HomeMy WebLinkAboutCanon Business Solutions - Rec Dept
~
.
RESOLUTION 2006-895
ADOPTED
DOC ill: 2301
TIDS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2006-895 WAS
ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD 01"\
NOVEMBER 21, 2006:
RESOLVED that the Town Board of the Town of South old hereby authorizes and directs
Suoervisor Scott A. Russell to execute an al!reement with Canon Business Solutions - East
Inc. in connection with the lease of one (1) Canon 00270 copy machine for use by the Southold
Town Recreation Department at a monthly cost of$183.42 for a period of 48 months from date
of installation, all in accordance with the approval of the Town Attorney.
~Q~.l.
Elizabeth A. Neville
Southold Town Clerk
RESULT: ADOPTED [UNANIMOUS]
MOVER: William P. Edwards, Councilman
SECONDER: Louisa P. Evans, Justice
AYES: Evans, Wickham, Ross, Edwards, Russell, Krupski Jr.
Can~n
CANON BUSINESS SOLUTIONS
Acquisition Agteement
218974
Canon Business Solutions-East, Inc. ("Canon-East")
300 Commerce Square Blvd., Burlington, NJ 08016
(800) 220-4000
Cust Code
Cust Code
Company '1r1lurv 0{' Souihold (Ru-ordIO/\)
Address qrrO PQ.cONI r lANCL
City JorOr..l.r State~ Zip /lQC;;&-
Contact ko.., R.o OdD" Phone# ~~I- 7"'5- 51B-'Q
Email I.<.lL.......plLves1Vtoidn..>QUtholrl.0y.l15
Company CdtCCApl~G.1
Address
City State Zip
Contact Phone #
Email
PLEASE PRINT
Order Date ~ _/_
Delivery Date ~ _/ _
Qty Unit Price Total Price
r
Item Code
Equipment Lease by Leasing Company to Customer:
Yes
NoD
Subtotal
Payment Terms:
Other Requirements:
Shipping Instructions:
Delivery I Install
Sales Tax
D CWO
D P.O_ Required/P.O. #
o Tax Exempt
(Attach Certificate)
Ship Via:
o Other
~~ f11tJNih LPrl'i
#Steps
Total
Elevator
Deposit
Balance Due
Loadin Dock? YesO NoD
RGM
o Return Original Order#
o Return to Leasing Company
o Move only
Item Code
D Trade In
D Other
Description
Meter Reading
I-~;ql
Serial #
Total
Special Instructions
Customer hereby authorizes Canon-East to remove the trade~in items listed above.
-
CUSTOMER, BY ITS SIGNATURE BELOW, AGREES TO PURCHASE THE ITEMS SPECIFtED ABOVE. CUSTOMER ACKNOWLEDGES RECEIPT OF
A COPY OF THIS AGREEMENT. T~E ADD IONAL TERMS AND CONDITIONS ON THE REVERSE SIDE HEREOF ARE INCORPORATED AND
MADE PART OF THIS AGREEMENT. . _ ~ _ ,I ~
Authonzed Signature ~ . tI~~
Prmtedname Scott A. Russell Title Sllrprvi~nr. Tnwn of S?'lthold
~ RepID# Manager
SLS-004A 1 0/03
ADDITIONAL TERMS AND CONDITIONS
1. PRICE AND PAYMENT. The purchase price for the items listed on the reverse side hereof (the "Listed Items"), which are units of Equipment, Supplies
and Licenses of Application Software with listed third rarcy support contracts, is due and payable in full upon Customer's recipt of Canon-Easr's invoice.
If invoices are unpaid and overdue, the Customer shal pay the actual and reasonable costs and expenses of collection incurred by Canon-East, including
the maximum attorney's fees permitted by law. In addition to the amounts shown on the reverse side hereof, Customer shall pay Canon-Ease's rates for any
special rigging for delivery and installation. In the event that, at any time prior to shipment, Canon-East discovers any mistake in pricing or Equipment
configuration on the front side of this Agreement, Canon-East reserves the right to notifY the Customer of the mistake in writing and to rescind this
Agreement without further liability to Customer hereunder. Canon-East reserves the right to withhold shipment of the Listed Items until Customer makes
full payment of the purchase price or to revoke any credit extended to Customer because of its failure to pay any amounts when due or for any other rea-
son affecting Customer's creditworthiness. Customer represents that (a) Canon-East will receive good and marketable title to each item of trade in equip-
ment listed on the reverse side hereof, and (b) Customer is conveying such trade in equipment to Canon-East free and clear of any and all liens and lease-
hold interest. Customer agrees to pay Canon-East's removal charges if, on the date that Canon-East delivers the Equipment to Customer, the trade-in equip-
ment is unavailable for pick up and removal through no fault ofCanon-East.
1. EQUIPMENT LEASE. If Customer has elected on the reverse side hereof to lease the Equipment, Customer shall (a) be deemed to have assigned its
right to purchase the Equipment to the Leasing Company designated on the reverse side hereof, and (b) enter into a lease agreement with the Leasing
Company. Such assignment is conditioned upon the Leasing Company's full payment of the purchase price of the Listed Items. The rights and obligations
of the Customer and Canon-East specified in this Agreement and all other terms and conditions contained herein shall survive the Customer's assignment
of its right to purchase the Equipment.
3. LIMITED WARRANTY. For ninety (90) days after the date of the original delivery of the new Canon brand Equipment (thirty (30) days in the case
of refurbished Canon brand Equipment ), Canon-East warrants that under normal use and maintenance conditions all such Equipment will be free from
defects in material and workmanship. Warranty claims must be made in writing by Customer to Canon-East no later than five (5) business days after the
expiration of the warranty period. Canon-East's obligations under this warranty are limited solely to repair or replacement (at Canon-East's sole option) of
such parts as are proven to be defective upon Canon-East's inspection. This warranty does not extend to, and Customer shall pay Canon-East's labor, parts
and supply charges for, (a) repairs resulting from service visits required as a result of inadequate key operation involvement (e.g., Canon-East technician is
dispatched to rectifY a problem covered by the operator manual), (b) repairs necessitated by factors other than normal use including, without limitation, (i)
any willful act, negligence, abuse or misuse of such Equipment, (ij) the use of parts, supplies or software not supplied by Canon USA or Canon-East and
which cause abnormally frequent service calls or service problems, (iii) service performed by personnel other than Canon-East service technicians, (iv) trans-
portation of the equipment, (v) accident, and (vi) electrical power malfunction or extreme heating, cooling or humidity and ambient conditions, or (c) re-
installation of the Equipment. CUSTOMER EXPRESSLY ACKNOWLEDGES THAT THE LIMITED WARRANTY CONTAINED HEREIN DOES
NOT ASSURE UNINTERRUPTED OPERATION AND USE OF THE EQUIPMENT.
