HomeMy WebLinkAbout6105Ricoh USA, Iic.
70 Valley Streani Parkway
Malvern, PA 19355
U.S. Coml>rrII nifies Product Schedule Produce Schedule Number.
Master Lease Agreement Number:
This U.S. Communities Product Schedule (thls "Scliedulo") Is tletvvecn Rivah USA, Inc. (W nr "tte) and
CITY OFBItemERTON , as customct or leasce ("Cvslnmer" or "'you"3. This Schedule cowlitutrs a "S6medule," "Product
Schedule," at "Order Agreement," as upplicahtc, under Opt U.S. Communities Master Lvmm Agremnwi Acvthet with any amendments, a4achmeals and addenda
(lim(q the "lease Agreement") identified above, bd%ftn you and Ali terms am) cwdiliosu ardoe Lease
Agreement ape inearporaltd into this Schedule and mode a part hereon If we nre not Ilse lessor under Ilse Lease Agreement, the», solely ref purposes of 01is 5cliedule,
we shall he deensed to be lha lessor under the Lease Agreement. ]t is the intent offloe: parties that this Sckedula tlo separately cnroretablu as a campltta and independent
agraemeni, independent oral) vditr Schedulca to the Lease Agreement.
CUSTOMER INFORMATION
CITY OF BitEMERTON Thelma Srvemn
Customer (pill To) Billing ContactN=e,
3456THSTS '600 3 45 6TH ST STE 600
Product Local ion Address HillingAdd ress (1(eflQctetrljrvw larrrtianaddresss)
BREMEItTON WA 98337-1873 BREMERTON WA 98337-1873
City County S131e Zip City County Stale Zip
B111ingConine tTelephone Number III Wall Contact NusimiloNuinher Hit I ing Contact E-Mail Address
(360)473 5302 1 lhalmrl svvern ci,6remalonwa us
FROIXICTIEQ[iIPMENT DESCRIPTION C'Produce j
ty Peaduc! Descri lion: Make A Made]
I 3tic014h8Cu63
Qly Product Desedpliont Make & Model
PAYMENT SCHEDULE
Minimum Term Minimum Pay mcut Minimum Payment Billing Frequency Advance Payment
mouths Willow Tax J ❑ Monthly ❑ I" Prrynpent
60 $ 188. t8 ❑ Quarterly ❑ 1"& lost 1'ay�nent
❑ toter: ❑ g91ar
Sule9 Tax Exciapi: (:]YES (Altadi Exemption Cerlificate) Customer 8llling Reference Number (P.Q P. etc
Addendum(s) altechedt ❑ YES [check if yes and indicale Intel rsmnberof pages.
TERMS AND CONDITIONS
Flu tint Payment tvdl be due on the Effective Date. If the Lease Agrcemeol uses the Wing "Lease Paynti:iW and "Conmi nccmoat Dale' mthu Ilian "Payarenl"
mud "Effective DOI(.," d1co, for purposes arads Schedule. dic term "Payment" shall Irava the game meaning as "Lease PaymenW' mA 11it terns " Wcolive Data"
shall have Ilia same mew Ing as "Commencement dalo,"
2. You, (lie undtuilgaed Customer, haya npptied to us to rolls Ilte tlbow-deaeribed Pruduat Ion lawful ennlmerm:iol (aamm•canaunler) pnfpnset TWS IS AN
UNCQ4KITION4t, NON -CA N4'Mf,A11I,F AGNF SMENT FOR TILE MININIUNJ TERM INWATED ABOVE, creep; Los olherwae oxprusly provided
Sn any provialou of the [.ease Ajgm iiciit 11'WC acoapl illk Schedulq YOU eg= to rent the ahova bnduot fmm u; and wo agree to writ such Product to you, on all
1116 tarr119 heron( IneludiuA this tames and eondidous of the Leese AgraamwL TIVS WILL ACANOWLEDCO: THAT YOU HAVE REAM ANO
IJND191RSTAND TTIIS SCHEDULE, AND TIC LEASE AGRE£11 PIT AND HAVK RFC19IVED A COPY OLe THIS SCHEDULE AND Tit LEASE
AGREEMENT.
