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Mou/Moa - 2012 - Pitney Bowes / Postage Meter Contract - 1/23/2012
'•p% .91n etp 51"-44:1' /� ,♦, Ot o o i " 7 �Y�f *t y u" • $ A. �y 1 e` d1 — � a:. o' er Mt t t • .: 4 11/2 OFFIt Pootog. Processing tine Moessories,nerSiges and iiiinPRes This form must be used and attached to each equipment lease, purchase,service or rental encumbrance document to confirm the selection of equipment covered under the Statewide Contract Number OFF22 on file at OSD. All of the terms and conditions of the Statewide Contract, OFF22 are incorporated herein and made a part hereof. Conflicting or additional terms, conditions or agreements included in or attached to this form,which conflict with the terms of the OFF22 Statewide Contract shall be considered to be superseded and void. Eligible Entities are only required to sign this confirmation form. This form is optional for all supply purchases. Participating State Contract Number: Purchase Order/Encumbrance Number: NA Fiscal Year: 2012 Eligible Entity: Contractor Lease Name: Pitney Bowes Global Financial Services(PBGFS) CITY OF EAGLE Contractor Purchase,Service or Meter Head Name: Pitney Bowes Inc.(PBI) Contact Person: Contact Person: Elizabeth Dunn SHARON BERGMANN Phone: (208)939 6813 ext Phone: (800)203 2581 ext 6647 E-Mail: TOSBORN @CITYOFEAGLE.ORG E-Mail: ELIZABETH.DUNN @PB.COM Fax: L_)__ext_ Fax: (203)617 3069 ext Entity Billing Address: Contractor Lease Remit Address: Contractor Purchase,Service or PO BOX 1520 Pitney Bowes Global Financial Services Meter Head Remit Address: PO Box 371887 Pitney Bowes Inc.Box 371896 Pittsburgh,PA 15250-7887 Pittsburgh,PA 15250-7896 - EAGLE ID 83616-9102 Lease FEINNendor Code Number# Purchase,Service or Meter Head Contact: Phone: 201344287 FEIN/Vendor Code Number# 60495050 Delivery Address: (If different from Billing Address Above) 60 (Multiple Address and Contact Information Entity must attached ['Term Lease #Months the appropriate information to the form) 660 E CIVIC LANE nMeter Head Term Lease #Months EAGLE ID 83616-5933 nRental(Not to exceed 6 months) Contact: Phone: TRACY OSBORN (208)939 6813 ext nPurchase(Optional) Check off the applicable box for equipment type and Maintenance Check off the applicable box for equipment sub-category: Plan and number of years after warranty period: © Category 1 ©New Equipment n Predecessor Maintenance n 2A n 2B n 2C ❑ 2Dn 2En 2F1-1 2G❑ 2H Service Term after Warranty Period; NWarranty © 2"Year IN 3rd Year © 4r"Year IN 5"'Year Purchase,Lease and Service Billing Options: (Billed in advance unless indicated in arrears below.) Term Lease Plan A Yearly Service with applicable response time n Monthly ['Quarterly n Semi-Annual n Yearly © Arrears n4 Hour © 0 Hour n12 Hour n24Hour Rental nPlan B Time and Material with applicable response time n Monthly nQuarterly n Arrears n4 Hour n8 Hour n12 Hour n24Hour Service Plan A FlMonthly ©Quarterly n Semi-Annual n Yearly © Arrears Form Revision Date:April 17,2008 Page 1 of 2 NOTE: Contractors are required to include one(1) month worth of complete supplies necessary to operate each piece of equipment based upon the monthly volumes Indicated within the OFF22 terms and conditions upon installation and training. Equipment Equipment/Accessory Quantity Purchase Number Of Trade- Net Total Annual Service Net Total Model Description(E.G.Digital Price Or Lease Or In Lease, Plan Selected Cost For Number Postage Equipment) Monthly Rental Value Purchase Or With Applicable Service Lease Or Months Rental Net Rate Rental Equipment Per Unit/Each Equipment Costs After Warranty Cost See Attachment A for Details $ $ $ $ $ till etd 6� I $ is�l c' �� $9 �o iu� $ aey $ $ $ $ $ $ $ $ $ $ $ $ $ $ 1(0 in d4,+n leg see ''is-v-y 9/i/IO GRAND TOTAL $ 9� qG 4 u.c1 Special Instructions/Additional Information(e.g.equipment model traded, ftware license information,lease document information for contractor tracking purposes only, supplies exchanged): See Attachment B . .. � r: EUGIBLE ENTITY: CONTRAC X: A 1- ,_L - __:. 4.