OTHER THAN AS SET FORTH IN THIS PARAGRAPH 3, CANON-EAST EXPRESSLY DISCLAIMS AND EXCLUDES ANY AND ALL WAR-
RANTIES, EXPRESS OR IMPLIED, INCLUDING IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR
PURPOSE RELATING TO THE USE OR PERFORMANCE OF THE LISTED ITEMS. IN ADDITION, CANON-EAST MAKES NO WARRAN-
TY, EXPRESS OR IMPLIED, INCLUDING IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PUR-
POSE, WITH RESPECT TO SOFTWARE OR WITH RESPECT TO NON-CANON BRAND EQUIPMENT. CANON-EAST ASSIGNS TO CUS-
TOMER WITHOUT RECOURSE ANY WARRANTIES MADE BYTHE MANUFACTURER OF SUCH SOFTWARE OR NON-CANON BRAND
EQUIPMENT.
4. SECURIlY. k security for the payment of all amounts to become due to Canon-East, Customer hereby grants to Canon-East a security interest in
the Equipment. Customer shall, upon request by Canon-East, execute and deliver to Canon-East any and all financing statements necessary to evidence or
perfect Canon-East's security interest in the Equipment. To the extent permitted by applicable law, Customer agrees and does hereby authorize Canon-East
(a) to execute and file with the appropriate governmental authorities any and all financing statements necessary to evidence or perfect Canon-East's securi-
ty interest in the Equipment, and (b) upon any disposition of Equipment pursuant to Canon-East's security interest, to transfer, on Customer's behalf, its
rights as licensee under any software licenses that are part of the Listed Items.
5. LIMITATION OF LIABILITY. CANON-EAST SHALL NOT BE LIABLE FOR PERSONAL INJURY OR PROPERTY DAMAGE UNLESS
CAUSED SOLELY BY CANON-EASTS NEGLIGENCE. CANON-EAST SHALL NOT BE LIABLE FOR LOSS OF PROFIT OR OTHER SPE-
CIAL, INDIRECT, INCIDENTAL OR CONSEQUENTIAL DAMAGES ARISING OUT OF THE USE OF OR INABILITY TO USE THE LISTED
ITEMS, REGARDLESS OF THE LEGAL THEORY ON WHICH THE CLAIM IS BASED AND EVEN IF CANON-EAST HAS BEEN ADVISED
OF THE POSSIBILITY OF SUCH DAMAGES.
6. CHOICE OF LAW AND FORUM. THIS AGREEMENT SHALL BE GOVERNED BY AND CONSTRUED IN ACCORDANCE WITH THE
LAWS OF THE STATE OF NEW YORK AND THE CUSTOMER CONSENTS TO THE EXCLUSIVE JURISDICTION AND VENUE OF ANY
STATE OR FEDERAL COUNT LOCATED WITH THE STATE OF NEW YORK UPON SERVICE OF PROCESS MADE IN ACCORDANCE
WITH THE APPLICABLE STATUTES AND RULES OF THE STATE OF NEW YORK OR THE UNITED STATES. ANY AND ALL SUITS COM-
MENCED BY THE CUSTOMER AGAINST CANON-EAST, WHETHER OR NOT ARISING UNDER THIS AGREEMENT AND REGARDLESS
OF THE LEGAL THEORY UPON WHICH SUCH SUITS ARE BASED, SHALL BE BROUGHT ONLY IN THE STATE OR FEDERAL COURTS
LOCATED WITHIN THE STATE OF NEW YORK. CUSTOMER HEREBY WAIVES OBJECTIONS AS TO VENUE AND CONVENIENCE OF
FORUM. ANY SUIT BETWEEN THE PARTIES HERETO, OTHER THAN ONE SEEKING PAYMENT OF AMOUNTS DUE HEREUNDER,
SHALL BE COMMENCED, IF AT ALL, WITHIN ONE (I) YEAR OF THE DATE THAT THE CLAIM ACCRUES. THE PARTIES IRREVOCA-
BLY WAIVE ANY RIGHT TO A JURY TRIAL IN ANY SUIT BETWEEN THEM.
7. ENTIRE AGREEMENT. This Agreement, and Canon-East's credit application signed by Customer, constitutes the entire agreement between the par-
ties with respect to the furnishing of the Listed Items, superseding all previous proposals, oral or written. Any purchase order utilized by Customer shall be
for the Customer's administrative convenience only, and any terms therein which conflict with, vary from or supplement the provisions of this Agreement
shall be deemed null and void. No representation or statement not contained on the original of this Agreement shall be binding upon Canon-East as a war-
ranty or otherwise, nor shall this Agreement be modified or amended except by a writing signed by an officer of Canon-East and by the Customer. Customer
expressly disclaims having relied upon any representation or statement concerning the capability, condition, operation, performance or specifications of the
Listed Items except to the extent set forth on the original of this Agreement.
SLS-004A 10103 (ACQUISITION AGREEMENT)
Cost Per Copy Rental Agreement
Cauou~
CANON BUSINESS SOLUTIONS - EAST, INC.
I ACCOUNT #
Headquarters: 300 Commerce Square Blvd., Burlington, NJ 080 16
EQUIPMENT DESCRIPTION SERIAl MONTHLY MINIMUM RENTAL MONTHLY EXCESSCCPY CHARGE UNIT#
("EQUIPMENr) NU'-'IlER (Plus applicable sales tax) CCPV ALLOWANCE (Plus applicable sales lax)
1. c.o..("',O~ -r~OdlO $ d.o1.59 4,OJO per
Copies . copy
2. $ per
Copies . copy
$ per
3. Copies . copy
Agreement includes black toner based on manufacturer's suggested toner yield. Supplies will be shipped quarterly.
INITIAL TERM OF AGREEMENT: 4~ MONTHS tsl$()
If Sales Tax Exempt, a valid tax exempt certificate Advance Rental
'Plus applicable sales tax must accompany this Agreement.
Equipment Location (it different than billing address) SOLE PROPRIETORSHIP: DATE OF BIRTH:
Street City Stale Zip NAME: SS#,
Customer Contact for ADDRESS:
Meter Readings: CORPORATIONIPARTNERSHIP: TAX 10#,
Purchase Order #
If this information differs for each machine, please attach schedule. Fax No. ( )
( TBlMS AND CONDI1lONS
The WOlds YOU lIldYOUR _Ihe U...ollhe Equipment. TheWOlds WE, U~ CANON BUSINESS SOLUllONS. EAST, J<<:"lIld OUR _tolhe OWrorollhe E<IJ\>met1l
IMPORTANT INFORMATION ABOUT ESTABLISHING A RELATIONSHIP WITH CANON: To help the United States Govemment fight terrorism and money laundering, Federal law requires us to obtain, verify, and record
information that identifies each person or business that opens an account or establishes a relationship. What this means for you: when you open an account or establish a relationship, we will ask for your name, street
address, date of birth, and identification number, such as a social security number or taxpayer identification number. For businesses, we will ask for the business name, street address and tax identification number. Federal
law requires us to obtain this information. We may also ask to see your drive~s license or other identifying documents that will allow us to identify you. We appreciate your cooperation.
