental or other authority,
Customer or Customer's designated representative, or undertake any other action with regard to any signal, whether or not due to an actual emergency event. Communication Facilities - 1. AUTHORIZATION - Customer authorizes Pro-
One to make requests for information, service, orders or equipment in any respect on behalf of Customer to Customer's telephone company (the "Telephone Company') or other entity providing facilities or services for transmission of signals
under this Agreement. 2. DIGITAL COMMUNICATOR - It connection to the Pro-One Monitoring Center is to be by Digital Communicator, the Customer agrees to provide a connection via a registered telephone jack to a telephone channel
required for the Pro-One equipment. Such connection shall be electrically first before any other telephone or Customer equipment, and shall be within 10 feet of the Pro-One alarm system control panel. If requested by the Customer, Pro-One
shall provide such connection at the Customer's sole cost. The Customer understands that if a digital communicator is installed under this Agreement, it uses standard telephone lines as the transmission mode of sending signals and
eliminates the need for dedicated telephone facilities and the large cost increases frequently imposed on such facilities. Customer also understands that Pro-One does not receive signals when the transmission mode is or becomes non-
operational and that signals from the digital communicator cannot be received if the transmission mode is cut, interfered with or otherwise damaged. 3. RADIO INTERFACE - If connection to the Pro-One Monitoring Center is to be by any radio
frequency method, such as cellular or private radio, then customer understands that due to the very nature of radio waves there may be times when the system is unable to secure, maintain or retransmit an alarm signal and, thus, the utilization
of an additional communications means is recommended.
Customer Duties. Customer shall do and keep all obligations of Customer to be performed under this Agreement, and shall test Customer's system at least monthly to ensure it is in proper working order. GUARANTEE: By the execution
hereof, the undersigned unconditionally guarantees the full payment and performance of Customers obligations hereunder.
By: Date:
SS#:
Customer Acceptance In accepting the terms hereof, Customer agrees to the terms and conditions contained herein including those on the Schedule of Protection. It is understood that said terms and conditions shall prevail over any variation
in terms and condition on any purchase order or other document that the Customer may issue, or any conflicting terms or conditions contained in any other prior writing between the parties. Any changes in the system requested by the
Customer after the execution of the Agreement shall be paid for by the Customer and such changes shall be authorized in writing. ATTENTION IS DIRECTED TO THE WARRANTY, LIMITATION OF LIABILITY AND OTHER TERMS AND
CONDITIONS SET FORTH ON THE SCHEDULE OF PROTECTION HEREOF. This Agreement is not binding unless approved in writing by art authorized Representative of Pro-One. In the event of such approval is not given, the
only liability of Pro-One shall be to return to the Customer the amount, if any, paid to Pro-One upon signing of this Agreement.
CUSTOMER: By: s•...) Title:
Date:
PROTECTION ONE: By: /1 0 471 Tale: 92— ;6 Date: / 7 . l 0 %
REQUIRED APPROVAL: By: Title: Date:
P1-BR106 (02/04)
Protection One® COMMERCIAL ACCOUNTS SCHEDULE OF
PROTECTION ADDENDUM
Customer # Branch #
CS# Site #
Customer Last Name First Name
-7*
Any and all services provided below are defined in and subject to the terms and conditions of the Commercial Sales Proposal and/or Master Agreement.
q Customer Owned (Equipment to become property of the Eri Company Owned
Customer upon final payment of Selling Price).
Equipment - Protection One proposed to install or cause to be installed the equipment and furnish the services indicated herein.
(Attach Additional Equipment Information if Necessary)
Quantity Description Location (Be Specific)
:=3 00 I t- Mph, 41)6,,,,,i 4,- 17J
TYPE OF SERVICE
MI Today's Date (d/m/yyyy)
I t
Alarm Systems q tjr.e.
