HomeMy WebLinkAbout2016-061 Lease Agrmt - Pitney Bowes Credit Corp
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PITNEY BOWES LEASE AGREEMENT Agreement Number
Your Business Information
ASHLAND PARKS AND RECREATION COMMISSION 936001310
Full Legal Name of Lessee DBA Name of Lessee Tax ID # (FEIN/TIN)
1195 E MAIN ST ASHLAND OR 97520-2271
Billing Address: Street City State Zip+4
( ) ext 22346501863
Billing Contact Name Billing Contact Phone # Billing CAN #
1195 E MAIN ST ASHLAND OR 97520-2271
Installation Address (If different from billing address) : Street City State Zip+4
Susan Dyssegard (541) 552 2256 ext 22346501863
Installation Contact Name Installation Contact Phone # Installation CAN #
Invoice Attention To Lessee PO #
Your Business Needs
Qty Business Solution Description Check additional items to be included in client's payment
Mail Stream Solution -11 Fx_1 Service Level Agreement
1 DM125 Desktop Mailing System Standard - Provides maintenance and support for equipment
1 IntelliLink Interface / PSD for DM125 / DM225
1 DM Series Analytics (100 Accounts) ❑ Software Maintenance (additional terms apply) - Provides revision updates & technical assistance
1 51b Integrated Weighing
1 Differential Weighing for 2 lb, 5 lb, or 10 lb Scale Fx Meter Rental
Value Based Services (not including USPS fees which will be charged separately)
1 Integrated Weighing Platform
1 Moistener for DM 125 Purchase Power@ - A line of credit providing a convenient way to mail now and pay later.
pbSmartPostage Free Consolidate meter postage, permit postage and supplies underone account- see terms
& conditions
1 Professional Installation for DM100/DM125 ❑ Equipment Replacement Program- Protection in case ofloss or damage to leased equipment
Additional Items on following page ( )Yes I want to enroll in the ValueMAX® equipment replacement program
(x) No Enrollment (I will provide proof of insurance within the next 30 days as noted in Section
L9)
If green products are identified on your Order, the equipment covered by this Agreement includes remanufactured products that have gone through our factory certification testing
process.
Your Payment Plan
Initial Term : 63 months
( ) Required advance check of ) received
Number Of Months Month! Amount Billed Quarterly At Tax Exempt Certificate Attached
First 63 $95 $285 Tax Exempt Certificate Not Required
'Does not include any applicable sales, use, or property taxes which will be billed separately, payment plans begin after any applicable Interim Usage Period.
Your Signature Below
By signing belovl; you agree to be bound by all the terms of this Agreement, including those located in the Pitney Bowes Terms (Version 101151 which are
available at vAmmP mornltiermsconciitions and are incorporated by reference. You acknowledge that you rmy not cancel the Lease (as defined in Section
G1 of the Pitney BownTerms) lbrary reasanandthatall paymetto6iigationsane unconditional. The Lease will be binding on us after we have completed
our credit and documentation approval process and have signed below The Lease requires you eitherto provide proof of insurance or participate in the ValueMAX
equipment replacement program (see Section L9 ofthe Pitney Bowes Terms) for an additional fee.
E-Signed : 03/09/2016 04:33 PM CST
,ccSusan IS -7) sse
,~arZ Pitney Bowes Signature
susan.dyssegard@ashland.or.us
Title: Administrative Supervisor
IP: 66.241.64.95
rin ame DocID: 20160309162813972 Print Name
APPROVED AS TO FORM
Title t% Title
Date Date
Date
Email Address
Sales Information
Michael Gibson 473
Account Rep Name District Office
See Pitney Bowes Terms for additional terms and conditions
PBBpGFS Lease
pgyaAgreement (Version 10115)
~400CP1tneY Ei~Ine 2I rjcllafS~egedZPitney Bowes. Purchase Power and ValueMAX are trademarks of Pitney Bowes Inc. or a subsidiary.
