|
CANON SOWTIONS AMERICA
<br />Canon Solutions America, Inc. ("CSA")
<br />One Canon Park, Melville, NY 11747
<br />MO) 613-2228 __9911
<br />Customer ("You"); Customer Account:
<br />Company: CITY OF SOUTH BEND
<br />Address: 227 W. JEFFERSON BLVD
<br />City: SOUTH BEND
<br />County: ST JOSEPH
<br />State: IN I Zip: 46601 1 Phone #: 574.245,6201
<br />Email: do,connor@southbendln.gov
<br />LEASE UPGRADE, TRADE-IN, RETURN OR BUY-OUT
<br />REIMBURSEMENT ADDENDUM TO AGREEMENT #
<br />S0849029,01. (the "AGREEMENT")
<br />Page I of
<br />Buy-out Reimbursement
<br />$35,000,00 to be paid under the circumstances described in
<br />Section I below.
<br />Payable to: M You ❑ Canon Financial Services, Inc.
<br />Reason for check Issuance: Ricoh Lease Payoff
<br />Lease Upgrade or Buy-out Acknowledgement
<br />If this transaction includes a lease upgrade or buy-out to be paid upon delivery and
<br />acceptance of the Equipment listed on the Agreement, select one of the following:
<br />Not Applicable
<br />You will return the equipment to the leasing company according to the terms and
<br />conditions of your lease agreement.
<br />CSA will return the equipment to the leasing company per Section 2 below..
<br />You will retain the equipment.
<br />If so, will the equipment remain under a CSA Maintenance Agreement?
<br />Yes 0 if yes, under an Existing Contract Ll or New Contract El No 0
<br />GSA will pick up the equipment for Trade In.
<br />List the leasing company and lease number associated
<br />with any lease upgrade or buy-out.
<br />g 0/,/ L p a T,
<br />I
<br />J
<br />,Return i
<br />M
<br />-S
<br />Please select one:
<br />El Trade -In
<br />Please note that any applicable trade-in credit is reflected in the periodic lease
<br />payments or purchase price as specified in the Agreement.
<br />Equipment Condition 0 Good Working condition [I As is condition
<br />El Return Equipment to selected Leasing Company
<br />El Canon Financial Services
<br />F Return Equipment to CSA. Original Order Date
<br />11
<br />Pick -Up Information:
<br />L1 Same Date as Delivery of Listed Items specified: on the Agreement.
<br />F] Other Specified Date:
<br />(but no longer than 30 days after delivery of Listed Items under Agreement)
<br />Contact Name: Phone:
<br />E-Mail:
<br />Special Removal Instructions:
<br />Return
<br />Code
<br />Item
<br />Code
<br />Description
<br />Serial #
<br />"Meter
<br />Readfin
<br />Equipment location, if
<br />different than above
<br />Contact Name &
<br />Phone
<br />Email
<br />Alt, Pick
<br />Up Date
<br />_L
<br />L
<br />Return Codes: Trade-InJRD Return to CFS:R-CFS RetuirntoCSA:R-CSA.
<br />You have agreed to acquire from CSA certain Listed Items pursuant to the Agreement. By your signature below, you agree to supplement the terms of the Agreement as follows:
<br />1. If Buy Out Reimbursement is selected: The Buy -Out Reimbursement indicated above will be paid directly to the designated party by CSA upon installation and testing of the Listed Items and payment
<br />to CSA (by you or by the Leasing Company) of the purchase price for the Listed Items. The Buy -Out Reimbursement will be paid for the sole purpose of reimbursement of early termination charges or fees
<br />and associated expenses payable for (a) early termination of the base of the Trade-in or Return Equipment or for other equipment being replaced by the Listed items under the Agreement, (b) refinancing
<br />the lease of other equipment or (c) preparation of the site for installation of Listed Items. You acknowledge and agree that CSNs financial obligation is limited to the Buy -Out Reimbursement amount, and
<br />that you are responsible for any other obligations, including any charges which are not covered by the Buy -Out Reimbursement.
<br />2. If Trade-in Equipment or Return to Leasing Company is selected: You hereby authorize CSA to pick up the Trade-in or Return Equipment listed above. You agree to pay CSKe removal charges if,
<br />on the date specified above, the Trade-in or Return Equipment is unavailable for pickup and removal through no fault of CSA, Trade-in Equipment shall be conveyed to CSA, and (a) you represent that CSA
<br />will receive good and marketable title to each unit of Trade-in Equipment, tee and clear of any and all liens and leasehold interests, (b) you warrant that the Trade-in Equipment will be delivered to CSA
<br />(unless specified above that the trade-in is on an 'As Is' basis) in good working condition, reasonable wear and tear excepted, and (c) you shall make the Trade-in Equipment available for pickup by CSA
<br />on the relevant date specified above. If you breach or fail to comply with any of the foregoing, CSA may, without limiting its other remedies under applicable law, return the Trade -In Equipment to you (at
<br />your expense both for the return and the original pickup) and rescind, or require you to refund to GSA, promptly upon receipt of CSNs invoice, the full amount of any trade-in credit reflected in the Agreement
<br />(which amount shall equal the fair market value of such Trade-in Equipment, as determined by CSA). Return Equfpmeni shall be shipped to the Leasing Company specified above, and CSR's sole obligation
<br />is to use commercially reasonable efforts to pick-up and remove the Return Equipment and to arrange, on your behalf and at CSNs expense and risk (but only to the extent of obvious damage in transit),
<br />for the shipment of the Return Equipment to the Leasing Company.
<br />3. DATA. You acknowledge that the hard drives) on the Equipment, including attached devices, may retain images, content or other data that you may store for purposes of normal operation of the
<br />Equipment ('Data). You acknowledge that CSA is not storing Data on behalf of you and that exposure or access to the Data by CSA, if any, is purely incidental to the services performed by CSA Neither
<br />CSA nor any of their affiliates has an obligaton to erase or overwrite Dat1, a Equipment to CSA or any leasing company. You are solely responsible for: (i) your compliance Win
<br />applicable law and legal requirements pertaining to data privacy, c 6 PrI n ctio and (0) all decisions related to erasing or overwriting Data. The terms of this section shall solely
<br />', rM govern as to Data, notwithstanding that any provisions $16*4 Ase tall 2de to security or other agreement now or hereafter entered into between you and CSA could be
<br />construed to apply to Data.
<br />THIS ADDENDUM SHALL BECOME EFFECTIVE AT THE �WjE T 11 S-f�MAPNI�T BECAME EFFECTIVE IN ACCORDANCE WITH THE TERMS THEREOF. EXCEPT AS
<br />A
<br />SUPPLEMENTED HEREBY THE AGREEMENT S RE 11) 4 AND EFFECT.
<br />Customers Authorized Signature Ra"
<br />.... . .. ......
<br />Printed Name I &I z! /4 mile, ( z/ /V Date
<br />SLS-004B March 2018 CSA
<br />
|