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HomeMy WebLinkAbout172842 XEROX CORPORATION - CONTRACT - PURCHASE ORDER - 19266 LEASE AGREEMENTs .=-,• w N W4 0407 9. 3 /6.0:1014t3 Q W04- THE DOCUMENT COMPANY LEASE AGREEMENT Customer Legal Name Bill b) CITY OF FORT Name Overflow (if needed) COLLINS Street Address PO BOX 580 Box#/Routing City, State FORT COLLINS, CO Zip Code 80522-0580 Tax ID# 99999 Customer Name (Install) CITY OF FORT Nana Overflow (if needed) COLLINS Installed at Street Address 700 WOOD STREET Floor/Room/Routing WATER UTILITIES City, State FORT COLLINS, CO Zip Code 80521-1945 County Installed In larimer Customer Requested htstall Date 1 IN42003 Lease Payment Information Check all that aPPEY XEROX ®Tax Exempt (Sales Tax Exemption Certificate attached) ❑ AssocJCoop. Name: ®Negotiated Contract #:071 R76500 ❑ DSA Contract #: - ❑Value Added Services: ❑ Attached Customer P.O. #s: Supplies: Lease: ® State or local Government Customer Int. Rate: % Total Int. Payable: $ U Replacement/Modiflcation of Prior Xerox Agreement Agreement covering Xerox Equipment Serial# (or 95#): is hereby ❑ modified ❑ replaced Effective Date: Comments: Lease Information Lease Term : 60 months ©Supplies included in BasetPrinl Charges ❑ Refm. of Prior Agrmt.:❑ Xaox (95#): ❑ 3rd Party Eq. Amt Refm: $ hat Rate: % Total Ent Payable: $ Product (with serial number, if in place equipment) Down Pa t Prey Install Final Intetm WCP45H WCP45- ADF/HCF iffPurchase 1 35OFCFIN 1 3HOLE 1 SCANSTDSW 1 SCNFAXIPK 1 WP256MEM Consulting Services !a ease Pavment Freo. (Periodic, exetoding exams nWff Charges) ❑ Monthly ❑Quarterly ❑ Semi -Annual ❑Annual ❑ Other $ 275A7 : MIND4UM LEASE PAYMENT (excl. of applic. taxes) Min. Lease Payment Mode Price Information ❑ Ad3pstment Period ❑Advance ❑ Arrears P.e4M A - art... ARR.�- Periodic Base Charge 271,47 Periodic Base Charge u - ivva. evxtilw: Periodic Base Charge Print Charge Meter 1: Prints 1 _ - Print Charge Meter l: Prints 1 - + Marge Meter 1: $ 0.0094 Prints 1 - Prints - Prints - $ Prints Prints - $ Prints - Prints Print Charge Meter : Prints 1 - Print Charge Meter 2: Prints 1 - Print Charge Meter 2: Prints 1 - Prints Prints Prints (based on Meter 1 Print Charges) IN Trade -In Allowance (based on Meter I Print Charges) Manufacturer Model/ Final serial # Princi 1 avment # Allowance XEROX COH034552 1 800.00 Total Allowance Applied to: Total Allowance = 800.00 ❑K Trade -In Equip. Balance: ❑Price of Repkirmt. Equip.: 800.00 Agreement Presented By: Xerox Name: Matt J Smith Phone:(970)204-6927 FOR AUTHORIZED HQ INTERNAL USE ONLY: Accepted: Xerox Corporation By: -- (Slgnnnire of Aurharized Signer) Title: Date: _ Worksheet:508632 Unit:1 10/14200314:25:36 renoaic Mm.tr Of Fruits (based on Meter 1 Print Charges) ❑ K-16 Billing Additional Options (check all that apply) Suspension ❑ Run Length