HomeMy WebLinkAbout000573 Original ContractCheck Wet status below as apnficable: Rep Name Number Lydia Ferguson 0144129
•••E E Q U IRE D••• I
account
New A. (NACI Form attached)
attach a Customer Name Chat nn)
Existing with no changes Existing with changes (Permanent name change must
Does Subscriber have an existing_West account?
Yes If yes, please provide West account number
No
Acct PO
Date 10/1/12
Name/Subscriber Port Angeles Police Department
Bill To Acct
Order Confirmation Contact Name Tyler Peninger
E tpeninge @cityofpa.us
CLEAR Contact Name (for delivery of Registration Keys. Individual users er Tyler Peninger
will also receive their Registration Keys if their e-mail addresses are provided) y g
Notes:
E tpeninge @cityofpa.us
Telephone 360 4524545
CLEAR Primary Account Contact Name (general business contact) Tyler Peninger
E -Mail
Telephone 360452454'
Permanent Address Change One -Tine Ship To Additional Ship To
Additional Bill To
I F NEEDED
Name Attn:
Address
Suite/Floor
City State County
Zip
I CLEAR Products
41011157
Clear pro web analytics
1
187
Notes:
WEST ORDER FORM CLEAR SERVICES
610 Opperman Drive, P.O. Box 64833
SL Paul, MN 55164 -1803
Tel. 651/687 -8000
CLEAR Products
of Users
at Subscriber's
Location
d /I!I I SAMlnet
City of Port Angeles
1 Record #000573
Monthly
Banded
Other
WEST*
A Thomson Reuters business
Total Monthly
CLEAR Charges
Total Monthly CLEAR Charges S 187
CLEAR Charges are billed on the date West processes Subscriber's order and continue for a minimum of 12 complete calendar months "Minimum Term"). tf Subscriber
elects a longer Minimum Term the Monthly CLEAR Charges will be billed as set forth herein. Upon conclusion of the CLEAR Minimum Tem. Monthly CLEAR Charges
are billed thereafter at up to then current rates. Excluded Charges and Monthly CLEAR Charges (after the Minimum Term) may be modified as set forth in the Subscriber
Agreement (as defined herein) Subscriber is responsible for all Excluded Charges as incurred.
Subscriber's initials for 24 Month CLEAR Minimum Term Subscnber agrees to commit to a Minimum Tern of 24 months and the Monthly CLEAR Charges
for the second 12 months not to increase by more than 6 over the Monthly CLEAR Charges for the initial 12 months.
3 ,,,,.r Subscriber's Initials for 36 Month CLEAR Minimum Term Subscnber agrees to commit to a Minimum Term of 36 months and the Monthly CLEAR Charges
U for the second 12 months not to increase by more than 5 over the Monthly CLEAR Charges for the initial 12 months and Monthly CLEAR Charges for the third 12
months not to increase by more than 5 over the Monthly CLEAR Charges for the second 12 months.
In the event Subscriber is a corporation accessing CLEAR Services on its own behalf and on behalf of any government agency or entity, Subscriber must execute and submit
to West separate agreements for each use case and be credentialed separately for each use case.
748 dot
4/1/11
Full Svc it
Notes:
Access to CLEAR Batch shall begin on the date West processes Subscriber's Order and shall continue for a minimum of 12 complete calendar months thereafter "Minimum
Term"). Subscriber may elect a longer Minimum Term by his/her initials below CLEAR Charges for Subscriber's access to and use of CLEAR Batch shah begin when
Subscriber first accesses CLEAR Batch and are subject to change as set forth in the "Subscriber Agreement" (as defined herein). At the end of the Minimum Term Subscriber
access to CLEAR Ratch shall terminate unless Subscriber and West enter into a superseding agreement. CLEAR Charges for CLEAR Batch shall be billed at then current
Schedule A rates. CLEAR Charges are subject to change as set for them the "Subscnber Agreement" (as defined herein).
