HomeMy WebLinkAbout24-0612 Konica Minolta ��- owa
June 12, 2024 Agenda
Bid Item: #3 — Twelve Digital Copiers — Sourcewell Cooperative
Agreement ($89,824 Over Three Years)
Order Package: S00675479
KONICA MINOLTA OS Page 25of02
Order Package Acceptance Agreement
Customer Name/Address:
CITY OF ELGIN
150 DEXTER CT
ELGIN, IL 60120-5527
Your signature below constitutes your acceptance of the preceding forms in this Order Package(as identified by
Order Package ID S00675479 time stamped 05/16/24 03:55 PM).
as governed by the terms and conditions of the Master Agreement between Us and
SOURCEWELL FKA NJPA 101223-KON ,dated 12/21/2023
If any terms and conditions contained in this Order Agreement conflict with any terms and conditions contained in the Master
Agreement, the order of precedence is; (a) the transaction terms (i.e., products to be purchased, quantity ordered, delivery date,
unit price, billing address, and delivery location) of the relevant Order Agreement (b) the Master Agreement and (c) the remaining
non-conflicting terms of the relevant Order Agreement. Any additional, contrary or different terms contained in any confirmation,
invoices or other communications, and any other attempt to modify, supersede, supplement or alter this Order Agreement or the
Master Agreement, are deemed rejected by the parties and will not modify this Order Agreement or the Master Agreement or be
binding on the parties unless such terms have been fully approved in a signed writing by an officer of Konica Minolta and your
authorized representative.
This Order Agreement is not binding upon us until signed by a Konica Minolta manager,director,vice-president, or executive officer.
Authorized Customer Representative KMBS Representative
�
Name:V��1� ( d Name: ; r i,ri �"r 7d ,k,
(Please P • (Please Print
Signature: Signature:Si
g
Title: !//y f'fr wmfg_ Date:
Date: KMBS Management
Nam kJ.
ease Print)
Signatur
Date: C/11 02 Q c
KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC.
100 Wiiliams Drive.Ramsey.NJ 07446 (201)825-4000 www.kmbs.konicaminolta us Form 3022MA-04012024-OS
Premier Advantage A For office use only(Check one): ❑Branch ®Windsor S00675479
APPLJCFTIONNUMBER AGREE MEW2r�
Agreement
KONKA MINOLTA r
rem Advantage Apresment('Apnematt)le written In'Plain English'. The yards you and year,rater to the customer(end as guarantors). The words Lessor,ws,us and
our,Met to Konica Minolta Premier Finance,a program of Konica Minolta Business solutions U.B.A..Ice lb esbeidlerM and aMMOates.
USTOMER INFORMATION , .
FuuLL LEGAL NAME STREET ADDRESS
CITY OF ELGIN _ 150 DEXTER CT_
CITY STATE ZIP PHONE' FAX
ELGIN IL 60120-5527 630 931 5604
BIL LNG NAME(IF DIFFERENT FROM ABOVE) BILLING STREET ADDRESS
CITY STATE ZIP E•MAI
DFNYFLJ1 G':YOFEIS3IN.ORG
EQUIPMENT LOCATION(IF DIFFERENT FROM ABOVE)
SEE ATTACHED POOL BILLING SCHEDULE
'By►rending a adaptors towbar for a oeluter phone or Otwr wireless device.you ere e m sl'comeen}hg Io tsceMng 001711111100100,4 5er WON+rrrbalp m 00ldtadm WPM")e1 tat number,b•dudb,O.but nd i.aad b•
preaeceeded or artSdet wale menage oak,seat fromages,and orb nada by an eutomaua telephone dlanp system trots lever and In~se end epemc TAN Express Comore eppaee le each such telephone amber M
oe • le we arra on lathe Mae end penrd4 such Call,Teea sae and mes was may hour acres to..tan Hell madsta eMdar-
`CUS FOMER ONE G UARANTEE'
The Konica Minolta equipment leased In this Agreement Is covered under Konica MInolta's 0
Customer One Guarantee.A copy of the Guarantee can be obtained al your iocal branch or
http://kmbs.konicaminolta.us/Customerorie • _o:
jlT'h luj ilid_tillE1172-}.y , �,.. ,, "'AibCL Intake lnto'+nat:on Seneltumtier Siertrectrr React:,)
SFF ATTACHFIl POOL Bit LING SCHFr 11LF
❑Sea attached'Schedule A'for aclair-cal Enulomant!Accessories!Software
AND'PAV1141_,NT SCIII DOLE.
TERM IN MONTHS tl of payments Payment Frequency Payment Amount Advance Payment
36 36 (p►.oucc.t,. te Iun) )pi.epple team)
❑Quarterly® Monthly $ 2 495 10
Payment Includes B&W pages per month Overages billed MONTtii Y at$ per B&W page
Payment includes Color pages per month Overages baled MONTHLY et S per Color page
RI See attached Pool Bluing Schedule
END OF LEASE OPTIONS:you wa new are lohowbto optbas of the end o1 tf»orpwl tom,pwead ore loose Ma not tannhwd eery and no mat or dents under m»Lew nee otxwred and Is
amlismIng 1.Anima Ms EQt*apent for the Fab Matief Mu,as detenetbled by us. 2 Raaewle Lsaaaper parapeph 1 foe mower). S.Return 5p4muent as provided In Poraproph a fon sown*
THIS IS A NONCANCELABLE/IRREVOCABLE AGREEMENT:THIS AGREEMENT CANNOT BE CANCELED OR TERMINATED.
{t_tFSSOR AccEP,TANCE.1
Konica Minolta Premier Finance / / i/P
LESSOR , .r(r; - n Lt D+41
:::::z
1*;:e(ea rekrefltxd above) AUi� IQ N -- -
FEDERAL TAX ID. ^n
0 IN lNG,G ,. .. .
As addtkrral ad',Canhem for us,Kahn Male Prem..a FTia.Oe it h.rrh Oe a d.rayeet i r.,.;1 w•Lvr411e•er ry.pr end....may.pmvnrtr,sown 1,44 4e hie et p , ad.1 and sob all
obligation.NoLdred under IN.Agwemerrl and any stcplelTerb fully end promptly. You ep•.that vre may make other arrangement'IneirdIrq Oompromfse on sediment Oh you end you wet sh defenws and noire of hoes
changes end presentment demand,end probed end.WI rariah,racoons/No for de payment end obis p tiers d b'ia Agreement We do not have to notify your One a...tomer e In defeat r the customer defaults,you aT i rnedatety
pcy H e000rdence*the*de'aut pn seeign erf t.e Agreement et sumo due heder the brae of the Agreement end et1 perform en the ohtgtPcn e d to Agreement K h 1 ne marry for us to proceed legally to endorse IN.ponds*,
yo,1 eapree.fy oonsord Sr the funedldbn of his coal set out h peraomprl 14 end awe to pay UI poste,InMtldnp et uray'.Moe Mamma/in anforovnern of the guarantee I b not nst.aaary for et to proceed trot Keehn you betels
enbrcnp re*guervdoe. By•b,hhg tin guererd►.,you e.dhortne to b dash ee:t bureau repmb for cede and ooOeebon purpor e.
X
PRiN NAME f GUARANTOR- - - SIG)uruRE (NO TITLES) DATED
To Wolfe Goverrmart Iyn lee Wing o Wren am end gamey lased wine ectnieri,F.de'iJ La.roc um a'I mender hearten.to atom.nriy rat mead Aometen tat e.nthw.e.h poor die cora en amount Whet tea maim b.Men yam epee.
v:.oewar re pin add for yeeri rein,,Mdiss end abler biome.Mahal err a t e Mers}!y you,re ray coo e.b to am IdanEy ns doo.m.rts.