pitney bowel i~p? i i i I I I i_ I
PITNEY BOWES LEASE AGREEMENT -
Your Business Information Agreement Number
ASHLAND PARKS AND RECREATION COMMISSION 936001310
Full Legal Name of Lessee DBA Name of Lessee Tax ID # (FEIN/TIN)
1195 E MAIN ST ASHLAND OR 97520-2271
Billing Address: Street City State Zip+4
( ) ext 22346501863
Billing Contact Name Billing Contact Phone # Billing CAN #
1195 E MAIN ST ASHLAND OR 97520-2271
Installation Address (If different from billing address) : Street City State Zip+4
Susan Dyssegard (541) 552 2256 ext 22346501863
Installation Contact Name Installation Contact Phone # Installation CAN #
Invoice Attention To Lessee PO #
Your Business Needs
1 IntelliLink Subscription
Wireless LAN Kit
1 Digital Access Connection Accepted
See Pitney Bowes Terms for additional terms and conditions
PBGFS Lease gAgreement (Version 10115)
`16Ocpie. 8gyo bj 1111 rjsl~~gfyOa Itney Bowes, Purchase Power and ValueMAX are trademarks of Pitney Bowes Inc. or a subsidiary.
AMENDMENT # 5 to
CONTRACT # 1518
1. This is Amendment No. 5 to Contract fl 1518 (as intended from time to time, tite "Contract") dated 01101112012
between the State of Oregon, acting by and through its Department of Administrative Services, State Procurement
Office hereafter called "DAS SPO" or "State" and Pitney Bowes hereafter called "Contractor". This Amendment is
effective on (lie (fate it has been signed by every party and approved in accordance with applicable law.
The purpose of this Atnehdment 5 is to extend the now current price agreement.
11. The Price Agreement is hereby amended as follows:
a. The now current Expiration Date is October It, 2014,
b. The new Expiration Date will be October 11, 2016, or co-terminus with the expiration of the WSCA
Contract 4 ADSPO11-00000411-7, whichever comes last,
M. Except as expressly amended above, all other terms and conditions of the Contract are still in full force and
effect. Contractor certifies that the representations, warranties and certifications contained in the Contract are true
and correct as of the effective date of this Amendment and with the same effect as though made at the time of
execution of the Contract.
Certification: 13t signature on this Contract for Contractor, the utrdersigned hereby certifies under penalty of
pet jury that the undersigned is authorized to act on behalf of Contractor and that Contractor is, to the best of the
undersigned's knowledge, not in violation of any Oregon Tax Laws. For purposes of this certification, "Oregon Tax
Laws" means a state tax imposed by ORS 320.005 to 320.150 and 403.200 to 403.250 and ORS chapters 118, 314,
316, 317, 318, 321 and 323 and the elderly rental assistance program under ORS 310.630 to 310.706 and local
takes administered by the Department of Revenue under ORS 305.620.
CONTR k(CTOII :Pitta B V,
By: Date: I&L
Name: Arthur E. Adams, .I . Title: Director, State and Local Contracts
AGENCY:
Approved By: Date:
N:tnte;~tJJ~%~1~ Title:
APPROVED AS TO LEGAL SUFFICIENCY
AP-P- oved BY_. Not required per OAR 137-045-0050
Cor►tract 411518. Aamidnmit # 3
1
1
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Thursday, September 12, 2013 rshike
AMENDMENT # 4 to
CONTRACT # 1518
I. This is Amendment No. 4 to Contract # 1518 (as amended from time to time, the "Contract' ~ dated 01/04/2012
between the State of Oregon, acting by and through its Department of Administrative Services, State Procurement
Office hereafter called "DAS SPO" or "State" and Pitney Bowes hereafter called "Contractor". This Amendment is
effective on the date it has been signed by every party and approved in accordance with applicable law.
The purpose of this AmeiAnent 4 is to extend the now current price agreement.
11. The Price Agreement is hereby amended as follows:
a. The now current Expiration Date is January 3, 2014,
b. The new Expiration Date will be October 11, 2014.
i
111 Except as expressly amended above, all other terms and conditions of the Contract are still in full force and {
effect. Contractor certifies that the representations, warranties and certifications contained in the Contract are true {
and correct as of the effective date of this Amendment and with the same effect as though made at the time of
execution of the Contract.
