HomeMy WebLinkAboutXEROX PAULS OFFICE CUSTOMER NAME GUARANTEED MAINTENANCE AGREEMENT(GMA)
•
CUSTOMER NAME
Jeffersonville Parks&Recreation Same as Bill To
ADDRESS ADDRESS
500 Quartermaster Court
CITY,STATE,ZIP CITY,STATE,ZIP
Jeffersonville,IN 47130
CONTACT PERSON CUSTOMER PHONE NUMBER METER CONTACT PERSON DEPARTMENT/ROOM
Paul Northam 812-285-6440 Paul Northam
PURCHASE ORDER a SHIP TO PHONE a
SHIP TO FAX p
812-285-6440 812-285-6481
TERMS OF PAYMENT •IF MORE THAN ONE"SHIP TO"LOCATION,USE
TERMS ARE NET THIRTY(30)DAYS FROM DATE OF INVOICE. SEPARATE MULTIPLE SHIP TO FORM.
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❑ No Service Contract STARTING METER TERMS
Total
BASE Notes Black/Print Months: 60
Base Service Included in Color Office Use Only
Amount Lease Current Service Agreement
Payment
Base Billed = Monthly Group Number
Per Copy Agreement BW Notes Per Copy Agreement Color Notes
Per Copy Incl.in Base Per-Copy Incl.in Base
Allowance 1,000 Allowance 500
Overage $0.015600 Overage $0.091300
Overages Billed = Quarterly Overages Billed = Quarterly
OTHER GMA INFO OTHER MPS INFO ADDITIONAL ITEMS COVERED
THIS GMA: maawuon u,e ro�lawl,g deme en cme,pd
Email for meters
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CUSTOMER ACCEPTANCE:This Guaranteed Maintenance Agreement,consisting of the terms and conditions appearing above and on page 2
is hereby approved,accepted and executed by the respective parties for term set forth above. Customer acknowledges receiving a copy of
page 1 and 2 of GMA.
AUTHORIZED CUSTOMER SIGNATURE: x \ C:.Sales Rep Dane Astle
SIGNER'S NAME(printed): x `�`�— 1�-�" CIL
��f11 Mng. Todd Toles 4i DD
TITLE: xT L .L_�Lil DATE: x /. -REP.
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a Xerox Company InI�K �.
2920 Fortune Circle W Ste C Indianapolis,IN 46241 c�"g"r, n°e �r�X-
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Phone:800-284-9967 Fax: 317-241-8544 v.2017-05-70
CUSTOMER NAME GUARANTEED MAINTENANCE AGREEMENT(GMA)
•
CUSTOMER NAME
Jeffersonville Parks&Recreation Jeff Parks and Recreation
ADDRESS
ADDRESS
500 Quartermaster Court 511 Brighton Ave
CITY,STATE,ZIP CITY,STATE,ZIP
Jeffersonville,IN 47130 Jeffersonville, IN 47130
CONTACTPERSON CUSTOM ER PHONE NUMBER METER CONTACT PERSON
DEPARTMENTIROOM
Paul Northam 812-285-6440 Paul Northam
PURCHASEORDER# Hona Mcbride
SHIP TO PHONE# SHIP TO FAX#
502-381-3147 Jeffersonville
TERMS OF PAYMENT •IF MORE THAN ONE"SHIP TO"LOCATION,USE
TERMS ARE NET THIRTY(30)DAYS FROM DATE OF INVOICE. SEPARATE MULTIPLE SHIP TO FORM.
10
94 48 4 S
1 HP M452NW VN83YO8232
❑ 1 No Service Contract STARTING METER TERMS
Total
BASE Notes Black/Print Months: 12
Base Service Color Office Use only
Amount0 Ck Current Service Agreement
ill:-0 4
Base Billed = Monthly Group Number
Per Copy Agreement BW Notes Per Copy Agreement Color Notes
Per Copy Incl.in Base Per Copy Incl.in Base
Allowance 2 fr
Overage $0.019000 CPC
$0.130000
Overages Billed = Quarterly Overages Billed = Quarterly
OTHER GMA INFO OTHER MPS INFO ADDITIONAL ITEMS COVERED
THIS GMA: inR ire mems a,e�R�rea
Email for meters
t
CUSTOMER ACCEPTANCE:This Guaranteed Maintenance Agreement,consisting of the terms and conditions appearing above and on page 2
is hereby approved,accepted and executed by the respective parties for term set forth above. Customer acknowledges receiving a copy of
page 1 and 2 of GMA.