OBurglary
q Panic (Audible)
Access Control Systems q Signaling
CCTV Systems q Signaling
Other Systems q
q Un-rated q Rated q Rated/Sprinklers $
q lryildstrial Process/Critical Condition $
[?'Duress q Holdup (Silent, Commercial) $
q Administration $
q Administration $
$
SIGNALING OPTIONS
q Conventional Digital Signaling q Primary q Backup
q Alternate Signaling q Primary* q Backup
AlarmNet q C q A q M q I q Uplink q Cellular q Derived Channel
q Test Frequency q Monthly q Daily (*Alternate primary signaling or backup may require daily test frequency at additional cost)
q Other Signaling q Primary q Backup
REPORTING AND SUPERVISION OPTIONS
Select all that apply:
q Open/Close Logging
q Open/Close Supervison (requires logging)
q Open/Close Reporting (requires logging) q All q Exceptions Only q Weekly q Monthly
q Other Monthly Reporting Service
Maintenance (Customer Owned System)
WARRANTY & MAINTENANCE
q Yes q No
INSPECTIONS
q Fire System (Inspections per current AJH requirements)
q Non-Fire System q Monthly q Quarterly
$
q Annual
PRO-ONE LICENSE NUMBERS:
ALABAMA: Electronic Security Board of Licensure, 7956 Vaughn Road, Suite 392, Montgomery, AL 36116, Telephone 334/264-9332 AL #643, #533, #735, # 744, #1691, #5730,
#28211 AZ #ROC190246(K-67); ARKANSAS: Arkansas Board of Private Investigators and Private Security Agencies. #1 State Police Plaza Drive, Little Rock, AR 72209, (501) 618-
8600. AR # E97-122; CALIFORNIA: Alarm company operators are licensed and regulated by the Bureau of Security and Investigative Services, Department of Consumer Affairs,
Sacramento, California 95814. CONTRACTORS ARE REQUIRED BY LAW TO BE LICENSED AND REGULATED BY THE CONTRACTORS' STATE LICENSE BOARD WHICH
HAS JURISDICTION TO INVESTIGATE COMPLAINTS AGAINST CONTRACTORS IF A COMPLAINT REGARDING A PATENT ACT OR OMISSION IS FILED WITHIN FOUR
YEARS OF THE DATE OF THE ALLEGED VIOLATION. ANY QUESTIONS CONCERNING A CONTRACTOR MAY BE REFERRED TO THE REGISTRAR, CONTRACTORS STATE
LICENSE BOARD, P.O. BOX 260000 SACRAMENTO, CALIFORNIA 95826 CT185782; CA #AC0-3717, #3241, #626615; DE #1998200138, #97-54; FL #EF0001010, EF-A001010;
GA #LVA001233; ID #SC21391, #SJ22133, # SJ21419; IL #127-001000 #128-000174, #128-000151, #128-000115, #124-000195; LA #BF323, #D539, #7841, B3263; ME
#MC60017582, MS60004713; MD #107-423, #3806266; MA #1574C; MI #3061202288 ; #3602203841,# A-0378,# 5103229,# 5201789,# 5201100,# A-0482; MN #TS00502,
PL05469; MT #6982C5, 6982, #299FPC; NV #0031668A, #F189; NM #58345, #102134; NEW YORK: Licensed by the NYS Department of State. NY #12000261120; NC # 24466-
SP-LV, #1285-CSA; OH #53-18-1493; OK #621, #2817, #275, #2263; OR #116325, #34-428CLE; RI #9775, #4357; SC #BA5097, #BAQ9069, #FA3162, #FAQ9070, #BAC5286,
#BAQ2166; TN #641, #902, #642, #697, #919, #512 # 00049692; TEXAS: Complaints can be filed in Texas with the Texas Commission on Private Security, 4930 S. Congress
Avenue, Suite C305, Austin, Texas 78745, who issues Pro-One's operating license. TX #ACR-1637, #B-08690 #B-08702, #B-09792; UT #330634-6501; VA #11-2533; WA
#PROTE0022K2, PROTEOAO33BP; #UBI601354926; WV #48694; WY #LV A 17, #TLV A 31, #SKAGGPM979PB.
