Loading...
HomeMy WebLinkAbout94-98 RESOLUTIONIC • RESOLUTION NO, 94-98 A RESOLUTION AUTHORIZING THE LEASE OF THREE COPIERS FOR 36 MONTHS @ $2,621.30 PER MONTH, PLUS APPLICABLE SALES TAX FROM XEROX CORPORATION, SAID AMOUNT INCLUDES ALL SUPPLIES AND MAINTENANCE. • BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF FAYETTEVILLE, ARKANSAS: Section 1 That the City Council hereby authorizes the lease of three copiers for 36 months @ $2,621.30 per month, plus applicable sales tax, said amount includes all supplies and maintenance from the Xerox Corporation; and authorizes the Mayor and City Clerk to execute said lease agreement. A copy of the lease agreement is attached hereto marked Exhibit "A" and made a part hereof. PASSED AND APPROVED this 21` day of July , 1998. APPROVE By. //'/ ATTEST: By: Heather Woodruff, City Cle& Fred Hanna, Mayor • Total Document Solutions, Inc. May 29, 1998 Ms. Peggy Vice City of Fayetteville 113 West Mountain Street Fayetteville, Arkansas 72701 Dear Peggy: The following is a strategy for a resolution to the Xerox contract with the City of Fayetteville. 1. Replace existing 3-5365's, serial numbers 6\0\6303581, 6w6303200, 6w6305948 with 3 Xerox copiers off the State of Arkansas contract. (2- 5385's and 1-5352) 2. Forgive any and all remaining balances on current 3-5365's lease and service contracts. 3. Settle any outstanding copy credits due off the 5365 contract. 4. Replace the currently installed Richo 6750 with Xerox 5352 off the State of Arkansas contract. IThe;above actionsare contingent upomapprovai by. Xerox Corporation and are meant to resolve any and all issues that the City of Fayetteville may have with regards to current Xerox contract. Tim Stanley President — TDS, Inc. ate City of Fayetteville (//dAz-- Date /4 121 V7est Township • Suite 14 • Fayetteville, Arkansas 72703 501-575-0770 { Xerox Authorized Sales Agent N N NNNWN NNWN NNNN NNN NNN NNNNWN NNNNNN J 000100 0 0 0 0 0 0 £ c £ £ £ £ c £ £ c £ E £ £ £ £ £ E E £ £ £ £ £ £ £ E E c £ £ E E CI 0 0) CO 01 CO 01 CO CO Co 0) CO GI Co N CO CO d m m m N N CO 0 Co 0 0)0)0)0' 10 0) O N N N N N N CO N N 0 N N N N 0 0 CO 0 N 0 091 N N N N N N N N N N 7 7 7 7 7 7' 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 0 7 7 7 0 7 7 7 7 7 0 7 0 7 7 7 7 7 7 7 0 7 7 0 7 7 7 7 7 10 01 10 In b b CO Io 2 10 0 10 b to W Io Ie 0 10 0 b b tO b tO tO b 0 0 10 10 10 t -PN N N et e? et N et t1 et rf N n e? e1 0. re r• rt 0. r• 0 t1 e1 N t1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 7 7 7 7 7 0 7 7 7 7 7 7 7 7 7 7 7 7 0 7 7 7 7 7 7 7 7 7 7 7 7 7 HH J J J J) HHHH HHHH -J-4-4 HHHHHH -4-4-4-4-4-4 NW NNNNN NWNN WNNN NNN NWN