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Canon Solutions America, Inc./LAW/$1,074.60/Printer Lease - 36 Months - ASA
DocuSign Envelope ID:5642928D-5E46-45C0-98D6-83D681323032 Canon Solutions America,Inc. Law Department-2022 Appropriation#1180 101 43-530.04 Fund;P.O.#106744 Contract Not To Exceed$1,074.60 [APPROVED,,n aan.seo a as ADDITIONAL 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 Goods 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 Aligh By:,.. DocuSigned by: By: f_a , IMir (k'l r2O 11111PF James znl�z8d rlesiding Officer Authorized Signature Date: DocuSigned by: (& v it , ta-m Printed Name y6Paislktr4wMember Date: 9/21/2022 DocuSigned by: Title L'ri L od-So , L'e i-S6•hat-9e1:mMember FID/TIN: Date: 9/21/2022 ATTEST: Date:L<DocuSigned b`y: Date: '9/2] [S:\Contracts\Deparnnents\Law\?022\Canon Solutions America.Inc ASA.docx:9/2/2022 2:04 PM] DocuSign Envelope ID:5642928D-5E46-45C0-98D6-83D681323032 Exhibit A Lease Schedule("Schedule")-Itemized (SER-700) Page 1 of 1 Can On Customer: CITY OF CARMEL CFS App#: 1870966 Salesperson: Karen S Russell Canon Solutions America,Inc.("CSA") Agreement#: MA15551 Transaction#: S1256436 Order Date: 09/01/22 One Canon Park,Melville,NY 11747 Payment Information Equipment Maintenance Information (800)-613-2228 Listed Items Lease Term #of Lease Payments Maintenance included for all Equipment Billing Information (Customer Account:2298443 36 Months 36 Maint Base charge invoiced Monthly by CFS Company: CITY OF CARMEL Excess Per Image Charge invoiced Monthly by CFS DBA: Payment Summary*(*Plus Applicable Taxes) Per Unit Coverage Plan Fixed Price Plan Address: 1 CIVIC SQ Lease Payment $29.85 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: Fair Market Value State: IN Zip:46032-2584 Phone#: 317.571.2472 Due at Signing Tax Exempt(Certificate Attached) Contact: AMANDA BENNETT Fax#: #of Payments in Advance Total Due at Signing Email:ABENNETT@CARMEL.IN.GOV 0 $0.00 Covered Device-Rider A(Office Equip/Cut ,Maint Base Charge Section A Covered Images Included in Maint Base Charge Excess Per Image Charge(s) Sheet Production)Item Code I $0.00 B&W:0 B&W:$0.012000 Listed Items Description Qty Unit Pmt I Total Ship To&Maintenance Billing Information 2223C002 ICMF525DW 1 Included Included Shipping: 1 CIVIC SQ Delivery Date:09/30/22 2368V991 PRINTER CONNECTIVITY 1 Included Included Address 2: 3792V243 INSTALL PAK LBP/IMAGECLASS-INTANGIBLE 1 Included Included City: CARMEL County: HAMILTON State: IN Zip:46032-2584 IntSupplies Pre-Installed Supplies Installed in Machine 1 Included Included Primary Customer Contact: AMANDA BENNETT Phone#: 317.571.2472 Email:ABENNETT@CARMEL.IN.GOV Meter Contact: Phone#: Email: IT Contact:AMANDA BENNETT Phone#:317.571,2472 Email:ABENNETT©CARMELIN.GOV Billing: Address 2: City: County: State: Zip: Billing Contact: Phone#: Email: Elevator: No Loading Dock: No #of Steps: 0 Hrs of Operation: 9-5 Additional Requirements: Consumables:Toner Only Auto-Toner Fulfillment"" — Meter Method:imageWare Remote Existing Master CFS Lease dated:07/26/21 For CSA USE ONLY: OC:COUNTY OF DUPAGE CONTRACT FI-R-0251-18 Fiscal Funding Config:A l 68917284 THIS SCHEDULE IS ENTERED INTO PURSUANT TO,AND INCORPORATES THE TERMS OF,THE MASTER SALES AND SERVICES AGREEMENT REFERENCED AS THE AGREEMENT#ABOVE("AGREEMENT'),INCLUDING THE MASTER LEASE TERMS SET FORTH AS RIDER 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 SCHEDULE,THEY SHALL CONTROL OVER THE MASTER LEASE TERMS SET FORTH AS RIDER G TO THE AGREEMENT FOR SO LONG