Subscriber's Initials for longer Minimum Term. Please check: 24 or 36 month Minimum Term.
Full Svc IS
CLEAR Batch Products
CLEAR Batch Products
Office Use Only
OF Instruct: Enter a discount of 100% in the Condition Group I find on Additional Data A tab
List
Other
it of then
Monthly
Guarantee
Other
a of Users Monthly Window
t.
Access to CLEAR Batch shall begin on the date West processes Subscnber's Order and shall continue for a minimum of 12 comp ete calendar months thereafter ("Minimum
Tenn Subscriber may e ect a longer Minimum Term by his/her initials below. During he Minimum Term, Subscriber shall guarantee minimum monthly CLEAR Charges
as set forth above "Monthly Guarantee regardless of Subscriber's actual usage. All CLEAR Charges shall be waived for Subscriber's actual usage in excess of the Monthly
Guarantee through the window "Window as set forth above. Subscriber shall pay all CLEAR Charges in excess of the Window as incurred, as well as any other
applicable CLEAR Charges. CLEAR Batch requests must be submitted at least five (5) business days prior to the end of a billing month in order to apply against the Monthly
Guarantee or Window for such month. CLEAR Charges are subject to change as set for the in the Subscnber Agreement" (as defined herein) At the end of the Minimum
Term Subscnber's access to CLEAR Batch shall terminate unless Subscriber and West enter into a superseding agreement.
Subscriber's Initials for longer Minimum Term. Please check: 24 or 36 month Minimum Term.
Usage Logging
All subscribers will be restricted to "standard logging"; provided, however, authorized law enforcement agencies with arrest powers may request that user input values entered
in a search or report be "blind logged Authorized law enforcement agencies choosing Blind Logging must initial below: West reserves the right to change the logging type
based on credentialing and account validation.
\w Subscriber initials if Subscriber is an authorized law enforcement agency with arrest powers and requests Blind Logging
Required for, and applicable to, only accounts with arrest powers.
k
Subscriber Certification Section
Required for all accounts that Interact with, manage or house inmates or detainees.
Subscriber Certifications must be completed for every order, including renewals.
Subscriber by bb/her inldals below certifies and acknowledges understanding sad acceptance of the security limits of CLEAR and Subscriber's
responsibility for controlling product, Internet and network access:
c_31 Subscriber's Initials. Functionality of CLEAR cannot and does not limit access to non -West Internet sites. It is the responsibility of Subscriber to control
access to the Internet. By his/her initials, Subscriber acknowledges its understanding and acceptance of the security limits of CLEAR and Subscriber's
responsibility for controlling Internet access.
Subscriber's Initials. Subscriber certifies that it shall be responsible for controlling network access to the Internet or Internal Subscriber sites. Subscriber
agrees to provide its own firewall, proxy servers or other secunty technologies as well as desktop security to limit access to the CLEAR UAL and West
software. Subscriber must design, configure and implement its own security configuration.
4 �-tIl✓ Subscriber's Initials. Subscriber shall not use any Data, and shall not distribute any Data to a third party for use, to a manner contrary to or in violation of
v any applicable federal, state, or local law, tale or regulation or in any manner inconsistent with the Subscriber Agreement.
4 Subscriber's Initials. CLEAR will be accessed by Subscriber employees only for administrative or internal business purposes. All such access use will
fully comply with the following restrictions:
In no event shall anyone other than approved Subscriber employees be provided access to or control of any terminal with access to CLEAR
or CLEAR data.
Terminals with CLEAR access, access credentials, and CLEAR data will be In secured locations that do not provide inmate /detainee access
No access shall be outsourced or otherwise provided to third parties.
Subscnber shall be solely responsible for ensuring that no sensitive information is made available beyond its stated permissible use.