NNNNIVN NNNIVNN . . . . . . . • 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 VI F F F N 0N-60 01 Ut N'0 N-60 Oe VI F F w w N N O J VI ut F 0 0 MO M W M w w N w W N "M'0 O F N VNF F J F F-LO\ FMFMMV O O F O OI a w OI w N 0000 0 0 0 0 O J J F w W F N J O -6 M O W F0 -.4000\O\ 0-cO\ N 02.0 MOO O N VI HOMO w N w W O O w w O N-sJ O N N , W N O 0 OHO W w 01 N O W J W w O ut W W P 0 O 10 W D\ O N N OO 0 O W v 0 O -100 000 P o OI 01 F-iO 0 W' 10 w O M V VI Vi N F FBF 61 .P F F F w w .P00 www F w w w w N w N N N N N VI N w O t0 W 00-001 F -c" N N N o v mw 02-.1F003 -. W' J P F F coo N w W W 10 O F w W 00010 • 00-4 w 01 W F F J W 10 • FF -4-42F 4.4. O ▪ N • F • F ▪ F Orn MW F w F00 004. N F F F F W ut F F F F VI ut 001/47"6/1U1 0¼¼0 O VI N O 1/4,100 0 0 F VI VI u N 0 w N N N 0 VI SW3ISAS Ad00 SWJISAS Ad00 O • 0 _ O M D J O N N X 0 7 3 0 0 0 A 0 n— 0 0 0 D 0 r 2 v v v r v v O < < < v < 1 w 01 N 0 F D 0 0 0 9 N < 0 1171 m m < m v !3A N N 0 5517 VOINOX • 1 1 0 N N O 2732 -10:W m W • D b D M0.-40 9 VI O N 1 VI O F 0 O X O O O OSOL VOINOX SW3ISAS Ad00 M - 0 0 Mr1 O D m A 2 N A A r A 0 0<< x X < X r x D 0 ▪ 0 0 2 omm m< 0 0 1 v 1 -IX X X i 2 fA 0 A az rn O co A - 0 073 - m W X 1 01 W W D W D o > -40U m J t0 C F O t O F x0> 'x0 m N 0 JSVOZS£5 XO113X dH00 V11ONIW 750 A 0 0 0 0 X A 0 0 0 X o D O 0 0 0 0 0 fn 0000010 r v < v v v S A < v v S A 9 v < - < C < < 0 - < < < O < 2 w X 0 X 0 0 0 0 0 0 0 0 0 O < 0 < < < < 0 < < < < A O1 1 o N fA w 'I N N N 0 < m -1 m m m m -1 m m m m N f1 ool 0 0 0 0 m 0111tA 137 00 1 X X 3 X 1 0 1 1 1 1 X 0 -1 1 1 X 1 D o m - 0 0 DOOOOM DOOOMO N 2 A 2 2 0 2 0 0 0 0 2 2 O1 N N A 0 - 0 X O- X Z---- X Z X S X X S W D -1D0 WWW W W CO CO CO D V+ D D 2 a a n n V1 2 n a n VI n F w a v w w 10 O VI 01 0 t0 1 F F t0 t0 1 F I F F 0 F 10 N F N O N N w m VI O N w N FVO I M F O F 0 0 O F o w 0 D F 0 F 0 O 0 O O O D F o O o O O D O 0 O V 0 N 0 +I N 0 A Z 2 2 A 22 2 2 mm rn 1 m m m m m i E E £ i £= E E N N A 0 N N N A N N O (n330 N A 0 D A N m30 m A A N O N 00 D 1 0 0 0 D 0 0 D 1 0 0 D 0 D D m D 0 -4 D D 0 0 D 1 D D O n 0 W W 0 1 CO W CO 0 CO CO 0 1 CO CO 0 W 0 0 A 0 W O O W W O O O W O CO O 0 m N 0 0 CA 9 N N -11 N 0 0 -1 0, m 1 m 0 N T m N N m N m +t N m N 00 • 0 0 0 N • 00% 0 0 0• N• • 10• 0 0• • 0 • 0• • N• D J > N J N DIV D A r r N A r r N O O 0 0 00 mo MOO 0 MOO 0 c C W co cm mc moo co MOO W 1 • A• • 0 A• • N r r 2 2 rz Nr NN NN O 0 0 00 00 00 z 1 1 0 N -I0 N 1 CO CO W CO O 0 • 0 0 0 01 W 0 2 A A A CODD CO X& D 1 1 D 1 0 D 0 0 -0 -0 0 0 in m corn ICA 'O v 91 7' m m \ \ m • \ •n Al 00 00 N 0 m +1 Nm ON 00 00 0 10— MO 2 2 22 W > 2 2 CO2 1 W 00 01 0 0 0 0- NW 0 0 0 0 O x N N N N 0 0 r r r r