1, RENTAL AGREEMENT ("AGREEMENT"): We egree to rent to you and you agree to r." lrom us the Equipmenllisted above ('Equ~rront'l. You promise to pay us ~e Month~ Minimum Ren~1 ('MMR') in accordar<e with ~e
terms below plus the Excess Copy Charge ('ECC') 00 copies in excess of the Month~ Copy Allowance ('MCA'), which ECC shall be billed annual~ or by another period determined by us. You authorize lIS to insert in thisAgreement
serial numbers of Equipment when we so determine them. The parties intend this Agreement to be a finance lease under Article 2A of the Un~orm Commercial Code.
2. TERM AND RENT: The Agreement shall commence on the day that any of the Equipment is delivered to you (the "Commencement Date'). ECC shall be payable in arrears, as billed. MMRs shall be payable in advance. Your
obligation to pay sucl1 payments will begin 00 the Commencement Date. Subsequef1t payments shall be due on the same day of each successive monl!1thereafter until all rent and any additional rent or expense chargeable under
this Agreement shall be paid in full. You agree to provide accurate and time~ meter readings at the end of each applicable billing period on the forms or other altemate means specified by us. If meter realings are not received
in e time~ manner, charges may be estimated by us. YOUR 06UGATION TO PAY THE MMR AND OTHER SUMS AND All OTHER OBLIGATIONS HEREUNDER SHALL BE ABSOLIITE AND UNCONDITIONAL AND ARE
NOT SUBJECT TO ANY ABATEMENT, SET'()FF, DEFENSE OR COUNTERCLAIM FOR ANY REASON WHATSOEVER, INCLUDING WITHOllT LIMITATION ANY CLAIM THAT YOU MAY HAVE OR ASSERT AGAINST THE
SUPPLIER DR EQUIPMENT MANUFACTlJRER. This Agreemenl is NON CANCELABLE. If a period 01 delennent is noled on ~. Agreerront, It In 00 way rlelers ~e Commencement Date. Such delennenl..1I on~ defer ~e
due dates of the iflSlallments of rent, plus the corresponding MCA and, it shall increase the initial term by same. If o.ny pi)lf1inl ~imundor 'i nil modo B, ; 8i1 h!~ ~u!, ~!ij !~a11 h! !h.l,~.!l~ alaI! fee "lit ~.!l1l!1 t (10%)
ol'ho am9u~1 af uh ~~1' ,v"l, pl,,~ ;"1",,,..1 "" """I, ...",,,,,,,1..1 II,,, ,6.1" ,,[ 1.lG1L ~!l, ffi81l1t1 'mill tl.u ~"':' tftto llfltillt1i tilti paid b'rt n 18 OUl~1. of th8 fniJilinJ, 'n n8 8 8At mer! illn *& millimum reli ~&rmitld
~. Any Advance Rental paid by you is irrevocable and is not otherwise subject to being returned or refunded to you. Advance Rental shall be applied against rents due or to become due hereunder.
THE TERMS AND CONDITIONS PRNTED ON THE REVERSE ~DE ARE MADEA P.\Jl" HEREOF.
Southold I Tau Jr'\ n.r BY x ~~ .. Sunervieor"
USER (FULL LEGAL NAME) 117<1 ) AUTHORIZED SIGNATURE TITLE
'=; 30QS mIJIN I<nrlrJ (p.o B()'r< Scott A~ Russell
BILliNG ADDRESS PRINT NAME
~()(Jtho IJ ~X /fC('l1 (63V 765-1889
CITY ZIP PHONE NUMBER DATED
'- GUARANTY
I un rantee that User will perlorm all obligations underl!1e Agreement fully and promptly. I also agree that Owner may make other arrangements with the User and I will still be primari~ and unconditional~ resp:msible
for those payments ano. . . Owner does not have to notify me ~ the User defaults under the terms of l!1e Agreement. If User defaults under the Agreement, I will immediate~ pay all amounts due in accordance with the
defau~ provisions of the Agreement, s fees and other costs. I agree that this Guaranty will continue until the Agreement is lul~ paid and, that it can be ef1forced by or for the benefit of any assignee or successor
of Owner. I CONSENT TO THE NON.EXCLUSIVE J OF THE COURTS OF THE STATE OF NEW YORK WITH RESPECT TO ANY ACTION ARISING OUT OF AIfI AGREEMENT, GUARANTY, SETTLEMENT
AGREEMENT, PROMISSORY NOTE OR OTHER ACCOMMODATI NT WITH OWNER. THIS MEANS THAT ANY LEGAL ACTION FILED AGAINST ME MAY BE FILED IN NEW YORK AND THAT I MAY BE
REQUIRED TO DEFEND AND LITIGATE ANY SUCH ACTION IN NEW YORK. I agree ma ess by certified mail, return receipt requested, shall be deemed the equivalent of personal service in any such action. THIS
GUARANTY SHALL BE GOVERNED BY THE LAWS OF THE STATE OF NEW YORK.
X X ---- INDIVIDUALLY
WITNESS SIGNATURE DATE GUARANTOR SIGNATURE -
PRINT NAME PRINT NAME
FORM 2Dl-REV 02105
3. COVERED AND NON.C.OVERED SERVICE: All routine preventative maintenance and emergency servk:e needed to keep the Equipment in worl<ing order shall be performed by 'Canon - East" during its regular business hours (8:30am
10 5:00pm, Monday through Friday, except holidaIS)' You shall a~ord "~anon . East" full and free access 10 the Equipment in order to enable 'Canon - E~rs' tec~nicians to service the Equipment. "Canon, East' shall have the right
to substitute parts at any lime dunng the term of hIs Agreement In which case the removed parts shall become the property of 'Canon - East". The following seMCeS and any other work oeyond the scope of this Agreement shalllle
invoiced in accordance with 'Canon -East's"estabhshedpercall rates and terms then in effect:
(a) Repairs necessitated by factors other than normal use includin!j,. wrthout limitation, any willful act, negligence, abuse or misuse of lt1e Equipment and its parts (including without limitation, the copier drum)' the use of parts
or supplies which are not supplied by Canon or 'Canon - East' ana whi<:h cause abnormally frequent serw;e calls or service problems; service performed by personnel otherlflan 'Canon - Easrs' service technicians' transportation
of the Equipment; accident;-and failure of electncal power, air conditiOning or humidity control. '
(b) re-Installation of the Equipment; or
(c) wo~ which you re~uest to be performed outside of 'Ca~on -,E~st's" regu,lar b~siness hour~.lf in "Canon - East's'. opinio~, the .Equipment cannot be main!ained in good working order through 'Canon - East's' routine preventative
maintenance service, "Canon. _ East' shall have the nght, In Its sole dIscretiOn, to substitute comparable Egulpmentln whICh case the removed EqUipment s~all become the property of 'Canon - East' and the substituted
~ipment shall become subject to this Agreement. Nothing contained herem shall be construed as providing you with an election of remedies.