3, Addkioual I'misrans (iFanya ore;
THE PERSON MNING THIS SCHEDULE ON BEHALF OF THE CUSTOMER REPRESENTS THAT IJEAHE HAS TII£ AUTHOIlT1'Y TO Do sm
f UST A(cepled by., RICOH USA,TNC.
Ft� x By.
ArrNrar rMSrgnarSlgnarurr �� Anr1redsedS1grrrrS1Va1rux
11 pucJ N v;tC ?,02tg Lo., YJDi11Q h Printed Nome:
llc G� ttU n-u; 16 Tither: Dale:
OM12012016 10.03 AM 19429131
LSEADD i1SC- PS 93,13 Ricoh@ and the Ricoh Logo are registered Irademarks of throb Company, Ltd. Page I orl
ORDER AGREEMENT Sale Type :LEASE
Master Maintenance and Sale Agreement Date: I NEW I Safe Typa : LEASE
BILL TO INFORMATION
Customer Legal Name: CITY OF BREMERTON
Address Line 1: 345 BTH ST STE 600
Contact: Swem,Theima
Address Line 2:
Phone: (360)473-5302
City: BREMERTON
E-mail: thelma.swem®ci.bremerlon.wa.us
STIZip: WA/98337-1873 I County: KITSAP
Fax:
ADDITIONAL ORDER INFORMATION
Check All That Apply:
o Sales Tax Exempt (Attach Valid Exemption Certificate) + Fixed Service Charge c Add to Existing Service Contract #
o PO Included PO# G PS Service (Subject to and governed by separate Statement of Work)
o Syndication 0 IT Service (Subject to and governed by separate Statement of Work)
This Is an Order made pursuant to the terms and conditions of the above referenced Master Agreement(s) between Customer and Ricoh USA, Inc. The
signature below Indicates that the customer accepts all terms and condltlons of the applicable Master Agreement(s) for this sale, including by not limited
to the terms set forth in the Master Agreement(s) and any Exhibit A thereto, all of which are Incorporated herein by reference and made part of this Order,
Each party agrees that electronic signatures of the parties on this Order will have the same force and effect as manual signature. Rlcoh may accept this
Order by either its signature or by commencing performance (e.g. Product delivery, initiating Services, etc,),
SERVICE INFORMATION
Service Term(Months)
Base BIlling Frequency
Overage Billing Frequency
60 Months
MONTHLY
MONTHLY
SHIP TO INFORMATION
Customer Name; CITY OF BREMERTON
Address Line 1: 345 6TH ST STE 600
Contact: Swem,Thelma
Address Line 2:
Phone: (360)473-5302
City: BREMERTON
E-mail: thelma.swem®ci.bremerton.wa.us
STIZip: WA198337-1873 I County: KITSAP
Fax:
PRODUCT INFORMATION
WIN
Color
Product Description
qty
Service
Allowance
B/W Ovg
Allowance
Color Ovg
Service Base
Type
(PBraere AW9
tPerft"Birny
(Peraess Wing Frequency)
Aegvency)
Avgwxy)
RICOH MPC4503
1
Gold
N/A
$0.0080
N/A
$0.0480
BASIC CONNECTIVITY I PS / IT SERVICES INFORMATION
BASIC CONNECTIVITY I PS I IT Services Description quantity
TS NETWORK & SCAN - SEG BC4 1
t
Version # 5.15 Page # 1 19428131
ORDER TOTALS
Service Type Offerings:
Product Total:
Gold: Includes all supplies and staples.
BASIC CONNECTIVITY I PS I IT
Excludes paper.
8ervlcas:
Silver. Includes all supplies. Excludes paper and
Bdyauf
staples.
Bronze: Parts and labor only. Excludes paper,
staples and supplies.
Grand Total: (Excludes Tax)
Addltiorial Provisions:
PER US COMMUNITIES CONTRACT#4400003732
Accepted by Customer
Accepted: Ricoh USA, Inc.
Aulh;r zed Signature
Authorized Signature:
P0riled Name:_ S',r L%^b[;wic,'t
PdnledName-
Title i_jty �ltt0kk'uy _
-nua: --_
Date ) (0
i?ate:
5120)2016 AIII RR wj MO.,EM a 111111
Version # 5.15 Page N 2 49428131