HomeMy WebLinkAboutCannon Business - Solid Waste Dist· 'Southold Town Board - Letter Board Meeting of Mamh 9, 2010
RESOLUTION 2010-221
ADOPTED
Item # 5.25
DOC ID: 5771
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2010-221 WAS
ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON
MARCH 9, 2010:
RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs
Supervisor Scott A. Russell to execute a lease agreement with Canon Business Solutions~
Inc. to supply the Solid Waste District with a Canon IR1025if copier/scanner in the amount
of $70.13 per month for 36 months beginning April 1,2010 through March 31, 2013, subject to
the approval of the Town Attorney.
Elizabeth A. Neville
Southold Town Clerk
RESULT: ADOPTED [UNANIMOUS]
MOVER: Albert Krupski Jr., Councilman
SECONDER: Christopher Talbot, Councilman
AYES: Ruland, Orlando, Talbot, I<rupski Jr., Evans, Russell
Generated March 10, 2010 Page 45
CANON BUSINE~ SOLI~ONS
Canon Business Salutiens, Inc. ("CBS")
300 Commemce Square Blvd., Burlington, NJ 08016
613-2228
Customer Account:
Town of Southold
Address: 53005 Main Road
City: Southold
Stats: New York zip:
Contact: Bett~ Nevfile Phone #:
11971
~ompany:
~ddrass:
ACQUISITION AGREEMENT LEASE OR PURCHASE
# 799598
Tardo Order Date: 3/9/2(~) ~0I
Town of Southold / Department ef Solid Waste
6155 Cox Lane
~ty: Cutchogue
~tate; New York
3ontact: Valede DefOe
Zip: 11958
Phone #: 631-754-7685
Fax#; ~ ~mall Address: ~ Il ~ . Fax#:
b~ Yo~J agree to lease 1he items listed below or in any addendum(s) to this Agreement from the Leasing Con3pany identified below, at the fixed
periodic leaSe payments Indicated below or in any addendum(s) to this Agreement and for the fixed term specified in the lease agreement
between you and the Leasing Company. Delive~J to you of the items specified is contingent on you signing a [ease agreement with the Leasing
- Company,
[] Canon Financial S~rvtcas [] Other (Name of Leasing Company):
[] You agree to pumhase the Items listed below or In any addendum to this Agreement, for the pumhase prioa specified,
The "hill to" tor the terms listed Is the Leasing Corepany or tile Customer, depan[llng on which box is checked above.
PLEASE PRINT
25868001
0287V675
1023V293
ma~eRUNNER 1025iF
DIGITAL QC 120/15 NETWORK POWER FILTER
Deliver,/and' Installation
Payment Terms:
[] Check WithOrder
[] Net 30
[] Other
[] Credit Card: Visa []
CC #
Name on Credit Card
Shioo~na InatrucBone:
Ship Via:
Elevator Yes [] No []
Loading Docs Yes [] No []
Check
Mastercard [] Amedca~ Ex~oress []
Expiration Date
3thsr Reauiremants:
[] P.O. Required /
P.O. #
[] Tax Exempt
(Attach Cedfficate)
]Customer De~nes
Maintenance Agreement
Phone Earliest Date for Delive~
$70.13 Per Month
36 Month Leas~
By YOUR SIGNATURE BELOW, YOU AGREETO LEASEOR PURCHASE, ASSPEi~P.~ n ABOVE. THE ITEMS MSTED ABOVE OR IN ANY ADOENOUMI ITO THIS AGREEMENT, YOU
ACKNOWLEDGE REOEIPT OF A COPY OF THIS AGREEMENT, CONSISTING 0 PAGES INCLUDING THiS FACE PAGE. THE ADDITIONAL TSRMS AND CONDITIONS ON PAGE 2
HEREOF AND iN ANY ADDENDUM(a) HERETO ARE iNCORPORATED AND ~(O/F~ART OF THI~/~ RE EMENT..~/
SL3;-OO4 January, 2008 CBS
Supplemental Addendum
Tolal $
Balance Due $
{~pstorne~ I,"T Information!
Name
Phone
ADDITIONAL TERMS AND CONDITIONS
These are the aedl§onal terms end conditions refarTed to on the face
page to which they are affached. Such face page and addendum(s),
coNectively with these te~ns and conditions, the "Agreement.'