m 2 1 1 P m m m m D A m m m 1 \ A A A D D N 0 O O 1 A A A C C s ✓ 0 • 0 0 r m A J VI VI 01 J VHMV VI J VI F N FFM F F F 01 M F F F F Oe F 00 O VIVI VI O 0 O 0 O O 0 O N N O 0 O 0 N O v N v N 0 O M VI O O O w N VI O O w 0 0 FF 00000 FFFF N N N N 00 w N N N CONNCONN CO CO F F F F F 0 0 0 0 J J J J N N VI N N N W CO W W CO CO CO CO CO CO CO W 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 • 0 ▪ 0 • 0 ▪ 0 ▪ 0 • 0 ▪ 0 0 0 ▪ 0 • 0 • 0 • 0 ▪ 0 - J O V+ N-& - • N- 0 O. 1/411F F w w N N 0 J VI N F w w 0 0 0 CO 0 0 0 Cu 0 0 J w 0 0 0 0 F N VI cu 0 F 0 0 0 0 OI ut 0 0 0 W O 1 m 1 2 D 0 3 O 2 1 < 0 0 O 0 N < O 1 O 0 -I > r 2 n Mo O 0 H I r+] 0 O 1 0 1 WH M HO 2 WS 0> [9 P1 r o a O P7 0 0 ro 0 0 z H A 2 n rnni z � A v O m D D 0 1 ax - 73 T• - A 0 2 m m 0 O 0 v v S M 0 O 03 • 0 - m N 2 D 0 0 0 W N w co w N N N C. £ £ £ £ £ d CO Co N Co 0 O co co N 0 N CJ _. S J r J O 0 0 0 0 0 tO 10 10 Ic I0 0 r1 r1 n rr n rr O 0 0 0 0 0 O 0 0 0 0 0 W Co w w w w NNNNN N N N N N N N N O O O b DO DO DO DO W CO CO CO CO J J uo36u lyseM £ £ £ £ £ £ £ £ £ £ £ £ £ £ £ £ £ £ CO 0 CO 0 d CO D1 Co N' 0 01 01 0.1 01 01 Co 0 0) N 0 N CO N CO N N 0 0 co 0 N 0 N N N N 0' S r J r S 0' S S 0 r 0 0== r r S O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 l0 10 10 10 to 0 0 10 10 t0 0 0 I0 tO 10 to to re er n 1r rt it er er rt r1 r1 it r1 rr n rt r1 re 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 J J J J J J J J J J J J - J J J J J J J J J J J J J N N N N N N N N N N N N NNNNN NIVIVNN N N N 0 • 0 _ 0 0 0 0 0 0 0 0 0 0 mmi 0 _ _ _ _ _ JI 0 VD CO N N J J mml F F J 1/4/1 CO CO VI F N VI O 0 J V1 4.47 0 J W N DO O• F F ON OI 0 N 0 Co Oe N 0 O N w F 0 10 0 0 0 W o w 0 0 0 0 O O O N O 0 O O w O O O 0 • 0 0 0 0 0 0 0 O _ _ O CI W W CO 0 - • Ot CO 0:0f 0 0 0 0 b CO W o O VI 0 ON ON N N J O N O F F j N O Co O W Co F O w ZO£hZ£10' O O_ O_ 0_ N N - - J F J 0 VI OI 4.7 0 0 J u_ O O,J J. •O b • CO CO J b CO CO J J N CO CO J J at VI N N VI F w J F JN CO CO -CO O b" N CO CO Co N bw D\ DV1 DO •O J ODO• N -•• b O J W -4 J b JCo J CO CO CO N CO • O N O 0-s 0 N 0 F N O F O F F F O O F F F F CO O F 0 0 0 0 J 0 0 0 V1 0 0 V1 O N VI N O 0 0 Vt VI N O O Ln ma0 o a a 0> z< r m< r < r 0 - v m- v v X 0 1 z Col S o) X z m -0n z Om z72 '1 0 O m O m O 0 < 0 < O < m m m X 0 M a 0 2 X 2 IIn z CO v CO 1 N 0 O 0 0 0805 VOINON SW3ISAS AdOO 73720 300072 Z1 3 0 0 0 1c) 0 D 0 - 0 0 0 D a- 0 0 0 - D 0 < v < O < < < v v O < < < 0 v < CO r r X S r r X 0 1 0 0 0 1 0 0 0 1 co O 0< a<<< 0 0 D<<< D 0< m A N N CO N p F N co N S N +1 0 1 0 1 1 1 0 0 0 1 1 1 0 0 1 --CM O m m m< < O m m m 0 -CM O 3 73 3 3 3 73 3 3 3 X 3 m 01 v co co 0 N 01 01 CO v 0 2 2 2 z z z z 2 z 