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Home My WebLink About23-0412 Konica Minolta 1 a3- c)4�a April 12, 2023 Agenda Bid Item: #6 — Sourcewell Cooperative Agreement with Konica Minolta ($179,171) • Signature needed by City Manager • Return 1 copy to Diane DeNye. DocuSign Envelope ID:FCF2AC1D-BE84-4C04-86BC-7C01DC1C3E56 Addendum No. 1 Addendum No. 1 to the Premier Advantage Agreement(Application Number# ),the Non Appropriation Addendum,and the IL Addendum to Lease Agreement for Tax Exempt Entities between Konica Minolta Premier Finance,("Lessor")and the City of Elgin("Customer")dated April 12, 2023 The Konica Minolta Premier Advantage Agreement, the Non Appropriation Addendum, and the IL Addendum to Lease Agreement for Tax Exempt Entities (collectively, the "Agreement") is hereby amended as follows: LEASE AGREEMENT CONTINUING GUARANTEE: Delete-This section is deleted in its entirety. 2.RENT Delete-The second(2nd) sentence of this Section. 8. COLLATERAL PROTECTION AND INSURANCE: Delete-The second through fifth(2nd-5th) sentences of this Section. 9. INDEMNITY: Replace-The third(3rd) sentence in this section in its entirety with: "We may, at our point,join in the defense. In no event can you enter into or make any settlement or admissions without our prior written consent." 10.TAXES AND FEES: Delete-This section is deleted in its entirety. 12. DEFAULTS AND REMEDIES: Replace-This section in its entirety with: "Konica Minolta hereby waives any and all claims to interest on money claimed to be due pursuant to this Agreement, and any and all such rights to interest to which it may otherwise be entitled pursuant to law, including, but not limited to,the Local Government Prompt Payment Act,as amended(50 ILCS 505/1, et seq.),or the Illinois Interest Act, as amended(815 ILCS 205/1, et seq.)." DocuSign Envelope ID:FCF2AClD-BE84-4C04-86BC-7C01DClC3E56 14. CONSENT TO LAWJURISDICTION AND VENUE: Replace-This section in its entirety with: "This agreement is subject to and governed by the laws of the State of Illinois. Venue for the resolution of any disputes or the enforcement of any rights arising out of or in connection with this agreement shall be the Circuit Court of Kane County, Illinois. Konica hereby irrevocably consents to the jurisdiction of the Circuit Court of Kane County, Illinois for the enforcement of any rights,the solutions of any disputes and/or for the purposes of any lawsuit brought pursuant to this agreement or the subject matter hereof. Both parties hereto waive any rights to a jury." NON APPROPRIATION ADDENDUM: Delete- Subsection(C)(2)in its entirety. IL ADDENDUM TO LEASE AGREEMENT FOR TAX EXEMPT ENTITIES: Delete-The following sentence: "We do not warrant the foregoing as qualifying this Lease for tax exemption and you will be responsible for all taxes, if any,assessed against us." All other terms and conditions of the Agreement shall remain unchanged and in full force and effect. All handwritten changes and deletions on the Agreement are null and void and of no force or effect. The changes contained in this Addendum shall apply to only the Agreement to which it is incorporated and is not a precedent for lease transactions. (Customer) (Lessor) CITY O ELGIN KONICA 1 ,9kTA PREMIER FINANCE -- - ----------- 268EF760628D4D7... Authorized Signature Authorized Signature DANA DRURY Richard G. Kozal Printed Name Printed Name MVP 3/22/2023 City Manager April 12, 2023 Title Date Title Date S00652000 ForoN)oe use only(Check one); ❑Branch ®Wlndaor 03ri=00;07 PM N A I Premier Advantage Agreement r 0 GRE�T�—�f UMBER tONICA MWOLTA Ttft Mr Adtrantapa AQeenlaat rAgmomarwn b stied In-Phan Enpletr•. The waft you and you►,roW to the ousmmer(and Its gumattfors), words Lttlasor,trt,uo end our Karl"Ylnorra Prontler Fattarim a prosism of Korrka Ilbolfs Business"utlaw LIAA.Inc.Rt atbaldUrlos and wMadoo. FULL LEGAL WASE STREETADORE3B ' CITY OF EL.GIN 160 DEXTER CT CITY STATF ZIP PHONE' ELGIN IL _60120-5527 630 931 66N BILLING NAME(IF DIFFERENT FROM ABOVE) BLI INS MEET ADORES& STATE DENYE—DCcDCiMEE? GIN.Q@Q — _-- EQUN OM LOCATION(IF OFFERPM FROM AWVEI SEE ATTACHED POOL BILLING SCHEDULE 'BY prwtdt,t e'ryM»"Letts-ra a oW M>me w aem wYalatt dab be,Yw am ebb m tswin to rew"v eft Kw/tnataev or aww«)at lhd mober."Aftp.an nM&AW+a D—ow d area"•"vase"meow Cott.tad mwmwsg,eW taw eteda by on a Awns*s*lw&0 w dloev eYhmh tan taw aw r aeaaat and egePo► tt,b gauss Ooafta aptow b aad,aeh haw".anon"&W b w row or M the wb and swAim uxft eta Tr.me,e^d_srs +per tau s>r..e—hmm a,.sar.�.. The Konica Minolta squlpment Isaaed In this Agreement IS Cewer•d usirlo# K01148 AAtrtalta a p Customer One Guam ltss.A copy of Site Guarantee can be ohl4wt'd at your loc at brans►t of httjfwnbs.11onle4iml_oolta.u*XusbmwaUno r+ .SEE.AMCHIEL2 E'ON Bl1 UW2 S(.HF Ul E Net dlaeftad'SdtadlrlQ A'for addAiona)Ecufnrr,,ertrlAceeeaoript/Sa!Tyrc: TEAM IN MONTM 0 of payrnerfts Pa"erd Frequency Payment AW" Adwrtcs Payment 36 36 wot�••dw OkatttR now"No" ❑OuaArLerty® DAordhy ^4 q�— $ Payment incrLdes B&W papas per month ~Overages billed MONTHLY fd% Pw S&W page Payment includes Color pagers per month Overages billed mgNIHLI at$Y�. per Color page ®oeeatledvd Pool NMI;sladals — END Of L EAAE 0P7X;w S-You se claw aw bsado 4W=w of Fw awd af ft a%y ahoy ow AD attar of da6w etch At Loam Me anted twtg• rs_tesia-�rirnsir Ipr ntt rrI Af Aslat u gttaAadh rlealnlA41(on nasal�— THIS 18 A NONCANCELABLE!IRREVO"BLE AGREEAM-TNIS AGREMENT CANNOT 8F.CANCELED OR TERMINATED. i KosdeaUlnoMsPngnMf r,niinos, ti 01-Y_4 ELGIt� _ April 12, 2023 r U-L L.EGA'_NAME OF CLMil 0k*R(c, R Richard G. Kozal City Manager Ae atalaot mamm"V tw,Kanto IY,ee.sr....,r,wanoe to w w ow us Att"W&c*+RSW.o fk•rt weae herd OW taamt/. alt air w11PMr of koy Md atwrwll�. You atna etas Ma P"rob auwr a Wwnw w boAft aw/arch w wolon d war ow ant you M#ft NI ddur a wd"gow of kl CJta,pa and vfaaarttwr,t Sarcoma ad Paled ad A ondt mgmeb for tfb in I -1 and diida.d Idt ApmwnwL nth do nW hm to haft'Yw t ee eaten""Y In da tt. It h&Acanthus tldala.)ou wt tam vwI M gent eah eta*clad ww►fan of to Aomw= M wets dw etch"On Yms a a,e AyaaaN nd TO pwbrm el On eLtljxmw d eb AtrewarnL It I Y natrmary for w to au'aad bomb to awlmo di twaAa, Yw-XIM-4 wwwwl to No Ph4W"d to eawt are ftd In I WOO 14 wW agree to Ply rt*tab.ttduft et wm"bee IwuNw It wdNMOMM d Ida twwd". It b rot rtaMMMY for w to Fhaaed Mt W'W yet Maw efoofEl^t vt4 pamw►tt NY Npdnt Chi p.arw,tae,you athwha in to d kn COO X PRINT NAMEOF GUM WMR DA T.tkw an t orarrrrwrM i1M ea,Atb w tanorYm artl mwry latr,dal,q advaa,Fad -h Iwtah wow row m arma,t YN.atinM mew■M,dtrri tw+uPw, an aOMaad,Me M ai MYe,e IIMw,aadew and asr aawe„raan 1fM Mq atow ua b a S00652000 I. LEASE AGREEMENT.You agree tolease from us he personal property described u.nde'MAKEJMODEUACCESSORIES"and as mcdflod by supplement to this Agrearcnt from time so brne signed by you and us(suodQ &"rQZP@h1es, substibigeru,replacements,repairs and additions referred to as'Equipment)for business purposes only.In he event Nat the Equipment you selected is unavailable or cannot be supplied by Ns Suppler,you agree futwe an substitute or upgrade your selection to equlpmerhl of equal or greater quality,function,and value,as determined by Supplier in b sole discretion,at no addgknal cost to you,and you agues ec accept such subsihution or upgrade upon dotivery.To dire extent he Equipment includes intangible property or associated servicas such as periodic software licenses and prepaid database subscription rights,such property shall be refered to as bw'Sollware'.You agree to aT of the terms and concirtions contained in this Agreement and any Schedule,whim argether are a complete statement of our Agreement regarding he listed equipment('Agreemenr)and supersedes al char witings,communications,undeestandinge,agreements,any purchase order end any solicitabon doasments and relabd documents.This Agreement may be modired only by written Agreement and not by couac of performance.This Agreement becomes valid upon execution by or for us.The Equipment is deemed accepted by you under this Agreement unless you noisy us whNn three(3)days of del"that you do not accept Me Equipment and sp oily the detect or malfunction.In that event at our sole opion,we or our designee will repiaa tM daiebtive item of Equipment or his Agreement will be canceled aid we or our designee wit rspoeeeas the Equipment You agree that,upon our request,you will sign and claim to us,a delivery and acceptance ceRliate confirming yo,u acceptance of the Equipment leased to you.The'B(ing Dale'of this Agra stud will be the twentieth(20th)day or an alammdve agreed upon date 9oNmnng Installation.You agree to pay a prorated arl od 150th of I e monthly psymenl 8mes he number of days bohvw lie nslalNylm date end the Sling Data.This Agreement will comanues from the Billing Data for hie Temp sham and will be extended automatically for successive one(1)month menu unless you(a)send us when nolia,between nknety(80)days and one hundred t01y(150)days before to and of he Initial term or at least 30 days before he end of arty renewal term that you want to purchase or realm the Equipment and you&aey purchase or retain the Equipment Leases wit 11.00 pursxheee options will rot be renewed.The periodic renewal payrr>cr%hog been set by mutual agreement ands not based on the cost of any Comp 01 Ins lease.THE BASE RENTAL PAYMENT SHALL BE ADJUSTED PROPORTIONATELY UPWARD OR DOWNWARD,IF THE ACTUAL COST OF THE EQUIPMENT EXCEEDS OR IS LESS THAN THE ESTIMATE PROVIDED TO LESSEE.N any provision of this Agreement Is declared unenfordiable In any pdsdieict le other provisions herein shall remain in full fume and effect in Natlurisdiceon and al olh am.You authorize us to internal corset missing Informal on this ease including your proper algal name,serial numbers,otw numbers describing he Equipment and offer omitted fit l matters.You agree to provide updated annual ardor quarterly financial statements to us upon roquest.You authorVe us or our agent to obtain credit reports and make credit inqu ies regarding you and your financial owrdiion and to provide you!Information,Including payment history,to our assignee or third parties having an economic interest in this Agreement or he EqulpmenL I RENT: Rent will be payable in installments.each in he amount of the Monthy,Payment(or other periodic:payment)shown plus any applicable sales,use and property tax l we pry any cox on your behalf,you agree to reimburse us promptly along will a processing W.Subsequent rent installments wail be payable on to first day of each rental payment period shown beginning after the first rental payment period or as otherwise agreed.We wig have the right to apply all sums received tram you to any amounts due and awed to us wder the karma of his Agreement Your obligation to make all Monthly Payments(or other periodic payment)hereunder Is absolute said unconditional and you unsot withhold or offset against any Monthly PaymerM(Or other perlocfe paymard)ten any mason.You agree that you A tamp payments be us In he for of company checks(or personal cracks in the case of solo proprietorships)),direct debit or wines only.You also agree cash and ash equivalents are not acceptable fors of payment for this Agreement and that you will not nal Ouch glories of payment to us.WE BOTH INTEND TO COMPLY WITH ALL APPLICABLE LAWS.IF IT IS DETERMINED THAT YOUR PAYMENTS UNDER THE AGREEMENT RESULT IN AN RiMEST PAYMENT HIGHER THAN ALLOWED BY APPLICABLE LAW,THEN ANY EXCESS INTEREST COLLECTED WILL BE APPLIED TO AMOUNTS THAT ARE LAWFULLY DUE AND OWING UNDER THE AGREEMENT OR WILL BE REFUNDED TO YOU.IN NO EVENT WILL YOU BE REQUIRED TO PAY ANYAMIDUIITS IN EXCESS OF THE LEGAL AVCUNT. 3.MAINTENANCE AND STIPPLES:The charges established by this Agreement include payment for the use of the designated Equipment and accessories,maintenance by Suppler including Inspection,adjustment,parts repimcement drums and cleaning mall required for the proper operation,as welt as toner,developer,copy ca bidrgee and pm kill All supplies are the property of Supplier until used."your use of supplies exceeds to typial use Pattern(as datermined tol by Supptiul for these ilems by more than 10%.or should Supplier,In N sde docrellon,dekermirte that Supplies are bang abused In any fashion,you a"to pay for such lnprepor or excess use.Paper must be separately purchased by you.A page is deflred as one meter dick and vales by Palle stre as blows;8SSc11'=1 dick,11'xl7'=2 dolts,187x27'=3 cliche,2nM*=4 ricks and 36x47'=5 dicks. You agree to provide Suppler free and clear access to Me equipment and Supplier will provide labor or routes,remedial and preventive maintenance, service as watt as remil park. At part%pleuments shag be on an exchange basis with new or"Maned Harris. Emergency service cats will be performed at no extra surge during normal business hours(defined as 8:30am to StOpm.Monday through Friday,exclusive of haday,observed by Supplier).Oval charges,at Supptiera current rates,will be charged for all service calls outside normal business houn.Supplier will not be obligated to provide service or repairs in the awl of mdune or asuaAy and will charge you separately it such repairs an made.I necessary,the aervise and supply portion of this Agreement may be so sgned.We may Burge you a Supply Freight Fee to cower our costa of ahopng supplies ID you.You edmowledpe teal(a)the Suppler (and not Lessor or its assigneos)is the sole parry responsible for any service,repair or maintenance of the Equipment and(b)the Supplier(not Leaaor or Its asslOnees)is hie party to Orly service maiMenar s agreerrenl 4.OWNERSHIP OF EQUIPMENT:We are the owner of ace Equipment end have sole the(union you have a$1.00 purduase option)to the Equipment(excluding Software). You agree to keep he Equlpment free and clear*fall liens and Wes.You are scaly responstile for removing any data hat may reside In he Equipment you return,Including but not lmted to,Mud drives,disk drives or any otwr form of rrwnoty, 5,WARRANTY DISCLAIMER:WE MAKE NO WARRANTY EXPRESS OR MPUED,NCLUDNO THAT THE EQUIPMENT Q FIT FOR A PARTICULAR PURPOSE OR THAT THE EQUPIOW E MERCHANTABLE. YOU AGREE THAT YOU NAVE SELECTED EACH ITEM OF EQOIPMFJNT BASED UPON YOUR OWN JUDGMENT AND DISCLAIM ANY RELIANCE UPON ANY STATEMENTS OR REPRESENTATIONS MADE BY US,WE ARE LEASING THE EOUIPMENT TO YOU"ASJS".You ackrawledge Out we of Sil or their represontalives are our agents and now of them are authorized to modify the kerns of this Agreement No representafion or warmnly of Suppler with respect to the Equipment will bind us,nor will any breach Oemof role"you of ay of your olitgetions hereunder.You are aware of the name of Oe manufacturer or supplier of each earn of Equipment and you will contact he manufact rarorwppler for a description of your warranty rights.You hereby aclrawfedge and confirm bet you have not rcceWd tiny tax,financial,accoungng or legal advice from us,the manAa«:tjmr or Suppler of the Egoipril THIS AGREEMENT CONSTITIUM A"FINANCE LEASE"AS DEFINED N ARTICLE 2A OF THE UNIFORM COMMERCIAL CODE You agree lied he Customer One Guarantee is a separate and Independent obligation of Supplier to you,that W asagrroe of he Lessor shall lave any obTgslon to you with moped to ins Guarantee and net you,obigabom under this Agreement are rot subject to select,vvithhoklill reduction,counlercl inn or doiense for arry mason whatsoever including,without limitation,any darn you my have against Supplier with respect to the CiAgomner Ora Guarantee. t.LOCATION OF EQUIPMENT:You will keep and use th e Equipment only al your address shown above and you agree rot to move II unless we agree to it At ate end of the Agmener ifs term,d you do not purchase Ine Equipment,you will reran the Equipment to a nation we spray at you expense,a retail resalable condition(nomal wear arnd tsar acceptable),full working crow,and incomplete repair. 