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HomeMy WebLinkAbout12-164 - Empire Today - Flooring Replacement (Fire Stations)a 08/30/2012 11:10 2065752475 TUKWILA FIRE 48 . man City of Tukwila 6200 Southcenter Boulevard, Tukwila WA 98188 CONTRACT FOR SERVICES 5Z, 5-4 PAGE 01 Contract Number. 12 -164 Council Approval N/A This Agreement is entered into by and between the City of Tukwila, Washington, a non - charter optional municipal code city hereinafter referred to as "the City," and do hereinafter referred to as "the Contractor," whose principal office is located at Q o tL� WHEREAS, the City has determined the need to have certain services performed for its citizens but does not have the manpower or expertise to perform such services; and WHEREAS, the City desires to have the Contractor perform such services pursuant to certain terms and conditions; now, therefore, IN CONSIDERATION OF the mutual benefits and conditions hereinafter contained, the parties hereto agree as follows: 1. Scope and Schedule of Services to be Performed by Contractor. The Contractor shall perform those services described on Exhibit A attached hereto and incorporated herein by this reference as if fully set forth. In performing such services, the Contractor shall at all times comply with all Federal, State, and local statutes, rules and ordinances applicable to the performance of such services and the handling of any funds used in connection therewith. The Contractor shall request and obtain prior written approval from the City if the scope or schedule is to be modified in any way. 2. Compensation and Method of Payment. The City shalt pay the Contractor for services rendered accordi.og to the rate and method set forth on Exhibit 8 ttached hereto and m,cor gated herein by this reference. The total amount to be paid shall not exceed.Zit_ I0S,Z9 at a rate of //bbrr 3. Contractor Budget. The Contractor shall apply the funds received under this Agreement within the maximum limits set forth in this Agreement. The Contractor shall request prior approval from the City whenever the Contractor desires to amend its budget in any way. 4. Auntion of Ac recment. This Agreement shall be in full force and effect for a period commencing —7,-1 A 2011,and ending IZ - 56 20. — unless sooner terminated under the provisions hereinafter specified. S. Independent Contractor. Contractor and City agree that Contractor is an independent contractor with respect to the services provided pursuant to this Agreement. Nothing in this Agreement shall be considered to create the relationship of employer and employee between the parties hereto. Neither Contractor nor any employee of Contractor shall be entitled to any benefits accorded City employees by virtue of the services provided under this Agreement. The City shall not be responsible for withholding or otherwise deducting federal income tax or social security or contributing to the State Industrial Insurance Program, or otherwise assuming the duties of an employer with respect to the contractor, or any employee of the Contractor. CA Revised 2012 Page 1 of 4 ISt ',r� bn 08/30/2012 11:10 2065752475 TLKWILA FIRE PAGE 02 6. Indemnification. The Contractor shall defend, indemnify and hold the City, its officers; agents, officials, employees and volunteers harmless from any and all claims, injuries, damages, losses or suits including attorney fees, arising out of or in connection with the performance of this Agreement, except for injuries and damages caused by the sole negligence of the City. Should a court of competent jurisdiction determine that this Agreement is subject to RCW 4.24.115, theft; in the event of liability for damages arising out of bodily injury to persons or damages to property caused by or resulting from the concurrent negligence of the Contractor and the City, its officers, officials, employees, and volunteers, the Contractor's liability hereunder shall be only to the extent of the Contractor's negligence. It is further specifically and expressly understood that the indemnification provided herein constitutes the Contractor's waiver of immunity under Industrial Insurance, Title 51 RCW, solely for the purposes of this indemnification. This waiver has been mutually negotiated by the parties. The provisions of this section shall survive the expiration or termination of this Agreement. 