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Contract - Xerox / Dahill - 3/25/2021 CITY OF ROUND ROCK AGREEMENT FOR COPIER LEASE SERVICES AND SOLUTIONS WITH DAHILL OFFICE TECHNOLOGY CORPORATION DBA"XEROX BUSINESS SOLUTIONS SOUTHWEST" THE STATE OF TEXAS § CITY OF ROUND ROCK § KNOW ALL BY THESE PRESENTS: COUNTY OF WILLIAMSON § COUNTY OF TRAVIS § This Agreement is for the acquisition of copiers for City facilities, and for related goods and services including delivery, installation, maintenance and warranty coverage, and is referred to herein as the "Agreement." This Agreement is made and entered into on this the day of the month ofrFebpAwy, 2021, by and between the CITY OF ROUND ROCK, TEXAS, a home- rule municip lity whose offices are located at 221 East Main Street, Round Rock, Texas 78664, referred to herein as the "City," and DAHILL OFFICE TECHNOLOGY CORPORATION dba "XEROX BUSINESS SOLUTIONS SOUTHWEST", whose offices are located at 8200 IH 10 West, Suite 400, San Antonio, Texas 78230 referred to herein as "Xerox" or the "Vendor." This Agreement supersedes and replaces any previous agreement between the named parties, whether oral or written, and whether or not established by custom and practice. RECITALS: WHEREAS, City desires to acquire copiers for City facilities and to purchase maintenance services and other goods and services related to said copiers, including but not limited to delivery, installation, maintenance and warranty coverage, and City desires to obtain same from Vendor; and WHEREAS, City is a member of the PACE Purchasing Cooperative ("PACE") and Vendor is an approved PACE vendor; and WHEREAS, City desires to acquire copiers and purchase related services from Vendor through PACE as set forth herein; and WHEREAS, the parties desire to enter into this Agreement to set forth in writing their respective rights, duties, and obligations; NOW,THEREFORE,WITNESSETH: That for and in consideration of the mutual promises contained herein and other good and valuable consideration,the receipt and sufficiency of which are hereby acknowledged,the parties mutually agree as follows: 00463924/ss2 1.0 DEFINITIONS A. Agreement means the binding legal contract between City and Vendor whereby City is obligated to obtain specified goods and Vendor is obligated to provide specified goods. The Agreement includes the following: (a) pages one (1) through eight (8) of this document; (b) the "Price Proposal" dated January 15, 2021 (attached as Exhibit"A" and incorporated herein by reference for all purposes); the Lease Schedule (attached as Exhibit `B" and incorporated herein by reference for all purposes); (c) the Managed Documents Services Agreement (attached as Exhibit "C" and incorporated herein by reference for all purposes); (d) and any exhibits, addenda, and/or amendments thereto. B. City means the City of Round Rock, Williamson and Travis Counties, Texas. C. Effective Date means the date upon which the binding signatures of both parties to this Agreement are affixed. D. Goods mean the specified supplies, materials, commodities, or equipment. E. Vendor means Dahill Office Technology Corporation dba Xerox Business Solutions Southwest, or any successors or assigns. 2.0 EFFECTIVE DATE A. This Agreement shall be effective on the date it has been signed by both parties hereto, and shall remain in full force and effect unless and until it expires by operation of the term stated herein, or until terminated or extended as provided herein. B. The term of this Agreement is for sixty (60) months from the effective date hereof. C. Prices shall be firm for the duration of this Agreement. No separate line item charges shall be permitted for invoicing purposes, including but not limited to equipment rental, demurrage,or any other extraneous charges. 3.0 SCOPE OF WORK The Scope of Work is described in Exhibit "A," Exhibit `B," and Exhibit "C," all attached hereto. 4.0 COSTS City agrees to pay Vendor the amounts set forth in Exhibit"A," Exhibit"B," and Exhibit "C" for copiers and related costs. 2 5.0 INVOICES All invoices shall include, at a minimum,the following information: 1. Name and address of Vendor; 2. Purchase Order Number; 3. Description and quantity of items received; and 4. Delivery dates. 6.0 NON-APPROPRIATION AND FISCAL FUNDING This Agreement is a commitment of City's current revenues only. It is understood and agreed that City shall have the right to terminate this Agreement at the end of any City fiscal year if the governing body of City does not appropriate funds sufficient to purchase the services as determined by City's budget for the fiscal year in question. City may effect such termination by giving Vendor a written notice of termination at the end of its then-current fiscal year. 7.0 PROMPT PAYMENT POLICY In accordance with Chapter 2251, V.T.C.A., Texas Government Code, any payment to be made by City to Vendor will be made within thirty (30) days of the date City receives goods under this Agreement, the date the performance of the services under this Agreement are completed, or the date City receives a correct invoice for the goods or services, whichever is later. Vendor may charge interest on an overdue payment at the "rate in effect" on September 1 of the fiscal year in which the payment becomes overdue, in accordance with V.T.C.A., Texas Government Code, Section 2251.025(b). This Prompt Payment Policy does not apply to payments made by City in the event: 1. There is a bona fide dispute between City and Vendor, a contractor, subcontractor, or supplier about the goods delivered or the service performed that cause the payment to be late; or 2. There is a bona fide dispute between Vendor and a subcontractor or between a subcontractor and its supplier about the goods delivered or the service performed that causes the payment to be late; or 3. The terms of a federal contract, grant, regulation, or statute prevent City from making a timely payment with federal funds; or 4. The invoice is not mailed to City in strict accordance with any instruction on the purchase order relating to the payment. 3 8.0 GRATUITIES AND BRIBES City may, by written notice to Vendor, cancel this Agreement without liability to Vendor if it is determined by City that gratuities or bribes in the form of entertainment, gifts, or otherwise were offered or given by Vendor or its agents or representatives to any City officer, employee or elected representative with respect to the performance of this Agreement. In addition, Vendor may be subject to penalties stated in Title 8 of the Texas Penal Code. 9.0 TAXES City is exempt from Federal Excise and State Sales Tax; therefore, tax shall not be included in Vendor's charges. 10.0 INSURANCE Vendor shall meet all City of Round Rock insurance requirements set forth on the City's website at: https://www.roundrocktexas. og v/wp-content/uploads/2020/07/Insurance-Requirements-1 pdf 11.0 CITY'S REPRESENTATIVE City hereby designates the following representative authorized to act in its behalf with regard to this Agreement: Teresa Reddy Purchasing Manager 221 East Main Street Round Rock, TX 78664 (512)218-5457 treddynxoundrocktexas. ov 12.0 DEFAULT If Vendor abandons or defaults under this Agreement and is a cause of City acquiring the specified goods elsewhere, Vendor agrees that it may be charged the difference in cost, if any. Vendor shall be declared in default of this Agreement if it does any of the following and fails to cure the issue within thirty (30)days of receipt of written notice: A. Fails to fully, timely and faithfully perform any of its material obligations under this Agreement; B. Becomes insolvent or seeks relief under the bankruptcy laws of the United States and is unable to perform its material obligations under the Agreement. 