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Home My WebLink AboutCanon Solutions America, Inc./LAW/$6,000/Copier Lease - ASA DocuSign Envelope ID:3F4AF2D4-DE19-41AA-9B35-F3E05E62AC25 Canon Solutions America,Inc. APED Law Department-2021POV (3y,5ae'�ep CrYtar.Pv.elthter a9'B'B:C'7 wevt,Q¢:P't 1,2Jb2't Appropriation# 1180 101 43-530.045 P.O.# 105310 Contract Not To Exceed$6,000.00 ADDITIONAL GOODS AND SERVICES AMENDMENT TO AGREEMENT FOR GOODS AND SERVICES THIS AMENDMENT TO THE AGREEMENT FOR GOODS AND SERVICES ("Agreement") entered into by and between the City of Carmel and Canon Solutions America, Inc., (the "Vendor"), as City Contract dated July 21, 2021 shall amend the terms of the Agreement by adding the additional goods and services to be provided by Vendor consistent with the Lease Schedule and Personal Property Tax Addendum attached hereto and incorporated herein as Exhibit "A". The terms and conditions of the Agreement shall not otherwise be affected by this Additional Good and Services Amendment and shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have made and executed this Amendment as follows: CITY OF CARMEL, INDIANA Canon Solutions America, Inc. by and through its Board of Public Works and Safety By: By: DocuSigned,bye:) IMF `James2il°rainard, Presiding Officer Authorized Signature Date: 10/20/2021 DocuSigned by: /14441 LA, mac, Printed Name Mai 'AM8Bilrke, Member Date: 10/20/2021 DocuSigned by: Title oVi L ho& -rrESAVaton, Member FID/TIN: Date: 10/20/2021 Last Four of SSN if Sole Proprietor: ATTEST: ,-DocuSigned by: Date: .7.1e3 eitfgang, Clerk Date: 10/20/2021 [C:\Users\clivingston\AppData\Loca1\Microsoft\Windows\INetCache\Content Outlook\562V7G6G\Canon Solutions America Inc.ASA.doc:8/26/2021 1:50 PM] DocuSign Envelope ID:3F4AF2D4-DE19-41AA-9B35-F3E05E62AC25 Exhibit A Page 1 of 2 /�� iLease Schedule("Schedule")-Itemized(SER-700) Page 1 of 1 1 1 II '1,' 1 Customer CITY OF CARMEL CFS App#: Salesperson:Karen S Russell Canon Solutions America,Ina(CSA") Agreement#:MA15551 Transaction#:S1215585 Order Date: 09/16/21 One Canon Park,Melville,NY 11747 Payment Information Equipment Maintenance Information (800)-613.2228 Listed Items Lease Term ii of Lease Payments Maintenance included for all Equipment (Billing Information 1Customer Account 2298443 Maint Base charge invoiced Monthly by CFS 36 Months 36 Company:CITY OF CARMEL -,._.............._.. ...,,_. Excess Per ImageChargerrIvoIcedMonthiyby CFS DBA: Payment Summary'('Plus Applicable Taxes) Per Unit Coverage Plan Fixed Price Plan 'Address:1 CIVIC SO Lease Payment 529,37 Invoiced by CFS Other Transaction Details. _. Address 2: Total Maintenance Lease Payment shall be invoiced Monthly City:CARMEL County:HAMILTON Base Charge $0.00 ,. Invoiced by CFS Purchase Option:FairMarkel Value State:IN Zip:46032-2584 Phone 9:317.571 2472 Due at Signing Tax Exempt(Certificate Attached) Contact:AMANDA BENNETT Fax p: M of Payments In Advance Total Due at Signing Emaii:abennett„,,cclrmel.m.gov _00....t?..,,_...-m_ ___,-- SIDC YS. ...,.. $0..0120 Charge(*) Covered Device ,on) uip/Cul Maint Base $0 00 Unit Pmt included Total Maint Base Sheetm Codeoduch 04,1 S Maintenance Billing information (Office .....q.................. ChargeSection A n^^ Covered Images ..