Agenda packet — San Jacinto City Council, January 21, 2025 (part 4 of 4)

OMNIA PARTNERS EXHIBITS

EXHIBIT F - FEDERAL FUNDS CERTIFICATIONS

FEDERAL CERTIFICATIONS
ADDENDUM FOR AGREEMENT FUNDED BY U.S. FEDERAL GRANT
TO WHOM IT MAY CONCERN:

Participating Agencies may elect to use federal funds to purchase under the Master Agreement. This form should be completed and returned.

DEFINITIONS
Contract means a legal instrument by which a non–Federal entity purchases property or services needed to carry out the project or program under a Federal award. The term as used in this part does not include a legal instrument, even if the non–Federal entity considers it a contract, when the substance of the transaction meets the definition of a Federal award or subaward Contractor means an entity that receives a contract as defined in Contract.

Cooperative agreement means a legal instrument of financial assistance between a Federal awarding agency or pass-through entity and a non–Federal entity that, consistent with 31 U.S.C. 6302–6305:
(a) Is used to enter into a relationship the principal purpose of which is to transfer anything of value from the Federal awarding agency or pass-through entity to the non–Federal entity to carry out a public purpose authorized by a law of the United States (see 31 U.S.C. 6101(3)); and not to acquire property or services for the Federal government or pass-through entity's direct benefit or use;
(b) Is distinguished from a grant in that it provides for substantial involvement between the Federal awarding agency or pass-through entity and the non–Federal entity in carrying out the activity contemplated by the Federal award. (c) The term does not include:
(1) A cooperative research and development agreement as defined in 15 U.S.C. 3710a; or (2) An agreement that provides only:
(i) Direct United States Government cash assistance to an individual; (ii) A subsidy;
(iii) A loan;
(iv) A loan guarantee; or
(v) Insurance.

Federal awarding agency means the Federal agency that provides a Federal award directly to a non–Federal entity Federal award has the meaning, depending on the context, in either paragraph (a) or (b) of this section:
(a)(1) The Federal financial assistance that a non–Federal entity receives directly from a Federal awarding agency or indirectly from a pass-through entity, as described in § 200.101 Applicability; or (2) The cost-reimbursement contract under the Federal Acquisition Regulations that a non–Federal entity receives directly from a Federal awarding agency or indirectly from a pass-through entity, as described in § 200.101 Applicability.
(b) The instrument setting forth the terms and conditions. The instrument is the grant agreement, cooperative agreement, other agreement for assistance covered in paragraph (b) of § 200.40 Federal financial assistance, or the cost-reimbursement contract awarded under the Federal Acquisition Regulations. (c) Federal award does not include other contracts that a Federal agency uses to buy goods or services from a contractor or a contract to operate Federal government owned, contractor operated facilities (GOCOs). (d) See also definitions of Federal financial assistance, grant agreement, and cooperative agreement.

Non–Federal entity means a state, local government, Indian tribe, institution of higher education (IHE), or nonprofit organization that carries out a Federal award as a recipient or subrecipient.

Nonprofit organization means any corporation, trust, association, cooperative, or other organization, not including IHEs, that:
(a) Is operated primarily for scientific, educational, service, charitable, or similar purposes in the public interest; (b) Is not organized primarily for profit; and

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OMNIA PARTNERS EXHIBITS

EXHIBIT F - FEDERAL FUNDS CERTIFICATIONS
(c) Uses net proceeds to maintain, improve, or expand the operations of the organization.

Obligations means, when used in connection with a non–Federal entity's utilization of funds under a Federal award, orders placed for property and services, contracts and subawards made, and similar transactions during a given period that require payment by the non–Federal entity during the same or a future period.

Pass-through entity means a non–Federal entity that provides a subaward to a subrecipient to carry out part of a Federal program.

Recipient means a non–Federal entity that receives a Federal award directly from a Federal awarding agency to carry out an activity under a Federal program. The term recipient does not include subrecipients.

Simplified acquisition threshold means the dollar amount below which a non–Federal entity may purchase property or services using small purchase methods. Non–Federal entities adopt small purchase procedures in order to expedite the purchase of items costing less than the simplified acquisition threshold. The simplified acquisition threshold is set by the Federal Acquisition Regulation at 48 CFR Subpart 2.1 (Definitions) and in accordance with 41 U.S.C. 1908. As of the publication of this part, the simplified acquisition threshold is $150,000, but this threshold is periodically adjusted for inflation. (Also see definition of § 200.67 Micro-purchase.)
Subaward means an award provided by a pass-through entity to a subrecipient for the subrecipient to carry out part of a Federal award received by the pass-through entity. It does not include payments to a contractor or payments to an individual that is a beneficiary of a Federal program. A subaward may be provided through any form of legal agreement, including an agreement that the pass-through entity considers a contract.

Subrecipient means a non–Federal entity that receives a subaward from a pass-through entity to carry out part of a Federal program; but does not include an individual that is a beneficiary of such program. A subrecipient may also be a recipient of other Federal awards directly from a Federal awarding agency.

Termination means the ending of a Federal award, in whole or in part at any time prior to the planned end of period of performance.

The following certifications and provisions may be required and apply when Participating Agency expends federal funds for any purchase resulting from this procurement process. Pursuant to 2 C.F.R. § 200.326, all contracts, including small purchases, awarded by the Participating Agency and the Participating Agency’s subcontractors shall contain the procurement provisions of Appendix II to Part 200, as applicable.

APPENDIX II TO 2 CFR PART 200
(A) Contracts for more than the simplified acquisition threshold currently set at $150,000, which is the inflation adjusted amount determined by the Civilian Agency Acquisition Council and the Defense Acquisition Regulations Council (Councils) as authorized by 41 U.S.C. 1908, must address administrative, contractual, or legal remedies in instances where contractors violate or breach contract terms, and provide for such sanctions and penalties as appropriate.

Pursuant to Federal Rule (A) above, when a Participating Agency expends federal funds, the Participating Agency reserves all rights and privileges under the applicable laws and regulations with respect to this procurement in the event of breach of contract by either party.

Does offeror agree? YES Initials of Authorized Representative of offeror
(B) Termination for cause and for convenience by the grantee or subgrantee including the manner by which it will be effected and the basis for settlement. (All contracts in excess of $10,000) Pursuant to Federal Rule (B) above, when a Participating Agency expends federal funds, the Participating Agency reserves the right to immediately terminate any agreement in excess of $10,000 resulting from this procurement process in the event of a breach or default of the agreement by Offeror as detailed in the terms of the contract.

Does offeror agree? YES Initials of Authorized Representative of

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OMNIA PARTNERS EXHIBITS

EXHIBIT F - FEDERAL FUNDS CERTIFICATIONS
Requirements for National Cooperative Contract
offeror
(C) Equal Employment Opportunity. Except as otherwise provided under 41 CFR Part 60, all contracts that meet the definition of “federally assisted construction contract” in 41 CFR Part 60-1.3 must include the equal opportunity clause provided under 41 CFR 60-1.4(b), in accordance with Executive Order 11246, “Equal Employment Opportunity” (30 CFR 12319, 12935, 3 CFR Part, 1964-1965 Comp., p. 339), as amended by Executive Order 11375, “Amending Executive Order 11246 Relating to Equal Employment Opportunity,” and implementing regulations at 41 CFR part 60, “Office of Federal Contract Compliance Programs, Equal Employment Opportunity, Department of Labor.” Pursuant to Federal Rule (C) above, when a Participating Agency expends federal funds on any federally assisted construction contract, the equal opportunity clause is incorporated by reference herein.

Does offeror agree to abide by the above? YES Initials of Authorized Representative of offeror (D) Davis-Bacon Act, as amended (40 U.S.C. 3141-3148). When required by Federal program legislation, all prime construction contracts in excess of $2,000 awarded by non-Federal entities must include a provision for compliance with the Davis-Bacon Act (40 U.S.C. 3141-3144, and 3146-3148) as supplemented by Department of Labor regulations (29 CFR Part 5, “Labor Standards Provisions Applicable to Contracts Covering Federally Financed and Assisted Construction”). In accordance with the statute, contractors must be required to pay wages to laborers and mechanics at a rate not less than the prevailing wages specified in a wage determination made by the Secretary of Labor. In addition, contractors must be required to pay wages not less than once a week. The non-Federal entity must place a copy of the current prevailing wage determination issued by the Department of Labor in each solicitation. The decision to award a contract or subcontract must be conditioned upon the acceptance of the wage determination. The non - Federal entity must report all suspected or reported violations to the Federal awarding agency. The contracts must also include a provision for compliance with the Copeland “Anti-Kickback” Act (40 U.S.C. 3145), as supplemented by Department of Labor regulations (29 CFR Part 3, “Contractors and Subcontractors on Public Building or Public Work Financed in Whole or in Part by Loans or Grants from the United States”). The Act provides that each contractor or subrecipient must be prohibited from inducing, by any means, any person employed in the construction, completion, or repair of public work, to give up any part of the compensation to which he or she is otherwise entitled. The non -Federal entity must report all suspected or reported violations to the Federal awarding agency.

Pursuant to Federal Rule (D) above, when a Participating Agency expends federal funds during the term of an award for all contracts and subgrants for construction or repair, offeror will be in compliance with all applicable Davis-Bacon Act provisions.

Does offeror agree? YES Initials of Authorized Representative of offeror (E) Contract Work Hours and Safety Standards Act (40 U.S.C. 3701-3708). Where applicable, all contracts awarded by the non-Federal entity in excess of $100,000 that involve the employment of mechanics or laborers must include a provision for compliance with 40 U.S.C. 3702 and 3704, as supplemented by Department of Labor regulations (29 CFR Part 5). Under 40 U.S.C. 3702 of the Act, each contractor must be required to compute the wages of every mechanic and laborer on the basis of a standard work week of 40 hours. Work in excess of the standard work week is permissible provided that the worker is compensated at a rate of not less than one and a half times the basic rate of pay for all hours worked in excess of 40 hours in the work week. The requirements of 40 U.S.C. 3704 are applicable to construction work and provide that no laborer or mechanic must be required to work in surroundings or under working conditions which are unsanitary, hazardous or dangerous. These requirements do not apply to the purchases of supplies or materials or articles ordinarily available on the open market, or contracts for transportation or transmission of intelligence.

Pursuant to Federal Rule (E) above, when a Participating Agency expends federal funds, offeror certifies that offeror will be in compliance with all applicable provisions of the Contract Work Hours and Safety Standards Act during the term of an award for all contracts by Participating Agency resulting from this procurement process.