4 13.0 TERMINATION AND SUSPENSION A. In the event of an uncured default by either party, the non-defaulting party has the right to terminate the affected portions of this Agreement for cause, upon ten (10) days' written notice to the defaulting party following the cure period. B. In the event City terminates under this section, the following shall apply: Upon the effective date of the termination, Vendor shall discontinue performance of the affected Services and will schedule removal of the affected Equipment. The City will be responsible only for amounts due and owing for the terminated affected Services and affected Equipment up through the date of termination. 14.0 COMPLIANCE WITH LAWS,CHARTER AND ORDINANCES A. Vendor, its agents, employees and subcontractors shall use best efforts to comply with all applicable federal and state laws,the Charter and Ordinances of the City of Round Rock, as amended, and with all applicable rules and regulations promulgated by local, state and national boards, bureaus and agencies. B. In accordance with Chapter 2270, Texas Government Code, a governmental entity may not enter into a contract with a company for goods and services unless the contract contains written verification from the company that it: (1) does not boycott Israel; and (2)will not boycott Israel during the term of this contract. The signatory executing this Agreement on behalf of Vendor verifies Vendor does not boycott Israel and will not boycott Israel at any time during the term of this Agreement. 15.0 ASSIGNMENT AND DELEGATION The parties hereby bind themselves, their successors, assigns and legal representatives to each other with respect to the terms of this Agreement. Neither party shall assign, sublet or transfer any interest in this Agreement without prior written authorization of the other party. 16.0 NOTICES A. All notices and other communications in connection with this Agreement shall be in writing and shall be considered given as follows: 1. When delivered personally to recipient's address as stated in this Agreement; or 2. Three (3) days after being deposited in the United States mail, with postage prepaid to the recipient's address as stated in this Agreement. 5 Notice to Vendor: Dahill Office Technology Corporation dba"Xerox Business Solutions Southwest" 8200 IH 10 West, Suite 400 San Antonio, TX 78230 Notice to City: City Manager Stephan L. Sheets, City Attorney 221 East Main Street AND TO: 309 East Main Street Round Rock, TX 78664 Round Rock, TX 78664 B. Nothing contained herein shall be construed to restrict the transmission of routine communications between representatives of City and Vendor. 17.0 APPLICABLE LAW; ENFORCEMENT AND VENUE This Agreement shall be enforceable in Round Rock, Texas, and if legal action is necessary by either party with respect to the enforcement of any or all of the terms or conditions herein, exclusive venue for same shall lie in Williamson County, Texas. This Agreement shall be governed by and construed in accordance with the laws and court decisions of the State of Texas. 18.0 EXCLUSIVE AGREEMENT This document, and all appended documents, constitutes the entire Agreement between Vendor and City. This Agreement may only be amended or supplemented by mutual agreement of the parties hereto in writing. 19.0 DISPUTE RESOLUTION City and Vendor hereby expressly agree that no claims or disputes between the parties arising out of or relating to this Agreement or a breach thereof shall be decided by any arbitration proceeding, including without limitation, any proceeding under the Federal Arbitration Act (9 USC Section 1-14)or any applicable state arbitration statute. 20.0 SEVERABILITY The invalidity, illegality, or unenforceability of any provision of this Agreement or the occurrence of any event rendering any portion or provision of this Agreement void shall in no way affect the validity or enforceability of any other portion or provision of this Agreement. Any void provision shall be deemed severed from this Agreement, and the balance of this Agreement shall be construed and enforced as if this Agreement did not contain the particular portion or provision held to be void. The parties further agree to amend this Agreement to replace any stricken provision with a valid provision that comes as close as possible to the intent of the stricken provision. The provisions of this section shall not prevent this entire Agreement from 6 being void should a provision which is of the essence of this Agreement be determined void. 21.0 MISCELLANEOUS PROVISIONS A. Standard of Care. Vendor represents that it employs trained, experienced and competent persons to perform all of the services, responsibilities and duties specified herein and that such services, responsibilities and duties shall be performed in a manner according to generally accepted industry practices. B. Time is of the Essence. Vendor understands and agrees that time is of the essence and that any failure of Vendor to fulfill obligations for each portion of this Agreement within the agreed timeframes will constitute a material breach of this Agreement. Vendor shall be fully responsible for its delays or for failures to use best efforts in accordance with the terms of this Agreement. Where damage is caused to City due to Vendor's failure to perform in these circumstances, City may pursue any remedy available without waiver of any of City's additional legal rights or remedies. C. Binding Agreement. This Agreement shall extend to and be binding upon and inure to the benefit of the parties' respective heirs, executors, administrators, successors and assigns. D. Multiple Counterparts. This Agreement may be executed in multiple counterparts, any one of which shall be considered an original of this document; and all of which, when taken together, shall constitute one and the same instrument [Signatures on the following page] 7 IN WITNESS WHEREOF, City and Vendor have executed this Agreement on the dates indicated. City of Round Rock,Texas Dahill Office Technology Corporation By: M , By: ��& — Printed Na e: SMPPrinted e: Do kroejzh Title: Title: VP of Financ &Administration Date Signed: ?DZ Date Signed: 02/23/2021 For City,Attest: y ity dlerk For City,App ov d as to For By: Stephan qSheets, City Attorney 8 Exhibit "A" Xerox Business Solutions Southwest Pricing Summary Prepared Exclusively for City of Round Rock Pricing is based on PACE Purchasing Cooperative Contract P00161 The following section represents a summary of the Xerox products that have a common intuitive user experience, are mobile & cloud ready, benchmark security and enables next generation services. xerox TM Business Solutions Southwest Exhibit "A" (1)Xerox AltaLink B8170 Recommended Monthly Volume: Up to 125,000 impressions/month 72 ppm B&W Up to 140ipm color scanning 200-sheet single pass document feeder i Network printing at 1200x1200 dpi Standard 4,600 sheet capacity in 4-drawers 100-sheet bypass tray 2/3 Hole Punch Office Finisher - Adobe PostScript 3, PCL 250 GB HDD/ 1.8 GHz Quad-Core/4 GB system memory Print to/scan from USB memory stick Mobile Printing, Xerox App Gallery " '' • Encryption, Disk overwrite security,secure print (11)Xerox Alta Link B8155 Recommended Monthly Volume:Up to 100,000 impressions/month 55 ppm B&W Up to 140ipm color scanning 200-sheet single pass document feeder Network printing at 1200x1200 dpi Standard 4,600 sheet capacity in 4-drawers 2/3 Hole Punch Office Finisher (1) Convenience Stapler(Not Shown) 100-sheet bypass tray Adobe PostScript 3, PCL 250 GB HDD/ 1.8 GHz Quad-Core/4 GB system memory Print to/scan from USB memory stick LL" Mobile Printing,Xerox App Gallery Encryption, Disk overwrite security, secure print (5)Xerox 3345 Recommended Monthly Volume: Up to 6,000 impressions/month 42 ppm B&W Duplex output/input Network printing at 600x600 dpi ^ Standard 250 sheet capacity 50-sheet bypass tray 50-sheet ADF 4x Xerox-Business Solutions Southwest Exhibit "A" (12)Xerox AltaLink C8135 Recommended Monthy Volume: Up to 15,000 impressions/month 35 ppm B&W/35ppm Color Up to 139ipm color scanning 130-sheet single pass document feeder Network printing at 1200x2400 dpi Standard 2,080 sheet capacity in 4-drawers 1 ' 100-sheet bypass tray OK 9 2/3 Hole Punch (2) High Capacity Feeder-3,000 Sheets (Not Shown) (1) Dual Band Wireless (11)Office Finisher - Adobe PostScript 3, PCL Print to/scan from USB memory stick Mobile Printing,Xerox App Gallery — am Encryption, Disk overwrite security,secure print (19)Xerox Alta Link C8145 Recommended Monthly Volume: Up to 20,000 impressions/month 45 ppm B&W/45ppm Color Up to 139ipm color scanning 130-sheet single pass document feeder Network printing at 1200x2400 dpi Standard 3,040 sheet capacity in 4-drawers (4) High Capacity Feeder 3,000 Sheets (Not Shown) 1 (1)Convenience Stapler(Not Shown) (1) Foreign Interface Kit OF (13) 2/3 Hole Punch Office Finisher R 100-sheet bypass tray Adobe PostScript 3, PCL .-�- Print to/scan from USB memory stick .� Mobile Printing,Xerox App Gallery Encryption, Disk overwrite security,secure print qW (9)Xerox AltaLink C8155 Recommended Monthly Volume: Up to 22,000 impressions/month 55 ppm B&W/55ppm Color Up to 139ipm color scanning 130-sheet single pass document feeder Network printing at 1200x2400 dpi Standard 3,040 sheet capacity in 4-drawers 100-sheet bypass tray 2/3 Hole Punch Office Finisher Adobe PostScript 3, PCL Print to/scan from USB memory stick v ' Mobile Printing,Xerox App Gallery Encryption, Disk overwrite security,secure print xe rox"Business Solutions Southwest Exhibit "A" (2)Xerox C405 Recommended Monthly Volume: Up to 5,000 impressions/month 36 ppm B&W and Color Up to 40ipm scanning 50-sheet single-pass duplex automatic document feeder Duplex output/input Network printing at 1200x1200 dpi Standard 550 sheet capacity _ 150-sheet bypass tray Stand with Storage (1) Instant Print Kiosk Recommended Monthly Volume: Up to 12,000 impressions/month 55 ppm B&W and Color Up to 133ipm scanning 130-sheet single-pass duplex automatic document feeders Duplex output/input Printing at 1200x2400 dpi Standard 2,940 sheet capacity 100-sheet bypass tray Epson SureColor T5170 Wide Format Network Print Color Printer EPSON SureColor T-Series Multi-function Scanner Kit for 36" Single Sheet Bypass Tray xerox TM Business Solutions Southwest Exhibit "A" City of Round Rock Current Spend Current Monthly Spend Total of 61 Devices Monthly Lease Payment:$11,644.67 Average Monthly Overages:$367.25 Total Monthly Spend: $12,011.92 City of Round Rock Pricing Summary Fleet Pricing Summary with XMedius Fax Solution Pricing is based on PACE Purchasing Cooperative CITY Proposed Model 60 Month Lease and Maintenance Payment 1 Xerox B8170 11 Xerox B8155 5 Xerox 3345 9 Xerox C81551-12 12 Xerox C8135T2 $11,999.59/Month 19 Xerox C81451-12 2 Xerox C405DN 1 Instant Print Kiosk 1 Epson Sure Color T5270 1 Xerox WC6515DN (Current Unit left in place-New) IncludedService Pricing Summary- Above Fleet Pool Allowance Cost per Copy XeroxB8170 Xerox B8155 Xerox 3345 Xerox C81551-12 B/W:293,680 B/W: $0.0053 Color:94,314 Color: $0.037 Xerox C8135T2 Xerox C8145H2 Xerox C405DN xe rox»Business Solutions Southwest Exhibit A Contractual and Other Requirements • Pricing is based on PACE Purchasing Cooperative Contract P00161. • All equipment proposed is 100%factory newly manufactured models. • Includes delivery, installation, network analyst services and training. • Includes all OEM toner, parts, and service (with the exception of paper). • All equipment is eligible for XBS Replacement Guarantee. • Includes all new software version releases, revisions, patches, etc. • All service performed by certified Xerox technicians. • 24/7 Web-based support. The information contained in this catalog is confidential or proprietary and is designed for the sole use of City of Round Rock. xe rox-Business Solutions Southwest Exhibit "A" Bridge to Laserfiche App Ballistic Echo's Bridge to Laserfiche' is a convenient on-ramp into Laserfiche's powerful content and document management solution. C Bridge to Laserfiche works with Xerox'ConnectKey' devices to quickly and securely scan and process documents, helping you work smarter and more efficiently. With Bridge to Laserfiche, documents are scanned and processed quickly and securely with the help of templates and Laserfiche's support of template field data and tokens. Additional features include the ability to search for files,folders and template field data and print the results from any Xerox'ConnectKey'Technology-enabled device. Please note,this requires the Bridge to Laserfiche Service App,which can be obtained via the download link at laser- fiche.ballisticecho.com. Ballistic Echo's Bridge to Laserfiche also requires an on-premise Laserfiche(v10.2+)server on the same network as the Bridge to Laserfiche Service App. Xerox Bridge . Laserfiche Ea M Scan Print Enter Details Scan Xerox>Invoices Xerox 1,Customers 2017 1ohnDoe.pdf 2018 I Template:Customer Record 2019 Q Imolce_A s John xe rox-Business Solutions Southwest Exhibit "A" XBSFL OIN Cloud Connected, Endless Possibilities Cloud-based app custom-built for Xerox ConnectKey Devices - Transform data on paper into editable digital information XBS Flow is a cloud service that enables users to securely scan and convert documents into their preferred format. ✓ Reduces Transcribing ✓ Eliminates Errors ✓ Minimizes Scanning Time XBS F I,OW Your Destination xerox xerox Docushare Docushore Email Box Dropbox Flex Google Drive —fth— M ©} Sharepoint Fax Sharebase FTP Thru. t xerox.com/southwestus (800) 413-3s26 xe rox TM Business Solutions Southwest Exhibit "A" XBSF40W ' Cloud Connected, Endless Possibilities Document Easily digitize data trapped on paper by scanning the document Conversion and converting it into editable file formats like Microsoft Word, Excel or a searchable PDF format. Scan documents into repositories such as Dropbox, SharePoint or Xerox ScanTo DocuShare. XBS Flow provides easy capture and conversion of paper Repository documents into repositories using the Xerox ConnectKey device scanning function, saving both time and money! ScanTo XBS Flow provides outbound faxing, without the need of a fax card Fax or faxline at the device. Save money from expending fax lines and eliminate using dated fax machines. *Simple to Deploy ♦ Easy to Use ♦ Cost Effective ♦ Secure • © xerox