SAMlnet
748 dot
Amendment to Subscriber Agreement for CLEAR Services between PORT ANGELES POLICE DEPARTMENT
g "Subscriber') and
West Publishing Corporation "West as follows:
I. Effect of Amendment. The underlying for CLEAR Services
Subscriber Agreement, of even date herewith including all
Schedules and Order Forms thereto "Subscriber Agreement
between Subscriber and West is amended as specifically set forth
herein to incorporate the terms of this Amendment. As amended,
the Subscriber Agreement shall remain in full force and effect
according to its terms and conditions. All terms used in this
Amendment shall have the meanings attributed to them in the
Subscriber Agreement. This Amendment embodies the entire
understanding between the parties with respect to the subject
matter of this Amendment and supersedes any and all prior
understandings and agreements, oral or written, relating to the
subject matter. In the event there is a conflict between the terms
and conditions of the Subscriber Agreement and the terms and
conditions of this Amendment, the terms and conditions of this
Amendment shall control.
2. Term and Termination. The Subscriber Agreement and this
Amendment shall become effective upon approval and acceptance
by West in St. Paul, Minnesota and shall continue in force and
effect as set forth in paragraphs 3.1, 3.2 and 3.3 herein.
3. Bridge
3.1 From the effective date of this Amendment and
continuing for a minimum of 90 days
thereafter "Period 1 Subscriber shall receive access, at
no charge, to the CLEAR product(s) elected by
Subscriber on the Order Form (excluding all charges
associated with CLEAR Batch Processing). Access to
and use of applicable CLEAR Excluded Charges, if any,
shall be billed to Subscriber at then current Schedule A
rates.
3.2 From the end of Period 1 and continuing through the end
of the Minimum Term elected by Subscriber on the Order
Form ("Period 2 Subscriber shall receive access to the
CLEAR product(s) elected by Subscriber on the Order
Form, at the rates set forth therein. All access to and use
of CLEAR Excluded Charges, if any, shall be billed at
the then current Schedule A CLEAR rates.
3.3 The Minimum Term shall be extended by the length of
Period 1.
3.4 All other terms and conditions of the Subscriber
Agreement shall remain unchanged.
CLEAR Bridge Amendment
AVAILABLE ONLY TO NEW CLEAR SUBSCRIBERS
6 /1 /10
SAMInet
West Publishing Corporation
By:
Title:
Date:
To be signed by suthonzed home office personnel only
Name (please print): Tyler Peninger
Title: Sergeant
Date: 10/1 /12
Subscriber's Address:
WEST®
A Thomson Reuters business
Subscriber
By: PORT ANGELES POLICE DEPARTMENT
321 East 5th Street P.O. Box 1150 Port Angeles, WA 98362
763 dot
Account Validation and Certification (AVC) Form for CLEAR —GOV /ACADEMIC
Subscriber Information
O New CLEAR Subscriber. Existing CLEAR Subscriber requesting change in unmasked display.
Complete AVC Form and submit with the order Complete AVC Form and Fax to 866- 294 -1042 or email to wescclearays @thomson.com
Account Number (if applicable)
Full Legal Name/Business Entity
Business Unit/Dept
Physical Location: Residential
Street Address 321 East 5th Street P.O. Box 1150
City Port Angeles
State WA
Main Company Telephone 360 -452 -4545
PORT ANGELES POLICE DEPARTMENT
0
Commercial
Country
Zip/Postal Code
Locution/Contact/Ext Telephone
Website Address
Cell Phone (if no land line available) Check here if no business website available
E -Mail Address tpeninge @cityofpa.us
ACCOUNT /BUSINESS TYPE SECTION
Select the applicable business type and continue to next step
Indicate Type of Government
Select tvoe of Government
US Federal
US State
US Local
Tribal Government
Other Government
Please describe
College/University Police for Academic Institution
+1_Q Does the requesting Business Unit/Dept have arrest power? Yes No
I /1 /11 SAMlnct
USA
3604174957
98362
WEST.