Does offeror agree? YES Initials of Authorized Representative of offeror (F) Rights to Inventions Made Under a Contract or Agreement. If the Federal award meets the definition of “funding agreement” under 37 CFR §401.2 (a) and the recipient or subrecipient wishes to enter into a contract with a small business firm or nonprofit organization regarding the substitution of parties, assignment or performance of experimental, developmental, or research work under that “funding agreement,” the recipient or subrecipient must comply with the requirements of 37 CFR Part 401, “Rights to Inventions Made by Nonprofit Organizations and Small

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EXHIBIT F - FEDERAL FUNDS CERTIFICATIONS
Requirements for National Cooperative Contract

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Business Firms Under Government Grants, Contracts and Cooperative Agreements,” and any implementing regulations issued by the awarding agency.

Pursuant to Federal Rule (F) above, when federal funds are expended by Participating Agency, the offeror certifies that during the term of an award for all contracts by Participating Agency resulting from this procurement process, the offeror agrees to comply with all applicable requirements as referenced in Federal Rule (F) above.

Does offeror agree? YES Initials of Authorized Representative of offeror (G) Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33 U.S.C. 1251-1387), as amended—Contracts and subgrants of amounts in excess of $150,000 must contain a provision that requires the non - Federal award to agree to comply with all applicable standards, orders or regulations issued pursuant to the Clean Air Act (42 U.S.C. 7401-7671q) and the Federal Water Pollution Control Act as amended (33 U.S.C. 1251- 1387). Violations must be reported to the Federal awarding agency and the Regional Office of the Environmental Protection Agency (EPA)
Pursuant to Federal Rule (G) above, when federal funds are expended by Participating Agency, the offeror certifies that during the term of an award for all contracts by Participating Agency member resulting from this procurement process, the offeror agrees to comply with all applicable requirements as referenced in Federal Rule (G) above.

Does offeror agree? YES Initials of Authorized Representative of offeror (H) Debarment and Suspension (Executive Orders 12549 and 12689)—A contract award (see 2 CFR 180.220) must not be made to parties listed on the government wide exclusions in the System for Award Management (SAM), in accordance with the Executive Office of the President Office of Management and Budget (OMB) guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR part 1986 Comp., p. 189) and 12689 (3 CFR part 1989 Comp., p. 235), “Debarment and Suspension.” SAM Exclusions contains the names of parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549.

Pursuant to Federal Rule (H) above, when federal funds are expended by Participating Agency, the offeror certifies that during the term of an award for all contracts by Participating Agency resulting from this procurement process, the offeror certifies that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation by any federal department or agency. If at any time during the term of an award the offeror or its principals becomes debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation by any federal department or agency, the offeror will notify the Participating Agency.

Does offeror agree? YES Initials of Authorized Representative of offeror (I) Byrd Anti-Lobbying Amendment (31 U.S.C. 1352)—Contractors that apply or bid for an award exceeding $100,000 must file the required certification. Each tier certifies to the tier above that it will not and has not used Federal appropriated funds to pay any person or organization for influencing or attempting to influence an officer or employee of any agency, a member of Congress, officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any Federal contract, grant or any other award covered by 31 U.S.C. 1352. Each tier must also disclose any lobbying with non-Federal funds that takes place in connection with obtaining any Federal award.

Such disclosures are forwarded from tier to tier up to the non-Federal award.

Pursuant to Federal Rule (I) above, when federal funds are expended by Participating Agency, the offeror certifies that during the term and after the awarded term of an award for all contracts by Participating Agency resulting from this procurement process, the offeror certifies that it is in compliance with all applicable provisions of the Byrd Anti-Lobbying Amendment (31 U.S.C. 1352). The undersigned further certifies that:
(1) No Federal appropriated funds have been paid or will be paid for on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of congress, or an employee of a Member of Congress in connection with the awarding of a Federal contract, the making of a Federal grant, the making of a Federal loan, the entering into a cooperative agreement, and the extension, continuation, renewal, amendment, or modification of a Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of congress, or an employee of a Member of Congress in connection with this Federal grant or cooperative agreement, the undersigned shall

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EXHIBIT F - FEDERAL FUNDS CERTIFICATIONS
Requirements for National Cooperative Contract

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complete and submit Standard Form-LLL, “Disclosure Form to Report Lobbying”, in accordance with its instructions. (3) The undersigned shall require that the language of this certification be included in the award documents for all covered sub-awards exceeding $100,000 in Federal funds at all appropriate tiers and that all subrecipients shall certify and disclose accordingly.

Does offeror agree? YES Initials of Authorized Representative of offeror

RECORD RETENTION REQUIREMENTS FOR CONTRACTS INVOLVING FEDERAL FUNDS When federal funds are expended by Participating Agency for any contract resulting from this procurement process, offeror certifies that it will comply with the record retention requirements detailed in 2 CFR § 200.333. The offeror further certifies that offeror will retain all records as required by 2 CFR § 200.333 for a period of three years after grantees or subgrantees submit final expenditure reports or quarterly or annual financial reports, as applicable, and all other pending matters are closed.

Does offeror agree? YES Initials of Authorized Representative of offeror

CERTIFICATION OF COMPLIANCE WITH THE ENERGY POLICY AND CONSERVATION ACT When Participating Agency expends federal funds for any contract resulting from this procurement process, offeror certifies that it will comply with the mandatory standards and policies relating to energy efficiency which are contained in the state energy conservation plan issued in compliance with the Energy Policy and Conservation Act (42 U.S.C. 6321 et seq.; 49 C.F.R. Part 18).

Does offeror agree? YES Initials of Authorized Representative of offeror

CERTIFICATION OF COMPLIANCE WITH BUY AMERICA PROVISIONS To the extent purchases are made with Federal Highway Administration, Federal Railroad Administration, or Federal Transit Administration funds, offeror certifies that its products comply with all applicable provisions of the Buy America Act and agrees to provide such certification or applicable waiver with respect to specific products to any Participating Agency upon request. Purchases made in accordance with the Buy America Act must still follow the applicable procurement rules calling for free and open competition.

Does offeror agree? YES Initials of Authorized Representative of offeror CERTIFICATION OF ACCESS TO RECORDS – 2 C.F.R. § 200.336 Offeror agrees that the Inspector General of the Agency or any of their duly authorized representatives shall have access to any documents, papers, or other records of offeror that are pertinent to offeror’s discharge of its obligations under the Contract for the purpose of making audits, examinations, excerpts, and transcriptions. The right also includes timely and reasonable access to offeror’s personnel for the purpose of interview and discussion relating to such documents.

Does offeror agree? YES Initials of Authorized Representative of offeror

CERTIFICATION OF APPLICABILITY TO SUBCONTRACTORS
Offeror agrees that all contracts it awards pursuant to the Contract shall be bound by the foregoing terms and conditions.

Does offeror agree? YES Initials of Authorized Representative of offeror Offeror agrees to comply with all federal, state, and local laws, rules, regulations and ordinances, as applicable. It is further acknowledged that offeror certifies compliance with all provisions, laws, acts, regulations, etc. as specifically noted above.

Offeror’s Name:
____________________________________________________________________________________________ Address, City, State, and Zip Code:
_____________________________________________________________________________ Canon Solutions America, Inc.

Corporate Headquarters: One Canon Park, Melville, NY 11747

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EXHIBIT F - FEDERAL FUNDS CERTIFICATIONS
Requirements for National Cooperative Contract

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Phone Number:___________________________________ Fax Number:
______________________________________
Printed Name and Title of Authorized
Representative:______________________________________________________________________ Email Address:
____________________________________________________________________________________________ Signature of Authorized Representative: ____________________________________Date: _____________________________ 800.815.4000 N/A
Peter Kowalczuk, President
[email protected]

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Liebherr
initials
Canon Solutions America, Inc.
“Supplier”
By: _________________________
signature
r
Name: Peter P. Kowalczuk
Title: President
Date: ______________________
10/31/19
03/16/20
KN
6/1/2020

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EXHIBIT G- NEW JERSEY BUSINESS COMPLIANCE

NEW JERSEY BUSINESS COMPLIANCE
Suppliers intending to do business in the State of New Jersey must comply with policies and procedures required under New Jersey statues. All offerors submitting proposals must complete the following forms specific to the State of New Jersey. Completed forms should be submitted with the offeror’s response to the RFP. Failure to complete the New Jersey packet will impact OMNIA Partners’s ability to promote the Master Agreement in the State of New Jersey.

DOC #1 Ownership Disclosure Form
DOC #2 Non-Collusion Affidavit
DOC #3 Affirmative Action Affidavit
DOC #4 Political Contribution Disclosure Form
DOC #5 Stockholder Disclosure Certification
DOC #6 Certification of Non-Involvement in Prohibited Activities in Iran DOC #7 New Jersey Business Registration Certificate
New Jersey suppliers are required to comply with the following New Jersey statutes when applicable:
• all anti-discrimination laws, including those contained in N.J.S.A. 10:2-1 through N.J.S.A. 10:2-14, N.J.S.A. 10:5-1, and N.J.S.A. 10:5-31 through 10:5-38; • Prevailing Wage Act, N.J.S.A. 34:11-56.26, for all contracts within the contemplation of the Act;
• Public Works Contractor Registration Act, N.J.S.A. 34:11-56.26; and • Bid and Performance Security, as required by the applicable municipal or state statutes.

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EXHIBIT G- NEW JERSEY BUSINESS COMPLIANCE
DOC #1

OWNERSHIP DISCLOSURE FORM
(N.J.S. 52:25-24.2)
Pursuant to the requirements of P.L. 1999, Chapter 440 effective April 17, 2000 (Local Public Contracts Law), the offeror shall complete the form attached to these specifications listing the persons owning 10 percent (10%) or more of the firm presenting the proposal.

Company Name:

Street:

City, State, Zip Code:

Complete as appropriate:

I _______________________________________, certify that I am the sole owner of ____________________________________, that there are no partners and the business is not incorporated, and the provisions of N.J.S. 52:25-24.2 do not apply.

OR:

I _______________________________________, a partner in___________________________, do hereby certify that the following is a list of all individual partners who own a 10% or greater interest therein. I further certify that if one (1) or more of the partners is itself a corporation or partnership, there is also set forth the names and addresses of the stockholders holding 10% or more of that corporation’s stock or the individual partners owning 10% or greater interest in that partnership.

OR:

I _______________________________________, an authorized representative of ______________________, a corporation, do hereby certify that the following is a list of the names and addresses of all stockholders in the corporation who own 10% or more of its stock of any class. I further certify that if one (1) or more of such stockholders is itself a corporation or partnership, that there is also set forth the names and addresses of the stockholders holding 10% or more of the corporation’s stock or the individual partners owning a 10% or greater interest in that partnership. (Note: If there are no partners or stockholders owning 10% or more interest, indicate none.) Name Address Interest
I further certify that the statements and information contained herein, are complete and correct to the best of my knowledge and belief.

