TC+218+PA.docx

PARTICIPATING ADDENDUM

State of North Dakota Term Contract 218 Waste Disposal & Recycling Services

(NAME OF PARTICIPATING ENTITY)

1. Scope Contractor will provide all labor, materials, equipment and supplies necessary to provide waste/garbage disposal and recycling services for various State agency locations throughout North Dakota. The following cities listed in Attachment A is not all inclusive, but representative of those State agencies who have expressed interest and may wish to contract for the services in this solicitation document. Other locations may be added in accordance with Special Terms and Conditions item #4 of this IFB.

2. Changes: This Participation Addendum shall be subject to the terms and conditions of the State of North Dakota Term Contract 218 for Waste Disposal and Recycling Services, except for the following approved changes:

A. Customer Pick Up location and Instructions: Please add how many containers, sizes and type of material.

<Address>

Per container Price Per Pull (Unscheduled) Per Container

Price per Sanitation Price per Pest Spraying

B. Billing Instructions:

C. 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:

5. The State of North Dakota Term Contract 218 Number must be shown on all Purchase Orders issued against this Agreement.

This Addendum and the State Term Contract 218 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:

Signed: ____________________________ Signed: __________________________________

Printed Name: _______________________ Printed Name: ____________________________

Title: ______________________________ Title: ___________________________________

Date: ______________________________ Date: ___________________________________