WOM Docushare NIEL r ro xerox.com/southwestus (800)413-3526 � Exhibit "A" A virtual faxing solution Learn more at www.xmedius.com XMedius Medius XMediusFAX° Cloud FAX® Redefining the market when it pioneered the Cloud is the way to go! Fax over IP server in 2002,XMediusFAX"is a In today's well-connected business landscape the cloud technology global leader in software only Fo1P and cloud has emerged as a valuable option for businesses with limited IT resources.Cloud-based solutions give you immediate access to based fax solutions.With XMediusFAX"s suite technologies and resources without any upfront capital investments. of on-premise and cloud fax products all your And because these solutions are highly scalable,they can quickly adapt to changing business needs;giving you the freedom to document processing needs are covered. operate at your own pace. Now our enterprise level cloud faxing services When it comes to business faxing we have you are available through an easy to deploy app covered! that leverages Xerox"ConnectKey` Technology XMedius as a global fax industry leader with XMediusFAX',is now platform.The XMediusFAX"Cloud app for offering a turnkey,cloud-based fax solution as part the of Xerox' ConnectKey'Technology ecosystem.This virtual fax kit solution is devices built on ConnectKey'Technology is your compatible with and accessible from a wide spectrum of Xerox' answer to easy hassle free faxing! Multifunction Printers(MFPs)and does not require any fax board, parts and service labor. Quickly enable a reliable,secure,simple and scalable Cloud Fax Solution. XMediusFAX°Cloud App for Xerox' ConnectKey°Technology XMediusFAX Cloud app enables end users to send or receive faxes directly from a Xerox`"Con nectKey'-ena bled MFP or as an option through an email application(Microsoft Outlook,Exchange,etc) from basically anywhere in the world! No more IT headaches - XMediusFAX"Cloud app simplifies and eliminates the IT burden associated with installation,configuration and maintenance of fax kits by providing access to a redundant,high-availability cloud- based faxing solution with no additional infrastructure expenditure such as maintenance and upgrades. Pre-Paid gives you freedom! As a customer you only pay for what you use with different pre-paid fax credit bundles available to meet your needs.XMediusFAX'Cloud app debits the customer account for each page of fax the company sends or receives. xerox 1® Ideal for faxing:Patient Records,Prescriptions,Contracts,Legal Documents,Reports,Transcripts,Financial Records,Invoices, Business Insurance Forms etc. Innovation Exhibit "A" A virtual faxing solution Wedius Learn more at www.xmedius.com FAX® XMediusFAX°Cloud Simplified Workflow Download the XMediusFAX' Cloud App Follow the simple set-up wizard for one- Compose the fax, scan the document and for Xerox' ConnectKey' on ConnectKey'- time configuration hit send! enabled Xerox MFP (Available via your Channel buying portal) Cam,.F. -'ram _ice"• Simple is Always Better! Recognizing that simple is always better,the full capability of the XMediusFAX'Cloud app is now available through a lightweight fax app that operates within the Xerox'ConnectKey'-enabled environment.This app helps streamline business faxing by offering: Quick and easy app deployment.Contact your Xerox Channel Favorites option for quick faxing Partner for all the details Inbound numbers available in over 40 countries Remote or onsite app installation Port existing number to XMediusFAX"Cloud App Smart on-screen set-up Easy on-boarding directly through the set up wizard • Minimal IT intervention Reduce operational and capital expenses Multilingual interface(EN,FR,DE) Leverage existing internet connection • • No hardware or software investments Simplified pre-paid payment option Automatic reminder to refill the pre-paid account once credits run out Service always available(no busy signals) Pay only for required fax capacity 100%Secure hosting facility Subscription based service also available Built-in cloud security guarantees secure faxing and regulatory compliance „r.XMedius Solutions Inc.-October 2016/All rights reserved.The presentation and each of the elements,including the brands and logos appearing on this document are protected by the applicable laws m intellectual property, and belong to XMedius Solutions Inc.,or are subject to a use authorization Medics solutions Inc.reserves the right,at anytime,to modify the technical characteristics of its products or services or to stop their marketing XMedius Solutions Inc strives to guarantee the accuracy of all the information contained in the document,but shall not be held responsible for any possible errors or omissions.All the information provided in this document is for reference only,without any form of guarantee.Consequently,this information shall in no case be considered as a contractual offer or he substituted for the consultation of a representative of XMedius Solutions Inc. Contact XMedius Xerox �® ti Working together... info@xmedius.com NA:1 888 766 1668 getting results. Business EMEA: +33 1 70 92 13 10 Together we can. Innovation xmedius.com Partner XEROX'and XEROX and Design*are trademarks of Xerox"Corporation in the United States and/or other countries. Exhibit B„ Xerox Financial Services LLC MASTER COST PER COPY AGREEMENT xerox ! i 201 Merritt.] Fixed Purchase Option Norwalk,CT 06851 (State and Local Governmental Transactions Only) Dealer Lease Agreement Number Xerox Business Solutions Southwest 010-0116100 CUSTOMER It[FORMATION Fuli Legal Name DBA City of Round Rock City of Round Rock Billing Address City State ZIP Code 221 E. Main St. Round Rock TX 78664 Phone Contact Name Contact Email Customer PO#(Optional) (512)218-6682 Allen Reich areich@roundrocktexas.gov CUSTOMER BY YOUR SIGNATURE BELOW,YOU ACKNOWLEDGE THAT YOU ARE ENTERING INTO A NON-CANCELLABLE LEASE AND THAT YOU HAVE READ AND AGREE TO ALL APPLICA LE TERMS AND CONDITIONS SET FORTH ON PAGES 1 AND 2 OF THIS LEASE. Xthorized Signer Date_ 2 I Federal Tax ID#(Required) Q 3 (ovi VS Print Name ^ 'ra Title(indicate President,Partner,Proprietor,etc) (�1LESSOR ACCEPTANCE Accepted By:Xerox Financial Services LLC ate 02/04/2021 CONDITIONSTERMS& 1.Definitions.The words"you"and"your"mean the legal entity Identified In"Customer Information"above,and"we;'"us"and"our'means Xerox Financial Services U.C."Party"means you or us, and"Parties"means both you and us."Dealer"means the entity identified in"Dealer Name"on any Lease Schedule related to this Lease or on any XFS-approved form of purchase order in lieu thereof(collectively,"Schedule")."UCC"means the Uniform Commercial Code of the State of Connecticut(C.G.SA.9542o-1-101 et seq.)."Equipment"means the Items Identified in"Equipment"In any Schedule,together with all attachments, replacements,parts,substitutions,additions,repairs,accessions and accessories incorporated therein and/or affixed thereto and licenses and intellectual property used therewith."Lease"means this Master Cost Per Copy Agreement"Excess Charges"means the applicable excess copies and/or prints charges."Lease Payment"means the Monthly Lease Payment specified in one or more Schedules,which includes the fixed component of maintenance charges and any included Images payable to Dealer,the Excess Charges(as applicable),and other charges you,Dealer and we agree will be invoiced by us on a monthly basis,plus Taxes."Inception Date"means(a)the date the Dealer determines Equipment installed by the Dealer is operating satisfactorily and is available for your use,or(b)the date Equipment identified by the Dealer as being installable by you is delivered to your premises. 