Customer Signature Date
/'•
P1 -RR107(01/041
PIN CALL LIST
q Yes
q No
q Yes
q No
q'Yes
q No
it Yes
q No
C:,t4les
q No
q No
q Yes
q No
q Yes
q No
q Yes
q No
q Yes
q No
q Yes
q No
q Yes
q No
q Yes
q No
q Yes
q No
q Yes
q No
Police Department Phone
AREA CODE &
TELEPHONE #
g 30-
-75,o9
c Y3
711
c:30. 9,C
9 0--
769 -
Fire Department
LAST, FIRST NAME
Police Department
(0 Protection One®
COMMERCIAL ACCOUNTS MONITORING
INFORMATION SCHEDULE
M
Customer #
CS #
Tax ID #
Customer Name
Special Dispatch Instructions
Branch #
Site II
Master Contract #
r V + ,61,7 Codeword:
Map Key (MAPSCO Preferred) /1 '116
Cross Street X es 719 n Gate Code Guard Dogs?
Emergency Contacts - List in order to be called
AUTHORIZED INDIVIDUALS TO BE NOTIFIED (in sequence)/AUTHORIZED USERS
PHONE TYPE (hm. Contact Security Level (check
cell wk pgr) one) (REQUIRED)
▪Ll All Functions
q L3 Restricted * No Update/Service
q L5 Call List Only
oil All Functions
q L3 Restricted " No Update/Service
q L5 Call List Only
Et'Ll All Functions
q L3 Restricted No Update/Service
q L5 Call List Only
31:1 All Functions
q L3 Restricted * No Update/Service
q,L5 Call List Only
Lt All Functions
q L3 Restricted * No Update/Service
q L5 Call List Only
Ertl All Functions
q L3 Restricted No Update/Service
q L5 Call List Only
q Ll All Functions
q L3 Restricted " No Update/Service
q L5 Call List Only
q Ll All Functions
q L3 Restricted * No Update/Service
q L5 Call List Only
•All Functions
q L3 Restricted * No Update/Service
q L5 Call List Only
q Ll All Functions
q L3 Restricted * No Update/Service
q L5 Call List Only
q Lt All Functions
q L3 Restricted No Update/Service
q L5 Call List Only
q Ll All Functions
q L3 Restricted * No Update/Service
q L5 Call List Only
q 1..1 All Functions
q L3 Restricted No Update/Service
q L5 Call List Only
q Ll All Functions
q L3 Restricted * No Update/Service
q L5 Call List Only
q Ll All Functions
q L3 Restricted * No Update/Service
q L5 Call List Only
Fire Department Phone
Medical Emergency Department Medical Emergency Department Phone Security Patrol Agency Security Patrol Agency Phone
I certify that I have verified with the above reference agencies and confirmed they are the correct responding party for this service. I
acknowledge various local governments, police and fire departments may have conditional or restricted policies that Pro-One has no
control over. I should contact my local government offices, police and fire departments to determine their response policies.
Customer Signature Date
BD3 02)
c,"
zed Sign tory Pled Name Customer/
C:2;*-7-1'
Security Professional Printed Name ecurity Professional Signature Agent Reg# (California Only)
Customer/A
a-
-Signature
(ES 71120
•*04/
Date itydf. Qt(
Date
(40 Protection One INSTALLATION WORK ORDER ADDENDUM
II
11
Customer #
(;)
6g#
q tI
Branch Number
i; (
Site Number Number
Customer Last Name First Name MI Today's Date
/f- • 0 44
On Site Contact
Site Name
Site Address 7 4011
Billing Address (If different from above) -2 745.- 13 0 ktph h jj City .. 1,.,,N,„ / )1" friiCe ,
/1.7 0/: Ya41 rYcit
fr
City _.., V Ars, -re relic_ c „--
INSTALLATION INFORMATION
Agent # Alarm Permit # Commitment Date/Time
Area Code Contact Telephone Number
Area Code Site Telephone Number
Z
State (.." Zip Code 5f2"31-5
State C cr Zip Code 2 -413
AC&T Contact
Job #
Tech Name
Tech ID
Tech Name
Tech ID
VAtt.-‘02,e)
Total Travel Time
Arrive Time -y 6)0,
Depart Time 2
C pev'
Total Work Time ,t%
Truck ID
, 1,
Job Rescheduled
Yes o
New Commitment Date/Time
Authorization #
System Type Soo
Panel Location 4i.
