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�© <br />at&t <br />AT&T Business Network (ABN) "Loyalty Program" <br />"Certification of Eligibility" <br />This Certification of Eligibility for the AT&T ABN Loyalty Program ("Program") is required for <br />participation in the "Program" as defined on the AT&T Business Service Guide located at <br />www.att.com/serviceguide/business. With this signed Certification and installation of a new ABN <br />Term Plan contract, Customer will receive additional discounts applied on a monthly basis to <br />Customer's ABN Voice Interstate LD and Intrastate LD originated switched calls (Standard). <br />Eligibility requirements per the Service Guide require Customers to certify that their subscribed <br />locations (per Attachment A) are using only local exchange service lines or trunks which are <br />provided by one of the AT&T Company ILEC affiliates within the following states: Arkansas, <br />California, Connecticut, Illinois, Indiana, Kansas, Michigan, Missouri, Nevada, Ohio, Oklahoma, <br />Texas, Wisconsin, Alabama, Georgia, Florida, Kentucky, Louisiana, Mississippi, North Carolina, <br />South Carolina, and Tennessee; and/or Customers subscribed locations (per Attachment B) in <br />the affiliate states listed above where AT&T is not the local service ILEC provider (Non -Served <br />Areas). <br />By signing below, Customer is certifying that the locations as listed in Attachment A and/or B is <br />complete and accurate, and complies with the conditions and limitations described in the <br />paragraph above. <br />Customer Entity ("Customer") Indian River County — BOARD OF COUNTY COMMISSIONERS <br />AGREED:; Customer ') <br />B r ;F <br />(Author' � Agent r Representative) <br />JO H A. BAIRD <br />(Typed or Printed Name) <br />COUNTY ADMINISTRATOR <br />(Title) APPROVED AS TO FORM <br />AND Le L SUFFICkENCY <br />h <br />(Dat lt3y . <br />AT&T and Customer Confidential Information MARIAN S. !°� tt <br />l # iA t*i q �l" <br />This document and information contained herein maybe disclosed only to authorized persons, and <br />may be used only for authorized purposes, in accordance with applicable agreements. <br />Page 1 of 5 <br />Abnloycertformv08162007 <br />