2.Lease.Payments and Late Payments.We shall acquire and lease to you,and you shall lease from us pursuant to this Lease and any Schedules)now or from time to time submitted by you and accepted by us hereunder,Equipment described in each Schedule.Upon the execution of a Schedule,the terms and conditions contained herein,including any and all additional or specific terms and conditions,shall apply to that Schedule and shall be incorporated into and have the same force and effect as to that Schedule as though expressly set forth therein.The Lease,the Schedules,all riders and all other documents entered Into in connection with the Lease shall be collectively referred to as the"Lease Documents."The Equipment shall be leased for the lease term set forth in each applicable Schedule,subject to the provisions hereof.We may refuse to pay for the Equipment,whether or not the Equipment has been delivered to you,if(i)there shall be,in our reasonable judgment,a material adverse change in the financial condition or credit standing since the date of our approval of the transaction,of:(a)you,(b)any guarantor of your obligations under this Lease (a"Guarantor'),or(c)any other party we deem material to the transaction,in our sole and reasonable discretion,or(11)you fail to execute or cause to be executed,or fail to release or cause to be released,or fail to deliver or cause to be delivered,any documents,Instruments or agreements,including but not limited to releases,subordination,UCC financing statements/searches,good standing certificates,evidence of authority,and landlord's/mortgagee's waivers,as we may reasonably require.You agree and represent all Equipment was selected by you based upon your own judgment and has been,or is being,supplied by the Dealer.You agree to pay us each Lease Payment and all other amounts that become due and payable under each applicable Schedule.The first Lease Payment is due twenty(20)days after the invoice date on that invoice and each subsequent Lease Payment is due on the some date each month thereafter,whether or not we invoice you. Payment of other amounts payable under this Lease,which may include charges you,Dealer and we agree will be invoiced by us,is due twenty(20)days after the invoice date therefor.If any payment is not paid in full by sixty(60)days after its due date,you will pay a late charge in accordance with the laws of the state of Texas,not to exceed the maximum amount permitted by law. For each dishonored or returned payment instrument,you will be assessed the applicable returned item fee,which shall not exceed$35.Restrictive covenants on any payment instrument will not reduce your obligations or affect our rights. 3.Equipment and Software.Equipment may contain or have software delivered with it.You agree that as to software only that(a)you will execute a separate license agreement with the Dealer or a third party for such software,and(b)we have no responsibility whatsoever for any such software or license agreement under this Lease.You agree the Equipment(including software)is for your business use in the United States(including Its possessions and territories),will not be used for personal,household or family purposes and is not being acquired for resale.You will not attach the Equipment as a fixture to real estate or make any permanent alterations to it. 4.Non-Cancellable Lease.NEITHER THIS LEASE NOR ANY RELATED SCHEDULE CAN BE CANCELLED OR TERMINATED EXCEPT AS EXPRESSLY PROVIDED HEREIN.YOUR OBLIGATION TO MAKE ALL LEASE PAYMENTS,AND TO PAY ALL OTHER AMOUNTS DUE OR TO BECOME DUE,IS ABSOLUTE AND UNCONDITIONAL AND NOT SUBJECT TO DELAY,REDUCTION,SET-OFF, DEFENSE,COUNTERCLAIM OR RECOUPMENT FOR ANY REASON WHATSOEVER,IRRESPECTIVE OF THE PERFORMANCE OF DEALER,ANY THIRD PARTY OR US. 5.Lease Term.The Initial Lease Term,which is indicated in any related Schedule,commences on the Inception Date.If,during the Initial Lease Term,you enter into a new Schedule for upgraded or replacement equipment that incorporates the remaining payments under the original Schedule,and the new Schedule is subsequently terminated,we may reinstate the original Schedule. 6.Payment of Fixed Purchase Amount At the end of any Initial Lease Term set forth in a Schedule,provided that you are not in default thereunder,and amounts due thereunder have been paid in full,you have the option to purchase the Equipment under such Schedule for the amount shown in such Schedule. 7.Equipment Delivery and Maintenance.Equipment(including software)will be delivered to you by the Dealer at the location specified above or in a Schedule.Equipment(including software) may not be moved to another location without first obtaining our written consent.You shall permit us to Inspect Equipment and any maintenance records relating thereto during your normal business hours.Dealer has agreed to provide full service maintenance during normal business hours,including all toner,developer and parts necessary to produce images and or prints. You must purchase copier paper separately. YOU ACKNOWLEDGE THAT WE ARE NOT RESPONSIBLE FOR ANY SUCH SERVICE,REPAIR OR MAINTENANCE OF THE EQUIPMENT,THAT WE ARE NOT A PARTY TO ANY SERVICE MAINTENANCE AGREEMENT THAT YOU MAY HAVE ENTERED INTO WITH THE DEALER,AND THAT PAYMENTS HEREUNDER MUST CONTINUE UNABATED,AS PER SECTION 4 HEREOF,REGARDLESS OF DEALER'S PERFORMANCE. You agree to pay for service maintenance outside of Dealers normal business hours for service required as a result of your negligence or misuse of the Equipment at Dealer's customary rates. You understand we are only acting as administrator for the Dealer with respect to the billing and collecting of the maintenance charges, including Images if applicable,and Excess Charges included in the Lease Payments.In no event will we be liable to you for any breach by the Dealer of any of its obligations to you. 8.Equipment Ownership Labeling and UCC Filing.Title to,and ownership of,the Equipment passes to you upon delivery thereof and you grant us a first priority security interest in the Equipment (including software)and all proceeds thereof in order to secure your performance of this Lease.You agree to keep the Equipment(including software)free from any liens or encumbrances and to notify us if there is a change in the jurisdiction of your organization.We may label the Equipment to identify our interest in it.You authorize us to file by any permissible means a UCC financing statement to show,and to do all other acts to protect,our interest in the Equipment.. 