So.pope 2 end 3 tor addCbnai burns and condltlem
Page 1 KMPF00D5—US 08/22/22
SO0875478
05/16/24 03.15 PM
Premier Advantage APPLICATION NO. AGREEMENT'NO.
Pool Billing Schedule
KONIU MINOLTA _ __
L- .�-'_'.4..f�C.iL..___ _�� -_�_--,y.-�.._�_ ��LT- • - ./PI7
This Pool Billing 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.
POOL NAME: ' FLAT4
Asset Laca8on: CITY OF ELGIN,804 VILLA ST,ELGIN.IL,60120 F t rc- S-tc\.1 Oh 5
MakslModeVAooeasoifes Asset kwoloo Information SaAel M Borne Meter
1. BIZHUB 47611
2. --- - — -- - --
4. - - -
6.
II Msnary 0 Ouer ry Pa), nr $ 10227 Number of Pears Included UNU MITEO Eames Pew Chsmv$ 0.00000 %ex*pima Imo
POOL NAME: FLATS
Asset Location: CITY OF ELGIN,3270 LONGCOMMON PARKWAY,ELGIN,IL,80123 7. G J cr_ N
Make/ModeVAcosacdes Meet Invoice Information Serial R shrimp Meier
1. BIZHUB 267 408 MEMORY COPIER/PRINTER
2. .. _—
a. -- --
4. — - -- — — - — —
6. - — - - ---
S Monlrly 0 Quart*Paymsnr $ 131 r46 Number of Paces Indmded UNLIMITED ea:sss Pegs Clwps•$ 0.00000 `glom eppYsea4 a
'POOL-NAME: FLAT-7
Asset Location: CRY OF ELGIN,1900 HOLMES RD,ELGIN,IL,60123 PL--k b`\C- V )Oc\4'5
Mek&ModeVAocsssorbe Asset Invoice Information Serial 0 Staring Miter
1. BIZHUB 3001 4 OF-714
2. -
3. — - - -4.
a'brink/ a ausvMny Parlo' $ 157.40 Number et Paws Included UNLIMITED Ears Paw Clmarls'i 0.00000 lean Mess
'POOL NAME:<..FLAT-8 _ '' tt [' �.
��`
Moot Location: CITY OF ELGIN,151 DOUGLAS,ELGIN,IL,80123 �r Y\V t-S��..1
Make&ModeVAccsssor$ss Asset Invoice Intonation Serial1 StaringMater
1. BIZHU6 38014 DF-714
2.
3.
4. — -
■ O ammo err $ 1E7.64 Number d emtirdsd UNLIMITED Emaa Claw I 0.00000 sir sow
ES:OR Ci PT CF
Konica Minolta Premier finance Lu Ii top /!/a olip y
•
CRY OF ELGIN /FULL LEGAL NAME OF CUSTOMER las referenced above) DATED
FEDERALTAX MX I �rr� TRL1-
KMPF0014—US 10/01/16
SO0675479
05/16/24 03:55 PM
'—i Premier Advantage APPLICATION No. AGREEMENT NO.
Pool Billing Schedule
KONaiammEICA MINOLTA
This Pool Billing 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.
•• -NAM4sr FLA1 1
Asset Location: CITY OF ELGIN,150 DOUG LAS AVE,ELGIN,IL,60120 J r UrN t
Make/ModeVAccessories Asset Invoice InIomiayon Serail S Stating Meter
1. BIZHUB 287 4GB MEMORY COPIER/PRINTER
2. -
3. — --
4.
5. _
a Monthly IJ Ow,ary Payment'. $ 144.96 Nurnhal or P.pas Incl.4ed UNLIMITED Exams Pay.Cherw•$ 0.00000 'plus eyp&anhr tows
Asset Location: CITY OF ELGIN,151 DOUGAS AVE.ELGIN,IL,00120 L7 -N Lyn tJ I �e�. '1 0 r5
Meke/ModeVAr essaA !micees Mist!mice Information serial* Starting MONT
1. BIZHUB 30014 DF-714 _ _
2_ -- -- -3.
4. — — —
5. ----
IlCMonthly D tluen.dy Payment' 1 151.27 NOrrber of Popes Included UNLIMITED Excess Paps Drums*$ 0.00000 pru.asp iceble Ours
i Y4,JL11' ' FLAT- - - -
Asset Location: CITY OF ELGIN,151 DOUGLAS AVE.ELGIN,IL,60120 , _
Make/Model/Accessories Asset Invoice Information Serial* Starting Meat
1. BIZHUB C40511
2. —
3. — — —
4.
N Wok D Cloddy P.ymsnr S 239.25 Number et Paps.Included IN/ANTED Eons Peps Cherpo-S 0.00000 tick who*Iwo
ji711IIB a' IRATE 11111111111111111111111
Asset Location: CITY OF ELGIN,650 BIG TIMBER RD,ELGIN,IL,60123 _ Y�� \�CJ
Make/ModeI/Acceasories Mist Invoice Irrlomuallof Banal X Starting Meter
I. BEHUB3001+DF-71e
2. -- —
3. - - - - —- ----
4.
// ---- - -----
Mora* 1n ow ruff),Peynent' $ 136.59 N,arbe,of Pepee InC,,ded UNLJM!1t:' Exceee Pepe Cra'ee'S 0.07000 Wu'atell ath taw
4-}t`C cav 1'A(c: ..r.- .S..f' :�.r:: wL.?. .--
_ i I
Konica Minolta Premier Heart co
LESSOR - D x Tt! � 44/7hAI:27
61i°1)
CITY OF ELGIN ff
IA f� /
FT LEGAL NAME OMERass tsersnad Wove) FD
toi: _e2_
FEDERAL TAX LD.N PRINT NAVE- TRL F DAT
KMPF0014—US 10/01116
S00675479
05I18f24 03 55 PM
APPLICATION NO. AGREEMENT NO.
ti Premier Advantage
Pool Billing Schedule 1 ,
IcONICAMINOLTA
I■Immimr' •
This Pool Billing 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.
POOL NAM' . • FLAT.9 _
Asset Location: CITY OF ELGIN,376 W RIVER RD,ELGIN,IL,80120 YC- C_C. -`A C \---CCr-A--
MakelMode UAccessor(es AGSM Woks Information Serial R Martina Antler I. BITHUB C250I WITH DF-714
2.
3.
4.
6. -
S WNW 0 Gemealy Payment' $ 194.27 Number or Pages Inducted UNUMITED Emma Pepe Ohre'$ 0,60000 "Wu.•pplk-abfe Ouse
POOL NAIVE: FLAT-10
Meet Location: CITY OF ELGIN.150 DEXTER CT,ELGIN,8,80120 (,�./�e ` (r v
Make/Model/Accessories Asset Invoice Information Serial* Starting Meier
BIZHUB C6501
2.
3.
4.
6.
