xerox 8200 dec. 3,1981ue
FEDERAL/STATE AND LOCAL GOVERNMENT 1s 1,1981
XEROX - .,.)-' : STANDARD AGREEMENT July 1, teat
Copiers/Dualicators/Enoineerina and Graphic Products/Accessories
Cu sto er Na a (Bill To
Custo r Nam (Installatio
/!er orf&/ha
�. !�
Address U
Address
City/State Cl/�7G
I ZK 7
CO
City/State / . 11 g�.
r -+
� v
DCuggttoomer Type:
MIciel State Government/Political Subdivision ❑ Prime Contractor to State/Local Government
❑ Full Time Non -Profit School/College, University ❑ Federal Cost Type Government Contractor
❑ Non -Profit Hospital
Sea reverse side for terms and conditions relative to eligibility requirements.
This order is placed pursuant to Xerox Corporation's /)/O
- ❑ State and Local Government Copying Equipment Price List (XRX C./L? 1 as revised from time to time.
❑ GSA Federal Supply Service Authorized Federal Supply Schedule Price List (GS-OOS- ) as revised from time to time.
Equipment/Price Plan/Period of Rental'Description
In -Place Equipment
Equipment Ordered Purchased/Price Converted/Replaced
Qty. - D crl tion Qty. Description Sark) Number Mater Reads
— - er
Price Plan Description Period of Rental Bill Code
' Initial to designate acceptance of EQUIPMENT/PRICE PLAN/PERIOD OF RENTAL described above. s„ .%)
Initial to designate acceptance of Firm Annual Option ❑ Fiscal Year Option ❑ Fiscal Year Begins / / (Initials)
Equipment Purchase/Maintenance Description
L_
Equipment Typo: Equipment List Purchase Price OG�
t10JNewly Manufactured Less: Option to Purchase Credit Plan A ❑ Plan B ❑
❑ Remanufactured Or: Trade -In Allowance
❑ Reconditioned Or: Other
❑ In -Place Equipment Net Purchase Price
Maintenance: Xerox Full Service Maintenance Plan A ❑ Plan CP ❑ Plan CEIR�Tims and Materials ❑ Other ❑
y�
Earliest Customer Acceptancej?ate ;?Initial
Supply Order
Tax Exempt ❑ No ui�Vas
Tax Exempt Certificate No. 1i'"�`+1
Equipment Purchase Order Required No ❑ Yes
Supply Item Quantity Reorder Number
Paper
Toner
' Equipment Purchase Order No.
Developer
Supply Purchase Order No.
Xerox Supply Agreement No.
K-12 Summer Option Code (See reverse)
Customer authorizes initial supplies: YeJWNoX
fthl
Fuser Oil
Pre -Packed
Other -
Customer agrees to hire and Xerox agrees to provide Reprographic be Maintenance Services including the
furnishing of the Xerox Equipment described above ("Equipment") and supplies, in accordance with the term's a`r' 1r d
conditions set forth in the PriceL' t noted above. 1
Customer agrees to purchase; and Xerox agrees to sell and deliver the Xerox Equipment described above ("Equip-//
ment") and supplies, in accordance with the terms and conditions set forth in the Price List noted above. Breach of
this Agreement may subject Customer to payment of Termination Charges. See terms and conditions contained in,
the Price List noted above. I
CUSTOMER XEROX CORPORATION
By �. L. t9 r r I f o,--
y IPb "pot)
Signaturelol - Gtit' 4r 1 Signat A at6 !/
TitO-, 4 Date 1 ' 3 - f r Signature Date
FOR OFFICE USE ONLY: To expedite dejory please complete the following: Delivery Hours: `S Fioor y/� Room:
Is space available for installation%.M'Yes 11 No fo
Will correct wiring/receptacle be available at installation time: e ❑ No/rPh a
Is there any special preparation/rigging necessary for delivery? O _ /•'
li.e., stairs, door width, elev If .soy) 1 (J o
Delivery Contact Name 'Mr -46Z.9 !.Telephone
FORM 58085 (6181)
CUSTOMER COPY
.Fy
':1
Eligibility For State and Local Copying Equipment Price List
1.
2.
3.
4.
Official State Governments and Political Subdivisions.
Full-time non-profit Schools, Colleges and Universities
(hereinafter Schools). An eligible school is defined as a full-time
school if it is a non-profit, tax-exempt institution, the primary
purpose of which is to provide instruction through a full-time
faculty to an enrolled body of students, and is licensed by an
appropriate State authority to confer degrees or diplomas which
are recognized as qualifying the student to pursue a course of
higher education. Prior to Xerox accepting any order, the
Customer requesting eligibility under this paragraph must provide
Xerox with a copy of its federal tax -exemption certificate under
Section 501 (c) (3) of the Internal Revenue Code.
