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ACCOYPT NO:
<br />ACCOUNT
<br />■ NEW SERVICE,,LOCATION
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<br />STREET NUMBER:
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<br />SERVICE. DESCRIPTION
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<br />Customer Tax Exemption Number (If Applicable):
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<br />Service Begins On: _ / /
<br />Service Scheduled
<br />Time(s) per day ee month
<br />Number of Containers:
<br />Type of Container
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<br />Recommencement Rate: T ,
<br />SpaclaV instructions:
<br />Date of Agreement
<br />> 'TE MS AND CQNDITIONS
<br />BY SIGNING IN THE SPACE PROVIDED BE OW, THE CUSTOMER A00IOWLEDGES HAVING READ AND THAT IT IS BOUND BY THE TERMS` AND CONDITIONS
<br />ABOVE AND BELOW ON THIS PAGE AND CONTINUING ON THE ROO"BE SIDE OF THIS PAGE.
<br />"CONTRACTOR" (CUSTOMER NAME)
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<br />BY (SIGNATURE): .:./+� fir l d e�t v�
<br />S - NAME (PLEASE TYPE OR PRINT):
<br />(N ME OF OPERATING -BROWNING -FERRIS IND ITRIES SUBSIDIARY)
<br />BY/TITLE R"�+ TITLE (PLEASE TPE OR PRINT)
<br />ARTICLE I w
<br />DISPOSAL SERVICES
<br />Customer shall provide to Conitactor and Contractor shall collect and remogejom Customer'$ premises, Veat andlorAlspose ofall "Biomedical Nfas#e" generatgd b¢.CustomeJ in accofdarjce with lh$.terms of this Agreement.
<br />The term "Biomedical Waste', as used herein, shall include only those wastes (ij defined by the United States Environmental Protection Agency (USEPA) as -infectious wastes in its Guide for Infectious Waste Management,
<br />#EPA/530-SW-BH14, May 1986, and any other wastes identified as infectious or similar wastes in any other applicable federal, state, county or municipal laws, regulations and guidelines, and (ii) "Chemotherapy Waste" (also
<br />known as antineoplastic or cytotoxic waste). The term "Chemotherapy Waste", as used herein, means discarded items which have been contaminated by chemotherapeutic drugs or antineoplastic agents, provided that such
<br />items, including vials and syringes, shall be empty or contain only such trace amounts of chemotherapeutic drugs as are allowable under applicable federal, state, county or municipal laws, regulations and guidelines so as to
<br />be considered waste. The term Biomedical Waste specifically excludes corrosive, reactive, radioactive, toxic (except toxic material or waste listed as an antineoplastic agent in Section 10.00 of the American Hospital
<br />Formulary Service published by the American Society of Hospital Pharmacists), and other hazardous wastes and substances as defined in any applicable federal, state, county or municipal laws, regulations and guidelines.
<br />Customer is solely responsible for property and lawfully packaging and storing Biomedical Waste. Customer shall store Biomedical Waste in containers supplied or approved by Contractor. The storage of Biomedical Waste
<br />shall be confined to an area on Customer's premises to which only authorized personnel shall have access.
<br />Contractor reserves the right to decline to accept for collection, transportation, treatment and/or disposal any Biomedical Waste which, in Contractor's judgment, it cannot transport, treat or dispose of in a lawful manner or
<br />without a risk of harm to public health or the environment. Improperly packaged, leaking, overweight or damaged containers are subject to rejection or to off -specification charges for repackaging and/or special handling.
<br />No containers will be picked up that are wet or leaking.
<br />ARTICLE 11 - TITLE
<br />Title to Biomedical Waste collected from Customer shall be transferred to and vest in Contractor at the same time that the Biomedical Waste is fully loaded into Contractor's truck. Prior thereto, all title to the Biomedical
<br />Waste shall be in Customer. Title to any waste other than Biomedical Waste shall remain with Customer.
<br />ARTICLE III - SERVICES AND RATES
<br />Contractor will provide the collection, transportation, treatment and/or disposal services enumerated above, at the rates set forth above, plus all applicable taxes, assessments, and related charges, including retroactive adjust-
<br />ments for same. Contractor will provide all necessary equipment to perform such services and all such equipment shall comply with all applicable federal, state, county, and municipal laws, regulations, guidelines and permits.
<br />Contractor reserves the right to adjust the rates hereunder to fully cover pro rate increases in fuel, insurance and residue disposal costs, and increases in costs resulting from changes in regulatoryrequirements or guidelines or
<br />the enforcement thereof. Contractor may adjust rates from time to time for other reasons, but any such other adjustment, to the extent such adjustment results in a percentage Increase greater than the percentage increase in
<br />the local (or if none, "U.S. City Average") Consumer Price Index for Urban Consumers (all items) published by the United States Department of Labor, Bureau of Labor Statistics since the date of the lost such adjustment
<br />(or since the date of execution of this Agreement in the case of the first such adjustment), shall be subject to Customer's approval upon thirty (30) days notice from contractor prior to the effective date of the adjustment.
<br />Changes in the rates, type, size, and amount of equipment, and the frequency of service may be mutually agreed to orally or in writing by the parties without affecting the validity of this Agreement. Consent to oral changes
<br />shall be evidenced by the practices and actions of the parties.
<br />Contractor may provide an/ of the services herein through its affiliates.
<br />THE TERMS AND CONDITIONS CONTINUE ON THE REVERSE SIDE OF THIS PAGE
<br />i /BB BFI 260-475M WS
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