Xerox Financial Services LLC State and Local Government 01 Merrit xerox
orwalk, CT 068
Master Lease Schedule
Supplier Name-Address: Master Lease Agreement Number:
Owner: XEROX FINANCIAL SERVICES LLC - 201 Merritt 7, Norwalk, CT 06851 Schedule Agreement Number:
CUSTOMER INFORMATION
Full Legal Name: City of Vernon Phone:
Billing Address: 4305 S. Santa Fe Avenue
City: Vernon State: CA _ Zip Code: 90058
Contact Name: Ernesto Smith Contact Email: [email protected] Customer PO# (optional):
Accounts Payable Contact Name: Sara Sandoval Contact Name:
EQUIPMENT
Quantity _ Model and Description Quantity Model and Description 12 AtlaLink C8155H with Office Finisher and 2/3 Hole Punch See Attached Schedule A Equipment Location (if different from Billing Address):
requency unless otherwise noted) PURCHASE OPTION OTHERWISE NOTED) Payment (plus applicable taxes): $
Initial Term:
• Fair Market Value ("FMV") • $1.00
(in months) Frequency: X Monthly • Quarterly • Annually
BY YOUR SIGNATURE BELOW, YOU ACKNOWLEDGE THAT YOU ARE AN AUTHORIZED SIGNER, ARE ENTERING INTO A NON-CANCELABLE AGREEMENT AND THAT YOU HAVE READ AND AGREED TO ALL APPLICABLE TERMS AND CONDITIONS ON PAGES 1 AND 2 (AND 3 IF APPLICABLE) OF THE MASTER LEASE AGREEMENT.
Authorized Signer X: Date: Federal Tax ID # (Required):
Print Name: Brian Saeki Title: City Administrator
OWNER ACCEPTA
Accepted By: Xerox Financial Services LLC Name and Title: Date:
ERMS & CONDITIONS
Pursuant to that State and Local Government Master Lease Agreement Number indicated above ("Agreement") between You and XES, the terms and conditions of which are fully incorporated into this Schedule, You hereby agree to Lease such Equipment from XFS effective with the Acceptance Date corresponding to this Schedule for the Term specified above, the term will supersede any previously expired term and You agree to pay XES the Payments in the amounts and at the times specified above for each item of Equipment. This Schedule is attached to and constitutes a part of the Agreement and all of the terms used herein which are defined in the Agreement shall have the same meaning Attest: Xerox- 2nd Authorized Signature:
Yonnie Parker, Deputy City Clerk Signature
Approved as to Form: Name
Title
Zaynah N. Moussa, City Attorney
Date