^... ChargeShipTo Excess Per image Cha B&W 0 B&W .... ....ce Rider �� Listed Items Description � „, n 2223C002 ICMF5250W 1 included Included Shipping:1 CIVIC so Delivery Date:09/24/21 236BV991 PRINTER CONNECTIVITY 1 Included Included'..Address 2: 3792V243 INSTAU_PAK LBP/tMAGECLASS-INTANGIBLE j S Included Included City:CARMEL County:HAMILTON State:IN Zip:46032-2584 IntSupplies Pre-Installed Supplies Installed in Machine I II Included Included Primary Customer Contact:AMANDA BENNETT (..Phone p:317.571.2472 Email:abennef@cannel in gov Meter Contact: '..Phone U: Email: IT Contact:AMANDA BENNETT ►y�3 Phone 17.571 2472 Email'ab ettl mo rl.rn I�cr1IlY•' 'Billing.e:3 .... .... .... .... .gov .... .... ...? 11.41 Address 2: City: County: State: Zip: '..Billing Contact: Phone M: Email: Elevator:No Loading Dock:No M of Steps:0 His of Operation:9-5 Additional Requirements: If Consumables:Toner Only Auto Toner Fulfillment Meter Method: v.... ag eWare Remote —.. .. ......... .... Im For CSA USE ONLY: OC:COUNTY OF DUPAGE CONTRACT FI-R-0251-le Coniig:A 161612262 YIA$SCaI6.CRA.E LS ENNEF IXROOMMRri PURSUANT TO peCI oeceu1eeeeTtl.."1T/l ERNS TIN.M,w.S"TE SALESAIP W l /l/IINCH"OASTHEkaRiufr:l/II1IVT*MOVI l'AG//6_AA&N'r/,I/ ..-..... ... AS � :d'd NafiOdo4..w weC,O�aIE,a�N"a RSS.64Y. •.� ��. Ordf,.4Aa'kW0'�t$r ME OWGM1.,I°Y'0:1N LEASE TERMS Si".^+'&:FP W'4'Iti IN A14+ro (corm ili G THERETO WHICH SHALL CONTROL(THE'LEASE TERMS')TO THE EXTENT THE TERMS OF AN EXISTING CFS MASTER AGREEMENT ARE REFERENCED ON THIS SCHEDULE(THE'EXISTING MASTER CFS LEASE')AND ARE APPLICABLE TO THIS /liCVQO':Ol/Lli..THEY SHALL CONTROL OVER THE MASTER LEASE TERMS SET FORTH AS RIDER G TO THE AGREEMENT FOR SO LONG AS THE EXISTING MASTER CFO LEASE REMAINS IN EFFECT STANDARD TERMS AND CONDITIONS AND APPLICABLE RIDERS I INCORMIATED HEREIN ARE AVAILABLE AT Ea :..A. CONCUSTOALVOIEW,I,ANI:/SHALL APPLY TO MEEXTENT NO1"MODIFIED BY THEAGREENIENT THIS SCHEDULE CONSTITUTES A LEASE OFTHE LISTEOITEMS,AND OS BIND NG ON 1 CUSTOMEll UPON SIGNING BY CUSTOMER,AND IS BINDING ON CSA AND LESSOR AS PROVIDED IN THE LEASE TERMS THIS SCHEDULE IS NON-CANCELABLE BY CUSTOMER CUSTOMER REPRESENTS TIIATEXECUTION OF THIS SCHEDULE HAS BEEN DULY Il///Y/IDIVZ iO BY YOUR SIGNATURE,CUSTOMER AGREES TO LEASE THE LISTED ITEMS AND,IF SELECTED,TO PURCHASE THE MAINTENANCES,4e't'@'Vlc/S DESCRIBED HEREIN YOU ACKNOWLEDGE RECEIPT OF A COPY OF THIS SCHEDULE CIusIomer Authorized SsgroRSure'. Printed Name Title: Date: .- ACCEPTANCE CERTIFICATE To:CSA and Lessor CuSleater ceraee6 ghat fdl the Lxsted Keen Wowed 40 HI the dtxrve Schedute have been received,(b)insierfatien has been completed,(c)1%a9 Wren Mine Dive been enesinee by Customer and arg In allPtg alder land condition and are,in all respects,satisfactory to the Customer and(d)the Listed Items are irrevocably accepted by the Customer for Af purposes under the Agreement.Accordingly,Cuslomer hereby authorizes bEing under this Schedule I Autture Sermons: Prelled Name: Title: Date. For Internal Purposes Only: '.... ;CFS Autharized&velum Printed Name Title Date: ...........................................................................................................................................................................................................................................::................................................................................................................................................................................."Requires n.....eWARE 6ay.................................................................................................!L. mote