7.LOSS OR DAMAGE You are responsible for the risk of loss or for Orly destruction of or damage be the Equipment No such loss or damage relieves you from to psyment obligations under this Agmernent You agree to promptly notify us in willing of any lees or damage and you will fen pay to us the present value of the total of all unpaid Monthly Payments(or other periodic payments shown)for the hi Agreemerd rem pke ins sestnmled fair market value of the Equipment at the and of I e Ohginaty scheduled term,all dlscomhd&Ifour percent(I )per year.My proceeds of insurance will be paid to us and credited,at our option,against any loss or damage.You aulhoke us to sign on your behalf and appoint us u your attorney In fad to execute V your Men any on wrier" drag or dnall ssosd due to loss or damage to he Equipment L COLLATERAL PROTECTION AND INSURANCE;You are responsible for Installing and keeping Ne Equipment In good working order.Except for ordinary wear and tear,you are responsible for protecting he Equipment trom damage and loss of any kind.N Na Equipnenl is damaged or lost you agree to continue to pay the amounts due and to become due hereunder without aebffor defense.Dung he term of this Agreement,you agree that you will(1)Insus he equipment against all loss or damage mining us as loss payee;(2)obtain Wbilty and third party property damarte Insurance naming us as an aWitlonal'naued;one(3)deriver satisfactory evidence Of such coverage wilh amen, policy forms and amounts,acceptable ec us.Al policies must provide that we be given hiry(30)days wllen nice of eny material eMnge or ancefa:an F you do rid provide evidence of accell Insurance,we have to right,but no obfga ion,(a)to obtain Insurance covering our interest(and only our rrMresp in the Equyoment for the lease form,and renomis and(I my insurance we obtain wig not nsue you against third party or kabhTity dalms and rimy be cencill*.is at any,One,(i)you writ be required in pay us an adlfOorml amount each month for Ne kmurance pemkxn and an admni Y's fro,(Ili)the cat may be more than the cost of obtaining your own insurance,(WI you agroo thd wa,or one of our af8lates,may make a Profit in convection with the insurance we obtain,(v)you agree to cooperate with us,our nswer and our agent in the placement of coverage and wth claims;or(b)we"waive Ne insurance requirement and charge you a frl property damage surcharge in the amount of A035 of he original equgmat Post to cover our credit risk,ad nkiatretMw costs and other cosh,as would be further described on a leher from us to you arid on which we may make a pro k N you War provide evidence that you have obtained acceptable Mounts,we wit cancel the insurance we Maned or cease charging Nit surcharge, 1,NDEA1Nr Y.We are not responsible for any boa or injuries caused by the installation or use of the Equipment.You agree to hold us henrnises and rnmbume us for foss Ond to defend us against any claim for losses or Irgury or death caused by the Equipment We reserve the right to control the defense and to select or approve debris*coumi This IndemnNy survives the explratkn or Mrmnatbn of this Agreement, 10.TAXES AND FEES:You spree to pay when Invoked all taxer(Including personal property tart,flnes and penalties)and fees resting to this Agreement or the Equipment You agree to(a)reunburse in for ag personal property taxes which we are regained to pay as Owro r of ins Equitirmnt or to rams to us each month our atinuate d the mbnlhy equivalent of Via annual Property tam a be asuassed.N you do rid hernia a$1 DO purchase option,we will fie 04 personal property,use a other tax mtums and you agree to pry us a processing fee for making such filings.You agree to pay is up to$125DC on hie dale tom first payment is due as an originator W. We reserve One right to charge a be upon emirntion of DA Agreement either by lmdowp,buy-out or defaul.Any Nee charge!udw UJs Agreement may include a profit and is subjad to applicable taxes. 11,ASSIGNMENT:YOU HAVE NO RIGHT TO SELL,TRANSFER,ASSIGN OR SUBLEASE THE EQUIPMENT OR THE AGREEMENT,We may log,assign,or transfer this Agreement andfor hie Equipmentwihokm no".You agree shall f we all assign,or transfer his Agreement andior he Equipment,the new lessor wW have to earns rights and bonefis Oral we lore now and will rat have to porbrm any of our obigatiore.You agree that the rights of the new Lassa wgi not be subJao b cry claims,deferie s,or set offs that you may have against us whether or not you are notrad of soon assignment The cat of any Equipment Srih .eel and other ssrtwnh of the Agreement has bean negotiated between you and the Suppler. Now of Lessees assignees wiu hgapandeMty verify any such costs Lewes augnees will be providing funding based on the payment you have nogotated with Suppler.You are responsible for detarmining your accounting treatment of he appropriate last hall financial and accounting components of this Agreement. 12.DEFAULT AND REMEDIES:m(a)you do nc pay any lease payment or Ohs sum due t0 us or other pert'when due or(b)if you break any of your promses In the Agreement or any olmr Agreement with us or(c)6 you,or any guarantor of ymW obtigall become irwhimt or conemence beNouttiVy or receivership proceedings or have such proceedings ocrmneneed agarnat you,you will be In dotal M any pan of a payment Is more awn throe(3)days ink,you spree to pay a life charge of ten percent(10%)of the payment which is late Or N ten,the maximum charge agowed by law. If you are ever in default we may do any one or all of the fabewing;(a)ins"Suppler to withhold service,parts and supplies and I or void Ins Customer One Gulmonlo;(b)tarsal,or ci l Mile,Agreement end tequte that you pay,AS LIQUIDATED DAMAGES FOR LOSS OF BARGAIN AND 140T AS A PENALTY,the sum at.(i)al past die and ca nmt Monthly Payments(or other peril d c payments)and charges;(n)the present value of all remaining All Payments(or other periodic peyma lb)and durgas,discounted M the rate of four percent(l per anrum(or the lowest vale penmtded by law,whichever is hghol and(o)he pool vaW(st Oie same discount fob os apeciged in clause(ill) above;of hire amount of any purchase option with reaped ec the Equipment or,N none is specNred,our anticipated value of the Equipment at the end of the tam of this Agreement(or any renewal therill and(c)requua You to MW the Equipment to us to a location designated by us(and with rasped to any Software,()immedstey terminate your fight to use the Sof viare Including the disabling(or le or by url cormunlation)of any Software;(1)demand the haute return and obtain possession of the Software and re4kgnae the Software at a pubic or private Oslo;andhor(III)cause Oe Software supplier to Itrminate the Software large,support and offer services under the Software license).We may meow interest on arty unpaid bWarcs at the rate of bur percent(41A)per annum but in no event mare thin the lewkil macnum rate.We may also use any of M tame6es available to us under Anil 2A of the Uniform Canmercial Code as enacted in the Side of Loom or its Assignee or any other low.You agree to pay our reasonable costs of collection and enforcement,including burl not Imil to alorri leas and actual court poste retailing to any egim sousing under this Agreement Inducting,but not 14nged to,any legal scion or referral for cOfecbon Y we have to take possession ofthe Equipment,you agree topay she and of repossession.The net proceeds of the sale of ay fWsseaed Equipment will be cred ad against what you owe us YOU AGREE THAT WE WILL NOT BE RESPONSIBLE FOR ANY CONSEOUENiIAL INDIRECT OR INCIDENTAL DAMAGES FOR ANY REASON WHATSOEVER.You agree he:any defy ortoks*to enbrca our rights under this Agreement does not prevent us from enforcing arty,rights at a later line,NI of our rights are cumuil it Is/unbar agreed Iral your rights and remedies are gaaerned exclu ilvdy by this Agreement and you waive lessees rights LinderArOde 2A(5131 of The UCC. 11.UCC FIl You grant us a aecurty Merest in the Equipment if this Agreement is deemed a wul transaction and you auhabe us to raced a UCC-1 f mincing salement or similar rrabument in order to show our niereal in the Equipment. 14.CONSENT TO LAW,JURISDICTION,AND VENUE This Agreement shell be deemed fully axeoul and pertomad in the state of Lessat or its Assigneda principal piece of business and"be governed by and coral in accordance with its taws.If the Lessor or Its Assignee"brig any juddsl proceeding In elaton 10 any mailer arising under too Agreement,the Customer irrevocably agrees hid any such maber troy be adjudged or determined in any court or courts n the sahD of ga Lessor or Its Assigril principal place of business,or in any court or courts in Cuslonaes state of feel denm,or in any other court having jurisdiction over the CurWmx Or SUOm Of Yen Customer,of at is able ell of the Lassor.The Customer hereby irrevocably submb generally and unconditionally to the jursdiclon of any such court so elected by Lessor in relation to such matters.BOTH PARTIES WAIVE TRIAL BY JURY IN ANY ACTION BETWEEN US. 15.LESSEE GUARANTEE:You agree,upon our request to subatit the onginal of nis Agreement and any s )odLW to be Lessor via overnight courier the some day Of Ins facil or other slaeronic bansmssion of the sgrod Agreement and such schedules.Both panes agree that this Agreement and any schedules signed by you,whwNer manually or electronically,and submitted to us by facsvnie or other electronic transmission shag,upon execution by us(mortal or electronically,as applicable),be binding upon the partes.This most may be execull in counterparts and anylacsimNe,photographic anior over electronic transmission of this Loose which has bow manuelyor electronically signed by you when manually of eketonially countOrsigned by us or aladmd 0 Our ongnal signature counterpart andvor in our possession shall constitute he sole original chattel paper m defined in te,UCC kr all purposes(including any enforcement action under paragraph 14 and will be admissible as legal evidence thereof. Both panes waive tyns right to ehatiengs In court he nrthentichy of a faxed,photographic,or offer ededre hkaM tranam red or electronically signed copy of this Agreement and any schedule. rill.OVERAGES AND COST ADJUSTMENTS:You agree to comply with any bill procedures designated by us,including no"irgy its od Me;meta(reading on the Billing Date•V meter madrrgs are not received,we reserve the right to astmate your usage and big you for that amount,At hie and of"a first yew of this Agreement and ones each successive twelve month period,we may increase your payment and to per page chidrge over the pages included(Overage)(if applicable)by a maximum of fftoan percent(15`A)of the existing Berge,or a less,the maximum mount pemvtkd by applicable Mina. We may bill you a per page charge for of pages produced between the date of your final invoke rid the dale when you satisfy your oblgaeons under this Agreement aid aft( pumYmse or realm the aclopment to us. Notwithstanding aryhng herein to the contrary,for pools designated as'One Rote'pods,ascalalons within the Original Agreement term and Supply Freight Fees do rat apply nor are meter readings required. All Agreements are subject to escalation in any renewal period, 17.COMPUTER SOFTWARE Not withstanding any other terms and conditions of Ns Agreement,you agree that as to Solhvare only.a)We hove tool had,do not have,nor w4tl have any dye to such Setters,b)You have executed or will execute a separate software kcanse Agreement and we are not a Party to and have no responsibilities wlathoever in regards to such license Agreement,c)You have selected such Solil and as per Agreement paragraph 5,WE MAKE NO WARRANTIES OF MERCHANTABILITY,DATA ACCURACY,SYSTEM INTEGRATION OR FRNESS FOR USE AND TAKE ABSOLUTELY NO RESPONSBIUTY FOR THE FUNCTION OR DEFECTIVE NATURE OF SUCH SOFTWARE,SYSTEMS INTEGRATION,OR OTHERWISE N REGARDS TO SUCH SOFTWARE.CUSTOIER'S LEASE PAYMENTS AND OT}ER OBLIGATIONS UNDER THIS LEASE AGREEMENT SHALL N NO WAY BE DIMINISHED ON ACCOUNT OF OR N ANY WAY RELATED TO THE ABOVE SAID SOFTWARE LICENSE AGREEMENT OF FAILURE N ANY WAY OF THE SOFTWARE KMPF0005—US 07101/22 SODMODO OVZPM o4:07 PM Premier Advantage APPLICATIO NO. Pool Billing Schedule KONICA MINOLTA This Pool Billing Schedule is to be attached to and become part of the them Descriptlon fbr the Agreement by and between the undersigned and Konka Mlnofts Premier Finance. Ir FIAT-1 As*st Laadw: Orly OP ELQIN 160 DEXTER CT,ELGIN IL,60120 1 Asset k+vdes 1,ft oft swW o WA*4 UNK ■Monft o*Aff"ParMW $ 365.03 *mhor or Pew&mk4sd UNLRAIII M Esom P*&Chmp'7 pwLs ep 9-*ksrs FLAT-2 C"OF ELGIN,160 DFKTER CT. E.LG1N IL,60120 /M15tlM1dOsMdOfresW>f1 sumo 8WYiIpNisMr 2. 4. IYMMMy 0QUftsbPftW0r 1 339,64 1WrnbwtePIQUk bAed LIMLIMLEp 0wwi4pCMpl! CAOI1L10 ysuapnl�ebtme FLAT- Aaaot L.,o-u-: CITY of EL,iN.r60 Do(TER.ELGRJ,IL.6 �0120 � r`cn U w_ 1AW 0dsllAoc"sad= Ann*InWi s I sWW N 84r*Q Mobr � p1ZHU8 C£�,1 ■fib 10 QWk*ft1 1P ! Ytm— Nanbry of POD"h*dod UN LIMITED E=ses Pais CbbW j CAM _ "Nopmaw✓r- FL.AT•4 Aaaat Loa*": CiTy DF ELaW,150 DEXTER Cl,ELGLN IL 60120 MsYwAAOdeU/400MSOf1M A"dtrrrolasftrMsom OWN# BLR"Mo* Fil2}iLi6:7t+±si 004UB 660165 PPM MOK10CHROW MFP R O 4 "730 s/ kAftdsd UNL MMM 9=0 Pans ch~6 ltrr- i I Konlas Minolta Prernkx Firwice �ti MY OFELGIN April 12, 2023 FULL LEM NAN OF CUSTOM lss ratsrsnord bore) , Richard G. Kozal City Manager 1L�Gl=ss t�sii'. e KMPF0014—US WOMB SDO852004 08r ms04b7 PM 4D Premier Advantage APPLICATION Pool Billing Schedule KONKA MINOLTA TWs Pool Billing Schedule is to be attached to and become part of the Item Description for the Agreement by and between the undersigned and Kanlco Mlrwlta Premier Finance. • FLAT-6 Asset I osOe,h. WTY OF EI.GIN,16U 0WER CT.ELGW,IL,60120 • 7�1 L�J _ —__�_. __ — Aa d ilMc-Infom ilm BMW# ftrIng IAeler R, B0IU8 550I 55 PPM MONOCHROME MFP ES ■Moaby OOasrWrP"MWr S 2.22,24 MvrOardPagp4cfuded UNLIMrTED E�Psplaags'I 0.00000 �WewarlYeen FLAT-8 ELGIN,151 OOUGLAS AVE,ELGIN,IL,6012G �b`,«`/+ C)rv1 Aasst inch•iaa� <Zal1r i aaelee�Mbar 2 4 BUM" C a-MA r"O"W r s 1 s8.38 wwhbw at papa eV&" LN,ILLOTM E=m Pape OWV s C�OCW'C _ 'AS+s 4P kMb arse FLAT-7 A O LmoseonV CITY OF ELOIN,151 DOUGLAS AVE ELGIN.IL.W120 �1 I Ce 91CCLYcAS Aug Oi eoe iYbnrlatlan slop 111- 1 WOW 4..___. al MWft O DAftry Psy Wr s 145.14 I Woor orPapea kA ded UNLNdrMD -T a mm Pape Gripe"s 0.00000 _` 'p•u asP�eds a.ea JIMP-MM'PAMFLAT-a Assot L,00egon: cw oa ELONl,161 DouGLAB AyEE a m,IL em2o Asset(rt,roloe lydbrinatton r3arw# shee6ro weer 1. 6 LI M 660I 65 PPM MONO"OME MFP 4. O G 1ftrar Pa. Ch~t MOM L!a aoolarYyrr Konica Minolta Premlkw Finance y rf f � April 12, 2023 WY of ELON Richard G. Kozal City Manager j r,aint KMPF0014—US 101116 S006520DO d0k 030=1 OUT PM ' Premier Advantage AM ICATION NO. AGREEMENT N0, Pool Billing Schedule KONICA MINOLTA This Pool Song Schedule is to be attached to and beooma part of the hem Description for the Agnaemarlt by and bettlleetl the ut>diemigned and Konlca Minolta Premier Finance. j FLAT-0 Aasci Laootlon: CI1Y OF ELGIN,46 SYMPHONY WAY_ELGIN,IL,60120 - - -- Awsl Inaia Marmrba awwf atom Uft 2. a. 4. a w Anft C Ckmtwy po menr j 18a.M P&mt r aC pftn YK*ded UNL adr/ED BZaa Pap.GhQW t OAM p-eti heel a BYV10 Aveet L-Aftfl: CITY OF ELGIN,45 SYMPHONY AVE,ELGIN,IL,60128 IIA ANO Involm ftftwa - sww o aw"tdltttr 1, F:,'&*SD FINISHER awnd,y O QM"Wlr PaNwr i 43.64 Nwrt w u1 P"kak dad 0 Emu Pate Ch"W IF Sits lace FLAT 10 AeSOt LO-ftr CITY OF ELGIN.45 SYMPHONY AVE,ELGIN,IL 60120 Amd WOW kllontYtlorl atlrrf s amna maw BO WB C8601 COLOR A9 MFP/36 PPM ■dab dGMU*p"Mor $ 208.W UAMMof Pogo hlded UNLIMrtED BMW$p ecFwte•6 0.0000o �4r�ear RAT-1 I Ar,Art Lor.Won: CITY OF ELGIN,100 SYMPHONY WAY,ELGIN,IL W120 '� Cc r~ke V— _ AUM Mlomallon said f lltrtlrb tterr _ Fttl COLOR A3 MFPIW PPM ampokf oQwiwpwmgw t 2WA lMmieror kWh" L*Xj rmo rmor�:ar,.e•>t Oma00 yea ae.. Kotdoa Mlnwft Promier Financt f ; Iih IF 1. April 12, 2023 CITY OF ELGIN FULL LECAL WAME OF OUSTOMM(n mimmwd AUTNL VED 81 ER DATIM Richard G.Kozal City Manager KNPM14-US 10/011/6 SWO52000 02M 04.01 PM Premier Advantage APPLICA*nc*No. -AoaEL.r„L:%: 0 Pool Billing Schedule �� 9 KONICA MINOLTA This Pool BINIng Schedule is to be attached to and become part of the Item Description for the Agreement by and between the undersigned and Konica Minolta Premier Finance. i FLAT•12 Asael Lare6on: CITY OF Et G.100 SYMPHONY WAY,ELGIN,IL,M120 rCr1 \e Alwtloss6odePAooen011u/ �_ Asead In+niw Inio Wei 0 8"V Meter 1. t}I10A".*wA tL i. ■Montley o querb y rg-wir 't 3_t 9 tAwkw at Papa mdo*m UNLfArrED Emus Pap(k"-f Tex*106"am FLAT-13 Aaaet LaaWan: CMY OF ELGIN,140 SYMPHONY WAY,ELGIN.L.6012t1 Awned (tteenlNon flow A WAdr4 Abler 1. SIZHM 450146 PPM MONOCHROME MFP _ 2 L 4 - — -- --- - — ---- 4 aMW" C30uonnlypq"—r 4 206.Cd tmbatofPearhdu"A UxLjMrTED — E+eree Pop Chwp.I 0.0mm Ile ae>■. FIAT-14 A"O tAmst1W CITY OF ELGIN,IQO SMFHadY WAY.&Mi N,It,S 120 iMioe+AlodeuAooewafbl A"Inaotoe blbmMen am 0 tl4SIISlWr .. 4 — ... -. _ t M&'t* I3 0umrWy Pmpmmd 6 368.2E Numbv of Pages►g*3dad UNLIMITED Gaoara Pap c mw I 2Mrwlaaee FLAT-is Aw1Leo&tlonf CIW OF EWMt,6 0 SUMMIT SI.,ELGIN,It..00120 1 a-,q loWAme6e01ft Aebet M An Irftn"Jaw sow#3 sh"Mlw T. taUA 1uu 4WI 56 PPM MONOCHRO#AE MFP 4. - RVhV6 DGWAWFAWAnr a m.at W of Tama llmd " UN fM Psamt.Haan Dr•4a'f DAWN 6*m Kor*m Minolta PtwMfo Flnenw /0-V �.� ®� r i April 12, 2023 CRY OF ELGIN l NWE OF CUSTOMER(me lebnamed Wmaw A Richard G. Kozal City Manager KMPF0014—US 10/01/16 800652000 0&=3 04.W PM Premier Advantage I NIO NO. AdK LLIALN N Pool Billing Schedule KONICAMINOLTA This Pool Bung Schedule Is to be attached to and become part of the kam Description for the Agreement by and between the undersigned and Konica Minolta Premier Finance. FLAT-145 MWW1MOdWAOQ"WdM Ands -1, Z. 3. a"M QWW"pap"We S 145.06 Midw of Pap 1WRAW UNL M ohs ftmpsp~s o.000 ONMwk Ism as FLAT-17 A-91LO-0— CITY oFF-LGiN,37swRfvEr RD.ELc4N,IL,BDI20 Wbe Aad kw4ew kfamokm 1. HU"A CMOI COLOR A3 WPM PPM 4. s. OMWft DOW"POWtWC 4 22DAW Nuftw ut Pagan Induded UNLIMITED ExwwPWchvW6 11000W RAT.1 9 rr A-etLocstlan: erry DFr:LCW,1900 HOLVES M ELGIN,a,qOj23 % AmW 0 `i _WWUB ON1 C"QFt A3 MM36 PLZU OUNOly 13QwrWyftWaW s 21428 NwOerafPse"Ir4idad UNLIMITED Emm PW awgv.I 0.00OX, ylwwpbatreWai FLAT-12 Anset LarAtIon; -CITY OF ELGIN,I OW 4OLMES RD,EL",IL,60123 A— AWW kro" swatV mow Iff W No a MWrWIy P. 2 lsm-" NwAmiffPnow Whiftil UAL" damspa"awmes DAN Konica M[noft Prwrtlu 4 n wise F 4, CITY OF ELGIN x April 12, 2023 FULL LEeALK4WOFCUFFO-M-'�R(sr mfwwo*d,6-oft)-- _ALM4M1&-D=WR Richard Kozal City Manager KMPF0014—US 10101115 SOt)65M Mao 04 07 PM Premier Advantage APPI[CATION NO. AGRF 0 , Pool Billing Schedule KONICA MINOLTA This Pool Billing 8chadule Is to be attached to and become part of the Hem i)esedplion for the Agreement by and between the underg9ned and Kanios Minolta Premier Finance. FLAT20 Aeset 1.mnstian; CITY OF ELGIN,1250 SOV&S CREEK RD,ELQiW,11.02124 Nlak~9VA=a WAW Asset Irrvo[aa Inbmwrflon awM o 8lerirp McDer 2. 4. wMamw D Gwrby Prymw+r s 162At mv.."or Pap"a pdsd UNLIMITED !fie Pays cbelve i :, U _ �Eae eppbnhle weae FLA721 ASSOL L.oeutlOa: CITY OF ELGIN W DOUG AS AVb ELGIN,IL,0012D. — IWMkooft kOxisrtlan caddy s*dngMaim _5MHU9 02501-COLOR AA9&fiFPM PPM 4. _�._. aMmthly G Q-ftly['ny—C i 1e21% NrroM M Pais tndubd UN-WI TED t]meae Pays 'S DAM }ks*Ffthk weae p� Apt Lecellon: MsMelModellAooea�onaa ASM1 Mdoe h+bmMdon sofa 0 swot/mew 17 Many O Qw"ft 'Paynwr 1 w.------ Mumbw d Pailva k+dudrd .Y ____�..