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Docusign Envelope ID:6A5366A0-DB3F-47AE-B2A3-27278ADBB88E <br /> Barnett <br /> Medical Services <br /> emsfs wet SesaLee dd aat ;VaddCak BMS Service Agreement <br /> Customer Information <br /> Service Location <br /> ........................................................................................................................................................................................................................................................................................ ......................................................................................................................................................................................... <br /> Name Taylor White Site Contact Taylor White <br /> Address 521 w Kettleman In Phone (209)200-2921 <br /> ........... ......................................................................................................................................................................................................................................................................................... <br /> City Lodi CA i Zip 95240 Email Perfectdaytat@gmail.com <br /> ........................................................ ...........................................................................................................................................................1 .......................................................................... ........................................... <br /> :....Phone (209)200-2921 Fax <br /> ....................................................................._...................................................................................1 <br /> ..................................................... <br /> Office Days: All Office Hours 12pm-7pm <br /> Billing Address (if different) <br /> ................ ....................................................................................................................................................................................................................................................................... ......................................................................................................................................................................................... <br /> Name Ta for Valente Billing Contact Taylor White <br /> y 9........................................... ............................... <br /> Address 2080 sylvan way apt 1001 Phone (209 200-2911 <br /> ......................................................................................................... .................................................................................................................................................. ......................................................................... .......................................................................................' <br /> City Lodi State CA Zip95242 Email Perfectda tat mail.com <br /> .:.....................................................................................:...................................................................................................... .........:........................................................ ........................................................................_...................................y.........@g. i <br /> Office Hours <br /> Service Parameters <br /> Pickup Frequenc Waste Type Container Size Rate per container Notes <br /> Y......... ........................i..................................... ........................................................................................................................................:......................................................................................................................................................i <br /> As needed Red bag//Sharps 20 gallon $95 <br /> ..........................g............... P.................................................................................................................................................................................................................:......................................................................................................................................................, <br /> Red bag/Sharps 40 gallon $125 <br /> .................. <br /> .......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... <br /> As needed Pharmaceutical 2/3g,8/9g,12g,18g $55,$95,$125,$145 <br /> ................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ <br /> There will be an additional Environmental Fee of $16vill be charged at each time of service. <br /> Contract Terms <br /> The term of this Service Agreement shall be for a period of 36 months commencing on the Effective Contract Date listed below. This <br /> agreement shall automatically renew thereafter for successive contract periods unless or until terminated by either party as outlined in <br /> the"Terms and Conditions"of this agreement. <br /> Other Terms: <br /> Effective Contract Date: Date signed <br /> The individual signing this Agreement below on behalf of the Customer acknowledges that he or she has read and understands the <br /> "Terms and Conditions"of this Agreement,and that he or she is authorized to sign this Agreement on behalf of the Customer. Invoices <br /> are due 30 days and may include a service charge not to exceed 1.5% per month for accounts 30 days or more in arrears. BMS has the <br /> right to suspend service if account becomes past due more than 30 days. <br /> IESigned b DocuSigned by: <br /> !2f 4/2/2025 VA.Lt 4/1/2025 <br /> Customer signature and date B signature <br /> Taylor White Dan Kay <br /> Name Name <br />