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Date: <br />EXHIBIT A <br />Seattle SMSA Limited Partnership, d/b/a Verizon Wireless <br />Franchise Agreement Acceptance Form <br />City of Tukwila <br />City Clerk's Office <br />6200 Southcenter Boulevard <br />Tukwila, WA 98188 <br />Dear City Clerk: <br />Re: Ordinance No. , adopted on <br />In accordance with and as required by Section 5 of City of Tukwila Ordinance <br />No. , passed by the City Council and approved by the Mayor on <br />(the "Ordinance"), Seattle SMSA Limited Partnership, <br />a Delaware limited partnership, d/b/a Verizon Wireless, hereby accepts the terms, <br />conditions and obligations to be complied with or performed by it under the Ordinance. <br />Sincerely, <br />Jim R. Creel, Jr., <br />Director — Network Field Engineering <br />cc: Public Works Director, City of Tukwila <br />W: Word Processing\Ordinances\Verizon-Seattle SMSA Franchise Agreement 11-20-17 <br />GL:bjs <br />Page 21 of 21 <br />23 <br />