1981 Agreementri�` ` CClii...fiL/3[N'lC 1XVIZU li t.l�C,C V.t :.: .b.:ar
6 viii STANDARDAGREEMENT�
Copiers/Duplicators/Engineering and Graphic Products/Accessories
Customer Na a (Bill To rr
Custo Nam/� (lnstallationN
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.r Ol'--'�r�ifits/�
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f/_M
Address O
Address DO
City/State..l
Ziy /
Chy/State 114 O
/
(O
Cus er Type:
fficlal 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
See reverse side for terms and conditions relative to eligibility requirements.
This order is placed pursuant to Xerox Corporation's
57 7
❑ State and Local Government Copying Equipment Price List IXRX 1 as revised from time to time.
❑ 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
p/ry. y'/n D(��scripbon Ury. Description Serial Number Meter Reeds
Price Plan Description Period of Rental Bill Code
' Initial to designate acceptance of EQUIPMENT/PRICE PLAN/PERIOD OF RENTAL described above. twcist.)
Initial to'designate acceptance of Firm Annual Option ❑ Ftscal Year Option ❑ Fiscal Year Begins / - / (Initials)
- - - Equipment Purchase/Maintenance Description ... -
set
Equipment Type: - Equipment Vat Purchase Price
pG Newly Manufactured.. ...- ', Less:. Option to Purchase Credit Plan A ❑ Plan B 0-
-❑
0 Remanufacturod 'd' "< -'� - Or: Trade -In Allowance-
0- Reconditioned _.. _ _.Or:.Other
.
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❑ In-Piace Equipment Net Purchase Price A4 �
Maintenance: Xerox Full Service Maintenance Plan A ❑ ' Plan CP ❑ Plan CET,, - Time and Materials ❑ Other = '❑
- Initial Supply Order:_['. '-
Earliest Customer AcceptanceDate/
Tax Exempt ❑ No Supply Item Quantity Reorder Number
Tax Exempt Certificate No. �'"`•"+�---�"�^^ „ -
Equipment Purchase Order Required . No ❑ Yes Paper
Equipment Purchase Order No. Toner '
Supply Purchase Order No. Developer -
_
Xerox Supply Agreement No. fuser Oil
K-12 Summer Option Code (See reverse) -
Pre
-Packed
Customer authorizes initial supplies: Yes No
Cmdatii I I Other
Customer agrees to hire and Xerox agrees to provide VReprographic 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 PricejLt noted above.
Customer agrees to purchaseel 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. -- — --
CUSTOMER . - - -. XEROX CORPORATION
By Pmn �
Signet X -t � u-�.w�. ' Signet ate
Title�QC-tY Date Z ^3 —Fr Signature Date-
FOR OFFICE USE ONLY: To expedite delivfpv please complete the following: Delivery Hours: S Floor:
W
Is space available for installation r' es ❑ No /
❑ No
Will correct wiring/receptacle be available at installation time: es 1 /f
Is there any special preparation/rigging necessary for delivery? /PO _ � e—
(i.e., stairs, door width, elevato etc. If so ple e c 1 �[ le
Telephone
Delivery Contact Name jj
FORM 58085 (6181) 1 1 BRANCH COPY
v rnnv
Certification of Federal Cost Type Government Contractors: `.' -' ''
/\LI \V/%
Eligibility For State and Local Copying
Equipment Price List
I. Official State Governments and Political Subdivisions.
2. Full-time non-profit Schools. Colleges
vided to Xerox with each order and resubmitted to Xerox at the
and Universities
(hereinafter Schools). An eligible school is defined as a full-time
beginning of each price list t or
d of the to Gacting") nand
ue
school 8 it is a non-profit, tax-exempt institution, the primary
Political subdivision tar whom contractor
(3) is a non-profir
purpose of which is to provide instruction through a full-time
9
fatuity to an enrolled body of students,
ny Contractor qualifying under
provide Xeroxon.with
this section must provide erowith a copy of its Federal Tax
and is licensed by an
appropriate State authority to confer degrees or diplomas which
exemption certificate under section 501 Icl (3) of the Internal
Revenue Code.
are recognized as qualifying the student to pursue a course
Ali other Contractors are not eligible under this
of
higher education. Prior to Xerox accepting any order, the
provision. If a Customer loses the certification which made it eligi-
ble
Customer requesting eligibility under this paragraph must provide
to use the State and Local Government Price List, the
Customer agrees to notify Xerox.
Xerox with a copy of its federal tax -exemption certificate under
Section 501 (c) (3) of the Internal Revenue Code.