Non-profit Hospitals. An eligible hospital is defined as a non-
profit hospital if it is a non-profit, tax exempt institution and is
listed as a hospital in the most current edition of the American
Hospital Association Guide to the Health Care Field. Prior to
Xerox accepting any order, the Customer requesting eligibility
under this paragraph must provide Xerox with a copy of its federal
tax -exemption certificate under Section 501 (c) (3) of the Internal
Revenue Code.
Certain prime Contractors to State Governments and their
Political subdivisions IFOR RENTAL ONLY) provided all the
following conditions are met: The Contractor (1) is a State or Local
Government contractor whose total operating funds are secured
through The Federal Government, State Governments or their
Political subdivisions, or from any combination of these Govern-
ments; (2) has been granted authorization by the State or Local
Government Agency to "act for" that State or Local Government.
This authorization must be in writing (a copy of which is to be pro-
vided to Xerox with each order and resubmitted to Xerox at the
beginning of each price list period of the State Government or
Political subdivision for whom the contractor is "acting"); and
(3) is a non-profit organization. Any Contractor qualifying under
this section must provide Xerox with a copy of its Federal Tax
exemption certificate under section 501 (c) (3) of the Internal
Revenue Code. All other Contractors are not eligible under this
provision. If a Customer loses the certification which made it eligi-
ble to use the State and Local Government Price List, the
Customer agrees to notify Xerox.
5. The Customer represents he is eligible under these criteria. If
this representation is inaccurate, or if Customer loses eligibility,
Xerox reserves the right, upon 30 days written notice, to convert
the Customer to a commercial price plan for an equivalent term.
NOTE: Customers qualifying under paragraph 2,3 or 4who place orders with %eros that
do not mmain the required certification will be billed at Me appropriate commercial
prices. If it is determined after shipment that the Customer is entitled to the State and
Local Govemmem Prim List is (but did not OrovMe the nmessery certifications),
adjustments or rebilling at this price list rate will not be permitted.
6. Partial List (examples) of customers NOT ELIGIBLE to use
this price list:
(a) Any "for-profit" organizations.
(b) Recipients of grants-in-aid (Grantees) from State Governments
or political subdivisions.
(c) Federal Government Agencies, their contractors or grantees.
(d) Youth Associations and part-time schools.
(e) Trade Associations, Labor unions, or political parties.
(f) Social clubs, churches or charitable foundations.
(g) Doctors Offices, Health Clinics, and Medical Laboratories.
These examples are by wa y of illustration and are not all-inclusive.
Certification of Federal Cost Type Government Contractors:
a.
b.
All orders and renewals, authorized by U.S. Government Agencies in
accordance with Defense Acquisition Regulation (5-900) or Federal
Procurement Regulations (FPR 1-5.9) concerning the'Use of GSA
Supply Sources by Contractors' and placed by Federal Govern-
ment prime (only) cost type contractors under this GSA Contract,
shall be accompanied by a copy of the Government authorization.
Every purchase order shall contain a statement as follows:
"This order is placed pursuant to written authorization from
(Name of Government Agency)
.........................................................
Dated ...................... a copy of which is attached. In the
event of an inconsistency between the terms and conditions of
this order and those of your Federal Supply Service Contract, the
latter will govern."
Prime cost type contractors certified and using this contract as a
source of supply will use items ordered only in the performance of
the cost type Federal Contract and shall notify Xerox promptly in
writing in the event that the authorization furnished hereunder is
terminated. When authorization is terminated, Xerox shall com-
mence billing under commercial prices.
c. Contractors placing orders with Xerox not containing the required
certification will be billed at the appropriate commercial (non GSA
contract) prices. If it is determined after shipment occurs that the
Contractor is entitled to GSA rates (but did not provide the
necessary certification) adjustment or rebilling at GSA contract
rates will not be permitted.
d. Federal grantees are not permitted to use this contract as a source
of supply in accordance with FPR 1-5.9. Cost type subcontractors
are not permitted by Xerox to place orders under the Xerox -GSA
contract.
e. Title to equipment purchased by authorized Prime Contractors will
pass to the Contractor. Transfer of title to the Government will be
the responsibility of the Contractor.
K-12 Summer Option Code
3 — School open June, July, August 6 — School closed June only
4 — School closed June and July 7 — School closed July only
5 — School closed.July and August 8 — School closed August only
Ism -a Date_)
November i, 1960
XEROX LOCAL GOVERNMENT EQUIPMENT EQUITY PLAN DEC 6 1n8l
(INSTALLMENT PURCHASE AGREEMENT)
XEROX CORPORATION, XEROX SQUARE, ROCHESTER, NEW YORK 14644 g, kc C�N�
(For Use In Kansas Only)L
Preparation Data (' 19 ,
Customer's Name: �� t/ � /^
BillingAddress: - v ' S"
IUM mW
Installation Addressles): 00
ge for stats)
t.nl
40 /
Z
srrarp
IRrur Piial rnebr.. no. siliftofficaND.