1. LEASE OR PURCHASE PRICE AND PAYMENT. You agree to
lease or pumhase the untie of equipment and suppties (the
"Equipment') and licenses of applicaUon software wtih third party
and delJve~,/Instellatien charges, is due and pbyeb[e In accordance
supplies or software ~tof supptied by CBS and wflich cause abnonmaliy
Ihe Equlpmen~ (v) accident or c~sualty, and (vi) etecldcal power
(c) re.-insta~tetion of the Equipment.
YOU EXPRESSLY ACKNOWLEDGE THAT THE LIMITED
SLS-0~4 January, 2008 CBS
TO YOU WITHOUT RECOURSE ANY END USER WARRANTIES
MADE BY THE MANUFACTURER OF THE LISTED SOFTWARE OR
ANY NON-CANON BRANO EQUIPMENT. CBS MAKES NO
WARRANTY, EXPRESS OR IMPLIED, INCLUDING IMPLIED
WARRANTIES OF MERCHANTABILII~ .ds~dD FITNESS FOR A
PARTICULAR PURPOSE, WITH RESPECT TO LISTED SOF1WARE
OR WITH RESPECT TO NON-CANON BRAND EQUIPMENT.
O~-IER 'I~IAN AS SST FORTH IN THIS PARAGRAPH 2, CBS
EXPRESSLY DISCLAIMS AND EXCLUDES ANY AND ALL
WARRANTIES, EXPRESS OR IMPLIED, INCLUDING IMPLIED
WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A
PARTICULAR PURPOSE RELATING TO THE USE OR
PERFORMANCE OF THE LISTED ITEMS,
3. SECURITY. ~s security I'Or I~e paymmlt of afl amounts due lo
CBS, you hereby grant [o CBS a eecudLy thteresfc in the Listed Ilams.
:ia the extent pamfllted by applicable law, you hereby authorize CBS
to tite with the aopropdate governmental authorities any and alt
financing statements necessary to evidence or perfect CBS' secudty
interest in the Listed Items.
4. MMITATION OF UABIUTY. CBS SHALL NOT BE LIABLE
FOR PERSONAL INJURY OR PROPERTY DAMAGE UNLESS
CAUSED SOLELY SY CBS' NEGLIGENCE. CBS SHALL NOT BE
LIABLE FOR LOSS OF PROFIT OR OTHER SPECIAL, INDIRECT,
INCIDENT. N. OR CONSEQUENTIAL DAMAGES ARISING OUT OF
THE USE OF OR INABILITY TO USE THE LISTED ITEMS,
REGARDLESS OF THE LEGAL THEORY ON WHICH THE CI~IM tS
BASED AND EVEN IF CBS HAS BEEN ADVISED OF THE
POSSIBILITY OF SUCH DAMAGES.
CHOICE OF LAW AND FORUM. THIS AGREEMENT SHALL
BE GOVERNED BY AND CONSTRUED IN ACCORDANCE WITlt
THE LAWS OF THE STATE OF NEW YORK. YOU CONSENT TO
THE EXCLUSIVE JURISDICTION AND VENUE OF ANY STATE OR
FEDERAL COURT, LOCATED WITHIN THE CITY OF NEW YORK
UPON SERVICE OF PROCESS MADE IN ACCORDANCE WiTH THE
APPLICABLE STAT{J~ES AND RULES OF THE STATE OF NEW
YORK OR THE UNITED STATES. ANY AND ALL SUITS
COMMENCED BY YOU AGAINST CBS, 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 THEC~ll TY OF NEW YORK. YOU HEREBY
WAIVE OBJECTIONS AS'TO VENUE AND CONVENIENCE OF
FORUM. ANY SUIT S~EEN THE PARTIES HERETO, OTHER
THAN ONE SEEKING PAYMENT OF AMOUNTS DUE HEREUNDER,
SHA(.L BE COMMENCED, IF AT ALL, WITHIN ONE (1) yEAR OF
THE DATE THAT THE CLAIM ACCRUES. THE PARTIES
IRREVOCABLY WAIVE ANY RIGHT TO A JURY TRIAL IN ANY SUIT
BETWEEN THEM.