I
Certification: By signature on this Contract for Contractor, the undersigned hereby certifies under penalty of
perjury that the undersigned is authorized to act on behalf of Contractor and that Contractor is, to the best of the
°uri ersimecl's know-ledge; not in -violation of ariy`Oregon TaX I aws'For purposes of this-certification;'"Ore~an Taa' `
Laws" means a state tax imposed by ORS 320.005 to 320.150 and 403.200 to 403.250 and ORS chapters 118, 314, i 1
316, 317, 318, 321 and 323 and the elderly rental assistance program under ORS 310.630 to 310.706 and local
taxes administered by the .Department of Revenue under ORS 305.620.
CONTRAC t y Bo
By: X1.) C'a 2C ' Date:
Name: Title: I
AGENCY:
Approved Date:
t
Name: ~i~tC S Title:
i
APPROVED AS TO LEGAL SUFFICIENCY !
i
Approved Bar: Not required per OAR 137-045-0050 I
- 1
I
t
Contract #1518, Amendment 3 1
1
AMENDMENT # 001 to
PRICE AGREEMENT# 1518
1. This is Amendment No. 001 to Price Agreement # 1518 (as amended from time to time, the "Price
Agreement") dated _January 4,2012 between the State of Oregon, acting by and through its Department of
Administrative Services, State Procurement Office, hereafter called "DAS SPO" or "State" and Pitney Bowes Inc.
hereafter called "Contractor". This Amendment is effective on the date it has been signed by every party and
approved in accordance with applicable law.
The purpose of this Amendment is to add Option A and Option C.
H. The Price Agreement is hereby amended as follows:
a. The Oregoat Participating Addendrirlt shall irtclrtde Option A artd Option C.
111. Except as expressly amended above, all other terms and conditions of the Price Agreement are still in full
force and effect, Contractor certifies that the representations, warranties and certifications contained in the Price
Agreement are true and correct as of the effective date of this Amendment and with the same effect as though made
at the time of execution of the Price Agreement.
Certification: The individual signing on behalf of Contractor hereby certifies and swears under penalty of perjury: (a) Contractor is
not subject to backup withholding because (i) Contractor is exempt from backup withholding, (ii) Contractor has not been notified by
the IRS that Contractor is subject to backup withholding as a result of a failure to report all interest or dividends, or (iii) the IRS has
notified Contractor that Contractor is no longer subject to backup withholding; (b) s/he is authorized to act on behalf of Contractor,
s/he has authority and knowledge regarding Contractor's payment of taxes, and to the best of her/his knowledge. Contractor is not in
violation of any Oregon tax laws (including, without limitation, the following pursuant to OAR 150-305.385(6)-(B): For purposes of
this certification, "Oregon tax laws" means the tax laws names is ORS 30.380 (4). including without limitation the state inheritance
tax, gift tax, personal income tax, Mthholding tar, corporation income and excise taxes, amusement device tax, timber taxes,
cigarette tax, other tobacco tax., 9-1-1 emergency communications tax, the homeowners and renters property tax relief program and
local taxes administered by the Department of Revenue (Multnomah County Business Income Tax, Lane Transit District Tax, Tri-
Metropolitan Transit District Employer Payroll Tax, and Tri-Metropolitan District Self-Employment Tax; (c) Contractor is an
independent contractor as defined in ORS 670.600; and (d) the supplied Contractor data is true and accurate.
CONTRACTOR: Pitney Bowes Inc.:
Vi
By:
Name:, Date
DEPARTMENT OF ADMINISTRAT" -SERVICES, STATE PROCUREMENT OFFICE:
Fem. Gi / t /s
Approved By: .~r,-,~. , r'~.~__ ~ .
Na Title: to
r
APPROVED AS TO LEGAL SUFFICIENCY
Approved By: Not required per OAR 137-015-0050 (a) (B)
Contract ri 1518, Aind Ofil.doc I 1/1212012
Master No. 48620-11
AAIF,NDN ENT # 3 to
CONTILi<C:T 4 1518
I. This is Atitendineiii )\`o. 3 to Contract f 1-518 fits amended from timetp Lime. the "Ccnntract'3 dated CrllU40012
between the $Inae of Q eon, acting by. and throulgh its Dcpartmeni OfAdministmtike Services. Stste Procurement
Office hereafter called -•DAS SPOT or'Stale" and Pitney Howes hereafter called "Contratio Thi; :%mendntrnt is
;:ffactivo on the date it has been si-ned bv every Marty kind approved in accordance with applicable law.
