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DocuSign Envelope ID:660F0972-7FE7-4060-97E8-F 056E91133 <br /> • <br /> 4X <br /> Account/Site# <br /> 4 OP Satericycle" Generator ID#: <br /> • Service Agreement <br /> Effective Date 11-1-2019 between Stericycle, Inc and The Raven Tattoo & Art Gallery <br /> Service Address Billing Address <br /> Customer/Company The Raven Tattoo&Art Gallery <br /> Name: <br /> Address 1: 13500 Highway 88 Address 1: 13500 Highway 88 <br /> Address 2: Address 2: <br /> City/State/Zip: Lockeford,CA 95237 City/State/Zip: Lockeford,CA 95237 <br /> Phone#: (209)727-7061 Phone#: <br /> Fax: Fax <br /> E-Mail: rfredericksen82@yahoo.com E-Mail: rfredericksen82@yahoo.com <br /> ��i ices I ncluLfed checked belmi(Reles-ence Allotted Annual Additional Stop AdditionalContainer/Over NionthlyService <br /> Attachnient"Ser%ice Descriptions"for Allotted Annual Containvi-s <br /> iohazardous Regulated Medical Waste <br /> oDisposal 6 6 $75 Current container rate plus $67.00 <br /> Service Level:Steri-Safe OSHA 10% <br /> Compliance Solutions <br /> Stericycle Reusable Sharps Program <br /> (Only available with ptseheae of"Biahaadaa $0.00 <br /> Regulated Medical Waste Disposal"services) <br /> Fixer/Developer-Photo Processing 0 _ _ _ $0.00 <br /> Disposal Service <br /> Pathological/Trace Chemotherapy 0 $0.00 <br /> Disposal Service <br /> Pharmaceutical Waste Disposal 0 - $0.00 <br /> CsRx Controlled Substance Waste <br /> Service 0 - - 0 $0.00 <br /> (only available with purchase oC-HIMS"s ices) <br /> HIPAA Steri-Safe $0.00 <br /> lIoxT%pe(W.X0n1yj *PriceperlIox Price Pei-Stop Min.Boxes per scheduled No Waste —Mininium <br /> pickup Frequeric% Fee Pickup Fee <br /> Biohazardous Regulated Medical Waste <br /> Disposal-Transactional <br /> *Price per Box:WA only=Bared on WUTC Tarlffpricing <br /> **Minimum Pickup Fee:WA only=810.00 minimum monthly fee. <br /> Monthly Service Fee Total:$67.00 Total Monthly Service Fee: $67.00 <br /> Minimum Pickup Fee Total:N/A Billing Schedule: Monthly <br /> Fuel Charge(per stop):$4M <br /> Includes All Fees(Additional taxes May Apply) <br /> Energy Fee(per stop):$4�Q4 <br /> During the first 12 months of the Agreement,Stericycle will not increase the above fees. <br /> Environmental Fee:0% <br /> Record Retention Fee(per stop):$294 Thereafter,fees will not increase by more than 5.00%annually. <br /> Service Guarantee:Stericycle guarantees to deliver the highest quality service at all times.Any complaints about the quality of service which have not been resolved in the normal course of business should be <br /> communicated to Stericycle by written notice to the Account Care department at the address listed below. If Stericycle fails to resolve any material service complaint within thirty(30)days,the customer may termtnate <br /> this Agreement provided all equipment is paid for at the then current replacement values or returned to Stericycle in good and usable condition. <br /> IN WITNESS WHEREOF,this Agreement has been duly executed on the day,month and year *The offer will expire 10-23-2019 <br /> written below. <br /> Stericycle: Customer: <br /> Contracting Entity:Stericycle.Inc. Customer/Company Name:The Raven Tattoo&Art Gallery <br /> Name: RobertAbalos Name: Robert Fredericksen <br /> Title: Compl 'd t igned by: Title: owne r DmuSigtaed by: <br /> Date: 10/16/2Qba�es Date: 10/16/2 �' --�, <br /> Signature: Signature: �J <br /> By signing above I ackrro��50"Vwmer's authorized officer or agent and that I have the authonty to bind Ctstomer tbFt EKWW�tomer agrees to be bound by these terms and <br /> conditions and comply with Stencycle's Waste Acceptance Policy,both of which are integral parts of this Agreement. <br /> 4010 Commercial Ave.,Northbrook,IL 60062-Phone:-Fax: <br /> Office Use Only:Code#:S67.00..S0.00 <br />