6. GENERAL. This Agreement shati be hthding upon you when
you $ig~ this Agreement, and shall be binding upon CBS upon
acceptance hereof in writing by CBS or (ii) shipment by CBS of ~ny of
affect your ~tgh{s or CBS' obligations hereunder. ,edly pumhase order
any terms therein which C~lflict with, vary from or supplement the
provisions of this Agreement shall be deemed null and void. No
representation or etatement not contained on the original of this
Agmemeof shall be binding upon CBS as a warranty or othen~$e, nor
signed by you and an officer of CBS. You may not assign this
assignment without such consent epati be null and v~d. You expressly
dl~aim having retied upon any representatloe or e~a~ement
concerning the capability, condition, operation, performance or
apaclflceflorm of the Listed Items except Io b~e extent set forth on the
odgthal of this AgreemenL
7. ELECTRONIC ACCEPTANCE, you agree {hat CBS may
accept an elechon~c image of this Agreement as an origir~al, and that
Canon Business Solutions, Inc.
ACQUISITION AGREEMENT ADDENDUM
Customer:
Town of Southold
Street Address:
6155 Cox Lane
Term of Agreement:
IEqulpm~t Descrtptlon.
(1) o261!
Related ~cquisl~len Agreement Number:
799598 ,,
City: Slate:
cu.=,o,.. I
11935
WHEREAS, Canon Business Solutlo~s. Inc. ("CBS"), and the above-described Customer ("You') have determined that it is in
their mutual benefit to enter into this Acquisition Agreement Addendum ("Addendum') to the above-described Acquisition Agreement
("Agreement"), All capitalized terms used below that are not defined In this Addendum shall have the meanings set forth in the
Agreemsnt.
NOW, THEREFORE. for good and valuable consideration, intending to be legally bound, the parties hereby agree as follows:
1. Anylhlng in the Agreement to fha contrary notwithstanding, and subject to ail of the terms and condlttons ssf forth In this
Addendum, the lerms and conditions of the Agreement shall be modified as follows:
a. Se~ion l(a): Delete enllre section.
2. It Is expressly agreed by the parties that this Addendum Is supplemental to the Agreement, and that the provisions thereof,
unless specifically modified herein, shall remain in full force and effect and shall apply to this Addendum as though they were
· expressly scl fodh herein.
3. In the event of any confllcf or inconsistency betv~en the provisions of this Addendum and any provisions of th~ Agreem6nt,
the provisions of this Addendum shall in all respect govern and control.
IN WITNESS WHEREOF, the parties have caused this Addendum to be executed on the dst. dst forth below,
By: By:
Canon
CANON BUSINESS SOLU11ONS
Canon Uoslness Solutions, inc. ('CBS')
300 Commerce Square Blvd., Burlington, NJ 08016
tOO) 813-2228
ADDENDUM TO ACQUISITION AGREEMENT
No. ?g0~a (the "AGREEMENT") -
TRADE-IN. RETURN OR BUY-OUT REIMBURSEMENT
zip: 1rlfi58
j~hone#: (631) 754-7685
$ to be paid under the clrcumsiances described below. Payable to: [] You [] Canon Financial Services [] CIT
Please select one:
[] Trade-In
] Ship Return Equipment to setected Leasing Company
[] Canon Financial Services [] CIT
[] Return Equipment to CBS. od0~.~ orM Dm
[] Other
Plck-Uo Informatlgl~:
[] Same Date es Deliver/of Listed Items specitied on the Agreement,
] Other Specified Date: I I
(but no longer than 30 day~ after delivery of Listed items under Agreement)
Contact Name: Phone;
E-Mall:
Special Removal Inslruations:
Canon IR1023n
rJE01121
You have agreed to acquire fi.om CBS ce~ath Listed Items pursuant to tho Agreement conespondlng to this Addendum, and further agree, by your signature
below~ as follows:
I. If Buy Out Ralmbumemant is selected aboveLThe Buy-Out Reimbursement indicated above will be paid directly to the designated party by CBS upon
thstalledon and testing of the Usted Items and payment to CBS (by you or by the Leasing Company) nt the pumhese price for the Listed Items. The Buy-Out
Ralmburcemout Will be paid for the sole purpose of ralmbumement of eady termination cha~ges or fees and associated expenses payable for (a) eady
termination of the lease of the Trade-la or Return Equipment or for other equipment being replaced by the Listed Items under the Agreement, (b) rermenclng
the lease of other equipment or (c) preparation of the site for installation of IJstad Items. You acknowledge and agree that CBS' tinancial obligation is limited
to the Buy-Out Reimbursement amount, and that you are responsible for any other obligations, including any charges which are not covered by the Buy-Out
Reimbumernent.