The purpose of this Amendment 3 is to extend the now current price agreement.
11, The Price Agreement is hereb amended as folFowr
a. The now current Flpira(ion Date is Janu
2 2
ry 3, -013.,
b. '111e new Expiration Date will ix:,iamtary 3, 2014.
ft Except as expressly amended above. all other terms and conditions of the Contracture stilt in full farce and
effect. Contractor certifies shat the repi-esentations, warranties and certifi(;ations contained in the Contract are true
and correct as of the effective date of this Ameindmenit and with the sane effect as ihotath made at the time of
execution ofth Cont.mer.
Certification: By signature on this Contract for Contractor, the undersigned hereby certifies under, penalty o!'
perjury that the undersigned is au.thorimd to act on behalf of Contractor and that. Contractor is, to the L>tst ofthe
undersigned's knott•iedge, nol in violation of any Oregon fax Laws, For purposes i)f This cZnifimtioti, '-Or•~gon Tax
l anus'' means a state tax imposed by ORS 3'0.0()5 to 320, 150 and 403.200 to 403.250 and ORS chapters 118, 314.
116, 317; 318, 17.1 and 323 and the elderly rental assistance program under ORS 310.630 to 310.706 and local
taxes itdminislered by the Department of Revenue under ORS 30~,020.
f'
C
O TI ,k A- 3 'itge~ : r s -
Bv:
Name: Title: -
AGENCY: ~
Approved Fay,` ~."a_
kA~
am'. Title: -
AFPl2(1~FD AS TO LEGAL SU FICCENCY
Avtarovcd Not require per nAR 137-045-005Q
Contract 0 t 51 S. Amendment r' 3 t
Amendment 1
PARTICIPATING ADDENDUM FOR THE STATE OF OREGON
MASTER AGREEMENT FOR MAILING ROOM EQUIPMENT AND MAINTENANCE
SERVICES OF CONTRACTOR
between the Western States Contracting Alliance Acting, by and through the State of ARIZONA
And Pitney Bowes
On October I2, 2011, the State of Arizona issued an acceptance of offer to ADSPOI I-00000411-7 on
behalf of the Western States Contracting Alliance ("WSCA") and its member states and other purchasing entities
seeking offers from qualified and responsible proposers to providemailing equipment, services and support,
Pitney Bowes, Inc. ("Contractor") submitted a Proposal and was awarded a contract. The Master Agreement
consists of the terms and conditions, identified in response to the solicitation.
The State of Oregon ("State" or "Oregon") is a member of WSCA. The State, by and through the
Department of Administrative Services, State Procurement Office ("DAS SPO"), on behalf of the State of Oregon
and its agencies and ORCPP members ("Authorized Purchasers"), has elected to participate in this procurement;
subject to the terms and conditions of this Participating Addeiidiim ("Addendum"). This Addendum is effective
when all necessary approvals have been obtained and signed by the parties ("Effective Date").
1. Scone., Order of Precedence: This Addendum establishes an agreement to agree between Contractor and State .
pursuant to ORS 279B.140. All goods and services offered under the Master Agreement may be procured under
this Addendum. This Addendum contains additional terns and conditions specifically applicable to individual
Contracts between Contractor and Authorized Purchasers: in the event of a conflict between the terms and
conditions of this Participating Addendum and the Master Agreement, the following order of precedence applies:
(a) this Addendum, less its exhibits;
(b) Exhibit No. I of the Addendum (State Specific Terms and Conditions);
(c) ExWbit No. 2 of the Addendum (Insurance);
Option A PBI WSCA NASPO LTOP,
Option B PBI WSCA NASPO RENTAL,
Option C PBI WS-CA NASPO FMV;
(d) any Purchase Order issued by an Authorized Purchaser pursuant to this Addendum: and
(e) the Master Agreement, including its attachments.
2. Participation: Use of specific WSCA cooperative contracts by state agencies, political subdivisions and other
entities (including cooperatives) authorized by an individual state's statutes to use state contracts are subject to the
approval of the respective State Chief Procurement Official. Issues of interpretation and eligibility for
participation are solely within the authority of the State Chief Procurement Official.
3. Modifications or Additions to Master Agreement: The State Specific Terns and Conditions set forth in
Exhibit No.1 are hereby incorporated in and made a part of this Addendum.