IIMonady GM*rimer $ 771.84 Number of Paget Included UNUMITED Eons Pegs Cherie'6 0.00000 Woe opilalelens
;COOL IVAME; !FU►T 11 _ ` J
Asset Location: Gu Y OF ELGIN,74 AIRUTE,ELGIN,2., {�60120 r c`, ` C\ 'r \-{-y. }.' T,,�,s ��-st
Meke/ModeVAccessoiise Mast Wake Idorntden Serial p Starting Meter
1. BIZHUB 287 4GB MEMORY COPIER/PRINTER
2.S. --
4• —
U Monmy O Gaels*Payment' $ 134.02 Number of Payee Included UNLIMITED Excess Papa Charnel 0.00000 'plus eppBrsi elars
• OOL NAME' FLAT-12
Asset Location: CITY OF ELGIN,875 SPORTSWAY,ELGIN,IL.60123 \ * V C\a ` ( -
Make/ModeVAcceseorlea Asset Invoice Information Seriei#t Starting Meter
1. BIZHUB 3001+DF-714
2 — - - —
3. — - —
4. - - —
ti Mouthy O Quarterly Peyrnene S 184.14 Number of P tedtded UNLIMITED Emma Pica Charpa•$ 0 0-^1101' - yeaoprreNt taro:
ArliL
Konica Minolta Premier FInanca
LESSOR LED ICNLF 'ITa tEt)( (t(W/1//6
CITY OF ELGIN " "
RAL LEGAL NAME OF CLISTWER(es referenced above) A IG !� /7 DA ED
FEDERAL TM I D.a - P i NAL
KMPF0014—US 10101I16
lt
I<ON(CA MINOLTA
NON-APPROPRIATION ADDENDUM
ADDENDUM TO Agreement No. between Konica Minolta Premier Finance,(Lessor)
And City of Elgin ,(Customer)
(Full Legal Name of Customer)
Dated. II 2 CZ-9
FOR STATE AND LOCAL GOVERNMENT ENTITIES ONLY
A CUSTOMER COVENANTS: You covenant and warrant that (1) it has, in accordance with the requirements of law, fully budgeted and
appropriated sufficient funds for the current budget year to make the payments scheduled to come due and to meet its other obligations under
the Agreement and such funds have not been expended for other purposes;and
(2) that there is no action,suit, proceeding or investigation pending,or threatened in any court or other tribunal or competent jurisdiction,state or
federal or before any public board or body, which in any way would (a) restrain or enjoin the delivery of the Agreement or the ability of you to
make its periodic payments as set out in the Agreement; (b)contest or affect the authority for the execution or delivery of, or the validity of. the
Agreement;or(c)contest the existence and powers of you;nor Is there any basis for any such action,suit,proceeding cr investigation;and
(3)That the Equipment will be operated and controlled by you and will be used for essential government purposes and will to be essential for the
term of the Agreement.
(4)You have not previously terminated a rental for non-appropriation,except as specifically described in a letter appended hereto.
B. SIGNATURES: Signer warrants that he/she is fully conversant with the governing relevant legal and regulatory provisions and has full power
and authorization to bind you. Signer for you further warrants its governing body has taken the necessary steps; including any legal bid
requirements, under applicable law to arrange for acquisition of the Equipment; the approval and execution has been in accordance with all
applicable open meeting laws; and that a resolution of the governing body of you authorizing execution of the Agreement has been duly adopted
and remains in full force and effect.
C. NON APPROPRIATION: In the event you wish to cancel the Agreement because:
1. Funds are not appropriated for a fiscal period subsequent to the one in which the Agreement was entered into which are sufficient to satisfy al
of your obligations under the Agreement during said fiscal period;
2.Such non-appropriation did not result from any act or failure to act of you;
3.You have exhausted all funds legally available for all payment due under the Agreement;and
4.There is no other legal procedure by which payment can be made to Lessor.
Then, provided that(a)you have given Lessor written notice of the occurrence of paragraph 1 above thirty(3C)days prior to such occurrence; (b)
Lessor has received a written opinion from your counsel venfying the same within ten (10) days thereafter upon receipt of the Equipment
delivered to a location designated by Lessor, at your expense, Lessor's remedies for such default shall be to terminate the Agreement at the end
of the fiscal period during which notice is given; retain the advance payments, if any; and/or sell, dispose of, hold, use or rent the Equipment as
Lessor in its sole discretion may desire,without any duty to account to you.
Approved and agreed to as an Addendum to and part of the Agreement and any Supplements or Schedules to the Master Agreement,
this 3 day of March.
LESSORACCE•. ANC
T
/ // 2_LfKonica Minolta Premier Finance t"/
D LESSOR çJ)cL2' 7 . 1/44 _ TfTLE
CUSTOMER ACCEPTANCE
City of Elgin ���� W111:
DATEb F LEULL LEGAL NAME OF CUSTOMER ‘7-4 --- 1
36-6005862
FEDERAL TAX LD a P T r
KMPF0017 - 03/13/2014
IL ADDENDUM
TO 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 Minolta Business Solutions U.S.A., Inc.
("KMBS") and City of Elgin ("Customer") signed by Customer on t2, 20 Z'f (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 CONDITIONS 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 end 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 end.
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.
IN WITNESS WHEREOF, t e parties hereto have executed this Addendum to Equipment Schedule to
Master Lease Contract on loll/ , 20 2-4 .
Konica nolta Busine Solutions U.S.A., Inc. City of i /f
By: By: !/
rn.Z.'
Ti . Title: /
11
Date Signed: a Date Signed: e.
Created on 05/13/2024 4:38:00 PM
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 e een Konica Minolta Premier Finance,("Lessor") and the City of Elgin("Customer")
dated Ef , 2024. 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.)."
14. CONSENT TO LAW JURISDICTION 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.
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.
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."
(Customer) (Lessor)
CI ELGIN CA MINO A PREMIER FINANCE
ee/ ?
Autho ' ed Signature orize gnature
6 pa,a_atpre4.,--
rinted N me 414(iervcted N
ZZZA__Qc.2
itle ��,� � itle to
Order Package: S00675479
<ONICA MINOLTA o5/P1 9e 01 os PM
Order Agreement
Check Applicable Box L.: Purchase X Lease I i Other:
VOICE TO Account# SOLD TO Account#SO 0000668930 SHIP TO Account#