AC Location
s t Fi t vt.Pm
MONITORING CENTER
Phone Number
Panel Is Calling 1:7° 60 Lit, Phone Number
Panel Was Calling
EQUIPMENT AND LABOR Page
Protection One Download Yes No
Number Programmed?
of ,
Use this box to list any existing equipment that will NOT be connected to the Protection One System. (List equipment attached to system below.)
Storeroom #
QUANTITY QUANTITY
SOLD INSTALLED
Store Inventory
DESCRIPTION
Non-Store Inventory PO#
MATERIAL CODE LOCATION
UNIT PRICE EXTENDED PRICE EXTENDED PRICE
ITEMS SOLD ITEMS INSTALLED
3eiv r 1 w ktf (A44, RR. olopo /4/?4, kt 6 7 R
%TA ikevL iA
P,rto„ -Pti.1 7-e, 75gy /liar
`Dfrr_S F P.
60-cri
NOTES
0 2 .
03
,kes fr.-.1/ -4 e E>itioceS
Equipment Charge
Labor Charge
Monitoring Fee
Activation Fee
Applicable Tax
Subtotal
Payment Received
TOTL DUE
Sold a
-
9S
33717
49.
Installed s
C
METHOD OF PAYMENT
Check Check # DL # DL State Charge to Credit Card
METHOD OF PAYMENT
MI Today's Date
Customer #
CS#
Customer Last Name
Branch Number
Site Number
First Name
e tem
Total Travel Time
Arrive Time
Depart Time
Total Work Time
Truck ID
Job Rescheduled
Yes No
New Commitment Date/Time
MATERIAL CODE
Store Inventory
DESCRIPTION
Non-Store Inventory
LOCATION
Storeroom #
QUANTITY QUANTITY
SOLD INSTALLED
PO#
UNIT PRICE EXTENDED PRICE EXTENDED PRICE
ITEMS SOLD ITEMS INSTALLED
NOTES
Sold Installed
:17
crs
35
Equipment Charge
Labor Charge
Monitoring Fee
Activation Fee
Applicable Tax 74, 4, ilej
Subtotal
Payment Received
",...,,TOTAL DUE
LA" (10e E>vio
Date
it(0/.
Customer/Authorized Signatory Signature
Security Professional Signature Agent Reg# (California Only) Date
OP Protection One® INSTALLATION WORK ORDER ADDENDUM
On Site Contact
1 City C. t. or
Billing Address (If different from above) 2 7 7 c 3 4, fr. , City
INSTALLATION INFORMATION
Commitment Date/Time
of
Site Name
5 6,4' Terrlf(t (.
Site Address :.,}? j CC /5)4 , 744-,
Agent #
Job #
Tech Name
Tech ID
Tech Name
Tech ID
MONITORING CENTER
Phone Number
Panel Is Calling
Alarm Permit #
Phone Number
Panel Was Calling
EQUIPMENT AND LABOR Page
'
Area Code
›.--/
Area Code
Contact Telephone Number
3 0 c%
Site Telephone Number
State Zip Code
State .- (, Zip Code c---; i,41
AC&T Contact
Authorization #
System Type
Panel Location
AC Location
No Protection One Download Yes
Number Programmed?
Use this box to list any existing equipment that will NOT be connected to the Protection One System. (List equipment attached to system below.)
Customer/Authorized Signatory Printed Name
Security Professional Printed Name