This Agreement made (date)_________________by and between_______________________________, hereinafter referred to as "Applicant",and The Central Office , hereinafter referred to as "Mail Service",shall be governed by these terms to which each party agrees:
1. By completing this form and USPS Form 1583, a copyof which will be made available to the United States Postal Service, applicantappoints Mail Service as agent for the receipt for a period not to exceedthat for which rent has been paid in advance. Applicant will pickup mail at least once a month or make other suitable arrangements, in advance,with Mail Service. Mail Service will provide a lockbox key to applicantwho may obtain his mail during the business hours posted by Mail Service. Should applicant appoint another person or organization, Mail service shallpresume that possession of a key is evidence of authority to collect mail.
2. The key (if loaned) to applicant shall require a refundablecash deposit, and remains the property of Mail Service and shall not beduplicated or modified by applicant. The key deposit shall be refundedupon return of the key within ten (10) days of termination of service. Applicant understands that the relationship of the parties hereto is oneof bailment and not landlord and tenant.
3. Once Mail Service has placed applicant's mail in theassigned lockbox, the mail shall be deemed to have been delivered, andMail Service shall not be responsible for loss, theft or damage. Mail Service is not engaged in the delivery of mail and cannot be responsiblefor failure of the United States Postal Service to deliver mail or to deliverit in a timely fashion or undamaged condition.
4. Applicant agrees to use services in accordancewith Mail Service rules and in compliance with all U.S. Postal regulations,as well as local, state and federal statutes and regulations. Failureto do so may result in cancellation of service without notice or refund.
5. Information provided by applicant will be keptconfidential and will not knowingly be disclosed without applicant's priorconsent, except for law enforcement purposes, in which case Mail Serviceintends to cooperate fully. Law enforcement is further clarifiedto include all city, county, state or federal agencies or their representatives.
6. Mail will not be accepted for more than three(3) persons or organizations in a single lockbox and each must completea USPS Form 1583 and provide photo identification. If applicant consistentlyreceives substantially more mail than can be placed in a single lockbox,Mail Service reserves the right to require applicant to rent a larger sizebox or one or more additional boxes. Charges for service are basedupon average daily volume and activity. Special circumstances, e.g.of parcels, may require assessment of additional fees. An unusuallyhigh volume of mail will result in either a higher fee being charged, ortermination of the mail receiving service. Applicant further agreesthat parcels delivered to this address for the applicant will be deliveredby common carrier only, that no truck line deliveries will be made, thatparcels will be retrieved within 24 hours after delivery, and that no hazardousor dangerous material will be delivered to applicant. Failure toadhere to any of these parcel delivery stipulations will result in terminationof service.
7. Applicant agrees to protect, indemnify and holdharmless Mail Service from and against any and all claims, demands andcauses of action of any nature whatsoever relative to use of Mail Servicefacilities or services, and any expense incurred in a defense of same shallbe reimbursed by applicant.
8. Should Mail Service commit or fail to commitany act which results in disruption of service and applicant thereby suffersa loss, Mail Service's liability shall be limited to not more than therental fees paid by applicant for service not yet received. MailService shall not be liable for incidental or consequential damages.
9. Certified, registered, insured, or C.O.D. mailor parcels will be accepted by Mail Service only in those cases in whichapplicant specifically authorizes same by checking box six (6) of USPSForm 1583 and provides full, advance payment of C.O.D. charges.
10. Mail Service fees are due and payable in advanceand notice thereof will be placed in applicant's lockbox. No othernotice will be required. Failure to pay such fees when due may resultin disruption or cancellation of services. Mail Service does notprorate fees and does not provide refunds in the event of cancellationby applicant.
11. Applicant shall use the address designation"PMB" to designate their address. NO OTHER DESIGNATION IS VALID. The U.S. Postal Service may refuse to deliver any piece of mail that doesnot include the PMB designation. Applicant is responsible for notifyingcorrespondents of the above address. The address to be used by applicantfor the purpose of receiving mail is as follows:
Applicant's Name or Business Name
PMB ### (PMB stands for Private Mail Box, ### is your box number)
1275 Fourth Street
Santa Rosa, CA 95404
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12. Upon termination of services by Mail Serviceor failure to pay rent in advance by applicant, Mail Service shall notmake applicant's mail available without payment therefore. Applicantunderstands that the United States Postal Service will not forward or returnmail without payment, and will not accept a Change of Address. Attermination of service, applicant, if he wishes mail forwarded after thatdate, shall provide Mail Service with a forwarding address and pay therequired fees. In the event applicant fails to do this, Mail Serviceshall refuse any further mail and. in the case of mail already receivedhandle such mail in accordance with USPS DMM DO42.2.6 regulations.
_______________________________________________ ________________________________________________
Mail Service Applicant
Termination Addendum
At termination of service, I hereby instruct Mail Serviceas follows:
_______ Forward my mail to new address. Inconsideration thereof, I place $_____ on deposit to be used for this purpose.
_______ Handle such mail in accordance with USPSDMM DO42.2.6 regulations.