CE Order Form Ethernet 03/10/2025 (2Mbps)
2024 PF3350/RD2858
CAISO Connected Entity Order Form - 2Mbps Ethernet for AVPN (SOW Effective 10/14/2024) Connected Entity Order Form – 2Mbps Ethernet for AVPN
(*) Required Fields
* Company Name: City of Vernon
* Site Address: 4305 S Santa Fe Ave
Address Line 2:
* City, State, Zip: Vernon CA, 90058
* Primary Contact: Ernesto Smith
* Primary Contact Email: [email protected] * Phone: 323.826.3697 * Secondary Contact: Michael Shehata
* Secondary Contact Email: [email protected] *Phone: 323.826.3610 *24x7 Permanent Contact (for network issues): Vernon IT Standby
* Email: [email protected] * Phone: 323.826.3606
* Billing Contact: Ernesto Smith
* Title: IT Manager
* Phone: 323.826.3697
* Email: [email protected]
*Address:
ISO Project ID No. (if applicable):
Equipment Ship to Address
* Equipment Contact: Ernesto Smith
* Equipment Contact Email: [email protected] * Phone: 323.826.3697 * Cisco Smart License (Key & License):
CE Order Form Ethernet 03/10/2025 (2Mbps)
2024 PF3350/RD2858
Section 1: Access Circuit (Required for orders under Sections 2 & 3) 2 Mbps Ethernet Access (Installation charges may vary. Early termination charges for the Access Circuit may apply if Access circuit is cancelled prior to term expiration. Note: Monthly Recurring Charge determined by site address. Will require signature on an Access pricing schedule (plus tax where applicable) X
Monthly Recurring
Charge - TBD (plus
tax where applicable)
Section 2: Option for new router (analog modem & installation included) and associated Management and Maintenance Services. Check box for desired option. Any Equipment purchased under this Section 2 is subject to the terms and conditions of AT&T Equipment Resale and Related Services Pricing Schedule. Note: A CE provided POTS line is required for Out of Band Modem, via business office or account team.
Equipment and Installation
(one time charge)
Management and
Maintenance Services
charge for router and
AT&T 2M Ethernet
Access (monthly
recurring charge)
Opt 1: Cisco 8200 Router (C8200-1N-4T)
Installation per Router:
Optional Hardware:
4-port Layer 2 GE Switch Network Interface Module
8-port Layer 2 GE Switch Network Interface Module
$3,999.88
$434.00
$416.89
$637.67
$365.30
Opt 2: Cisco 8300 Router (C8300-1N1S-6T)
Installation per Router:
Optional Hardware:
4-port Layer 2 GE Switch Network Interface Module
8-port Layer 2 GE Switch Network Interface Module
$10,479.19
$434.00
$521.11
$797.09
$362.55
Section 3: Special Instructions
High Voltage Protection needed? If there is a Direct Fiber Feed and it is an HVP Site, 1039A is required. Add a note indicating such in the applicable sections indicating GPR Data for Direct Fiber is not required. YES NO
If yes, CE must complete 1039A form and return to AT&T in Word format.
INSTRUCTION for DELIVERY Or site visit
Contact IT Department at 323.826.1474 prior to arrival. IT Dept is available Monday through Thursday 07:00am to 05:00pm.
Other Notes:
CE Order Form Ethernet 03/10/2025 (2Mbps)
2024 PF3350/RD2858
Section 4: Additional Information:
1. Connected Entities (“CE”) must sign and return the Master Agreement)(Connected Entity Agreement – US Only), and the CE Order Form Ethernet. Also include 1039A form and/or Letter Of Agency when applicable.
2. The rates and charges in this CE Order Form are subject to change upon thirty (30) days’ written notice by AT&T.
3. Prices are subject to change based upon availability of specific Equipment types.
4. Equipment will be invoiced upon receipt. Management and Maintenance Services will be invoiced upon connection to the ECN.
5. If any equipment or managed in place option from section 2 is selected, AT&T provides twenty-four (24) x seven (7) management and twenty-four (24) x seven (7) monitoring of the applicable managed equipment and managed circuit.
6. Site Business / Contact Changes: Note: It is the responsibility of the CE to disseminate this document to other members of the CE’s organization as well as work with its AT&T Service Manager to provide updates to generator points of contacts inclusive of any business ownership changes that may affect the services outlined within this document and its interconnection with CAISO.
7. Transfer of Service Agreements (TSA): The TSA is a separate document that is required to be signed and executed by Current Customer, New Customer and AT&T. By executing this TSA, Current Customer, New Customer and AT&T consent to Current Customer's assignment of the Transferred Items to New Customer, and New Customer's assumption of all of the obligations contained in any Service Documents and all of the obligations relating to the Service Components, on the given terms and conditions.
8. ATP Coordination - AT&T and CAISO have acknowledged that the CE may elect to authorize an independent third-party service provider ("Authorized Third Party" or "ATP") as the CE’s Agent to contact AT&T directly to resolve issues or troubles impacting the Service ("ATP Coordination") by indicating “Yes” below.
The CE hereby notifies and provides to AT&T an executed copy of the Letter of Agency that it has appointed the identified Agent in accordance with the terms and conditions of the Letter of Agency. AT&T will be responsible solely to the CE as specified in the Domestic CE Agreement for performance of services hereunder.
Using ATP Coordination Yes -
Initial
Date
ATP Name
Person Authorizing: Brian Saeki
Title: City Administrator Date:
Phone: 323-583-8811
Signature:
Attest:
___________________________
Yonnie Parker, Deputy City Clerk
Approved as to Form:
____________________________
Zaynah N. Moussa, City Attorney