2. If Trade-in Equipment or Return to Leasing Company is selected above: You hereby aathorize CBS to pick up the Trade-in or Return Equipment listed
above. You agree to pay CBS' removal charges If, on the date specified above, the Trade-in or Return Equipment is unavailable for pickup and removal
through no fault of CBS. [f Trade-in Equipment Is to be conveyed to CBS, you represent that CBS wlli receive good and marketable title to each unit of Trade-
In Equlpmanl. free and ctear of any and all liana and leseshold Interests. If, for any reason, you fall to deliver Treda-in Equipment ID CBS on the relevant date
specified above, you shall refund to CBS, pmmp8y upon receipt of CBS' Invoice, the full smounl of any &ada-in cmcllt reflected in the Agreement (which
amount shall equal the fair market value of such Trade-In Equipment, es datannined by CBS), If Return Equlpmenl iD fo be shipped to the Leasing Company
specified above, CBS' sole obligation is o use commercially reasonable efforts to pick-up and remove the Ratum Equipment and fo arrange, on your behalf
and at CBS' expense and risk (but only to the extent of obvious damage In Iransit). for the shipment of the Ratum Equipment to the Leasing Company.
T.,s ADDE.DUM B. LL ECO.E EFFeCT,YE AND B,.D,N *S.. OV,OED ,N fi OF T .MS CON , , DF
Customer's Aulhor~zed Signature ~ ~ ~ '~-~ - ' i /
NON-CANCELABLE RENTAL AGREEMENT Canon Financial SerYIces, Inc. ("cFs")
CF$-1079 (02/08) 149~4 Co]lectlm~s Center Dr.
c^.o. uS . ss so u o.s ,
Town of Southold ("Customer~
I
Canon IR102~f t.000 N/A $.0216 N/A $70.13
ACH [] YES I~.0 I I: I:
THIS AGREEMENT IS EFFECTIVE ONLY UPO~ SlOI~NG BY BOTH PARTIES. THIS AGREEMENT IS NON-CANCEL~L~ BY CUSTOMEP. CUSTOMER REPRESENTS THAT
AU. AC110N P~QUIRED TO AUTHORIZE THE EXECUTION OF THIS AGREEMENT ON BE~N.F Of: THE CUbq'OMER BY THE FOLLOWING SIGNATORIES HA~ BEEN TAKEN.
ACCEPTED [ AUTHORIZED CUSTOMER SIGNATURE
CANON FINANCIAL SERVICES, INC. / a~ X 1~,e:
ACCEPTANCE CERTIFICATE
TERMS AND CONDITIONS
PERSONAL. GUARANTY
ALL PURPOSES ~ 0~EMED A CO~/IJ &NTERED INTO iN n
C nOll
Canon Financial Services, Inc.
Addendum to Agreement
for Application 641355
WHEREAS, Canon Financial Services, Inc. ("CFS.) and Town of Southold ("Customer.) have determined
that it is for their mutual benefit to enter Into thisAddendum (~Addendum'~ to the Lease Agreement
(whether designated a Lease, Rental Agreement, Master Lease, or otherwise) ("Agreement") for the lease
or rental of cedain equipment ('Equipment').
NOW, THEREFORE, for good and valuable consideration, intending to be legally bound, the parties
hereto hereby agree as follows:
It is expressly agreed by the parties that this Addendum is supplemental to the Agreement and that the
provisions thereof, unless specifically modified herein, shall remain in full force and effect and shall apply
to this Addendum as though they were expressly set forth herein.
in the event of any conflict or inconsistency between the provisions of this Addendum and any provisions
of the Agreement, the provisions of this Addendum shall in all respect govern and control.
The terms and conditions paragraph(s) in the Agreement are changed as follows;
2. AGREEMENT PAYMENTS. Paragraph 2 is amended by deleting the 2nd sentence "Once in each
twelve (12) month period following the first anniversary of this Agreement, the Service P, rovider whose
name and address is indicated herein has the right to increase both (i) the Monthly Base Charge and (ii)
the Per Image Charge in an amount not to exceed tilteen percent (15%) of such charges where were in
effect immediately prior to such price increase."
10. INDEMNITY. Paragraph 10 Is amended by deleting the paragraph in its entirety and replacing
with 'CFS is not responsible for any osses or InJuriss caused by the installation, removal or use of the
Equ pment except those due to CFS gross negligence. Customer agrees to reimburse CFS for and
defend CFS against any claims for losses or injuries (including attorneys' fees and costs) caused by the
Equipment."
17. LATE CHARGES; EXPENSES OF ENFORCEMENT. Paragraph 17 is amended by deleting
the paragraph in its entirety. Customer will be late charge exempt.
