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COPY PRODUCTS COMPANY
COPY
" SUPPLEMENT
MASTER AGREEMENT NO
APPLICATION NO
1110582
CONTRACT/SUPPLEMENT NO
C STOMER ("YOU" OR "YOUR")
FULL LEGAL NAME: CreStVieW, City of
ADDRESS: 198 N Wilson St
Crestview FL 32536-3436
MASTER AGREEMENT
REFERS TO THE AGREEMENT BETWEEN CUSTOMER AND OWNER IDENTIFIED IN OWNER'S RECORDS BY THE MASTER AGREEMENT NO. ABOVE.
DESCRIPTION OF EQUIPMENT
NOT
FINANCED
UNDER THIS
MAKE, MODEL NUMBER, INCLUDED ACCESSORIES & SERIAL NO. AGREEMENT
BEGINNING METER
READING
MONTHLY IMAGE
ALLOWANCE
EXCESS
CHARGE
PER IMAGE
PLUS TAX)
B&W
COLOR
B&W
COLOR
B&W
COLOR
1 Sharp MX-2640N Copier 55035400 M
1 Sharp MX-DE12 Desk Unit 5E007310 III
1 Sharp MX-FN17 Finisher 5L005110 E
0
TOTAL CONSOLIDATED MONTHLY IMAGE ALLOWANCE AND EXCESS PER IMAGE CHARGES (IF CONSOLIDATED)*
THE CONSOLIDATED IMAGE ALLOWANCE AND EXCESS PER IMAGE AMOUNTS SHOWN ABOVE (ORON THE ATTACHED EQUIPMENT OR GROUP BILLING SCHEDULE , IF ANY, APPLY
TO (CHECK ONE): El EQUIPMENT INSTALLED UNDER THIS SUPPLEMENT ONLY, OR El EQUIPMENT INSTALLED UNDER THIS SUPPLEMENT TOGETHER WITH EQUIPMENT LISTED
ON THE MASTER AGREEMENT AND ANY APPLICABLE SUPPLEMENT(S) (I.E., AN AGGREGATE CONSOLIDATION) IF NO IMAGE ALLOWANCE OR EXCESS PER IMAGE AMOUNTS ARE
SHOWN ABOVE (OR ON THE ATTACHED EQUIPMENT OR GROUP BILLING SCHEDULE), IMAGES MADE ON THE EQUIPMENT UNDER THIS SUPPLEMENT WILL BE INCLUDED IN
DETERMINING YOUR IMAGE AND OVERAGE CHARGES UNDER THE MASTER AGREEMENT OR THE APPLICABLE SUPPLEMENT
EQUIPMENT LOCATION: As Stated Above
O SEE ATTACHED EQUIPMENT OR GROUP BILLING SCHEDULE
METER FREQUENCY: Quarterly
DESCRIPTION OF EQUIPMENT REMOVED
MAKE, MODEL NUMBER, INCLUDED ACCESSORIES & SERIAL NO.
CUSTOMER
OWNED
ENDING METER READING
B&W
COLOR
PAYMENT (CHECK ONE PAYMENT OPTION)
[83 MONTHLY BASE PAYMENT AMOUNT. $147.60 (PLUS TAX) (INCLUDES AMOUNTS DUE UNDER THIS SUPPLEMENT ONLY)
▪ TOTAL CONSOLIDATED MONTHLY BASE PAYMENT AMOUNT. 3036.60 (PLUS TAX) (INCLUDES AMOUNTS DUE UNDER THIS SUPPLEMENT, THE MASTER
AGREEMENT AND ANY OTHER APPLICABLE SUPPLEMENT S DURING THE TERM THEREOF
TERM (CHECK ONE TERM OPTION)
181 TERM: THE END OF THE TERM OF THIS SUPPLEMENT IS THE END OF TERM OF THE MASTER AGREEMENT (COTERMINOUS)
El TERM IN MONTHS. (APPLIES TO THIS SUPPLEMENT ONLY)
AGREEMENT
If this Supplement relates to Equipment not subject to the Master Agreement (i.e., additional Equipment), this Supplement, together with the preprinted terms of the Master Agreement
(as amended), constitutes an agreement between Customer and Owner with respect to the Equipment referenced herein, separate and distinct from the Master Agreement. Customer
agrees to be bound by the terms of this Supplement, which includes the preprinted terms of the Master Agreement (as amended) and agrees this Supplement shall commence on the
date of Owner's acceptance. The original of this Supplement shall be that copy which bears a facsimile or original of Customer's signature and which bears Owner's original signature.
If any provision in this Supplement conflicts with a provision in the Master Agreement, the provision in this Supplement shall control.