A Thomson Reuters business
Rt
tri
a
C
Select wise of Academic
Privately Funded Academic Institution (non govt funded)
Government Funded Academic Institution
i
CERTIFICATION SECTION FOR PRIVACY COMPLIANCE
Subscriber certifies that it has read, understands and will comply with the terms of the CLEAR Subscriber Agreement including in particular (but not limited to) the Data Usage
Restrictions Subscnber understands that West is not a Consumer Reporting Agency and Subscnber will not use any CLEAR Data for any purpose regulated by the U.S. Fair
Credit Reporting Act (15 U.S.C. 1681 et seq.) or any similar statute Subscriber further certifies one of the following:
Subscriber is NOT one of the following types of companies /entities:
Subscnber IS one of the following types of companies/entities: Please select the applicable type below:
Private detective (non commercial use for private clients)
Bail Bond Companies, Bounty Hunters, Repossession Firms
Dating Services
Internet People Locator Services
Adoption Search Firms
Diet Centers
Credit Clinics, credit repair companies, and credit counseling firms
News agencies and journalists
Future Services (i.e. health clubs, timeshares, continuity clubs, etc.)
Foreign Government
Company involved and/or associated with inappropriate adult content
web sites and/or adult -type web services.
Library, Association or other entity providing access via Public
Terminals
Prison or Correctional Facility providing access to inmates/detainees
Companies on an Alert List
Businesses Operating out of a residence
Condominium/Homeowners Associations
Utility or telecommunications provider that sells services to consumers
745.dot
A ditlonai Certification For Compliance
n
Subscnber certifies that it is NOT involved in the following
Credit fraud, identification theft, stalking, harassment. any unethical business practices or illegal activity nor has it worked to further such activities of its customers; nor is
it on the U.S. Treasury Department Office of Foreign Assets Control (OFAC) Specially Designated Nationals and Blocked Persons List.
0 Itiole Locations/Branches /Subsidiaries
Please check here if Subscriber is subsenbing to services for use at multiple locations and attach the completed Addendum to Account Validation and Certification Form
Multiple Locations "Addendum Subscnber certifies that the Business Type and Pnvacy Compliance information provided in this AVC Form applies to all locations set forth
in the Addendum and that the location information set forth in the Addendum is complete and accurate.
Permissible Ilse under Gramm I. each Bliley Act
Subscriber's use of the data is limited by the U.S Gramm- Leach Bliley Act (15 U.S.C. 6801 et. seq.) and can only be used for specific non -FCRA (Fair Credit Reporting Act)
purposes. Please indicate below (check box) what permitted uses) will apply to your research needs,
At least one permissible use must be selected to be granted access or the Subscriber must select the non permissible use.
Subscriber certifies there is no permissible use
For use by a person holding a legal or beneficial interest relating to the consumer
For use in complying with federal, state, or local laws, rules, and other applicable legal requirements,
For use as necessary to effect, administer, or enforce a transaction requested or authonzed by the consumer.
For use in complying with a properly authonzed civil, criminal, or regulatory investigation, subpoena, or
summons by federal, state, or local authonties.
For use to protect against or prevent actual or potential fraud, unauthonzed transactions, claims, or other liability.
For use by any Law Enforcement Agency, or any officer, employee, or agent of such agency in carrying out its
official duties,
For Government Use (including Child Support Enforcement)
To persons acting in a fiduciary or representative capacity on behalf of the consumer
For required institutional risk control or for resolving consumer disputes or inquiries
and set
Subscriber's use of the data is limited by the U.S. Dnvers Privacy Protection Act (I8 U.S C. §2721 et seq.) and can only be used for specific 000 -FCRA (Fair Credit
Reporting Act) purposes. Please Indicate below (check box) what permitted users) will apply to your research needs.