7. Tnsuranee. The Contractor shall procure and maintain for the duration of the Agreement, insurance against claims for injuries to persons or damage to property which may arise from or in connection with the performance of the work hereunder by the Contractor, their agents, representatives, employees or subcontractors. Contractor's maintenance of insurance, its scope of coverage and limits as required herein shall not be construed to limit the liability of the Contractor to the coverage provided by such insurance, or otherwise Limit the City's recourse to any remedy available at law or an equity. A. Minimum Scope of Insurance. Contractor shall obtain insurance of the types and with the limits described below: 1. Automobile Liability ittairance with a minimum combined single limit for bodily injury and property damage of .$1,000,000 per accident. Automobile liability insurance shall cover all owned, non - owned, hired and leased vehicles. Coverage shall be written on Insurance Services Office (ISO) form CA 00 01 or a substitute form providing equivalent Iiability coverage. PF necessary,, the policy shall be endorsed to provide contractual liability coverage. Commercial General Liabilityinsurance with limits no less than $1,000,000 each occurrence, $2,000,000 general aggregate and $2,000,000 pro ducts- completed operations aggregate limit. Commercial General Liability insurance shall be written on ISO occurrence form CG 00 01 and shall cover liability arising from premises, operations, independent contractors, products - completed operations, stop gap liability, personal injury and advertising injury, and Iiability assumed under an insured contract. The Commercial General Liability insurance shall be endorsed to provide the Aggregate Per Project Endorsement ISO form CG 25 03 1185 or an equivalent endorsement. There shall be no endorsement or modification of the Commercial General Liability Insurance for liability arising from explosion, collapse or underground property damage. The City shaJJ, be named as an insured. under the Contractor's Commercial General Liability insurance policy with respect to the work performed for the City using ISO Additional Insured endorsement CG 20 10 10 01 and Additional Jnsured- Completed Operations endorsement CG 20 37 10 01 or substitute endorsements providing equivalent coverage. 3. Workers' Compensation coverage as required byte Industrial Insurance laws of the State of Washington. CA Revised 2012 Rage 2 of 4 08/30/2012 11:10 2065752475 TUKWILA FIRE PACE 03 B. Other Insurance Provision. The Contractor's Automobile Liability and Commercial General Liability insurance policies are to conin, ta or be endorsed to contain that they sb.all be primary insurance with respect to the City. Any insurance, self - insurance, or insurance pool coverage maintained by the City shall be excess of the Contractor's insurance and shall not contribute with it. C. Acceptability of Insurers. Insurance is to be placed with insurers with a current A.M. Best rating, of not less than. A: VII. D. Verification of Coverage. Contractor shall fumiah the City with original certificates and a copy of the amendatory endorsements, including but not necessarily limited to the additional insured endorsement, evidencing the insurance requirements of the Contractor before commencement of the work. E. Subcontractors. The Contractor shall have sole responsibility for determining the insurance coverage and limits required, if any, to be obtained by subcontractors, which determination shall be made in accordance with reasonable and prudent business practices. F. notice of Cancellation. The Contractor shall provide the City and all Additional Insureds for this work with written notice of any policy cancellation, within two business days of their receipt of such notice. G. Failure to Maintain Insurance. Failure on the part of the Contractor to maintain the insurance as required shall constitute a material breach of contract, upon which the City may, after giving five business days notice to the Contractor to correct the breach, irommediately terminate the contract or, at its discretion, procure or renew such insurance and pay any and