If this Supplement relates to Equipment subject to the Master Agreement (i.e. replaced or removed Equipment and/or payment modifications), the Master Agreement Shall be modified
or supplemented as set forth above as of the date Owner accepts this Supplement. Except as specifically modified by this Supplement, all other terms and conditions of the Master
A. reement as amended remain in fuii force and effect.
CUSTOMER'S AUTHORIZED SIGNATURE
ONCE YOU SIGN THIS SUPPLEMENT AND OWNER ACCEPTS IT
As Stated Above
CUSTOMER
OWNER ("wv, ..ouR")
Copy Products Company Inc
I
S SUPPLEMENT WILL BE NON -CANCELABLE FOR THE FULL TERM.
9
/94
SIGNATURE
dada -
PRINT NA E (& ITL
if4.2 Clerk ATE
r_S
OWNER
SIGNATURE
PRINT NAME & TITLE
DATE
UNCONDITIONAL GUARANTY
The undersigned unconditionally guarantees that the Customer will timely perform all obligations under the above Supplement. The undersigned also waives any notification if the
Customer is In default and consents to any extensions or modifications granted to the Customer. In the event of default, the undersigned will Immediately pay all sums due under the
terms of the Supplement without requiring us or our assignee to proceed against Customer or any other party or exercise any rights In the Equipment. The undersigned, as to this
guaranty, agrees to the designated forum and consents to personal jurisdiction, venue, and choice of law as stated in the Master Agreement, agrees to pay all costs and expenses,
including attorney fees, incurred by us or our assignee related to this guaranty and the Supplement, waives a jury trial and transfer of venue, and authorizes obtaining credit reports.
SIGNATURE: X INDIVIDUAL: DATE.
CERTIFICATE OF DELIVERY AND ACCEPTANCE
SIGNATURE. X /// NAME & TITLE: tlastbrn ea, Cki/k- DATE: /*/(0'P'
The Customer hereby cert that all e 9skiipment r nced herein: 1) has been received, installed, nd insp ted, and 2) is fully operational and unconditionally accepted.
000760-ZP0306AAdd_0115
290
GOVERNMENTAL ENTITIES ADDENDUM
This is an addendum ("Addendum") to and part of that certain agreement between Copy Products
Company Inc ("we"'^our")and Crestview, City of mmenta|Entity"."you".or "your"), which agreement is
identified in our records as agreement number 1110582 ("Agreement"). Al} capitalized &snno used in this
Addendum which are not defined herein shall have the meanings given to such terms in the Agreement.
APPLICABLE TO GOVERNMENTAL ENTITIES ONLY
You hereby represent and warrant to us that as of the date of the Agreement: (a) the individual who
executed the Agreement had full power and authority to execute the Agreement on your behalf; (b) all required
procedures necessary 0omake the Agreement alegal and binding obligation aAginstyouhavebeenfoUovvod;(c)
the Equipment will be operated and controlled by you and will be used for essential government purposes for the
entire ta[rn of the Agreement; /d\ that all payments due and payable for the current fiscal year are within the
current budget and are within an available, unexhausted, and unencumbered appropriation; (e) you intend to pay
all amounts payable under the terms of the Agreement when due, if funds are legally available to d0 so; (f) your
obligations to remit amounts under the Agreement constitute a current expense and not $ debt under applicable
state law; (g) no provision of the Agreement constitutes a pledge of your tax or general revenues; and (h) you will
comply with any applicable information reporting requirements of the tow code, which may include 8038-G or
8038-GC Information Returns. If funds are not appropriated to pay amounts due under the Agreement for any
future fiscal pariod, you shall have the right to return the Equipment and terminate the Agreement onthe last day
ofthe fiscal period for which funds were ovoi|mb|e, without penalty or additional expense to you (other than the
expense of returning the Equipment tothe location designated by us), provided that at least thirty /3O\days prior
to the start ofthe fiscal period for which funds were not appropriated, your Chief Executive Officer (or Legal
Counsel) delivers to us a certificate (or opinion) certifying that (e) you are a state or a fully constituted political
subdivision or agency of the state in which you are located; (b) funds have not been appropriated for the
applicable fiscal period to pay amounts due under the Agreement; /c\ such non -appropriation did not result from
any act or failure to act by you; and (d) you have exhausted all funds legally available for the payment of amounts
due under the Agreement. You a0nyg that this paragraph shall only apply if, and to the extent that. state |avv
precludes you from entering into the Agreement if the Agreement constitutes a multi -year unconditional payment
GOVERNMENTAL ENTITY'S AUTHORIZED SiGN&TURE
�� ��
��S�e A
b�m
SIGNATURE
OUR SIGNATURE
'
PRINT NAMES TI LE
oIGwAruns
PRINT NAME & TITLE
vponvA_o 10
Cipl.111111
OFFICETECHNOLOGIES
SUPPLEMENT
MASTER AGREEMENT NO
109-1067050-000
APPLICATION NO
CONTRACT/SUPPLEMENT NO
CUSTOMER ("YOU" OR "YOUR")
FULL LEGAL NAME CreStVieW, City/ of
ADDRESS 198 N Wilson St
Crestview, FL 32536-3436
MASTER AGREEMENT
REFERS TO THE AGREEMENT BETWEEN CUSTOMER AND OWNER IDENTIFIED IN OWNER'S RECORDS BY THE MASTER AGREEMENT NO. ABOVE.