Customer represents that is a pan of a state government or a political subdivision or a school, hospital or other institution operated as pert of a state or
local government. -
This Agreement moffm and takes precedence over any Xerox Purchase Agreemem or Customer Purchase Order regerdng thertJpn embed below.
The Equipment purchase terms and conditions of the current Xerox State and Local Government Catalog/Price List O(RXy 7 t
are made a part of this Agreement by reference.
z.. - tom• ? ° ''... Yt t'•1_T "° 'srK
Nob. ar.W lWmaebl E bewiladia
,Wt Primy TaM �•a4
e radbnrm Y In PIM - i - 55 Mr unk ..8 • . un Pd We eae�-T0-PUN. -Tull rM' 111161 Pd=
Y_
. .: ,• Karr t .. ' ;3. Tn»alNerl+rke - �.. '� - �1
. •.. •See deflrii6iiii bridal Xeroox'State arid'Local Govemmer t Catalog/Price,; hdtlofN,.Sdsdub attached ,
List. For additional Egoip neral, any, eee attached schedule.-:- 4. Cash Down payment - S D
**See "Purchase Agreement Addendum, Xerox Tiede In Equipment"
—Add Placement 5j I Placement. sand.. Transportation . Charges of S. Cash Price'IPrincip6l) Balarnce(Line 3 ba 41 8 's •. 1
8 any applicable. Saks Taxes and Excess Transports
tion Chergea also be invoiced to Customer separately and bepayable m .6. Interest at Rate L 17 . s'% -' .. • a .,,�% Z O
• accordance with invoice terns. There are no additional charges due Xerox
by Customer for Excise Taxes, Insurance Premiums or Official Fees.: - .7., Total Principal and Interest (Line S +' 81.,
8. Total of Principal end Interest and Down - -
_. - .. Payment (Line 4 +7)
Customer promises to pay tis total cash down payment (I' a above) in full prior to or eoneunem with the trar n ed fest unit Equipment
purchased hereunder. The balance shall be due in ' consecutive equal monthly.installments of iii which shall be due each
month on the same day as the title transfer date of the final unit purchased hereunder, h m
being understood such payments shall commence on the calendar
month following the month in which such final transfer of title is made. If the title transfer data falls onthe'last day of a month, monthly instants llmeshell
be due on the last day of each succeedrg month. In the event any Installment is not paid when due. Customer agrees to pay a late charge, where
permitted, of one percent per month of the unpaid installment until paid or the maximum Isle charge otherwise permitted by applicable law after the
expiration of any required grace period.
Customer's Obligation to Pay — Customer is obligated only to pay periodic payments orinonthly instalinne nts under the Agreement as may lawfully
be made from (a) funds budgeted and approprkted for that purpose during Customer's current budget year or (b) funds made available from array lawfully
operated revenue producing source. ..
NOTICE TO THE BUYER (CUSTOMER):
1. Do not sign this contract before you read it or if It contains any blank spaces.
Z You are entitled to an exact copy of the contract you sign.
3. Under the law you have the right'to pay off in advance the full amount due and under certain circumsafances
to obtain a partial refund of Interest. `
CONDITIONS ON THE REVERSE HEREOF AND THE DEFINITIONS OF EQUIPMENT TYPEISI ORDERED HEREIN AS DESCRIBED IN THE,
APPROPRIATE XEROX STATE AND LOCAL GOVERNMENT CATALOG/PRICE LIST AND THE UNDERSIGNED AFFIRMS THAT HE/SHE IS A
DULY AUTHORIZED"REPRESENTATIVE. OF CUSTOMER AND HAS THE.,AUTHORITY. TO EXECUTE- THISMINSTALLMEN7VPURCHASE
•
AGREEMENT ON ITS BEHALF.,.. -._s.•..wr.L •`- :' .. _. t, , -;,�_. ..,,:;.,.:,yf, ;.-.v ^...-
CUSTOSI NATU'
ae�y
LE _ -_ '..,.ACCEPTEDXEROX RPORATION
��
w ttx Y: _ • Tht day of u �._•. 19 G�
NameX L {� a rrsev. ay -
T,tieX leoc 71de -MIDWEST':XEROX FINANCE CENTER OPS. MANAGER
Datei< l� - 3- g I • 3000 DES PLAINES'AVENUE
—'-DES PLAINES, ILLINOIS 60018 -
Purchase Order 8 or cheek (✓) R none required al/ .
El
SECURgY INTEREST
Xerox reserves and Customer grams to Xerox a purchm money security Interest in
the Equipment and any and all replacements, substitutions, and repairs thereto, as
WWI as any products and proceeds of the foregoing for the purpose of searing the
balance of the amount due hereunder and all oder promises and obligations of
Customer to Xerox arising under this Agreement. Customer Illinois to sign and.sxe-
cute at any time alone o with Xerox any financing etatemanb a other documents
which Xerox deems reasonably' necessary o protect and Continue Xeon' macrrrit , in -
um under that Agreement. Xerox's also grated m Irrevocable power of ananey
It, execute such financing uetsrrmrs a other docu enb on Csonmes bsihW.