__ Ameae ch•¢+'i lows yeme�te wr+ I� Awd oorllon: ktelal 4-daYAoaaeorIn Aug Invoice kdamnbw+ ._~V tMnid N _• �~ ._a�t p WOft 13 Ca way'0 'tale aW Wwft" Konhu Minolta Pieftt r 1 m3ricc 42 R, X� L� April 12, 2023 MY OF ELGIN FULL op cusTomER(ee ri7wiiZ abovij Richard G. Kozal City Manager KUPF0014—US 10I01M6 Order Package:S00652000 10 KONICA MINOLTA 03Page 01 of042 Page 001 of Q42 Order Agreement Check Applicable Box f Purchase 9 Lease E' Other. • • Account# • • Account#SO 0000668930 • • Account# al Name KONICA MINOLTA PREMIER FINANCE Legal Name CITY OF ELGIN Legal Name CITY OF ELGIN ltn Line 1 Attn Line 1 Attn Line 1 311 In Line 2 Attn Line 2 Attn Lire 2 treet Address 10201 CENTURION PKWY N STE 100 Street Address 150 DEXTER CT Street Address 150 DEXTER CT Ok2e- JACKSONVILLE State FL Zi 32256 C'r ELGIN State IL s Bez� Ci ELGIN State IL Za 60120 ex Exempt ❑ No X Yes (Copy Required) Tax Exempt# .O.Required X No ❑ Yes (copy Required) P.O.# P.O.Explratien Date syment Terms: � E ❑ Yes,I want to pay by Credit Card. Please provide contact nametphone below. ,c Amount 3EE LEASE 2 u ❑ Pay In Full(including applicable tax) ❑ Partial Payment,Amount$ Cartaat Name: Phone: Check# Requested Delivery Date: SEE ATTACHED Maintenance Contract P$ nocvted ❑ oedined 1 ACT7011 BIZHUB 3e01 1 7670525506 MFP DELIVERY CHARGE-LEVEL ONE 1 7640018093 BASIC NETWORK SERVICE-BNS03 I AAMNWYI DF-714 DUAL SCAN AUTO DOCUMENT 1 135700 DK-516 COPY DESK 1 AAR4WY3 FS-539 1 AC28W11 PK-524 213 PUNCH UNIT FOR FS-539 1 A87JWY2 RU 513 RELAY UNIT 1 7640015657 BtZHUB SECURE I AC7A030 TN330 BLACK TONER NIA NIA NIA N/A N/A N/A ditional Charges OTAL ❑ Network ❑ Removal ❑ Other I (TOTAL In axolualve of applicable times) Requested Rammml Date: n111512023 - - -- -- 1 "BIZHUB 368E 408 MEMORY COPIERIPRINTER AA6V017008990 KONICA MINOLTA BUSINESS SOLUTIONS U.S.A,INC. 100 Williams Drive,Ramsey,NJ 07446 (201)825-4000 www.lmtbs.konicarrinolta.us Form:3000-090115• Order Package:S00652000 PM 0 KON1CA MINOLTA 03Page 02 of 42 Page Opt of 042 Order Agreement Check Applicable Box ❑ Purchase X Lease ❑ Other. • • Account# • • Account#SO 0000668930 • • Account# al Name KONICA MINOLTA PREMIER FINANCE Legal Name CITY OF ELGIN Le al Name CITY OF ELGIN ltn Line 1 Attn Line 1 Ann Una 1 CENTRAL SERVICES LL ttn Line 2 AIM Line 2 Attn Line 2 treet Address 10201 CENTURION PKWY N STE 100 Street Address 150 DEXTER CT Street Address 150 DEXTER CT, 50120- Ity State FL 7JP 32256 JCity ELGIN State IL Zip 5527 lCity ELGIN State IL Zip 60120 3x Exempt ❑ No CK Yes (Copy Required) Tax Exempt# .O.Required X No ❑ Yes (copy Required) P.O.# P.Q.Expiration Date ayment Terms: r ,8 ❑ Yes,I want to pay by Credit Card. Please provide contact name/phone below. is Amount 3EE LEASE u ❑ Pay in Full(including applicable tax) ❑ Partial Payment,Amount$ Contact Name: Phone: Check IF Requested Delivery Date: SEE ATTACHED Maintenance Contract Aocepted ❑ Declined 1 A 017 8I2HUii 1 45Ul 1 7670525507 MFP DELIVERY CHARGE-LEVEL TWO 1 7640018094 BASIC NETWORK SERVICE-BNSO4 1 AAV5WY8 PC-216 CABINET 1 AAR5WYA FS-540 SD 100SHEET BOOKLET FINISH 1 ACF5W11 PK-526 213-HOLE PUNCH UNIT FOR FS- 1 A87JWY2 RU-513 RELAY UNIT 1 A63GWY2 ZU-6092 FOLDING UNIT 1 7640015657 BIZHUB SECURE 1 I ACV1430 TN626C CYAN TONER(YIELD:28K N/A 1 ACV1130 TN626K BLACK TONER(YIELD:28K NIA 1 ACV 1,330 TN626M MAGENTA TONER(YIELD:28K NIA 1 ACV1230 TN626Y YELLOW TONER IELD:28K NIA NIA WA Additional Charges TOTAL ❑ Network ❑ Removal ❑ Other (TOTAL is exclusive of applicable taxes) Requested Removal Date: 0311W023 1 AA7 *BIZHUB C460145 PPM COLOR MFP AA7R011003515 KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC, Form'3000-090115• 100 Williams Drive,Ramsey,NJ 07446 (201)B25.4000 www.kmbs.konlcaminolta.us Order Package:S00652000 KONICA M114OLTA 03 PM Page 0 003 o off 042 Page Order Agreement Check Applicable Box C Purchase 1( Lease ❑ Other: • • Account# 03121alln Account#SO 0000668930 • Account# al Name KONICA MINOLTA PREMIER FINANCE Legal Name CITY OF ELGIN Legal Name CITY OF ELGIN tin Line 1 Attn Line 1 Atin Line 1 FL1 COMMUNITY DEV ttn Line 2 Attn Line 2 Attn Line 2 treat Address 10201 CENTURION PKWY N STE 100 iStreet Address 150 DEXTER CT Istreat Address 150 DEXTER ity JACKSONVILLE State FL ZIP 32256 lCity ELGIN State IL ZIP 5527a 1CIty ELGIN State IL ZJ 60120 ax Exempt ❑ No CK Yes (Copy Requirou) Tax Exempt# .0.Required (g No ❑ Yes (copy Required) P.O.# P.O.Expiration Date ayment Terms: pp 1171 Yes,I want to pay by Credit Card. Please provide contact name/phone below. s Amount 3EE LEASE U ❑ ?ay)n Full(including applicable tax) ❑ Partial Payment,Amount$ Contact Name: Phone: Cheek Y Requested Delivery Date: SEE ATTACHED Maintenance Contract X Accepted ❑ Declined 1 AA7P017 81ZHUB G5501 1 7670525507 MFP DELIVERY CHARGE-LEVEL TWO 1 7640018094 BASIC NETWORK SERVICE-5NSO4 1 A87VW12 LU-302 LARGE CAPACITY UNIT 1 AAV5WY8 PC-216 CABINET 1 AAR5WY1 FS-540 100-SHEET STAPLE FINISHER 1 ACF5W11 PK-526 2!3-HOLE PUNCH UNIT FOR FS- 1 A87JWY2 RU-513 RELAY UNIT 1 ACCJWYI KP-102 KEYPAD (10-PANEL) 1 7WO15657 BIZHUB SECURE 1 ACV1430 TN626C CYAN TONER(YIELD:28K WA 1 ACV1130 TN626K BLACK TONER(YIELD:28K WA 1 ACV1330 TN626M MAGENTA TONER(YIELD:28K WA 1 ACV1230 TN626Y YELLOW TONER(YIELD:28K WA WA NIA Additional Charges TOTAL ❑ Networ* ❑ Removal ❑ Other (TOTAL Is exclusive of applicable takes) Requested Removal Date: 03/15/2023 1 AA *BIZHUB C650i 66 PPM COLOR MFP AA7PO11001466 KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC. Form 3000-090115- 100 Williams Drive,Ramsey,NJ 07446 (201)825.4000 www.kmbs.konicamlrwlta.us Order Package:S00652000 0 KONICA MINOLTA 03Page 04:07 PM Page 004 at 042 Order Agreement Check Applicable Box ❑ Purchase 1K Lease ❑ Other. • • Ac count# • • • Account#SO 0000668930 • Account# al Name KONICA MINOLTA PREMIER FINANCE Legal Name CITY OF ELGIN Legal Name CITY OF ELGIN ttn Line 1 Attn Line 1 Attn Line 1 FL1 FINANCE ttn Line 2 Atin Line 2 Attn Line 2 treat Address 10201 CENTURION PKWY N STE 100 IStreet Address 150 DEXTER CT IStreet Address 150 DEXTER CT. Ity - JACKSONVILLE State FL Zip32256 Ci ELGIN State IL ZIP5 6527D120 lCity ELGIN State IL Zip 60120 3x Exempt ❑ No D( Yes (Copy Roqulred) Tax Exempt# .0.Required OK No ❑ Yes (Coy Rcqul,ed) P.O.# P.O.Expiration Date ayment Terms: v ❑ Yes,I want to pay by Credit Card. Please provide contact name/phone below. Amount 3EE LEASE _ ❑ ?ay in Full(Including applicable tax) p Partial Payment,Amounts = Contact Name: Phone: Check# Requested Delivery Date: SEE ATTACHED maintenance Contract x Amepted ❑ D"r d 1 DESCRIPTION AC77011 BIZHUB 3601 1 7670525506 MFP DELIVERY CHARGE-LEVEL ONE 1 7640018093 BASIC NETWORK SERVICE-BN303 1 AAMNWYI DF-714 DUAL SCAN AUTO DOCUMENT 1 135700 DK-516 COPY DESK 1 7640015657 BIZHUB SECURE 1 AC75017 BIZHUB 550155 PPM MONOCHROME M 1 7670525507 MFP DELIVERY CHARGE-LEVEL TWO 1 7640018093 BASIC NETWORK SERVICE-BNS03 1 AAV5019 PC-416 CABINET 1 AAR4WY3 FS-539 1 AC28W11 PK-524 213 PUNCH UNIT FOR FS-539 1 A87JWY2 RU-513 RELAY UNIT 1 7640015657 BIZHUB SECURE 1 AC7A030 TN330 BLACK TONER N/A 1 AC79030 TN628 BLACK TONER N/A NIA NIA WA I WA i itional Charges TOTAL ❑ Network ❑ Removal ❑ Other (TOTAL Is exclusive of applicable takes) Roquosbd Removal Date: 03/15/2023 • 1 AA T011 BIZHUB 558E AAST011010818 KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC. Form:5000-090115• 100 Williams Drive,Ramsey,NJ 07446 (201)625-4000 wwwArnbs.konicaminoita.us Order Package:SOD652000 PM 10 KONICA MINOLTA 03Page 05 of 42 Page 005 of 042 Order Agreement Check APRlicable Box ❑ Purchase X Lease 171 Other: VZONAIMPMAccouni# • s • Account#SO 0000668930 • Account# al Name KONICA MINOLTA PREMIER FINANCE Legal Name CITY OF ELGIN Legal Name CITY OF ELGIN tin Line 1 Attn Line 1 Atin Line 1 FL2 PURCHASING ttn Line 2 Attn Line 2 Attn Line 2 treet Address 10201 CENTURION PKWY N STE 100 IStreat Address 150 DEXTER CT Street Address 150 DEXTER CT 60120- JACKSONVILLE State FL 71P 32256 ICity ELGIN State IL Zip 5527 lCity ELGIN Slate IL Zip 60120 ax Exempt ❑ No Ig Yes (Copy Required) Tax Exempt# .O.Required (8( No ❑ Yes (Copy Required) P.O_# P.O.Expiration Date syment Terms: 1? ❑ Yes,I want to pay by Credit Card. Please provide contact name/phone below. ,; Amount 5EE LEASE E ❑ Pay in Full(including applicable tax) ElPartial Payment,Amount$ Contact Name: Phone: Check# Requested Delivery Date: SEE ATTACHED + Maintenance Contract Accepted ❑ Dedlned 1 AC75017 BiZHUn 550155 PPM MONOCHROME M 1 7670525507 MFP DELIVERY CHARGE-LEVEL TWO 1 7640018093 BASIC NETWORK SERVICE-BNS03 1 AAV5019 PC-416 CABINET 1 AAR4WY3 FS-539 1 AC28W11 PK-524 213 PUNCH UNIT FOR FS-539 1 A87JWY2 RU-513 RELAY UNIT 1 7640015657 BIZHUB SECURE 1 AC79030 I TN628 BLACK TONER NIA NIA WA NIA NIA NIA !lilt Additional Charges TOTAL ❑ Network ❑ Removal ❑ Other (TOTAL Is exclusive of eppitcable taxes) Requested Removal!Date: 03115/2023 1AA6TQ11 BIZHUB658E AA61U11U1U521 KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC. Form:3000-090115• 100 Williams Drive,Ramsey,NJ 07446 (201)825-4000 wwwAmbs.konicaminotta.us Order Package:S00652000 10 KONICA MINOLTA o3Page 0604:of 42 Page 006 of o42 Order Agreement Check Applicable Box ? Purchase X Lease ❑ Other. • •MlAccount# Account#SO 0000668930 61.1 • Account# _ a al Name KONICA MINOLTA PREMIER FINANCE L,egzl Name CITY OF ELGIN Legal Name CITY OF ELGIN Itn Llne 1 Attn Line 1 Attn Line 1 POLICE COMMUNICATION ttn Line 2 Attn Line 2 Attn Line 2 treet Address 10201 CENTURION PKWY N STE 100 IStreet Address 150 DEXTER CT IStreet Address 151 DOUGLAS AVE BD11- JACKSONVILLE State FL Zip 322M lCity ELGIN State IL Zi 5527 lCity ELGIN State IL Zip 60120 ax Exempt ❑ No (g Yes (Copy Required) Tax Exempt# .0.Required X No ❑ Yes (dopy Required) P.O.# P.O.Expiration Date symeM Terms: ❑ Yes,I want to pay by Credit Card. Please provide contact name/phone below. Amount 3EE LEASE a ❑ Pay in Full(including applicable tax) ❑ Partial Payment,Amount$ Contact Name: Phone: III Check# Requested Delivery Date: SEE ATTACHED Maintenance Contract x Accepted ❑ Declined 1I AC78011 BIZHUB 3001 1 7670525506 MFP DELIVERY CHARGE-LEVEL ONE 1 7640018093 BASIC NETWORK SERVICE-BNS03 1 AAMNWYI DF-714 DUAL SCAN AUTO DOCUMENT 1 AAV5019 PC-416 CABINET 1 AAR4WY3 FS-539 1 AC28W11 PK 524 2/3 PUNCH UNIT FOR FS-539 "I A87JWY2 RU-513 RELAY UNIT 1 7640015657 BIZHUB SECURE 1 AC7A030 TN330 BLACK TONER NIA NIA NIA I NIA NIA NIA Additional Charges TOTAL ❑ Networa• ❑ Removal J Other (TOTAL Is exclusive of applicable taxes) Requested Removal Date: 03/15/2023 7 A g BIZHUB 287 408 MEMORY COPIER/PRINTER A7AH019001624 KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC. Form'3000 090115- 100 Williams Drive,Ramsey,NJ 07446 (201)825-4000 www,kmbs.konicaminona.us Order Package:S00652000 7 PM 0 KONICA MINOLTA 03Page D07 of042 Page 007 of 042 Order Agreement Check Applicable Box D Purchase X Lease D Other: 11,M0110IMM Account# • e • Account#SO 0000668930 ' • Account# )gal Name KONICA MINOLTA PREMIER FINANCE Legal Name CITY OF ELGIN Legal Name CITY OF ELGIN ttn Line 1 Attn Line 1 Attn Line 1 POLICE RECORDS ttn Line 2 Attn Line 2 Attn Line 2 treet Address 10201 CENTURION PKWY N STE too IStreet Address 150 DEXTER CT IStreet Address 151 DOUGLAS AVE 60120• Ity JACKSONVILLE State FL Zip 32256 lCity ELGIN State IL Zi 6527 lCity ELGIN State IL Zip 60120 ax Exempt ❑ No 0(Yes (cony Requ fwl) Tax Exempt# .0.Required OK No ❑ Yes (cOPr ReCjOiE,d) P.O.# P.O.Expiration Date ayment Terms: ❑ Yes,I want to pay by Credit Card. Please provide contact name/phone below. Amount 3EE LEASE ❑ Pay in Full(including applicable tax) ❑ Partial Payment,Amount$ c Contact Name: Phone: Check# Requested Delivery Date: SEE ATTACHED Maintenance Contract ;R Accepted ❑ Dedined 1 AC77011 BiZHUB 3601 1 7670525506 MFP DELIVERY CHARGE-LEVEL ONE 1 7640018093 BASIC NETWORK SERVICE-BNS03 1 AAMNWYI DF-714 DUAL SCAN AUTO DOCUMENT I AAV5WYB PC-216 CABINET 1 AAR4WY3 FS-539 1 AC26W11 PK-524 213 PUNCH UNIT FOR FS-539 1 A87JWY2 RU-513 RELAY UNIT 1 7640015657 BIZHUB SECURE QT1v 1 AC7A030 TN330 BLACK TONER WA NIA NIA WA NIA NIA Additlonal Charges TOTAL ❑ Nstwork O RerrAwd ❑ Other (TOTAL Is exclusive of applicable taxes) Requested Removal Date: p3115t= 1 AA6V017 `"BIZHUB 368E 413E MEMORY COPIERIPRINTER AA6VO17008965 KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC. Form:3000-090115• 100 Williams Drive,Ramsey,NJ 07446 (201)8254000 www.kmbs.konicaminotta.us Order Package:S00652000 7 PM KONICA IND MINOLTA 03Page 08of042 \LJ ff�� /�1 �!L ,♦ Page 008 of 042 Order Agreement Check Applicable Box C Purchase X Lease Li Other: • • Account# -&1014bjkto Account#SO 0000668930 ' • Account# Val Name KONICA MINOLTA PREMIER FINANCE Legal Name CITY OF ELGIN Legal Name CITY OF ELGIN ttn Line 1 Attn Line 1 Alin Line 1 POLICE PATROL ttn Line 2 Attn Line 2 Atin Line 2 treat Address 10201 CENTURION PKWY N STE 100 IStreet Address 150 DEXTER CT IStreet Address 151 DOUGLAS AVE. 50120- Ity State FL Zip 32256 ICHY ELGIN State IL ZIP 5527 IC!tY ELGIN State IL Zip 60120 ax Exempt ❑ No D( Yes (,'rr y F<equlrso) Tax Exempt# .0.Required K :'o ❑ Yes P.O.# P.O.Expiration Date ayment Terms: ,E ❑ Yes,I want to pay by Credit Card. Please provide contact namelphone below. Amount 3EE LEASE ❑ Pay in Full(including applicable tax) ❑ Partial Payment,Amount$ r Contact game: Phone: Check 9 Requested Delivery Date: SEE ATTACHED Maintenance Contract X A-W-d ❑ Wined 1 AC75017 BIZHUB 66UI 55 PPM MONOCHROME M 1 7670525507 MFP DELIVERY CHARGE-LEVEL TWO 1 7640018093 BASIC NETWORK SERVICE-BNS03 1 AAV5019 PC-416 CABINET 1 AAR4WY3 FS-539 1 AC28W11 PK-524 2J3 PUNCH UNIT FOR FS-539 1 A87JWY2 RU-513 RELAY UNIT 1 7640015657 BIZHUB SECURE 1I AC79030 TN628 BLACK TONER NIA NIA NIA NIA NIA NIA ditional Charges (TOTAL D Network ❑ Removal ❑ Other (TOTAL Is exclusive of applicable taxes) Requested Removal Date: 0311111517023 1 BIZHUB 558E AAST011009419 KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC. 100 Williams Drive,Ramsey,NJ 074" (201)8254000 www.kmbs.konicnminolte.us Farm:300M0115- Order Package:S00652000 10 KONICA MINOLTA 03P s 009of 042 Order Agreement Check Annllcabts Box Purchase 9 Lease ❑ Other. • ♦ Account# 6101111211141 Account#SO 0000668930 ' • Account# al Name KONICA MINOLTA PREMIER FINANCE Legal Name CITY OF ELGIN Legal Name CITY OF ELGIN ttn Line 1 Attn Line 1 Attn Line 1 HEMMENS BOX OFC tin Line 2 Attn Line 2 Attn Line 2 treet Address 10201 CENTURION PK`,NY N STE 100 Street Address 150 DEXTER CT Street Address 45 SYMPHONY WAY Ity fi012G- JACKSONVILLE State FL Zip 32256 10ty ELGIN State IL ZI 5527 lCity ELGIN State 1L Zip 50120 ax Exempt ❑ V0 CK Yes (cam y t=+;:a., (d) Tax Exempt# .O.Required ((No ❑ Yes {=,,c,,.kroj„t,-) P.O.# P.O.Expiration Date ayment Terms: P ❑ Yes,I want to pay by Credit Card, Please provide contact name,phone below. Amount SEE LEASE S ❑ Pay in Full(including applicable tax) ❑ Partial Payment,Amount$ Contact Name: Phone: Check e Requested Delivery Date: SEE ATTACHED Maintenance Contract A( rued ❑ Dedlned 1 AC78011 blZHUB 3IHII 1 7670525506 MFP DELIVERY CHARGE-LEVEL ONE 1 7640018093 BASIC NETWORK SERVICE-BNS03 1 AAMN1r'IY1 DF-714 DUAL SCAN AUTO DOCUMENT 1 135700 DK-516 COPY DESK 1 A2YUWY3 FS-533 INNER FINISHER 1 A3EUW12 PK-519 PUNCH KIT FOR FS-533 1 A883012 FK-514 FAX KIT(1ST&2ND LINE) 1 7640015657 BIZHUB SECURE 1 AC7A030 TN330 BLACK TONER NIA WA NIA NIA NIA NIA Additional Charges TOTAL ❑ Network ❑ Removal ❑ Other (TOTAL Is exclusive of applicable texes) Regt+as"Removal Date: 03/15I2023 1I A7AH019 BIZHUB 287 4GI3 MEMORY COPIERIPRINTER A7AH019001585 KONICA MINOLTA BUSINESS SOLUTIONS U.S.A„INC. Form:3000-090113• 100 Williams Drive,Ramsey,NJ 07446 (201)825-4000 wwwAmbs.konicaminolta.us Order Package:S00652000 KONICA M114OLTA 03Page 10 d PM Page 010 of 042 Order Agreement Check AoPlicable Box, D Purchase X Lease Cf Other: • e Account# e e Account#SO 0000668930 - Account# )gal Name KONICA MINOLTA PREMIER FINANCE Legal Name CITY OF ELGIN Legal Name CITY OF ELGIN _ ttn Line 1 Attn Line 1 Attn Line 1 HEMMENS ADMIN ILL ttn Line 2 Attn Line 2 Attn Line 2 treet Address 102C1 CENTURION PKWY N STE 100 Street Address 150 DEXTER CT IStreet Address 45 SYMPHONY AVE 80120- ity JACKSONVILLE State FL Zip 32256 ICIty ELGIN State IL ZIP 5527 lCity ELGIN State IL Zip 60120 ax Exempt ❑ No X Yes (Copy Required) Tax Exempt# .0.Required (g No ❑ Yes (Copy Required) P.O.# P.O.Expiration Date syment Terms: Z .2 ❑ Yes,I want to pay by Credit Card. Please provide contact name/phone below. Amount 3EE LEASE <ii ❑ Fay in Full(including applicable tax) ❑ Partial Payment,Amount$ Contact Name: Phone: It'necr.0 Requested Delivery Date: SEE ATTACHED Maintenance Contract X Ao Ptw ❑ Dedlned 1 A87GWYA FS-536 80 FINISHER 1 AA2J011 BIZHUB C3601 COLOR A3 MFP/36 PPM 1 7670525506 MFP DELIVERY CHARGE-LEVEL ONE 1 7640018C94 BASIC NETWORK SERVICE-BNSO4 1 AAMNWY1 DF-714 DUAL SCAN AUTO DOCUMENT 1 AAV6IhlY8 PG-2.6 CABINET 1 A3EM'1I PK--520 PUNCH KIT FOR FS-534/FS-536 1 A87JWY2 RU-513 RELAY UNIT I A883012 FK-514 FAX KIT(1ST&2ND LINE) 1 7640015657 BIZI-;UE SECURE 1 AAV8430 TN-328C CYAN TONER NIA 1 AAV8130 TN-328K BLACK TONER NIA 1 AAV8330 TN-328MMAGENTA TONER NIA 1 AAV8230 TN-28Y YELLOW TONER NIA NIA NIA _ Additional Charges TOTAL ❑ Network ❑ Removal ❑ Other (TOTAL Is exclusive of applkable taxes) Requested Removal Date- 03/1512023 -- _ - 1 AA2jQ1 I BIZHUB C3601 COLOR A3 MFP/36 PPM AA2JU11005/b7 KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC. 100 Williams Drive.Ramsey,NJ 07446 (201)8254000 wwwAmbs.konicaminolta.us Form:3000.080115- Order Package:S00652000 PM 0 KONICA MINOLTA 03Page 01 of 42 Page 011 of 042 Order Agreement Check Applicable Box ❑ Purchase X Lease ❑ Other: • • Account# • + Account#SO 0000668930 + Account# j al Name KONICA MINOLTA PREMIER FINANCE Legal Name CITY OF ELGIN Legal Name CITY OF ELGIN ttn Line 1 Attn Line 1 Attn Line 1 FITNESS CENTER ttn Line 2 Atin Line 2 Attn Line 2 treat Address 10201 CENTURION PKWY N STE 100 IStreet Address 150 DEXTER CT IStreet Address 100 SYMPHONY WAY 50120- JACKSONVILLE State FL ZIP 32256 [City ELGIN State I. Zip 5527 lCity ELGIN State IL Zip 60120 ix Exempt ❑ No (a Yes (Copy Regv,red) Tax Exempt# 0.Required CK No ❑ Yes (copy Reyui'Wj) P.O.