all premiums in connection therewith, with any sums so expended to be repaid to the City on demand, or at the sole discretion of the City, offset against funds due the Contractor fzorn the City. 8. ,Record Keeping and Reportin>r. A. The Contractor shall maintain accounts and records, including personnel, property, financial and programmatic records which sufficiently and properly reflect all direct and indirect costs of any nature expended and services performed in the performance of this Agreement and other such records as may be deemed necessary by the City to ensure the performance of this Agreement. B. These records shall be maintained for a period of seven (7) years after termination hereof unless permission to destroy them is granted by the office of the archivist in accordance witb RCW Chapter 40.14 and by the City. 9. Audits and Inspections. The records and documents with respect to all matters covered by this Agreement shall be subject at all times to inspection, review or audit by law during the performance of this Agreement. 10. Termination. This Agrecment may at any time be terminated by the City giving to the Contractor tbirty (30) days written notice of the City's intention to terminate the same. Failure to provide products on schedule may result in contract termination. If the Contractor's insurance coverage is canceled for any reason, the City shall have the right to terminate this Agreement immediately. 11. Discrimination Prohibited. The Contractor sball not discriminate against any employee, applicant for employment, or any person seeking the services of the Contractor to be provided under this Agreement on the basis of race, color, religion, creed, sex, age, uational on n, marital status or presence of any sensory, mental or physical handicap. CA Revised 2012 Page 3 oF4 08/30/2012 11:10 2065752475 TUKWIIA FIRE PACE 04 .1.2. Assignment and Subcontract. The Contractor shall not assign or subcontract any portion of the services contemplated by this Agreement without the written consent of the City: 13. Entire Agreement; Modification. This Agreement, together with attachments or addenda, represents the entire and integrated Agreement between the City and the Contractor and supersedes all prior negotiations, representations, or agreements written or oral. No amendment or modification of this Agreement shall be of any force or effect unless it is in writing and signed by the parties. 14. Severability and Survival, if any term; condition or provision of this Agreement is declared void or unenforceable or limited in its application or effect, such event shall not affect any oft- provisions hereof and all other, provisions shall remain fully enforceable. The provisions of this Agreement, wbich by their sense and context are reasonably intended to survive the completion, expiration or cancellation of this Agxecmcnt, shall survive termination of this Agreement. 15. Notices. Notices to the City of Tukwila shall be sent to the following address: City Clerk, City of Tukwila 6200 Southcenter Blvd. Tukwila, Washington 98188 Notices to the Contractor sball be sent to the address provided by the Contractor upon the signature line below. 1.6. Applicable Law; Venue; Attorney',; Fees. This Agreement shall be governed by and construed in accordance with the laws of the State of Washington. In the event any suit, arbitration, or other proceeding is instituted to enforce any term of this Agreement, the parties specifically understand and agree that venue shall be properly laid in King County, Washington. The prevailing party iA any such action shall be entitled to its attorney's fees and costs of suit. DATED this day of / /�fn/�/1 20� 4zz-- 4rme nd Ti tie::�OVw( W • l Address: Attest/Authemicated: Approved as to Form: City Clerk 0 ice of the City Attorney 0/4�� CA Revised 2012 Page 4 or4 EMPIRE TODAY' Carpet & Flooring 6�yt, k U.S. Communities .. CUSTOMER'.TNFO"ATIOIV 1.0116-11! 10 LC PRO]ECT,LOCATION ESTIMATE DATE: 8/2/2012 • Estimate valid for a period of30 days from the above date NAME: Lavern Peterson TITLE: Chief ORGANIZATION /ENTITY OR AGENCY NAME: Tukwila Fire Dept. CHECK BOX IF SAME AS CUSTOMER INFORMATION NAME: Station 52 ADDRESS: Hall, meeting room, comm ctr CITY /STATE: ZIP: PHONE: ADDRESS: 444 Andover Park East kMPiRE `TUDAY:CONTACT.INFORMATION TIN /EIN FC: CITY / STATE: Tukwila, WA PHONE: 206 948 9029 FAX: EMAIL: TAX EXEMPT? Y /N: no NAME: Len Mallory MARKET: Seattle PHONE: 253 514 7889 FAX: EMAIL.' Imalioaaernpiretodayoom ... Q PRODUCT OR LABOR DESCRIPTION ", .. _:. NIT PRICE... U., PRODUCT /LABOR SPECIAL COMMENTS ':.AMOUNT'.:.:. 