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31297 Xerox
PAGE® r Carmel INDIANA RETAIL TAX EXEMPT ERTIFICATE NO.003120155 0 ` /� PURCHASE ORDER NUMBER ��\�^�n�^ �n7 - La FEDERAL EXCISE TAX EXEMPT 3 / a q 7 11[')}'�jr-f r iC11-t 35-60000972 //"_ ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP 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 /0)1143 VENDOR XK (O" SHIP TO CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION /pa S. 01 Cop i.e( Par -f .JO a-hlaelt,6l 14 9DO, oO iin 40/(, ..,.....** , ..., , a kit -.its . `? roe.. .,. ¢ ' lb- r0 Send Invoice To: ""- '; : &u)3 Eneumbfaic-P PLEASE INVOICE IN DUPLICATE , DEPARTMENT 2 ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Lai/3 fig° I3j3oc4 PAYMENT 4111 90a. OD Cop • ALP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS - • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN • SHIP REPAID. THS'AFPROPRIATION SUFPIC4 NT T* •: - •;.THE ABOVE ORDER. •C O.D.SHIPMENTS CANNOT BE ACCEPTED. ( ',/'� •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. Alt •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITL agb ( / 'j AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. a.— CLERK-TREASURER DOCUMENT CONTROL NO. 31297 OFFICE COPY Xerox Legal Department-2012 Appropriation if 430-53004; P.O. N 26719 Contract Not To Exceed$484.17/per month ADDITIONAL SERVICES AMENDMENT IQ AGREEMENT FOR PURCHASE OF GOODS AND SERVICES dQ"Okc) THIS AMENDMENT TO THE GOODS AND SERVICES AGREEMENT ('Agreements) 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 slated 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. ee sBrainard Presiding ef_ficer Autho '. -4 nature rte./ •i ,/� r Printed Name Mary An :ate, M: ber Date: .`/ — Tits Lori S,Watso •eber FID/TIN: 11 - 02-162 g O a O Date: c97f( .o// 3 Last Four of SSN" Sole Proprietor: ATTE��S��T::� `L�:'d-f,{/?-CL, ' Date: Z!/ !3 /Diana Cordray, •MC,Clerk-Treasurer Date: acs /3— Olr.mlb4..muwr<rnas.o*• Y S.u2OIIUllCX-taw s apnl 221).S71174M13 z.I,rb . Lease Agreement . �N }(erOX ft Customer: CARMEL,CITY OF Billie: CITY OF CARMEL Install: CITY OF CARMEL LAW OFFICE LAW OFFICE ATTN ELAINE BASS 1 CIVIC SQ 1 CIVIC SO CARMEL,IN 46032-2584 CARMEL,IN 46032-2584 • Tax IDN:. Negotiated Contract:071530104 ....Solution Product Description Agreement Information Trade Information Requested Item 6 . ` `, - Install Date • 1.3CQ9302(3TIER COLORQ UBE 9302) -3hole Punch-ofc Fin Lease Term: 60 months -Xerox W7655P SIN VDR548166 2121/2013 -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 SIN EYC017353 2121/2013 -Cabinet Stand Purchase Option: FMV Trade-In as of Payment 119 -Carrier Delivrtnstal -Customer Ed -Analyst Services I • Item . -Lease - .: .. Petit Charges -Maintenance Plan Features Minimum Payment ° )Meter Volume Band- - Per Print Rate•• 1.3CQ9302 8388.46 1:BW CLR 1-5,000 Included -Consumable Supplies Included for all prints 5,001+ 50.0060 -Pricing Fixed for Term 2:CLR LVL2 All Prints 50.0250 3:ELI(LVL3 All Prints 50.0750 .Author/ .- — Customer ackno,Aedges receipt of the terra;at iNs agreement Thank You for your business! ((;; __ which consists ot 3 pages incwcirg this mace page. I`-''y �.,,� This Agreement is proudly presented by Xerox and " •W c;. Signer: Phone: (317)571-2471 John Lowe TON (317)471-9735 busn, 1, ARANTEE For information of your Xerox Account,go to 442$1114—__ ' Signature: Date: w w.xelox.cornrAccountManagement WS R42244 01231201311:34:07 Confidential-Copyrght°2008 XEROX CORPORATION,All rights rest w - Page 1 of 3 t . Lease Agreement Xerox .) • Monthly Pricing(Cone d) ' Item Lease Print Charges -Maintenance Plan Features Minimum Payment Meter Vduriie 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 Faxes) - -- .—... _....... ._ ----------- - - • WS R42244 01123201311:34:07 Confidential-Copyight©2008 XEROX CORPORATION,All rights reserved 4 f Page 2 of •r� Lease Agreement xerox Terms and Condxioos 1 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.curent 'CLR LVL3'will have the same Flint 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 PLANIOFFERING SELECTED: The meter identified as'BW CLR'counts O black and white impressions and (8)cote/ 2.FIXED PRICING. If'Pricing Fixed for Term'is identified in Maintenance Plan impressions that have up to 286,000 color pixels(also referred to as Useful Cole/). 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 cola 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 1VL3"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 produce registration,meter read,supply level, impressions and (li)color impressions that have up to 288,000 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 Customers information management systems. Color). 4.COLORQUBE EQUIPMENT-9300 Series. B.The Calm Oube Equipment automatically determines the color pixel count for each A.Colorqube Equipment which includes"CQ9301","C09302'or"C09303"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 J • WS R42294 011231201311:34A7 Confidential-Copyright()2008 XEROX CORPORATION,All rightsreservedk :t ? Page 3of3 . � 0T X43