Date Authorized Signature and Title
Canon Solutions America, Inc.

Corporate Headquarters: One Canon Park
Melville, NY 11747
Peter Kowalczuk
Canon Solutions America, Inc.

Canon U.S.A., Inc. One Canon Park, Melville, NY 11747 100% Peter Kowalczuk
President

OMNIA PARTNERS EX

EXHIBIT F - FEDERAL FUNDS C
Phone Number:___________________________________ Fax Numb ______________________________________
Printed Name and Title of Authorized
Representative:____________________________________________________ Email Address:
___________________________________________________________ Signature of Authorized Representative: ____________________________ 800.815.4000
Peter Kowalczuk, President
[email protected]
Confidentiality and Non-Disclosure Agreemen

9. Entire Agreement

9.1 This Agreement encompasses the entire understanding between the Parties with respect to th matter of this Agreement, and there are no representations, warranties, covenants, agreements or understandings, oral or otherwise, express or implied, affecting this instrument that are not expressly herein. This Agreement supersedes any and all prior agreements, written or oral, heretofore made be Parties with respect to the subject matter of this Agreement.

9.2 This Agreement may not be modified or amended except by a writing duly executed by a representatives of the respective Parties.

Each Party hereto has caused this Agreement to be duly executed by its respective duly authorised repr as follows:

Liebherr-America, Inc.
“Liebherr”
Canon Solutions America, Inc.
“Supplier”
By:
signature
By: _________________________
signature
Name: Dr. Neal H. Seymour
Title: Contracts Manager Name: Peter P. Kowalczuk
Date: 27th March, 2020 Title: President
Date: ______________________
KN
6/1/2020

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SEAL

OMNIA PARTNERS EXHIBITS

EXHIBIT G- NEW JERSEY BUSINESS COMPLIANCE
DOC #3

AFFIRMATIVE ACTION AFFIDAVIT
(P.L. 1975, C.127)
Company Name:

Street:

City, State, Zip Code:

Proposal Certification:

Indicate below company’s compliance with New Jersey Affirmative Action regulations. Company’s proposal will be accepted even if company is not in compliance at this time. No contract and/or purchase order may be issued, however, until all Affirmative Action requirements are met.

Required Affirmative Action Evidence:

Procurement, Professional & Service Contracts (Exhibit A) Vendors must submit with proposal:

1. A photo copy of their Federal Letter of Affirmative Action Plan Approval OR

2. A photo copy of their Certificate of Employee Information Report OR

3. A complete Affirmative Action Employee Information Report (AA302) ________ Public Work – Over $50,000 Total Project Cost:

A. No approved Federal or New Jersey Affirmative Action Plan. We will complete Report Form AA201-A upon receipt from the
B. Approved Federal or New Jersey Plan – certificate enclosed I further certify that the statements and information contained herein, are complete and correct to the best of my knowledge and belief.
_______________________ _________________________________ Date Authorized Signature and Title
Canon Solutions America, Inc.

Corporate Headquarters: One Canon Park
Melville, NY 11747
President
Peter Kowalczuk

OMNIA PARTNERS

EXHIBIT F - FEDERAL FUND
Phone Number:___________________________________ Fax N
______________________________________
Printed Name and Title of Authorized
Representative:________________________________________________ Email Address:
_______________________________________________________ Signature of Authorized Representative: ________________________ 800.815.4000
Peter Kowalczuk, President
[email protected]
Confidentiality and Non-Disclosure Agreem

9. Entire Agreement

9.1 This Agreement encompasses the entire understanding between the Parties with respect matter of this Agreement, and there are no representations, warranties, covenants, agreements understandings, oral or otherwise, express or implied, affecting this instrument that are not expre herein. This Agreement supersedes any and all prior agreements, written or oral, heretofore made Parties with respect to the subject matter of this Agreement.

9.2 This Agreement may not be modified or amended except by a writing duly executed representatives of the respective Parties.

Each Party hereto has caused this Agreement to be duly executed by its respective duly authorised r as follows:

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EXHIBIT G- NEW JERSEY BUSINESS COMPLIANCE
DOC #3, continued P.L. 1995, c. 127 (N.J.A.C. 17:27)

MANDATORY AFFIRMATIVE ACTION LANGUAGE

PROCUREMENT, PROFESSIONAL AND SERVICE

CONTRACTS
During the performance of this contract, the contractor agrees as follows:

The contractor or subcontractor, where applicable, will not discriminate against any employee or applicant for employment because of age, race, creed, color, national origin, ancestry, marital status, sex, affectional or sexual orientation. The contractor will take affirmative action to ensure that such applicants are recruited and employed, and that employees are treated during employment, without regard to their age, race, creed, color, national origin, ancestry, marital status, sex, affectional or sexual orientation. Such action shall include, but not be limited to the following:
employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided by the Public Agency Compliance Officer setting forth provisions of this non-discrimination clause.

The contractor or subcontractor, where applicable will, in all solicitations or advertisement for employees placed by or on behalf of the contractor, state that all qualified applicants will receive consideration for employment without regard to age, race, creed, color, national origin, ancestry, marital status, sex, affectional or sexual orientation.

The contractor or subcontractor, where applicable, will send to each labor union or representative of workers with which it has a collective bargaining agreement or other contract or understanding, a notice, to be provided by the agency contracting officer advising the labor union or workers' representative of the contractor's commitments under this act and shall post copies of the notice in conspicuous places available to employees and applicants for employment.

The contractor or subcontractor, where applicable, agrees to comply with any regulations promulgated by the Treasurer pursuant to P.L. 1975, c. 127, as amended and supplemented from time to time and the Americans with Disabilities Act.

The contractor or subcontractor agrees to attempt in good faith to employ minority and female workers trade consistent with the applicable county employment goal prescribed by N.J.A.C. 17:27-5.2 promulgated by the Treasurer pursuant to P.L. 1975, C.127, as amended and supplemented from time to time or in accordance with a binding determination of the applicable county employment goals determined by the Affirmative Action Office pursuant to N.J.A.C. 17:27-5.2 promulgated by the Treasurer pursuant to P.L. 1975, C.127, as amended and supplemented from time to time.

The contractor or subcontractor agrees to inform in writing appropriate recruitment agencies in the area, including employment agencies, placement bureaus, colleges, universities, labor unions, that it does not discriminate on the basis of age, creed, color, national origin, ancestry, marital status, sex, affectional or sexual orientation, and that it will discontinue the use of any recruitment agency which engages in direct or indirect discriminatory practices.

The contractor or subcontractor agrees to revise any of it testing procedures, if necessary, to assure that all personnel testing conforms with the principles of job-related testing, as established by the statutes and court decisions of the state of New Jersey and as established by applicable Federal law and applicable Federal court decisions.

The contractor or subcontractor agrees to review all procedures relating to transfer, upgrading, downgrading and lay-off to ensure that all such actions are taken without regard to age, creed, color, national origin, ancestry, marital status, sex, affectional or sexual orientation, and conform with the applicable employment goals, consistent with the statutes and court decisions of the State of New Jersey, and applicable Federal law and applicable Federal court decisions.

The contractor and its subcontractors shall furnish such reports or other documents to the Affirmative Action Office as may be requested by the office from time to time in order to carry out the purposes of these regulations, and public agencies shall furnish such information as may be requested by the Affirmative Action Office for conducting a compliance investigation pursuant to Subchapter 10 of the Administrative Code (NJAC 17:27). ________________________________________________
Signature of Procurement Agent
Peter Kowalczuk, President

OMNIA PARTNERS EX

9. Entire Agreement

9.1 This Agreement encompasses the entire understanding between the Parties with respect to t matter of this Agreement, and there are no representations, warranties, covenants, agreements or understandings, oral or otherwise, express or implied, affecting this instrument that are not expressl herein. This Agreement supersedes any and all prior agreements, written or oral, heretofore made be Parties with respect to the subject matter of this Agreement.

9.2 This Agreement may not be modified or amended except by a writing duly executed by representatives of the respective Parties.

Each Party hereto has caused this Agreement to be duly executed by its respective duly authorised repr as follows:

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EXHIBIT G- NEW JERSEY BUSINESS COMPLIANCE
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Public Agency Instructions
This page provides guidance to public agencies entering into contracts with business entities that are required to file Political Contribution Disclosure forms with the agency. It is not intended to be provided to contractors. What follows are instructions on the use of form local units can provide to contractors that are required to disclose political contributions pursuant to N.J.S.A. 19:44A-20.26 (P.L. 2005, c. 271, s.2). Additional information on the process is available in Local Finance Notice 2006-1 (http://www.nj.gov/dca/divisions/dlgs/resources/lfns_2006.html). Please refer back to these instructions for the appropriate links, as the Local Finance Notices include links that are no longer operational.

1. The disclosure is required for all contracts in excess of $17,500 that are not awarded pursuant to a “fair and open” process (N.J.S.A. 19:44A-20.7).

2. Due to the potential length of some contractor submissions, the public agency should consider allowing data to be submitted in electronic form (i.e., spreadsheet, pdf file, etc.). Submissions must be kept with the contract documents or in an appropriate computer file and be available for public access. The form is worded to accept this alternate submission. The text should be amended if electronic submission will not be allowed.

3. The submission must be received from the contractor and on file at least 10 days prior to award of the contract.

Resolutions of award should reflect that the disclosure has been received and is on file.

4. The contractor must disclose contributions made to candidate and party committees covering a wide range of public agencies, including all public agencies that have elected officials in the county of the public agency, state legislative positions, and various state entities. The Division of Local Government Services recommends that contractors be provided a list of the affected agencies. This will assist contractors in determining the campaign and political committees of the officials and candidates affected by the disclosure. a. The Division has prepared model disclosure forms for each county. They can be downloaded from the “County PCD Forms” link on the Pay-to-Play web site at http://www.nj.gov/dca/divisions/dlgs/programs/lpcl.html#12.

They will be updated from time-to-time as necessary.
b. A public agency using these forms should edit them to properly reflect the correct legislative district(s). As the forms are county-based, they list all legislative districts in each county. Districts that do not represent the public agency should be removed from the lists.
c. Some contractors may find it easier to provide a single list that covers all contributions, regardless of the county.

These submissions are appropriate and should be accepted. d. The form may be used “as-is”, subject to edits as described herein. e. The “Contractor Instructions” sheet is intended to be provided with the form. It is recommended that the Instructions and the form be printed on the same piece of paper. The form notes that the Instructions are printed on the back of the form; where that is not the case, the text should be edited accordingly. f. The form is a Word document and can be edited to meet local needs, and posted for download on web sites, used as an e-mail attachment, or provided as a printed document.