5. The Customer represents he is eligible under these criteria. If
3. Non-profit Hospitals. An eligible hospital is defined as a non-
this representation is inaccurate, or if Customer loses eligibility,
profit hospital if it is a non-profit, tax exempt institution and is
fated hospital
Xerox reserves the right, u �^ 30 days n farwrittnotice, lto convert
the Customer t o a commercial price plan for
as a in the most current edition of the American
Hospital Association Guide to the Health Care
a
an equivalent term.
e
NOTE: Cusronwr puWr.y ur�y psrprtM 2 3 a x M pls .ft « x.rm M
Field. Prior to
Xerox accepting any order, the Customer requesting eligibility
w:eo p.rurcxuana t» Oa.a n ur .wrm'vu uxr.r�.aa
st'. aNm raw rM cvammeru.rea.a m ftsus "'x!under
this paragraph Must provide Xerox with a copy of its federal -
.epr. Gn Pte' ,, " tui m° n01 P'o'd° a �r+�W.
hV st ails
tax -exemption certificate under Section 501 Icl (3) of the Internal
Revenue Code
price list rst• .w r i °`r,ue'y
6. Partial List (examples) of customers NOT ELIGIBLE
_
4. Certain prime Contractors to State Governments and their.
to use
this price list. - -
"for-profit"
Political subdivisions (FOR RENTAL ONLY) Provided all the '
-• (a) Any organizations. . ,.. -, ., .. ,-•.,, ,:,
following conditions are met: COntiacfoi 11) a a State or Local `" ° ';_
Ib) Recipients of grants-in-aid (Grantees) from State Governments
ll)
Government abnvactor whose total operating funds are
____ or political wba;vsions. -
secured _;--.:,,.;i �:Ic) Federal Government Agencies, they contractors or gramees.
�- through The Federal-Govemment, State Governments or their
-- Polidcal subdivisions• dor from any combination of these Govern-"
(d) Youth Associations; andDart -time schools. •
- mens; (2) has.been granted authorization by the State or Local
(e) Trade Associations, Labor unions. or ,• •
i -`"•
Politics ��'
Government Agency to:'act tnr" that State or Local Government.'
If) Social clubs, churches or charitable fpuridations,, , , •;-•v
This authorization must be in writing la copy of which a to be no-
D
' (g) Doctor's Offices, Health Clinics, and Medical Laboratories.
These examples are by way of d11ustration and are not e&inclusive.
Certification of Federal Cost Type Government Contractors: `.' -' ''
e. AD orders and renewals, authorized by U.S. Government Agencies in
accordance with Defense Acquisition Regulation (59001 Federal
writing in the event that the authorization furnished hereunder is
or
Procurement Regulations (FPR 1-5.9) concerning the'Use of GSA
terminated. When authorization is terminated, Xerox shall corn -
Supply Sources by Contractors' and placed by Federal Govern -
merit
mence billing under commercial prices.
c. Contractors placing ' r'
P ng orders with Xerox not containing the
rime (only) cost
P ly type contractors under this GSA Contract,
Shat) be accompanied by a Copy of the GOVCI^mEnt
required
.certification will be billed at the appropriate commercial (non GSA
8tlthgrizBtiOp:
Every purchase order shall contain a statement as follows: -
contract) prices. If it is determined after shipment Occurs that the
"This order is placed pursuant to written authorization from
Contractor -.is entitled -to GSA rates, (but did no( provide the
- (Name of Government Agency)
^BcessarKcertifacation) adjustment or-reb/ging at GSA contract
- - ti _ . .. -
rates well not be pe ed.
Dated . ...................... a copy of which is attached. In the
d. Federal grantees am not to use this contract as a source
event of aninconsistency between. the -terms and conditions of
of supply in accordance with FPR 1-5.9. Cost type subcontractors
- this order and those of your Federal Supply Service Contract, the '_.
are not permitted by Xerox to place orders under the Xerox -GSA
latter will govern." .
, contract.
b. Prime cost type contractorscertifiedand using this contract asa
e. Title to equipment purchased by authorized Prime Con"tom'wlll
source of supply will use hems ordered only in the performance of
— pass to the Contractor. Trarufer of title to the Govemment will be
the cost type Federal Contract and shall notify Xerox promptly in
- the responsibility of the Contractor. - ,••
its
K-12 Summer Option Code,_�� ;.
3 — School open June, July, August 6 —Schad dosed June only
-
4 —School closed June and July - 7 — School dosed July
.5.— School dosed July and August _.' r:; -.` - - 8 — Schad closed August only
` EROX
XEROX LOCAL GOVERNMENT EQUIPMENT EQUITY PLAN
(INSTALLMENT PURCHASE AGREEMENT)
XEROX CORPORATION, XEROX SQUARE, ROCHESTER, NEW YORK 14644
(For Use In Kansas Only)
:s
Issro Date_J
November 1. 1960
DEC 1°&1
-L L`u', CRANER
Preparation Date (' 19
Customer's Name:
Billing Address: 'v •. S •- _
G t Opt
Instanation Addressfes): 0 f
for anar}�;eyarate Gstl Ist'"a1 //. n. soul
41'T'�i O/o„ aJ off
Stab 0.CpresenutM Name IPiesae Prntl i 6npioym No. Sb OXiw No.