1 665 Mannington Adura Tile $2.74 AT201Seaslde, Board walk $1,822.10 2 665 product freight $0.37 $246.05 3 665 LVrlabor $0.93 $618.45 4 5 MT 711 adhesive $80.66 $161.32 5 1 floor prep $337.00 $337.00 6 604 carpet tear out $1.87 $1,129.48 7 24 transitions $1.02 $24.48 8 24 transition labor $1.25 $30.00 9 198 If Roppe wall base $0.51 $100.98 10 198 If wail base labor $0.62 $122.76 11 0 vinyl tear out $0.00 $0.00 12 13 14 15 16 17 38 19 20 351 syd Recovery & Consolidation: Carpet Recycling $0:00 Recycling an ease or Post- nsumer $0.00 Special Project Instructions: Above pricing only valid for active U.S. Communities Participants. Tax not included in estimate but will apply if quote is accepted and if tax is applicable. If at the time of installation it is determined that the subfloor needs to be repaired, additional and reasonable charges will apply. Customer Approval: Date: his estimate Is for completing the project as described above. It Is based on our evaluatlon and does not include material price increases or additional labor and materials which may be required should unforeseen problems or adverse weather conditions arise after the work has been initiated. SUB TOTAL $4,592.62 TAX TOTAL $4,592.62 Pnone: 1>66 -5813 -2353 - Fax: rIppe-2RA , T,,y l munrieeepirtoday corn ET_USC Tuk #52 Halls mtg nn, office xls.xis m b DOCOOOF -1139 Rev. 1 EMPIRE TODAY' Carpet & Flooring U.S. Communities ` C.USTOMER`.TNFORMATXON ;..:: `. a �c .:PRO)EGT.L'OCATLON .. ESTIMATE DATE: 8/2/2012 ` Estimate valid for a period of 30 days from the above date NAME: Lavern Peterson TITLE: Chief ORGANIZATION /ENTITY OR AGENCY NAME: Tukwila Fire Dept. _. -:- CHECK BOX IF SAME AS CUSTOMER INFORMATION NAME: Station 52 ADDRESS: Bunkrooms CITY /STATE: Zip.; PHONE: ADDRESS: 444 Andover Park East EMPIRE ?ODAYCOIHTAC7 NF.ORMATION TZN /EIN # CITY / STATE: Tukwila, WA PHONE: 206 948 9029 FAX: EMAIL: TAX EXEMPT? Y /N: n0 NAME: Len Mallory MARKET: Seattle PHONE: 253 514 7889 FAX: EMAIL: Imallo em iretoda .com ITEM ...- ... .. :. __. OR.LAeOR DESCRIPTION ,. UNIPPRICE- .,,. ..� . . PRODUCE /LABORS"CXALCOt4MENT'S ....AMOUNT 1 386 Mannington Adura Tile $2.74 AT201Seaside, Board walk $1,057.64 2 386 product freight $0.37 $142.82 3 386 LVTlabor $0.93 $358.98 4 2 MT 711 adhesive $80.66 $161.32 5 1 floor prep $137.00 $137.00 6 351 carpet tear out $1.87 $656.37 7 12 transitions $1.02 $12.24 8 12 transition labor $1.25 $15.00 9 140 If Roppe wall base $0.51 $71.40 10 140 if wall base labor $0.62 $86.60 11 0 vinyl tear out $0.00 $0.00 12 13 14 15 16 17 18 19 20 351 syd Recovery & Consolidation: Carpet Recycling $0.00 kecycimg and Reuse or Post-Consumer $0.00 Special Project Instructions: Above pricing only valid for active U.S. Communities Participants. Tax not included in estimate but will apply if quote is accepted and if tax is applicable. If at the time of installation it is determined that the subfloor needs to be repaired, additional and reasonable charges will apply. ICUStomer Approval: Date: This estimate Is for completing the project as described above. It is based on our evaluation and does not Include material price increases or additional labor and materials which may be required should unforeseen problems or adverse weather conditions arise after the work has been Initiated. SUB TOTAL $2,699.75 TAX TOTAL $2,699.75 Phone: 666 - 558-2353 •Fax: *EgVRT,,MC ST- unitieSOempiretodaycom ET USC Tuk #54daymom xls xis 000000E -1139 Rev. 1 EMPIRE TODAY* Carpet & Flooring U.S. Communities E_QflM.qt4P ✓ �'--., .CUSTOMER INFORMATION :-: PR03ECT LOCATION ESTIMATE DATE: 8/2/2012 EW,mare valid for a period of30 days from the above (late NAME. Lavern Peterson TITLE: Chief ORGANIZATION I EN V OR AGENCY NAME; Tukwila Fire Dept. CHECK BOX IF SAME AS CUSTOMER INFORMATION NAME: Station 53 ADDRESS: Office CITY /STATE: ZIP: PHONE: ADDRESS: 444 Andover Park East ' J"' - - EMPrR E_ - ' I&AY CdtitlAdt 11406R"'ftON: TO TIN/FIN CITY / STATE: Tukwila, WA PHONE. 