5. It is recommended that the contractor also complete a “Stockholder Disclosure Certification.” This will assist the local unit in its obligation to ensure that contractor did not make any prohibited contributions to the committees listed on the Business Entity Disclosure Certification in the 12 months prior to the contract (See Local Finance Notice 2006-7 for additional information on this obligation at http://www.nj.gov/dca/divisions/dlgs/resources/lfns_2006.html). A sample Certification form is part of this package and the instruction to complete it is included in the Contractor Instructions. NOTE: This section is not applicable to Boards of Education.

DOC #4

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EXHIBIT G- NEW JERSEY BUSINESS COMPLIANCE
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Contractor Instructions
Business entities (contractors) receiving contracts from a public agency that are NOT awarded pursuant to a “fair and open” process (defined at N.J.S.A. 19:44A-20.7) are subject to the provisions of P.L. 2005, c. 271, s.2 (N.J.S.A. 19:44A20.26). This law provides that 10 days prior to the award of such a contract, the contractor shall disclose contributions to:
• any State, county, or municipal committee of a political party • any legislative leadership committee*
• any continuing political committee (a.k.a., political action committee) • any candidate committee of a candidate for, or holder of, an elective office:
o of the public entity awarding the contract
o of that county in which that public entity is located o of another public entity within that county
o or of a legislative district in which that public entity is located or, when the public entity is a county, of any legislative district which includes all or part of the county The disclosure must list reportable contributions to any of the committees that exceed $300 per election cycle that were made during the 12 months prior to award of the contract. See N.J.S.A. 19:44A-8 and 19:44A-16 for more details on reportable contributions.

N.J.S.A. 19:44A-20.26 itemizes the parties from whom contributions must be disclosed when a business entity is not a natural person. This includes the following:
• individuals with an “interest” ownership or control of more than 10% of the profits or assets of a business entity or 10% of the stock in the case of a business entity that is a corporation for profit • all principals, partners, officers, or directors of the business entity or their spouses • any subsidiaries directly or indirectly controlled by the business entity • IRS Code Section 527 New Jersey based organizations, directly or indirectly controlled by the business entity and filing as continuing political committees, (PACs).

When the business entity is a natural person, “a contribution by that person’s spouse or child, residing therewith, shall be deemed to be a contribution by the business entity.” [N.J.S.A. 19:44A-20.26(b)] The contributor must be listed on the disclosure.

Any business entity that fails to comply with the disclosure provisions shall be subject to a fine imposed by ELEC in an amount to be determined by the Commission which may be based upon the amount that the business entity failed to report.

The enclosed list of agencies is provided to assist the contractor in identifying those public agencies whose elected official and/or candidate campaign committees are affected by the disclosure requirement. It is the contractor’s responsibility to identify the specific committees to which contributions may have been made and need to be disclosed. The disclosed information may exceed the minimum requirement.

The enclosed form, a content-consistent facsimile, or an electronic data file containing the required details (along with a signed cover sheet) may be used as the contractor’s submission and is disclosable to the public under the Open Public Records Act.

The contractor must also complete the attached Stockholder Disclosure Certification. This will assist the agency in meeting its obligations under the law. NOTE: This section does not apply to Board of Education contracts. * N.J.S.A. 19:44A-3(s): “The term "legislative leadership committee" means a committee established, authorized to be established, or designated by the President of the Senate, the Minority Leader of the Senate, the Speaker of the General Assembly or the Minority Leader of the General Assembly pursuant to section 16 of P.L.1993, c.65 (C.19:44A-10.1) for the purpose of receiving contributions and making expenditures.” Requirements for National Cooperative Contract
Doc #4, continued

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EXHIBIT G- NEW JERSEY BUSINESS COMPLIANCE
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Required Pursuant to N.J.S.A. 19:44A-20.26
This form or its permitted facsimile must be submitted to the local unit no later than 10 days prior to the award of the contract.

Part I – Vendor Information
Vendor Name:

Address:

City: State: Zip:

The undersigned being authorized to certify, hereby certifies that the submission provided herein represents compliance with the provisions of N.J.S.A. 19:44A-20.26 and as represented by the Instructions accompanying this form.
_______________________ _______________________ ________________________ Signature Printed Name Title
Part II – Contribution Disclosure
Disclosure requirement: Pursuant to N.J.S.A. 19:44A-20.26 this disclosure must include all reportable political contributions (more than $300 per election cycle) over the 12 months prior to submission to the committees of the government entities listed on the form provided by the local unit.  Check here if disclosure is provided in electronic form Contributor Name Recipient Name Date Dollar Amount
$
 Check here if the information is continued on subsequent page(s) Doc #4, continued
Canon Solutions America, Inc.

Corporate Headquarters: One Canon Park
Melville NY 11747
Peter Kowalczuk President

OMNIA PARTNE

EXHIBIT F - FEDERAL FU
Requirements for Nationa

Page 26 ends

Phone Number:___________________________________
______________________________________
Printed Name and Title of Authorized
Representative:___________________________________________ Email Address:
___________________________________________________
Signature of Authorized Representative: ____________________ 800.815.4000
Peter Kowalczuk, President
[email protected]
Form F-2ZP-1502 Rev. 04 termN Page 5 of 5 Supplier ___
CONFIDENTIAL Liebherr
initi
as follows:

Liebherr-America, Inc.
“Liebherr”
Canon Solutions America, I
“Supplier”
By:
signature
By: ________________________
signature
Name: Dr. Neal H. Seymour
Title: Contracts Manager Name: Peter P. Kowalczuk
Date: 27th March, 2020 Title: President
Date: ______________________
KN
6/1/2020

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EXHIBIT G- NEW JERSEY BUSINESS COMPLIANCE
List of Agencies with Elected Officials Required for Political Contribution Disclosure N.J.S.A. 19:44A-20.26
County Name:

State: Governor, and Legislative Leadership Committees
Legislative District #s:

State Senator and two members of the General Assembly per district.

County:

Freeholders County Clerk Sheriff
{County Executive} Surrogate
Municipalities (Mayor and members of governing body, regardless of title):

USERS SHOULD CREATE THEIR OWN FORM, OR DOWNLOAD

FROM THE PAY TO PLAY SECTION OF THE DLGS WEBSITE A
COUNTY-BASED, CUSTOMIZABLE FORM.

Doc #4, continued

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EXHIBIT G- NEW JERSEY BUSINESS COMPLIANCE
DOC #6
Certification of Non-Involvement in Prohibited Activities in Iran Pursuant to N.J.S.A. 52:32-58, Offerors must certify that neither the Offeror, nor any of its parents, subsidiaries, and/or affiliates (as defined in N.J.S.A. 52:32 – 56(e) (3)), is listed on the Department of the Treasury’s List of Persons or Entities Engaging in Prohibited Investment Activities in Iran and that neither is involved in any of the investment activities set forth in N.J.S.A. 52:32 – 56(f).

Offerors wishing to do business in New Jersey through this contract must fill out the Certification of Non-Involvement in Prohibited Activities in Iran here:
http://www.state.nj.us/humanservices/dfd/info/standard/fdc/disclosure_investmentact.pdf.

Offerors should submit the above form completed with their proposal.

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OMNIA PARTNE

EXHIBIT F - FEDERAL FU
Phone Number:___________________________________ F
______________________________________
Printed Name and Title of Authorized
Representative:____________________________________________ Email Address:
____________________________________________________
Signature of Authorized Representative: ____________________ 800.815.4000
Peter Kowalczuk, President
[email protected]
Confidentiality and Non-Disclosure Agre

9. Entire Agreement

9.1 This Agreement encompasses the entire understanding between the Parties with respe matter of this Agreement, and there are no representations, warranties, covenants, agreeme understandings, oral or otherwise, express or implied, affecting this instrument that are not ex herein. This Agreement supersedes any and all prior agreements, written or oral, heretofore m Parties with respect to the subject matter of this Agreement.

9.2 This Agreement may not be modified or amended except by a writing duly execute representatives of the respective Parties.

Each Party hereto has caused this Agreement to be duly executed by its respective duly authoris as follows:

Liebherr-America, Inc.
“Liebherr”
Canon Solutions America, In
“Supplier”
By:
signature
By: ________________________
signature
Name: Dr. Neal H. Seymour
Title: Contracts Manager Name: Peter P. Kowalczuk
Date: 27th March, 2020 Title: President
Date: ______________________
KN
6/1/2020
001811-Feb2020 Canon Solutions America, Inc. ✔
Peter Kowalczuk President
06/03/20

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EXHIBIT G- NEW JERSEY BUSINESS COMPLIANCE
DOC #7

NEW JERSEY BUSINESS REGISTRATION CERTIFICATE
(N.J.S.A. 52:32-44)
Offerors wishing to do business in New Jersey must submit their State Division of Revenue issued Business Registration Certificate with their proposal here. Failure to do so will disqualify the Offeror from offering products or services in New Jersey through any resulting contract. http://www.state.nj.us/treasury/revenue/forms/njreg.pdf

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Packet Pg. 364 Attachment: 2020002755_Canon_MAD_12_16_2020 (Printer/ Copier Contract) UC OMNIA Partners Program Summary
Canon Solutions America, Inc.

Issued 8/5/21. Replaces all prior versions.

OMNIA Partners, Public Sector
Cooperative Purchasing Organization
Canon Solutions America, Inc.

UC Program Summary
The OMNIA Partners, Public Sector (formerly known as National IPA) Cooperative Purchasing Program (“OMNIA Partners Program”) provides members with favorable, negotiated terms and significant pricing discounts. The OMNIA Partners Program utilizes the University of California (“UC”) Contract No:
2020002755 effective December 16, 2020 (“the Master Contract”) with Canon Solutions America, Inc. (“CSA” or “Supplier”). CSA offers leasing of products through its affiliated leasing company, Canon Financial Services, Inc. (“CFS”) pursuant to the Master Contract, Exhibit (i), Rider G, Master Lease Terms, subject to credit approval by CFS. Unless otherwise defined herein, capitalized terms shall have the same meaning as in the Master Contract.

The UC OMNIA Partners Program can be used by any Customer who is also an OMNIA Partners Program Participating Public Agencies (“Customer”). “Customer” means the public agencies nationally, including state and local governmental entities, public and private primary, secondary and higher education entities, non-profit entities, and agencies for the public benefit purchasing under the Master Contract. Information on how to participate, and the entire Master Contract, can be found at https://www.omniapartners.com/publicsector. Currently there is no fee to join OMNIA Partners, Public Sector. (If you were already registered as a Participating Public Agency of National IPA, there is no need to re-register to use the Master Contract)
Under the UC OMNIA Partners Program:
• For multifunctional copiers (“MFDs”), laser printers, desktop and large format printers (collectively referred to herein as, “Equipment”),associated maintenance services, and certain software, the Customer can simply issue a purchase order with the below provision incorporating the Master Contract or the Customer may sign a CSA Master Sales & Services Agreement Customer Information Face Page (“MSSA”) and the applicable Order Schedule (purchase or lease) located at ESS.CSA.CANON.COM/CUSTOMERDOCUMENTS, which will be subject to the terms of the Master Contract.
• For production and wide format models, managed print services and facilities management services, additional specialized terms will be provided with the CSA proposal or RFP response. • For all products and services, customized pricing and configurations will be included in CSA’s proposal or response. If staples, surge protectors, dedicated technicians, or removal and relocation services are not requested by the Customer, CSA will exclude them and shall further reduce already discounted OMNIA Partners, Public Sector prices.