AS THE EXISTING MASTER CFS LEASE REMAINS IN EFFECT.STANDARD TERMS AND CONDITIONS AND APPLICABLE RIDERS INCORPORATED HEREIN ARE AVAILABLE AT ESS.CSA.CANON.COM/CUSTOMERDOCUMENTS,AND SHALL APPLY TO THE EXTENT NOT MODIFIED BY THE AGREEMENT.THIS SCHEDULE CONSTITUTES A LEASE OF THE LISTED ITEMS,AND IS BINDING ON CUSTOMER 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 THATEXECUTION OF THIS SCHEDULE HAS BEEN DULY AUTHORIZED.BY YOUR SIGNATURE,CUSTOMER AGREES TO LEASE THE LISTED ITEMS AND,IF SELECTED,TO PURCHASE THE MAINTENANCE SERVICES DESCRIBED HEREIN.YOU ACKNOWLEDGE RECEIPT OF A COPY OF THIS SCHEDULE. Customer Authorized Signature: _ Printed Name: Title: Date: ACCEPTANCE CERTIFICATE To:CSA and Lessor: Customer certifies that(a)the Listed Items referred to in the above Schedule have been received,(b)installation has been completed,(c)the Listed Items have been examined by Customer and are in good operating order and condition and are,in all respects,satisfactory to the Customer,and(d)the Listed Items are irrevocably accepted by the Customer for all purposes under the Agreement.Accordingly,Customer hereby authorizes billing under this Schedule. Authorized Signature: Printed Name: Title: Date: For Internal Purposes Only: CFS Authorized Signature: Printed Name: Title: Date: **Requires ImageWARE Remote SER-700 Itemized Lease March 2020 DocuSign Envelope ID:5642928D-5E46-45C0-98D6-83D681323032 Canon CANON SOLUTIONS AMERICA,INC. One Canon Park,Melville,NY 11747 (800)613-2228 Personal Property Tax Addendum Unified Lease Agreement#: Customer: CITY OF CARMEL 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 Solutions America ("CSA") and as assigned to Canon Financial Services, Inc. ("Lessor") 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 Lessor waiving Customer's obligation to reimburse Lessor for state and local personal property taxes on the Equipment, Customer agrees to pay Lessor 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 Lessor may accept a facsimile or other electronically transmitted copy 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. ACCEPTED CANON SOLUTIONS AMERICA, INC. CUSTOMER: CITY OF CARMEL By: By: Printed Name: Joseph Violetti Printed Name: Title: Supervisor Title: Date: 9/1/22 Canon Financial Services, Inc.as Authorized agent on behalf of Canon Solutions America, Inc. CFS-1223 (08/16) DocuSign Envelope ID:5642928D-5E46-45C0-98D6-83D681323032 INDIANA RETAIL TAX EXEMPT Page 1 of 1 City of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 106774 ONE CIVIC SQUARE 35-6000972 I 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 ORDER DATE DATE REQUIRED REQUISITION NO VENDOR NO DESCRIPTION 9/1/2022 376053 CANON SOLUTIONS AMERCIA INC Department of Law VENDOR 300 COMMERCE SQUARE BLVD SHIP 1 Civic Square TO Carmel, IN 46032- BURLINGTON, NJ 08016- Jon Oberlander (317)571-2472 PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 68606 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 1180 Fund: 101 General Fund Account: 43-530.04 1 Each Desk printer $1,074.60 $1,074.60 Sub Total $1,074.60 .0 0 F ,A84, Ti, BUN • • s M J ( ¼ . ■ i / 1 ■ % J / Send Invoice To: Department of Law Jon Oberlander 1 Civic Square / Carmel, IN 46032- n / H (317)571-2472 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT PAYMENT $1,074.60 SHIPPING INSTRUCTIONS `A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P 0 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 0 D 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. 106774 CONTROLLER