Customer agrees that CFS may accept a facsimile copy of this Addendum as an original, and that such
fa~simile copy will be treated as an original for all purposes. THIS ADDENDUM SHALL BE EFFECTIVE
WHEN IT HAS BEEN SIGNED BY CUSTOMER AND ACCEPTED BY CF$.
CANON FINANCIAL SERVICES, iNC. TOWN OF SOUT/~IOLD~
ay: ~'~.
Title: , By:
Date: Printed I;l~me:
Title: ~ ~ ~'c ~ - .,
¢ anon
CANON BUSINESS SOLUTION5
Service Provider Terms and Conditions
Canon Financial Services ("CFS") Cost Per Copy Agreement
I. TERM. Canon Business Solutions, Inc. ('CBS") shell provide
maintenance on the Equipment Included in the CFS Coat Per Copy
A4amoment ('CFS Agreement') for the term of the CFS Agreement,
insiuding any applicable renewal term, beginning on the date of
tnst allalton. Capitalized terms not de§ned herein shall have the
meaning sst forlh In the CFS Agreomeet. ·
2. CHARGES. Base Chaq;leS and Per Image Charges, including
Images In Excess of Covered Images, shall be invoiced-th
accordanoe with the CFS Agreement.
(a) Toner inclusive Service includes replenishment of Supplies
specified in the CFS Agreement and are for exclualve use with the
Equipment. If Customer's usage qf loner exceeds manufacturer
specifications for conventional coverage by more than 10%, CBS
may advise CFS to invoice Customer directly for such excess toner.
Customer may purchase additional toner from CBS if required during
the term. CuStomer shall hear all risk of toss, theft or damage to
unused Supplies, which shall tomato CBS' property and shall be
retained promptly upon termination of this Agreement.
(b) If Customer has specified the Fleet Guaranteed Copy plan
in the CFS Agreement, the Base Charge and Ihs Covered images
shall apply to the fleet of Equipment, irrespective of the usage of
individual units of Equipment in the fleet
(c) Unless ofhe~wiss indicated on the CFS Agreement,
Customer authorizes CBS to uss the imageWARE Remote feature of
the Equipment to mcalve software updates end transmit use and
service data acoumulatod by the Equipment over Customer's
ne[work by means of an HTTPS pmtocal and to stem, analyze and
use such data for purposes related to senddng the Equipment and
product improvement. You acknowledge that [he charges set fodh on
the CFS Agreement for all ImageRUNNER Advance models using
imageWARE restate are contingent on tho continued uso of
tmageWARE Remote dudng the tenn. If you at any time disconnect,
disable er deny access to this feature, CFS may increase the monti~y
bass charge for such items as fotiowa; 5% x (covered ~mages x per
image charge in excess of covered Images). In addition, the per
image charge in excess of covered images shall be In~eessd by 5%.
Tha monthly base charge and the per image charge In excess of
covered images will be increased for any subsequent bitting pedod in
which this feature remains non-oparaUonsi.
(d) Customer agrees to provide meter readings to CBS, if
applicable, in accordance with the Meter Method end/or Meter
Reading Frequency spec~tied in the CFS Agreement and CBS'
normal procedures. If you selected CBS' eManage wet)site, you
shall complete CBS' registration process governing access to and
use of such webabe. CBS may change Customer's Meter Method
and/or Meier Reading Frequency from lime to time upon 60 days
notice. If CBS does not receive timely meter readings from
Customer, Customer agrees to pay Invoices that reflect CBS'
estlmetes of meter readings. CBS resswee the right to verify the
accuracy of any meter readings from time to time, and to advise
CFS to make appropriate adjusimenls to Customer's account on
Customer's next invoice.
3. COVERED SERVICE, CBS shall provide all routine preventive
maintenance and emergency service necessary to keep the
Equipment in good working order in accordance with this A4;Ireement
and CBS' normal practice. Such service shall be performed dudng
CBS' local regular business houm (8:30 A.M. to 5:00 P.M. Monday
through Fdday, except holidays),
(a) Customer shall afford CBS reasonable access to the
Equipment to pedorm on-site service. Customer acknowledges thai
CBS may not be able to provide malntonanoe for Equipment oulside
of CBS' ssrvicing tardtorY. Parts or Equipment replaced or removed
by CBS in connection with maintenance services hereunder shall
become the property of CBS and Customer dlaalalms any Interest
therein.
