EXHIBIT 10.5
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HOSPITAL AND SPECIAL WASTE FACILITY
EXCLUSIVE MEDICAL WASTE SERVICE AGREEMENT
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CUSTOMER NAME: CHRISTUS XXXXX HOSPITAL SYSTEM CONTACT: XXXXX XXXXXX/XXX XXXXXX
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SERVICE ADDRESS: 1702 SANTE FE PHONE: (000) 000-0000/000-0000
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XXXX, XXXXX, XXX:XXXXXX XXXXXXX, XXXXX 00000 OFFICE HOURS:
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ADDITIONAL INFORMATION: THE FOLLOWING CONTRACT TO INCLUDE: SHORELINE, SOUTH,
XXXXX, BEEVILLE, KLEBERG, FAMILY HEALTH CENTERS, RURAL CLINICS, INFIRMARY, ALL
SITES PRESENT & FUTURE.
SERVICE TYPE SERVICES PROVIDED FEE
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[X] DAILY: Where applicable ANNUAL SERVICE CHARGE: $ 50.00
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[X] WEEKLY: Where applicable BOX PRICE $ N/A
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[ ] MONTHLY LB PRICE $ 0.20
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TRANSPORTATION FEE $ N/A
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MINIMUM WEIGHT 14 LBS. N/A ACTIVE - INACTIVE -
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FOR OFFICE USE ONLY:
ESTIMATED NUMBER OF EFFECTIVE SERVICE DATE: EFFECTIVE PICK UP
BOXES PER MONTH: N/A DATE:
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03/01/99
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BLUE/GREEN/
RED/YELLOW
M T W R F
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TERMS OF CONTRACT
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PAYMENT TERMS:
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EMSI's payment terms are forty-five (45) days net. Full Payment of all invoices
is required forty-five (45) days from date of invoice. Services will be
temporarily suspended on all delinquent accounts.
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TERM:
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The initial term of this agreement shall be for a period of one (1) ___ two (2)
___ or three (3) X years unless otherwise specified. The service agreement shall
commence upon the date set forth above (Effect Service Date) and expiring on
03/01/02. This agreement shall automatically renew for successive one year
periods unless either party provides written notice to the other at least thirty
(30) days but not more than ninety (90) days prior to the expiration of the
initial term or any renewals there after. All renewals shall be on the same
terms and conditions as set forth herein except that the Corporation reserves
the right to increase fees charged for services hereunder for any renewal period
as provided by the terms of this Agreement.
By signing in the space provided below, the Customer acknowledges having read
this Agreement in its entirety and agrees that it is bound by terms and
conditions set forth above and set forth on the reverse of this page.
/S/ XXXXXXX X. XXXX /S/ XXXX X. XXXX
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AUTHORIZED CUSTOMER SIGNATURE EMSI REPRESENTATIVE'S SIGNATURE
Xxxxxxx X. Xxxx Xxxx X. Xxxx
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CUSTOMER'S PRINTED NAME EMSI REPRESENTATIVE'S PRINTED NAME
Executive Vice President 03/26/99
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TITLE (PLEASE PRINT) DATE OF AGREEMENT
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