Customer shag prevent and holt Xerox hamdaq apatutthe oeardas of prior Sons,
escrmrity interests a class by third poples to the mxmrm permitted by applicable low.
When an of Customels prtenlr and obligations home boon fitlly paid and aeWiied.
Xerox' security stems Yes tormrihrs.
TITLE
Title and ownership of the Equprmd and wry and as ropleosnsas. sufntlatlas
and rapain thereto, share Paso Customer upon Installation. For Equipment Greedy
in piece on a rental boos. which is not exchanged at XmW option, title will pass o
Customer upon acceptance of this Agreement by Xerox: ma. on much s -Place
unitewill termines on the dans of execution of ths Agremsm by Customer, unles
Xerox fans to accept this Agreement. The Equipment Yap remain penauY properly
and SW not becane mea property. Customer will not sutler ce stem . army Sen a
marruerance of my kind against the Equipment and will pey wham due all aesm-
,MN, taxes, franchise teas. Isules me other govammensl design against the
Equipment a its M.
RISK OF LOSS
Attar Installed^ rhe of Cqulplflnll les and/cur do shall be with Customer.
- DEFAULT
Time softot esearncelheiaolad NLlmpnei she0lei topgive -due cry sates--
. . , Ment, a odorW=fag to ohaer.;k isap sotpoft . Mypfoefsips dMb Aw mrerd
x
required to bre oba/w,ad. "M w..psdmmcd, as4TCYstonp� doing blab of
s a going mean!, or tl a patitlm kAadby or "dm z somdrheder airy of lrol
gorMas a dueDoers d lbs Nriq y 7la;or erH ensdnii"..Smuptq�mr..
,•ostmr shA melmi sit aalofamm far tiara bmeRlof a'sdleoa:a d4r,genp6l;
XEROX
PREPAYMENT
Customer shall have the right, upon writra notice to Xerox specifying the item of
« Equipment affected to fully satisfy its obligations hereunder with respect to any or all
hems of Equipment by the Payment to Xerox of the fug remaining Principal balance.
GENERAL
Customer shell furnish as may be requested by Xerox either copies of its annual ,
report for the preceding fiscal year a the of from which some may be obtained.
No delay a tenon to sem I any dghL power a remedy sowuIrg to Xerox
upon leach a default by Customer under this Agreement shag Impair any such
_ fight, power a remedy of Xerox, a shall bre cerletrued as a wase of airy suchbrooch a dalauh, a any sIrMer breech a defsdt do who oceumhg: nor shag MY
... Movies of a single, raedh ordefwdt bedesned a waMrof any subsequent breach v ..
_ clefeuh. AS waives meaner be In wahp,
Any provides of this Agmrnent prohibited by the few of my State shall, is to
said Stas, be 6hefsYive to tot extern of such Wahl", wf bout huddasng the
remaining provisions of Ms Agreement. NevergMoos, S Xerm In be cab disaedteh,
det>mInes the remaining Pmvi xxs to maternity, increase its herb, it may loot to
have Customer pay within thirty 1301 days the ht ramefmmg prindpel balance and
Customer hereby agrees to much peymmt.
The section headings used hares aro for amvenbmro only and shat have no sip-
nifics ince In the Interpretation of this Agreement.
R delivery of the Equitation is not meds at the tea of the execution of this Agras
mem, Xerox may intim a" and/a idetalyi g numbers ad merle of the Equlp...
nam on tlds Apnearont athd/a any fauerlcflg statamethb.: y`y!r,_yt,.g x.:,:.^�.: {u �:,
.. NMS Aprsmemseipred by nam dwlafha Cusmnw dhe abgpetloesot asdm aa.,+i'^.
aipmp
In de seem, through no action'hddesA by Customer. omer. ha bgishm ¢a be* does nk
hasorsarxeissrorangr offlcade mus be ePpoInted tohave.contralofarri
":,.!Ef cthmDm,-IiD ta[ymWnwdbrODA. toXer ingoodCW4*nstaloaagon,; .-. -
dm woWty br mf s of Cuamnw w dCsmns tidcas a hes nheds`myii etata-,w
� ndsiprosd bY'Xwoii:'GSl the tanapoYg vaske states Me'faEws of tlw.spldetM -
'- mem a fabs sstamwd of fact in with thstrmhiiCtIM, or N Xerox. in tot
. , _
'..body to.appropss the eecmery funds es do room fa cancellation. rind lot da
exaclea offasormhledevadon dashes the Equipemmi to be In jeopardy, dam Tut o-,
notice is Mc mpeied'by paymem of all anamu,Mwh dare to Xacx under this,leadming
I behincis hereunder shell bacteria kriftedishily due and L .. at
AgmespNmr.. In the event the Custom mems the Equipment pwrherdtode fame. w•..• s'.