?gal Name KONICA MINOLTA PREMIER FINANCE Legal Name CITY OF ELGIN Legal Name CITY OF ELGIN
an Line 1 Attn Line 1 Attn Line 1 2ND FLOOR DRUG
an Line 2 Attn Line 2 Attn Line 2
treet Address 10201 CENTURION PKWY N STE 100 Street Address 150 DEXTER CT Street Address 150 DOUGLAS AVE
60120
ity JACKSONVILLE State FL Zip 32256 City ELGIN State IL Zip 5517 City ELGIN State IL Zip 60120
ax Exempt C No X Yes ( :. I Tax Exempt#
O Required X No ❑ Yes ( • l P.O.# P.O. Expiration Date
ayment Terms: ❑ Yes, I want to pay by Credit Card. Please provide contact name/phone below. a Amount
3EE LEASE d tO Li Pay in Full(including applicable tax) Partial Payment,Amount$
Contact Name: Phone: Check#
Requested Delivery Date: SEE ATTACHED Maintenance Contract X Accepted 0 Declined
QTY MATERIAL# MATERIAL DESCRIPTION SERIAL NUMBER PRICE EACH EXTENDED
1 A7AH019 BIZHUB 287 4GB MEMORY COPIER/PRI
1 7670525506 MFP DELIVERY CHARGE - LEVEL ONE
1 7640018092 BASIC NETWORK SERVICE - BNS02
1 A7V7WY2 DF-628 DOCUMENT FEEDER
1 135310 DK-513X FLATPACK CABINET
1 A2YUWY3 FS-533 INNER FINISHER
1 A84FWY1 MK-602 MOUNT KIT
1 A3EUW12 PK-519 PUNCH KIT FOR FS-533
1 A879012 FK-513 FAX KIT
1 7640015657 BIZHUB SECURE
QTY MATERIAL# SUPPLY-MATERIAL DESCRIPTION PRICE EACH EXTENDED
1 A87M030 TN323K TONER CARTRIDGE N/A
N/A
N/A
N/A
NIA
N/A
DDITICCIAL CHARGES Additional Charges
TOTAL
❑ Network Ci Removal 7 Other (TOTAL is exclusive of applicable taxes)
PICK-UP Requested Removal Date: 05/21/2024
QTY MATERIAL# MATERIAL DESCRIPTION SERIAL NUMBER
1 A7AH017 "BIZHUB 287 A7AH017002022
COMMENTS
INCLUDES UPGRADE, FOR LEASE 061-0152078-000, TO LEASE COMPANY FIRST CITIZENS
KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC. Form:3000-090115-
100 Williams Drive,Ramsey,NJ 07446 (201)825-4000 www.kmbs.konicaminolta.us
Order Package: S00675479
<ONICA MINOLTA 05/16/24 03:55 PM
Page 002 of 025
Order Agreement
Check Applicable Box Purchase 181 Lease Li Other:
VOICE TO Account# SOLD TO Account#SO 0000668930 SHIP TO 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 COMMUNITY RELATIONS
ttn Line 2 Attn Line 2 Attn Line 2
treet Address 10201 CENTURION PKWY N STE 100 Street Address 150 DEXTER CT Street Address 151 DOUGAS AVE
60120-
ity JACKSONVILLE State FL Zip 32256 City ELGIN State IL Zip 5527 City ELGIN State IL Zip 60120
?x Exempt 0 No I$ Yes (Copy Required) Tax Exempt#
.0.Required ( No 0 Yes (Copy Required) P.O.# P.O.Expiration Date
ayment Terms: z v ❑ Yes,I want to pay by Credit Card. Please provide contact name/phone below. . Amount
SEE LEASE m 0 Pay in Full(including applicable tax) ❑ Partial Payment,Amount$
Contact Name: Phone: _Check#
Requested Delivery Date: SEE ATTACHED Maintenance Contract )it Accepted ❑ Declined
QTY MATERIAL# MATERIAL DESCRIPTION SERIAL NUMBER PRICE EACH EXTENDED
1 AC78013 BIZHUB 3001 + DF-714
1 7670525506 MFP DELIVERY CHARGE-LEVEL ONE
1 7640018093 BASIC NETWORK SERVICE-BNS03
1 AAV5WY7 PC-116 CABINET
1 A2YUWY3 FS-533 INNER FINISHER
1 A3EUW12 PK-519 PUNCH KIT FOR FS-533
1 ACCJWY1 KP-102 KEYPAD (10"PANEL)
1 7640015657 BIZHUB SECURE
QTY MATERIAL# SUPPLY-MATERIAL DESCRIPTION PRICE EACH EXTENDED
1 AC7A030 TN330 BLACK TONER N/A
N/A
N/A
N/A
N/A
N/A
DDITIONAL CHARGES Additional Charges
TOTAL
0 Network ❑ Removal ❑ Other (TOTAL is exclusive of applicable taxes)
PICK-UP Requested Removal Date: 05/21/2024
QTY MATERIAL# MATERIAL DESCRIPTION SERIAL NUMBER
1 AA6V011 "BIZHUB 368E AA6V011004675
COMMENTS
INCLUDES UPGRADE, FOR LEASE 061-0153649-000,TO LEASE COMPANY FIRST CITIZENS
KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC. Form:3000-090115-
100 Williams Drive,Ramsey,NJ 07446 (201)825-4000 www.kmbs.konicaminolta.us
Order Package: SO0675479
KONICA MINOLTA OS/16/24 55 PM
PageO 3:of025
Order Agreement
Check Applicable Box 0 Purchase X Lease ❑ Other:
VOICE TO Account# SOLD TO Account#SO 0000668930 SHIP TO Account#
agal Name KONICA MINOLTA PREMIER FINANCE Legal Name CITY OF ELGIN Legal Name CITY OF ELGIN
ttn Line 1 Attn Line 1 Attn Line 1 JAIL
ttn Line 2 Attn Line 2 Attn Line 2
treet Address 10201 CENTURION PKWY N STE 100 Street Address 150 DEXTER CT Street Address 151 DOUGLAS AVE
60120-
ity JACKSONVILLE State FL Zip 32256 City ELGIN State IL Zip 5527 City ELGIN State IL Zip 60120
ax Exempt ❑ No (X Yes (Copy Required) Tax Exempt#
.0.Required Z No ❑ Yes (Copy Required) P.O.# P.O.Expiration Date
ayment Terms: 0 Yes,I want to pay by Credit Card. Please provide contact name/phone below. Amount
3EE LEASE 0 v ❑ Pay in Full(including applicable tax) ❑ Partial Payment,Amount$
Contact Name: Phone: Check#
Requested Delivery Date: SEE ATTACHED Maintenance Contract Accepted 0 Declined
QTY MATERIAL# MATERIAL DESCRIPTION SERIAL NUMBER PRICE EACH EXTENDED
1 AAJNO17 BIZHUB C40511
1 7670525506 MFP DELIVERY CHARGE-LEVEL ONE
1 7640018092 BASIC NETWORK SERVICE-BNS02
1 135900 DK-P05 COPY DESK
1 7640015657 BIZHUB SECURE
QTY MATERIAL# SUPPLY-MATERIAL DESCRIPTION PRICE EACH EXTENDED
NIA
N/A
N/A
N/A
N/A
N/A
DDITICNAL CHARGES Additional Charges
TOTAL
❑ Network C Removal ❑ Other (TOTAL is exclusive of applicable taxes)
PICK-UP Requested Removal Date: 05/21/2024
QTY MATERIAL# MATERIAL DESCRIPTION SERIAL NUMBER
1 A92G011 "BIZHUB C3851FS COPIER/PRINTER A92G011003903
COMMENTS
KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC. Form:3000-090115
100 Williams Drive,Ramsey,NJ 07446 (201)825-4000 www.kmbs.konicaminolta.us
Order Package: SO0675479
AEA
05/7 6/24 03 55 PM
WEI
KONICA M I N O LTA Page 004 of 025
Order Agreement
Check Applicable Box Purchase X Lease I I Other:
VOICE TO Account# SOLD TO Account#SO 0000668930 SHIP TO 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 FIRE STATION 2
ttn Line 2 Attn Line 2 Attn Line 2
treet Address 10201 CENTURION PKWY N STE 100 Street Address 150 DEXTER CT Street Address 650 BIG TIMBER RD
6o17o
Ty JACKSONVILLE State FL Zip 32256 City ELGIN State IL Zip ssn City ELGIN State IL Zip 60123
ax Exempt ❑ No X Yes r- .. ) Tax Exempt#
O.Required X No 71 Yes ) P.O.# P.O. Expiration Date
syment Terms: El Yes, I want to pay by Credit Card. Please provide contact name/phone below. Amount
SEE LEASE d m LJ Pay in Full(including applicable tax) L. Partial Payment,Amount S L