In addition, the parties agree to the following provisions:
3.1 Authorized Purchaser and Contractor shall agree upon the software license terms and conditions in
wrthng
Page 1 of 21
3.2 All Authorized Purchasers requiring the use of a Postage Meter will comply with all United States
Postal Service regulations and meter terms and conditions applicable to the rental and use of postage
meters supplied under this participating addendum as provided by Contractor.
4. Lease Agreements: Equipment Lease and Rental Agreements are authorized in accordance with the
terms of WSCAlNASPO Master Price Agreement number: ADSPOI 1-00000411-7. Exhibit 3 to the
Master Agreement reflects the lease or rental options available to the State.
5. Primary Contacts: The primary government contact individuals for this Addendum are as
follows (or their named successors):
Lead State:
Name: Arizona Department of Adminstration, State Procurement Office
Address: 100 North Fifteenth Avenue Suite 201, Phoenix, Arizona 85007
Telephone; 1 (602) 542-551 l
Fax: 1 (602) 542-5508
E-mail: Stacy.Ingalls@azdoa.ggy,
Contractor: - Contractual matters
Name: Pitney Bowes, Inc.
Address: One Elmcroft Road, Stamford, CT 06926
Telephone: 1 (203) 351-7866
Fax; 1 (203) 460-3827
E-mail: art.adams@pb.com
Contractor: - Local Strategic State Account Manager
Name: Pitney Bowes, Inc.
Address: 8030 S 216th St, Kent, WA 98032
Telephone. 1 '406-851-3353
Fax; 1-203460-3251
E-mail: Chelsea Jorgensen c?pb.com
Participating State (Entity):
Name: State of Oregon, Department of Adminstration, State Procurement Office
Address: 1225 Ferry Street SE U.140
Salem, Oregon 97301-4295
Telephone: 1 (503) 3784778
Fax: 503-373-1626
E-mail: Tim.Jenks@state.or.us
6. Subcontractors: NO servicing subcontractors are permitted under this contract.
7. Muster Agreement KMmbgj: All purchase orders issued by Authorized Purchasers within the jurisdiction of
this Addendum shall include the Participating State contract cumber: 1518 and the Lead State Master
Agreement number: ADSPO11-00000411-7.
}
Page 2 of 21
This Addendum and the Master Agreement number ADSPOI 1-00000411-7 (administered by the State of
Oregon) together with its exhibits, set forth the entire agreement between the parties with respect to the subject
hatter of all previous communications, representations or agreements, whether oral or written, with respect to the
subject matter hereof. Terms and conditions inconsistent with, contrary or in addition to the terms and conditions
of this Addendiun and the Master Agreement, together with its exhibits, shall not be added to or incorporated into
this Addendum or the MasterAgreement and its exhibits, by any subsequent purchase order or otherwise, and any
such attempts to add or incorporate such terms and conditions are hereby rejected. The terms and conditions of
this Addendum and the Master Agreement and its exhibits shall prevail and govern in the case of any such
inconsistent or additional terms within the Participating State.
8, Internally deleted in its entirety and will remain blank.
9. Vendor Collected Administrative Fee: (rf applicable) 1.0
10. Tax Certification. The individual signing on behalf of Contractor hereby certifies and swears under penalty of
perjury: (a) the number shown in the Participating Addendum is Contractors correct taxpayer identification; (b)
Contractor is not subject to backup withholding because (i) Contractor is exempt from backup withholding, (ii)'
Contractor has not been notified by the IRS that Contractor is subject to backup withholding as a result of a failure to
report all interest or dividends, or (iii) the IRS has notified Contractor that Contractor is no longer subject to back-up
withholding; and (c) s/he is auathorized to act on behalf of Contractor, s/he has authority and knowledge regarding
Contractor's payment of taxes, and to the best of her/his knowledge, Contractor is not in violation of any Oregon Tax
Laws. (For purposes hereof, "Oregon Tax Laws" means a state tax imposed by ORS 320.005 to 320:150 and
403.200 to 403.250 and ORS chapters 118, 314, 316, 317, 318, 321 and 323 and the elderly rental assistance
program under ORS 310.630 to 310.706 and local taxes administered by the Department of Revenue under ORS
305.620.)