.e„ Xerox' option and without notke. N any of des foomealrog
of Oft Wr'ograph. Xerox Yet mtdn all wm gmid hommder:by ChmOlPaf
�
of the rights ad.rae6es of aaecaed patl'•upon defauh umder_the`UNform
.. - ,,;, •- ..
.. ,. :.�
` : - 'n" '
Caanerdd Cods a any sit am low s eneced In the State where the Equipment Is
` lomtad. Xeon my sumer upxo.Ms Drerriss who e:ths Equipment day be and
REVERSION TO RENTAL . ".'
'Should "odes agreane, beheid by Me Oxm%ofAw Sutdktwhkh tleonher is
era do the Equipment swabs and/a sae possession thued, and Know, ad,
located to be Invalid a unerdacaeble; 9 ole or In pet, the pards agies that the. -. .
Lasa or dispose of the Equipment and from the proceeds resin all sums due under-mechhhes
bh ksmsed on tees pumuand
'.. add hwwndw share be deemed w haveas
the tion of the applicable Xerox Stab and,LnaY Government
s and erelathg to the orf
Items the teof this Agmmant, as wag as all comms xpenses
toand owddcls
forommnt a preservation of is fights am rider including but not ended to -
Equipment Caalog/Price List In etleet at theome of the holding of the Court, ad at '
- reasonable attorneys fes. In.addidon. Customer agrees at Xoro' request to as-
Xerox' epPtcableStec and Loral Gover meet renal picas Ceoulesd a s monthly .
terrible the Equipment and make it available to Xerox at a piece to bre designated by -'
rad aqua to the lowest annual nonddy rae.indudhg rxpy usage charges, - ..
` Xerox that is rsemabiymnvenient to both Pads. AS rights and n A 0 'a 11 Of Xerox
Immedms aced the Contract Persdl as Lorlh in such Catalog far such nmc it
ehes be cumulative, and may be arm. mpcsssely, am cona manta and without
monarch whh tha des of kocOMMon a Me efNc*m.dm of padnse of the
- Inletting Xaae scantyIr manes Inde Equipment,} The foregoing swNaa Snata-
nrchli wtddewrslear.Fatheperbd.Plfer tostuch oWung,Xermxidiall t
6M o a waiver of arty other rights a remedies of Xerox, according o law. b s '` - ods applicable, seas pen ndxrtNy thelia the emoahts pend by Crsortier for the,
agreed them fitew 1151 calender days some constitute meson" mode fads some-
. fcsowkg: fil pownwa o Xerox puouad to'os Imtd..w . Purchm Agrom mrd; '
dee of wry right In the event that eppbcabb, low specifically,raquhas such notice.
151 mekeenama payments o Xerox calculated at Fug Service Mamermna Agram-
. .. , Aa " _ . . _
USE AND LOCATION OF EtJUIPMEirr— -" * :... .. 'actual
. meet ctnages me actual and mete.. payments, whichever less, and HIS
time
. 'Properly texas pad on the Equipment. Any seas as I trot be refunded to the - <
The following oondhias thea apply until e0 kmtetmenN due Ihanermmhdar ere pPyid:` �,.
�'.�'-Cusitmer, and wry deficiency shag bre due to Xwoix, but in no event mss anry ,
The Equpmmt will bre kept at dw Installation ad. losl and will mat bre moved
,, en ount*'6%m toXerme In excessof funds appmopduad. Customs shall deliver of
w thometapriomittencormem of Xomicw+dchmm®aamgnabeawste * ',-r
amwmbered title to dq.Epidgnentto Xerox upon ddwdr apps Wml faedhs LM
wwMnhdd. Customer will not use a deed with the Equipment In at m ne erwhich Is
Xsax «"a am of daficaniy bV XMM s aooadancewdlh da amass. .-
oosmstent with the tot d this Agrsnsm, a arty epptceble favus ams megaF
- -.r- a -' •` �.
r -.. .
' ^ ^+','.' •,
-tkhns. Tara Equpmmm well not he ndafood; abused, wauad a albwetl todetariorefa
NOTCE8�1-
a t .
exapr fa adisry, was and tea M=hbV from its hnmrdad uss. Xerox shad have
'AS naps a otlw omNnrdadons spoked ce pemitted toles gem t®iwmt Ira.
rims rpht to inspect the Equipment at wry rsesemehle time. whemerrer sated: N any
tlis Agmemmnt ams bre In writing and share be valid and sufficient N.datssred by
ism of the Equipment Yes be substantially destroyed a shall bedanmged beYcrd..