(b) CBS shall make available to Customer, from time to time
and al prevailing prices II any, upgrades and bug fixes for the
"Software' (including. the eeitware ticeneed as part of the
Equipmeel and the application software programs specified in the
CFS Agreement) as are provided to CBS by the suppliers of the
Sol[ware. CBS shell also use reasonable efforts to provide Level I
support on the Soitware. Level I support consists of providing
halpdtoe telephone assistance in operating the Software and
identifying service problems, facilitating contact between Customer
and the supplier of the Software to rectify such problems and
maintaining a tog of such problems to assist in t~acldng the same,
Customer acknowledges that CBS is not the developer el any of the
Software and other than the foregoing, CBS supped for the
Software is nat provided under this Aareement. Support from the
Software developers II~ay be included within the price for the license
separately priced supper contracts, and in either case such support
wtil be provided from the Software developers subject to the terms
4. NON-COVERED SERVICE. The following services, and any
· other work beyond the scope of this Agreement, shall be invoiced in
accordance with CBS' then cun~ent labor, parts and supply charges:
(a) replacement of any consumable supply llem, including, without
(except for toner inclusive smvice to the ex'lent provided in
Subparagraph 2(a) abuve~, other media, print heads and puncher
diee; (b) repairs necessitated by factors other than normal use
Inoludieg, withoul limitation, any willful aqt. negligence, abuse or
are not supplied by CBS and which cause abnormally frequent service
calla or service problems; ssrvice pa[formed by personnel other than
CBS personnel; accident; use of the Equipment with non-compatible
hardware or software components; electocst power maffun~on or
heating, coating or humidity mnbient conditions; (o) de*installation,
re-installation or relocation of Equipment (other than by CBS); (d)
repairs to or realignment of Equipment, and related Ireir~ing,
necessitated by changes you made to your system con§guration or
netw(xk environment; (e) work whtoh you request to be performed
outside of CBS' regular business hours; or (0 any ne[work/system
connection device, except when listed th'the CFS Agrsement,
5. CUSTOMER SATISFACTION POUCY. CBS will, at your
under this A4lreement wtih a like unit if CBS has determined, after a
reasonable opportunity to cure, that 0re Equipment is not regsireble
to the expected standard of performance. Thta policy shall apply for
3 years from the date of installation or for the initial term of any CFS
Lease, if longer, provided you are not In default of this Agreement
terminated. CUSTOMER AGREES THAT NOTHING IN THIS
SECTION WILL ENTITLE CUSTOMER TO TERMINATE TNE CFS
AGREEMENT.
SER-CPC (]23 October, 2009 CBS
Canon COST PER COPY can011
NON-CANCELABLE RENTAL AGREEMENT Canon Fmem:ial SMrDlcea,Inc.(CFS")
CFS-1079 07/08 14904 ColleUl190 Center Dr.
CANON BUSINESS SOLUTIONS ADREEMENT Chlugo,Newell BBJ
NUMBER 000 220-0P00 WWA'.dB.OanDn•00111
NAME(COMPANYLEGALNAME) D0A PHONE
Town of Southold 'Customer"
BILLINGADDRESS CITY COUNTY STATE ZIP
53096 Main Road Southold Suffolk NY 11971
EQUIPMENT ADDRESS CITY COUNTY STATE ZIP
6155 Cox Lane Cutcho ue Suffolk NY 11935
Gratamer Canted W Maker RAWIADS Plane
N units a1 different bnaklom,aft-dh Schedule. Fox
Covmel I. eslaoladad Per hare Che In MonNly Mater Mawotl
MCMIModellAeamann, Stoat Numb~ Leta Wuwl mesaCas kaw Peril c n EhnksmmeNwatl wm' �N Cberpe•
Canon IR1025if • 1,000 NIA $.0216 NIA $70.13 I
Term: 36 Months TOTAL$
Guaranteed Copy Plan: Q Individual ❑Fleet(Totals Only mqui ed) 'Rue Applicable Taxes
Serv,Jge/SupWNs In of Malar Reading Payments held as Service Provider.
[�✓]J Service Inoluding drums and toner Frequency 'Secudry Deposit":
SeMce Including drums ❑MUMMY $0.00 CANON BUSINESS SOLUTIONS
❑Other ®Quertedy Due a1 weaken
pummeled GearbM Hausa fACH�Aulhorieetlon: 9Y pmadb.Ns bebw I:rmn,ULA.rmebY euw . CFSmalAam.DmlM wNhdww earn me Tons M daWbW below an MI SlwuM 0ua
rm manwilinp pedotl.InaWtllnD enY epDIIC.Ule taxes Ord tees,an Ne sue dek.This a dhodaatlan ehel mnlxre unN Ui.noreameM expies P den wv.Nad in wdmq.