At least one permissible use must be selected to be granted access or the Subscriber must select the non permissible use:
Subscriber certifies there is no permissible use
For official use by a Court, Law Enforcement Agency or other Government agency
To verify or correct information provided to you by a person In order to prevent fraud, pursue legal remedies or recover a debt, skip tracing
For use in connection with a civil, cnminal or arbitral legal proceeding or legal research
For use in connection with an insurance claims investigation or insurance antifraud activities
For use by a licensed pnvate investigator or licensed security service for legitimate DPPA purposes
El
UNMASKED OR FULL DISPLAY OF SENSITIVE PERSONAL INFORMATION SECTION
Qualified Government Accounts Only— Not Applicable to Academic Accounts except for College/University
Police Accounts
Complete the below sectio if Subscriber requests unmasked or full display of full Security Numbers, Day of Date of Birth and/or Driver's License Wallet
Subscriber IS NOT requesting unmasked or full display of Sensitive Personal Information
13
Subscriber IS requesting unmasked or full display of Sensitive Personal Information
WEST PUBLISHING CORPORATION ('WEST') AUTHORIZED SENSITIVE INFORMATION DISPLAY POLICY: West, seeks to balance overall individual
pnvacy needs and concerns with the legitimate personal information needs of specific entities as allowed within the provisions of the U.S. Gramm Leach Bliley Act (15
U.S.C. 6821 et seq.) (U.S GLB), U.S. Drivers Privacy Protection Act (18 U S.C. §2721 et seq.) (U.S. DPPA) and other laws. As a general rule, unmasked and full display of
sensitive data on West Public Records Databases is truncated. In order to help ensure that access to authonzed unmasked and full display of sensitive data is warranted, West
requires validation on a regular basis as necessary for each account requesting access to unmasked and full display of sensitive personal Information to certify that the unmasked
and full display of personal information is needed, and will only be used in connection with legitimate Government business. West, in its sole discretion, reserves the right to
discontinue access to unmasked and full display of personal information.
All CLEAR titers on this account wall be granted access to the same Noe of personal information upon aaoraved credenllaling
Information Protection Affirm tioq
Subscnber shall be fully responsible for any unauthorized collection, access, use, and disclosure of Personal Information subject to this Agreement. Without limiting the
foregoing, Subscriber shall employ appropnate administrative, physical, and technical safeguards in order to sufficiently protect the Personal Information and information assets
and resources in question. Subscnber shall immediately notify West of any Information Protection Incident that may result in the unauthonzed collection, access, use or
disclosure of Personal Information subject to this Agreement Subscriber shall make all reasonable efforts to assist West in relation to the investigation and remedy of any such
Information Protection Incident and any claim, allegation, action, suit, proceeding or litigation with respect to the unauthorized access, use or disclosure of Personal Information.
For purposes of its obligations hereunder, the acts or omissions of Subscriber's employees, shall also be deemed the acts or omissions of Subscriber.
I /I /II
SAMtoes
745.dot
An= date jataansing
West provides computer devices, networks, and other electronic information systems to meet missions, goals, and initiatives and must manage them responsibly to maintain the
confidentiality, integrity, and availability of its information assets. The use of any West information asset will be for legitimate business purposes only and in accordance with all
applicable West corporate policies. Any access to or use of non public personally identifiable information must be in accordance with all applicable law. No individual shall
access records that require a permissible purpose unless such a purpose exists his your responsibility to seek guidance and clanfication in case of any question about the proper
use of West resources, including but not limited to the use of non public personally identifiable information. All employees. associated with the Subscnber, including all
personnel must adhere to these requirements.
Please acknowledge that you and authorized persons under your account(s) agree to limit the use of this information, as described above, and to comply with the provisions
of the U.S. Gramm Leach Bliley Act (15 U.S.C. 6821 et seq.) (U.S. GIB). U.S Driven Privacy Protection Act (18 U.S.C. §2721 et seq.) (IUSDPPA) and all other
applicable federal, state, and local laws, rules, and regulations- Your signature below as "Authorized Representative" certifies that you are the authorized signatory for this
account(a)
AUTHORIZED REPRESENTATIVE FOR CERTIFICATION
I hereby certify that 1 am authorized to execute this Account Validation and Certification Form on behalf of the Subscnber listed above and that statements I have provided in
this Form are true and correct. Further, t hereby certify that the Subscriber agrees to the terms and conditions set forth in this form.
