Feedback for ... - Ohio State University



|Ohio State Department |Contractor Name |

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|Address |Address |

|      |      |

|Project Name |Contact Person |

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|Project # |Phone |

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|Building Name |Email |

|      |      |

|OSU Project Coordinator |Project Completion Date |Project Extension Date(s) |

|      |      |      |

|Phone |Est. Value of Keys |Date |

|      |      |      |

Contractor acknowledges and understands that card access or keys listed below are master keys for facilities at The Ohio State University and that failure to return such keys will result in the need to rekey one or more university buildings. Contractor agrees to indemnify the university for any losses incurred as a result of lost or stolen keys or the failure to return keys within ten (10) days of the Project Completion Date, including any and/or all extension dates, to Lock and Key Services, 035 Central Service Building, 2003 Millikin Road, Columbus OH 43210, plus $40.25 for each core and/or $500 plus labor for each master key that must be rekeyed.

|Specify Where Access is Required |Serial # or Card # (office use only) |

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|FOD Project Manager Signature Date |Contractor Signature Date |

|Dept. Authorized Signature Date |Name Printed |

| |      |

|Name Printed |Lock and Key Services Date |

|      | |

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