If issuing a purchase order for multifunctional copiers and their maintenance services, the language to be included is as follows:
“Notwithstanding any provision of this purchase order to the contrary‚ the use of this purchase order shall be for Customer’s [or Buyer’s] administrative convenience and any terms and conditions on this purchase order which conflict with or vary from the terms contained in Agreement # 2020002755 between Canon Solutions America, Inc. and The University of California‚ shall be deemed null and void.”

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Canon Solutions America, Inc.

Issued 8/5/21. Replaces all prior versions.

The Customer purchase order, signed CSA documents (if any), the Master Contract, and any other documents mutually agreed to be included by the parties shall be considered the “Agreement”.

Notwithstanding, unless otherwise agreed to in writing by CSA and the Customer, the terms of the Master Contract shall be controlling.

The following favorable terms from the Master Contract modify the terms of the Canon Solutions America Form Agreements attached thereto and such Master Contract terms are controlling [as noted]. They apply to Customer unless otherwise noted.

1. Venue
California law will control the Master Contract and any document to which it is appended. The exclusive jurisdiction and venue for any and all actions arising out of or brought under the Master Contract is in a state court of competent jurisdiction, situated in the county in the State of California in which the UC Location is located or, where the procurement covers more than one UC Location, the exclusive venue is Alameda County, California. (See Master Contract, Terms and Conditions of Purchase, pg. 25, Article 35). For all Customers purchasing or leasing cooperatively off the Master Contract, disputes that may result between the Customer and CSA are to be resolved in accord with the law and venue rules of the State of purchase, or as otherwise negotiated in an Agreement. (See OMNIA Master Intergovernmental Cooperative Purchasing Agreement terms)

2. Fiscal Funding Out Clause
(Subject to pre-approval by CFS): Customer warrants that it has funds available to pay Payments payable pursuant to the Lease Schedule until the end of its current appropriation period and warrants that it presently intends to make Payments in each appropriation period from now until the end of the term of Lease Schedule. The officer of Customer responsible for preparation of Customer's annual budget shall request from its legislative body or funding authority funds to be paid to CFS under the Lease Terms and any Lease Schedule. If notwithstanding the making in good faith of such request in accordance with appropriate procedures and with the exercise of reasonable care and diligence, such legislative body or funding authority does not appropriate funds to be paid to CFS for the Equipment, Customer may, upon prior written notice to CFS, effective upon the exhaustion of the funding authorized for the then current appropriation period, return the Equipment to CFS, at Customer's expense and in accordance with each Lease Schedule, and thereupon, Customer shall be released of its obligation to make Payments to CFS due thereafter, provided: (1) the Equipment is returned to CFS as provided for in the Lease Schedule; (2) the above described notice states the failure of the legislative body or funding authority to appropriate the necessary funds as the reason for cancellation; and (3) such notice is accompanied by payment of all amounts then due to CFS under the Lease Schedule. In the event Customer returns the Equipment pursuant to the terms of the Lease Schedule, CFS shall retain all sums paid by Customer. Customer's Payment obligations under each Lease Schedule in any fiscal year shall constitute a current expense of Customer for such fiscal year and shall not constitute indebtedness or a multiple fiscal year obligation of Customer under Customer's state constitution, state law or home rule charter. Nothing in the Lease Terms shall constitute a pledge by Customer of any taxes or other monies, other than as appropriated for a specific fiscal year for each Lease Schedule and the Equipment. (See Master Contract, Exhibit (i), Rider G, Master Lease Terms. Capitalized terms in this Section 2 have the same meaning as in Rider G)

3. Pricing and Additional Costs
Pricing is expressed as a discount from Manufacturer Suggested Retail Price MSRP. MSRP must be available on a manufacturer’s published price list and be publicly available throughout the Master Contract term. Product pricing shall not increase for the duration of this Agreement for existing models. Supplier

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Canon Solutions America, Inc.

Issued 8/5/21. Replaces all prior versions.
may utilize Value Added Resellers to perform maintenance, service and support for all Customer locations at the pricing stated in the Pricing Exhibit 2 to the Master Contract. (See Master Contract, Exhibit (i) Terms Applicable to all Non-University of California Entities, pg. 101)

4. Title, Risk of Loss and Acceptance
Title to Equipment shall pass to the Customer or CFS, as applicable, upon payment of the purchase price.

Risk of loss shall pass to the Customer upon delivery. Title to Software shall remain with the developer or licensor. Equipment and software shall be deemed accepted by Customer upon successful delivery and installation so that the Equipment is operating in accordance with the manufacturer’s or developer’s specification. (See Master Contract, Exhibit (i), Riders A and G)

5. Delivery and Installation
Delivery (new Equipment) – 10 business days from Supplier receipt of order. Delivery between 8:30a.m. and 5:00p.m.(Local Time) with one-hour pre-delivery call/email, unless otherwise arranged (See Master Contract, Exhibit (i), Terms Applicable to all Non-University of California Entities, pg. 93, Section 2.8.7) Supplier shall provide delivery and installation of Equipment, including fulfillment process from Customer purchase order submission to delivery, all at no separate or additional charge to Customer. Customer has the option to accept or reject all products delivered after promised delivery time, and in addition, may hold Supplier liable to any direct damages caused by late delivery as determined and documented by Customer; provided, however, in no event shall the amount of such direct damages exceed Customer documented replacement substitution cost for products ordered. Supplier will report any delivery delay whatsoever to the ordering location, as well as its cause, within two (2) days after Supplier is able to reasonably determine there will be such a delay; such report will be provided to Customer by telephone, email, or facsimile.

Supplier shall keep Customer fully informed if late delivery is due to causes beyond the reasonable control and without the fault or negligence of Supplier, including but not limited to: acts of God, war, civil commotion, governmental action, fire, floods, unusually severe weather, explosions, earthquakes, strikes or walkouts against location, quarantine restrictions, or other causes beyond reasonable control of Supplier. (See Master Contract, Exhibit (i), Terms Applicable to all Non-University of California Entities, pg. 97, Sec 2.15.1)

6. Additional Delivery Costs
Unless otherwise set forth in a Schedule, delivery and installation of Equipment is at no additional charge, so long as no special rigging is required (in which event CSA’s rates therefor will apply). For purposes of this Agreement, “special rigging” shall include, but not be limited to, the use of cranes, forklifts, or other mechanical devices; and/or the engagement of additional personnel beyond those ordinarily required for CSA to deliver Equipment via delivery van and maneuver unimpeded into and through the loading dock, hallways, and, if necessary, stairs and/or elements of Customer’s facility manually through the use of a hand truck or dolly. (See Master Contract, Exhibit (i), Master Sales and Services Agreement, pg. 115, Sec 13)

7. Limited Warranty and Disclaimer
Limited Warranty. Canon brand Equipment is provided with an end user limited warranty, from the manufacturer, either Canon U.S.A., Inc. (“Canon”) or a Canon affiliated company. CSA is an authorized Canon service dealer and provides warranty service pursuant to the Canon limited warranties. Warranties, if any, for other products and services are provided by the manufacturer or developer or as may also be provided in the applicable Rider or Schedule. The use of Software is at all times subject to and governed by the applicable end user license agreement. In addition to the aforesaid manufacturer or developer warranties, CSA warrants that on completion of installation of Canon brand Equipment will be (1) in material conformance with the manufacturer's published specifications, (2) qualified for CSA's standard maintenance services and (3) free from material defects in workmanship and materials. All parts replaced

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Canon Solutions America, Inc.

Issued 8/5/21. Replaces all prior versions.
under a warranty shall become the property of CSA or the manufacturer. The warranty set forth in this Section 7 herein does not apply to used or refurbished Equipment and is conditioned upon Customer giving prompt written notice to CSA of any discovered defects at the time installation is complete. CUSTOMER'S

SOLE AND EXCLUSIVE REMEDY FOR BREACH OF THE FOREGOING CSA WARRANTY SHALL BE

TO REJECT THE EQUIPMENT AND CANCEL THE AFFECTED EQUIPMENT SCHEDULE AT THE TIME INSTALLATION IS COMPLETED. IN NO EVENT SHALL A BREACH OF THIS WARRANTY GIVE RISE TO A CLAIM FOR DAMAGES AGAINST CSA. THE WARRANTIES CONTAINED OR REFERENCED IN

THIS AGREEMENT ARE IN LIEU OF ALL OTHER WARRANTIES, EXPRESSED OR IMPLIED,

INCLUDING ANY IMPLIED WARRANTIES REGARDING MERCHANTABILITY OR FITNESS FOR A

PARTICULAR PURPOSE, RELATING TO THE USE OR PERFORMANCE OF THE LISTED ITEMS, AND

ALL SUCH OTHER WARRANTIES, INCLUDING ANY RELATING TO THE USE OR PERFORMANCE OF

THE LISTED ITEMS OR ANY METER READ COLLECTION METHOD PROVIDED BY CSA, ARE HEREBY EXPRESSLY DISCLAIMED. YOU EXPRESSLY ACKNOWLEDGE THAT THE FURNISHING OF

MAINTENANCE OR SERVICES UNDER THIS AGREEMENT DOES NOT ASSURE UNINTERRUPTED OPERATION AND USE OF THE LISTED ITEMS. (See Master Contract, Exhibit (i), Master Sales and Services Agreement, Pg. 116, Sec 6)

8. Rightsizing
For those fleets (leased fleets of 50 MFDs/Laser Printers or more at an individual campus), Supplier will allow the Customer to upgrade or downgrade 5% of the cumulative installed population of MFDs over the term of the Agreement, provided Customer has installed a minimum fleet of 100 units of Equipment across all locations under the Agreement. This provision excludes imageRUNNER machines with rated speeds of 110 pages per minute or greater, or imagePRESS products. (See Master Contract, Exhibit (i), Terms Applicable to all Non-University of California Entities, pg. 110, Sec 8.8)

9. Relocation of Copiers [multifunctional copiers only and if requested by Customer] During the term of the Agreement, it may be necessary for various reasons to relocate installed copiers.