Contact Name: Phone: 0 Check#
Requested Delivery Date: SEE ATTACHED Maintenance Contract >4 Accepted 17 Declined
QTY MATERIAL# MATERIAL DESCRIPTION SERIAL NUMBER PRICE EACH EXTENDED
1 AC78013 BIZHUB 3001 + DF-714
1 7670525506 MFP DELIVERY CHARGE- LEVEL ONE
1 7640018093 BASIC NETWORK SERVICE -BNS03
1 A87JWY5 RELAY UNIT RU-513
1 135700 DK-516 COPY DESK
1 AAR4WY3 FS-539
1 AC28W11 PK-524 2/3 PUNCH UNIT FOR FS-539
1 7640015657 BIZHUB SECURE
QTY MATERIAL# SUPPLY-MATERIAL DESCRIPTION PRICE EACH EXTENDED
1 AC7A030 TN330 BLACK 1 ONE-R N/A
N/A
N/A
NIA
N/A
N/A
DDITIONAL CHARGES Additional Charges
TOTAL
❑ Network ❑ Removal 7 Other (TOTAL is exclusive of applicable taxes)
PICK-UP Requested Removal Date: 05/21/2024
QTY MATERIAL# MATERIAL DESCRIPTION SERIAL NUMBER
1 AA6V017 "BIZHUB 368E 4GB MEMORY COPIER/PRINT I-k AA6V017009006
COMMENTS
KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC. Form: 3000-090115-
100 Williams Drive.Ramsey.NJ 07446 (201)825-4000 www kmbs konicaminolta us
Order Package: SO0675479
<ONICA MINOLTA 05/16/24 M 03:55 P
Page 005 5 025
PM
Order Agreement
Check Applicable Box L Purchase X Lease L Other:
VOICE TO Account# SOLD TO Account#SO 0000668930 SHIP TO 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 FIRE STATION 5
ttn Line 2 Attn Line 2 Attn Line 2
treet Address 10201 CENTURION PKWY N STE 100 Street Address 150 DEXTER CT Street Address 804 VILLA ST
60120-
ity JACKSONVILLE State FL Zip 32256 City ELGIN State IL Zip 5527 City ELGIN State IL Zip 60120
ax Exempt ❑ No X Yes (Copy Required) Tax Exempt#
.0.Required l$ No ❑ Yes (Copy Required) P.O.# P.O.Expiration Date
ayment Terms: v ❑ Yes,I want to pay by Credit Card. Please provide contact name/phone below. Amount
SEE LEASE ❑ Pay in Full(including applicable tax) ❑ Partial Payment,Amount$ .CCD
Contact Name: Phone: (-) Check#
Requested Delivery Date: SEE ATTACHED Maintenance Contract IR Accepted ❑ Declined
QTY MATERIAL# MATERIAL DESCRIPTION SERIAL NUMBER PRICE EACH EXTENDED
1 ACT8017 BIZHUB 47511
1 7670525506 MFP DELIVERY CHARGE-LEVEL ONE
1 7640018092 BASIC NETWORK SERVICE-BNS02
1 135900 DK-P05 COPY DESK
1 AAJUW12 PF-P25 HEIGHT ADJUSTMENT UNIT
1 7640015657 BIZHUB SECURE
OTY MATERIAL# SUPPLY-MATERIAL DESCRIPTION PRICE EACH EXTENDED
N/A
N/A
N/A
N/A
N/A
N/A
DDITIONAL CHARGES Additional Charges
TOTAL
0 Network C Removal 0 Other (TOTAL is exclusive of applicable taxes)
PICK-UP Requested Removal Date: 05121/2024
QTY MATERIAL# MATERIAL DESCRIPTION SERIAL NUMBER
1 A6F7011 "BIZHUB 4750 A6F7011007013
COMMENTS
KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC. Form:3000-090115-
100 Williams Drive,Ramsey,NJ 07446 (201)825-4000 www.kmbs.konicaminolta.us
Order Package: S00675479
C I<ONICA MINOLTA 05Page 03 55 5
Order Agreement
Check Applicable Box L Purchase X Lease Other:
VOICE TO Account# SOLD TO Account#SO 0000668930 SHIP TO 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 FIRE STATION 7
an Line 2 Attn Line 2 Attn Line 2
treet Address 10201 CENTURION PKWY N STE 100 Street Address 150 DEXTER CT Street Address 3270 LONGCOMMON PARKWAY
60120
ity JACKSONVILLE State FL Zip 32256 City ELGIN State IL Zip 5527 City ELGIN State IL Zip 60123
3xExempt ❑ No X Yes (LcryRecJ✓ed) Tax Exempt#
0. Required (X No ❑ Yes (ccey Reluuei) P.O.# P.O.Expiration Date
aliment Terms: . ❑ Yes, I want to pay by Credit Card. Please provide contact name/phone below. Amount
SEE LEASE d v U Pay in Full(including applicable tax) U Partial Payment,Amount$
Contact Name: Phone: Check#
Requested Delivery Date: SEE ATTACHED Maintenance Contract X Accepted O Declined
QTY MATERIAL# MATERIAL DESCRIPTION SERIAL NUMBER PRICE EACH EXTENDED
1 A7AH019 BIZHUB 287 4GB MEMORY COPIER/PRI
1 7670525506 MFP DELIVERY CHARGE-LEVEL ONE
1 7640018092 BASIC NETWORK SERVICE-BNS02
1 A7V7WY2 DF-628 DOCUMENT FEEDER
1 135310 DK-513X FLATPACK CABINET
1 A2YUWY3 FS-533 INNER FINISHER
1 A84FWY1 MK-602 MOUNT KIT
1 7640020486 KMPF LEASE RETURN 1ST UNIT
1 7640015657 BIZHUB SECURE
QTY MATERIAL# SUPPLY-MATERIAL DESCRIPTION PRICE EACH EXTENDED
1 A87M030 TN323K TONER CARTRIDGE N/A
N/A
N/A
N/A
N/A
N/A
DDITIONAL CHARGES Additional Charges
TOTAL
❑ Network Removal IT Other (TOTAL is exclusive of applicable taxes)
PICK-UP Requested Removal Date: 05/21/2024
QTY MATERIAL# MATERIAL DESCRIPTION SERIAL NUMBER
1 A7A11019 BIZHUB 287 4GB MEMORY COPIER/PRINTER A/AI IO1 )002b63
COMMENTS
KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC.
Form: 3000-090115-
100 Williams Drive. Ramsey.NJ 07446 (201)825-4000 www kmbs.konicaminolta.us
Order Package: SO0675479
a I<ONICA MINOLTA 05 Page 007of025
Order Agreement
Check Applicable Box L. Purchase Lease [ 1 Other:
VOICE TO Account# SOLD TO Account#SO 0000668930 SHIP TO 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 PUBLIC WORKS
an 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
Go1zo
ity JACKSONVILLE State FL Zip 32256 City ELGIN State IL Zip 5527 City ELGIN State IL Zip 60123
3x Exempt ❑ No ($ Yes (Cop)ReCu,red) Tax Exempt#
O. Required X No ❑ Yes (ccn Recuved) P.O.# P.O. Expiration Date
ayment Terms: — ❑ Yes, I want to pay by Credit Card. Please provide contact name/phone below. Amount
SEE LEASE d ❑ Pay in Full(including applicable tax) C Partial Payment.Amount S
Contact Name: Phone: u Check#
Requested Delivery Date: SEE ATTACHED Maintenance Contract X Accepted [ 1 Declined
QTY MATERIAL# MATERIAL DESCRIPTION SERIAL NUMBER PRICE EACH EXTENDED
1 AC78013 BIZHUB 30014 DF-714
1 7670525506 MFP DELIVERY CHARGE- LEVEL ONE
1 7640018093 BASIC NETWORK SERVICE - BNS03
1 A87JWY5 RELAY UNIT RU-513
•
1 AAV5WY8 PC-216 CABINET
1 AAR4WY3 FS-539
•
1 AC28W11 PK-524 2/3 PUNCH UNIT FOR FS-539
1 ACCJWY1 KP-102 KEYPAD (10"PANEL)
1 7640020488 KMPF LEASE RETURN ADDL UNITS
1 7640015657 BIZHUB SECURE
•
QTY MATERIAL# SUPPLY-MATERIAL DESCRIPTION PRICE EACH EXTENDED
1 AC7A030 TN330 BLACK TONE it N/A
N/A
N/A
N/A
N/A
N/A
DDITIONAL CHARGES Additional Charges
TOTAL
Network ❑ Removal Other (TOTAL is exclusive of applicable taxes)
PICK-UP Requested Removal Date: obi?l zo24
QTY MATERIAL# MATERIAL DESCRIPTION SERIAL NUMBER
1 AC76011 'BIZHUB 4501 AC76011003317
COMMENTS
KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC.