ACH ❑YES ❑NO
Fmu
HYm,anter bmme ab
dormalon in bove: BMlk U,Code and Cu pram's Aoaemt Number hots lemon d CNOL
THIS AGREEMENT IS EFFECTIVE ONLY UPON SIONMJG BY BOTH PARTIES.THIS AGREEMENT IS NONCANCEVIIIE BY CUSTOMER CUSTOMER REPRESENTS THAT
ALL ACTION REQUIRED TO AUTHORIZE THE EXECUTION OF THIS AGREEMENT ON BEHALF OF THE CUBTONM&THE FOLLON LNG SIGNATORIESHAS BEEN TAKEN.
ACCEPTED ,k ORD:E 1STOIGNTURE
CANON FINANCIAL SERVICES,INC. BX TaxTaxy. U o
BT - PM1detlNvm� /'I- 77
nk Ta+IDa: fl— ep, 000.3 % BPrwdetar,DOB:
BY:X Tibe:
DM:
Ponied Nam.:
Ib:croonFMmblFxykm,ba.fcpsT ACCEPTANCE CERTIFICATE {{
TM Ludamx oxliw Um(al tla EqulpmxA Mensa m In me ebow AMeemM ME bets nMhaa,�)eaMbaml he 6mn canPMtl,(q Ua CWemMn Aa Oven Gemma by Wiemer 911a b h Dona WBrMp mlm and
mdlm antgin■impeM,nU4cmryteew Cuebmer,WIa1 Ne EqupmeMbiinwwbBampbO bJea LueWO WMWporm WMAMamwd AvmrditN,oum hmbyaumoMMbOnwdx Nb Apemad.
Sbmeae:X Ponied now.
M I Dies:
TERMS AND CONDITIONS
1. Onkma PM: Ser ndeb 1h Namaee alg Sm lmwaa mMupus NemMd_Ude MdMawwheelbM
and DMwnx nNe Aom CFS,w1N Mpmm dbuaNw q lN(IeMwr DIIr.SUM 100.MamtlMN.NMJanIY OnSA,gOaaWOnadasudbatl abme,egdlxrMm N replaalmM pew Ona mbWiMow brand adtlLlom in aucb eMlpmeni
IUs TAWMMT,Nam Ueknmant miMlona eM balm rob RmWADnamM fApnMmeNT.
1 AdMlMBR PAYMENR Cunsonar gaeabmYb CFS,dIabD tlw 4mdU4 P/IeBIIIeM.Iq ma MoWly Baw thugs ad my Porlmrpe ChugadwahM hmN.ma(b)mol atlMr 4no..de FsnnlW hxmMww Uwk.d by CFB
fPaWmnial.Ome h eMh NMw(10 modA pedotl 40aMp Ue MaaMwxaaryd Ub aawnMa,Ua SaMw PlWdxaharnaM aMatltlnwb bObIM huab NaMdpidbbwMboU N Ne Lbn011 Bew CMgaeM m be Por maps
CMrpe b m emovM M m meed Mem pxwn1115%1 dmdl GwrymwhM waw h died hmwdbbhpdw bmGl pats baeaw.Ca11aI1nYa adyMn b mY MI dngm due wax Ada Agleemenl and N oNer obfiygone MwuMer able be
abadubeM unowdMW ant b nolmbjedbxryabMmenh,eNall,daMm,aaoaMdgnbrmylwon wlwlaoavx.