Printed Name GF /Z REN//7j&5;z
Title D/7fl77v: SFi /IE
Date /Or ocfl /3 /,/Z Zn/ Z
Signature X
Name
I /inl
+ryrr, tr ,J
Site Inspection coots f a different authorized representative Is listed above.
SAMIac,
Once this document is completed and signed by an authorized representative of the
Subscnber, please provide it to your West Sales Representative with a signed order.
All information is subject to verification and approval by West
Telephone Number
745 dot
Respecting information privacy and security is an integral part of Thomson Reuters Legal's (West) culture and
values. Many West restricted content products (including CLEAR, PeopleMap and Westlaw Public Records) contain
personal information and some of this data is sensitive (e.g. SSN, DOB, Driver's License Number, etc.). Both at the
Federal and State level, more attention is being focused on protecting an individual's sensitive personal
information. Therefore, Thomson Reuters Legal believes that it is vital to know who our customers are and
validate the information that they have provided about their practice and /or business.
ONSITE INSPECTIONS AS A PREREQUESITE TO ACCESSING
An important component in determining whether Thomson Reuters Legal's customers are eligible to enjoy access
to West restricted content products is a process called "credentialing Credentialing enables Thomson Reuters
Legal to validate account information for new West restricted content product customers. A key step in this
credentialing process is the physical onsite inspection. Here are some frequently asked questions and answers
regarding the onsite inspection requirement:
1
CLEAR, PEOPLEMAP AND /OR WESTLAW RESTRICTED CONTENT PRODUCTS
1. Who is subject to the onsite inspection requirement? New customers seeking access to
West restricted (regulated) content products, namely GLBA regulated credit header content provided
within the products, will be required to undergo a physical on -site inspection prior to being authorized
access to those products by Thomson Reuters Legal.
2. Do Thomson Reuters Legal's competitors and others in the same industry also
require such onsite inspections? Yes, other organizations offering access to restricted
content containing personal sensitive information are required to meet many of these same standards.
3. Who performs the onsite inspection? The onsite inspection will be conducted by an authorized
Thomson Reuters agent who will contact the customer to arrange a convenient date /time for the visit,
which will occur at the address(s) indicated on a customer's Account Validation and Certification (AVC)
form.
4. What is the typical length of the onsite inspection? The onsite inspection may last
approximately 30 minutes, during which time the inspector will ask certain questions and gather
certain observations intended to validate the information that the customer has provided on its AVC
form and any other representations.
2
5. What is the scope of the onsite inspection? The inspector will seek to verify only the physical,
technical and /or administrative safeguards related to accessing West restricted content products. In
particular, the inspection may focus on the following areas:
Physical Security (e.g., whether there are sufficient controls to prevent unauthorized external
access to the customer's facility);
Internal Security (e.g., whether there is sufficient physical separation from other offices,
suites within a facility);
Data Security (e.g whether information systems and /or paper -based filing systems are
properly secured);
Other Controls /Processes (i.e. additional questions aimed at determining whether the
customer may be an unauthorized business type, whether there are any discrepancies in
information already represented to Thomson Reuters Legal, etc.)
6. What is expected of the customer during onsite inspection? At the time of the
inspection, it is important that the customer assign an individual or individuals capable of answering
pertinent questions to meet with the inspector. Also, the customer should recognize that the inspector
will take a few photos of the premises.
7. What happens once the onsite inspection is complete? Once the inspection is complete,
the inspector will provide his /her findings to Thomson Reuters Legal, which will then factor the results
of the onsite inspection into the overall credentialing decision.
Please contact your West Sales Consultant and /or Relationship Manager for additional questions concerning
this requirement.
