36C25920Q0131-005.pdf

12/10/19

Rocky Mountain Regional VA Medical Center Sylvie Rupp

Aurora, CO 80045

Attn:

Re: DENVER, CO

Sylvie Rupp, BAN Number N624612

1700 N Wheeling St. (Stop 138)

Send all documents and payments to:

Asset Accounting Operations enclosures

Any questions regarding the scheduling of the work to be performed or decisions to cancel the work, please contact CenturyLink representative, Carol Barela at +17205782059.

Please review the attached Special Construction Proposal. If acceptable, return a signed copy and a form of payment for the total charges in the amount of $15,424.81. Please note, your job will not be scheduled until we are in receipt of the above.

Email: sconstr@CenturyLink.com

720-567-6991

303-707-9971

After we have received the above from you, we will return one fully executed copy for your records. The fully executed Special Construction Proposal will constitute the agreement between you and Centurylink for the Work. NO ADDITIONAL TERMS AND CONDITIONS WILL BE

ACCEPTED.

fax

CenturyLink Asset Accounting - BART

700 W Mineral Ave

Room NM P29.34

Littleton, CO 80120

Checks should be made payable to CenturyLink. If you are providing a Purchase Order as a form of payment, please sign, date and return the Purchase Order for the amount of $15,424.81.

Please note that any terms and conditions set forth on a Purchase Order will not become part of the agreement for the Work, which is governed solely by the Special Construction Proposal. If you are interested in an electronic payment option, Electronic Funds Transfer (EFT) is available and instructions will be provided to you upon request. CenturyLink is unable to accept credit card payments for Special Construction projects.

Documents to include:

• Signed Proposal

• Payment

Special Construction Proposal

Job Authorization No: N624612

Contract No No

CTL Affiliate: Qwest Corporation

Fifteen Thousand Four Hundred Twenty-Four Dollars and 81/100

Sylvie Rupp

Rocky Mountain Regional VA Medical Cen

1700 N Wheeling St. (Stop 138)

1055 Clermont St

County DENVER

DENVER, CO

Billing Address: Work Location:

Date: 12/10/19

This Special Construction Proposal ("Proposal") is governed by the terms and conditions set forth herein as well as any applicable state or federal tariffs and/or rates and services schedules on file with the applicable regulatory authorities.

Description and/or specifications of work, along with the bill amount, of work to be performed by an operating affiliate of

CenturyLink, Inc. ("CenturyLink") under this Proposal ("Work") is as follows:

CenturyLink

Authorized Signature:

Name Printed/Typed:

Title:

Date:

Customer

Authorized Signature:

Name Printed/Typed:

Title:

Date:

Customer:

Attention:

Aurora, CO 80045

Total Charges:

This job will provide new CenturyLink facilities to 1055 Clermont St. CenturyLink will bore a new conduit with a 25 pair copper cable and a vacant inner duct for future fiber services into the new DMARC at 1055 Clermont St.

$15,424.81Advance Payment (required before work begins):

This Proposal may be withdrawn by CenturyLink if not accepted by the Customer within 30 days. Upon execution by both parties, this Proposal and the terms and conditions of any applicable tar iffs and/or rates and services schedules on file with the applicable regulatory authorities shall constitute a binding agreement upon the parties. In no event wil l the terms and conditions of another document, including but not limited to a purchase order, be construed to in any way govern the Work or otherwise bind the parties to this Proposal. The parties acknowledge and agree that the terms and conditions set forth in this Proposal and the applicable tar iffs and/or applicable rates and services schedules shall be the only controlling terms and conditions binding the parties for the Work and that commencement of Work by CenturyLink is conditioned upon agreement in writing to these terms.

For the Work performed hereunder, Customer will be responsible for the above charges only, unless (i) the above-stated amount is expressed as an estimate; (ii) otherwise stated above; or (iii) a change order is signed by both part ies. All charges shall be paid prior to commencement of the Work (“Advance Payment”) unless an alternative payment method is set forth above. All past due undisputed accounts will be assessed a late fee at 14% APR. Where applicable, and notwithstanding the foregoing, Customer shall also be responsible for foreign, federal, state and local taxes assessed in connect ion with the Work, including, without limitation, all use, sales , value added, surcharges, excise, f ranchises, commercial, gross receipts, license, privilege or other similar charges, whether charged to or against CenturyLink or Customer, but excluding any taxes based on CenturyLink’s net income.

*Note If applicable, the Work proposed here is separate from any work that may be performed pursuant to any other order or agreement, including but not limited to a Pre-Service Request for cell site provisioning.

For Governmental Customers only, CenturyLink will submit an invoice of charges upon completion of the Work, payable within forty five

(45) days of receipt. Past due undisputed amounts will be assessed a late fee of 14% APR or such lesser amount if required under applicable state and/or federal law.

Proposal CenturyLink Confidential and Proprietary Version: 11-16-2015Page 1 of 1