Plan ®Fixed Price Plan (check 1 as required) ❑ Per -Foot Pricing Months affected ❑ ❑ Extended Service Hours: June only ❑ July only Description: / $ 0 mo. ❑ Attached Addenda: ❑ August only ❑ June - July ❑ July - August ❑ Other Addenda: AGREEMENT CONSISTS OF THIS FACE AND TERMS ON ADDITIONAL ATTACHED PAGES Customer Name: Te R binso Signature: X a Phone: (970)221 6814 ignnev , wham d Signer I Title: O arts er Date: E-Mail: trobinson@ci.fort-collins.co.us DocuBroker Fort# 51860 (082003) 10/142003 Page 1 of 5 JAN-29-04 THU 02:07 PM XEROX 'CAPITAL '4.3 r'8 O SERVICES, 'LLC Z 800 CARILLON PARKWAY ST PETERSBURG FL 33716-11o2 41 Tel4phon4888-435-6333 Please Direct Inquirles To-, � Shill To/Insta[led At �,C_1'fY OF FORT ~" f COLLINS WATER UTILITIES '700 WOOD STREET FORT COLL,TNS Co 80521 tidCP45H WORKCENTRE BASE CHARGE FAX N01 Y EP. 04 ,THE EASY YIAV -' .. :: ry�,,lnl^„'�ir•o �7�R;�' Yidk'-Y��;��.�„� /\y„tc� \0 "I'•'7o oRPVR SUPPLxes,';' 'SIGNED, ❑A: CALL OUR �}}TOLL `'•�PI1rC�lq�p dil}� e FREE NUMBER''' •..''.. 1-800-822-2200, COntrpct NNmb0V . NET• 30 Terms, bf P me"'t "ki Bill To; CITY OF FORT``. ,? COLLINS JR3V 2'7", �Q04 Inpnice,Date •PO BDX'11580' }','i`, FORT ' COLLINS Cp •' Invoice Number .: ,. 80522'•;g99968331.: (`Customcr`Namb'nr" �I11il�iill�l;�,i,;ilil•;ilfti;l;,i'li,�.{,�,i."li��,i,;ii�,�,li,ir.:,�,' :'�.,'. _.�....v....x...... SER.# NWL•-007593 LEASE — COST PER COPY PLAN AMOUNT DECEMBER METER USAGE 11-17-03 TO METER 1 46 PRINT CHARGES METER 1 PRINTS LESS SERVICE CREDITS % NET BILLABLE PRINTS L+ TOTAL EXCESS STD SCAN SW SCAN/EMAIL EMB FAX 256MB EPIC RAM UPG 3—HOLE PUNCH KIT OFFICE FINISHER 12-23-03 2368 275.47 2322 r,LY' �j Tk ��� ll �,��.�!f 19.19 19.19 INCL INCL INCL INCL INCL 294.66 294.66 ALLOWANCE PRORATED FOR 037 DAYS METER READ NOT RECEIVED FOR DECEMBER METE•R,,,,USAGE.... INVOICE REFLECTS METER READS FROM LAST SERV,ICE,,C�LL... THIS IS A 60 MONTH AGREEMENT WHICH INCL�J'IS�VEQUIPMENT, MAINTENANCE AND SUPPLY CHARGES TOTAL,. OF INVOICE MAY VARY ACCORDING TO METER —USAGE BILLEDQkf ., i XEROX FEDERAL IDENTIFICATION #19-04GB020 PLEASE cY.tAP.ry TIIC 'PAYMENT- hd RT C.N .xn RETURN WITH YOUR RPwfTT.NCE Refnf Qunst l',otljt.l`ayp.mluneu t.'Le.nv. Innulry 4AddP.tt. Ship To/Inslallod At: Bill To: 9FNI3'PAVMENT TO: CITY OF FORT COLLINS ar WATP,R UTILITIES �' 700 WOOD STREET FOkT COLLINS CO 80521 QI_Or XgygE use Dnly�,�`_ 16-046-8020 4 099968331 A13004097 C 120103 03 ()R7F L.P93 2322 37 2285 .008400 PRINT CHARGES SER.# SCANSTDSW SER.# SCNFAXIPK SER.# WP256MEM SER.# 3HOLE SER.# 350FCFIN SUB TOTAL TOTAL CITY OF FORT XEROX CORPORATION COLLINS P.O. BOX 7413 PO BOX 580 PASADENA, CA FORT COLLINS CO 91109-7413 8052.2 WN.n P.ylna Elact P.nlc.l, y r.d Revel s. Slda IM0106 Ama.wrt PLEASE PAY 000338383 01-21-04 THIS AMOUNT�f:.,;-T'2;9466.' Y F8500 2TC5 1 F15 202100008070060 0003383834 0300294666 209996833182