Form: 3000-090115-
100 Williams Drive,Ramsey,NJ 07446 (201)825-4000 www kmbs konicaminolta.us
Order Package: SO0675479
IlLuk 05/16/24 03:55 PM
I<ONICA MINOLTA Page 008of025
Order Agreement
Check Applicable Box 0 Purchase NI Lease t] Other:
VOICE TO Account# SOLD TO Account#SO 0000668930 SHIP TO 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 MAJOR INVESTIGATIONS
an Line 2 Attn Line 2 Attn Line 2
treet Address 10201 CENTURION PKWY N STE 100 Street Address 150 DEXTER CT Street Address 151 DOUGLAS
60120.
ity JACKSONVILLE State FL Zip 32256 City ELGIN State IL Zip 5527 City ELGIN State IL Zip 60123
3x Exempt 0 No X Yes (Copy Required) Tax Exempt#
.0.Required Z No 0 Yes (Copy Required) P.O.# P.O.Expiration Date
ayment Terms: r 0 Yes,I want to pay by Credit Card. Please provide contact name/phone below. Y Amount
3EE LEASE d to Pay in Full(including applicable tax) ❑ Partial Payment,Amount$
Contact Name: Phone: t, Check#
Requested Delivery Date: SEE ATTACHED Maintenance Contract lit Accepted ❑ Declined
QTY MATERIAL# MATERIAL DESCRIPTION SERIAL NUMBER PRICE EACH EXTENDED
1 AC77013 BIZHUB 3601 + DF-714
1 7670525506 MFP DELIVERY CHARGE-LEVEL ONE
1 7640018093 BASIC NETWORK SERVICE-BNS03
1 A87JWY5 RELAY UNIT RU-513
1 AAV5WY7 PC-116 CABINET
1 AAR4WY3 FS-539
1 ACCJWY1 KP-102 KEYPAD (10"PANEL)
1 A883012 FK-514 FAX KIT(1ST&2ND LINE)
1 7640020488 KMPF LEASE RETURN ADDL UNITS
1 7640015657 BIZHUB SECURE
QTY MATERIAL# SUPPLY-MATERIAL DESCRIPTION PRICE EACH EXTENDED
1 AC7A030 TN330 BLACK TONER N/A
N/A
N/A
N/A
N/A
N/A
DDITIONAL CHARGES Additional Charges
TOTAL
❑ Network C Removal Other (TOTAL is exclusive of applicable taxes)
PICK-UP Requested Removal Date: 05/21/2024
QTY MATERIAL# MATERIAL DESCRIPTION SERIAL NUMBER
1 , AC75011 'BIZHUB 5501 AC75011001357
COMMENTS
KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC. Form:3000-090115-
100 Williams Drive,Ramsey,NJ 07446 (201)825-4000 www.kmbs.konicaminolta.us
Order Package: S00675479
--�—�, I<ONICA MINOLTA 05/16/24 03:55 PM
Page 009 of 025
Order Agreement
Check Applicable Box ❑ Purchase NI Lease I-. Other:
1'[•1[.1AlitMAccount# SOLD TO Account#SO 0000668930 SHIP TO 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 SLADE-W TREATMENT
ttn Line 2 Attn Line 2 Attn Line 2
treet Address 10201 CENTURION PKWY N STE 100 Street Address 150 DEXTER CT Street Address 375 W RIVER RD
6012o-
ity JACKSONVILLE State FL Zip 32256 City ELGIN State IL Zip 5527 City ELGIN State IL Zip 60120
ax Exempt ❑ No ($ Yes (Copy Required) Tax Exempt#
O.Required (X No 0 Yes (Copy Required) P.O.# P.O.Expiration Date
ayment Terms: r .o ❑ Yes,I want to pay by Credit Card. Please provide contact name/phone below. . Amount
SEE LEASE $ ❑ Pay in Full(including applicable tax) ❑ Partial Payment,Amount$
Contact Name: Phone: Check#
Requested Delivery Date: SEE ATTACHED Maintenance Contract jg Accepted 0 Declined
QTY MATERIAL# MATERIAL DESCRIPTION SERIAL NUMBER PRICE EACH EXTENDED
1 AA2M013 BIZHUB C250I WITH DF-714
1 7670525506 MFP DELIVERY CHARGE-LEVEL ONE
1 7640018094 BASIC NETWORK SERVICE-BNSO4
1 AAV5WY8 PC-216 CABINET
1 A2YUWY3 FS-533 INNER FINISHER
1 A3EUW12 PK-519 PUNCH KIT FOR FS-533
1 ACCJWY1 KP-102 KEYPAD (10"PANEL)
1 A883012 FK-514 FAX KIT(1ST&2ND LINE)
1 7640020488 KMPF LEASE RETURN ADDL UNITS
1 7640015657 BIZHUB SECURE
QTY MATERIAL# SUPPLY-MATERIAL DESCRIPTION PRICE EACH EXTENDED
1 AAV8430 TN-328C CYAN TONER N/A
1 AAV8130 TN-328K BLACK TONER N/A
1 AAV8330 TN-328M MAGENTA TONER N/A
1 AAV8230 TN-328Y YELLOW TONER N/A
N/A
N/A
DDITIONAL CHARGES Additional Charges
TOTAL
0 Network ❑ Removal 0 Other (TOTAL is exclusive of applicable taxes)
PICK-UP Requested Removal Date: 05/21/2024
QTY MATERIAL# MATERIAL DESCRIPTION SERIAL NUMBER
1 AA2M013 BIZHUB C2501 WITH DF-714 AA2J013004283
COMMENTS
KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC.
100 Williams Drive,Ramsey,NJ 07446 (201)825-4000 www.kmbs.konicaminolta.us Form:3000-090115-
Order Package: SO0675479
0355 KONICA MINOLTA 05 Page 010.of02n5
Order Agreement
Check Applicable Box 0 Purchase )ffi Lease ❑ Other:
VOICE TO Account# SOLD TO Account#SO 0000668930 SHIP TO 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 CENTRAL SERVICES
ttn Line 2 Attn Line 2 Attn Line 2
treet Address 10201 CENTURION PKWY N STE 100 Street Address 150 DEXTER CT Street Address 150 DEXTER CT
60120-
ity JACKSONVILLE State FL Zip 32256 City ELGIN State IL Zip 5527 City ELGIN State IL Zip 60120
ax Exempt ❑ No (X Yes (Copy Required) Tax Exempt#
O.Required ( No ❑ Yes (Copy Required) P.O.# P.O.Expiration Date
ayment Terms: r .c 0 Yes,I want to pay by Credit Card. Please provide contact name/phone below.
