HomeMy Public PortalAboutCPC Copy Prod. Supplement to Agreement- Printer(108)`Ampai
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OFFICETECHNOLOGIES
SUPPLEMENT
MASTER AGREEMENT NO.
109-1067050-000
APPLICATION NO.
1338771
CONTRACT/SUPPLEMENT NO.
003
CUSTOMER ("YOU- OR "YOUR")
FULL LEGAL NAME: Crestview, City of
ADDRESS:198 N. Wilson Street
Crestview, FL 32536
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
AGREEMENT
BEGINNING METER
READING
MONTHLY IMAGE
ALLOWANCE
EXCESS
CHARGE
PER IMAGE
PLUS TAX)
MAKE, MODEL NUMBER, INCLUDED ACCESSORIES & SERIAL NO.
B&W
COLOR
B&W
COLOR
B&W
COLOR
1- Lexmark C4150 Printer SIN 5028744011ZC0
■
■
■
■
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, APPL7
TO (CHECK ONE): ❑ EQUIPMENT INSTALLED UNDER THIS SUPPLEMENT ONLY, OR ® 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 METER FREQUENCY: QUarterly
■ SEE ATTACHED EQUIPMENT OR GROUP BILLING SCHEDULE
DESCRIPTION OF EQUIPMENT REMOVED
MAKE, MODEL NUMBER, INCLUDED ACCESSORIES & SERIAL NO.
CUSTOMER
OWNED
ENDING METER READING
B&W
COLOR
PAYMENT (CHECK ONE PAYMENT OPTION)
® MONTHLY BASE PAYMENT AMOUNT: $75.00 (PLUS TAX) (INCLUDES AMOUNTS DUE UNDER THIS SUPPLEMENT ONLY)
❑ TOTAL CONSOLIDATED MONTHLY BASE PAYMENT AMOUNT: (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
A reement as amended remain in full force and effect.
ONCE YOU SIGN THIS SUPPLEMENT AND OWNER ACCEPTS IT S SUPPLEMENT WILL BE • N-CANCELABLE FOR THE FULL TERM.
(As Stated Above)
CUSTOMER
OWNER clivE "us", -ouR")
CPC Office Technologies
OWNER
i
SIGNATURE
SIGNATURE
PRINT NAME & TITLE
PRINT NAME & TITLE
DATE
DATE
/ej
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
SIGNATURE:
es that II the uipmen ferenced herein: 1) has been received, installed, and inspected, and 2) Is Ily opera nal an c itionally accepted.
�41-0( y a
NAME &TITLE: h� DATE: .3fz.s/id/
000760-ZP0306AAdd 0115
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