4. NO WARRANTIES: We are renlin~ ~e E!W~menl 10MoU "AS IS. WE EXPRESSLY DISCLAIM ALL WARRANTIE~ EXPRESSED OR IMPLlED,AS TO ANY MATTER WHATSOEVER, INCLUDING WITHOUT LIMITATION THE
~~~I~~ID~A~l&~~Wt~f~ROSIE1g;F1cA~g~t SE~~~~E~~b~~l?~~ %LHfNE~~~lf~1 DA%~\fJ~GMtIAT~~ T~~M~~R~0~1~~3~~MC:~&~R~~~Mr&E~R~fJ~~"\r~~~?~Ifs~ltrMSI2Fc~UNNE~~~NN
THEREWITH. WE SHALL HAVE NO LIABILITY WHATSOEVER FOR ANY DAMAGE91 INCLUDING WITHOUT L1MITATION,!'ERSONAL INJURVbPROPERTY DAMAGES, LOSS OF BUSINESS" OR INCIDENTAL OR CONSEOUENTIAL
DAMAGES CAUSED BY DR RELATED TO THE EQUIPMENT ITS MANUFACTuRE INSTALLATION, FUNCTIONINo OR OPERATION R CAUSED BY ANY DELAYS IN MAKING uELlVERIES OR REPAIRS OR BY THE
MANUFACTURER'S DR SUPPLIER'S PERFORMANCE OF MAlmNANCE ON THE EQUIPMENT. YOU ACKNOWLEDGE THAT THE FURNISHING DR MAINTENANCE SERVICE FOR THE EQUIPMENT BY THE MANUFACTURER
OR SUPPLIER DOES NOT IN ANY WAY AFFECT THE DISCLAIMER SET FORTH HEREIN AND DOES NOT ASSURE IN ANY MANNER WHATSOEVER UNINTERRUPTED OPERATION AND USE OF THE EOUIPMENT.
Notwithstandingtheloregoin~_neitherwe nor our affiliates, officers, directors or shareholders shall be liable I or any consequential or incidental damages.
5, OWNERSHIP, REDELIVERY AND, RENEWAL: We are the owner of the Equipment and have title to the Equipment. To protect our rights in lt1e Equilmer:lt, in the event this Agreement is determined to be a security agreement you
hereby grant to us a security interest In the Equjpment and all proceeds, products, rents or profits therefrom. In states where ~rmissible, you hereby au horize us to cause this Agreement or any statement or other instrument in respect
to this Agreement showing our interest in the Equipment and in any otlier equipment financed by us and/or our affiliates ( Other Equipment'), including Uniform Commercial Code Financing Statements, to be filed or recorded and
refiled and re-recorded ana grant us the right to execute yo~r name thereto. You agree to execute and deliver any statement or instrument requested by us for such pu~e. You agree to payor reimburse us for any searches, filings\
recorclings, stamp fees or taxes related to the filing or recordmg of ani such instrument or statement. No more than one hundred eighty (180) days but not less than ninety (90) days prior to ll1e exP.irahon of the initial term or any renewa
term .qf this Agreement you shall give us written notice of your ,inten 'on to return the Equipment to us. Provided you have given suCt1timely notice, you shall return the 'EQuipment freight and insurance prep<!id, to us in good repair
condition and working order, ordinary wear and tear excepted, In a manner and to a iocation designated by us. If you fail to so notify us, or having notified us, you fail to relumthe Equipment as provided herein, this Agreement shall
renew for additional [erms of nlnelV (90l days each at aperiodH: rent equal to 100% of the rent provided herein,
6, MAINTENANCE, RISK OF LOSS, AND INSURANCE: You are responsible for installing and keeping the Equipment in good working order. Except for ordinary wear and tearl you are respqnsible for protecting the Equipment from
damage and loss of any kind. If the Equipment is damaged or lost you agree to continue to lay rent.-Vou agree, dunng the term of this Agreement, to keep the Equipment fu Iy insured against damage and loss, trom every cause
whatsoe.v.er, for not less than the full repla~ement ~alue lf1~reof, and to obtaln a general pu~lic iability insuran~ policy" In each. case from an Insu~r or i~surers reasonably satisfactory to us, naming us and our assign~ as loss payees
and additional msureds. You agree to proVide us with certificates or other eVidence of such Insurance.llrou fall to oblam such Insurance or to provide eVidence \tIereof to us, you agree tl1at we may, but shall not be obligated to, obtain
such insurance on your behalf and charge you for all costs and ex~nses associated therewith. Withou limiting the generality of the forgoing, you specifically acknowledge and agree that if we obtain such insurance on your behalf,
ou will be required to pay a monthly insural1ce charge consisting of reimbursement for premiums advanced to the Insurer, finance charges on the unreimbUrsed balance of sucti premiums at a rate of 16% per annum and a fee 0
5.00. We, our assignees and/or th~lr assignees an~or lh~ir. affiliates receive ~ portio~ of the insurance cha es w~ich ma include a profit from such charges. .' . . , .
t.
, TA AND FEES: ou agree to pay when due or reimburse us for all taxes, lees, lines and penalties relating to use or ownership of the Equipment or to this Agreement, now or hereafter imposed, levied or assessed by any state,
federal or local government or agen~. You agree to Jl.ay us. a non-refundable origi~ation f~e of $67.50 in c.onnection with this Agreement. . .
EQUIPMENT LOCATED IN CERTAIN STATES is subject to sales tax laws whi<:h reqUire that tax be paid up front. If you choose to pay thiS tax ur front, you may Include your check for the current percent of tax applied to the cost
of Equipment. If you do not include payment up front, you authorize us to advance the tax and increase your monthly p<!yment by an amount equa to the currenl tax percentage applied to the monthly rental shown above.
9, LOCATION OFEQUIPMENT: You win keep and use tl1e Equipment only at your address shown on the reverse side and use tI1e 'Equipment for business purposes only. You agree that the Equipment will not be removed from that
address unless you get our written ~rmission in advance to move it. You agree thatlt1e Equipment will be used for business purposes only.