SEE REVERSE SIDE FOR ADDITIONAL TERMS AND CONDITIONS. Continued x
PERSONAL GUARANTY
rod-eMrsd,Iwnemx me a mow aw apGAM,Ue'awwMERep.in awddxubn d CMJRJ FNNNCW.SEINICEe INC.fCFS'I mlmip ado m 09ieenienM(bwmer Mm airy xhetluln a auppbme .ere
'AgmmaM'IwiU menllad above fLLabnmYilnmammy ma almnamlWy.lab//Gni nwM/.plxm4ab CFS.wabmweum xaxggm.MpwanlwMnduegWmowuaneawA«USI9 gnauNy
or opts Macalmim dm dMeu§«dMMaeleM be pwbmaro by Oammrd•pwmuee,oNMeIlEns ant bona done lgaeneM eN mYatller lnaMNlwnaeElan beMaen Dnbimrwd LYS ton liebakdl.N
Cuelmrer ehAWbmya ue Dodd Ue L4b6Ma whin ave.Ne Guammw qts.Won deans.b mY epsme,skint esu be as bpm Censurer ant b We erry Mean lsquVea under Oa Oenuwnl.Tha
Gwnnbn eBw UN mkbmaheduma Pop pwury ma Uq MYL.MM order baaman,h powr,me el M N a/aMd by my neemeM mmah.mamal err mmmwlm d roerMMamy dedmge crwhewoi
dMnah adbelma wMNer«Pod by apxela^
NanYPamanleppAaa by CFSblM lbb IMieaMrwlaade,leomknedIpi.d mM whm."ImanwmlTnasoxim dl4iLm OwbWlWby. «mgxialmdCson Wiens,
an her
Oa
LbbMke b rAgh ukl peYlneM w eppMd nsnl M the w7a UY wnp be dmmM b nye wnOnxE k ansllmoA naMmWmmnp win spplimtlm,eM Ub dal M mbimada m b exp L46mMs m M4 m B ant
WLAMbn hatl nava Mm maG.Th4 WmaYnmbebMMMaN/ byephreAtlm mkeb erg,erd ash YvmhnsW llal he aaeMaadynm enter 6dwduW,wpdenwMA aegsemmbeMwetl lMo shame
elleNwdebdbmamlon WshgndeMw CFskdphb ladx U4Gwmtla dMAenemmi"aft myrnbal.",bb mbrbate Dale.
lla(bxmbn sant ql aamapw.demantla.PeaxMlenb and noMm Mq ant nMne,my phb dwselLxd anl'aabn MamaVena,Some tlwn Ox dgmbdwarm an pM an,vuJ IT mea
apPkg44w.TM Ounnbn NrMrwgwury(g mtlm dM 4aMp dbMgMroaa
by GY am U amwblwedft n'tem y,g I.Seem"
WMw0"the ptM bM extend,4mraiagwOhnedpgrepMd
MbwwtlmteCFeb dillspent(AabnllruMl CUMamhiMameawaabpW In ON and Wer r non'tem The Ownnbn mMMmtlpm NHwrygI�enegbant adobmdMm dOrymaM.10
Mews,euMWNmaompwniedmntlwlan Wan tlw EqubmaM oOmpuuMMwamy cgbmM aewnq ant p atllud0leuMaabmxrydMapwemmt bgwpn LFS ant WbnmxamY UYO mM•nuY be mese,
gmletleMagxma by CFewMndmtlwppryryb OroaeWW�mmwM1 endYYwqq+waax�WillmIaaayyams/IllnerakpMgteg exam deark lly 0Guemly.
ALLPUPPOSES BEDEEMEDA WNIMGTmENTEREO WTO NiHESTATE Di NEW JFAB�EV.1 a .THS GUARANTY SHALLFOR
OFIHEPMfIEBU OF$ SI.000 She Jaime,WS AGREEMENT SHALL BE 00 TIED BY LAWS pWW an In OFTIESthe 7ATEOF NEW JERSEY WITHOUT
REFERENCE TO CONFLICT OF LAW PRINCIPLES.ANY ACTION BEINEFN THE GO OND CFS SHALL BE BROUGHT M TE OR FEDERAL COURT LOGATEO M THE COUNTY OF CAMDEN OR BURLINGTON.NEW
JERSEY,nit T CFS'FOIE OF LOW,IN THE STALE NTERE TNN CUSTOMER OR PMRNT IS LOCATED.TIE GUARANTOR.In UfION AND DELIVERY HEREOF,IRREVOCABLY WANE OMCTIONS TO THE
JURISDICTION OF SUCH COLKIS AND OBJECTIONS TO VENUE AND OF FORAM.THE QUAKWHIRS,BY THEIRE1ECUTIONAND HBEOF,AND CFS.BY ITS ACCEPTANCE HEREOF,HEREBY WANE MY
RIGHT M A AIRY TRW.N ANY SUCH PROCEED W GS.
The OumerdwapmtlMCFB mil ample aalherdadaMEbmavbabn dws GuamUwmwMN,aM mal bedMaaeMaanbqua dbe QwmM Wg au Mlbsl MdaamalgWlmr
ellp'n,vs.
Pd11Nd Name Slgnatim:X THIS)Dee:
Addrew' Ph":
Ponied Sgnelum:X No 71110)Oetr.
Phew: sP1P
cFSlmo(ovoel IniMals:�=