After initial installation, any copier between 20 PPM and 105 PPM may be relocated one (1) time per Agreement period at no additional charge. The number of relocations provided at no additional charge shall not exceed the aggregate number of units installed per member under this Agreement. Any relocations in excess of this, shall be invoiced at CSA’s then current rates. (See Master Contract, Exhibit (i), Terms Applicable to All Non-University of California Entities, Pg. 95, Sec 2.11)

10. End of Term Options
A) END OF TERM PURCHASE OPTION. At the end of any term, Customer shall give CFS 60 days’ irrevocable prior written notice (unless the Purchase Option is $1.00) that it will purchase all the Equipment at the Purchase Option plus any Costs. (B) PRIOR TO MATURITY PURCHASE. Customer may, at any time, upon 60 days’ irrevocable prior written notice, purchase all the Equipment at a price equal to the sum of all remaining Payments plus the Fair Market Value plus Costs. “Fair Market Value” shall be CFS' retail price when Customer purchases the Equipment. Equipment purchases shall be “AS-IS WHERE-IS” without warranty, except for title. (See Master Contract, Exhibit (i), Rider G, pg. 147, Sects 13 & 14)

11. Return and Restocking Policy
• 11(a) Return of Leased Equipment Canon Office Equipment and Cut Sheet Production Unless the Agreement automatically renews or Customer purchases the Equipment as provided in the Agreement, Customer shall, at the termination of the respective schedule, return the Equipment to CFS in good operating condition. Customer shall at the termination of the respective Agreement, make the Equipment available to CFS for pick up. The Equipment shall be in good operating

3.A.6.c
Packet Pg. 368 Attachment: OMNIA-Partners-Program-Summary-University-of-California (Printer/ Copier Contract) UC OMNIA Partners Program Summary
Canon Solutions America, Inc.

Issued 8/5/21. Replaces all prior versions.
condition, ordinary wear and tear resulting from proper use excepted (and if not in such condition, additional fees may apply). If, for any reason, Customer shall fail to make the Equipment available to CFS for pick up by the last day of the applicable term, Customer shall pay to CFS upon demand, one billing period's payment (as specified in the Agreement), for each billing period, or portion thereof that such delivery is delayed. (See Master Contract, Article 18 Amended p7). • 11(b) Return of Leased Equipment Non-Canon Office Equipment and Cut Sheet Production Except in the case of a Lease Schedule containing a $1.00 Purchase Option, each Lease Schedule automatically renews under the same terms and conditions on a month-to-month basis if Customer fails to give CFS 60 days’ prior written notice of its intent to purchase or return the Equipment before the end of any term. Unless a Lease Schedule automatically renews or Customer purchases the Equipment, Customer shall return the Equipment on the day the Lease Schedule terminates in good operating condition, ordinary wear and tear resulting from proper use excepted, at Customer's sole cost and expense to a location specified by CFS, and shall reimburse CFS for any costs incurred to place the Equipment in good operating condition. CFS may charge Customer a return fee equal to the greater of one Payment or $250 for the processing of returned Equipment. (See Master Contract, Exhibit (i), Rider G, Pg. 147)
• 11(c) Return of Unused Supplies
Customer orders for supplies, staples, field replaceable units, consumables, expendables or any other materials normally purchased by Customers (a) must include a valid Customer purchase order number; (b) are shipped to Customer FOB destination; and (c) are subject to a twenty percent (20%) restocking fee if accepted for return by CSA pursuant to its Material Return Authorization (MRA) procedure. (See Master Contract, Exhibit (i), Rider F, Pg. 140)

12. Termination, Cancellation and Damages
Customer or Supplier may terminate the Agreement for cause by giving the other party at least 15 days’ notice to cure a breach of the Agreement (Cure Period). If the breaching party fails to cure the breach within the Cure Period, the non-breaching party may immediately terminate the Agreement. (See Master Contract, Purchasing Agreement, pg. 3, Sec 2(C))
Supplier shall not be liable (i) for bodily injury (including death) or tangible property damage except to the extent caused by supplier’s negligence or willful misconduct, or (ii) for loss of revenue or profit, loss or corruption of data, or special, punitive, indirect, incidental or consequential damages, arising out of this Agreement or the performance or non-performance of any services or the use of or inability to use any products, regardless of the legal theory on which a claim may be based and even if Supplier has been advised of the possibility of such damages. Supplier’s liability on any claim arising out of or related to this Agreement and any other agreements entered in to in connection there with, regardless of the legal theory on which the claim is based, shall not exceed in an aggregate amount the sum of (a) if customer purchased any products, the total purchase price paid by Customer (or the leasing company if leasing) to Supplier for the products subject to the claim, and (b) as to all other liability of Supplier, charges paid or payable by customer for the products or services subject to the claim for twelve (12) months preceding the date on which the claim is made. Should Customer have prepaid any amount for services subject to the claim, such amount shall be amortized over the applicable term of said services and Supplier’s liability shall be limited to twelve (12) months of such amortized payments (See Master Contract, Purchasing Agreement, Pg. 7, Sec 15A)

13. Service Level Standards
The Master Contract offers list of robust Service Level Standards for Equipment. The following is a summary

3.A.6.c
Packet Pg. 369 Attachment: OMNIA-Partners-Program-Summary-University-of-California (Printer/ Copier Contract) UC OMNIA Partners Program Summary
Canon Solutions America, Inc.

Issued 8/5/21. Replaces all prior versions.
of the highlights, which include (but are not limited to) the following:
• Equipment Uptime – 96% measured as a quarterly average • Maintenance credits – up to one hundred (100) percent credit to individual locations of monthly maintenance charge for individual MFD availability of less than ninety-six (96) percent calculated for each MFD
• Response time (MFDs) – 4 business hours
• One (1) business hour acknowledging call back from technician or dispatch • Repair time – average of 4 business hours measured as a quarterly average • Delivery (MFD Replacement Parts) – within 8 business hours from Supplier receipt of order • Delivery (Supplies) – within 2 business days from Supplier receipt of order • Installation (MFDs) – upon delivery unless otherwise arranged (See Master Contract, Exhibit (i), Terms Applicable to Non-University of California Entities)

14. Training [MFDs only]
CSA will provide Key Operator and Casual User; Canon Product Training via eLearning as our standard offer. For OMNIA Partners, Public Sector Participants that require on-premises Key Operator Training, CSA will continue to provide at no additional cost, an operator training program (eLearning) for the key operators and operations demonstration for the casual users to be scheduled at mutually agreed times shortly after the initial installation and as needed thereafter. Key Operators shall be trained in the removal of simple misfeeds, the addition of supplies and toner, and the cleaning disciplines required of the specific MFD. They will also be instructed in the routine necessary to acquire service and be provided contact information. The information will clearly posted on each unit. Training for use of MFD embedded software shall be provided shortly after installation, and additional training and support for future enhancements will be provided.

Trainers will be certified by the manufacturer of the Equipment and/or developer of the software supplied through the Agreement. (See Master Contract, Exhibit (i), Terms Applicable to Non-University of California Entities)

15. Replacement of Canon Branded Equipment [MFDs and Laser Printers only] After a 90-day warranty period and until 36 months from the date of installation, or initial Lease term, if longer, , except due to operator error, for any MFD that fails to operate in accordance with the manufacturer’s published performance specifications three times in any four week period and/or is subject to recurring related problems, Supplier shall replace that device with a new MFD or Laser Printer that meets the requirements of the same lot as the original model, at no cost to the user. This will take precedence over any other warranty or service maintenance clauses associated with this Agreement. Customers must maintain an uninterrupted maintenance agreement with CSA for replacement to apply past the initial 90- day warranty period. The Location Purchasing and/or MFD/Printer Fleet Management Program will review Customer requests for the application of this Section 15 and will decide regarding its use.

If 25% or less of the device’s useful life has been used up, the device must be replaced with a “new device”.

A “like for like” device may be used if 25% or more of the useful life of the device has been used up and the Customer agrees to the “like for like” exchange. Note: Prior to the lease or purchase of a device, awarded vendors must provide Customer with the device’s “Useful Life”. (See Master Contract, Exhibit (i), Terms Applicable to All Non-University of California Entities, Pg. 80, Sec 5.8)

16. Loaner Equipment
In the event that Equipment is inoperable for a period in excess of sixteen (16) consecutive business hours, Supplier will supply a loaner unit until the Equipment is restored to good working order. (See Master Contract, Exhibit (i), Terms Applicable to All Non-University of California Entities, Pg. 7, Sec 2.13)

3.A.6.c
Packet Pg. 370 Attachment: OMNIA-Partners-Program-Summary-University-of-California (Printer/ Copier Contract) UC OMNIA Partners Program Summary
Canon Solutions America, Inc.

Issued 8/5/21. Replaces all prior versions.

17. General Indemnity
Supplier shall defend, indemnify, and hold harmless [Customer], its officers, employees, and agents, from and against all losses, expenses (including attorney’s fees), damages, and liabilities of any kind resulting from or arising out of this agreement and/or Supplier’s performance hereunder, provided such losses, expenses, damages, and liabilities are due or claimed to be due to the negligent or willful acts or omissions of [Supplier], its officers, employees, agents, subcontractors, or anyone directly or indirectly employed by them, or any person or persons under CFS’s direction and control. (See Master Contract, Purchasing Agreement, Pg. 7, Sec 15A)

18. Patent Indemnity [Canon-brand Equipment only]
Should the goods and/or services become, or in Supplier’s opinion be likely to become, the subject of a claim of infringement of any patent, copyright, trademark, trade name, trade secret, or other proprietary or contractual right of any third party, Supplier will provide written notice to Customer of the circumstances giving rise to such claim or likely claim. In the event that Customer receives notice of a claim of infringement or is a party to or is threatened with being made a party to any claim of infringement related to the goods and/or services, Customer will provide Supplier with notice of such claim or threat. Following receipt of such notice, Supplier will either (at Supplier’s sole election) (i) procure for Customer the right to continue to use the affected portion of the goods and/or services, or (ii) replace or otherwise modify the affected portion of the goods and/or services to make them non-infringing, or obtain a reasonable substitute product for the affected portion of the goods and/or services, provided that any replacement, modification or substitution under this paragraph does not effect a material change in the goods and/or services’ functionality. If none of the foregoing options is reasonably acceptable to Customer, Customer will have the right to terminate the Agreement without damage, penalty, cost or further obligation. (See Master Contract, Terms and Conditions of Purchase, pg. 14, Article 7(C))

19. Hard Drives
Customer acknowledges that the hard drive(s) on the equipment, may retain images, content or other data that Customer may store for purposes of normal operation of the equipment (“HD Data”). Customer acknowledges that Supplier is not storing HD Data on Customer’s behalf and that exposure or access to the HD Data by Supplier, if any, is purely incidental to the services performed by Supplier. Customer is solely responsible for the HD Data. The Equipment contains various security features that Customer can utilize to easily erase or dispose of stored data. (See Master Contract, Exhibit (i), Terms Applicable to NonUniversity of California Entities, pg. 105, Section 6.4)

20. Software
Installation/Implementation of Software may be at an additional charge and may be conditioned on Customer’s agreement to a separate statement of work or other document covering the scope and schedule of installation/implementation, configuration options, responsibilities of each party, and other matters, which shall solely govern as to the matters covered therein. Additional charges may apply for work beyond the initial scope described in such separate document. Support for Software is provided directly by the respective developers thereof and as set forth in each developer’s applicable separate support contract or terms of service and is not provided by CSA under this Agreement except as expressly provided herein.