10. DEFAULT AND REMEDIES: If (a) you fail to pal rent or any other payment hereunder and/or under any other agreement with us and/or our affiliates concerning the finance of Other Equipment when due; or (b} you breach a~
representation or warranty, or fail to penorm any ot he other terms, covenants or conditions of tI1is Agreement and/or under any olt1er agreement with us and/or our affiliates concerning the finance of Other EqUipment after ten (10)
days written noti<:_ej or (c) you or Guarantor sustain a substantial deterioration in your or Guarantors condition Ifinancial or otherwise), or become insolvent or make an assignment fonhe benefit of creditors, or file a petitiOl1 under
the Bankruptcy Cooe or one is filed against you; or (d) a receiver, trustee, conservator or liquidator is appointed wi h or without your consent, you shall be in defauH under lt1e Agreement and, we may, to the extent permitted by applicable
law, exercise anyone or more of the following remedies; (i) we can require that you return the Eguipment and/or any Other Equipment, to us and declare due, sue for anlfreceive from you the sum of all rental payments and other
amounts then due and owing under this Agreement or any schedule thereto, . . .' '
~er nnnlllRl n d, 0 the '0"a8lIegal rillo; (Ii/to similarly accelerate the balances due under any other agreements etween you and us and/or any affiliate of ours conceming the finance of equipment; (iiil although you agree that
"" ...'~ ..d ~~lig!lod te do 86, it we deCide 0 take possession 01 the Equipment and/or the OUier Equipment, we shall give you credit for any sums received bJ us from the sale or rental of the it after deduction 01 ani amount still
owed by you under this Agreement and our cost of repossession and the sale or rental of the Equipment' (iv) require you to return ali Equipment and/or Other Equipment at your expense to a place reasonably deslgna ed by us; (vl
to charge y.ou for all the expenses incurred In connection with the enforcement of any of our remedies including all costs of collection, reasonable attorney's fees and court costs. Lessee shall aiso be liable for lt1e pre- ana post-Juagemen\
attomey'sfees and costs incurred by lessor after a judgement has been ente red against Lessee by any court.
All our remedies are cumulative, are in addition to any other remedies provided forcy law and may, to the extent permitted by law, be exercised either concurrently or separate~. Exercise of anyone remedy shall not be deemed an
election of such remedy or to preclude the exercise of any other remedy. No failure on our part to exercise any right or remedy and no delay in exerciSing any right or remeay shall operate as a waiver of any right or remedy or to modify
the terms of this Agreement. A waiver of default shall not be construed as a waiver of any olt1er or sub~uen1 default.
'1, ASSIGNMENT:'fOU HAVE NO RIGHT TO SELL, TRANSFER, ASSIGN THIS AGREEMENT OR SUBLEASE THE EQUIPMENT. We may sell, asSign or lransler ~is Agreemenl, wilhoul nolice. You agree Ihal il we sell, assign or
transfer this Agreement, the new owner will have the same ri.,[hls and benelits tI1at we have now and will not have to perlorm an,y of our obliQations. You agree that the right of the new owner will not be SUDject to any claims" defensesj
or sel oils Ihal you may have against us. WE MAY SELb ASSIGN, OR TRANSFER OUR RIGHTS (BUT NOT OUR OBLIGATIONS) UNDER THIS AGREEMENT TO CITICORP VENDOR FINANCE, INC. SUCH SAlE, AS,IGNMEN
OR TRANSFER SHALL NOT RELIEVE US OF OUR OoLlGATIONS HEREUNDER.
12. CONSENT TO JURISDICTION ANO GOVERNING LAW: SUBJECT TO THE PROVISIONS SET FORTH ELSEWHERE IN THIS AGREEMENT WITH RESPECT TO ARBITRATION PROCEEDINGS, YOU CONSENT TO THE NON.
EXCLUSIVE JURISDICTION OF THE COURTS OF THE STATE OF NEW YORK WITH RESPECT TO ANY ACTION ARISING OUT OF THIS AGREEMENT DR THE EOUIPMENT. THIS MEANS THAI ANY PERMISSIBLE LAWSUIT
FILED AGAINSTYOU MAY BE FILED IN NEW YORK AND THAT YOU MAY BE REQUIRED TO DEFEND AND LITIGATE ANY SUCH LAWSUIT IN NEW YORK. You agree Ihal seNice of jlrocass by certilied mail, relum receipl reguasle~
shall be deemed Ihe eguivalenl 01 pe.onal seNice in any such aclion. THIS AGREEMENT SHALL BE GOVERNED BY AND CONSTRUED ACCORDING TO THE LAWS OF THE STATE OF NEWYORK. TO THE EXTENT PERMITTEu
BY LAW, YOU WAIVE TRIAL BY JURY IN ANY ACTION HEREUNDER. YOU HEREBY WAIVE ANY AND ALL RIGHTS AND REMEDIES GRANTED YOU BY SECTION 2A-50S THROUGH 2A-522 OF THE UNIFORM COMMERCIAL
CODE.
13, ARBITRATION: Except as otherwise express~ set forth below in this section, any issue, claim or dispute between us and you or any of our or your respective successors, assigns, agents, officers or employees arising out of or in
connection with or relating to thiS Agreement or any deallnqs between us and you with resP8C.I to this Agreement or lt1e EqUipment, whether based on contract statute, rwulation, torr (including fraud or any intentionaf tortl or any
other legal or equitable grounds, incruding the arbitfability of the matle r and the scope ofthearbitrallOn, snail be resolved by blndingarbitralion In accordance with the proviSIOns 01 lt1is section. Arbitrationreplacesthenghtforesoft.
to the courts for dispute resolution.
Arbitration must be filed with tl1e American Arbrtration Association or the National Arbitration Forum. The arbitratiOi1 shall be decided by a singie arMrator, unless any party to such arbitration requests a ~ne\ o1lt1ree arMrators,
in which case the arbitration shal\ be conducted by a panel of three arbitra tors (such arbitratororarbitralors herein being referred to as "the arbitr a10r"). The arbitralor shall decide lhe dispute in accordance with applicable substan tive
law consistent with the Federal Arbitration Act. The decision rendered l?Y the arliitrator shall be in writing, provided, however, that the arbitrator need not provide a statement of reasons unless OI1e is requested by a party to the arbitration.
The deciSion of the arbitrator shall be final and binding, subject to ludlclal intervention or review onN to the extent allowed under the Federal Arbitration Act The award of the arbitrator may be entered as a judg,ment in any court
having junsdiction, If you initiate the arbitration, such aibitratlon shan be held in Bernen County, New Jersey. If we initiate the arbitratiOl1, such arbitration shall be t\eld in the state indicated in your address as set forth In this Agreement.
