Services, Inc?
Statement of Work
LanguageLine® Phone™ and InSight Video Interpreting®
Please confirm your tax exempt status by checking one of the boxes below, and providing the necessary supporting
documentation.
Tax Exempt Status
ONo 0 Yes - If yes, please include a copy of your tax-exempt determination letter or certificate.
The person signing this agreement certifies that such person has read, and acknowledged all terms and conditions, that he or
she has read and understands all of the terms and conditions and is fully authorized to execute this Agreement on behalf of and
bind the Customer to all its terms and conditions. Both parties agree the delivery of the signed service agreement by facsimile
or e-mail shall have the same force and effect of execution and delivery as the original signature.
Nashua Police Department Language Line Services, Inc.
Accepted and agreed to date: Accepted and agreed to date:
Signature: Signature:
Print Name: Bonaventura A. Cavaliere
Title: cFO
© 2019 Language Ling Services, Inc. * Ona Lower Ragsdale Drive, Bldg. 2 * Monterey, CA 93940 « www. LanguageLing.com> «REV 06.17.19 4