9.Assignment YOU MAY NOT ASSIGN,SELL,PLEDGE,TRANSFER,SUBLET OR PART WITH POSSESSION OF THE EQUIPMENT(INCLUDING SOFTWARE),THIS LEASE OR ANY OF YOUR RIGHTS OR OBLIGATIONS UNDER THIS LEASE OR ANY SCHEDULE(COLLECTIVELY"ASSIGNMENT•)WITHOUT OUR PRIOR WRITTEN CONSENT.If we agree to an Assignment,you agree to pay the applicable assignment fee and reimburse us for any costs we incur in connection with that Assignment.We may sell,assign or transfer all or any part of the Equipment,this Lease,any Schedule(s)and/or any of our related rights or obligations thereunder.For the express and limited purpose of pledging,assigning,hypothecating,mortgaging,transferring,securitizing,granting participation(s)in,or otherwise disposing of this Lease or any Schedules hereunder,whether as chattel paper or otherwise,each Schedule designated as an original,together with a certified copy of this Lease,shall constitute a separate Lease for such purposes.Our assignee will have the same rights(but none of the obligations)that we have to the extent assigned and you agree not to assert against such assignee any claims,defenses,counterclaims,recoupments,or set-offs that you may have against us.You agree and acknowledge that any Assignment by us will not materially change your obligations under this Lease. Page 1 of 2 CPCFPOSLG—TX—01-15.2014 PO 10.Taxes.You will be responsible for,indemnify and hold us harmless from,all applicable taxes,fees or charges(Including sales,use,personal property and transfer taxes(other than net income taxes),plus interest and penalties)assessed by any governmental entity on the Equipment(including software),this Lease,any Schedule,or the amounts payable under this Lease or any Schedule (collectively,'Taxes"),which will be included in our Invoice to you unless you timely provide proof of your tax exempt status.If Equipment(including software)is delivered to a jurisdiction where certain taxes are calculated and paid at the time of lease initiation,you authorize us to finance and adjust your Lease Payment to include such Taxes over the Initial Lease Term unless you require otherwise.In all taxing jurisdictions except CT,CO and OR,you shall file and pay all personal property taxes on the Equipment.In any taxing jurisdiction located within CT,CO or OR,we shall file,bill and collect from your account all personal property taxes on the Equipment. 11.Liability. SINCE WE ARE MERELY FINANCING THE EQUIPMENT AT YOUR REQUEST AND HAVE NO INVOLVEMENT IN THE DESIGN,MANUFACTURE,CONFIGURATION,SALE, DELIVERY,INSTALLATION,MAINTENANCE OR USE,WE ARE NOT RESPONSIBLE FOR ANY LOSSES,DAMAGES OR INJURIES OF ANY KIND OR TYPE,INCLUDING,BUT NOT LIMITED TO, ANY SPECIAL,INDIRECT,INCIDENTAL,CONSEQUENTIAL OR PUNITIVE DAMAGES,TO YOU OR ANY THIRD PARTY CAUSED BY THE EQUIPMENT(INCLUDING SOFTWARE)OR ITS USE, WHETHER ARISING FROM TORTIOUS CONDUCT(INCLUDING NEGLIGENCE)OR UNDER ANY OTHER LEGAL OR EQUITABLE THEORY.You agree to reimburse us for,and to defend indemnify and hold us harmless on an after-tax basis against any costs,expenses,damages,fines,settlements,claims or liability arising out of or relating to this Lease or the Equipment(including software)or its use,including reasonable attorneys'fees and disbursements.This does not affect any liability from the Dealer or manufacturer of the Equipment and software. 12. Equipment Warranty Information and Disclaimers. WITH RESPECT TO EQUIPMENT (INCLUDING SOFTWARE), WE DISCLAIM, AND YOU WAIVE, SOLELY AGAINST US, ALL WARRANTIES,WHETHER EXPRESS OR IMPLIED,INCLUDING,BUT NOT LIMITED TO,THE IMPLIED WARRANTIES OF MERCHANTIABILITY,NON-INFRINGEMENT AND FITNESS FOR PARTICULAR PURPOSE,AND WE MAKE NO REPRESENTATIONS OF ANY KIND OR TYPE,INCLUDING,BUT NOT LIMITED TO,ITS SUITABILITY,FUNCTIONALITY,DURABILITY,OR CONDITION.We hereby assign to you any warranty rights we have against any Dealer or manufacturer with respect to the Equipment and,if the Equipment is returned to us,such rights are deemed reassigned by you to us. 13.Default and Remedies.You will be in default under this Lease if(1)we do not receive any payment within ten(10)days after the date it is due,or(2)you breach any other obligation in this Lease or any other agreement with us.If you default we may,in addition to other remedies(including having the Dealer cease performing Equipment maintenance),require you to promptly return the Equipment(including software)to a location we specify,at your expense,and require immediate payment,as liquidated damages for loss of bargain and not as a penalty,of:(a)all amounts then due,plus interest from the due date until paid at the rate that will be in accordance to the laws of the State of Texas covering state agencies and the applicable codes covering political subdivisions;(b)the Lease Payments remaining in the Initial Lease Term(less the fixed maintenance component thereof as reflected on our books and records),discounted at four percent(4%)per annum,and(c)Taxes.If you do not return the Equipment as required above,you agree to pay us the fair market value thereof as of the end of the Initial Lease Term,as determined by us, discounted at four percent(4%)per annum.You agree to pay all reasonable costs,Including attorneys'fees and disbursements,incurred by us to enforce this Lease. 14.Risk of Loss and Insurance.You assume and agree to bear the entire risk of loss,theft destruction or other impairment of the Equipment(including software)upon delivery.You,at your own expense,(i)shall keep Equipment insured against loss or damage at a minimum of full replacement value thereof,and(ii)shall carry public liability Insurance against bodily injury,including death, and against property damage in the amount of at least$2 million(collectively,"Required Insurance").All such Required Insurance shall be with loss payable to us and our assignees,as their interest may appear,and shall be with companies reasonably acceptable to us.In addition,we and our assignees shall be named as an additional insured on all public liability insurance policies. The Required Insurance shall provide for thirty(30)days prior notice to us of cancellation. You must provide us with satisfactory written evidence of Required Insurance within thirty(30)days of the commencement of any Schedule or any subsequent written request by us. If you do not do so,then in lieu of other remedies for default,we in our discretion and at our sole option may(but are not required to)obtain insurance from an insurer of our choosing,which may be an affiliate of ours,in such forms and amounts as we deem reasonable to protect our interests(collectively"Equipment Insurance).Equipment Insurance will cover the Equipment and us;it will not name you as an insured and may not cover all of your interest in the Equipment and will be subject to cancellation at any time. You agree to pay us periodic charges for Equipment Insurance (collectively"Insurance Charges")that include:an Insurance premium that may be higher than if you maintained the Required Insurance separately;a finance charge of up to 1.5%per month on any advances made by us or our agents;and commissions,billing and processing fees;any or all of which may generate a profit to us or our agents.We may add Insurance Charges to the monthly rental charge as additional rent.We shall discontinue billing or debiting Insurance Charges for Equipment Insurance upon receipt and review of satisfactory evidence of Required Insurance. You must promptly notify us of any loss or damage to Equipment which makes any item of Equipment unfit for continued or repairable use. You hereby irrevocably appoint us as your attomey-in-fact to execute and endorse all checks or drafts in your name to collect under any Required Insurance.Insurance proceeds from Required Insurance or Equipment Insurance received shall be applied,at our option,to(x)restore the Equipment so that it is in the same condition as when delivered to you(normal wear and tear excepted),or(y)pay us(i)the Lease Payments remaining In the Initial Lease Term and the Equipment's then determined fair market value as of the end of the Initial Lease Term,both discounted at four percent(4%)per annum,and(ii)Taxes. No loss or damage to Equipment(including software),or our receipt of insurance proceeds,shall relieve you of any of your remaining obligations under this Lease or any Schedule.Notwithstanding procurement of Equipment Insurance or Required Insurance,you remain primarily liable for performance under subclauses(x)or(y)in the third sentence of this paragraph in the event the applicable insurance carrier fails or refuses to pay any claim. You agree(1)to arbitrate any dispute with us,our agents or assigns regarding the Equipment Insurance and/or Insurance Charges under the rules of the American Arbitration Association in Fairfield County,CT,(ii)that arbitration(not a court)shall be the exclusive remedy for such disputes;and(ii)that class arbitration is not permitted. This arbitration requirement does not apply to any other provision of this Lease. 