206 948 9029 FAX: EMAIL! TAX ExEmpr YIN: no NAME: Len Malloy, MARKET: Seattle PHONE: 253 514 7889 FAX: EMAIL: lrnp0oU2empiretoday.corn ORLASOR: ESCICVTI P i��OCOMMENTS 1 306 Sf Mannington Adura Tile $2.74 AT20ISeaside, Board walk $838.44 2 306 product freight $0.37 $113.22 3 306 LVr labor $0.93 $284.58 4 2 MT 711 adhesive $80.66 $725.94 5 1 floor prep $127.00 $127.00 6 275 carpet tear out ;1,87 $51415 7 12 transitJons $1.02 $12.24 8 12 transition labor $1.25 $15.00 9 761f Ropoe wall base $0.51 $38.76 10 76;f wall base labor $0.62 $47.12 11 vinyl tear out 12 13 14 15 16 17 is 19 — 20 275 syd 1 Recoverylk consolidation: Carpet Recycling $0.00 Consumer chd R Recy- mg an euse OrPost- '­­ $0.00 Special Project Instructions: Above pricing only valid for active U.S. Communities Participants. Tax not included in estimate but wilt apply If quote Is accepted and If tax Is applicable. If at the time of installation it is determined that the subfloor needs to be repaired, additional and reasonable charges will apply. !Customer Approval: Date: This estimate ls for completing the project as described above. it Is based on our evaluation and does not Include material price Increases or additional labor and materials which may be required should unforeseen problems or adverse weather conditions arise after the work has been Initiated. - SUB TOTAL $2,716,55 — TAX TOTAL Phone: 866-58e-2353 • Fa--: sramunitiesfOerrypiretoclay.corn ET _USC Tuk #53office xls.yJs COOOOOF•1139 Rev. I EMPIRE TODAY U.S. Communities 5 1 floor prep $604.00 $604.00 5 614sf carpet tear out $1.87 $1,148.18 7 24 transitions $1.02 $24.48 8 24 transition labor $1.25 $30.00 9 220 If Roppe wall base $0.51 $112.20 10 2201f wall base labor $0.62 $136.40 11 500 sf vinyl tear out $1.87 $935.00 12 13 14 15 16 17 18 19 20 614 syd lRecovery & Consolidation: Carpet Recycling $0.00 ecy mg an Reuse or osc- onsumer $0.00 Special Project Instructions: Above pricing only valid for active U.S. Communities Participants. Tax not included in estimate but will apply if quote is accepted and if tax is applicable. If at the time of installation it is determined that the subfloor needs to be repaired, additional and reasonable charges will apply. Customer Approval: This estimate Is for completing the project as described above. It is based on our evaluation and does not Include material price increases or additional labor and materials which may be required should unforeseen problems or adverse weather conditions arise after the work has been Initiated. SUB TOTAL $8,48`3.400 TAX TOTAL $8,483.40 Phone: 866-588-2M • Fax: omunities @empiretodaycom ET_USC Tuk #53 Kdchen,living,offioe xis.xls 000000F -1139 Rev. 1 v EMPIRE TODAY U.S. Communities 10 150 If wall base labor $0.62 $93.00 11 12 13 14 15 16 17 18 19 20 483 syd Recovery & Consolidation: Carpet Recycling $0.00. Recycling an or ost onsumer $0.00 Special Project Instructions: Above pricing only valid for active U.S. Communities Participants. Tax not included in estimate but will apply if quote is accepted and if tax is applicable. If at the time of installation it is determined that the subfloor needs to be repaired, additional and reasonable charges will apply. Customer Approval: Date: This estimate Is for completing the project as described above. It is based on our evaluation and does not Include material price Increases or additional labor and materials which may be required should unforeseen problems or adverse weather conditions arise after the work has been initiated. SUB TOTAL $4,124.09 FAX OTAL $4,124.09 Phone: 866 -588 -2353 - Fax: ` 7ppOIR -Em %({ gramunitleswlemp3re:oaay cam ET_USC Tuk #54 hall xlsxis 000000F -1139 Rev.1 'EMPIRE TODAY' Carpet & Flooring U.S. Communities Fe.tim;4ta CUSTOMER INFORMATION C „PROJECT LOCATION „; ESTIMATE DATE: 8/2/2012 CHECK BOX IF SAME AS CUSTOMER INFORMATION • Estimate valid for a penbo, of 30 days from the above date NAME. Station 54 NAME: Lavern Peterson ADDRESS: TITLE: Chief Da room ORGANIZATION /ENTITY OR AGENCY CITY/STATE: ZIP: NAME: Tukwila Fire Dept. PHONE: ADDRESS: 444 Andover Park East -::; ']EMPIRE TODAY,iCONTACT INFORMATION NAME: Len Mallory TIN /EIN V, MARKET: Seattle CITY / STATE: Tukwila, WA PHONE: 253 514 7889 PHONE: 206 948 9029 FAX: FAX: EMAIL: TAX EXEMPT? Y /N: no EMAIL: Ima110 em iretoda .com DRODUCr ORLABOR DESCRIDTION'. .:.. UNIT PRICE.., .,, PRODUCT /LABOR SPECIAL COMMENTS trAMOUNT 1 806 sf Mannington Adura Tile $2.74 AT201Seaside, Board walk $2,208.44 2 806 product freight $0.37 $298.22 3 806 LVrlabor $0.93 $749.58 4 5 MT 711 adhesive 880.66 $403.33 5 1 floor prep $337.00 $337.00 6 655 carpet tear out $1.87 $1,224.84 7 12 transitions $1.02 $12.24 a 12 transition labor $1.25 $15.00 9 140 If Roppe wall base $0.51 $71.40 10 140 If wall base labor $0.62 $86.80 11 205 vinyl tear out $1.87 $383.35 12 13 14 15 16 17 18 19 20 72.77syd Recovery & Consolidation: Carpet Recycling $0.00 . mg an use or ost- onsumer $0.00 Special Project Instructions: Above pricing only valid for active U.S. Communities Participants. Tax not included in estimate but will apply if quote is accepted and if tax is applicable. If at the time of installation it is determined that the subfloor needs to be repaired, additional and reasonable charges will apply. Customer Approval: Date: This estimate is for completing the project as described above. It is based on our SUB TOTAL $5,790.20 evaluation and does not Include material price Increases or additional labor and materials TAX -- which may be required should unforeseen problems or adverse weather conditions arise after the work has been initiated. TOTAL $5,790.20 Phone: 866 -588 -2353 • Fax-, aremunitfesUempiretodaycom ET_USC Tuk #54dayroom XIs.XIs DODOOOF -1139 Rev. 1 EMPIRE TODAYLLC 19221 66th Ave South, Kent, WA 98032 800-588-230OTM Commercial 016FA.A 1942 fry 800-58.8-2300 .com Dale On Activity Number Sales'RepNamoday.COm Z� -l2 SalesR # IfApplicable) A ppllcable) Buyer Information Nam Delivery Work Uto P�51 44j04 Mobile Phone Address Work Phone Mobile Phone Email Address Email Address Cash; Check = N/; Net30 160 190; Cash on Products) U WA l Delivery = COD 'T` Bank Cards: Master Card = M /C; Visa =Visa; OrderAmount $ C/ Dwol D $ $ $ $ ConlractAmount $ American Express =AIE Terms Conditions The Buyer(s) listed above hereby join0y and Tax (If Applicable) $ �. b ( �O2 $ Tax (if Applicable) $ 2 toGf Y r b Z severally agree(s) to purchase the goods andlor services listed to the right and on the accompanying Commercial Specification Order Total $ � �D �.3 $ $ $ $ Contract Total $ Sheet(s) or addendum(s), Deposit Amount &Method AmuM i ^ru^c^ / Deposit Amount $ in accordance with the prices and terms described on the front and the reverse of this Agreement, and Buyers(s) has requested that such goods or services anwm r Nei be installed or provided at Buyer(s) address(es) written above. Empire Today, LLC ('Empire'), Financed & Approval # a t 2 O ,} S Approval Code: hereby agrees to deliver and/or cause to be installed the products or services listed in this Agreement at BIC or Check # &Approval # arclaa r o u r Checks / Approval Code: Buyers address written above. Detailed product Au" r MAW descriptions and services) Instructions are contained in the accompanying Commerdal Specification COD Amount & Method / Balance Due $ Financed Balance Due 05 r 2,3 Sheet(s) to this Agreement. PLEASE INSPECT PRODUCT AND INSTALLATION FOR ANY INSTALLMENT-RELATED PROBLEM WHILE THE INSTALLERS ARE ON SITE. INSTALLERS WILL CORRECT ANY INSTALLMENT-RELATED PROBLEM BEFORE LEAVING THE PREMISE. It Is agreed and understood by and between the parties listed above, that this Agreement, front and reverse, and any Commercial Specification Sheet(s), constitutes the entire understanding between said parties, and there are noverbal agreements or modifications, of any sort, to the terms of this Agreement. This Agreement may not be changed or Its terms In modified or varied any way unless such changes are in writing and signed by both Buyer and Empire. yer hereby acknowledges that Buyer has read the front and the reverse of this Agreement and has received a completed, signed and dated copy of this Agreement and Commercial Specification Sheet(s). If a the time of installation It Is determined that the subn needs to be replaced or repaired, Accepted by :���W ` A '6" t l a By: additional and reasonable charges will o t X Company Name Bu ignature assessed and must be paid according to the &Rer' ir Dale ure Date terms of this Agreement. Mp Agent fPdni Name Title Sales Rep loim Name m LL ii ( J� E U