IN WITNESS WHEREOF, the parties have signed this Addendum.
Participating State/Entity: Contractor;
Pitney Bowes Inc.
The State of Oregon, acting by and through the
Department of Administrative Services, State
Procurement Office
By: By:
Name:
c~ c-1 G<.T- F Arthur E. Adams Jr.
Title: C„►j Title:
Director, State and Local Contracts
Date: 2 y . Z Date: i
Conhactor Federal Tam ID#: 06-0495050
Page 3 of 21
EXHIBIT No. 1
Changes to Master Agreement State-Specific Constitutional, Statutory and Other Requirements
1. Definitions. The following terms have the meanings set forth below. Capitalized terms not defined in
this Addendum have the meaning ascribed to them in the Master Agreement and its exhibits.
"Authorized Purchaser" means an agency of the State of Oregon or any ORCPP member that submits a
Purchase Order to Contractor.
"Contract" means the agreement between Authorized Purchaser and Contractor formed by the Authorized
Purchaser's issuance of a Purchase Order that incorporates by reference the terms and conditions of the
Master Agreement and this Addendum.
i
`°DAS SPO" means the State of Oregon acting by and through the Department of Administrative Sen ices,
State Procurement Office.
"ORCPP" means the Oregon Cooperative Purchasiug Program, which recognizes certain agencies and
organizations within the State of Oregon as authorized to purchase the goods and services available wider a
price agreement entered into by the State.
"Master Agreement" means the State of Arizona Master Agreement # ADS PO11-00000411-7 between
Contractor and the State of Arizona, on behalf of the Wester States Contracting Alliance, and its
attachments, which together with this Addendum sets forth terms, conditions and requirements for purchase
by Authorized Purchasers of the goods and services described therein.
"Purchase Order" means the purchase order document submitted to Contractor by an Authorized Purchaser
that incorporates this Addendum by reference and specifies the quantity and type of goods or services that
Contractor will provide to the Authorized Purchaser under the terms of the Master Agreement and this
Addendum.
"State", for the purposes of this Participating Addendum, means the State of Oregon.
2. Purchase Orders.
2.1 Purchase Orders. Authorized Purchasers nray use their own forms for Purchase Orders. State agencies may
also use the general State-approved Purchase Order referencing the Master Agreement Number 4 ADSPOI l -
00000411-7. To the extent that the terns of any form differ from the terns of this Addendum, the terms of this
Addendum supersede such contrary terms. Each Purchase Order from an Authorized Purchaser that is not a State
agency must contain, on the front page, the following language:
THIS PURCHASE IS PLACED AGAINST THE WESTERN STATES CONTRACTING
ALLIANCE MASTER AGREENltENT/CONTRACT NO. ADSPOi 1-00000411-7 THE
TERMS AND CONDITIONS OF THE MASTER AGREEMENT AND THE ASSOCIATED
PARTICIPATING ADDENDUM ENTERED INTO BY THE STATE OF OREGON,
CONTRACT NO. 1518 APPLY TO THIS PURCHASE AND SUPERSEDE ALL
CONFLICTWG TERMS AND CONDITIONS, EXPRESS OR IMPLIED.
Page 4 of 21 /f,~~
Award Summary Pagel of 3
Award Summary
"1:;t-VjW
Price Agreement Omgon Procureme,7t Information Nehvork
WSCA Postage Meter Mailing Equipment
(Prod)
Supplier Address Contract #
Pitney Bowes 1518
One Elmcroft Road
Amendment # 8
Stamford, Connecticut
Revision # 3
€ 1: ,01 0 6 92 6 Revision Date
02/10/2016
~1
Contact Art Adams RQN Number
Phone 1 (203) 351-7866 102-1827-11
Fax 1 (203) 460-3827 Contract Start Date
Email art.adams@pb.com 01/04/2012
Expiration Date
10/11/2016
Supplier Number
34247
All dates are mm/dd/yyyy
Attachments Exist
Amendment/Revision Comments Exist
Secondary Suppliers Do Not Exist
User Comments Do Not Exist
Contract Administrator Receiving Address Contract Filed At
State Procurement Office See purchase order DAS PS
1225 Ferry Street SE, U140
Salem, Oregon
97301-4285
Contact Robert Shike
Phone 1 (503) 373-0763
Fax 1 (503) 373-0928
Email robert.shike@state.or.
us
Header Comments
Pricing effective 10/28/15 with Amendment 7 - approved 12/18/15, bob 12-31-15
Order Information:
Orders. Authorized Purchasers may purchase goods and services with Purchase orders from
Pitney Bowes Option A, B, and C. Contractor will not accept Purchase Orders for or sell,
under this Addendum, any services or goods that are not identified in the Price Agreement.