15.Customer Purchase Order.If a purchase order or other document is issued by you,none of its terms and conditions shall have any force or effect as the terms and conditions of this Lease exclusively govern the transaction documented herein.Our failure to object to terms contained in any communication from you will not be a waiver or modification of the terms of this Lease. 16.Finance Lease and Customer Waivers.If this Lease is not characterized as a secured transaction,you and we agree this Lease(including each Schedule)is a"finance lease"governed by UCC Article 2A.To the extent you are permitted by law,you waive any rights you now or later may have under any statute or otherwise which require us to sell,lease or otherwise use any Equipment to reduce our damages including our realization of the remaining value of the Equipment,or which may otherwise limit or modify any of our rights or remedies. 17.Authorization of Signer and Credit Review.You represent that you may lawfully enter into,and perform,this Lease and each Schedule,that the individual signing this Lease and each Schedule on your behalf has all necessary authority to do so,and that all financial information you provide completely and accurately represents your financial condition.By having your authorized representative sign this Lease and each Schedule,you agree to furnish financial information that we may request now and in the future,including your tax identification number,and you authorize us to obtain credit reports on you now and in the future. 18.Original Document.YOU AGREE THAT AN EXECUTED COPY OF THIS LEASE THAT IS SIGNED BY YOUR REPRESENTATIVE AND BY OUR REPRESENTATIVE(AN ORIGINAL MANUAL SIGNATURE OR SUCH SIGNATURE REPRODUCED BY MEANS OF A RELIABLE ELECTRONIC FORM,SUCH AS ELECTRONIC TRANSMISSION OF A FACSIMILE OR ELECTRONIC SIGNATURE) SHALL BE MARKED"ORIGINAL"BY US AND SHALL CONSTITUTE THE ONLY ORIGINAL DOCUMENT FOR ALL PURPOSES.ALL OTHER COPIES SHALL BE DUPLICATES.TO THE EXTENT THIS LEASE AND/OR ANY SCHEDULE CONSTITUTES CHATTEL PAPER(AS DEFINED IN THE UCC),NO SECURITY INTEREST THEREIN MAY BE CREATED EXCEPT BY THE POSSESSION OR TRANSFER OF THE COPY MARKED"ORIGINAL"BY US.NEITHER THIS LEASE NOR ANY SCHEDULE MAY BE AMENDED OR SUPPLEMENTED EXCEPT IN A WRITTEN AGREEMENT SIGNED BY AUTHORIZED REPRESENTATIVES OF THE PARTIES AND NO PROVISIONS CAN BE WAIVED EXCEPT IN A WRITING SIGNED BY US. 19.Jurisdiction.Venue and JURY TRIAL WAIVER.THIS LEASE AND EACH SCHEDULE ARE GOVERNED BY,AND SHALL BE CONSTRUED IN ACCORDANCE WITH,THE LAWS OF THE STATE OF TEXAS (WITHOUT REGARD TO CONFLICT OF LAW PRINCIPLES THAT WOULD OTHERWISE REQUIRE APPLICATION OF LAWS OF ANOTHER JURISDICTION).THE JURISDICTION AND VENUE OF ANY ACTION TO ENFORCE THIS LEASE,OR OTHERWISE RELATING TO THIS LEASE,SHALL BE IN A FEDERAL OR STATE COURT WHERE THE EQUIPMENT IS LOCATED, AND YOU HEREBY CONSENT TO PERSONAL JURISDICTION AND VENUE IN SUCH COURTS..YOU AND WE HEREBY WAIVE ANY RIGHT TO TRIAL BY JURY IN ANY ACTION RELATED TO OR ARISING OUT OF THIS LEASE. 20.Miscellaneous.Your obligations under the"Taxes"and"Liability"Sections commence upon execution,and survive the expiration or earlier termination,of this Lease.The Lease Documents constitute the entire agreement between the Parties as to the subjects addressed herein,and representations or statements not included herein are not part of this Lease and are not binding on the Parties.Notices under this Lease must be in writing.Notices to you will be sent to the"Billing Address"provided above and notices to us shall be sent to our address provided above.Notices will be deemed given five(5)days after mailing by first class mail or two(2)days after sending by nationally recognized overnight courier.Invoices are not considered notices and are not governed by the terms hereof pertaining to notices.You authorize us to communicate with you by any electronic means(including cellular phone,email,automatic dialing and recorded messages)using any phone number(including cellular)or electronic address you provide to us.If a court finds any term of this Lease unenforceable,the remaining terms will remain in effect The failure by either Party to exercise any right or remedy will not constitute a waiver of such right or remedy.The following four sentences control over every other part of this Lease.Both Parties will comply with applicable laws.We will not charge or collect any amounts in excess of those allowed by applicable law.Any part of this Lease that would,but for the last four sentences of this Section,be read under any circumstances to allow for a charge higher than that allowed under any applicable legal limit is modified by this Section to limit the amounts chargeable under this Lease to the maximum amount allowed under the legal limit If,in any circumstances,any amount in excess of that allowed by law is charged or received,any such charge will be deemed limited by the amount legally allowed and any amount received by us in excess of that legally allowed will be applied by us to the payment of amounts legally owed under this Lease or refunded to you. Further,you authorize us to make non-financial additions and or modifications to this Lease in order to correct or complete some,including but not limited to lease number,serial numbers and signor titles. 