-hadadmpatdmdbyfimcimfml,postepepiaDadtothe"auNrsssmmtforth fare
'
repair due o my ahs whasosime,Xerox abet haw delight, upon writes da•
omasudnoeraddressam 11 padmNnotfytheothasw'*V.Nooddi-
aiwNly
mend to Customer to require Cu tomer to pay within d*ty pal days of the dam of
tiaW notice need begivm toths6mN0aUrn addre dead. Notksdbpachad by That .
such do mld, the full mmiidrg p,IfcurI balance. Xerox may lank the Equipmentwnt
- shat be uoenmd_o.Mss.bean4von three days ahs satin rotes to
ainuer ' OR
to oormpiahoudy show Mat it hes a security Inlamt thawsd Ch
pare no cangm* nhmlm m Permit the Xerox mark to be removed a data` &
�„cm-moll
; dwpa in anry pal office a poa bo:.
•'- . ' • - iF �l"r-, '�.c: �:;1 Ac. -as r° .
Customer duet beer as risk of lessor damage oder Equhpmmt accept much lain, ..'y
-ENTIRE CONTRACT
damage which resat from the sole negligence of Xerox.
'" This Xerox Installment purchase Agreement met ;de epopmam parches be and .
.. ,.~
otemStios of the Xerox State said Local Go a anent Caabp/Pri a Limestone -
ASSIGNMENT �-, - .. - - ...-. - Y,
+. on tha fbtpop homes and my gjraendm whirl It modifiescenWtute ane con-
Cstoms ehe0give Xwtek not Ito dram f+bwh 1151 dowwraten notice a arty propoesl "
_
., tract between the Customer and Xerox wish reference oda purchase d the Equip
I
resole m oto d wry hen d Equpn eM during the tato d the Agmment erany .
mart described above. which carried su" , any and all prim wrinen a oral
assortment Awed. Such notice Ma date the fun ce item of Equipment to be meeaI,
apeamm. Thera are no movements, mhdticm me agreements, between the parties
Named me aselpred, aha the dam upm vA" sae, lam, w a= mwd's te ba aro-
. exapr s to forth In this tomnract. This erases mey only be enmrmded by a wtittm
this. R the EWipnant is to be resold. based a mgfad. Customer shat at Xeraf
' instrument asettfsd by both pefda.,.: 1\
option, pay to Xerox on a Anon to such date the DnepaYnnmlmh pike nen foot hebw.
., .....r4..
_
'�:."")
Xanmu mW aedpn Ms Agnmrtdxd and traelar M aacruitY Intehat In de Equipnwht,
"' ..
and In the orient of such ssigmasnt Customer" Adam as d the Pfomdem - - ..
_MmanoormahedtanwhassWM.CustarerwR aesst MY dein me defames it miry ,
- r
have aganrt Xerox and not apsom my much assignee.
Xerox Corporation t 80630 -
Xerox Square-XEROXP is a trademark of XEROX CORPORATION.
Rochester, New York 14644 Printed in U.S.A. 10/80
L-LIJI,.AL/3I r W ;_UWAL UA) -v i:L,4, --hi I July 1. 1981
LKOX STANDARD AGREEMENT
Copiers/Duplicators/Engineering and Graphic Products/Accessories
Customer Naa (Bill Tol/�
Custo Nam (InstallationLNr
1/'
�77i/�lQ
Oyits��
r
Address
Address QO
City/State J.
Z /
City/Sti e f O
Cus er Type:
ficiaI State Government/Political Subdivision O Prime Contractor to State/Local Government
O Full Time Non -Profit School/Cal", University O Federal Cost Type Government Contractor
O Non -Profit Hospital
See reverse tide for terms and conditions relative to e8gnbrb'ty requirements.
This order is placed pursuant to Xerox Corporation's
O State and Local Government Copying Equipment Price List 01 1 as revised from time to time.
O GSA Federal Supply Service Authorized Federal Supply Schedule Price List IGS-OOS- 1 as revised from time to time.
Equipment/Price Plan/Period of Rental Description
In -Place Equipment
Equipment Ordered Purchased/Price Converted/Replaced
oveription Qty. Description SWW Number Mater Rands
Price Plan Description Period of Rental Bill Code
'tiftial to designate acceptance of EQUIPMENT/PRICE PLAN/PERIOD OF RENTAL described above. rNfirw
Initial to'designate acceptance of Firm Annual Option O Fixate Year Option O f=ocal Year Begms / _ / (Initials)
.. .. Equipment Purchase/Maintenance Description ...: .. _..
EqType: - Equipment Lbt Purchase Prke c�•r , -, ^' t ��.
42 eulpnrent Newly Manufactured ... , . Low: Option to Purchase Crede Plan A O Plan B O -
O Remanufactured . - On Traria-In Allowance Ll
... .