Peninger
I IP Address Section
Only External IP Address(es) or Range(s) Must Be Provided
tpeninge @cityofpa.us
Valid External IP Addresses
all CLEAR orders:
IP Addresses
IP Addresses
Authority
172.31.255.255,
All IP
Permissible IP
Subscriber's Internet Service
Provide IP Address(es)
Beginning IP Address
Beginning IP Address
or IP Ranges belonging to your organization and meeting the following requirements must be provided for
assigned to jurisdictions outside the United States or West approved U.S. Territories are prohibited.
will not be accepted from the following ranges which are reserved by the Internet Assigned Numbers
for special use or private networks: 10.0.0.0 10.255.255.255, 127.0.0.0- 127.255.255.255, 172.16.0.(
192.168.0.0 192.168.255.255, 169.254.0.0 169.254.255.255.
addresses must be IPv4 addresses.
Address(es) will be those provided below as well as any previously provided IF Address(es) for this Subscriber
Provider Name f)LYPEAI
REQUIRED
or IP Address Ranges) below Additional pampa) may be attached if needed
(p$. a 4/ 3 /5/9, 3o Ending IP Address
Ending IP Address
F
All CLEAR Subscribers
Subscriber initials
will receive roaming access to CLEAR. Roaming permits users outside Subscriber's designated IP Address
if Subscriber requests that roaming access be blocked. In such event Subscriber's users may only access CLEAR
provided to West by Subscriber.
through the IP Addresses
If you do not know your company's
I. Contact your network
2. Contact your Internet
3. Go to the following URL
have multiple IP addresses,
external IP address(s), try the following:
administration, firewall or security team x
Service Provider, ISP (i.e. Cable, DSL, Satellite, etc.
in your browser: hit n t& ol, who i tee'vour r flpp7; wwlgw hammvtn.con to identify your external IP address (Ni
you
this tool will only detect one IP address)
Technical Contact for CLEAR Products (if applicable) (Contact for IP Address Issues)
Name (please print)
IF APPLICASLE
Telephone
E -Mail
Peninger
Tyler
tpeninge @cityofpa.us
3604174957
F
If there are additional CLEAR users additional page(s) must be submitted with the order
User Type Key
IN Invest'gator
AD Administrator
AN Analyst
SV Supervisor
TC Technical
I
CLEAR Users, My Account Administrator and Authorized Quick View+ User
Last Name
First Name
E -mail Address
Phone Number
IN AD AN SV TC
l
I CLEAR Users, My Account Administrator and Authorized Quick View+ User (cont'd) I
I
Subscriber shall authorize which user shall be named as the My Account Administrator. Access to My Account will allow CLEAR user management, general account
information and granting access to other My Account users.
Authorized My Account Administrator for CLEAR
Last Name Peninger
4n/I t
First Name
Tyler E -Mal tpeninge @cityofpa.us
(Required)
Subscnber shall authorize which CLEAR users(s) shall have access to QuiekView+. Actual charges billed by West may vary from charges reported on QuiekView+.
Subscriber shall pay charges as billed. West does not warrant and has no liability with respect to accuracy of charges or other information on QuickViewi-.
Authorized CLEAR Password Holder for CLEAR QuiekView+
Last Name Peninger First Name. Tyler E -Mail
SAMInet
tpen
748.dot
CLEAR Renewals
Subscriber Certification Section must also be completed for all Subscribers that Interact with, manage, or house inmates or detainees.
*Current Monthly CLEAR Charges is /are raters) in effect as of the date of this Order Fonn and may not be the rate(s) m effect when rate(s) for
the Renewal Term is/are calculated, depending on the length of the current Minimum 'Perm or current Renewal Term.
Sub Mad
CLEAR Products
Current Monthly CLEAR Charges*
Notes
Subscriber's Initials for 12 Month Renewal Term•• Subscnber agrees to commit to an additional 12 months and the Monthly CLEAR Charges for the such
additional 12 months shall be more than the current Monthly CLEAR Charges in effect at the end of the current Minimum Term and/or current Renewal Terms.