The party initiating the arbitration shall pay the filing fee. If you file the arbitration and a decision is awarded in your favor, we will reimburse you for the filing fee. If there is a hearing we shall pay the fees and costs for the first
day of the hearing, lfany party requests a panel of three arbitrators, the party making the request shall pay the fees oflt1e additional arbitrators unless the arMrator rules otherwise. All other~ees and costs will be allocated in accordance
witl1 the rules of fhe, applicabre arbitration lorum. Each party shall bear the expense of its own counsel, experts, witnesses and other expenses, regardless of which party prevails, except to the extent lt1e arbitrator assesses fees or
costsofthearbitraIIOl1toanypartypursuantto~plicablesubstantivelaw.
No class action, private attorney general or other representative claims may be pursued in arbitration, it being expressly understood and agreed thatlhe amitration of all claims must proceed on an individual (non-class and non-
r~presentative\.baSis. Claims of two or more persons may not be joined, consolidated or otherwise brought togelt1er in the same arbitration, whether or not the claim may have been assigned, unless those persons are parties to a
slngletransaclon,
NOTHING HEREIN SHALL BE DEEMED TO LIMIT OR CONSTRAIN OUR RIGHT TO RESORTTO SELF-HELP REMEDIES OR TO OBTAIN PROVISIONAL REMEDIES SUCH AS INJUNCTIVE RELIEF OR ATTACHMENT FROM
A COURT HAVING APPROPRIATE JURISDICTION.
NOTWITHSTANDING THE PROVISIONS OF THIS SECTION ENTITLED "ARBITRATION" ANY PARTY MAY BRING AN ACTION IN AN APPROPRIATE COURT OF LAW FOR THE RECOVERY OF DAMAGES WHERE THE
AGGREGATE AMOUNT OF SUCH RELIEF IINCLUDING ATTORNEYS' FEES AND COURT CdSTS\ BEING SOUGHT IS NOT MORE THAN $1~000. SUCH A LAWSUIT MAY BE BROUGHT BY US OR YOU ONLY, NOT BY OR FOR
ANY CLASS OR GROUP OF PERSONS HAVING SIMILAR CLAIMS. IF SUCH A LAWSUIT IS BROUGHT BY US OR YOU, AND THE OTHEM PARTY TO SUCH LAWSUIT FILES A COUNTERCLAIM CROSS-cLAIM OR THIRD-
PARTY CLAIM SEEKING TO RECOVER MORE THAN $10,000, THEN THAT COUNTERCLAIM, CROSS-CLAIM OR THIRD-PARTY CLAIM MUST BE ARBlmATED IN ACCORDANCE WITH THE PROVISlbNS OF THIS ARBITRATION
SECTION Inol including Ihis paragraph).
NEITHER WE NOR'fOU SHAlL BE DEEMED TO HAVE WAIVED ANY ARBITRATION RIGHTS SET FORTH HEREIN BY EXERCISING ANY SELF-HELP OR BY HAVING FILED ANY CLAIM IN ANY COURT SEEKING TO
RECOVER AN AGGREGATE AMOUNT OF NOT MORE THAN 110,000.
The terms and Qrovisions of this section entitled "Arbitration shall survive termination, transfer or assignment of ttlis Agreement.
14. ENTIRE AGREEMENT: You agree that we may insert or correct missing inlormatioo on this Agreemenfincluding your legal name and the Equipmenrs description, serial number and location, otherwise, this Agreement contains
the entire arrangement between t~e parties superseding all previous proposals, oral or written. No representation or statement not contained in the original of this Agreement shalt be binding as warranty or otherwise, nor shall this
Agreement be modified or amended except by written agreement and signed by the parties, binding as warranty or otherwise. This Agreement shall not be modified except in writing and signe(l by both parties. You expressly disclaim
having relied upon any representation or statement concerning the capability, condition, operation ~rtormance or specifications of the Equipment except to lt1e extent set forth on the original of lI1is AQreement.
15. PURCHASE ORDER: You agree that ani Purchase Order issued to us covering this EqUipment shall 1101 in any manner whatsoever modifY the terms and conditions of this Agreement, which shall govern t~e rental of lt1is Equipment.
16, FINANCIAL STATEMENTS:-You agree 0 furnish us wilt1 financial statements upon our request in form and substance acceptable to us in our reasonable discretion.
r ACCEPTED BY
CANON BUSINESS SOLUTIONS. EAST, INC., Owner
BY
TITLE
DATE
FORM 2D1-REV 02/05
AMENDMENT TO COST PER COPY RENTAL AGREEMENT
In regard to that certain Cost Per Copy Rental Agreement Number ('Agreement"),
by and between TOWN OF SOUTHOLD, Southold; New York, ("User") and CANON BUSINESS
SOLUTIONS - EAST, INC. (.Owner'), ooth User and Owner, intending to be legally bound, lierebyagree
as lollows: .. -
, Section 2 TERM AND RENT: Delete the following
Ifany payment is opt paid hereunder by you when due, you shall be charged a late fee of
ten per cent (10%) of the amount of such payment, plus interest on such amount at the
rate of 1.15% per month from the due date until the date paid, but as to each of the
" foregoing, in no event more than the maximum rate permitted by law.
Section 7 INDEMNITY shall be reinstated in its entirety and amended as follows:
7. INDEMNITY: We are not responsible for any losses or injuries caused by the
installation, removal or use of the Equipment except those due to our gross
negligence. You agree to reimburse us for and to defend us against any claims for
losses or injuries (including attorneys' fees and costs) caused by the Equipment.
Section 10 DEFAULT AND REMEDIES: Reinstate into the 6th and 7th lines the following
crossed-out language:
....plus the present value of the remaining MMR payments for the unexpired term of this
Agreement or any Schedule hereto discounted at 6% per annum and/or the lowest legal
rate ....
Section 10 DEFAULT AND REMEDIES, delete the phrase .although you agree that we are not obligated
to do so. from subsection (iii).
User agrees and stipulates that reproduction of this Agreement by means of a reliable electronic form (by
photocopy, facsimile or otherwise) shall be admissible in evidence as the original itself in any judicial or
administrative proceeding (whether or not the original is in existence and whether or not the reproduction
was made by the Owner in the regular course of business, and that an executed copy of this Agreement
bearing Owner's original manual signature and User's signature (eilher an original manual signature or
such signature reproduced by means of a reliable electronic form, such as a photocopy or facsimile), shall
be marked .Original. and shall constitute the only original document and be binding upon User for all
effective purposes.
Unless specifically identified in this Amendment and Rider to Master Lease Agreement, all other terms
and conditions of the Agreement shall remain in full force and effect. _0
LESSEE: .
TOWN O%OLD
By: 0 ~~
LESSOR
CANON BUSINESS SOLUTIONS - EAST, INC.