Support for Software may require separate purchase by Customer of a support contract. The terms of support contracts for Software are available from the developers or will be provided to Customer by CSA upon request. Notwithstanding any provision in the support contract to the contrary, it shall automatically renew on an annual basis, subject to a price increase after the initial term. CSA shall make available to Customer from time to time upgrades and bug fixes for the Software, but: (i) only if such upgrades and bug fixes are provided to CSA by the developers of such Software, (ii) availability of upgrades and bug fixes

3.A.6.c
Packet Pg. 371 Attachment: OMNIA-Partners-Program-Summary-University-of-California (Printer/ Copier Contract) UC OMNIA Partners Program Summary
Canon Solutions America, Inc.

Issued 8/5/21. Replaces all prior versions.
may be at additional charge, and (iii) installation of such upgrades and bug fixes by CSA if requested by Customer shall be at additional charge. Customer is not required to use CSA for installation of either Software or for any upgrades and bug fixes, but if installation is done by anyone other than CSA, CSA shall have no responsibility for any performance or other issues that may result from such installation. CSA shall also use reasonable efforts to provide Level 1 support for the Software for so long as a CSA maintenance agreement for the related equipment remains in effect, except that for certain Software, Level 1 support shall be provided only if and so long as a separate software support contract for such Software from the developer thereof is in effect. Level 1 support consists of (i) providing help-line telephone assistance in operating the Software and identifying service problems and attempting to troubleshoot any such problems in the software; (ii) escalating operating problems to the available developer of the Software as needed to rectify such problems, including facilitating contact between Customer and the developer of the Software as necessary; and (iii) maintaining a log of such problems to assist in tracking the same. If Customer acquired uniFLOW, an authorized CSA representative may receive a print usage report for business reviews. (See Master Contract, Exhibit (i), Rider G, pg. 126)

3.A.6.c
Packet Pg. 372 Attachment: OMNIA-Partners-Program-Summary-University-of-California (Printer/ Copier Contract) SLS-600 FACE January 2025
Canon U.S.A., Inc. (“CUSA”)
One Canon Park, Melville, NY 11747
(800) 613-2228
Salesperson: __________________________ Order Date: _______________ Customer (“you”):

Company:

DBA:

Address:

City: County:

State: Zip: Phone #:

Contact:

Email:

Applicable Terms and Conditions Customer Organizational Information TERMS AND CONDITIONS ARE AVAILABLE AT:

MK1.USA.CANON.COM/CUSTOMERDOCUMENTS
The CUSA customer terms and conditions located at the
above website (“Terms”) form part of this Agreement. The Terms include general terms, and terms for product and
service purchase, maintenance, support and leasing
(pursuant to the terms of Rider G); managed print
services; and quotes. The Terms applicable to each of
your transactions will be referenced in the Order Schedule.

By your initials herein and signature below, you
understand and acknowledge such Terms and agree to
comply with those applicable to each Order Schedule.
____________
Customer Initials
Federal Tax ID Number: _____________________
Organization type:

Address for Notices:

Attn:

Address:

Address 2:

City: State: Zip:

Email:

BY YOUR SIGNATURE BELOW, YOU AGREE TO LEASE, PURSUANT TO THE TERMS OF RIDER G, OR PURCHASE, AS

SPECIFIED IN THIS AGREEMENT, THE ITEMS LISTED IN ANY SCHEDULE, RIDER OR ADDENDA (AS APPROVED BY CUSA) TO THIS AGREEMENT. YOU ACKNOWLEDGE RECEIPT OF A COPY OF THIS AGREEMENT, AND AGREE TO ABIDE BY ALL

OF THE TERMS AND CONDITIONS OF THIS FACE PAGE, APPLICABLE SCHEDULE(S), RIDER(S) AND SUCH ADDENDA, THE

QUOTE, AND THE APPLICABLE TERMS AND CONDITIONS IDENTIFIED ABOVE, ALL OF WHICH IS INCORPORATED HEREIN AND MADE PART OF THIS AGREEMENT.

Customer’s Authorized Signature _____________________________________________________________________________ Printed Name ____________________________________ Title _________________________________ Date ______________ Master Sales & Services Agreement
Customer Information Face Page
#___________________
595 S SAN JACINTO AVE 951-487-7330 Timothy M Cooper CITY OF SAN JACINTO CA 1/13/2025 92583-4134 595 S SAN JACINTO AVE SAN JACINTO [email protected] Jessica Mendez MA58875 SAN JACINTO RIVERSIDE CA SLS-600 FACE January 2025 [email protected] 92583-4134 Jessica Mendez

3.A.6.d
Packet Pg. 373 Attachment: CONTRACT_City of San Jacionto (Printer/ Copier Contract) Lease Schedule ("Schedule") - Blended (SER-800) Page of Customer: CFS App #: Salesperson:

Agreement #: Transaction #: Order Date:

Billing Information Customer Account:

Company:

DBA:

Address:

Address 2:

City: County:

State: Zip: Phone #:

Contact: # of Payments in Advance Total Due at Signing
Email:

Shipping: Delivery Date:

Address 2:

City: County: State: Zip:

Primary Customer Contact:

Phone #: Email:

Meter Contact:

Phone #: Email:

IT Contact:

Phone #: Email:

Billing:

Address 2:

City: County: State: Zip:

Billing Contact:

Phone #: Email:

Elevator: Loading Dock: # of Steps: Hrs of Operation:

For CUSA USE ONLY:

Customer Authorized Signature: Printed Name: Title: Date:

For Internal Purposes Only:

CFS Authorized Signature: Printed Name: Title: Date:

SER-800 Blended Lease January 2025 **Requires Remote Reporting Agent Item Code Qty
THIS SCHEDULE IS ENTERED INTO PURSUANT TO, AND INCORPORATES THE TERMS OF, THE MASTER SALES AND SERVICES AGREEMENT REFERENCED AS THE AGREEMENT # ABOVE ("AGREEMENT"), INCLUDING THE MASTER LEASE TERMS SET FORTH AS RIDER G THERETO WHICH SHALL CONTROL (THE “LEASE TERMS”). TO THE EXTENT THE TERMS OF AN EXISTING CFS MASTER AGREEMENT ARE REFERENCED ON THIS SCHEDULE (THE “EXISTING MASTER CFS LEASE”) AND ARE APPLICABLE TO THIS SCHEDULE, THEY SHALL CONTROL OVER THE MASTER LEASE TERMS SET FORTH AS RIDER G TO THE AGREEMENT FOR SO LONG AS THE EXISTING MASTER CFS LEASE REMAINS IN EFFECT. STANDARD TERMS AND CONDITIONS AND APPLICABLE RIDERS INCORPORATED HEREIN ARE AVAILABLE AT MK1.USA.CANON.COM/CUSTOMERDOCUMENTS, AND SHALL APPLY TO THE EXTENT NOT MODIFIED BY THE AGREEMENT. THIS SCHEDULE CONSTITUTES A LEASE OF THE LISTED ITEMS, AND IS BINDING ON CUSTOMER UPON SIGNING BY CUSTOMER, AND IS BINDING ON CUSA AND LESSOR AS PROVIDED IN THE LEASE TERMS. THIS SCHEDULE IS NON-CANCELABLE BY CUSTOMER. CUSTOMER REPRESENTS THAT EXECUTION OF THIS SCHEDULE HAS BEEN DULY AUTHORIZED. BY YOUR SIGNATURE, CUSTOMER AGREES TO LEASE THE LISTED ITEMS AND, IF SELECTED, TO PURCHASE THE MAINTENANCE SERVICES DESCRIBED HEREIN. YOU ACKNOWLEDGE RECEIPT OF A COPY OF THIS SCHEDULE.

Additional Requirements:

Listed Items Description Ship To & Maintenance Billing Information CFS Invoicing
Other Transaction Details
Covered Images Included in Payment Excess Per Image Maint Charge(s) Due at Signing
Payment* (*Plus Applicable Taxes)
Total
Listed Items Lease Term
Months
Equipment Maintenance Information
# of Lease Payments
Payment Information
Canon U.S.A., Inc. ("CUSA")
One Canon Park, Melville, NY 11747
(800)-613-2228
STANDARD POWER FILTER 15A/120V 1
INSTALL PAK DX C5870I/C5860I/C5850I/C5840I Jessica Mendez Lease Payment
shall be invoiced
Monthly
OC: UNIVERSITY OF CALIFORNIA PURCHASING AGREEMENT #2020002755 SAN JACINTO HIGH CAPACITY CASSETTE FEEDING UNIT-C1 92583-4134 3 STAPLE FINISHER-AB3 CA Code Area 2248959 2044935 1
No SER-800 Blended Lease January 2025 Excess Per Image Charge invoiced Monthly by CFS $1,133.57 1 9-5 IMAGERUNNER ADVANCE DX C5850I [email protected] 2368V120 3923V843 B&W: $0.00710 Color: $0.04280 Purchase Option: Fair Market Value 1 4395V196
Rider A applies (Maintenance for Office Equip/Cut Sheet Production) RIVERSIDE Pre-Installed Supplies Installed in Machine 92583-4134 S21147070 0 Per Unit Coverage Plan 951-487-7330 CA 1
CITY OF SAN JACINTO 1
Config: A | 57356949 MID VOLUME CONNECTIVITY 30+PPM UP TO 79PPM RIVERSIDE 0126C001 2/3 HOLE PUNCHER UNIT-A1 SAN JACINTO 951-487-7330 1 595 S SAN JACINTO AVE 595 S SAN JACINTO AVE [email protected] IntSupplies Jessica Mendez 01/13/25 CITY OF SAN JACINTO No 60 6598C002 Fixed Price Plan Consumables: Toner, Staples (excludes clear) 1 5546C002 [email protected] Maintenance elected for all Equipment Jessica Mendez 951-487-7330 60 Auto-Toner Fulfillment** Timothy M Cooper BUFFER PASS UNIT-P2 1 3826C002 4031C002 Meter Method: Remote Reporting Agent B&W: 00 Color: 00 MA58875 1