# P.O.Expiration Date ayment Terms: r ❑ Yes,I want to pay by Credit Card. Please provide oonfact name/phone below. w Amount 3EE LEASE u ElPay In Full(including applicable tax) [I Partial Payment,Amount$ r Contact Name: Phone: u Check# Requested Delivery Date: SEE ATTACHED Maintenance Contract :9 Accepted ❑ Dedmed 1 AA2J011 6I2HUB G36U1 COLOR A3 MFP136 PPM 1 7670525506 MFP DELIVERY CHARGE-LEVEL ONE 1 7640018094 BASIC NETWORK SERVICE-BNSO4 1 AAMNWYI DF-714 DUAL SCAN AUTO DOCUMENT 1 AAV5WY8 PC-216 CABINET 1 A87GWY3 FS-536 FINISHER(50 SHEETS) 1 A87JWY2 RU-513 RELAY UNIT 1 7640015657 BIZHUB SECURE 1 AAV8430 1 TN-328C CYAN TONER NIA 1 AAV8130 TN-328K BLACK TONER N/A 1 AAV8330 TN-328M MAGENTA TONER NIA 1 AAV8230 TN-328Y YELLOW TONER NIA NIA NIA rditbCharges onal T❑ NetworkCIRemoval ElOthsr ( AL Is excluelve of applicable taxes) R Removal Date: 03/15/2023 1 AASV017 "'BIZHUB 368E 4G8 MEMORY COPIER/PRINTER AA6V017008964 KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC. Form:3000-090115 100 Wnams Drive,Ramsey,NJ 07446 (201)826-4000 wwwAmbs.konicaminotte.us Order Package:S00652000 KONICA MINOLTA 0312212 Page 012 of 42M Order Agreement Check Applicable Box L] Purchase X Lease ❑ Other: • •111111111 Account# • • Account#SO 0000668930 • • Account# al Name KONICA MINOLTA PREMIER FINANCE Legal Name CITY OF ELGIN Legal Name CITY OF ELGIN Itn Line 1 Attn Line 1 Attn Line 1 CENTRE GROUND LEVEL ttn Line 2 Attn Line 2 Attn Line 2 treet Address 10201 CENTURION PKWY N STE 100 IStreet Address 150 DEXTER CT 60120- Street Address 100 SYMPHONY WAY Ity JACKSONVILLE State FL Zi 32266 lCity ELGIN State IL ZIP 5527 lCity ELGIN State IL Zip 60120 ax Exempt ❑ No ($Yes (Copy Required) Tax Exempt# .0.Required 9 No ❑ Yes (Copy Required) P.O.# P.O.Expiratlon Date ayment Terms: :KE�YP es,I want to pay by Credit Card. Please provide contact name/phone below. Y Amount 3EE LEASE ay in Full(Including applicable tax) ❑ Partial Payment,Amount$ act Name: Phone: Check# Requested Delivery Date: SEE ATTACHED maintenance Contract x Accepted ❑ Dedlr-d 1 AA7R017 131ZHUH G4501 1 7670525507 MFP DELIVERY CHARGE-LEVEL TWO 1 7640018094 BASIC NETWORK SERVICE-BNSO4 1 AAV5019 PC-416 CABINET 1 AAR4WY3 FS-539 1 AC28W11 PK-524 2/3 PUNCH UNIT FOR FS-539 1 A87JWY2 RU-513 RELAY UNIT 1 A883012 FK-514 FAX KIT(1ST&2ND LINE) 1 7640015657 BIZHUB SECURE 1 ACV1430 TN626C CYAN TONER(YIELD:28K NIA 1 ACV1130 TN626K BLACK TONER(YIELD:28K NIA 1 ACV1330 TN626M MAGENTA TONER(YIELD:28K NIA 1 ACV1230 TN626Y YELLOW TONER(YIELD:28K NIA NIA NIA Additional Charges J OTAL ❑ Network ❑ Removal ❑ Other (TOTAL Is exclusive of applicable taxes) Requested Rrmova!Date: 03/15/2()23 1 AA "BLEHUS 45SE AA6t1011020178 1 AA7P011 "BIZHUB C5501 55 PPM COLOR MFP AA7P011001479 KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC. Form:3000-090115• 100 Wllllams Drive,Ramsey,NJ 07446 (201)825-4000 wwwAmbs.konicaminotta.us Order Package:S00652000 0KONICA MINOLTA o3 Page 013oof042 Order Agreement Check Applicable Box Purchase X Lease U Other: • • Account# • • Account#SO 0000668930 Account# -gal Name KONICA MINOLTA PREMIER FINANCE Legal Name CITY OF ELGIN Legal Name CITY OF ELGIN to Line 1 Attn Line 1 Attn Line 1 CENTRE LOWER LEVEL Itn Llne 2 Attn Line 2 Attn Line 2 treet Address 10201 CENTURION PKWY N STE 100 IStreet Address 150 DEXTER CT Street Address 100 SYMPHONY WAY JACKSONVILLE State FL Zip 32256 lChy ELGIN State IL Zip 6527 City ELGIN State IL Zip 60120 ax Exempt ❑ No 0< Yes (,.,;,F: ,.. : } Tax Exempt# .0.Required 9 No ❑ Yes (>_.,< - '=t.} P.O.# P.O.Explratlon Date ayrttent Terms: ❑ Yes,1 want to pay by Credit Card. Please provide contact name/phone below- Amount 3EE LEASE ❑ Pay in Full Including applicable tax) L7 Partial Payment,Amount$ Contact Name: Phone: Check# Requested Delivery Date: SEE ATTACHED Maintenance Contract X Accepted ❑ Declined EXTENL 1 AC76017 61?-HU6 4501 45 PPM MUNUCHROME M 1 7670525507 MFP DELIVERY CHARGE-LEVEL TWO 1 7640018093 BASIC NETWORK SERVICE-BNS03 1 AAV5019 PC416 CABINET 1 AAR4WY3 FS-639 1 AC28WI l PK-524 213 PUNCH UNIT FOR FS-539 1 A87JWY2 RU-513 RELAY UNIT 1 ABB3012 FK-514 FAX KIT(1ST tk 2ND LINE) 1 7640015657 BIZHUB SECURE 1 AC79030 TN628 BLACK TONER NIA WA NIA WA WA NIA Additional Charges TOTAL ❑ Netwrirl. ❑ Removrl ❑ Other (TOTAL_Is exelueive of applicable taxes) Requested Removal Date: 0311WO23 KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC. Form:3000-080115 100 Williams Drive,Ramsey,NJ 07446 (201)825-4000 www.kmbs.konicaminolta.us Order Package:S00652000 0 ONIC�A MINOLTA 03Page 14:07 PM Page 014 of 042 Order Agreement Check Applicable Box ❑ Purchase 9 Lease ❑ Other: • • Account# • + • Acoount#SO 0000668930 • Account# al Name KONICA MINOLTA PREMIER FINANCE Legal Name CITY OF ELGIN Legal Name CITY OF ELGIN ttn Line 1 Attn Line 1 Attn Line 1 PSBR ADMIN UPPER LVL ttn Line 2 Attn Line 2 Attn Line 2 treat Address 10201 CENTURION PKWY N STE 100 iStreetAddress 150 DEXTER CT IStreet Address 100 SYMPHONY WAY 80120- fty State FL 7jP 32256 lCity ELGIN State IL Zip 5527 Ir—fty ELGIN State iL Zip 60120 ax Exempt 0 No X Yes wo,py Required) Wax Exempt# 0.Required X No ❑ Yes (C;wy Raquirec) P.O.# P.O. Expiration Date syment Terms: J�! v 1E1 Yes,1 want to pay by Credlt Cant. Please provide contact name/phone below. Y Amount 3EE LEASE I ❑ Pay in Full(Including applicable tax) ❑ Partial Payment,Amount$ u Contact Name: Phone: Check# Requested Delivery Date: SEE ATTACHED Maintenance Contract X Accepted ❑ Declined 1 AA7P017 BIZHUB G55o1 1 7670525507 MFP DELIVERY CHARGE-LEVEL TWO 1 7640018094 BASIC NETWORK SERVICE-BNSO4 1 AAV5019 PC 416 CABINET 1 AAR4WY3 FS-539 1 A87JWY2 RU-513 RELAY UNIT 1 7640015657 BIZHUB SECURE 1 ACV1430 TN626C CYAN TONER(YIELD:28K NIA 1 ACV1130 TN626K BLACK TONER(YIELD:28K N/A 1 ACV1330 TN626M MAGENTA TONER(YIELD:28K NIA 1 ACV1230 TN626Y YELLOW TONER(YIELD:28K N/A NIA NIA _ diidonal Charges TOTAL ❑ Network ❑ Removal ❑ Other (TOTAL Is exclusive of applicable taxes) Requested Removal Date: 03/15/2023 1 AA6LjQ1 "BIZHUB 458E AA61.1011020172 KONICA MINOLTA BUSINESS SOLUTIONS U S.A.,INC. Form:3000-040115 100 WHGams Drive.Ramsey,NJ 07446 (201)825-4000 www.kmbs.konlearrinolta.us Order Package:S00652000 0 KONICA MINOLTA 03Page304:07 42 /�� L, Page 015 of 042 Order Agreement Check Applicable Box ❑ Purchase X Lease Ll Other: • • Account# • • Account#SO D000668930 - • Account# al Name KONICA MINOLTA PREMIER FINANCE Legal Name CITY OF ELGIN Legal Name CITY OF ELGIN Itn Line 1 Attn Line 1 Attn Line 1 FIRE STATION#1 ttn Line 2 Attn Line 2 Attn Line 2 treat Address 10201 CENTURION PKWY N STE 100 Street Address 150 DEXTER CT Street Address 550 SUMMIT ST. Ity s JACKSONVILLE State FL Zip32258 Ci ELGIN State IL Z so�zo- 527 [City ELGIN State IL Zip 60120 3x Exempt ❑ l"o CK Yes (Copy Required) Tax Exempt# .O.Required X No ❑ Yes (Copy Required) P.O.# � P.O.Expiration Date ayment Terms: ❑ Yes,I want to pay by Credit Card. Please provide contact namelphone below. Y Amount 3EE LEASE ❑ Pay in Full(including applicable tax) ❑ Partial Payment,Amount$ Contact Name: Phone: Check S Requested Delivery Date: SEE ATTACHED Maintenance Contract X nmwzd ❑ Deemed 1 AC75017 BIZHUB 550155 PPM MONOCHROME M 1 7670526507 MFP DELIVERY CHARGE-LEVEL TWO 1 7640018093 BASIC NETWORK SERVICE-BNS03 1 AAV5019 PC416 CABINET 1 AAR4WY3 FS-539 1 AC26W11 PK-524 213 PUNCH UNIT FOR FS-539 1 A87JWY2 RU-513 RELAY UNIT 1 7640015657 BIZHUB SECURE mom 1 AC79030 TN628 BLACK TONER N/A WA NIA N/A N/A N/A Additbnal Charges TOTAL. ❑ Network ❑ Removal ❑ Other (TOTAL_is exclusive of applicable taxes) Requested Rtlrnoval Date: Il3H5P2023 1 I AA6TQ11BIZHU8 SME AW011010617 KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC. FOrnt:3000-090115• 100 Williams Drive,Ramsey,NJ 07446 (201)825-4000 www.kmbs.konicaminolta.us Order Package:S00652000 KONICA0 MINOLTA °3Page 016ot042 Order Agreement Check Applicable Box [. Purchase X Lease Ci Other. e s Account# e r e Account#SO 0000668930 Account# tgal Name KONICA MINOLTA PREMIER FINANCE Legal Name CITY OF ELGIN Legal Name CITY OF ELGIN ftn Line 1 Aftn Line 1 Attn Line 1 FIRE STATION#6 tin Une 2 Attn Line 2 Attn Line 2 treat Address 10201 CENTURION PKWY N STE 100 IStreet Address 150 DEXTER CT IStreet Address 707 W CHICAGO ST 6D720- JACKSONVILLE State FL 32258 Ci ELGIN State IL Zip5527 C ELGIN State IL Zi 60120 ex Exempt ❑ No 0(Yes (Copy Requaed) Tax Exempt# .0.Required SK No ❑ Yes (Copy Required) P.O.# P.O.Expiration Date ayment Terms: a ❑ Yes,I want to pay by Credit Card. Please provide contact name/phone below. Amount iEE LEASE E 1 ❑ Pay in Full(including applicable tax) ❑ Partial Payment,Amount$ V Contact Name: Phone: lChech# Requested Delivery Date: SEE ATTACHED Maintenance Contract X Amepted ❑ Declined 1 AC77011 912HUt3 3301 1 7670525506 MFP DELIVERY CHARGE-LEVEL ONE 1 7640018093 BASIC NETWORK SERVICE-BNS03 1 AAMNWYI DF-714 DUAL SCAN AUTO DOCUMENT 1 135700 DK-516 COPY DESK 1 AAR4WY3 FS-539 1 AC28WI1 PK-524 2/3 PUNCH UNIT FOR FS-539 1 A87JWY2 RU-513 RELAY UNIT 1 A883012 FK-514 FAX KIT(1ST&2ND LINE) 1 7640015657 8IZHUB SECURE e 1 AC7A030 TN330 BLACK TONER NIA NIA WA NIA NIA NIA MEN Additional Charges TOTAL O Network ❑ Removal ❑ Other (TOTAL Is exclusive of applicable taxes) i R4qu*s%d Removal Date: 0311W023 Aged 1 AA V01 '*B[rHUB 368E 4G8 MEMORY COPIERIPRINTER AABV017009007 KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC. Form:3000-090115- 100 Williams Drive,Ramsey,NJ 07446 (201)825.4000 wwwArnbs.konicaminolta.us Order Package:S00652000 KONICA MINOLTA0�Page 017 of 042 Order Agreement Check ApPllcable Box Purchase X Lease ❑ Other: W91181qKMAccount# • • Account#SO 0000668930 Account# al Name KONICA MINOLTA PREMIER FINANCE L al Name CITY OF ELGIN Legal Name CITY OF ELGIN ttn Line 1 Attn Line 1 Attn Line 1 RIVERSIDE WATER DEPT ltn Line 2 Attn Line 2 Attn Line 2 treet Address 10201 CENTURION PKWY N STE 100 Street Address 150 DEXTER CT IStreet Address 375 W RIVER RD W20- Ity State FL Zip 32258 ICity ELGIN State IL 7a sw Ctt ELGIN State IL Zip 60120 3x Exempt ❑ No X Yes (,,;opy Rc-qx 6e,) Tax Exempt# .0.Required D( No ❑ Yes (0�-y Reyurfd) P.O.# P.O.Expiration Date ayrnent Terms: v ❑ Yes,1 want to pay by Credh Card. Please provide contact name/phone below. Amount 3EE LEASE ❑ Pay in Full(including applicable tax) ❑ Partial Payment,Amount$ c Contact Name: Phone: Check 0 Requested Delivery Date: SEE ATTACHED Maintenance Contract rg( A-wed ❑ Dedined 1 AA2J011 BIZHUB C3601 COLOR A3 MFP136 PPM 1 7670525506 MFP DELIVERY CHARGE-LEVEL ONE 1 7640018094 BASIC NETWORK SERVICE-BNSO4 1 AAMNWY1 DF-714 DUAL SCAN AUTO DOCUMENT 1 AAV5WY8 PC-216 CABINET 1 A2YUWY3 FS-533 INNER FINISHER 1 A3ETW11 PK-520 PUNCH KIT FOR FS-534/FS-536 1 A883012 FK-514 FAX KIT(1 ST&2ND LINE) 1 7640015657 BIZHUB SECURE 1 AAV8430 TN-328C CYAN TONER N/A 1 AAV8130 TN-328K BLACK TONER WA 1 AAV8330 TN-328M MAGENTA TONER N/A 1 AAVa230 TN-328Y YELLOW TONER N/A N/A N/A Additional Charges (TOTAL F1 network ❑ Removal ❑ Other (TOTAL Is exclusive of epplicable taxes) Requested R-9mcval Date: 03115=23 1 AA2jQ11 BIZHUB C3601 COLOR A3 MFP/36 PPM AAZJ011012778 KONICA MINOLTA BUSINESS SOLUTIONS U.S•A.,INC. Form:3000-090115• 100 Williams Drive,Ramsey,NJ 07446 (201)825-4000 wwwAmbs.konicaminoflams Order Package:S00652000 07 PM 0 IKONICA MINOLTA 03Page 04:ofD42 Pape Di 8 01 Q42 Order Agreement Check Auoilcable Box Purchase X Lease ❑ Other: • • Account# • • Account#SO 0000668930 - • Account# )gal Name KONICA MINOLTA PREMIER FINANCE Legal Name CITY OF ELGIN Legal Name CITY OF ELGIN tin Line 1 Attn Line 1 Attn Line 1 ENGINEERING ttn Line 2 Attn Line 2 Afro Line 2 beet Address 10201 CENTURION PKWY N STE 100 iStreet Address 150 DEXTER CT IStreat Address 1900 HOLMES RD 80120. + JACKSONVILLE State FL Zl 32258 CI ELGIN State IL Zip6527 lCity ELGIN State IL Zip 60123 nx Exempt ❑ No Ig Yes (Copy Required) Tax Exempt# ,0.Required CK No ❑ Yes (Copy Required) P.C.# P.O.Expiration Date ayment Terms: E ❑ Yes.I want to pay by Credit Card. Please provide contact name/phone below. x Amount 3EE LEASE ❑ Pay in Full(including applicable tax) ❑ Partial Payment,Amount$ Contact Name: Phone: Check Requested Delivery Date: SEE ATTACHED Maintenance Contract Amepted ❑ Dedlned 1 AA2J011 612MU8 t;JbUI UULUR A3 MFP/36 PPM 1 7670525506 MFP DELIVERY CHARGE-LEVEL ONE 1 7640018094 BASIC NETWORK SERVICE-BNSO4 1 AAMNWYI DF-714 DUAL SCAN AUTO DOCUMENT 1 AAV5WY8 PC-216 CABINET 1 A87GWY3 FS-536 FINISHER(50 SHEETS) 1 A3ETW11 PK-520 PUNCH KIT FOR FS-534/FS-536 1 A87JWY2 RU-513 RELAY UNIT 1 7640015657 BIZHUB SECURE fram 1 AAV8430 TN-328C CYAN TONER NIA 1 AAV8130 TN-328K BLACK TONER NIA 1 AAV8330 TN-328M MAGENTA TONER NIA 1 AAV8230 TN-328Y YELLOW TONER N/A NIA NIA _ - - Additional Charges TOTAL F- Notwor►. ❑ Removal ❑ Other (TOTAL Is exclusive of appllcabk:taxes) Requested Removal Date- 03/1512023 • KONICA MINOLTA BUSINESS SOLUTIONS U.SJ1,INC. Form:3000-040115• 100 WiWams Drive,Ramsey,NJ 07446 (201)825-4000 www.kmbs.konfcaminolta.us Order Package:S00652000 0 PM KONICA MINOLTA �o9Q;042 Order Agreement Check Apelicable Box ❑ Purchase 19 Lease ❑ Other. • • Account# * ■ • Account#SO D000868930 • Account# .gal Name KONICA MINOLTA PREMIER FINANCE Legal Name CITY OF ELGIN Le al Name CITY OF ELGIN Itn Line 1 Attn Line 1 Attn Line 1 FLEET ttn Line 2 Attn Line 2 Attn Line 2 treet Address 10201 CENTURION PKWY N STE 100 Street Address 150 DEXTER CT Street Address 1900 HOLMES RD so120- JACKSONVILLE State FL ZJp 32256 Ply ELGIN State IL ZIP 5527 lCity ELGIN State IL Zip 60123 ax Exempt ❑ No 0( Yes (copy Required) Tax Exempt# .0.Required X No ❑ Yes (Copy Required) P.O.# P.O.Expiration Date ayment Tenns: r ❑ Yes,I want to pay by Credit Card. Please provide contact name/phone below. Amount 3EE LEASE _ ❑ pay in Full(Including applicable tax) ❑ Partial Payment,Amount$ s Contact Name: Phone: Check 0 Requested Delivery Date: SEE ATTACHED Maintenance Contract X Aooepted ❑ Declined 1 AC78011 BIZHUB 3001 1 7670525506 MFP DELIVERY CHARGE-LEVEL ONE 1 7640018093 BASIC NETWORK SERVICE-BNS03 1 AAMNWY1 DF-714 DUAL SCAN AUTO DOCUMENT 1 135700 DK-616 COPY DESK I A2YUWY3 FS-533 INNER FINISHER 1 A3EUW12 PK-519 PUNCH KIT FOR FS-533 1 A883012 FK-514 FAX KIT(1ST&2ND LINE) 1 7640015657 BIZHUB SECURE 1 AC7A030 TN330 BLACK TONER NIA NIA NIA NIA NIA NIA ® Additional Charges TOTAL ❑ Network ❑ Remawl ❑ Other (TOTAL to exclusive of applicable taxes) Requested Removal Data: 03115/2023 1 I AA2jQ11 BIZHUB 03601 COLOR A3 MFP/36 PPM AA2J011012560 1 1 A7AH019 BIZHUB 287 4GB MEMORY COPIERIPRINTER A7AH019001770 KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC. Form:3000-090115• 100 Williams Drive,Ramsey,NJ 07446 (201)925.40DO wwwkmbskonicaminotta.us Order Package:S00652000 10KONICAMINOLTA Page 03 oa:07 PM Page 020 xK 042 Order Agreement Check Applicable Box ❑ Purchase 9 Lease ❑ Other: • • Account# • Account#SO ODD0668930 • Account# )gal Name KONICA MINOLTA PREMIER FINANCE Legal Name CITY OF ELGIN Legal Name CITY OF ELGIN 11n Line 1 Atin Line 1 Attn Line 1 BOWES CREEK ttn Line 2 Attn Line 2 Attn Line 2 treat Address 10201 CENTURION PKWY N STE 100 Street Address 150 DEXTER CT jStt Address 1250 BOWES CREEK RD JACKSON LE State FL ZIPW56 C' ELGIN State IL Zip � lCity ELGIN State IL Zip 60124 ax Exempt ❑ No (g Yes (Copy Required) Tax Exempt# .0.Required X No ❑ Yes (Copy Required) P.O.# P.O.Expiration Date syment Terms: v E ❑ Yes,I want to pay by Credit Card. Please provide contact name/phone below. un4 >EE LEASE a ❑ Pay in Full(including applicable tax) ❑ Partial Payment,Amount$ Contact Name: Phone: Check# Requested Delivery Date: SEE ATTACHED Maintenance Contract lit Accepted ❑ Declined 1 AA2M011 e1ZHUB C2501-COLOR A3 MFP128 PPM 1 7670625506 MFP DELIVERY CHARGE-LEVEL ONE 1 7640018094 BASIC NETWORK SERVICE-BNSO4 1 AAMNWY1 DF-714 DUAL SCAN AUTO DOCUMENT 1 1357DO DK-516 COPY DESK 1 A2YUWY3 FS-533 INNER FINISHER 1 ACCJWY1 KP-102 KEYPAD (10"PANEL) 1 A883612 FK-514 FAX KIT(1ST 8 2ND LINE) 1 7640015657 BIZHUB SECURE MATERIAL • 1 AAV8430 TN-328C CYAN TONER NIA 1 AAV8130 TN-328K BLACK TONER NIA 1 AAV8330 TN-328M MAGENTA TONER NIA 1 AAV8230 TN-328Y YELLOW TONER NIA NIA NIA Additional Charges TOTAL ❑ Network ❑ Removal ❑ Other (TOTAL Is exclusive of sppik:oblo taxes) Requested Removal Date: 03/15/2023 1 AA2M011 BIZHUB 02501-COLOR A3 MFP129 PPM AA2M011009752 KONICA MINOLTA BUSINESS SOLUTIONS U.S.A-INC. Form:3000-090115• 100 Williams Drive,Ramsey,NJ 07446 (201)825-4000 wwwAmbs.koNoaminolta.us Order Package:S00652000 OD KONICA MINOLTA 03Page 21 of 42 Page oz1 of o4z Order Agreement Check Applicable Box I i Purchase X Lease O Other: • • Account# • • Account#SO 0000668930 • • Account# al Name KONICA MINOLTA PREMIER FINANCE Legal Name CITY OF ELGIN Legal Name CITY OF ELGIN ttn Line 1 Attn Line 1 Attn Line 1 POLICE SOCIAL SERVIC ttn Line 2 Attn Line 2 Attn Line 2 treat Address 10201 CENTURION PKWY N STE 104 IS&eet Address 150 DEXTER CT IStreet Address 151 DOUGLAS AVE 60120- JACKSONVILLE State FL Zip 32256 laty ELGIN State IL ZP 5527 ICIty ELGIN State IL Zip 60120, sx Exempt ❑ No K Yes (copy Required) Tax Exempt# .0.Required X No ❑ Yes (r-py Required) P.O.