SC+239+PA.doc

PARTICIPATING ADDENDUM

State of North Dakota Term Contract 239

SECURE DOCUMENT AND MEDIA DESTRUCTION SERVICE

(XXXXXNAME OF PARTICIPATING ENTITY)

1.

Scope

Agencies, boards, bureaus, commissions, institutions under the jurisdiction of the State Board of Higher Education, political subdivision, and other North Dakota government and education (public primary and secondary) entities that are authorized to purchase from contracts established for and by the State are purchasing agencies under the Term Contract Agreement and may make purchases under the terms and conditions of that agreement. This agreement is not a purchase order and it does not guarantee any purchases will be made by any North Dakota purchasing agency. Each North Dakota participating entity is responsible for complying with any laws that regulate its individual purchase authority.

2.

Changes: This Participation Addendum shall be subject to the terms and conditions of the State of North Dakota Term Contract 239 for Secure Document and Media Destruction Services, except for the following approved changes:

A. Customer Pick Up location and Instructions:

B. Service to be performed at Record Keepers facility located at:

C. Billing Instructions:

D. Optional (Omit if not required to include additional conditions relative to participating entity) 3.

Primary Participating Entity Contact:

The primary participating entity contact for this participating addendum is as follows:

Contact Name: Insert Name of Purchasing Entity Contact

Participating Entity Name: XXXXXX Street Address:

Telephone:

Fax:

E-mail:

4. Primary Contractor Contact:

The primary Contractor contact for this participating addendum is as follows:

Name: Todd Henderson

Contractor: Record Keepers, LLC.

Address: 2010 8th Ave N.

Fargo ND 58102

Telephone: 701-371-4759

Toll Free Number: 877-717-4733

Fax: 701-293-7549

E-mail: todd.henderson@securerecords.com

5. The State of North Dakota Term Contract 239 Number must be shown on all Purchase Orders issued against this Agreement.

This Addendum and the State Term Contract 239 Agreement together with its exhibits, set forth the entire agreement between the parties with respect to the subject matter of all previous communications, representations or agreements, whether oral or written, with respect to the subject matter hereof. Terms and conditions inconsistent with, contrary or in addition to the terms and conditions of this Addendum and the Term Contract Agreement, together with its exhibits, shall not be added to or incorporated into this Addendum or the Price Agreement and its exhibits, by any subsequent purchase order or otherwise, and any such attempts to add or incorporate such terms and conditions are hereby rejected. The terms and conditions of this Addendum and the Term Contract Agreement and its exhibits shall prevail and govern in the case of any such inconsistent or additional terms.

IN WITNESS WHEREOF, the parties have executed this Addendum as of the date of execution by Contractor below.

Signatures as required by North Dakota State Statutes, Rules or Policies:

NAME OF PURCHASING ENTITY: NAME OF CONTRACTOR:

______________________________ RECORD KEEPERS, LLC.

Signed: ____________________________ Signed: __________________________________ Printed Name: _______________________ Printed Name: ____________________________ Title: ______________________________ Title: ___________________________________

Date: ______________________________ Date: ___________________________________