3.A.6.d
Packet Pg. 374 Attachment: CONTRACT_City of San Jacionto (Printer/ Copier Contract) Lease Schedule - Additional Listed Items Transaction #: ___________________ (SER-801) Page of Customer: Agreement #: Order Date: Salesperson:

Shipping: Delivery Date:

Address 2:

City: County: State: Zip:

Contact: Ph #: Email:

Mtr Contact: Ph #: Email:

IT Contact: Ph #: Email:

Billing:

Address 2:

City: County: State: Zip:

Contact: Ph #: Email:

Elevator: Loading Dock: # of Steps: Hrs of Operation:

For CUSA USE ONLY:

Shipping: Delivery Date:

Address 2:

City: County: State: Zip:

Contact: Ph #: Email:

Mtr Contact: Ph #: Email:

IT Contact: Ph #: Email:

Billing:

Address 2:

City: County: State: Zip:

Contact: Ph #: Email:

Elevator: Loading Dock: # of Steps: Hrs of Operation:

For CUSA USE ONLY:

SER-801 Blended Lease January 2025 **Requires Remote Reporting Agent Covered Images Included in Payment Excess Per Image Maint Charge(s) Item Code Listed Items Description Qty Ship To & Maintenance Billing Information Covered Images Included in Payment Excess Per Image Maint Charge(s) Item Code Listed Items Description Qty Ship To & Maintenance Billing Information Meter Method: Remote Reporting Agent Consumables: Toner, Staples (excludes clear) CITY OF SAN JACINTO 5546C002 [email protected] 3923V843 RIVERSIDE 1 MA58875 Jessica Mendez 951-487-7330 Config: B | 57356950 0 [email protected] 1
1 IntSupplies
B&W: 00 Color: 00 B&W: 00 Color: 00
4395V196 SAN JACINTO IMAGERUNNER ADVANCE DX C5850I 6598C002 B&W: $0.00710 Color: $0.04280
1 HIGH CAPACITY CASSETTE FEEDING UNIT-C1 5546C002 INSTALL PAK DX C5870I/C5860I/C5850I/C5840I 951-487-7330 Meter Method: Remote Reporting Agent 3825C002 [email protected] 1 1 No
Rider A applies (Maintenance for Office Equip/Cut Sheet Production) Finance Area No 1
3 STAPLE FINISHER-AB3 3826C002 1
BUFFER PASS UNIT-P2 RIVERSIDE 2368V120 Auto-Toner Fulfillment** No 4031C002 S21147070 STANDARD POWER FILTER 15A/120V B&W: $0.00710 Color: $0.04280
CA 3923V843 Pre-Installed Supplies Installed in Machine 2/3 HOLE PUNCHER UNIT-A1 IntSupplies PAPER FOLDING UNIT-L1 Jessica Mendez Administrative area 1 92583-4134 Pre-Installed Supplies Installed in Machine 1 595 S SAN JACINTO AVE [email protected] 4031C002 1 1 6598C002 01/13/25 Timothy M Cooper 1
1 Consumables: Toner, Staples (excludes clear) MID VOLUME CONNECTIVITY 30+PPM UP TO 79PPM 1 951-487-7330 No 2/3 HOLE PUNCHER UNIT-A1 1 STAPLE FINISHER-AB3 INSTALL PAK DX C5870I/C5860I/C5850I/C5840I Jessica Mendez 595 S SAN JACINTO AVE 0 0126C001 1
CA Auto-Toner Fulfillment** 2
92583-4134 1
951-487-7330 2368V120 4395V196 BUFFER PASS UNIT-P2 Config: C | 57356951 5549C002 MID VOLUME CONNECTIVITY 30+PPM UP TO 79PPM IMAGERUNNER ADVANCE DX C5860I 1 SAN JACINTO HIGH CAPACITY CASSETTE FEEDING UNIT-C1 STANDARD POWER FILTER 15A/120V Jessica Mendez Rider A applies (Maintenance for Office Equip/Cut Sheet Production) 0126C001

3.A.6.d
Packet Pg. 375 Attachment: CONTRACT_City of San Jacionto (Printer/ Copier Contract) Lease Schedule - Additional Listed Items Transaction #: ___________________ (SER-801) Page of Customer: Agreement #: Order Date: Salesperson:

Shipping: Delivery Date:

Address 2:

City: County: State: Zip:

Contact: Ph #: Email:

Mtr Contact: Ph #: Email:

IT Contact: Ph #: Email:

Billing:

Address 2:

City: County: State: Zip:

Contact: Ph #: Email:

Elevator: Loading Dock: # of Steps: Hrs of Operation:

For CUSA USE ONLY:

Shipping: Delivery Date:

Address 2:

City: County: State: Zip:

Contact: Ph #: Email:

Mtr Contact: Ph #: Email:

IT Contact: Ph #: Email:

Billing:

Address 2:

City: County: State: Zip:

Contact: Ph #: Email:

Elevator: Loading Dock: # of Steps: Hrs of Operation:

For CUSA USE ONLY:

SER-801 Blended Lease January 2025 **Requires Remote Reporting Agent Covered Images Included in Payment Excess Per Image Maint Charge(s) Item Code Listed Items Description Qty Ship To & Maintenance Billing Information Covered Images Included in Payment Excess Per Image Maint Charge(s) Item Code Listed Items Description Qty Ship To & Maintenance Billing Information Meter Method: Remote Reporting Agent Consumables: Toner, Staples (excludes clear) CITY OF SAN JACINTO 0126C001 [email protected] RIVERSIDE 1 MA58875 Jessica Mendez 951-487-7330 Config: C | 57356951 0 [email protected]
B&W: 00 Color: 00 B&W: 00 Color: 00
2368V120 SAN JACINTO IMAGERUNNER ADVANCE DX C5860I 4921C001 B&W: $0.00710 Color: $0.04280
1 HIGH CAPACITY CASSETTE FEEDING UNIT-C1 5546C002 951-487-7330 Meter Method: Remote Reporting Agent 5961C002 [email protected] 1 1 No
Rider A applies (Maintenance for Office Equip/Cut Sheet Production) No 1
3 STAPLE FINISHER-AE1 3825C002 BUFFER PASS UNIT-P2 RIVERSIDE 3923V843 Auto-Toner Fulfillment** No 4031C002 S21147070 MID VOLUME CONNECTIVITY 30+PPM UP TO 79PPM B&W: $0.00800 Color: $0.04490
CA IntSupplies MID VOLUME CONNECTIVITY 30+PPM UP TO 79PPM 2/3 HOLE PUNCHER UNIT-A1 Jessica Mendez 1 92583-4134 1 160 W 6th Street [email protected] 4917C002 1
1 6598C002 01/13/25 Timothy M Cooper 1
1 Consumables: Toner, Staples (excludes clear) INSTALL PAK DX C5870I/C5860I/C5850I/C5840I 1 951-487-7330 No STANDARD POWER FILTER 15A/120V 1 STAPLE FINISHER-AB3 Pre-Installed Supplies Installed in Machine Jessica Mendez 270 BISSELL PL 0 4395V196 1
CA Auto-Toner Fulfillment** 3
92582-3110 1
951-487-7330 IntSupplies 4286V645 2/3 HOLE PUNCHER UNIT-A1 Config: D | 57356952 0126C001 Pre-Installed Supplies Installed in Machine IMAGERUNNER ADVANCE DX C3935I 1 SAN JACINTO CASSETTE FEEDING UNIT-AW1 IR ADV DX C3935/3930/3926 INSTALL PAK Jessica Mendez Rider A applies (Maintenance for Office Equip/Cut Sheet Production) 2368V120

3.A.6.d
Packet Pg. 376 Attachment: CONTRACT_City of San Jacionto (Printer/ Copier Contract) January 21, 2025
TO: City Council
REQUESTED BY: Julia Espinoza, City Clerk
APPROVED BY: Robert A. Johnson, City Manager
SUBJECT: Mayor's Local Appointments List
RECOMMENDATION:

Staff recommends that the City Council review the Mayor’s Local Appointments List and accept the Mayor’s recommendations for appointments for the calendar year 2025.

DISCUSSION:

Typically, following the City Council reorganization, the Mayor appoints members of the City Council as representatives to other agencies and any City Council Committee. The Mayor usually gathers input from the council members concerning committee assignments in which each has an interest. The Mayor has the ultimate decision to appoint council members to the committee that he/she determines serves the City's best interest, which is then ratified by the City Council.

FISCAL IMPACT:

There is no fiscal impact.

ATTACHMENTS:
2024 Mayor Appointment List

4.1 Packet Pg. 377
MAYOR’S REGIONAL/LOCAL APPOINTMENTS 2024

SAN JACINTO

REGIONAL

APPOINTMENTS

PURPOSE OF COMMITTEE

APPOINTMENTS
FOR 2024

APPOINTMENT

DATE/TERM
Riverside County
Transportation
Commission (RCTC)
Regional Transportation
Projects
*Meets on the 2nd Wednesday of
every month, at 9:30 a.m.

Valerie Vandever
Alonso Ledezma, Alternate
1/16/24
1 Year
Western Riverside
Council of
Governments
(WRCOG)
Western Riverside Council
of Governments
*Meets the 1st Monday of each
month.

Crystal Ruiz
Alonso Ledezma, Alternate
1/16/24
1 Year
Riverside Transit
Agency (RTA)
Transit Programs
*Meets the 4th Thursday of each
month, at 1:00 p.m.

Valerie Vandever
Brian Hawkins, Alternate
1/16/24
1 Year
Watermaster Adjudicated Basin, Water
Issues
*Meets quarterly, on the 4th
Monday of the following months:

February, May, August, and
November, at 4 p.m.

Valerie Vandever
Brian Hawkins, Alternate
1/16/24
1 Year
Western Riverside
County Regional
Conservation
Authority (RCA)
Regional Land Conservation
*Meets the 3nd Monday of every
month, at 12 p.m.

Crystal Ruiz
Alonso Ledezma, Alternate
1/16/24
1 Year
Ramona Bowl City Council Liaison Valerie Vandever
Phil Ayala, Alternate
1/16/24
1 Year

4.1.a
Packet Pg. 378 Attachment: 2024 Mayor Appointment List (Mayor's Local Appointments List) League of California
Cities Voting Delegates
* Meets four times each year,
typically in January, March, June
and at the Annual Conference.

Phil Ayala
Brian Hawkins, 1
st Alternate
Alonso Ledezma, 2
nd
Alternate
1/16/24
1 Year
Southern California
Association of
Governments (SCAG)
SCAG Phil Ayala
Crystal Ruiz, Alternate
1/16/24
1 Year

1.16.24 4.1.a
Packet Pg. 379 Attachment: 2024 Mayor Appointment List (Mayor's Local Appointments List)

San Jacinto City CouncilJanuary 21, 2025

San Jacinto City Council
January 21, 2025