DESCRIPTION OF EQUIPMENT
TYPE, MAKE, MODEL NUMBER, SERIAL NUMBER, AND INCLUDED ACCESSORIES
❑ SEE ATTACHED SCHEDULE
Sharp MX-2610N S/N 15122637
No change in pmt or maintenance allotments. Even swap.
EQUIPMENT LOCATION As Stated Above
DESCRIPTION OF EQUIPMENT REMOVED
MAKE, MODEL NUMBER, INCLUDED ACCESSORIES & SERIAL NO
Sharp MX-M354N S/N 55049906
PAYMENT (CHECK ONE PAYMENT OPTION)
❑ MONTHLY PAYMENT AMOUNT (PLUS TAX) (INCLUDES AMOUNTS DUE UNDER THIS SUPPLEMENT ONLY)
® TOTAL CONSOLIDATED MONTHLY PAYMENT AMOUNT. $3,036.60 (PLUS TAX) (INCLUDES AMOUNTS DUE UNDER THIS SUPPLEMENT, THE
MASTER AGREEMENT, AND ANY OTHER APPLICABLE SUPPLEMENT S DURING THE TERM THEREOF
TERM (CHECK ONE TERM OPTION)
® TERM: THE END OF THE TERM OF THIS SUPPLEMENT IS THE END OF TERM OF THE MASTER AGREEMENT (COTERMINOUS)
❑ TERM IN MONTHS. (APPLIES TO THIS SUPPLEMENT ONLY)
AGREEMENT
If this Supplement relates to Equipment not subject to the Master Agreement (i.e., additional Equipment), this Supplement, together with the preprinted terms of the Master
Agreement (as amended), constitutes an agreement between Customer and Owner with respect to the Equipment referenced herein, separate and distinct from the Master
Agreement. Customer agrees to be bound by the terms of this Supplement, which includes the preprinted terms of the Master Agreement (as amended) and agrees this Supplement
shall commence on the date of Owner's acceptance. The original of this Supplement shall be that copy which bears a facsimile or original of Customer's signature and which bears
Owner's original signature If any provision in this Supplement conflicts with a provision in the Master Agreement, the provision in this Supplement shall control.
If this Supplement relates to Equipment subject to the Master Agreement (i.e replaced or removed Equipment and/or payment modifications), the Master Agreement shall be
modified or supplemented as set forth above as of the date Owner accepts this Supplement. Except as specifically modified by this Supplement, all other terms and conditions of the
Master Agreement as amended remain in full force and effect.
CUSTOMER'S AUTHORIZED SIGNATURE
ONCE YOU SIGN THIS SUPPLEMENT AND OWNER ACCEPTSTHIS SUPPLEMENT WILL,BE NON -CANCELABLE FOR THE FULL TERM.
As Stated Above
CUSTOMER
OWNER rwE "us","ouR")
CPC Office Technologies
OWNER
SIGNATURE
SIGNATURE
PRINT NAME & TITLE
PRINT NAME & TITLE
DATE
DATE
UNCONDITIONAL GUARANTY
The undersigned unconditionally guarantees that the Customer will timely perform all obligations under the above Supplement. The undersigned also waives any notification if the
Customer is in default and consents to any extensions or modifications granted to the Customer In the event of default, the undersigned will immediately pay all sums due under the
terms of the Supplement without requiring us or our assignee to proceed against Customer or any other party or exercise any rights in the Equipment. The undersigned, as to this
guaranty, agrees to the designated forum and consents to personal jurisdiction, venue, and choice of law as stated in the Master Agreement, agrees to pay all costs and expenses,
including attorney fees, incurred by us or our assignee related to this guaranty and the Supplement, waives a jury trial and transfer of venue, and authorizes obtaining credit reports.
SIGNATURE. x INDIVIDUAL DATE
CERTIFICATE OF DELIVERY AND ACCEPTANCE
The Customer hereby c l tbs that 611 the equipment refer ced herein: 1) has been received, installed, and inspected, and 2) is fully operational and unconditionally accepted.
x,,/ h) (
SIGNATURE
NAME & TITLE
DATE
VP0206_0115
290