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Award Summary Page 2 of 3
Effect of Purchase Orders. The State is only liable for purchases made by State of Oregon
agencies that issue Purchase Orders. Other Authorized Purchasers are responsible for any
purchases under Purchase Orders they issue. The State expressly disclaims any liability
for
purchases made by non-State agency Authorized Purchasers or any other entity.
Authorized Purchasers may use their own forms for Purchase Orders. State agencies may also
use the general State-approved Purchase Order referencing the Price Agreement Number. To
the extent that the terms of any form differ from the terms of this Addendum, the terms of
this Addendum supersede such contrary terms.
Each Purchase Order from an Authorized Purchaser that is not a State agency must contain,
on the front page, the following language ((See Below; Mandatory Purchase Order (PO)
Language)
See "Attachments Exist " folder for additional order information.
Mandatory Purchase Order (PO) Language:
THIS PURCHASE IS PLACED AGAINST THE WESTERN STATES CONTRACTING ALLIANCE PRICE
AGREEMENT/CONTRACT NO. 1518. THE TERMS AND CONDITIONS OF THE PRICE AGREEMENT AND THE
ASSOCIATED PARTICIPATING ADDENDUM ENTERED INTO BY THE STATE OF OREGON APPLY TO THIS
PURCHASE AND SUPERSEDE ALL CONFLICTING TERMS AND CONDITIONS, EXPRESS OR IMPLIED
Delivery Information:
See "Attachment Exist" folder for Delivery Information
Price Agreement Documentation Include:
Participating Addendum,
Offer and Acceptance,
Pitney Bowes Pricing.
Funds available and authorized/non-appropriation. Contractor will not be compensated for
goods delivered or services performed under a Purchase Order by any entity other than the
Authorized Purchaser that issued the Purchase Order. If Authorized Purchaser is a State
agency, the following applies: By submitting a Purchase Order that calls for delivery in
the Authorized Purchaser's then current budgetary period, the Authorized Purchaser
represents its belief that it has sufficient funds then currently available and authorized
for expenditure to finance the costs of the Purchase Order. An Authorized Purchaser's
payment of amounts under a Purchase Order attributable to goods delivered or services
performed after the last day of the budgetary period in which the Authorized Purchaser
issues the Purchase Order is contingent on the Authorized Purchaser receiving from the
Oregon Legislative Assembly or other appropriating authority, appropriations, limitations
or other expenditure authority sufficient to allow the Authorized Purchaser, in the
exercise of its reasonable administrative discretion, to pay for the goods or services
described in the Purchase Order.
Delivery Requirements
Need
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Award Summary Page 3 of 3
Payment Terms
Net 45
FOB
FOB Destination, Freight Allowed
Item # Quantity/ Description Unit Cost
Unit
1 Commodity No. 939-52 $1.00
1 Mailing Machines and Equipment Maintenance and Repair
EACH
Mandatory or Convenience Current Amendment Value
Mandatory $0.00
Minimum Order
See PA Previous Contract Value
Return Policy $1,000,000.00
See PA
Warranty Current Amended Value
See PA $1,000,000.00
Best Value Analysis
Freight / Surcharge
Renewal Option
CONTROL NUMBER: 1813227 Master File: ORPIN-48620-11
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Page 1 / 1
ASHLAND PARK COMMISSION
20 E MAIN ST. DATE PO NUMBER
ASHLAND, OR 97520 3/28/2016 00552
(541) 488-5300
VENDOR: 001522 SHIP TO:
PITNEY BOWES CREDIT CORP
PURCHASE POWER
PO BOX 371874
PITTSBURGH, PA 15250-7874
FOB Point: Ashland, Oregon Req. No.:
Terms: Net 15 days Dept.:
Req. Del. Date: Contact: Rachel Dials
Special Inst: Confirming? No
Quantity Unit Description Unit Price Ext. Price
16.00 MO Pitnev Bowes Lease Agreement 95.00 1,520.00
DM125 Desktop Mailing System
Location: The Grove
(See attached lease agreement for
details)
Total 63-Months 01- $95.00/Month
Term of lease: March 2016 - June 2021
PO issued for balance of current
biennium budget (March 2016 to June
2017).
