State QPA Order - SBC Global Services dba AT&T - Golf Course T1 Lines

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ORDER for DS-I SERVICE UNDER STATE OF INDIANA QPA 9796 City Of South Bend ("Customer") hereby acknowledges and confirms its order for point-to-point DS-1 Service ("Order") under jurisdiction of the State of Indiana QPA 9796 ("Contract"), AT&T Contract Number 20050418-0404, between SBC Global Services, Inc., d/b/a AT&T Global Services on behalf of Indiana Bell Telephone Company, Incorporated ("AT&T"), and State of Indiana, Department of Administration Procurement Division on behalf of the Indiana Office of Technology (as of 7/i/05, formerly known as the Division of Information Technology) ("State") for all State Agencies and other Indiana governmental entities as provided in IC 4-I3-1-4, et. seq, This Order is intended to serve as a confirmation of Customer's selection of the Service and System Service Period (as selected below) tendered by AT&T and is subject to the terms and conditions of said Contract which may not be amended unless the Contract is formally amended by the State. Furthermore, signature on this Order indicates that Customer qualifies as a governmental entity entitled to procure services as an Authorized User under said Contract as provided in IC 4-13-1-4. This Order is effective upon the date of the last signature affixed hereto ("Effective Date"). The Monthly Rates for (DS-1) features not stated herein (or not covered by another contract) shall be the price as stated in the AT&T Catalog for thirty-six (36) months, the Non -Recurring Charges shall be the price stated in the AT&T Catalog. All other prices not quoted herein shall be as set forth in the AT&T Catalog and/or tariff as appropriate. Customer may elect to terminate all or part of the Service during the System Service Period upon thirty (30) days written notice to AT&T, subject to the. payment of.a Termination Charge, stated herein for Customer's convenience. Termination Charge on each service removed prior to the end of the System Service Term shall be the lesser of (i) the dollar difference between the price selected herein and the price stated below for the term that could have been completed at the time of tennination or (ii) fifty percent of the remaining amount due. Notice of Withdrawal Service and Service Component Withdrawals during Minimum Payment Period Prior Notice Required from AT&T to Withdraw and Terminate a Service 12 months Prior Notice Required from AT&T to Withdraw and Terminate a Service Component 120 days Applicable Services/Service Components DS-1 Service Order Service Rates and Charges. Select and enter values below, as applicable. Service Elements r Qty DS-I Loc. Dist. Chan, all zones 12 Channel Mileage 18 Channel Mileage Termination 8 Clear Channel 6 Total System Service Period (Select one only) ❑ 12 Mo Monthly ❑ 24 Mo Monthly ® 36 Mo Monthly Rate, each Rate, each Rate, each Total CN 002650 CN 002649 CN 002651 Monthly $200,00 $125.00 $80.00 $960.00 $11.50 $9.15 $8.42 $151.56 $36.00 $30.00 $25.00 $200.00 $0.00 $0.00 $0.00 $0.00 $1,311.56 The Nan -Recurring Charge per Clear Channel is $350.00 and is waived. The Non -Recurring charge for other Service Elements is $0.00. The Non -Recurring Charge does not apply to a Renewal. Renewal is effective upon expiration of the existing contract term or the Effective Date of this Order, whichever is later. Order for Service in Indiana location(s). Select and enter information below: ❑ shall be installed or ® is existing: location(s) Service Address and City (Location A) Central Office Service Address and City (Location 7) Central Office See Spreadsheet See Spreadsheet For additional Indiana location(s), attach Attachment A- Additional Indiana Location(s). ❑ Check box if Attachment A is attached to this Order Billing Address -- enter city, state and zip: 227 W JEFFERSON BLVD, SOUTH BEND, IN 46601 Existing Service -- enter Circuit ID(s) and/or Billing Number: 574-R08-0165 250 LK3253 021218 SR1-5JKP3XM ON-3WU81 S3 QA-RLR 735038v3 DS1 Customer Service Order Request Form v120516 Page 1 of 2