# P.O.Expiration Date ayment Terms: 9 E ❑ Yes,I want to pay by Credit Card. Please provide contact name/phone below. x Amount 3EE LEASE ❑ Pay in Full(including applicable tax) ❑ Partial Payment,Amount$ Contact Name: Phone: Check# Requested Delivery Date: SEE ATTACHED Maintenance Contract 19 Aompted ❑ 0eciined 1 AA2M011 SIZHUB C2501-COLOR A3 MFP/28 PPM 1 7670525506 MFP DELIVERY CHARGE-LEVEL ONE 1 7640018094 BASIC NETWORK SERVICE-BNSO4 1 AAMNWYI DF-714 DUAL SCAN AUTO DOCUMENT 1 135700 DK-616 COPY DESK 1 A2YUWY3 FS-533 INNER FINISHER 1 7640015657 BIZHUB SECURE 1 AAV8430 TN-328C CYAN TONER N/A 1 AAV8130 TN-328K BLACK TONER NIA 1 AAV8330 TN-328M MAGENTA TONER NIA 1 AAV8230 TN-328Y YELLOW TONER NIA NIA N(A _ !Additional Charges TOTAL ❑ Network ❑ Removal ❑ Other (TOTAL la exclusive of applicable taxes) Requested Removal Date: 03115/2023 77 E�N� KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC. FORTt:3000-090115 100 Williams Drive,Ramsey,NJ 07446 (201)925-4000 www.kmbs.konicaminolta.us Order Package:S00652000 0 KONICA MINOLTA 03P/2 g 00422 2 of2 Equipment Removal Authorization Customer: CITY OF ELGIN Pick Up Address: CITY OF ELGIN, 150 DEXTER CT, ELGIN, IL, 60120 Contact Name: DAINA DENYE Contact phone: 630 931 5604 Equipment being removed from Customer's Location: Make: BIZ368E Model: PIEWPRINTERGB MEMORY C Serial Number. AA6V017008990 Make: Model: Serial Number: Make: _ Model: Serial Number. Customer Owned Asset: Customer represents and warrants that it has good title to the equipment,free and clear of any lien,mortgage,encumbrance or security Interest of any kind. Customer agrees to defend,Indemnity and hold Konica Minolta Business Solutions U.SA,Inc.("KMBS')harmless from any loss,damage claim, liability or expense of any kind(including,but not limited to,court costs and attorney's fees)arising or resulting from a breach of this representation and warranty of good title and/or the authority,expressed or apparent,of Customer to trade-in or transfer the equipment. Upon signing this Agreement,Customer surrenders possession of the equipment and all components contained therein to KMBS. Customer further agrees that the surrendered equipment will be available for pick-up at the same time that any new equipment is delivered. If the surrandwed equlpment is not available for pickup at time of new equipment delivery,customer will be Invoiced an additional charge for the separate pick-up. ®Lease Company Owned Asset: Lease Company Name: FIRST-CITIZENS BANK&TRUST CO Lease It: 1676806 ®Upgrade to Return KMBS will resolve current base obligation. Asset belongs to the Lease Company. KMBS will ship back to Lease Company. Upgrade to Keep KMBS will resolve current lease obligation. Asset belongs to KMBS unless otherwise stated below. Buyout to Keep KMBS Mil resolve current lease obligation. Asset belongs to KMBS unless otherwise stated below. End of Lssse Return Asset belongs to the Lease Company. KMBS will return equipment fisted above to the respective leasing company upon redept of a written Return Authorization Letter and Shipping Instructions. In the event KMBS does not receive a Return Authorization Letter and Shipping Instructions within 90 days of equipment pick up from Customers location,and Customer has not made additional arrangements with KMBS for storage,the equipment listed above will be rettrmed to Customer's location of pick up. Unless Itemized as part of the equipment order,KMBS will Invoice the Customer for the Shipping Fools)associated with return of the equipment to the designated return address provided by the Lasso Company. Buyout or upgrade quote may Include an estimate of pages produced between lest meter billing and date the lease obligation Is satisfied or equipment Is returned. Shipping Fee(s)to Bo Invoiced to Customer: End of Lease Return requiring Interim storage of equipment requires proauthorkatlon from the Regional Operations Manager and Market Vice President and Is subject to availability of storage space In a KMBS warehouse or arrangement for offsite storage. Comments: KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.INC. 100 Williams Drive,Ramsey,NJ 07416 (201)I125-4000 www kmbs.konicaminolta.us Order Package:S00652000 0 KONICA MINOLTA 03Pags 23 o7 PM Page 0 of 042 Equipment Removal Authorization Customer: CITY OF ELGIN Pick Up Address: CITY OF ELGIN, 150 DEXTER CT., ELGIN, IL,60120 Contact Name: DAINA DENYE Contact Phone: 630 931 5604 Equipment being removed from Customers Location: Make: C4501 Model: FPIZHUB C450I45 PPM COLOR M Serial Number: AA7R011003515 Make: Model: Serial Number: Make: Model: Serial Number: Customer Owned Asset: Customer represents and warrants that It has good title to the equipment,free and dear of any Ilan,mortgage,encumbrance or security interest of any kind, Customer agrees to defend,Indemnify and hold Konica Minolta Business Solutions U.S.A.,Inc.('KMBS")harmless from any loss,damage claim, liability or expense of any kind(Including,but not limited to,court costs and attorneys fees)arising or resulting from a breach of this representation and warranty of good We and/or the authority,expressed or apparent,of Customer to trade-in or transfer the equipment. Upon signing this Agreement,Customer surrenders possession of the equipment and all components contained therein to KMBS. Customer further agrees that the surrendered equipment will be available for pick-up at the same time that any now equipment Is delivered. If the surrendered equipment is not available for pick-up at time of new equipment delivery,customer will be Invoiced an additional charge for the separate pick-up. ®Lease Company Owned Asset: Lease Company Name: FIRST-CITIZENS BANK&TRUST CO Lease P: 1676806 Upgrade to Return KMBS will resolve current lease obligation. Asset belongs to the Lease Company. KMBS will ship back to Lease Company. Upgrade to Keep KMBS will resolve current lease obligation. Asset belongs to KMBS unless otherwise stated below. Buyout to Keep KMBS will resolve current lease obligation. Asset belongs to KMBS unless o#NNWse stated below. End of Lease Return Asset belongs to the Lease Company. KMBS will return equipment listed above to the respective leasing company upon redept of a written Return Authorization Letter and Shipping Instructions. In the event KMBS does not receives Return Authorization Letter and Shipping Instructions within 90 days of equipment pick up from Customer's location,and Customer has not made additional arrangements with KMBS for storage,the equipment listed above will be returned to Customer's location of pick up. Unless Itemized as part of the equipment order,KMBS will Invoice the Customer for the Shipping Fee(s)associated with return of the equipment to the designated return address provided by the Lease Company. Buyout or upgrade quote may Include an estimate of pages produced between last meter billing and date the lease obligation Is satisfied or equipment Is returned. Shipping Fee(a)to as Invoiced to Customer: End of Lease Return requiring interim storage of equipment requires pro-authorization from the Regional Operations Manager and Market Vice President and Is subject to availability of storage space In a KMBS warehouse or arrangement for offske storage. Comments: KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC. 100 Williams Drive,Ramsey,NJ 07446 (201)825.4000 wwwArnbs.konleaminolta.us Order Package:S00652000 KONICA MINOLTA of o 042 Equipment Removal Authorization Customer: CITY OF ELGIN Pick Up Address: CITY OF ELGIN, 150 DEXTER, ELGIN, IL, 60120 Contact Name: DAINA DENYE Contact Phone: 630 931 5604 Equipment being removed from Customer's Location: Make: C5501 Model: PIZHUB C5501 55 PPA�COLOR M Seria1 Number: AA7P011001466 Make: Model: Serial Number: Make: Model: Serial Number. Customer Owned Asset: Customer represents and warrants that It has good title to the equipment,(roe and Wear of any Ilan,mortgage,encumbrance or security Interest of any kind. Customer agrees to defend,Indemnity and hold Konica MinoHa Business Solutions U.S.A.,Inc.('KMBS')harmless from any loss,damage claim, liability or expense of any kind(Including,but not limited to,court casts and attorney's fees)arising or resulting from a breach of this representation and warranty of good title and/or the authority,expressed or apparent,of Customer to tradein or transfer the equipment. Upon signing this Agreement,Customer surrenders possession of the equipment and all components contained therein to KMBS. Customer further agrees that the surrendered equipment will be available for pick-up at the some time that any new equipment is delivered. If the surrendered equipment Is not available for pick-up at time of new equipment delivery,customer will be Invoiced an additional charge for the separate pick-up. ®Lease Company Owned Asset: Lease Company Name: FIRST-CITIZENS BANK&TRUST CO Lease#: 1676806 ®Upgrade to Return KMBS will resolve current lease obligation. Asset belongs to the Lease Company. KMBS will ship back to Lease Company. Upgrade to Keep KMBS will resolve current lease obligation. Asset belongs to KMBS unless otherwise stated below. Buyout to Keep KMBS will resolve current lease obligation. Asset belongs to KMBS unless otherwise stated below. End of Lease Return Asset belongs to the Lease Company. KMBS will return equipment Bsled above to the respective leasing company upon rociept of a written Return Authorization Letter and Shipping Instructions. In the event KMBS does not receive a Return Authorization Letter and Shipping Instructions within 90 days of equipment pick up from Customers location,and Customer has not made additional arrangements with KMBS for storage,the equipment listed above will be returned to Customers location of pick up, Unless itemized as part of the equipment order,KMBS will Invoice the Customer for the Shipping Fees)associated with return of the equipment to the designated return address provided by the loose Company. Buyout or upgrade quote may Include an estimate of pages produced between last meter billing and date the lease obligation Is satisfied or equipment Is returned. Shipping Fees)to Be Invoiced to Customer. End of Lease Return requiring Interim storage of equipment requires pre-authorization from the Regional Operations Manager and Market Vice President and is subject to availability of storage space in a KMBS warehouse or arrangement for offsits storage. Comments: i KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC. 100 Williams Drive,Ramsey,NJ 07446 (201)825-4000 www.kmbs,konicamirmlta.us Order Package:S00652000 KONICA MINOLTA 031=025 of t 4M2 Equipment Removal Authorization Customer. CITY OF ELGIN Pick Up Address: CITY OF ELGIN, 150 DEXTER CT., ELGIN, IL, 60120 Contact Name: DAINA DENYE Contact Phone: 630 931 5604 Equipment being removed from Customer's Location: Make: BIZ558E Model: BIZHUS 558E Serial Number. AA6T011010818 Make: Model: Serial Number: Make: Model: Serial Number: Customer Owned Asset: Customer represents and warrants that It has good title to the equipment,free and clear of any Ilan,mortgage,encumbrance or security Interest of any kind. Customer agrees to defend,Indemnify and hold Konica Minolta Business Solutions U.S.A.,Inc.(`KMBS-)harmless from any loss,damage claim, liability or expense of any kind(including,but not limited to,court coats and attomey'a foes)arising or resulting from a breach of this representation and warranty of good title and/or the authority,expressed or apparent,of Customer to tradedn or transfer the equipment. Upon signing this Agreement,Customer surrenders possession of the equipment and all components contained therein to KMBS. Customer further agrees that the surrendered equipment will be available for pick-up at the sometime that any new equipment Is delivered. If the surrendered equipment Is not available for pick-up at time of new equipment delivery,customer will be Invoiced an additional charge for the separate pick-up. ®Lease Company Owned Asset: Lease Company Name: FIRST-CITIZENS BANK&TRUST CO Lease S: 1676806 ®Upgrade to Return KMBS will resolve arrant lease obligation, Asset belongs to the Lease Company. KMBS will ship back to Lease Company. Upgrade to Keep KMBS will resolve current lease obligation. Asset belongs to KMBS unless otherwise stated below. Buyout to Keep KMBS will resolve current lease obligation. Asset belongs to KMBS unless otherwise stated below. End of Lease Ratum Asset belongs to the Lease Company. KMBS will return equipmenet listed above to the respective leasing company upon redept of a written Return Authorization Letter and Shipping Instr ictlans. In the evert KMBS does not receive a Return Authorization Letter and Shipping instructions within 90 days of acuiprnent pick up from Customer's location,and Customer has not made additional arrangements with KMBS for storage,the equipment listed above will be returned to Customer's location of pick up. Unless Itemized as part of the equipment order,KMBS will Invoice the Customer for the Shipping Fees)associated with return of the equipment to the designated return address provided by the Lease Company. Buyout or upgrade quote may Include an estimate of pages produced between last meter lofting and date the lease obligation Is satlefled or equipment Is returned. Shipping Fees)to Be Invoiced to Customer: End of Lease Return requiring Interim storage of equipment requires pre-authorization from the Regional Operations Manager and Market Vice President and is subject to availability of storage space In a KMBS warehouse or arrangement for offaite storage. Comments: i t KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC. 100 Wilams Drive,Ramsey,NJ 07446 (201)826-4000 www.kmbs.konicaminolta.us Order Package:S00652000 0 {O�NICA MINOL�TA °Poge 0206 of 0P422 Equipment Removal Authorization Customer: CITY OF ELGIN Pick Up Address: CITY OF ELGIN, 150 DEXTER CT, ELGIN, IL,60120 Contact Name: DAINA DENYE Contact Phone: 630 931 5604 Equipment being removed from Customer's Location: Make: BIZ558E Model: BIZHUB 558E serial Number. AA6TO11010521 Make: Model: Serial Number: Make: Model. Serial Number: Fj Customer Owned Asset: Customer represents and warrants that it has good title to the equipment,tree and clear of any Ilan,mortgage,encumbrance or security Interest of any kind. Customer agrees to defend,Indemnify and hold Konica Minolta Business Solutions U.S.A.,Inc.('KMBS')harmless from any loss,damage claim, liability or expense of any kind(including,but not limited to,court costs and attorney's fees)arising or resulting from a breach of this representation and warranty of good title and/or the authority,expressed or apparent,of Customer to trade-In or transfer the equipment. Upon signing this Agreement,Customer surrenders posseaslon of the equipment and all components contained therein to KMBS. Customer further agrees that the surrendered equipment will be available for pick-up at the sometime that any new equipment Is delivered. H the surrendered equipment Is not available for pick-up at time of new equipment delivery,customer will be Invoiced an additional charge for the separate pick-up. ®Lease Company Owned Asset: Loose Company Name: FIRST-CITIZENS BANK&TRUST CO Lassa#: 1676806 ®Upgrade to Return KMBS will resolve current lease obligation. Asset belongs to the Leese Company. KMBS will ship back to Lease Company. Upgrade to Keep KMBS wit]resolve current lease obligation. Asset belongs to KMBS unless otherwise stated below. Buyout to Keep KMBS will resolve current tease obligation. Asset belongs to KMBS unless otherwise stated below. End of Lease Return Asset belongs to the Lease Company. KMBS will return equipment listed above to the respective leasing company upon reciept of a written Return Authorization Letter and Shipping Instructions. In the event KMBS does not receive a Retum Authorization Letter and Shipping instructions within 90 days or equipment pick up from Customer's location,and Customer has not made additional arrangements with KMBS for storage,the equipment listed above will be returned to Customer's location of pick up. Union Itemized an part of the equipment order,KMBS will Invoice the Customer for the Shipping Fee(s)associated with return of the equipment to the designated return address provided by the Lease Company. Buyout or upgrade quote may Include an estimate of pages produced between last meter billing and date the lease obligation is satisfied or equipment Is returned. Shipping Fee(s)to Be Invoiced to Customer: End of Lease Return requiring interim storage of equipment requires pre-authorization from the Regional Operations Manager and Market Vice President and is subject to availability of storage space in a KMBS warehouse or arrangement for offslte storage. Comments: E KONICA MiNOLTA BUSINESS SOLUTIONS U.S.A.,W C, 100 Williams Drive,Ramsey,NJ 07446 (201)8254WO wwwArnbs.konlcaminolta.us Order Package:S00652000 03WA3 04:07 PM 0I<ONI A MINOLTA Page 027of042 Equipment Removal Authorization Customer: CITY OF ELGIN Pick Up Address: CITY OF ELGIN, 151 DOUGLAS AVE, ELGIN, IL,60120 Contact Name: DAINA DENYE Contact Phone: 630 931 5604 Equipment being removed from Customer's Location: Make: BIZ287 Model: ER/ LATER B MEMORY COPI PR Serial Number. A7AH019001624 Make: Model: Serial Number: Make: Model: Serial Number: Customer owned Asset: Customer represents and warrants that It has good title to the equipment,free and clear of any lien,mortgage,encumbrance or security interest of any kind. Customer agrees to defend,Indemnify and hold Konica Minolta Business Solutions U.SA,Inc.