2 0 2 0 0 2 0 2 2 a 2 D m 2 > v v N v N v ut 1 1 0 1 Co 40 1 72 01 O• co OD J J O• J 0 0 0 0 0 0 0 0 CO CO CO 0 CO 0 0 0 X 0 2 7 zz 73 2z C 3 C C 3 C C a D z z N00L6 30UNOW 3 3 1 1 7 X 1 1 1 1 3 X 1 0 N 2 2 z 0 2 N 2 2 2 2 f/1 CO O O - - - - O - O - O - r- D m D CO a D D CO m co > a D In N t0 O• mmi 0 0 m 01 N - ▪ V0 In -4 ON v OI N N •O DO v N ON N v tr V1 1 0 F O O 1 0 F 1 N DTD0 0• 0 0 0 O• O O O O 0 0 0 0 0 O 0 0 N 0 0 0 2 2 z a z z 2 v m m m m m m m £ £ £ 3a 3D £ £ 3D 2 z z 73>73 WDX >73N DWN N N N N A O J D J1 J1 D •+ D O - D 0 1 0 0 0 D 2 0 0 0 Co O W I CO CO CO O T co m 0 0 71 0 71 0 N '1 N O 0 0 0 T - 0 D X 01 D CO D 0 D J r z• O 1• O • 0 • O 0 - C m C C C 1 N • W = r r r r D 9 0 0 0 —I C 9 N N N N CO 0 0 0 0 v 0 CO CO CO CO -1 co 0 N W N 0 N 0 CO CO CO v v N 1 1 RADF,ADU,LCT,2013S,10T 1 0 0 0 1 D 0 CO W CO 1 v CO N oD CO 0) N 'n O N 0 0 0D Cn O C r 1 co N m N 0 CO GO N D 1 N CO W W Ott O CO OD J J W J J 0\ Ot O• O• OD 01 O• CID 01 OD 1/411 VI O• 0040 w w 0 WOO w 0 0 0 0 0 N 0 0 0 V1 0 0 ut ut N 0 0 0 O• ON O• CO CO OD VI VI N J J J J J F F F F F F F F 0 0 0 N VI ut 0 0 0 0 0 0 0 0 0 0 0 Co w w w co W w W 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O • O IO V C CO 0 0 0 W N N 0 F Co • • • • • • • • 0 0 0 0_ 0 0 0 0 0 • 0 ▪ 0 0 0 0 0 0 0 0 0 F 0-4 w W W W Co N N P-4 0 J CO 0 •O 0 O O 0 J O CoCD O O O ▪ CO 0 z 3 0 m 0 C z 1 < O 0 O 0 < -1 1 O 1 O 0 CO • D r II < D m • 2 M 0 O H 0 X OH W 0 a OJ m z ✓ o H O 0 0 ro H to 7J 0 0 z H S 2 0 m m y D z v 0 M D .0 0 1 C X - - a O A 0 m m 0 O Ca O D v 01 — m w • LEASE AGREEMENT Customers Legal Name (Bill to) -r Name Overflow (if needed) Street Address Bos#/Routing Cin. State Zip Code Tax ID# • u� /yc/v.% X22- /4J.- Pi '~ FAi eletr— rte lii'_ -7-222_2 1_ - __ - THE DOCUMENT COMPANY XEROX Ch ck all that apply • Tax Exempt (Certificate Attached) ❑ Assoc./Coop. Name: / ,7 ❑ Negotiated Contract #• s/.. {r - Nr 4e_ eta3 ❑ Attached Customer P.O. #s: Supplies: Luse: State or Local Goverment Customer Int. Rate: % Total Int. Payable: $ Customer Name (Install) Name Overflow (if needed) Installed at Street Address Floor/Room/Routing Cil', State Zip Code —L--- _—__ County Installed In 411AsitimQ &n Customer Requested Install Date uL/Z /@S ❑ Replacement/Modification of Prior Xerox Agreement Agreement covering Xerox Equipment Scrial# (or 95#): is hereby 0 modified. 