SEE LEASE ❑ Pay in Full(including applicable tax) ❑ Partial Payment,Amount$ 16: Amount
Contact Name: Phone: Check#
Requested Delivery Date: SEE ATTACHED Maintenance Contract X Accepted 0 Declined
QTY MATERIAL# MATERIAL DESCRIPTION SERIAL NUMBER PRICE EACH EXTENDED
1 AA7N017 BIZHUB C650I
1 7670525507 MFP DELIVERY CHARGE-LEVEL TWO
1 7640018094 BASIC NETWORK SERVICE-BNSO4
1 A87JWY5 RELAY UNIT RU-513
1 A87VW12 LU-302 LARGE CAPACITY UNIT
1 AAV5WY8 PC-216 CABINET
1 AAR5WYA FS-540 SD 100-SHEET BOOKLET FINISH
1 ACF5W11 PK-526 2/3-HOLE PUNCH UNIT FOR FS-
1 A63GWY2 ZU-609 Z FOLDING UNIT
1 ACCJWY1 KP-102 KEYPAD (10"PANEL)
1 7640020488 KMPF LEASE RETURN ADDL UNITS
1 7640015657 BIZHUB SECURE
QTY MATERIAL# SUPPLY-MATERIAL DESCRIPTION PRICE EACH EXTENDED
1 ACV1430 TN626C CYAN TONER(YIELD:28K) N/A
1 ACV1130 TN626K BLACK TONER(YIELD:28K) N/A
1 ACV1330 TN626M MAGENTA TONER(YIELD:28K) N/A
1 ACV1230 TN626Y YELLOW TONER(YIELD:28K) N/A
N/A
N/A
DDITIONAL CHARGES Additional Charges
TOTAL
0 Network 0 Removal ❑ Other (TOTAL Is exclusive of applicable taxes)
PICK-UP Requested Removal Date: 05/21/2024
QTY MATERIAL# MATERIAL DESCRIPTION SERIAL NUMBER
1 AA7N011 'BIZHUB C650I 65 PPM COLOR MFP AA7N011003621
COMMENTS
KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC. Form:3000-090115-
100 Williams Drive,Ramsey,NJ 07446 (201)825-4000 www.kmbs.konicaminolta.us
Order Package: S00675479
- 05/16/24 03:55 PM
KONICA MINOLTA Page Ott or025
Iratw
Order Agreement
Check Applicable Box C. Purchase X Lease - Other:
VOICE TO Account# SOLD TO Account#SO 0000668930 SHIP TO 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 AIRLITE W TREATMENT
ttn Line 2 Attn Line 2 Attn Line 2
veet Address 10201 CENTURION PKWY N STE 100 Street Address 150 DEXTER CT Street Address 74 AIRLITE
60120-
ity JACKSONVILLE State FL Zip 32256 City ELGIN State IL Zip 5527 City ELGIN State IL Zip 60120
ax Exempt 0 No (a Yes (Copy Required) Tax Exempt#
O.Required Z No 0 Yes (Copy Required) P.O,# P.O.Expiration Date
ayment Terms: r v ❑ Yes,I want to pay by Credit Card. Please provide contact name/phone below. x Amount
SEE LEASE d 0 ❑ Pay in Full(including applicable tax) ❑ Partial Payment,Amount$
Contact Name: Phone: Check#
Requested Delivery Date: SEE ATTACHED Maintenance Contract X Accepted ❑ Declined
QTY MATERIAL# MATERIAL DESCRIPTION SERIAL NUMBER PRICE EACH EXTENDED
1 A7AH019 BIZHUB 287 4GB MEMORY COPIER/PRI
1 7670525506 MFP DELIVERY CHARGE-LEVEL ONE
1 7640018092 BASIC NETWORK SERVICE-BNS02
1 A7V7WY2 DF-628 DOCUMENT FEEDER
1 A7VAWY8 PC-213 PAPER FEED CABINET
1 A879012 FK-513 FAX KIT
1 7640020488 KMPF LEASE RETURN ADDL UNITS
1 7640015657 BIZHUB SECURE
QTY MATERIAL# SUPPLY-MATERIAL DESCRIPTION PRICE EACH EXTENDED
1 A87M030 TN323K TONER CARTRIDGE N/A
N/A
N/A
N/A
N/A
N/A
DDITICNAL CHARGES Additional Charges
TOTAL
0 Network 0 Removal I-I Other (TOTAL Is exclusive of applicable taxes)
PICK-UP Requested Removal Date: 05/21/2024
QTY MATERIAL# MATERIAL DESCRIPTION SERIAL NUMBER
1 A7AH019 BIZHUB 287 4GB MEMORY COPIER/PRINTER A7AH019002560
COMMENTS
KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC. Form:3000-090115-
100 Williams Drive,Ramsey,NJ 07446 (201)825-4000 www.kmbs.konicaminolla.us
Order Package: S00675479
;, I<ONICA MINOLTA 05/16/2403:55 PM
Page 012 of 025
iffrOrder Agreement
Check Applicable Box ❑ Purchase Iffi Lease ❑ Other:
VOICE TO Account# SOLD TO Account#SO 0000668930 SHIP TO Account#
.tgal Name KONICA MINOLTA PREMIER FINANCE Legal Name CITY OF ELGIN Legal Name CITY OF ELGIN
ttn Line 1 Attn Line 1 Attn Line 1 HIGHLANDS GC
ttn Line 2 Attn Line 2 Attn Line 2
treet Address 10201 CENTURION PKWY N STE 100 Street Address 150 DEXTER CT Street Address 875 SPORTSWAY
60120-
ity JACKSONVILLE State FL Zip 32256 City ELGIN State IL Zip 5527 City ELGIN State IL Zip 60123
ax Exempt 0 No (21( Yes (Copy Required) Tax Exempt#
O.Required IX No 0 Yes (Copy Required) P.O.# P.O.Expiration Date
ayment Terms: m , 0 Yes,I want to pay by Credit Card. Please provide contact name/phone below. Amount
3EE LEASE m ei ❑ Pay in Full(including applicable tax) ❑ Partial Payment,Amount$ _
Contact Name: Phone: ° Check#
Requested Delivery Date: SEE ATTACHED Maintenance Contract tit Accepted ❑ Declined
QTY MATERIAL# MATERIAL DESCRIPTION SERIAL NUMBER PRICE EACH EXTENDED
1 AC78013 BIZHUB 3001+ DF-714
1 7670525506 MFP DELIVERY CHARGE-LEVEL ONE
1 7640018093 BASIC NETWORK SERVICE-BNS03
1 AAV5WY8 PC-216 CABINET
1 A2YUWY3 FS-533 INNER FINISHER
1 A3EUW12 PK-519 PUNCH KIT FOR FS-533
1 ACCJWY1 KP-102 KEYPAD (10"PANEL)
1 A883012 FK-514 FAX KIT(1ST&2ND LINE)
1 7640020488 KMPF LEASE RETURN ADDL UNITS
1 7640015657 BIZHUB SECURE
QTY MATERIAL# SUPPLY-MATERIAL DESCRIPTION PRICE EACH EXTENDED
1 AC7A030 TN330 BLACK TONER N/A
N/A
N/A
N/A
N/A
N/A
DDITICNAL CHARGES Additional Charges
TOTAL
0 Network 0 Removal ❑ Other (TOTAL Is exclusive of applicable taxes)
PICK-UP Requested Removal Date: 05/21/2024
QTY MATERIAL# MATERIAL DESCRIPTION SERIAL NUMBER
1 AC77013 BIZHUB 3601+DF-714 AC7 7 01 3001 8 2 6
COMMENTS
KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC. Form:3000-090115-
100 Williams Drive,Ramsey,NJ 07446 (201)825-4000 www.kmbs.konicaminolta.us
Order Package: S00675479
AMA 05/16/24 03:55 PM
<ONICA MINOLTA Page 013of025
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:
-BIZMake: C3851 FS Model: BR HUB C3851FS COPIER/PRIN Serial Number: A92G011003903
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.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 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 COMPANY Lease#: 061-0153649-00
I _1 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.
CEnd 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 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 offsite storage.
Comments:
KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC.
100 Williams Drive,Ramsey,NJ 07446 (201)825-4000 www.kmbs.konicaminolta.us
Order Package: S00675479
03:55 PM
e KONICA MINOLTA OS Page 014of0 5
Equipment Removal Authorization
Customer: CITY OF ELGIN
Pick Up Address: CITY OF ELGIN, 151 DOUGAS AVE, ELGIN, IL, 60120
Contact Name: DAINA DENYE Contact Phone: 630 931 5604
Equipment being removed from Customer's Location:
Make: BIZ368E Model: "BIZHUB 368E Serial Number: AA6V011004675
Make: Model: Serial Number:
Make: Model: Serial Number:
I '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.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 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.
