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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. > -on •r 1 MFC-L9550cdw BROTHEtj,9660": e�rJ s i� ❑ 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 e o s ® a s 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. IOT-Xerox _ a Xerox Company InI�K �. 2920 Fortune Circle W Ste C Indianapolis,IN 46241 c�"g"r, n°e �r�X- V 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 $0.130000 Overages Billed = Quarterly Overages Billed = Quarterly OTHER GMA INFO OTHER MPS INFO ADDITIONAL ITEMS COVERED THIS GMA: in­R ­ire mems a,e�R�rea Email for meters t CUSTOMER ACCEPTANCE:This Guaranteed Maintenance Agreement,consisting of the terms and conditions appearing above and on page 2 is hereby approved,accepted and executed by the respective parties for term set forth above. Customer acknowledges receiving a copy of page 1 and 2 of GMA. AUTHORIZED CUSTOMER SIGNATURE: x Sales Rep Dane Astle n ' SIGNER'S NAME(printed): X C 4 �� rytng, Todd Toles TITLE: X�\ w L DATE: X [may REP# 10T-Xerox a Xerox Company " IntegrltyUne Xerox ,z - .. 2920 Fortune Circle W Ste C Indianapolis,IN 46247 L Phone:800-284-9967 Fax: 317-241-8544 v.2017-05-10 Xerox Financial Services LLC Supplement to Lease ("Supplement") xerox AM, � 45 Glover Avenue . Norwalk,CT 06356 Agreement Number for Lease Agreement Number for this Supplement Dealer Name INTEGRITY ONE TECHNOLOGIES CUSTOMERI ' 1 Full Legal Name DBA CITY OF JEFFERSONVILLE Billin Address City State ZIP Code 500 QUARTERMASTER COURT JEFFERSONVILLE IN 47130 Phone Contact Name Contact Email Customer PO#(Optional) 812-285-6440 PAUL NORTHHAM EQUIPMENT11 1 Quantity Model and Description 1 BROTHER 9550 EQUIPMENTDELETED Quantity Model and Description NEW TOTAL PAYMENT OR ADDITIONAL ❑ If this box is checked,your new Lease Payment consists of a Monthly Lease El If this box is checked,your new payment is the sum of the amounts set forth in Payment of$ 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