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Xerox Legal Department-2012 Appropriation#430-53004; P.O.4 26719 Contract Not To Exceed$484.17/per month ADDITIONAL SERVICES AMENDMENT TO AGREEMENT FOR PURCHASE OF GOODS AND SERVICES 41/4Lo1/Fo THIS AMENDMENT TO THE GOODS AND SERVICES AGREEMENT ("Agreement") entered into by and between the City of Carmel and Xerox(the'Vendor°), as City Contact number 10.17.07.04 shall amend the terms of the Agreement by adding the additional services to be provided by Vendor consistent with the Scope of Work attached hereto and incorporated herein as Exhibit'A". Furthermore, the terms of the Agreement shall be amended to include the E-verify requirement as stated in Indiana Code § 22-5-1.7 et seq„ which Is attached hereto and incorporated herein as Exhibit°B", as well as the required E-verify Affidavit, attached hereto and incorporated herein as Exhibit'C". Also, pursuant to I.C. § 5-22-16.5,Xerox certifies that in signing this document, it does not engage in investment activities within the Country of Iran. The terms and conditions of the Agreement shall not otherwise be affected by this Additional Services Amendment and shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have made and executed this Amendment as follows: CITY OF CARMEL, INDIANA XEROX by and through its Board of Public Works and Safety By: By. ames Brainard Presiding officer Authorized.S' nature \1 -te: � � Name �` •i - . ' Printed Name Mary An :urke, M: bee Date: t �.�-1 a� me Lori S.Watso • /ber FIDrN: 1 Lo - 0y Lo$ O a O Date: o`/r.o// a Last Four of SSN" Sole Proprietor: ATTEST: A� , / • Date: Zit/ 13 /Diana Cordray, •MC, Clerk-Treasurer Date: - 6-/3-- (.e I..W•—YA4WW,ots,o&Grab SYWOI O AOX.In Odmtl 2a13/1:c1041013 99 rw Lease Agreement xerox Customer: CARMEL,CITY OF BitTo: CITY OF CARMEL Install: CITY OF CARMEL LAW OFFICE LAW OFFICE ATTN ELAINE BASS 1 CIVIC SQ 1 CIVIC SQ CARMEL,IN 46032-2584 CARMEL,IN 46032-2584 Tax ID#:. Negotiated Contract:071530104 -Solution. - Product Description Agreement Information Trade Information • Requested • Item` r Install Date 1.3CQ9302(3TIER COLORQUBE 9302) -3hole Punch-ofc Fin Lease Term: 60 months -Xerox W7655P S/N VDR548166 2/21/2013 -Office Finisher Purchase Option: FMV Trade-In as of Payment 61 -1 Line Fax -Customer Ed -Analyst Services 2.WC4250X(WC4250X COPY-PRNTR) -500 Sheet Paper Tray Lease Term: 60 months -Xerox DC425DC S/N EYC017353 2/21/2013 -Cabinet Stand Purchase Option: FMV Trade-In as of Payment 119 -Carrier Deliv/instal -Customer Ed -Analyst Services Monthly-PricingJ Item . ''Lease Pont Charges • Maintenance Plan Features Minimum Payment , „Meter Volume Band Per Print Rate 1.3CQ9302 $388.46 1:BW CLR 1 -5,000 Included -Consumable Supplies Included for all prints 5,001+ $0.0060 -Pricing Fixed for Term 2:CLR LVL2 All Prints $0.0250 3:CLR LVL3 All Prints $0.0750 Authorized Signature.°- Customer acknowledges receipt of the terms of this agreement Thank You for your business! which consists of 3 pages including this lace page. This Agreement is proudly presented by Xerox and Signer: Phone: (317)571-2471 John Lowe (317)471-9735 SFor information on your Xerox Account,go to Signature: --- Date: wsiw.xerox.com/AccountManagement WS R42244 01/23/2013 11:34:07 Confidential-Copyright®2008 XEROX CORPORATION,All rights rese�- n or-3 1 of 3- T' I Lease Agreement xerox . � Monthly Pricing(Cone d) Item Lease Print Charges Maintenance Plan Features Minimum Payment Meier Volume Band Per Print Rate 2.WC4250X $95.70 1:Meter 1 All Prints $0.0076 -Consumable Supplies Included for all prints -Pricing Fixed for Term Total $484.16 Minimum Payments(Excluding Applicable Taxes) WS R42244 01/23/2013 11:34:07 Confidential-Copyright©2008 XEROX CORPORATION,All rights reserved Page 2 of 3o r Pa +3 Lease Agreement xerox j,D Terms and Conditions INTRODUCTION: one of the following billing plans: 1.NEGOTIATED CONTRACT. The Products are subject solely to the terms in the Negotiated Contract identified on the face of this Agreement,and,for any option you a.A Tier 2 plan is billed using three meters. The meters identified as"CLR LVL2"and have selected that is not addressed in the Negotiated Contract,the then-current "CLR LVL3"will have the same Print Charge or Charge per Impression. The meter standard Xerox terms for such option. identified as"BW CLR"will have a different Print Charge or Charge Per Impression. PRICING PLAN/OFFERING SELECTED: The meter identified as"BW CLR"counts O black and while impressions and Oi)color 2.FIXED PRICING. If"Pricing Fixed far Term"is identified in Maintenance Plan impressions that have up to 286,000 color pixels(also referred to as Useful Color). The Features,the maintenance component of the Minimum Payment and Print Charges will meter identified as"CLR LVL2"counts color impressions with more than 286,000 color not increase during the initial Term of this Agreement. pixels and up to 1,400,000 color pixels(also referred to as Everyday Color). The meter GENERAL TERMS&CONDITIONS: identified as"CLR LVL3"counts color impressions with more then 1,400,000 color 3.REMOTE SERVICES.Certain models of Equipment are supported and serviced pixels(also referred to as Expressive Color) using data that is automatically collected by Xerox from the Equipment via electronic b.A Tier 3 plan is billed using three meters,each with a different Print Charge or transmission from the Equipment to a secure off-site location. Examples of Charge per Impression. The meter identified as"BW CLR"counts(i)black and white automatically transmitted data include product registration,meter read,supply level, impressions and (ii)color impressions that have up to 286,000 color pixels(also Equipment configuration and settings,software version,and problem/fault code data. referred to as Useful Color). The meter identified as "CLR LVL2"counts color All such data shall be transmitted in a secure manner specified by Xerox. The impressions with more than 286,000 color pixels and up to 1,400,000 color pixels(also automatic data transmission capability will not allow Xerox to read,view or download referred to as Everyday Color). The meter identified as"CLR LVL3"counts color the content of any Customer documents residing on or passing through the Equipment impressions with more than 1,400,000 color pixels(also referred to as Expressive or Customer's information management systems. Color). 4.COLORQUBE EQUIPMENT-9300 Series. B.The Coloroube Equipment automatically determines the color pixel count for each A.ColorOube Equipment which includes"CQ9301","C09302"or"CO9303"in the impression and records the impression on the appropriate meter, description of an"Item"in the"Product Description"portion of the Agreement will have WS R42244 0112312013 11:34:07 Confidential-Copyright®2008 XEROX CORPORATION,All rights reserved " v. now% Page 3 of 3 .11kt ,... I Pt 343