HomeMy WebLinkAboutAgreement_General_09/12/2012 Customer Initials:
TOSHOBA
BUSINESS SOLUTIONS MA-1.0.0
CUSTOMER NUMBER DATE
Sales representative,
Customer agrees to purchase and Toshiba Business Solutions agrees to provide parts, labor, ink, loner, and toner collection containers (the "Maintenance ServioW) for
the equipment listed below in accordance with the terms and conditions of this contract. The Maintenance Services exclude paper, staples and all other parts and
services listed under the Exclusion section on page two of the contract. A Connectivity & Security Options Agreement must be attached and executed for Network
Integration Support.
c ustomer Name villag of Teque Police Deparimt:nt 6111 to Number
_._
— - --
ei fi�gAddress: 345 Te q uesta Dr Phorretk 564- 768 -0554 Ext. lFextk
Addtess2 Cont Briid Gomberg ;Customer P011r
coy: Tequesta state: FL Zp 33469 mar: bgomberg@tequesta.org
Meter Collection: Electronic Invoicing: Invoice Location:
SEE ATTACHED MAINTENANCE CONTRACT SCHEDULE FOR DEVICE DETAILS
Minimum Payment Excess Excess Billing
Pool Description Type Includes units Payment Frequency a Frequency
e3040c Black Images 0 Clicks $ - Monthly $0.00689 Monthly
e3040c Color Images 0 Clicks - Monthly $0.05283 Monthly
9
Customer is declining maintenance on the equipment fisted above.
Printed Name:
Title: Pate: -- -
ate: Signature: - �
THE TERMS AND CONDITIONS HEREOF ARE PART OF THIS SERVICE AGREEMENT. BY SIGNING THIS CONTRACT, THE CUSTOMER ACKNOWLEDGES
THAT THEY HAVE READ AND UNDERSTAND THESE TERMS.
Customer agrees to pay the Minimum Payment per transaction terms, plus any Excess Per Crick Charges for the term of this Contract. When this Contract is signed by
Customer and TBS. it shall constitute a binding contract and is non - cancelable. This Contract will begin on the date signed by TBS below. You hereby acknowledge
and agree that your electronic signature below shall constitute an enforceable and original signature for all purposes.
Customer. Village Of Tequesta Police Department Toshiba Business Solutions
Printed Name. Printed Name:
-- �Gdtu� L /�• C cc zz..o T2 . ._
Signature; P k� Signature: --�--
Title: �/ /� /� n Q e 2 Date 9112/2012 Title: I Effective Date:
� • e • � 1 •
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t
Municipal 30 Days Notification and
Equipment Return Authorization
BUSIPJESS SOL UTIDIMS
Date: 9/12/2012
Lease Company: Attention:
Toshiba Business Solutions Florida would like to return equipment on behalf of customer, the customer is at the
end of the lease. Please provide us the return quote and shipping instructions.
Lease #: Customer Name: Village orTequesta Police Department
Customer Address: b45 Teguesta Dr
Numto Phone: 561-732 -2635
Model #: Ptckup Model E2930 Serial#: ID # P79241
Model #: Serial #:
Monthly Payment S Lease Expiration Date:
Municipal Equipment Return A,uhthorization
I understand that this equipment is:
C
Leased by customer with Toshiba Business Solutions Florida. Customer understands that they
are responsible for any remaining payments owed on their account, as well as "final meter
billing," as per the original purchase order or fester of commitment.
Contact: Brad Gomberg Phone #: 561 -768 -0554
PO #
Customer ftnaturelTitle
Al Gurdian 561 - 236 -7063
Was Rep- Toshiba. Business Solutions Florida Date Phone #
Please Sign, Date & Fax Sack to 954- 302 -6679
A Y
PROPOSAL PREPARED FOR:
VILLAGE OF TEQUESTA POLICE DEPT
E STUDIO 36M DIGITAL COPIER
1
• Net - Ready, e- BRIDGE All -in -One
Architecture
• Out -of -the -Box Network- Ready, Print -
Ready, Scan - Ready, Internet -Ready
• e- FILING (Electronic Filing)
• Versatile Paper Handling and Finishing a
Options
• Robust Security Capabilities
e- STUDIO 3040c
PROPOSED EOUIPMENT: 36 Month Lean
Toshiba E -3040c Digital Copier System $123.91
Reversing Automatic Document Feeder $7.33
Automatic Duplexing Included
Stapling Finisher $19.63
Auto Hole Punch $7.08
Finisher Bridge $1.40
2500 Sheet Large Capacity Tray $6.95
Fax Board Included
Data Overwrite Enabler Included
Print and Scan Controller! Included
(includes Installation!)
TOTAL $166.30
FULL SERVICE MAINTENANCE & SUPPLIES:
All - inclusive service agreement except for paper& staples.
Billed monthly .00689 Per copy for Black and White Copies
ALSO INCLUDED AT NO CHARGE:
• Delivery, Installation and Training
• Free Start Up Supplies
• Free Loaner
• Replacement Warranty
State of Florida 600 - 000 -11 -1
Al Gurdian 561 -236 -7063
Date of Proposal 7 -29 -12
TOSHIBA
BUSINESS SOLUTIONS
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