("KMBS")harmless from any loss,damage clalm, liability or expense of any kind(including,but not limited to,coat costs and attorneys fees)arising or resulting from a breach of this representation and warranty of good title and/or the authority,expressed or apparerit,of Customer to trads4n or transfer the equipment. Upon signing this Agreement,Customer surrenders possession of the equipment and all components contained therein to KMBS. Customer further agrees that the surrendered equipment will be available for pick-up at the same time that any new equipment Is delivered. B the surrendered equipment is not available for pickup at time of new equipment delivery,customer will be Invoiced an additional charge for the separate pldk-up. ®Lease Company Owned Asset: Lease Company Name: FIRST-CITIZENS BANK$TRUST CO Lease#: 1676806 ®Upgrade to Return KMBS will resolve current lease obligation. Asset belongs to the Lease Company. KMBS will ship back to Lease Company. Upgrade to Keep KMBS will resolve current lease obligation. Asset belongs to KMBS unless otherwise stated below. Buyout to Keep KMBS will resolve current lease obligation. Asset belongs to KMBS unless otherwise stated below. End of Lease Return Asset belongs to the Lease Company. KMBS will return equipment fisted above to the respective leasing company upon reciept of a written Return Authorization Letter and Shipping Instructions. In the event KMBS does not receive a Return Authorization Letter and Shipping Instructions within 90 days of equipment pick up from Customer's location,and Customer has not made additional arrangements with KMBS for storage,the equipment fisted above will be returned to Customer's location of pick up. Unless Itemized as part of the equipment order,KMBS will Invoice the Customer for the Shipping Fees)associated with return of the equipment to the designated return address provided by the Lease Company. Buyout or upgrade quote may Include an estimate of pages produced between last meter billing and date the base obligation Is satisfied or equipment Is returned. Shipping Fee(s)to Be Invoiced to Customer: End of Lease Return requiring interim storage of equipment requires pre-authorization from the Regional Operations Manager and Market Vice President and Is subject to availability of storage space In a KMBS warehouse or arrangement for offsite storage. Comments: i KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC. 100 Williams Drive,Ramsey,NJ 07446 (201)825-4000 www.kmbs.konicaminolta.us Order Package:S00662000 004:07 PM KONICA MINOLTA 03/22123 P Q 026of0 2 Equipment Removal Authorization Customer: CITY OF ELGIN Pick Up Address: CITY OF ELGIN, 151 DOUGLAS AVE, ELGIN IL, 60120 Contact Name: DAINA DENYE Contact Phone: 630 931 5604 Equipment being removed from Customer's Location: Make: BIZ368E Model: OP��NMR MEMORY C Serial Number: AA6V017008965 Make: Model: Serial Number: Make: Model: Serial Number. Customer Owned Asset: Customer represents and warrants that It has good We to the equipment,free and clear of any Ilan,mortgage,encumbrance or security kRerest of any kind. Customer agrees to defend,Indemnify and hold Konica Minolta Business Solutions U.S.A.,Inc.('KMBS')harmless from any loss,damage claim, liablilty or expense of any kind(Including,but not limited to,court costs and attorney's fees)arising or resulting from a breach of this representation and warranty of good title andlor the autha tty,expressed or apparent,of Customer to trade-In or transfer the equipment. Upon signing this Agreement,Customer surrenders possession of the equipment and all components contained therein to KMBS. Customer further agrees that the surrendered equipment will be available for pick-up at the same time that any new equipment is delivered. If the surrendered equipment Is not available for pick-up at time of new equipment delivery,customer will be Invoiced an additional charge for the separate pick-up. ®Lease Company Owned Asset: Lease Company Name: FIRST-CITIZENS BANK&TRUST CO Lease e; 1676806 ®Upgrads to Return KMBS will resolve current lease obligation. Asset belongs to the Lease Company. KMBS will ship back to Lease Company. 11 Upgrade to Keep KMBS will resolve current lease obligation. Asset belongs to KMBS unless otherwise stated below. E]guyout to Keep KMBS will resolve current lease obligation. Asset belongs to KMBS unless otherwise stated below. ❑End of Lease Return Asset belongs to the Lease Company. KMBS will return equipment listed above to the respective leasing company upon reciept of a wrttten Return Authorization Letter and Shipping Instructions. In the event KMBS does not receive a Retum Authorization Letter and Shipping Instructions within 90 days of equipment pick up from Customers location,and Customer has not made additional arrangements with KMBS for storage,the equipment Isted above will be returned to Customers location of pick up. Unless itemized as part of the equipment order,KMBS will Invoice the Customer for the Shipping Foes)associated with return of the equipment to the designated return address provided by the Lease Company. Buyout or upgrade quote may Include an estimate of pages produced between last motor bliling and date the lease obligation Is satisfied or equipment Is returned. Shipping Fee(s)to Be Invoiced to Customer: End of Lease Return requiring Interim storage of equipment requires pro authorization from the Regional Operations Manager and Market Vice President and Is subject to availability of storage space in a KMBS warehouse or arrangement for offsite storage. Comments: i i I KONICA MINOLTA BUSINESS SOLUTIONS U.SA,INC. 100 Williams Drive,Ramsey,NJ 07446 (201)825-4000 www.kmbs.konlcaminolta.us Order Package:S00652000 10 KONICA MINOLTA 03Page 04:of PM 42 Page tY19 of t742 Equipment Removal Authorization Customer: CITY OF ELGIN Pick Up Address: CITY OF ELGIN 151 DOUGLAS AVE., ELGIN, IL,60120 Contact Name: DAINA DENYE Contact Phone: 630 931 5604 Equipment being removed from Customer's Location: Make: BIZ558E Model: BIZHUB 558E Serial Number. AA6TO11009419 Make: Model: Serial Number. Make: Model: Serial Number: Customer Owned Asset: Customer represents and warrants that It has good title:o the equipmen4 free and dear of any lien,mortgage,encumbrance or security Interest of any kind. Customer agrees to defend,indemnify and hold Konica Minolta Business Solutions U.SA.,ins("KMBS")harmless from any loss,damage claim, llabllity or expense of any kind(Including,but not limited to,court costs and attorney's fees)&rising or resulting from a breach of this representation and warranty of good title and/or the authority,expressed or apparent,of Customer to trade-in or transfer the equipment Upon signing this Agreement,Customer surrenders possession at the equipment and all components contained therein to KMBS. Customer further agrees that the surrendered equipment will be available for pick-up at the same time that any new equipment Is delivered. If tha surrendered equipment Is not available for pickup at time of new equipment delivery,customer will be invoiced an additional charge for the separate pick-up. ®Lease Company Owned Asset: Lease Company Name: FIRST-CITIZENS BANK$TRUST CO Lease#: 1676806 ®Upgrade to Return KMBS will resolve current lease obligation. Asset belongs to the Lease Company. KMBS will ship back to Lease Company, 11 Upgrade to Keep KMBS Wit resolve current lease obligation. Asset belongs to KMBS unless otherwise stated below. ❑Buyout to Keep KMBS will resolve current lease obligation. Asset belongs to KMBS unless otherwise stated below. End of Lease Return Asset belongs to the Lease Company. KMBS will return equipment fisted above to the respective leasing company upon redept of a written Retum Authorization Letter and Shipping Instructions. In the event KMBS does not receive a Return Authorization Letter and Shipping Instructions within 90 days of equipment pick up from Customers location,and Customer has not made additonal arrangements with KMBS for storage,the equipment listed above will be returned to Customers location of pick up. Unless Itemized as part of the equipment order,KMBS will Involve the Customer for the Shlpp1rV Feels)associated with return of the equipment to the designated return address provided by the Lease Company. Buyout or upgrade quote may Include an estimate of pages produced between last meter billing and date the Isase obligation Is satisfied or equipment Is returned. Shipping Fools)to Be Invoiced to Customer: End of Lease Return requiring interim storage of equipment requires preauthortzation from the Regional Operations Manager and Market Vice President and is subject to availability of storage space In a KMBS warehouse or arrangement for offsite storage. Comments: C KONICA MINOLTA BUSINESS SOLUTIONS U.SA.,INC. 100 Williams Drive,Ramsey,NJ 07446 (201)825-4000 www.kmbs.konicaminolta.us Order Package:S00652000 0 KONICA MINOLTA °P ae 030 of PIVI 0442 Equipment Removal Authorization Customer: CITY OF ELGIN Pick Up Address: CITY OF ELGIN,45 SYMPHONY WAY, ELGIN, IL, 60120 Contact Name: DAINA DENYE Contact Phone: 630 931 5604 Equipment being removed from Customer's Location: Make: BIZ287 Model: EWPR NTERRB MEMORY CON Serial Number: A7AH019001585 Make: Model: Serial Number: Make: Model: Serial Number: Customer Owned Asset: Customer represents and warrants that It has good title to the equipment,free and dear of any lien,mortgage,encumbrance or security interest of any kind. Customer agrees to defend,Indemnify and hold Konica Minolta Business Solutions U.SA,Inc.('KMBS')harmless from any loss,damage claim, liability or expense of any kind(including,but not limited to,court costs and attorneys fees)arising or resulting from a breach of this representation and werrenty of good title and/or the authority,expressed or apparent,of Customer to tradean or transfer the equipment. Upon signing this Agreement,Customer surrenders possession of the equipment and all components contained therein to KMBS. Customer further agrees that the surrendered equipment will be available for plck4jp at the same time that any new equipment Is delivered. if the surrendered equipment is not available for pIckiup at time of new equipment delivery,customer will be Invoiced an additional charge for the separate pick-up. ®Lease Company Owned Asset: Lease Company Name: FIRST-CITIZENS BANK&TRUST CO Leese a. 1676M ®Upgrade to Return KMBS will resolve current lease obligation. Asset belongs to the Lease Company. KMBS will ship back to Lease Company. Upgrade to Keep KMBS will resolve current lease obligation. Asset belongs to KMBS unless otherwise stated below. Buyout to Keep KMBS will resolve current lease obligation. Asset belongs to KMBS unless otherwise stated below. End of Leese Return Asset belongs to the Lease Company. KMBS will return equipment listed above to the respects a leasing company upon reclept of a written Return Authorization Letter and Shipping Instructions. In the event KMBS does not receive a Return Authorization Letter and Shipping Instructions within 90 days of equipment pick up from Customer's location,and Customer has not made additional arrangements with KMBS for storage,the equipment listed above Will be returned to Customer's location of pick up. Unless Itemized as part of the equipment order,KMBS will Invoice the Customer for the Shipping Fee(s)associated with return of the equipment to the designated,stern address provided by the Lease Company. Buyout or upgrade quote may Include an estimate of pages produced between last meter billing and date the lease obligation Is satisfied or equipment Is returned. Shipping Feels)to Be Invoiced to Customer: End of Lease Return requiring interim storage of equipment requires pre-authorization from the Regional Operations Manager and Market Vice President and Is sub)eet to availability of storage space in a KMBS warehouse or arrangement for oHsite storage. Comments: i i 1 KONICA MINOLTA BUSINESS SOLUTIONS U.SA.,INC. 100 Williams Drive,Ramsey,NJ 07446 (201)825.4000 www.kmbs.konicaminolte.us Order Package:S00652000 0 PM KONICA MINOLTA 03 Page 3;:�42 Equipment Removal Authorization Customer: CITY OF ELGIN Pick Up Address: CITY OF ELGIN, 45 SYMPHONY AVE, ELGIN, IL,60120 Contact Name: DAINA DENYE Contact Phone: 630 931 5604 Equipment being removed from Customer's Location: Make: C3601 Model: p us C3801 COLOR A3 MFPras P Serial Number AA2J011005767 Make: Model: Serial Number: Make: Model: Serial Number. Customer Owned Asset: Customer represents and warrants that It has good title to the equipment,free and clear of any lien,mortgage,encumbrance or security Interest of any kind. Customer agrees to defend,indemnity and hold Konica Minolta Business Solutions U.S.A.,Ina.("KMBS')harmless from any loss,damage claim, liability or expense of any kind(including,but not limited to,court costs and attomsy's fees)arising or resulting from a breach of this representation and warranty of good title and/or the authority,expressed or apparent,of Customer to trade-In or transfer the equipment. Upon signing this Agreement,Customer surrenders possession of the equipment and all components contained therein to KMBS. Customer further agrees that the surrendered equipment will be available for pick-up at the same time that any new equipment Is delivered. B the surrendered equipment Is not available for pick-up at time of new equipment delivery,customer will be Invoiced an additional charge for the separate pick-up. ®Lease Company owned Asset: Lease Company Name: FIRST-CITIZENS BANK 8r TRUST CO Lease M 1676806 ®Upgrade to Return KMBS will resolve current lease obligation. Asset belongs to the Lease Company, KMBS will ship back to Lease Company. Upgrade to Keep KMBS will resolve current lease Obligation. Asset belongs to KMBS unless otherwise stated below. Buyout to Keep KMBS will resolve current lease obligation. Asset belongs to KMBS unless otherwise stated below. End of Lease Return Asset belongs to the Lease Company. KMBS will return equipment listed above to the respective leasing company upon reciept of a written Return Authorization Letter and Shipping Instructions. In the event KMBS does not recslve a Retum Authorization Letter and Shipping Instructions within 90 days of equipment pick up from Customers location,and Customer has not made additional arrangements with KMBS for storage,the equipment listed above will be returned to Customers location of pick up. Unless itemized as part of the equipment order,KMBS will Invoice the Customer for the Shipping Feels)associated with return of the equipment to the designated return address provided by the Lease Company. Buyout or upgrade quote may Include an estimate of pages produced between last meter billing and date the lease obligation Is satisfied or equipment Is returned. Shipping Feels)to Be Invoiced to Customer: End of Lease Return requiring interim storage of equipment requires pre-authorization from the Regional Operations Manager and Market Vie President and Is subject to availability of storage space In a KMBS warehouse or arrangement for offsite storage. Comments: KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC. 100 Williams Drive,Ramsey,NJ 07446 (201)625AOOO www.lunbs.konicaminolta.us Order Package:S00652000 KONICA MINOLTA ° Pageag 03 :of042 Equipment Removal Authorization Customer: CITY OF ELGIN Pick Up Address: CITY OF ELGIN, 100 SYMPHONY WAY, ELGIN, IL, 60120 Contact Name: DAINA DENYE Contact Phone: 630 931 5604 Equipment being removed from Customer's Location: Make: BIZ368E Model: p�IERIPRINTE ERGe MEMORY c Serial Number: AA6V017008964 Make: Model: Serial Number: Make: Model: Serial Number: Customer Owned Asset: Customer represents and warrants that It has good title to the equipment,free and clear of any lion,mortgage,encumbrance or security Interest of any kind Customer agrees to defend,Indemnity and hold Konica Minolta Business Solutions U.S.A.,Inc.rKMBS")harmless from any loss,damage claim, liability or expense of any kind(including,but not limited to,court costs and attomey's fees)arising or resulting from a breach of this representation and warranty of good title andlor the authority,expressed or apparent,of Customer to trade-In or trark0e►the equipment. Upon signing this Agreement,Customer surrenders possession of the equipment and all comporhents contained tthereln to KMBS. Customer further egress that the surrendered equipment will be available for pickup at the same time that any now equipment Is delivered. If the surrendered equipment Is not available for pick-up at time of new equipment delivery,customer will be Invoiced an additional charge for the separate pk:k-up. ®Lease Company Owned Asset: Lease Company Name: FIRST-CITIZENS BANK&TRUST CO Lease#: 1676806 ®Upgrade to Return KMBS will resolve current lease obligation. Asset belongs to the Lease Company. KMBS will ship back to Lease Company. Upgrade to Keep KMBS will resolve current lease obligation. Asset belongs to KMBS unless otherwise stated below. Buyout to Keep KMBS will resolve current lease obligation. Asset belongs to KMBS unless otherwise stated below. End of Lease Return Asset belongs to the Lease Company. KMBS will return equipment listed above to the respective leasing company upon reclept of a written Return Authorization Letter and Shipping Instructions. In the event KMBS does riot receive a Return Authorization Letter and Stopping Instructions within 90 days of equipment pick up from Customer's location,and Customer has not made additional arrangements with KMBS for storage,the equipment listed above will be returned to Customer's location of pick up. Unless Itemized as part of the equipment order,KMBS will Invoice the Customer for the Shipping Feels)associated with return of the equipment to the designated return address provided by the Lease Company. Buyout or upgrade quote may Include an estimate of pages produced between last meter bl6ing and date the lease obligation is sattefled or equipment Is returned. Shipping Feels)to Be Invoiced to Customer: End of Lease Return requiring Interim storage of equipment requires pro-authorization from the Regional Operations Manager and Market vice President and is subject to availability of storage space In a KMBS warehouse or arrangement for offalts storage. Comments: KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC. 100 Williams Drive,Ramsey,NJ 07446 (201)8264000 wwwAmbs.konicaminolta.us Order Package:S00652000 7 PM 0 K0NI� J► INO T` 03Page 03of042 •vti VLI/\ Page033d6/2 Equipment Removal Authorization Customer: CITY OF ELGIN Pick Up Address: CITY OF ELGIN, 100 SYMPHONY WAY, ELGIN, IL, 60120 Contact Name: DAINA DENYE Contact Phone: 630 931 5604 Equipment being removed from Customers Location: Make: BIZ458E Model: "BIZHUB 458E serisi Number: AA6UO11O2O178 Make: Model: Serial Number: Uake: Model: Serial Number: Customer Owned Asset: Customer represents and warrants that it has good title to the equipment,free and clear of any lien,mortgage,encumbrance or security Interest of any kind. Customer agrees to defend,Indemnity and hold Konica Mlnotta Business Solutions USA-,Inc.