„,; x (2 /Y---- (Siglature) f� g attire) NAME: Sharon K . �Lr MO/nn NAME: C ML f , — /(�Print) /1 ! (Print) TITLE: l'd lit j ea J A r v TITLE: 60/l- C DATE: / -- 3 - / �- ' _ DATE: d , yam" "-y f ` _ t' 77 . Eligible Entity must check oft all four(4)items below acknowledging completion prior to final approval. n1)Equipment delivered undamaged from the Contractor. n2)Received one(1)complete set of supplies based upon the monthly volumes within the OFF22 terms and conditions. ❑3)Equipment Is Installed and operational. [14)Received initial satisfactory training from the Contractor. Lease,Rental or Purchase payment terms do not begin until the appropriate items above have been approved by the Eligible Entity. Payment Start Date of this Lease,Purchase or Rental Payment Termination Date of this Lease, Purchase or Agreement: Rental Agreement Month Day Year Month Day Year EUGIBLE ENTITY: CONTRACTOR: X: X: (Signature) (Signature) NAME: NAME: (Print) (Print) TITLE: TITLE: DATE: DATE: Form Revision Date:April 17,2008 Page 2 of 2 el Pitney Bowes Engineering the flow of communication'. NASPO MASTER AGREEMENT OFF22 ATTACHMENT A State Contract Number [ ] Purchase Order Number [ ] Equipment Equipment/Accessory Qty Purchase Number Of Trade- Net Total Service Plan Net Total Model Description(E.G.Digital Price Or Lease Or in Lease, Selected With Cost For Number Postage Equipment) Monthly Rental Value Purchase Or Applicable Net Service Lease Or Months Rental Rate Rental Equipment Per Unit/Each Costs SBTF DM400C W/Enhanced 1 $56.64 60 $0.00 $3,398.40 $37.60 $37.60 Accounting, 100 Dept. G900 IntelliLink Interface/PSD 1 $40.00 60 $0.00 $2,400.00 $0.00 $0.00 for DM300C/ 1GW9 10 lb Integrated Weighing 1 $20.23 60 $0.00 $1,213.80 $0.00 $0.00 1E90050 NASPO Warranty Label 1 $0.00 60 $0.00 $0.00 $0.00 $0.00 MPDX Differential Weighing for 2 1 $2.89 60 $0.00 $173.40 $0.00 $0.00 lb,5 lb,or 10 lb Scale MP9G Integrated Weighing 1 $0.00 60 $0.00 $0.00 $5.81 $5.81 Platform G9SS IntelliLink Subscription 1 $0.00 60 $0.00 $0.00 $0.00 $0.00 TOTALS: $119.76 $0.00 $154.49 $34.73 $34.73 GRAND TOTAL: op Pitney Bowes Engineering the flow of communication- NASPO MASTER AGREEMENT OFF22 ATTACHMENT B Special Instructions/Additional Information(e.g. equipment model traded, software license information, lease document information for contractor tracking purposes only,supplies exchanged) State Contract Number [ Purchase Order Number [ Equipment Model Traded[ Additional documentation incorporated in this order based on products and/or services selected Software License Maintenance O Agreement(SLMA) 0 SIP Report O Statement of Work(SOW) 0 LobbyGuard Terms&Conditions O Verimove Report 0 Site Survey 0 Postage Discount Program(PDP) Helpful Information: Comments/Special Instructions Postage Refill Information 800-243-7800 Billing Questions 800-441-2514 * � 4- / 4NYSTArf �'o`��w S.. lir .M c t t 1 At ...a S✓iv' ,` �� +"++.a •' 1911x, \ _/ OFF22 PERFORMANCE SURVEY Multi-State Postage and Mail Processing Equipment,Accessories,Services and Supplies The Procurement Management Team (PMT) requests that you complete the brief performance survey following your utilization of the OFF22 contract. You may fold, tape and return it using the self-addressed panel provided on page two of the form or fax it to 617-727-4527. Your input is extremely important. This information will be used to evaluate customer satisfaction with both the Contractor's performance and the overall terms and conditions of the contract. Name of Contractor: PITNEY BOWES Eligible Entity Name: CITY OF EAGLE Eligible Entity Contact Person: 1h2 ,c . e 7I-/'1 Phone#: (�)/A(0]�Bext 2 D/ / Email: los bor n fJ C/ a Please check the appropriate response for each question. QUESTION Yes No Comments 1. Which OFF22 Category/ies did you utilize? Please indicate • Category 1, Postage and Mailing Systems 1L • Sub-Category 2A, Folding/Inserting Equipment • Sub-Category 2B, Folding Equipment • Sub-Category 2C,Tabbing Equipment • Sub-Category 2D, Sorting Equipment • Sub-Category 2E, Mail/Letter Opening Equipment • Sub-Category 2F, Pressure Sealing Equipment • Sub-Category 2G,Check Imprinting/Endorsing Equipment • Sub-Category 2H, Bursting Equipment QUESTION Excellent Good Poor 5 Points 3 Points 1 Point 2. How would you rate your satisfaction with: • Contract pricing from the selected Contractor )L • Quality of the product or service • Quality of product information (price brochures, price lists) • Quality of equipment training services • Delivery and installation of product or services 7C • Billing&invoicing accuracy • Contractors ability to communicate effectively with regards to your needs in relationship to the Contractors category and product and or service award • Overall Contractors performance v Thank you for your cooperation. OFF22 Performance Survey(Revised 11/07) Page 1 of 2 Operational Services Division One Ashburton Place 10th Floor, Room #1017 Boston, MA. 02108-1552 Attn: Robert Guerard, Procurement Manager Office, Recreational and Educational Equipment, Supplies &Services OFF22 Performance Survey(Revised 11/07) Page 2 of 2