0 replaced. Effective Date: / / Comments: Lease Information Lease Term: 3.6 months Supplies included in Base/Print Charges 0 Refin. of Prior Agin I.: ❑ Xerox (95#) 0 3rd Party Eq. Amt Refin: $ Int Rate: % Total Int. Payable: $ $ Viso . MINIMUM MONTHLY LEASE PAYMENT (excl. of applic faxes) Price Information 0 Adjustment Period - Mos. Affected: Monthly Base Charge $ Print Charge Meter 1: $ Product (with serial number. if in place equipment) Purchase Option Down Payment Pm Install $ Fin'I Interm Print Charge Meter 1: Prints 1 - Cust Install S3tS DF'AI $ $ - 0 oO • ❑ 0 0 Prints • $ $ Frn✓ $ 0 0 0 $ 0 0 0 $ 0 0 0 - $ $ Prints $ Viso . MINIMUM MONTHLY LEASE PAYMENT (excl. of applic faxes) Price Information 0 Adjustment Period - Mos. Affected: Monthly Base Charge $ Print Charge Meter 1: $ 1 /SO•e° Monthly Base Charge $ Print Charge Meter 1: $ ' $ 0 Print Charge Meter 1: Prints 1 - $ Prints l - /0O1000 Prints /00,00f - oO $ , D 1i C Prints - $ Prints - $ $ Prints - S Print Charge Meter 2: — Print Charge Meter 2: $ Prints 1 - $ Prints 1 - Prints - $ $ Prints - $ Mo. Min.# of Prints (based on Meter 1 Print Charges): Mo. Min.# of Prints (based on Meter 1 Print Charges): Period B - Mos. Affected: Monthly Base Charge $ Print Charge Meter 1: $ Prints 1 - Prints - $ Prints - $ Print Charge Meter 2: $ Prints I - Prints - $ Mo. Min.# of Prints (based on Meter 1 Print Charges): • Purchased Supplies ❑Cash ❑Financed ❑Contract# 0 Application Software Reorder # Qty Description Price Software Title Initial License Fcc Annual Renewal Fee $ ❑ Cash ❑ Finance ❑ Support Only $ $ $ $ $ $ $ $ $ Total Price = $ Total Initial License Fees = S 0 Trnde-In Allowance Manufacturer Final Principal Paymen Model/Serial # Total Allowance = Allowance $ Total Allowance Applied to: 0 0 Trade -In Equipment Balance: $ Agreement Presente Name / / n-1 Price of Rep lgt�quiR:;• ,S. n` Qtn, _S cly Vit 3/) Xerox Corporation - Acceptance By: Name Signature Form 51860 (1057) ❑ K-16 Billing Suspension (check 1 as required) Months affected ❑ June only ❑ July only ❑ August only ❑ June - July ❑ July - August Additional Options (check all that apply) ❑ Run Length Plan ❑ Fixed Price Plan ❑ Per -Foot Pricing ❑ Extended Service Hours: Description: /$ ❑ Comp. Replacement Program: $ ❑ Attached Addenda form# (_ ) form/ 1110. Customer: SR/rid.XName • 1.I Title t Signature Phone Date • • LEASE AGREEMENT • r Customer's Legal Name (Bill h) — L L T `/ ' G {t'/ /2 Check all that apply /- • Tax Exempt (Certificate Attached) 0 /Assoc./Coop. Name: G Negotiated Contract#: 5 7.r J4 Mil- " `r'7 /r1 -)3Q3 , �❑ Attached Customer P.O. #s: Supplies: /tease: (Y Slate or Local Government Customer Int. Rate: % Total Int. Payable: $ THE DOCUMENT COMPANY XEROX Name Overflow (if needed) 7.