(-KMBS")harmless from any loss,damage claim, liability or expense of any kind(including,but not limited to,court costs and attorney's tees)arising or resulting trom a breach of this representation and warranty of good title andlor the authority,expressed or apparent,of Customer to tradean or transfer the equipment. Upon signing this Agreement,Customer surrenders possession of the equipment and all components contained therein to KMBS. Customer further agrees that the surrendered equipment will be available for pick-up at the same time thct any new equipment is delivered. Nth*surrendered equipment Is not available for pick-up at time of new equipment delivery,customer will be Invoiced an additional charge for the separate pick-up. ®Lease Company Owned Asset: Lease Company Name: FIRST-CITIZENS BANK&TRUST CO !_ease#: 1676806 ®Upgrade to Return KMBS will resolve current lease obligation. Asset belongs to the Lease Company. KMBS will ship back to Lease Company. Upgrade to Keep KMBS will resolve current lease obligation. Asset belongs to KMBS unless otherwise stated below. Buyout to Keep KMBS will resolve current lease obligation. Asset belongs to KMBS unless otherwise stated below. End of Lease Return Asset belongs to the Lease Company. KMBS will return equipment listed above to the respective leasing company upon redept of a written Return Authorization Letter and Shipping Instructions. In the event KMBS does not receive a Return Authorization Letter and Shipping Instructions within 90 days of equipment pick up from Customer's location,and Customer has not made additional arrangements with KMBS for storage,the equipment listed above will be returned to Customers location of pick up. Unless itemized as part of the equipment order,KMBS will Invoice the Customer for the Shipping Fee(s)associated with return of the equipment to the designated return address provided by the tease Company. Buyout or upgrade quote may Include an estimate of pages produced between last motor billing and date the lease obligation Is sadefted or equipment is returned. Shipping Fee(s)to Be Invoiced to Customer: End of Lasso Return requiring Interim storage of equipment requires proauthorizatlon from the Regional Operations Manager and Market Vice President and is subject to availability of storage space In a KMBS warehouse or arrangement for effsite storage_ Comments: i I KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC. 100 Williams Drive,Ramsey,NJ 07446 (201)825-4000 wwwArnbs.konicaminolta.us Order Package:S00652000 10 KONIO+ MINOLTA ° =34of 42 Equipment Removal Authorization Customer: CITY OF ELGIN Pick Up Address: CITY OF ELGIN, 100 SYMPHONY WAY, ELGIN, IL,60120 Contact Name: DAINA DENYE Contact Phone: 630 931 5604 Equipment being removed from Customer's Location: 'BZIMake: C5501 Model: FPUB CSSOI 55 PPM COLOR M serial Number: AA7P011001479 Make: Model: Serial Number. Make: Model: Serial Number: Customer droned Asset: Customer represents and warrants that it has good title to the equipment,free and clear of any lien,mortgage,encumbrance or securtty Interest of arty kind. Customer agrees to defend,Indemnify and hold Konica Minolta Business Solutions U.SA,Inc.("KMBS")harmless from any loss,damage claim, liability or expense of any kind(Including,but not limited to,court costs and attorneys fees)arising or resulting from a breach of thin representation and warranty of good title and/or the authority,expressed or apparent,of Customer to trade-in or transfer the equipment. Upon signing this Agreement,Customer surrenders possession of the equipment and all components contained therein to KMBS. Customer further agrees that the surrendered equipment will be available for pick-up at the same time that any new equipment Is delivered. N the surrendered equipment is not available for pick-up at time of new equipment delivery,customer will be Invoiced an additional charge for the separate pick-up. ®Lease Company Owned Asset: Lease Company Name: FIRST-CITIZENS BANK&TRUST CO Lease#: 1676806 ®Upgrade to Return KMBS will resolve current lease obligation. Asset belongs to the Lease Company. KMBS will ship back to Lease Company, Upgrade to Keep KMBS will resolve current lease obligation. Asset belongs to KMBS unless otherwise stated below. E]Buyoul to Keep KMBS will resolve current lease obligation. Asset belongs to KMBS unless otherwise stated below. End of Lease Return Asset belongs to the Lease Company. KMBS will return equipment fisted above to the respective leasing company upon redept of a written Return Authorizatlon Letter and Shipping Instructions. In the event KMBS does not receive a Return Authorization Letter and Shipping Instructions within 90 days of equipment pick up from Customer's location,and Customer has not made additional arrangements with KMBS for storage,the equipment listed above will be retumed to Customer's location of pick up. Unless Itemized as part of the equipment order,K MBs will Invoke the Customer for the Shipping Fee(s)associated with return of the equipment to the designated return address provided by the Lease Company. Buyout or upgrade quote may Include an estimate of pages produced between test meter billing and data the lease obligation Is satisfied or equipment Is returned. Shipping Fes(s)to Be Invoiced to Customer: End of Lease Return requiring interim storage of equipment requires pro-authorization from the Regional Operations Manager and Market Vice President and is subject to availability of storage space in a KMBS warehouse or arrangement for offshe storage. Comments: KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC. 100 Williams Drive,Ramsey,NJ 07446 (201)825- 000 www.kmbs.konicamirwMa.us Order Package:S00652000 03s=3 04:07 PM KONICA MINOL�TA Page 036 of 042 Equipment Removal Authorization Customer: CITY OF ELGIN Pick Up Address: CITY OF ELGIN, 550 SUMMIT ST., ELGIN, IL, 60120 Contact Name: DAINA DENYE Contact Phone: 630 931 5604 Equipment being removed from Customer's Location: Make: BIZ558E Model: BIZHUB 558E Sadal Number. AA6TO11010817 Make: Model: Serial Number: Make: Model: Serial Number: Customer Owned Asset: Customer represents and warrants that It has good title to the equipment,free and dear of any Ilan,mortgage,encumbrance or security interest of any kind. Customer agrees to defend,Indemnify and hold Konica Minolta Business Solutions U.S.A.,Inc.("KMBS")harmless from any loss,damage claim, liability or expense of any kind(Including,but not limited to,court costs and attorney's tees)arising or resulting from a breach of this representation and warranty of good title and/or the authority,expressed or apperont,of Customer to tredean or transfer the equipment Upon signing this Agreement,Customer surrenders possession of the equipment and all components contained therein to KMBS. Customer further agrees that the surrendered equipment will be evadable for pick-up at the same time that any new equipment Is delivered. N the surrandanad equipment Is not avallable for pickup at time of new equipment delivery,customer will be Invoiced an additional charge for the separate pickup. Lease Company Owned Asset: Lease Company Name: FIRST-CITIZENS BANK&TRUST CO Legge 9: 1676806 ®Upgrade to Return KMBS will resolve current lease obligation. Asset belongs to the Lease Company. KMBS will ship back to Lease Company. Upgrade to Keep KMBS will resolve current lease obligation. Asset belongs to KMBS unless otherwise stated below. Buyout to Keep KMBS will resolve current lease obligation. Asset belongs to KMBS unless otherwise stated below. End of Lease Return Asset belongs to the Lease Company. KMBS will return equipment listed above to the respective leasing company upon reciept of a written Return Authorization Letter and Shipping Instructions. In the event KMBS does not rece m a Return Authorization Letter and Shipping Instructions within 90 days of equipment pick up from Customers location,and Customer has not made additional arrangements with KMBS for storage,the equipment listed above will be returned to Customer's location of pick up. Unless Itemized as part of the equipment order,KMBS will Invoice the Customer for the Shipping Fee(s)associated with return of the equipment to the designated return address provided by the Lease Company. Buyout or upgrade quote may Include an estimate of pages produced between last meter billing and date the lease obligation is satisfied or equipment is returned. Shipping Fee(s)to Be Invoiced to Customer. End of Lease Return requiring Interim storage of equipment requires pro-authorization from the Regional Operations Manager and Market Vice President and Is subject to availability of storage space in a KMBS warehouse or arrangement for offzlte storage. Comments: KONICA MINOLTA BUSINESS SOLUTIONS U.SA INC. 100 Williams Drive,Ramsey,NJ 07446 (201)825-4000 www.lanbs.konicaminolta.us Order Package:S00652000 PM KONICA MINOLTA 03�Page 036'07 of042 Equipment Removal Authorization Customer: CITY OF ELGIN Pick Up Address: CITY OF ELGIN,707 W CHICAGO ST,ELGIN, IL, 60120 Contact Name. DAINA DENYE Contact Phone: 630 931 5604 Equipment being removed from Customer's Location: Make: BIZ368E Model: OPIEy7P RRINTERGBMEMORYC Serial Number: AA6V017009007 Make: Model: Serial Number: Make: Model: Serial Number: Customer Owned Asset. Customer represents and warrants that It has good title to the equipment,free and clear of any lien,mortgage,encumbrance or security Interest of any Idnd. Customer agrees to defend,Indemnify and hold Konica Minolta Business Solutions U.S.A.,Inc.("KMBS-)harmless from any loss,damage claim, Ilability or expense of any kind(Including,but not limited to,court costs and attorney'&fees)arising or resulting from a breach of this representation and warranty of good title and/or the authority,expressed or apparent,of Customer to tradedn or transfer the equipment Upon signing this Agreement,Customer surrenders possession of the equipment and all components contained therein to KMBS. Customer further agrees that the surrendered equipment will be available for pick-up at the same time that any new equipment Is delivered. If the surrendered equipment Is not available for pick-up at time of new equipment delivery,customer will be Invoiced an additional charge for the separate pldo-up. ®Lease Company Owned Asset: Lease Company Name: FIRST-CITIZENS BANK&TRUST CO Leaaa it: 1676806 Upgrade to Return KMBS will resolve current lease obligation. Asset belongs to the Lease Company. KMBS will ship back to Lease Company. Upgrade to Keep KMBS will resolve current lease obligation. Asset belongs to KMBS unless otherwise stated below. Buyout to Keep KMBS will restive current lease obligation. Asset belongs to KMBS unless otherwise stated below. FlEnd of Lease Return Asset belongs to the Lease Company. KMBS will return equipment listed above to the respective leasing company upon redept of a written Return Authorization Letter and Shipping Instructions. In the event KMBS does not receive a Return Authorization Letter and Shipping Instructions within 90 days of equipment pick up from Customets location,and Customer has not made additional arrangements with KMBS for storage,the equipment listed above will be returned to Customer's location of pick up. Unless Itemized as part of the equipment order,KMBS will Invoice the Customer for the Shipping Fee(s)associated with return of the equipment to the designated return address provided by the Lease Company. Buyout or upgrade quote may Include an estimate of pages produced between last meter billing and data the lease obligation Is satisfied or equipment Is retumed. Shipping Fee(s)to Be Invoiced to Customer: End of Lease Return requiring Interim storage of equipment requires pre-authorization from the Regional Operations Manager and Market Vice President and Is subject to availability of storage space in a KMBS warehouse or arrangement for offslte storage. Comments: r L. KONICA MINOLTA BUSINESS SOLUTIONS U.SA,INC. 100 Williams Drive,Ramsey,NJ 07446 (201)8254NO www.kmbs.konicaminolta.us Order Package:S006520M PM KONICA�MINOLTA 03Page Page 04 o of 037 f 042 Equipment Removal Authorization Customer: CITY OF ELGIN Pick up Address: CITY OF ELGIN, 375 W RIVER RD, ELGIN, IL, 60120 Contact Name: DAINA DENYE Contact Phone: 630 931 5604 Equipment being removed from Customer's Location: BQHMake: C3601 Model: PPMUB C3601 COLOR A3 MFPl36 Serial Number: AA2JO11012778 Make: Model: Serial Number: Make: Model: Serial Number: Customer Owned Asset: Customer represents and warrants that It has good title to the equipment,free and clear of any Non,mortgage,encumbrance or security Interest of any kind. Customer agrees to defend,Indemnify and hold Konica Minolta Business Solutions LIZA.,Inc.("KMBS")harmless tram any loss,damage claim, liability or expense of any kind(including,but not limited to,court costs and attomey'a face)arising or resulting from a breach of this representation and warranty of good title andlor the authority,expressed or apparent,of Customer to trado4n or transfer the equipment Upon signing this Agreement,Customer surrenders possession of the equipment and all components contained therein to KMBS. Customer further agrees that the aurrendered equipment wlll be available for pick-up at the same time that any new equipment Is delivered. If the surrendered equipment Is not available for pick-up at time of new equipment delivery,customer will be Invoiced an additional charge for the separate pick-up. ®Lease Company Owned Asset: Lease Company Name: FIRST-CITIZENS BANK&TRUST CO lea"p: 1676W6 ®Upgrade to Return KMBS will resolve current lease obligation. Asset belongs to the Lease Company. KMBS wig ship back to Lease Company. Upgrade to Keep KMBS will resolve current lease obligation. Asset belongs to KMBS unless otherwise stated below. Buyout to Keep KMBS will resolve current lease obligation. Asset belongs to KMBS unless otherwise stated below. End of Lease Return Asset belongs to the Lease Company. KMBS will return equipment listed above to the respective leasing company upon redept of a written Return Authorization Letter and Shipping Instructions. In the event KMBS does not receive a Return Authorization Letter and Shipping Instructions within 90 days of equipment pick up from Customer's location,and Customer has not made additional arrangements with KMBS for storage,the equipment listed above will be returned to Customer's location of pick up. Unless Itemized as part of the equipment order,KMBS will Invoice the Customer for the Shipping Fee(a)associated with return of the equipment to the designated return address provided by the Lease Compariy. Buyout or upgrade quote may Include an estimate of pages produced between last meter bIIIIng and date the lease obligation Is satisfied or equipment Is returned. Shipping Fee(s)to Be Invoiced to Customer. End of Lease Return requiring Interim storage of equipment requires pr"uthortW;on from the Regional Operations Manager and Market Vice President and is subject to availability of storage space in a KMBS warehouse or arrangement for offalte storage. Comments: KONICA MINOLTA BUSINESS S(XUTION8 U.S.A.,NC. 100 Williams Drive,Ramsey,NJ 07446 (201)825-4000 www.kmbs.konicaminolta.us Order Package:S00652000 0 KONICA MINOLTA °P 9 08`ofP2 Equipment Removal Authorization Customer. CITY OF ELGIN Pick Up Address: CITY OF ELGIN, 1900 HOLMES RD, ELGIN, IL,60123 Contact Name. DAINA DENYE Contact Phone: 630 931 5604 Equipment being removed from Customer's Location: Make: C3601 Model: PPM UB C3601 COLOR as MFP/36 Serial Number: AA2J011012560 Make: Model: Serial Number: Make: Model: Serial Number: Customer Owned Asset. Customer represents and warrants that N has good title to the equipment,free and clear of any Den,mortgage,encumbrance or security Interest of any kind. Customer agrees to defend,Indemnify and hold Konica Minolta Business Solutions U.S,A,Inc.