By:
Name:
Scott A. Russell
Name:
Tille: Suoervisor. Town of Southold Title:
Date: 1/18
,20.lI.2-
Date:
,20_
vA;11 EN j)
'fnlS-IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2006-895 WAS
ADOPTED AT THE REGULAR MEETING OF THE SOUTH OLD TOWN BOARD ON
NOVEMBER 21, 2006:
.A.-~
Rl
I-~-."
r. Ai'I.
DOC ID: 2301
RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs
Supervisor Scott A. Russell to execute an al!reement with Canon Business Solutions - East
Inc. in connection with the lease of one (1) Canon IR2270 copy machine for use by the Southold
~ 1 U16 .:J () /. .5'9
Town Recreation Department at a monthly cost of ~_. .2 for a period of 48 months from date
of installation, all in accordance with the approval of the Town Attorney.
a~ _J ~Cl.r;,-;II...
Elizabeth A. Neville
South old Town Clerk
RESULT: ADOPTED [UNANIMOUS]
MOVER: William P. Edwards, Councilman
SECONDER: Louisa P. Evans, Justice
AYES: Evans, Wickham, Ross, Edwards, Russell, Krupski Jr.
Neville, Elizabeth
From:
Sent:
To:
Subject:
Reeves, Ken
Wednesday, January 17, 2007 2:44 PM
Neville, Elizabeth
FW: Canon Proposal
Attachments:
Canon ProposaI1-07.pdf
II
Canon Proposal
1-07.pdf (7 KB)..,
Hi Betty'
Craig from Canon got i w nd forwarded the attached proposal to me. I
would like to add the additional $lB.74 for the prin oar.
He said last time he received something from your office with a town stamp on it and
signed by, I believe, Scott.
Would you mind contacting him directly as he wants to get this done as soon as possible.
Thanks,
Ken
-----Original Message-----
From: ctardo@solutions.canon.com [mailto:ctardo@solutions.canon.comJ
Sent: Wednesday, January 17, 2007 12:27 PM
To: Reeves, Ken
Subject, Canon Proposal
Ken,
I attached the one page proposal for the Canon Copier.
with a Document Feeder, Internal Stapler Finisher, Cabinet
and a Surge Protector. The contract includes 4/000 copies per
the overage (cost for copies over the 4,000 copies included) is
listed the print option below the price for the main unit.
You could always add the print board on at a later date.
The machine comes configured
month and
now $.0126 per copy.
I
If you would like to go ahead with this, I can write up the paperwork and get it out
to you office by tomorrow. Let me know.
Thank you,
Craig Tardo
Major Account Division
Canon Business solutions
a subsidiary of Canon USA
516-328-4032
(See attached file, Canon Proposal 1-07.pdf)
1
. .
-
A Canon Proposal for
0.001
Town of Southold
182'85
18'74
Recreation
201 '59
Requirements:
New Requirement for Copier
Need Feeder, Stapler Finisher and Cabinet
Copy Volume estimated to be 3,000 per ml
Recommended New Copier
CanonlR2270
Digital Copier
22 Pages Per Minute
Stapler Finisher
Automatic Document Feeder
1,150 Sheet Paper Supply
Cabinet
Optional Accessories:
Printing ,Scanning, Faxing
INVESTMENT OPTIONS
Delivery, Installation and Training of New Machine
fNYES
36 Month 48 Month 60 Month
Lease Lease Lease
Model
Accessorieslnduded
1R2270
Document Feeder,
Stapler Finisher, Cabinet
$211.23
$182.85
$163.37
Includes Service & Toner 4~OOO
co les r month
Quarteriy Overage At $.0126
36 Months 48 Months 60 Months
rOptionalPrintBoard $22.76 $18.74 $15.99
Add to above lease price for printing
1/1712007
.
COPIER MACHINE PROFILE
(/)
a:
z w
a: oll...J CD
0 .-: w :iE
ci i= :J WW ::::l
<( D.. D.. ~c Z
z 0 W D.. <(0
0 C ::::l :iE:iE ...J
<(
...J (/) ii:
W
(/)
1 Southold Main Office Canon Business Canon IR5020 JCT07316
Solutions
2 Southold Main Office Canon Business CanonlR5020 JCT07621
Solutions
3 Southold Main Office Canon Business Canon IR5020 JCT18854
Solutions
4 Southold Main Office Canon Business CanonlR5020 JCT18866
Solutions
,
5 Southold Main Office Canon Business CanonlR2870 KGCOO278
Solutions
6 Southold Dept. of Justice Canon Business CanonlR5070 SXP17589
Solutions
7 Mattituck Human Canon Business CanonlR2270 SLH23659
Resource Ctr. Solutions
8 Peconic, NY Recreation Canon Business CanonlR2270 SLH33890
Solutions
9 Cutchogue, NY Solid Waste Canon Business Canon IR1023N TJE01121
Solutions
,
,
,
v
canon
CANON BUSINESS SOLUTIONS
Canon Business Solutions-East, Inc.
300 Commerce Square Blvd., Burlington, NJ 08016
(800) 220-4000
DEAR VALUED CUSTOMER:
As the technician performing service on your Canon multi-function product,
I would like to present to you this sample of the copy quality your machine is now
producing.
Total Customer Satisfaction is our highest priority and each of us at Canon
Business Solutions-East, Inc. is fully committed to the achievement of that goal.
Canon Business Solutions-East, Inc. stocks a complete line of Canon brand
supplies. These supplies are manufactured under strict quality control specifically
for the Canon products. Our Supply Department is available to help you choose
the best supplies and the most economical way to purchase those supplies for
your product. You may contact us directly at 1-800-355-1390.
The Canon brand supplies can help to keep your office product investment at
peak operating conditions throughout its life.
If I, as a Canon Business Solutions-East, Inc. Technical Representative, may
be of any further assistance to you, please feel free to contact me.
Technician's Name Date
canon Packing List
CANON BUSINESS SOLUTIONSPage. 1 of t 11111111111111111111111111111111111111Canon Business solutions•East,Inc.