O. Reconditioned - _. - ...Or: -Other
r
O In -Place Equipment Net Purchase Priv
Maintenance: Xerox Full Service Maintenance Plan A O Plan CP O Plan CEI.G?�Time and Materiele O Other - ' ❑
! Initial Supply Order
Earliest Customer Acceptance
Tax Exempt O No Yes - Supply Item Quantity Reorder Number
Tax Exempt Certificate No.-•�---
Paper
Equipment Purchase Order R=Yes ,.
Equipment Purchase Order No. Toner -
Supply Purchase Order No. Developer
Xerox Supply Agreement No. Fuser OB .
K-12 Summer Option Cade (See reversal -
No Pre -Packed
Customer audKwma initial supplies: Yesin
Other
Customer agrees to hire and Xerox agrees to provide Reprographic Maintenance- Services including the
furnishing of the Xerox Equipment described above ("Equipment') and supplies, in accordance with the terms and
conditions set forth in the Price Lit noted above.
Customer agrees to purchase and Xerox agrees to sell and deliver the Xerox Equipment described above 1"Equip-
ment") and supplies, in accordance with the terms and conditions set forth in the Price List noted above. Breach of
this Agreement may subject Customer to payment of Termination Charges. See terms and conditions contained in
the Price List noted above. --- — — _ -
CUSTOMER - V ., - XEROX CORPORATION
By :_ ....
sipnnere�3 o w+� signab�
C&A Date Or i g _e— .'Signature Date.
FOR OFFICE USE ONLY: To expedite deliyoy please complete the following: Delivery Hours:
b eleee evmlable tar instillation ty�yea O No /
%PAr<
Will correct wiring/receptacle be available at installation time: O No /J
Is there any special preparation/rigging necessary for delivery? /!O
li.e., stain, door width, eleva ate. If eo Ile a c' 1
Telephone
Delivery Contact Name p
FORM 50085 00811 1 1 - BRANCH COPY
vl`Dnv
Certification of Federal Cost Type Government Contractors: =
a. An orders and renewals, authorized by U.S. Government Agenciesin
accordance with Defense Acquisition Regulation
Eligibility For State and Local Copying
Equipment Price List
1. Official State Governments and Political Subdivisions.
2 Full-time non-profit Schools. Colleges Universities
vided to Xerox with each order and resubmitted to Xerox at the
and
(hereinafter Schools). An eligible school is defined as a full-time
beginning of each price list period of the State Government or
Politicalsub&4mmh for whom the contractor a "acting");
school R it is a non-profit, tax-exempt institution, the primary
and
(3) is a 11=1110M organization. Any Contractorf n8 under
�
Purpose of which is to provide instruction through a full -tune
faculty to an enrolled body of students,
this section mustm
provide XeroxXec with a copy of its Federal Tax
and is licensed by an
appropriate State authority to confer degrees or diplomas
exemption uxrtifieate under section 601 lel 131 of the Internal
which
are recognized as Qualifying the student to pursue a courts of
Revenue Code. AN critter Contractors are not eligible under this
provision. If a Customer loses the certification which it
higher education. Prior to Xerox accepting any order, the
Customer requesting eligibility under this paragraph must
made eligi-
ble to use the State and Local Government Price List, the
provide
Xerox with a copy of its federal tax -exemption certificate under S.
Customer agrees to ratify Xerox.
The Customer represents he is eligible
Section 501 Ic) (3) of the Internal Revenue Code.
3. Non-profit Hospitals. An eligible hospital is defined
under these criteria. If
this representation is inaccurate, or if Customer loses eligibility,
as a non-
profit hospital d it is amen -profit, tax exempt institution and is
listed
Xerox reserves the right, upon 3D days onotice, le convert
the Customer to a commercial price plannfor
r a an equivalent
as a hospital in the most current edition of the American
Hospital Association Guide to the Health Care Field. Prior
term.
NOTE; cwmmara Wa1Yr4 tinier wa1~27n mhosloea4t w8A)fewtet
m
to
Xerox accepting any order, the Custmrher requesting eligibility
actmnuin ar npiap nrtera iM aril be seas a eta apppplas rnmwritl
i y. ON
NGoN bdall-aaxistar Main
`eat�ayhr tm s�o
under this paragraph must provide Xerox with a copy of its federal
amera Rin lit 6a mar pioii se dtp
selustmartta sr retailing naw price list me Will not be
taxazemrition certificate under Section 501 Icl 13) of the Internal 8.
Revenue Cob. -
pa n trod -
Parrish List (examples) of customers NOT ELIGIBLE to nee
..
/. Certain prime Contractors to Stets Governments and their, , :.
this price fist:
hal Any "for-profit" organizations.