SER-700 Itemized Lease March 2020 �ui� DocuSign Envelope ID:3F4AF2D4-DE19-41AA-9B35-F3E05E62AC25 Exhibit A Page 2 of 2 1 1. ,, CANON FINANCIAL SERVICES,INC. (°mF .) Agreement Addendum Remittance address: PERSONAL PROPERTY TAX 14904 Collections Center Drive Chicago,Illinois 60693 CFS-1123(08/12) (800)220-0200 www.cfs.canon.com Agreement S 1202654 Number: Customer: CITY OF CARMEL, OFFICE OF CORPORATE COUNCIL This Personal Property Tax Addendum ("Addendum") is made a part of the above mentioned Agreement (whether designated a lease, rental, Master Lease together with any Schedules thereto, or otherwise, the "Agreement"), by and between the above mentioned Customer ("Customer") and Canon Financial Services, Inc. ("CFS") pursuant to which Customer is or shall become the renter or lessee of certain Equipment(as defined in the Agreement). Capitalized terms used herein but not defined will have the same meanings assigned to them in the Agreement. 1. Notwithstanding anything to the contrary contained in the Agreement regarding taxes, fees, and other charges, in consideration of CFS waiving Customer's obligation to reimburse CFS for state and local personal property taxes on the Equipment, Customer agrees to pay CFS the increased monthly payment set forth in the Agreement. Customer remains responsible for all other taxes,fines or penalties relating to the Agreement or the Equipment. 2. This Addendum supplements and amends the Agreement only to the extent and in the manner set forth herein, and in all other respects the Agreement remains in full force and effect. Customer agrees that CFS may accept a facsimile or other electronically transmitted copies of this Addendum as an original, and that facsimile or other electronically transmitted copies of Customer's signature will be treated as an original for all purposes. AGREED AUTHORIZED CUSTOMER SIGNATURE Canon Financial Services, Inc. Customer: CITY OF CARMEL,OFFICE OF CORPORATE COUNCIL By: By ....... Printed Name: Printed Name: Title: Title: Date: CFS-1123(08/12) DocuSign Envelope ID:3F4AF2D4-DE19-41AA-9B35-F3E05E62AC25 I1tT INDIANA RETAIL TAX EXEMPT Page 1 of 1 of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 111153111 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 PURCHASE DATE DATE REQUIRED REQUISITION VENDOR NO. DESCRIPTION 6/4/2Q21 375754 CANON FINANCIAL SERVICES INC Department of Law VENDOR 158 GAITHER DRIVE SHIP 1 Civic Square SUITE 200 TO Carmel, IN 46032- MOUNT LAUREL, NJ 08054- Douglas C. Haney (317)571-2472 PURCHASE ID BLANKET CONTRACT ! PAYMENT TERMS FREIGHT 56808 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 1180 Fund: 101 General Fund Account: 43-530.04 1 Each Copier Lease $6,000.00 $6,000.00 Sub Total $6,000.00 Send Invoice To: Department of Law Douglas C. Haney 1 Civic Square Carmel, IN 46032- (317)571-2472 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT PAYMENT $6,000.00 SHIPPING INSTRUCTIONS `A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN *SHIP PREPAID AFFIDAVIT ATTACHED I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN `C,O O SHIPMENT CANNOT BE ACCEPTED THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. *PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL *THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO ORDERED BY Jon Oberlander TITLE Interim Corporation Counsel CONTROL NO. 1053'10 CONTROLLER