XLease Company Owned Asset:
Lease Company Name: FIRST-CITIZENS BANK&TRUST COMPANY Lease#: 061-01 52078-000
Upgrade to Return KMBS will resolve current lease obligation. Asset belongs to the Lease Company. KMBS will ship back to Lease Company.
XUpgrade 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 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 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 offsite storage.
Comments:
KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC.
100 Williams Drive,Ramsey,NJ 07446 (201)825-4000 www.kmbs.konicaminolta.us
Order Package: S00675479
AMA. 05
I<ONICA MINOLTA Page
P
Equipment Removal Authorization
Customer: CITY OF ELGIN
Pick Up Address: CITY OF ELGIN, 650 BIG TIMBER RD, ELGIN, IL, 60123
Contact Name: DAINA DENYE Contact Phone: 630 931 5604
Equipment being removed from Customer's Location:
Make: BIZ368E Model: OPIER PR NTERGB MEMORY C Serial Number: AA6V017009006
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.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 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: Lease#:
nUpgrade to Return KMBS will resolve current lease obligation. Asset belongs to the Lease Company. KMBS will ship back to Lease Company.
EUpgrade 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 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 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 offsite storage.
Comments:
LEASE IS CLOSED
KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC.
100 Williams Drive,Ramsey,NJ 07446 (201)825-4000 www.kmbs.konicaminolta.uS
Order Package: S00675479
��--, 03:55 PM
I<ONICA MINOLTA 05 Page 016of0 5
Equipment Removal Authorization
Customer: CITY OF ELGIN
Pick Up Address: CITY OF ELGIN, 804 VILLA ST, ELGIN, IL, 60120
Contact Name: DAINA DENYE Contact Phone: 630 931 5604
Equipment being removed from Customer's Location:
Make: BIZ4750 Model: "BIZHUB 4750 Serial Number: A6F7011007013
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.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 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: Lease#:
IUpgrade 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.
LiBuyout 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 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 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 offsite storage.
Comments:
LEASE IS CLOSED
KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC.
100 Williams Drive.Ramsey,NJ 07446 (201)825-4000 www.kmbs.konicaminolta.us
Order Package: S00675479
03:55 PM
KONICA MINOLTA 05/16/24 Page 017of025
Equipment Removal Authorization
Customer: CITY OF ELGIN
Pick Up Address: CITY OF ELGIN, 150 DOUGLAS AVE, ELGIN, IL, 60120
Contact Name: DAINA DENYE Contact Phone: 630 931 5604
Equipment being removed from Customer's Location:
Make: BIZ287 Model: "BIZHUB 287 Serial Number: A7AH017002022
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.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 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: Lease#:
❑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 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 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 offsite storage.
Comments:
LEASE WAS CLOSED
KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC.
100 Williams Drive.Ramsey,NJ 07446 (201)825-4000 www.kmbs.konicaminolta.us
Order Package: S00675479
:55 PM
<ONICA MINOLTA 05 /24 P ge0018of025
Equipment Removal Authorization
Customer: CITY OF ELGIN
Pick Up Address: CITY OF ELGIN, 3270 LONGCOMMON PARKWAY, ELGIN, IL, 60123
Contact Name: DAINA DENYE Contact Phone: 630 931 5604
Equipment being removed from Customer's Location:
BIZHUB 287
Make: BIZ287 Model: ER/PRINTER 4GB MEMORY COPI Serial Number: A7AH019002563
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.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 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. 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 COMPANY Lease#: 061-01 7 31 1 2-000
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 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 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 offsite storage.
Comments:
KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC.
100 Williams Drive,Ramsey,NJ 07446 (201)825-4000 www.kmbs.konicaminolta.us
Order Package: S00675479
<ONICAMINOLTA 05/16/24 Page 019of025
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: BIZ4501 Model: *BIZHUB 4501 Serial Number: AC76011003317
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.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 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 COMPANY Lease#: 061-01 7 31 1 2-000
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.
nBuyout to Keep KMBS will resolve current lease obligation. Asset belongs to KMBS unless otherwise stated below.
riEnd 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 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 offsite storage.
Comments:
KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC.
100 Williams Drive,Ramsey,NJ 07446 (201)825-4000 www kmbs.konicaminolta.us
Order Package: S00675479
05/16/24 03 55 PM
<ONICA MINOLTA Page 020of025
Equipment Removal Authorization
Customer: CITY OF ELGIN
Pick Up Address: CITY OF ELGIN, 151 DOUGLAS, ELGIN, IL, 60123
Contact Name: DAINA DENYE Contact Phone: 630 931 5604
Equipment being removed from Customer's Location:
Make: BIZ5501 Model: .BIZ HUB 5501 Serial Number: AC75011001357
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.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 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 COMPANY Lease#: 061-0173112-000
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 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 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 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:
KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC.
100 Williams Drive. Ramsey,NJ 07446 (201)825-4000 www kmbs konicaminolta,us
Order Package: SO0675479
Aft.—,- KONICA MINOLTA 05Page 021 of 025
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:
Make: C2501 Model: BIZIIUB C2501 WITH DF.714 Serial Number: AA2J013004283
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.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 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.
XLease Company Owned Asset:
Lease Company Name: US BANK EQUIPMENT FINANCE Lease#: 061-0173112-000
®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 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 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 Irorn 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 07446 (201)825-4000 www kmbs konicaminolta us
Order Package: S00675479
03 55�-- KONICA MINOLTA 05 ge022of 25 P
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: C6501 Model: F81ZHU8C650165 PPM COLOR M Serial Number: AA7N011003621
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-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 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 COMPANY Lease#: 061-01 7 31 1 2-000
®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 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 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 offsite storage.
Comments:
KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC.
100 Williams Drive,Ramsey.NJ 07446 (201)825-4000 www kmbs konicaminotta us
Order Package: S00675479
AMA--, I<ONICA MINOLTA 05Page 023of/16/24 03-55M
Equipment Removal Authorization
Customer: CITY OF ELGIN
Pick Up Address: CITY OF ELGIN, 74 AIRLITE, ELGIN, IL, 60120
Contact Name: DAINA DENYE Contact Phone: 630 931 5604
Equipment being removed from Customer's Location:
IZHUB 287
Make: BIZ287 Model: BR/PRINTER 4GB MEMORY COPI Serial Number: A7AH019002560
Make: Model: Serial Number:
Make: Model: Serial Number:
LiiCustomer 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 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 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 COMPANY Lease it: 061-01731 12-000
Upgrade to Return KMBS will resolve current lease obligation. Asset belongs to the Lease Company. KMBS will ship back to Lease Company.
nUpgrade 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 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 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 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:
KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC.
100 Williams Drive,Ramsey,NJ 07446 (201)825-4000 www.kmbs.konicaminolta.us
Order Package: SO0675479
CI<ONICA MINOLTA 05/16/24 P ge024of02n5
Equipment Removal Authorization
Customer: CITY OF ELGIN
Pick Up Address: CITY OF ELGIN, 875 SPORTSWAY, ELGIN, IL, 60123
Contact Name: DAINA DENYE Contact Phone: 630 931 5604
Equipment being removed from Customer's Location:
Make: B1Z3601 Model: BIZHUB 3601 + DF-714 Serial Number: AC77013001826
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.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 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 COMPANY Lease#: 061-01 7 31 1 2-000
®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 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 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 offsite storage.
Comments:
KONICA MINOLTA BUSINESS SOLUTIONS U.S.A.,INC.
100 Williams Drive,Ramsey,NJ 07446 (201)825-4000 www.kmbs.konicaminolta.us