Political subdivisions (FOR RENTAL ONLY) provided a0 the ' •
following eanditfom are met:.The Ceitieiiiot (1))s a State or Local'." _ :.:'
'Ibl R er.�ents of 9rsns-irh-aid (Grantees) from State Goverolenta
Government contractor whose iota) ' --_.. --
egerses tum ore secured :a �.;,a>.lel
"` "'•
_. _ or_Do9tical iaibdseions. ..._
Federal Gtrverment Agencies, their contract -ore -or
through gh The Fadeal`Govemment, State Governments or their
- Political Subdivision, or from any combination of these Govern-` - -
or grantees.
(d) Youth Associations and Part -tine Schools.
'
menti; (2) has been granted authorization by the State or Local
(e) Trade Associations, Labor unions, or political parties.
(f) Social clubs, churches or charitable �„
Government Agencyto "act for" that State or Local Government.��'�"
This authorization must be in writing (a a of which is to be �
� •
101 Doctor's Offices, Heath Clinics, and Medical Laboratories.opt
pro- _
T/ese erarnpks era M waY olnfuspaten and are not eY-inOssive.
Certification of Federal Cost Type Government Contractors: =
a. An orders and renewals, authorized by U.S. Government Agenciesin
accordance with Defense Acquisition Regulation
writing in the event that the authorization furnished hereunder is
(6900) or Federal
. Procurement Regulations (FPR 1-5.9) conceming the'Use of GSA
terminated. When authorization is terminated, Xerox also corm-
Supply Sources by Contractors' and placed by Federal Govem-
mance bill'
hrg under commercial prices.
c. Contractors placing orders with Xerox not containing the
meet prime (Only) cost type contractors under this GSA Contract,
shell be accompanied by a copy of the Government authorization: -
required
certification will be billed at the appropriate commercial rccu (non GSA .
order shall contain a statement follows:
Every is
"This
contract) Prices. ti h b toGSrafter shiprrmerht occas that the
Contracto..is entitled to GSA rates. (but did no(
order i
order is placed pursuant to written authorization from
o
provide the
._. �
. �. �
.............. INeme .. Government Agency)
....................................
necessary -certification) ad'
/userent or rebiaing at GSA COnbaM
rebs wB/ not be per�ttM. . -
Dined ....... ................ a copy of which is attached. In the
d. Federal grantees ere not permitted to use this contract as a source
event of an.inconsissricy between -the -terms and conditions of
of supply in accordance with FPR 1-5.9. Cost type subcontractors
Oft order anti those Of your Federal Supply Service Contract, the -'..
Bfe not Permitted by Xerox to place orders under the Xerox -GSA
latter will govern.•• . :.
. contract.
It. Priors cost type contracton_certifiad and using this contract eta
e. Title to equipment purchased by authorized Prins -
ntrent fil
source of supply will use items ordered only in the Performance of
_. Pass ro the Contractor. Transfer of title to the Govsnrrenht sr91 be
Government v;W be
the cost two Federal Contract and shall notify Xerox promptly in
- the ty of the Contractor. .. ..
K-12 Summer Option Code _
3 — School open June, July, August S — School timed June only
4 —School closed June and JuhL ' 7 — School closed Judy only
5 School. dosed July and August. '.. cc:•'. ..-„..
.. 8 — School closed August only
J .. o -n
IOTICE TO KANSAS CONSUMERS:
JITH RESPECT TO TRANSACTIONS COVERED BY THE KANSAS CONSUMER
ROTECTION ACT, THE EXCLUSIONS OF IMPLIED WARRANTIES OF MERCHANT-
,BILITY AND FITNESS FOR A PARTICULAR PURPOSE AND THE LIMITATIONS OF
JCIDENTAL AND CONSEQUENTIAL DAMAGES DO NOT APPLY. NOTHING IN THIS
'OTICE SHALL BE CONSTRUED TO GIVE RISE TO ANY IMPLIED WARRANTIES
VHICH DO NOT OTHERWISE EXIST.
(S) 801930 — Ad00 Slid (S)
oovmHo w.'eyr$rM'!a i -*on ((I8Y0NY7s)
67sgd WmoaS3o am4vu$!S (B)JONRa 3u .(B)am latift
...................,.,....�.......... :6g
l
oeqO
f
:annum- vp fewpq) v P ON P9laA0O Ogle lainuMp SpnpWd [I PalaAUa ORB GOO F- ai8HOO)O SPOOOM 0 :Pala J1. rX] 3r
A.LHVd aMM339 JO ZHKf)ISSV
r
:(41Jadaid I* (sma1! Je) 8adq BU!M01101 647 we^** 1U6Wa1ea8 BB!6neB!! 8141 Y
r !�
(aaUlO fu pam A 41mn lavem'a7W) (")s PPa Pae (Sal)Auud pm�s Y (")sswppa Pm OWN ameN ISWO (S)Jo14aU I
�Iuo NUJOA
:(Roe ld a1eD AlVn1eW Y 'apo, !elalammaO Buo!!un 841 q I_nd'n)U! aq aaaUlo fuUU u M • paluamd SI •zpmV1S SPU.