This purchase is placed against the
Western State Contracting Alliance
Master Agreement/Contract No.
ADSP011-00000411-7. The terms and
conditions of the Master Agreement and
the associated Participating Addendum
entered into by the State of Oregon,
Contract No. 1518 apply to this
purchase and supersede all conflicting
terms and conditions, express or
implied.
SUBTOTAL 1,520.00
BILL TO: TAX 0.00
FREIGHT 0.00
TOTAL 1,520.00
Account Number Project Number Amount Account Number Project Number Amount
E 211.12.03.01.60340 1,520.00
Authorized ignature VENDOR COPY
- FORM #3
u'ii use Girt
REQUISITION ` / E
e
4,oA livery. Vendor Name
Address, City, State, Zip Pitney Bowes, Inc. World Headquarters-Attn: Michael Gibson Sales Manager
Contact Name & Telephone Number 3001 Summer Street, Stamford, CT 06926
Fax Number Tel: 866-581-1234 x5206
SOURCING METHOD
❑ Exempt from Competitive Bidding
❑ Emer enc
❑ Reason for exemptio : ❑ Invitation to Bid (Copies on file) orm #13, Written findings and Au
❑ AMC 2.50 Date approved by Council: ❑ Written quote or proposal attached
❑ Written ote or proposal attached
❑ Small Pro urement Coo ive Procurement
Less than $5,060 ❑ Request for Proposal (Copies on file) State of Oregon FY-1 5-16 rit/5Ai¢*
® Direct Av'ard Date approved by Council: Contract # ( ~F
❑ Verbal/Written quote(s) or proposal(s) -
❑ State of Washington
Intermediate Procu ment ❑ Sole Source Contract #
GOODS 4 SERVICES-- ❑ Applicable Form (#5,6, 7 or 8) ❑ Other government agency contract
$5,000 to $100,000 ❑ Written quote or proposal attached Agency
❑ (3) Written quotes and solicitation attached ❑ Form #4, Personal Services $5K to $75K Contract #
PERSONAL SERVICES ❑ Special Procurement Intergovernmental Agreement
$5,000 to $75,000 ❑ Form #9, Request for Approval ❑ Agency
❑ Less than $35,000, by direct appointment ❑ Written quote or proposal attached Date original contract approved by Council:
❑ (3) Written proposals/written solicitation Date approved by Council: (Date)
❑ Form #4, Personal Services $5K to $75K ntil: (Date) I
Description of SERVIC Total Cost
Pitney Bowes postage machine dr The Gro , 195 E. Main Street - headquarters for
APRC's Recreation Division. Pro e: DM125 Desktop Mailing System. Billed 25.00
quarterly at $285.00
63-month lease at $951 month. Entire lease period spanning March 2016 - June 2021. For
BN 15-17, lease spanning March 2016 - June 2017 (remaining balance on lease: 48 months).
Lease rice includes installation, training and a service agreement.
Item # Quantity Unit Description of MATERIALS Unit Price Total Cost
1 Leased postage machine, DM125 X'~~`
$95 / month ,425.00
TOTAL COST
® Per attached quotelproposal
Project Number Account Number _211_ -12 -03_-_01_-_603400_
'Expenditure must be charged to the appropriate account numbers for the financials to accurately reflect the actual expenditures.
IT Director in collaboration with department to approve all hardware and software purchases:
IT Director Date Support -Yes / No
By signing this re 'uisition for rtify that the City's public contracting requirements have been satisfied.
Employee: G--~
n Department Head:
(Equal to or greater than $5,000)
Department Manager/SupervisBI City Administrator:
I (Equal to or greater than $25,000)
Funds appropriated for current fiscal year. YES / NO
Finance Director- (Equal to or greater than $5,000) Date
Comments:
Form #3 -Requisition