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Home My WebLink About2017-198 Requisition-Pitney Bowes FORM 93 CITY OF ASHLAND REQUISITION Date of request: 9/21/17 Required date for delivery: ASAP Vendor Name PITNEY BOWES Address, City, State, Zip 1313 N. ATLANTIC AVE, STE. 3000, SPOKANE, WA, 99201 Contact Name & Telephone Number ERIKA WEEKS, (800) 203-3240 X. 5336 Fax Number SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Emergency ❑ Reason for exemption: ❑ Invitation to Bid (Copies on file) ❑ Form #13, Written findings and Authorization ❑ AMC 2.50 Date approved by Council: ❑ Written quote or proposal attached ❑ Written quote or proposal attached Attach co of council communication If council approval required, attach co of CC ❑ Small Procurement Cooperative Procurement Less than $5,000 ❑ Request for Proposal (Copies on file) ❑ State of Oregon ❑ Direct Award Date approved by Council: Contract # ❑ Verbal/Written quote(s) or proposal(s) -(Attach copy of council communication) ❑ State of Washington Intermediate Procurement ❑ Sole Source Contract # GOODS & 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 Valid until: Date - (Attach copy of council communication) Description of SERVICES Total Cost 60-month lease of Pitney Bowes postage meter to be billed quarterly at $111.42 Item # Quantity Unit Description of MATERIALS Unit Price Total Cost 8 months Pitney Bowes SendPro C200 postage machine $37.14 $297.12 i 0/7 TOTAL COST Per attached quote/proposal 29 Project Number _ _ _ _ _ _ - _ _ _ Account Number 092700.603400 (50%) - $148.56 lb ? , C Account Number Account Number 081100.603400 (50%) - $148.56 j j, '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 puhases: ~LDir~c or Date Support -Yes /No By signing this requisition form, I certify that the City's public contracting requirements have been sat: Employee: Department Head: (Equal to or greater than $5,000) Department Manager/Supervisor: City Administrat r: (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 o A 3 pitneybowes 04068020 State and Local Fair Market Value Lease Your Business Information Agreement Number I Full Legal Name of Lessee / DBA Name of Lessee Tax ID # (FEIN/TIN) CITY OF ASHLAND . Sold-To: Address 51 WINBURN WAY , ASHLAND, OR, 97520-2735, US Sold-To: Contact Name Sold-To: Contact Phone # Sold-To: Account # April Lucas 5414885305 0011663586 Bill-To: Address 20 E MAIN ST CITY HALL, ASHLAND, OR, 97520-1850, US Bill-To: Contact Name Bill-To: Contact Phone # Bill-To: Account # Bill-To: Email April Lucas 5414885305 0015012905 aprll.lucas@ashiand.or.us Ship-To: Address 51 WINBURN WAY , ASHLAND, OR, 97520-2735, US Ship-To: Contact Name Ship-To: Contact Phone # Ship-To: Account # April Lucas 5414885305 0011663586 PO # Your Business Needs Qty Item Business Solution Description 1 SENDPROCSERIES SENDPRO C200, C300, C400 1 1FXA IFXA DM Series INVIEW Dashboard 1 1H00 CSD Commercial PSD 9 1 2H00 C Series Base 1 APAC Connect+Accounting Weight Break Reports I r 1 APAV Cost Acctg Accounts Level (25) 1 APBt COST ACCOUNTING DEVICES (2) t e 1 APKN ACCOUNT LIST IMPORT/EXPORT 1 C200 ppp SendPro C200 1 CAAA Cost Accounting Bronze plan t F9S1 F9S1-SENDPRO C INSTALL TRNG WO SHIPPING 1 HZ80001 SendPro C Series Drop Slacker i 1 MP81 C Series Integrated Scale 1 SJSi i C200 SoRguard I US1S"02.5 07117 Page i or 2 Y100754902 02017 Pltnoy Bowes Inc.All rights roaomed. See Pitney Bowes Tema for additional tome and conditions 7 i 6 0040680P 1 STDSLA Standard SLA-Equipment Service Agreement (for SENDPRO C200, C300, C400) 1 ZH24 MANUAL WEIGHT ENTRY 1 ZH25 HZ02 40 LPM SPEED 1 ZHC2 SENDPRO C200 BASE SYSTEM IDENTIFIER 1 ZHD5 USPS RATES WITH METERED LETTER i 1 ZhIWL 5 lbs. 13 kg Weighing Option for MP01 Your Payment Plan Initial Term: 60 months Initial Payment Amount: Tax Exempt Certificate Attached Number of Months Monthly Amount Billed Quarterly at` Tax Exempt Certificate Not Required 60 $37.14 $111.42 (x) Purchase Power®transaction fees included ( ) Purchase Power® transaction fees extra T-s not!.ludo any app11c.bI. sa/os, use, arproporly laxos which roll Da b/llad saperolaly. Your Signature Below Non-Appropriations. You warrant that you have funds available to make all payments until the end of your current fiscal period, and shall use your best efforts to obtain funds to make all payments In each subsequent fiscal period through the end of your lease term. If your appropriation request to your legislative body, or funding authority ("Governing Body") for funds to make the payments is denied, you may terminate the lease on the last day of the fiscal period for which funds have been appropriated, upon (i) submission of documentation reasonably satisfactory to us evidencing the Governing Body's denial of an appropriation sufficient to continue the lease for the next succeeding fiscal period, and (it) satisfaction of all charges and obligations under the lease Incurred through the end of the fiscal period for which funds have been appropriated, including the return of the equipment at your expense. By signing below, you agree to be bound by all the terms of this Agreement, Including the Pitney Bowes Terms (Version 7/17), which are available at ht pb com/statciocalfmvt rm and are incorporated by reference. This lease will be binding on us after we have completed our credit and documentation approval process and have signed below. This lease requires you either to provide proof of Insurance or participate In the ValueMAMD equipment protection program (see Section 6 of the State and Local Fair Market Value Lease Terms) for an additional fee. If software is Included in the Order, additional terms apply which are available by cllcking on the hyperlink for that software located at httn //www nitnevb2wes.com/iis/licensp-ternis-o f- Ic fcoftware-and-c ibc rlntlon-trrmc_and-rond(tlonc hlmi. Those additional terms are Incorporated by reference. Nowno;llcable SatelEnlily's nlracl (1 Suva "dare Po IIP_ 4-4- Le a Signs ure t Pitney Fjeaqgc .e r , r r.Qot i f ~ F w jB 1Y. It j i ~P~l+t iron 5 riot Name Print Name ~ ~~1.,1~ 'l' i~ 'il1 1 ~..t 2 - ij 4•:I.1t~? ~'~r\ 1( ,ri l Tile I J ` l Title Date_ Dole Email Address Sales Information Erika Weeks erika.weeksQpb.com Account Rep Name 1 Email Address PBGFS Acceptance US,54402.5 07117 APPROVED AS TO FORM 1`11o2a1 2 Y100754902 02017 Pilney Bowes Inc. All rights rosamed. Sae Pnnay Bowes Term, for addldonal terms and eondillona Ashland Asst. Cjty Attomey Dat 7+f ~7 Purchase Order, ~Fiscal Year 2018 Page: 1 of: 1 THIS PO NUMBER MUST APPEAR ON ALL 1 B City of Ashland INVOICES, AND SHIPPING DOCUMENTS. ATTN: Accounts Payable - L 20 E. Main Purchase n L Ashland, OR 97520 Order # L 0181035 T Phone: 541/552-2010 O Email: payable@ashland.or.us V PITNEY BOWES H C/O Planning Division N 1245 EAST BRICKYARD ROAD 1 51 Winburn Way E D SUITE 250 P Ashland, OR 97520 O SALT LAKE CITY, UT 84106-4278 Phone: 541/488-5305 O Fax: 541/552-2050 J R 11 Vendor Phone Number Vendor Fax Number) r Requ sitionnNumtiei yNINla1!IIN~~' NON lntl~~„I Ilpil'liti~'IIN=1D'e e"ry' Reference 800 243-7800 mail Aril Lucas I Date Ordered Vendor Number : Date Required y r,. Freight Method/Terms Department/tocation 09/26/2017 160 FOB ASHLAND OR Cit Accounts Pa able ,1 r ,IIV'~'.r"~I 4,,9 Item# Descri tion/P,artNo QTaY ~o4 ,UOM•. UnittPrice Extended- Price Postage Machine - Planning 1 Pitneyy Bowes SendPro C200 Postage Machine 9 MO $37.1400 $334.26 New 60 month lease, $37.14/Month To be billed quarterly at $111.42 PO issued for balance of current fiscal year October 2017 - June 2018 (Months 1-9) Pitney Bowes State and Local Fair Market Value Lease This lease is placed against the Western States 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 lease and supersede all conflicting terms and conditions, express or implied. Project Account: Project Account: GL SUMMARY 081100 - 603400 $167.13 092700 - 603400 $167 13 I l BDate:-/ Authorized Signature PO Total' $334 26