//3, _ 141._ 74tr v.4c iA-r tY Street Address Box#/Routing City, Slate Zip Code Tax ID# ifrliyEtta( X21 "-- • Customer Name (Install) Name Overflow (if needed) Installed at Street Address Floor/Room/Routing City, State Zip Code County Installed In TA/SA.Li.4ja-vs, Customcr Requested Install Date O4_/Z L/S8 Lease Payment Information ❑ Replacement/Modification of Prior Xerox Agreement Agreement covering Xerox Equipment Serial/1 (or 954): is hereby 0 modified. 0 replaced. Effective Date: / / — Comments: Lease Information Lease Term: 36 months 1upplies included in Base/Print Charges ❑ Refin. of Prior Agm't.: Cl Xerox (95#) ❑ 3rd Party Eq. Amt Refm: $ Int Rate: % Total Int. Payable: $ Product (with serial number. if in place equipment) Purchase Option Down Payment Prey Install Fin'I Interm Cust Install S 3 RS b &/n/ ❑ S // 50?- : MINIMUM MONTHLY LEASE PAYM ENT (excl. of applic. taxes) Price information 0 Adjustment Period A - Mos. Affected Monthly Base Charge Purchased Supplies $ 1 1 TO.O o Monthly Base Charge $ Print Charge Meter l: 1 - =Min Print Charge Meter I: - Prints I - 100,000 $ 0 Prints 1 - $ Prints /QO.,/ - 00 $ • 0//J Prints - $ Prints - $ Prints - $ Print Charge Meter 2: ❑ $ Print Charge Meter 2: Prints 1 • $ Prints 1 - Prints - $ Prints - $ Mo. Min.# of Prints (based on Meter I Print Charges): Mo. Min.# of Prints (based on Meter l Print Charges): Affected: Monthly Base Charge Purchased Supplies $ Print Charge Meter 1: $ Prints 1 - Prints - $ Prim - $ Prim Charge Meter 2: $ Prints 1 - prints - $ Mo. Min.# of Prints (based on Meter 1 Print Charges): • Purchased Supplies ❑Cash ❑Financed ❑Contract# 0 Application Software Reorder # Qty Description Price Software Title hutial License Fee Annual Renewal Fee S ❑ Cash ❑ Finance ❑ Support Only S $ S S S $ S S $ Total Price = S Total Initial License Foes = S 0 Trade -In Allowance Final Principal Payment(' Manufacturer Model/Serial # Total Allowance = Allowance $ $ $ $ Total Allowance Applied to: 0 Trade -In Equipment Balance: $ O Price of Replaceni c ip.: "S - Agreement Presented By: Name Xerox Corporation - Acceptance By: Name Signature Fenn51E160 (10197) ❑ K-16 Billing Suspension (check 1 as required) Months affected ❑ June only ❑ July only ❑ August only ❑ lune - July ❑ Jun - August Customer: != /5-7:67717 )(Name J - - VTillc X Signature Additional Options (check all that appy) ❑ Run Length Plan ❑ Fixed Price Plan ❑ Per -Foot Pricing ❑ Extended Service Hours: Description: /$ m ❑ Comp. Replacement Program $ ❑ Attached Addenda form# (_ ) form# PhoneCa/- ae.9 •• LEASE AGREEMENT Customer's Legal Name IBili to) Name Overflow (if needed) Street Address 13°0/Routing City. State Zip Code Tax ID! 7z7_o.l_ _ _ _ _ THE DOCUMENT COMPANY XEROX Check all that apply in 'tax Exempt (Certificate Attached) O Assoc./Coop. Name: — — — Q'Negotialcd Contract 4: ❑ Attached Customer P.O. 4s: Supplies: /4_ Lease: s • X31)3 0' State or Local Government Customer IntRate: % Total Int. Payable: $ Customer Name (Install) Name Overflow (if needed) Installed at Street Address Floor/Room/Routing City. State 0 Replacement/Modification of Prior Xerox Agreement Agreement covering Xerox Equipment Serial# (or 954): is hereby 0 modified. 