Subscriber's Initials for 24 Month Renewal Term*" Subscriber agrees to commit to an additional 24 months. The Monthly CLEAR Charges for the first
additional 12 months shall be o more than the Monthly CLEAR Charges In effect at the end of the current Minimum Term and/or current Renewal Terms and the
Monthly CLEAR Charges for the second additional 12 months shall be more than the Monthly CLEAR Charges for the first additional 12 months.
Subscriber's Initials for 36 Month Renewal Term•• Subscriber agrees to commit to an additional 36 months. The Monthly CLEAR Charges for the first
additional 12 months shall be more than the Monthly CLEAR Charges in effect at the end of the current Minimum Term and/or current Renewal Terms and the
Monthly CLEAR Charges for the second additional 12 months shall be more than the Monthly CLEAR Charges for the first additional 12 months. The Monthly
CLEAR Charges for the third additional 12 months shall be more than the Monthly CLEAR Charges for the second additional 12 months.
Effective at the end of the current Minimum Term "Renewal Term Upon conclusion of the Renewal Term, Monthly CLEAR Charges are billed thereafter at up to then
current rates. Excluded Charges and Monthly CLEAR Charges (alter the Renewal Term) may be modified as set forth in the Subscriber Agreement, Subscriber is responsible
for all Excluded Charges as incurred. Dunng the Renewal Term and thereafter. Subscnber's access to and use of CLEAR shall be governed by the Subscriber Agreement.
Passwords.. Any passwords issued herein may only be used by the person to whom the password is issued and sharing of passwords is STRICTLY PROH181TED.
General Provisions, This Order Form is subject to approval by West Publishing Corporation, (`West in St. Paul, Minnesota shall become effective upon venfication by
West of Subscriber's credentials and is governed by Minnesota law. The state and federal courts sitting in Minnesota will have exclusive junsdiction over any claim ansing
from or related to this agreement Applicable sales, use, personal property, value added tax (VAT) or equivalent, ad valorem and other taxes are payable by Subscriber.
Subscriber may be charged interest for overdue installments and subscriptions and for other open account charges. If any, CLEAR Charges or open account charges remain
unpaid 30 days after becoming due, all amounts that are or would become due and payable for the remaining term of Subscnber's Subscnber Agreement shall become
immediately due and payable at the sole option of West. Interest charged may be adjusted to the then highest current rate allowable on Minnesota contracts. This Order Form
is non transferable. All collection fees, including but not limited to attorneys fees, are payable by Subscriber West may request a current financial statement and/or obtain
consumer credit report on the undersigned individual to determine creditworthiness. West will only request consumer credit mfonnauon on the undersigned if the undersigned
is applying for credit as an individual or if the undersigned's consumer credit information is necessary for West to consider granting credit to the aforementioned company. If
Subscriber inquires whether a credit report was requested, West will provide information of such, if a report was received and the name, address and telephone number of the
agency that supplied the report.
Returns. CLEAR Charges are non refundable.
CLEAR Products to be Lapsed
Full Svc
CLEAR Products
The CLEAR Services Subscriber Agreement and the applicable Schedule A price plan ("Subscriber Agreement are hereby incorporated by reference
and made part of this Order Form. In the event there is a conflict between the terms and conditions of the Subscriber Agreement and the terms and
conditions of this Order Form, the terms and conditions of this Order Form shall control. Subscriber by his/her signature below, acknowledges his/her
understanding and acceptance of the terms and conditions of the Subscriber Agreement
Signature X i_ Date 6 S e Cr3
i
r AUTHORIZED REPRESENTATIVE FoR ORDER FORM
Printed Name Fle F? t7_.viniF%iZ
9- Title i r 2 77/7: S'�2(,/r-/n,T
Date or Oci'a& i
Signature X yf, a2
For Credit Card Transactions only: Visa Master Card Am Ex
Card Expir. Date Total Amt to Charge
4/1/I I SAMlnet
748 dot