Customer represents that is a part of a state government or a political subdivision or a school, hospital or other institution operated as part of a state or
local government. '
This Agreement modfies and takes precedence over any Xerox Purchase Agreement or Customer Purchase Order regarding the [gygn1ebed bebw.l
The Equipment purchase terms and conditions of the current Xerox Sate and Local Government Catalog/Price List (XRX ((�
are made -a part of this Agreement by reference. , -. ; - _ - .
' Equlpmwt Ord" _
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CUSTOMNMµ////{,,,,EEEERBBBL��LS��-I
NATURE ^ i -
ACCEPTED gy XEROX
ORPORATION
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SII Epuiiwnem b tri Ptaca-''�`+'ft
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Un_Prin :^ 'Optbo-To-PurN. TrWe:ln'.'.
. tNat Pries
�tia.' a¢S[".3•..fn rt+•rZ ]�+. Com , -i. c.. .� - wrr"+
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1-Toal Net Prue _ "„'w'M"C'�'rs -..
ms's-..r:.:•y
_
.^,..`tnitial"d•Schedule
_
attached
•See definitions in said Xerox Sate and Local Government Caalog/Price
4. Cash Dow; Payment _
4 O
-List. For additional Equipmeri%it any. see attached schedule.
'"See',Purchase`Agreenient Adderidum;. Xetox_Trade-In'Equipment••.
5. Cash Price41 Principal) Balance (Line 3
Addi' I' uw mere[ Placement and _Transportation.. Charges --of
g
`
4' o any applicable. Sales Taxes and Excess Transporta-
.6. Interest at Rate /�• % - Y
4 �%
tion Charges Oma be invoiced to Ctistorrier separately and be payable in
•,20 -
Oaccordance
_:_
accordance with invoice terms. There are no additional charges due Xerox
_• _ _
•+-6).,
by Customer for Excise Taxes,. lnsuran_ce Premiums orAfficial Fees-.--" ---
-7 Total Principal and Interest (Lim 5 • •-
A
$_- v
z 0:
' • `" �"" ' "
8. Total of Principal and Interest and DownT'
=
_
. "_''��:'•":'"' _ - ,.. ^ • ..
Payment (Line 4 + 7)`_
Customer promises to pay the total cash down payment (lie^4 above) in full prior to or concurrent with the transf r ti enf a first unit dfEquipment
purchased hereunder. The balance shall bi due in 6 e) consecutive equal monthly.instailments of 4=which shall be due each
month on the same day as the title transfer date of the final unit purchased hereunder, it being understood such paymermts`shall commence on the calendar
month following the month in which such final transfer,of title is made. It the title transfer, date falls on the last day of a month, mon'ttily installments shall
.. be,due on.theiast day of each succeeding month. In the event any instillment is not paidwhen due,•Customer�agrees;fo _pay a late,charge, where
permitted, of one percent per month of -the unpaid installment until paid or the maximum late-cliarge otherwise permitted by applicable law afte the
expiration of any required grace period. - cs r:'� "' = • . '
Customer's Obligation to Pay — Customer is obligated only to pay periodic payments or.monthly installments under the Agreement as may lawfully
be made from (a) funds budgeted and appropriated for that purpose during Customer's current budget year or (b) funds made available from any lawfully
-
operated revenue producing source.
NOTICE TO THE BUYER (CUSTOMER):
1. Do'noi sign this contract before you read it or if it contains any blank spaces.
2. You are entitled to an exact copy of the Contract you sign. 4
3. Under the law you have the right to pay off in advance the full amount due and under certain circumstances
to obtain a -partial refund of interest.
CONDITIONS. ON THE'REVERSE HEREOF AND THE DEFINITIONS OF EQUIPMENT TYPE(S) 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;AUTHORrrY TO-EXECUTE'THIS•INSTALLMENT'PURCHASE
AGREEMENT ON ITS BEHALF _,A4_s.--.
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CUSTOMNMµ////{,,,,EEEERBBBL��LS��-I
NATURE ^ i -
ACCEPTED gy XEROX
ORPORATION
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Nanterre�J-
Title ilr �j 4, C le PIC � .'.- �-'-Tide.-
_Tr.'' 3000 DES.PLAMS"AVEOUE
/DES PLAINES,'ILLINOIS . 00013..
Ir) i( none required)! - -
Date X /-Z
Purchase Order.) or