AUTHORIZED CUSTOMER SIGNATURE: x Sales Rep Dane Astle
n '
SIGNER'S NAME(printed): X C 4
�� rytng, Todd Toles
TITLE: X�\ w L DATE: X [may REP#
10T-Xerox
a Xerox Company "
IntegrltyUne Xerox ,z - ..
2920 Fortune Circle W Ste C Indianapolis,IN 46247
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Phone:800-284-9967 Fax: 317-241-8544 v.2017-05-10
Xerox Financial Services LLC Supplement to Lease ("Supplement")
xerox AM,
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45 Glover Avenue .
Norwalk,CT 06356
Agreement Number for Lease Agreement Number for this Supplement Dealer Name
INTEGRITY ONE TECHNOLOGIES
CUSTOMERI ' 1
Full Legal Name DBA
CITY OF JEFFERSONVILLE
Billin Address City State ZIP Code
500 QUARTERMASTER COURT JEFFERSONVILLE IN 47130
Phone Contact Name Contact Email Customer PO#(Optional)
812-285-6440 PAUL NORTHHAM
EQUIPMENT11 1
Quantity Model and Description
1 BROTHER 9550
EQUIPMENTDELETED
Quantity Model and Description
NEW TOTAL PAYMENT OR ADDITIONAL
❑ If this box is checked,your new Lease Payment consists of a Monthly Lease El If this box is checked,your new payment is the sum of the amounts set forth in
Payment of$ plus Taxes and,if the Lease is a Cost Per Copy the Lease, any other Supplements thereto, as applicable, and an additional
Agreement,plus Excess Charges(collectively,the"New Total Payment"). payment for this Supplement. The additional payment for this Supplement
consists of a Monthly Lease Payment of$ 80.12 plus Taxes and,if the
❑ If this box is checked,the above includes a change to your service. Lease is a Cost Per Copy Agreement, plus Excess Charges (collectively,the
"Additional Payment").
Q If this box is checked,the above includes a change to your service.
B&W Copies Included Excess B&W Copies Charge B&W Prints Included 1000 Excess B&W Prints Charge •0156
Color Copies Included Excess Color Copies Charge Color Prints Included 500 Excess Color Prints Charge 0913
Other Copies Included Excess Other Copies Charge Other Prints Included Excess Other Prints Charge
TERNI
months,which is the balance of the Initial Lease Term of the Lease,so this Supplement is coterminous with the Lease and any other Supplements thereto,as
applicable.
60 months,solely for the equipment listed in the"Equipment Added"section above,and no change to the remaining term of the Lease for all other Equipment.
TERMS 1 CONDITIONS
You have asked Xerox Financial Services LLC to agree to this Supplement,which adds Equipment to,deletes Equipment from,and/or modifies maintenance charges or Excess
Charges for Equipment subject to,the Lease.You agree to pay the New Total Payment or the Additional Payment,whichever is applicable,set forth above.Except as set forth
herein,the terms and conditions in the Lease,including any Supplements thereto,and any personal guaranty(s)shall remain in full force and effect and are incorporated herein
by reference.
CUSTOMER
BY YOUR SIGNATURE BELOW, YOU ACKNOWLEDGE THAT WE ARE MODIFYING AN EXISTING NON-CANCELLABLE LEASE
AND THAT YOU HAVE READ AND AGREE TO ALL TERMS AND CONDITIONS-IN (i) THE LEASE, AS MODIFIED, (ii) ANY
SUP S,IF APPJ,1BLE,AND(iii) THIS SUPPLEMENT.
A rize Signer Date Federal Tax ED#(Required)
ame Title(iddicate President,Partner,Proprietor,etc.)
v
LESSOR
Accepted By: Name and Title Date
Xerox Financial Services LLC
Updated Supplement 08.19.2014 CWS