("KMBS')harmless from any loss,damage claim, liability or expense of any kind(Including,but not limited to,court costs end attorney's fees)arising or resulting from a broach of this representation and warranty of good title andlor the authority,expressed or apparent,of Customer to trade-in or transfer the equipment. Upon signing this Agreement,Customer surrenders possession of the equipment and all components contained therein to KMBS. Customer further agrees that the surrendered equipment will be available for pick-up at the same time that any new equipment is delivered. ff the surrendered equipment Is not available for pick-up at time of new equipment delivery,customer will be Invoiced an additional charge for the separate pick-up. ®Lease Company Owned Asset: Lease Company Name: FIRST-CITIZENS BANK&TRUST CO L ..eg: 1676806 ®Upgrade to Return KMBS will resolve current lease obligation. Asset belongs to the Lease Company. KMBS will ship back to Lease Company. Upgrade to Keep KMBS will resolve current lease obligation. Asset belongs to KMBS unless otherwise stated below. Buyout to Keep KMBS will resolve current lease obligatien. Asset belongs to KMBS unless otherwise stated below. End of Lease Return Asset belongs to the Lease Company. KMBS will return equipment listed above to the respective leasing company upon reciept of a written Return Authorization Letter and Shipping Instructions. In the event KMBS does not receive a Retum Authorization Letter and Shipping Instructions within 90 days of equipment pick up from Customer's location,and Customer has not made additional arrangements with KMBS for storage,the equipment listed above will be returned to Customer's location of pick up. Unless Itemized as part of the equipment order,KMBS will Invoice the Customer for the Shipping Fee(*)associated with return of the equipment to the designated return address provided by the Lame Company. Buyout or upgrade quote may Include an estimate of pages produced between last meter billing and date the lease obligation Is satisfied or equipment Is returned. Shipping Fea(s)to Be Invoiced to Customer: End of Lease Return requiring Interim storage of equipment requires pre-authorization from the Regional Operations Manager and Market Vice President and Is subject to availability of storage space in a KMBS warehouse or arrangement for offslts storage. Comments: I ------ I i r KOMCA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC. 100 Williams Drive,Ramsey,NJ 07446 (201)825-4000 www.kmbs.konicamirw*a.us Order Package:S00652000 0 KONICA MINOLTA °P s o 9o;� Equipment Removal Authorization Customer: CITY OF ELGIN Pick Up Address: CITY OF ELGIN, 1900 HOLMES RD, ELGIN, IL,60123 Contact Name: DAINA DENYE Contact Phone: 630 931 5604 Equipment being removed from Customer's Location: Make: BIZ287 Model: BR/HURINTE7R4GB MEMORY COP: Serlai Number: A7AH019001770 Make: Model: Serial Number. Make: Model: Serial Number: Customer Owned Asset: Customer represents and warrants that It has good title to the equipment,free and dear of any lien,mortgage,encumbrance or security Interest of any kind. Customer agrees to defend,Indemnify and hold Konica Minolta Business Solutions U.S.A.,Inc.("KMBS')harmless from any Was,damage claim, liability or expense of any kind(including,but not limited to,court costs and attorneys fees)arising or resulting from a breach of this representation and warranty of good title and/or the authority,expressed or apparent,of Customer to tradean or transfer the equipment. Upon signing this Agreement,Customer surrenders possession of the equipment and all components contained therein to KMBS. Customer further agrees that the surrendered equipment will be available for pick-up at the some time that any new equipment Is delivered. If the surrendered equipment Is not available for plek-up at time of new equipment delivery,customer will be invoiced an additional charge for the separate pick-up. ®Lease Company Owned Asset: Lease Company Name: FIRST-CITIZENS BANK dk TRUST CO Lease#: 1676806 ®Upgrade to Return KfuIBS will resolve current base obligation. Asset belongs to the Lease Company. KMBS will ship back to Lease Company. Upgrade to Keep KMBS will resolve current lease obligation. Asset bsiongs to KMBS unless otherwise stated below. Buyout to Keep KMBS will resolve current tease obligation. Asset belongs to KMBS unless otherwise stated below. End of Lease Return Asset belongs to the Lease Company. KMBS will return equipment listed above to the respective leasing company upon redept of a written Return Authorization Letter and Shipping Instructions. In the event KMBS does not receive a Return Authorization Letter and Shipping Instructions within 90 days of equipment pick up from Customer's location,and Customer has not made additional arrangements with KMBS for storage,the equipment listed above will be retuned to Customers location of pick up. Unless Itemized as part of the equipment order,KIVIBS will invoice the Customer for the Shipping F"(s)associated with return of the equipment to the designated return address provided by the Lane Company. Buyout or upgrade quote may Include an estimate of pages produced between last meter billing and date the lease obligation Is satisfied or equipment is returned. Shipping Feels)to Be Invoiced to Customer: End of Lease Return requiring Interim storage of equipment requires pre-authorization from the Reglonal Operations Manager and Market Vice President and is subject to availability of storage space in a KMBS warehouse or arrangement for offsite storage. Comments: I KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC. 100 Williams Drive,Ramsay,W 07446 (201)825-4000 www.kmbs.konlcamirdft.us Order Package:S00652000 10 KONICA MINOL-TA °Pam 040of�2 Equipment Removal Authorization Customer: CITY OF ELGIN Pick Up Address: CITY OF ELGIN, 1250 BOWES CREEK RD, ELGIN, IL,60124 Contact Name: DAINA DENYE Contact Phone: 630 931 5604 Equipment being removed from Customer's Location: Make: C2501 Model: 8SG250i-COLOR A3MFP/2 PPM Serial Number: AA2M011008752 Make: Model: Serial Number: Make: Model: SarlsI Number: F-Icustomer Owned Asset: Customer represents and warrants that it has good title to the equipment,free and clear of any lien,mortgage,encumbrance or security Interest of any kind. Customer agrees to defend,Indemnify and hold Konica Minolta Business Solutions U.S.A.,Inc.("KMBS")harmless from any loss,damage claim, liability or expense of any kind(Including,but not Ilmfted to,court costs and attorneys leas)&rising or rweulting from a breach of this representation and warranty of good title and/or the authority,expressed or apparent,of Customer to trade-in or transfer the equipment. Upon signing this Agreement,Customer surrenders possession of the equipment and all components contained thereinto KMBS. Customer further agrees that the surrendered equipment will be available for pick-up at the some time that any new equipment Is delivered. If the surrendered equipment Is not available for plck-up at time of new equipment delivery,customer will be Invoiced an additional charge for the separate ptok-up. ®Lease Company Owned Asset: Lease Company Name: FIRST-CITIZENS BANK&TRUST CO Lease t: 1676806 ®Upgrade to Return KMBS will resolve current lease obligation. Asset belongs to the Lease Company. KMBS will ship back to Lease Company. DUpgreds to Keep KMBS will resolve current lease obligation. Asset belongs to KMBS unless otherwise stated below. E]Buyaut to Keep KMBS will resolve current lease obligation. Asset belongs to KMBS unless otherwise stated below. DEnd of Lease Return Asset belongs to the Lease Company. KMBS will return equipment listed above to the respective leasing company upon reciept of a written Return Authorization Letter and Shipping Instructions. In the event KMBS does not receive a Return Authorization Letter and Shipping Instructions within 90 days of equipment pick up from Customer's location,and Customer has not made additional arrangements with KMBS for storage,the equipment listed above will be returned to Customer's location of pick up. Unless Itemized as part of the equipment order,KMBS will Invoke the Customer for the Shipping Fes(s)associated with return of the equipment to the designated return address provided by the Leese Company. Buyout or upgrade quote may Include an estimate of pages produced between last meter billing and date the lease obligation Is satisfied or equipment is returnsa. Shipping Fee(s)to Be Invoiced to Customer: End of Lease Return requiring interim storage of equipment requires pro-authorization from the Regional Operations Manager and Market Vice President and Is subject to availability of storage space In a KMBS warehouse or arrangement for o8aite storage. Comments: KONICA MINOLTA BUSINESS SOLUTIONS U.SA,INC. 100 Williams Drive,Ramsey,NJ 07446 (201)825-4000 wwwArnbs.konicamhtolta.us Order Package:S00652000 0KONICA M114OLTA o�3�:07PM Pegs 041 of 042 Equipment Removal Authorization Customer: CITY OF ELGIN Pick Up Address: CITY OF ELGIN, 100 SYMPHONY WAY, ELGIN, IL, 60120 Contact Name: DAINA DENYE Contact Phone: 630 931 5604 Equipment being removed from Customer's Location: Make: BIZ458E Model: "BIZHUB 458E Serlal Number: AA6UO11020172 Make: Model: Serial Number. Make: Model: Serial Number: F-IcustamerOwned Asset: Customer represents and warrants that It has good title to the equipment,free and dear of any lien,mortgage,encumbrance or security Interest of any kind. Customer agrees to defend,Indemnify and hold Konica Minolta Business Solutions U.S.A.,Inc.("KMBS")harmless from any loss,damage claim, liability or expense of any kind(including,but not limited to,court costs and attorney's fees)arising or resulting from a breach of this representation and warranty of good title and/or the authority,expressed or apparent,of Customer to bade an or transfer the equipment Upon signing this Agreement,Customer surrenders possession of the equipment and all components contained therein to KMBS. Customer further agrees that the surrendered equipment will be available for pick-up at the some time that any new equipment Is delivered, if the surrendered equipment Is not available for pick-up at time of now equipment delivery,customer will be Invoiced an additional charge for the separate pick-up. ®Leave Company Owned Asset: Lease Company Name: FIRST-CITIZENS BANK&TRUST CO 1676806 �Upgrsde to Return KMBS will resolve current lease obligation. Asset i»longs to the Lease Company. KMBS will ship back to Lease Company. [:]Upprade to Keep KMBS will resolve current lease obligation. Asset belongs to KMBS unless otherwise stated below. Buyout to Keep KMBS will resolve current lease obligation. Asset belongs to KMBS unless otherwise stated below. End of Lease Return Asset belongs to the Lease Company. KMBS will return equipment listed above to the respective leasing company upon redept of a written Return Authorization Letter and Shipping Instructions. In the event KMBS does not receive a Return Authorization Letter and Shipping Instructions within 00 days of equipment pick up from Customers location,and Customer has not made additional arrangements with KMBS for storage,the equipment listed above will be returned to Customers location of pick up. Unless Itemlzed as part of the equipment order.KMBS will Invoice the Customer for the Shipping Feels)associated with return of the equipment to the designated return address provided by the Lease Company. Buyout or upgrade quote may Include on estimate of pages produced between last meter billing and date the lease obligation is satisfied or equipment Is returned. Shipping Fae(s)to Be Invoiced to Customer: End of Lease Return requiring Interim storage of equipment requires pre-authorbmtion from the Regional Operations Manager and Market Vice President and is subject to availability of storage space In a KMBS warehouse or arrangement for offsite storage. Comments: KOWA MINOLTA BUSINESS SOLUTIONS U.SA,INC. 100 wiWams Drive,Ramsey,NJ 07446 (201)8254000 www.kmbs.konicaminoha.us Order Package:S00W=0 Order Package ,Acceptance Agreement Customer Name/Address: CITY OF ELGIN 150 DEXTER CT ELGIN, IL 80120-6527 Customer's ftnature below constitutas Customer's ncmptence of the preceding for.. in this Order Package (as identified by Order Paeimp Ib SM52000 time stamped 03122123 04-.07 PMM This Order Package Is governed by the terms and conditions of the Master Agreement contract between Konica Minolta Business Solutions U.SA.,Inc.and SQURCEWELL 03Q321-KON dated 04/22/2021 terms of which are incorporated into this agreement. If payment by credit card Is Indicated above,Customer hereby grants KMBS the authority to charge the Customer's credit card In the amount Indicated (plus applicable taxes). KMBS assumes no responsibility to pick-up, return to any party, and/or resolve any financial obligations on any existing Customer equipment except as specifleally stated in this Agreement or separately executed form. Not binding on KMBS until signed by KMBS Manager. Authorized Customer Representathre KMBS Rep►res�ennt0ft Name. Richard G. Kozal Name, asp no (Please Prt Signature:— !Z City Manager Date: -3� Date: April 12, 2023 KMti<S Manager / Name: w ! �!? ( ease Pri Signature: 1 Date: KONICA sO@OLTA BualNEea ioLunome uALa—INC. 1001Mlanme DrMr,Rwnwy,NJ 07446 (201i ON40W ~JMbm"9=mknpa.ut Form 3WMA-090115OS KONICA MINOLTA NON-APPROPRIATION ADDENDUM ADDENDUM TO Agreenhent No. between Kontea Nllnaita Premier Finenw.(LeBW And City of Et,. (Cusmrner) (Full Legal Name of Customer) Dated: 3/3/2023 FOR STATE AND LOCAL GOVERNMENT ENTITIES ONLY A CUSTOMER COVENANT111: You oevenant and verrant that (1)1 het, In scoordenos with the requtremants of law, fully budgeted and appropriated wA ictent fierce for to curvet budget year to make the payments scheduled to acme due and to meat fat other obligators under the Agreement and much fundo have not been expanded for other purposes;and M that there Y no acfbn,aA proees4v or Investiptlon pending,or treatenad in any court or other tribune)or compatert Jurisdiction,state or federal or before any public board or body,which in any way would(a)restrain or enjoin the dell my of the Agreamert or the abttly of you th make Its periodic pannenis sa set out in the Agreement(b)oantast or affect the suftrity for the maecutlon or delivery of,or the vsUdlty of,the Agreement;or(c)contesi the e>dsience and powers of you;not Is ho any bests for any ouch actlan,Kilt,prooeedkrg or Investigation;end (3)That the Equlprnard wM be operated and corMrollad by you and will be used for essential govamrrrant purpoaee and will to be essential for the tear of the Agreement. (4)You have mot proviouely terrninated a rental for nonmeppvprieoon,weW am apeoTMally dncribad Ina latter appended heasto. L SMATURM l3igner vw m*that humus le fully converaent with go goveming relevant legal and rag Afty provision and has fill power and auttarlarllon Io bind you. Slgrwr for you further m orwo Its governing body has Wean the necessary afapa; Including any legal bid reclutromerrte, under applicable taw to arrange for eaquiaidan of the Equipment; the approval and execution has been In accordance%AYh all applicable open msatlhg lews:and that a resolution of the governing body at you authartdng aaacution of the Agreernert has bmen duty adopted and renrakw In fud force arhd effed C.NON APPROP'RIATM:In the event you Mash to cancel the Agreement beossmw 1.l=unds are not appropiated for a fiscal period subsequent to the am In which the Agreement was entered hRo which are vAlclut fA satlsty aN of your obligatforha under go Agreement durlry said fiscal parbd; 2.Such non epproprtetbn did not reautt from any act or f fee to act of you; 3.You have andhaueted aN MOB legally available for all papwit due under the Agraernert;and 4.Theis is no other legal procedure by which payment can be made th Laaaor. Then,provided#M(a)you have of mh Lessor written noft of the occurrence of paragraph 1 above thirty(30)days prior to such co:unance:(b) Lanor has recalved a written opirdan from your couneal verifying the some wiM tan (10)days tiheseofter upon receipt of the Equipment delivered to a kattfon dealgnated by Leeaor,at your aVe nse,Lenora remedies for such default shall be to terminate the Agreement at the and of rare Ibcal period during winch notice is given;retain the advance payments,If any;and/or sell,diapose of,hold,use or rant the Equipment as Lessor in its ads discretion may dealre,without any duty to account to you. Approved and agreed to ere an Addendum to and part of the Agreement and any Supplsrnente or Schedule@ to the bluster Agreement, OW,t1 day d .Ott 1 7 -j �D 2 3 ontca minotta Finance e ,' ✓,( it I CU,-5T0A1,FP-'CCEP7ANQ April 12, 2023 City of Elgin City Manager iWr'a "-- u Eh 36 05 Richard G.Kozal Feo TAX�a.r gar RAW KM PF0017-W 3AA14 JL ADDENDUM 10 LEASE AGREEMENT FOR TAX EXEMPT ENTITIES This Addendum To Equipment Schedule to Master Lease Contract forms and is made a part of that certain Equipment Schedule to Master Lease Contract between Konica Minotta Business Solutions U.S.A., Inc. ("KMBS") and City of Elgin ("Customer") signed by Customer on 4/12 20 23 (each "Agreement"). Capitalized terms used herein but not defined herein will have the same meaning given to them In the Agreement. Customer represents and warrants to KMBS that both Customer and Equipment reside in the State of Illinois and that the Customer is recognized as a tax exempt entity by the State of Illinois. THE FOLLOWING LANGUAGE IS ADDED TO THE TERMS AND CONDrTIONS OF THE AGREEMENT: "Notwithstanding anything to the contrary contained In this Agreement,at the end of the scheduled term,you agree to purchase the Equipment for 9%of our original cost of the Equipment("Balloon Payment`),but at your option, however, as long as you have fulfilled all of your obligations under this Agreement and are not in default,instead of purchasing the Equipment at the end of the term for the Balloon Payment you may elect,upon not less than 60 days advance written notice to us before the and of the term,to either: (1) Add the remaining unpaid payments owed under this Agreement(including the Balloon Payment)Into a new lease agreement with us covering new equipment, i.e.,a"trade-up to keep`;or (2) Extend the lease term for 6 more months at the same monthly lease payment with a $1.00 purchase option at its and. We do not warrant the foregoing as qualifying this Lease for tax exemption and you will be responsible for all taxes,K any, assessed against us." All other terms and conditions of the Agreement shall remain unchanged and In full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this Addendum to Equipment Schedule to Master Lease Contract on 4 12,20 23 Konica,A�liindtta Busin s Solutions U.S.A., Inc. C' rn Title: _' Title. Richard G. Kozal, City Manager Date Signed:�. �� Date Signed: April 12, 2023 Cmatcd on 03/03/2023 10:22:00 AM