0 replaced. Effective Date: / / _ Comments: Zip Code _ _ _ _ County Installed In LaiQS_4/21,��k1 Customer Requested Install Date p 4_123'59 Lease Information Lease Term. [ij'Supplics included in Base/Print Charges 36 months ❑ Refin. of Prior Agnft.: O Xerox (954) CI 3rd Party Eq. Amt Refin: $ Int Rate: % Total Int. Payable: $ Product (with serial number. if 'n place equipment) Purchase Option Down Payment Prev Install Print Charge Meter 1:..f.1.. Finl Interm ° $ Cust Install 53Sz be/9S'T $ $ ❑ - 1X7 ❑ Prints 0 ❑ Prints - ❑ $ 0 - $ ❑ $ 0 - $ ■ -___ - $ 0 - • ❑ $ $ 0 ❑ ❑ $ $ s : MINIMUM MONTHLY LEASE PAYMENT (excl. of applie. taxes) Price Information 0 Adjustment Period Period A - Mos. Affected Monthly Base Charge $ 3a1 JO Monthly Base Charge $ Print Charge Meter 1:..f.1.. Prints ° $ Print Charge Meter I: Prints I - $ Prints 1 - 2 r00 Prints Prints x(7,000 - 1X7 $ , O lig Prints - $ Prints - $ Prints - $ Print Charge Meter 2: $ Print Charge Meter 2: Prints 1 - - $ Prints 1 - Prints - $ Prints - $ Mo. Min.! of Prints (based on Meter 1 Print Charges): Mo. Min.! of Prints (based on Meter I Print Charges): - Mos. Affected: Monthly Base Charge Purchased Supplies $ Print Charge Meter 1: .. $ Prints 1 - Prints - $ Prints - $ Print Charge Meter 2: $ Prints I - Prints $ Mo. Mink/ of Prints (based on Meter 1 Print Charges): • Purchased Supplies ❑Cash ❑Financed ❑Contract# ■ Application Software Title Initial License Fec 0 Cash ❑ Finance Annual 0 Renewal Support Onhv Fee Reorder 4 Qty Description Price Software $ $ $ $ $ $ $ $ $ $ Total Price = $ Total Initial License Fees = $ 0 Trade -In Allowan a Final Principal Payment# Manufacturer Model/Serial 4 Allowance $ Total Allowance = Total Allowance Applied to: Trade -In Equiplance: Price of Repla P.: Agreement ented By: Name A Xerox Corporation - Acceptance By: Nance Signature ❑ K-16 Billing Suspension (check t as required) Months affected ❑ June only ❑ July only ❑ August only ❑ June - July ❑ July - August Customer: • b \'Name Form 51860 (10/07) 1Tillc \ Signature Additional Options (check all that apply) ❑ Run Length Plan 0 Fixed Price Plan ❑ Per -Foot Pricing ❑ Extended Service Hours: Description: /S ❑ Comp. Replacement Program' $ ❑ Attached Addenda form! (-_ ) forma mo. Phone Date