A01 Burlington Dock
1817 ROUTE 130
BURLINGTON,NJ 08016
Packing Slips 825241
Print Date February 9,2007 11:57
Scheduled ShipDate February 9,2007
Bill To: 1030528 Ship To: 1047792
CITICORP VENDOR FINANCE OM ONLY SOUTHOLD,TOWN OF
1 INTERNATIONAL BLVD 970 PECONIC LN
MAHWAH,NJ 07495 RECREATION 1ST FL
PECONIC,NY 11958
Alin.KEN REEVES(631)765.5182
Orden# Customer P.O. Entered By Sold By Ship Via Warehouse Delivery Number
1684126 200316175 CPC D01991 TARDO,CRAIG V Truck A01 5682309
Sales _-_ - _.1 Order Ship _--
Order Una Item It Lot N Description Serial 8 Oty_ B/O Sub In� Location
1.1 9534A054 AA IR 2270120V SLH33890 1 1 0 STAGE
2.1 9560A002 AA DADF-N7 TKO68330 1 I 1 0 STAGE
3.1 9563A001 AA FINISHER-S1 THO90405 1 1 0 STAGE
4.1 9669A003 AA CABINET-PI 1 1 0 STAGE
5.1 9593AO0S AA MULTI PDL PRINTER KIT El 1 11 1 0 STAGE
FOR 70 SERIES
6.1 0287V675 D5131NT ESP LINE 1 1 0 STAGE
CONDITIONER ESP LINE
CONDITIONER 120/15
7.1 11023V284 BLACK&WHITE LOW VOLUME 1 1 0 STAGE
(IR2020,I1`12230,I112270)
14.1 I9629AO03 AA GPR-15TONER 1 1! 0 STAGE
15.1 19629AO03 iAA GPR-15TONER 2 21 0 STAGE
I
1 '
I
Comments CONTACT:KEN REEVES 631-765-5182.
Picker Cartier
LSD
e
Checker ....,. tureTotal Pieces
• Customer Acceptance
I acknowledge that I have received all items listed above In good condition. Customer signature required for all equipment deliveries
X
Customer Signature Date
Pdnted Name
SHIPPING COPY
' .. :n a �j.. ' r'-: ::."-�` 'ai:`•"'-._.• `. ., '
�a"rr -East
�GONtttlA' i( N — NYfCT-
0Da
ADbABSS: ''-DOWN
FLOOR/SU1T8# D
$OURS: 'I'o{ Ems.'
I,pApINGp6CIO3CIIQ ELEVATOR:YIN -
.-� LOA� �'ARBA:'ADDBI�SS- "
1'RO3'SRYQWBRIOUTLE�(See.OaR� C2wt :.
RRONT I CK I SIDE STEPS YIN. INSIDB_OUTSIDB•T•; '
CROSS'STRBBT
COIF W1M(NAME DAT$/TIlM.
INSURANCtC$RT Yo MASUNl1M
PICKUP AT TOM OFDMJMY: UN TM
SPBa1AL MMUMONS l COMDItSNTB
Ape
§ EAM:
press,Inc. AFIF'l/ T`3 IF.el�.11 1 I'01TI111,111-1) I()
113S R I'lFf" f I�.1..HCr't ION'i 14:1-JAIJ)
12D SWASW DOW I UUi WF DID
A::
SK@w^NmJw"u 17 ft-,l J.Ap:=XO�X)l,.com
Xx)
THANS NO RE� NO ISO NO I '11SC 2
L15C7i}:L:iGfl Pd 777�7
F POA,! SOL)I t-101.. 1(.)Lkllll
R I"ll ,, WO C"REY-11.1011
0 KiURII :f.KK i y 01,
Pl: CZ)N FG Hy :1. 1.9,'N�
. ".1.1 65 511.82,
Kull RIANE"3 " " "�', �: � .1.
CUSTOMER INSTRUCTIONS INFO NOT SHIPPER INSTRUCTIONS
I I It t f I,I I
No Pif(AS DE SCRIP I ION WLIGHI DRIVI It FIFPORT
A 1 1, C :'.\ .I c, ;,I 1,i ur: x
ok C,4,10;! J'X:N 1. 1". ......- ...........
CAI'lol'i 1 !Hl':Ill F;2
03, y
K! F J
If I: -
li 'VI( F COLL,
"All Il CF, if 0111 v(A...I'myll 'Al I
10
pf A ffnIll.k:iwinq pt a I,W..f,i;:
ct T'}1 I ilii.-. tl.onv-., at ld i i Fy:
tbc' Snd oy oixch
a Lf,' -()u I, Lal .4 I's F i.
"ot'll COM 1:) kqlri I
(:.;.I Li f)n C)s. f I l.., I I j.I u(--
to t.H yok.kl L-ic I <�ulle
A;.k I I-, x t)r' d
p; :1. lov at fax col 11:i.I (:m t
Tax R j.I)cl ud j.1 (1 k b f::f W
vq, 1-holi't I. %;,.,I t k.o?r Amg at
1. U)
TOTAL P U DRIVER TRUCK NO. DATE SIGNATURE DEL DRIVER TRUCK NO.
METER NO.I METER NO.2 METER NO.3 i. METER NO.4
LIABILITY.UNLESS OTHFRWI.qF.qPFr.IFIFn IN wRITINA I JARII ITV J.q I IMITpn Tn A UAYI&AI IM nV t Rkk PCP onl leen DCO.10TIll
Ca-HO-H FIELD SERVICE REPORT
CANON BUSINESS SOLUTIONS
Canon Business Solutbns.East,Inc.
300 Commerce Square BIM.,Burlington, NJ 08016 0ANcHrzONIE CODES
(800)220-000
TASK NUMBER �'--�-L-INE SERU�LL NUMBER TECH NUMBER
L=�J
SNIP TO NUMBER ' �MO\DEL BILL TO NUMBER
J�V�"\o I TRAVELTIME
COMPANYNAME ///��� TELEPHONE HR MIN
cV o( ��(oo �.qj V A_ �� 0 LABORTIME HR MIN
SER�CE ADDRESS NUMBER 1 STREET C'(•�CITY 4 TOTAL TIME
•L HR MIN
CONTACT NAME AREA $TAYE ZIP
ARRIVAL COMPLETION DI PATCH CODES REPORTING CODES
0 It D ( I o--f C
AiE LIME TME TYPE WL PPOaLEY ccaec1 REASp1 LO WN
CML
PARTS USED:
PART NUMBER PART DESCRIPTION CITY UNIT AMOUNT TOTAL AMOUNT
I i
PARTS FOLLOWLP PARTS MOVE NUMBER
PARTS ORDERED: TASK NUMBER
PART NUMBER DESCRIPTION CITY PARTNUMBER DESCRIPTION QTY
METERS FOR COLOR ONLY
COMMENTS: ` (' I \ ( I M uT BK OUT
METER IN SK IN T
F El
TESTCOPIES
x
T SCANS SK TEST
n
PA NT 06V&
U TOTAL
TECHNICIRN SIG ATUREDATE C PARTS CHARGE
� 1A8011 CHARGE IIXR MMI
C.O.D. { MR
P.O.# Check p
SUBTOTAL
I.
CATON41iSIGNATURE DATE TAX
TOTAL INVOICE
CUSTOMER NAME(PRINT)
Revision 3.0 6/172004
CUSTOMER