21.Non-Appropriation.This Section is applicable only if the inclusion of a non-appropriation provision is legally required.Your obligation to pay the Lease Payments and any other amounts due is contingent upon approval of the appropriation of funds by your governing body.In the event funds are not appropriated for any fiscal period equal to amounts due under the Lease,and you have no other funds legally available to be allocated to the payment of your obligations under this Lease,you may terminate the related Schedule effective on the first day of such fiscal period ("Termination Date")if:(a)you have used due diligence to exhaust all funds legally available;and(b)we have received written notice from you at least thirty(30)days before the Termination Date. At our request,you shall promptly provide supplemental documentation as to such non-appropriation.Upon the occurrence of such non-appropriation,you shall not be obligated for payment of any Lease Payment for any fiscal period for which funds have not been so appropriated,and you shall promptly deliver the Equipment to the Dealer(or such other party as we may designate). Page 2 of 2 CPCFPOSLG—TX—01-15.2014 PO Xerox Financial Services LLC Exhibit r-''111111111 0 45 Glover Avenue "B" Master Lease Schedule -Cost Per Copy xerox Norwalk,CT 06856 Fixed Purchase Option State and Local Governmental Transactions Only) Lease Agreement# 010-01161OU I Dealer Name: LESSEE INFORMATION Full Legal Name DBA City of Round Rock City of Round Rock Billing Address City State ZIP Code 221 E.Main St. Round Rock TX 78664 Phone Contact Name Contact Email Lessee PO#(Optional) (512)218-6682 Allen Reich areich@roundrocktexas.gov EQUIPMENT Quantity I Model and Description I Quantity Model and Description Equipment Location(if different from Billing Address) TERM,PAYMENT • FIXED PURCHASE IMAGE TYPE IMAGES INCLUDED EXCESS CHARGE PRINTS INCLUDED EXCESS CHARGE OPTION Initial Lease Term(in months): 60 B&W Pool: 293,680 $0.0053 Color Pool:94,314 $0.037 Monthly Lease Payment:$ 11,999.59 Everyday Color N/A N/A N/A N/A Color Level 2 N/A N/A N/A N/A Purchase Option/Fixed Purchase(Check One): 9$1.00 ❑ Fixed Purchase Amount: Color Level 3 N/A N/A N/A N/A LESSEE ACCEPTANCE BY YOUR SIGNATURE BELOW,YOU ACKNOWLEDGE THAT YOU ARE ENTERING INTO A NON-CANCELLABLE LEASE AND THAT YOU HAVE READ AND AGREED TO ALL APPLICABLE TE S AND CONDITIONS SET FORTH HEREIN AND ON PAGES 1 AND 2 OF THE LEASE, Authorized Signer Date Federal Tax ID#(Required) X 3 25 Z-0 74 Print Name I Title(indicate Presiden,Partner,Proprietor,etc.) O LESSOR ACCEPTANCE Accepted By:Xerox Financial Services LLC Name and Title — Date 02/04/2021 TERMS&CONDITIONS Pursuant to that Master Lease Agreement Number indicated above("Lease")between you and XFS,the terms and conditions of which are fully incorporated into this Schedule,you hereby(a)authorize XFS to order for lease to you the equipment described above('Equipment'),(b)agree to lease such Equipment from XFS effective the Inception Date for the Initial Lease Term specified above,and(c)agree to pay XFS the Lease 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 Lease and all of the terms used herein which are defined in the Lease shall have the some meaning as so defined. Page 1 of 1 Master CPC SLG Schedule-Final Rev.09.04.2014 Xerox Financial Services LLC ���OX 201 Merritt 7 Equipment Schedule "A" Norwalk,CT 06851 J This Equipment Schedule "A" is attached to and becomes a part of the Agreement Number listed below, between Xerox Financial Services LLC and the undersigned Customer. Agreement Number: 010-0116100 EQUIPMENT Quantity Model and Description 1 erox B8170H 11 erox B8155 5 erox 3345DN 9 Xerox C8155H 12 Xerox C8135T 19 Xerox C8145H 2 Xerox C405DN 1 Xerox Instant Print Kiosk IPK7800HS 1 Epson SureColor T5270 1 Xerox WC6515DN This Schedule"A"is hereby verified as correct by the undersigned Customer Customer: Lt Iq op ���c Authorized Signer 6�1 Date: Name: I O Title: XFS-EQUIP_SCH EDA-04.05.18 Device Schedule - Attachment "A" 010-0116100 Unit No. Location Proposed Model 60M Pymt/Unit 1 CITY OF ROUND ROCK Administration#1;221 E Main St Ste 3;Round Rock TX 78664 B8170H2 $247.02 2 CITY OF ROUND ROCK Administration#2 3rd FI;221 E Main St;Round Rock TX 78664 C8155H2 $291.29 3 CITY OF ROUND ROCK Finance-Business Center-2nd FI;231 E Main St;Round Rock TX 78664 C8155112 $296.18 4 CITY OF ROUND ROCK Finance#2(Color)2nd FI;231 E Main St;Round Rock TX 78664 C8145112 $228.89 5 CITY OF ROUND ROCK Finance Municipal Court Ste 120;301 W Bagdad Ave;Round Rock TX 78664 B815SH2 $172.87 6 CITY OF ROUND ROCK Finance Utility Billing 1st FI;221 E Main St;Round Rock TX 78664 C8145112 $224.00 7 CITY OF ROUND ROCK Fire Dept-Central Station;203 Commerce Blvd;Round Rock TX 78664 C81451­12 $206.44 8 CITY OF ROUND ROCK Fire Dept-Central Station;203 Commerce Blvd;Round Rock TX 78664 SCF5270 $225.66 9 CITY OF ROUND ROCK Fire Dept-Station#2;200 W Bagdad Ave;Round Rock TX 78664 88155H2 $172.87 10 CITY OF ROUND ROCK Fire Dept-Station#3;2215undance Pkwy,Round Rack TX 78681 B8155H2 $172.87 11 CITY OF ROUND ROCK Fire Dept-Station#7;2811 Oakmont Dr;Round Rock TX 78665 88155H2 $172.87 12 CITY OF ROUND ROCK Fire Dept Station#8;1612 Red Bud Ln;Round Rock TX 78664 88155H2 $172.87 13 CITY OF ROUND ROCK Fire Dept Station#9;2721 Sam Bass Rd;Round Rock TX 78681 138155112 $172.87 14 CITY OF ROUND ROCK Logistics;3300 Gattis School;Round Rock TX 78664 88155H2 $172.87 15 CITY OF ROUND ROCK Fire Dept-Station#5;350 Deepwood Dr;Round Rock TX 78681 88155H2 $172.87 16 CITY OF ROUND ROCK Fire Dept-Station#6 Blvd;2919 Joe Dimaggio;Round Rock TX 78665 B8155H2 $172.87 17 CITY OF ROUND ROCK Fire Dept-Station 114;1301 Double Creek Dr.;Round Rock TX 78665 B81551­12 $172.87 18 CITY OF ROUND ROCK General Services Vehicle Maintenance;901 Luther Peterson;Round Rock TX 78665 C8145112 $202.31 19 CITY OF ROUND ROCK General Services;Building Maint 212 Commerce Blvd;Round Rock TX 78664 C81451­12 $202.31 20 CITY OF ROUND ROCK General Services-Facility Maintenance-2015 Lamar Drive,Round Rock,TX 78664 WC6515DN(Current) $107.37 21 CITY OF ROUND ROCK Human Resources Ste 100;231 E Main St;Round Rock TX 78664 C8145112 $206.44 22 CITY OF ROUND ROCK Information Technology/2nd FI;221 E Main St;Round Rock TX 78664 C405DN $86.13 23 CITY OF ROUND ROCK Library-Administration;216 E Main St FI 2;Round Rock TX 78664 IPK7800HS $272.04 24 CITY OF ROUND ROCK Library-Public Services;216 E Main St FI 2;Round Rock TX 78664 C81451­12 $224.00 25 CITY OF ROUND ROCK Libra -Public Services;216 E Main St FI 2;Round Rock TX 78664 C8135T2 $194.21 26 CITY OF ROUND ROCK PARD BACA Senior Center-Bldg 2;301 W Bagdad Ave;Round Rock TX 78664 C8135T2 $180.57 27 CITY OF ROUND ROCK PARD Clay Madsen Rec Ctr Rd;1600 Gattis School;Round Rock TX 78664 C8145H2 $206.44 28 CITY OF ROUND ROCK PARD Dep Front Ofc Ste250;301 W Bagdad Ave;Round Rock TX 78664 C8155112 $291.29 29 CITY OF ROUND ROCK PARD Dept Back Ofc Ste250;301 W Baliclad Ave;Round Rock TX 78664 C8135T2 $184.70 30 CITY OF ROUND ROCK PARD Yard;300 S Burnet St;Round Rock TX 78664 C8135T2 $180.57 31 CITY OF ROUND ROCK PARD/Blvd;3300 E Palm Valley;Round Rock TX 78665 WC3345 $39.26 32 CITY OF ROUND ROCK Planning Development Svcs Oft Ste 140;301 W Bagdad Ave;Round Rock TX 78664 C8135T2 $204.74 33 CITY OF ROUND ROCK Planning Ste 210;301 W Bagdad Ave;Round Rock TX 78664 C8135T2 $202.26 34 CITY OF ROUND ROCK Planning-Bldg 2;301 W Bagdad Ave;Round Rock TX 78664 C8135T2 $184.70 35 CITY OF ROUND ROCK Police Department-Criminal Invstn Div;2701 N Mays St;Round Rock TX 78665 C8135T2 $202.26 36 CITY OF ROUND ROCK Police Department-Evidence;2701 N Mays St;Round Rock TX 78665 C8135T2 $180.57 37 CITY OF ROUND ROCK Police Department-Intel;2701 N Mays St;Round Rock TX 78665 C8135T2 $180.57 38 CITY OF ROUND ROCK Police Department-Narcotics;2701 N Mays St;Round Rock TX 78665 C8135T2 $180.57 39 CITY OF ROUND ROCK Police Department-Patrol/Admin;2701 N Mays St;Round Rock TX 78665 C8145112 $206.44 40 CITY OF ROUND ROCK Police Department-Patrol;2701 N Mays St;Round Rock TX 78665 C8145112 $206.44 41 CITY OF ROUND ROCK Police Department-Records;2701 N Mays St;Round Rock TX 78665 C8145112 $206.44 42 CITY OF ROUND ROCK Police Department-Training;2701 N Mays St;Round Rock TX 78665 C8145112 $206.44 43 CITY OF ROUND ROCK Police Department-Communications;2701 N Mays St;Round Rock TX 78665 C8155112 $291.29 44 CITY OF ROUND ROCK Police Department Logistics;2701 N Mays St;Round Rock TX 78665 C8155112 $291.29 45 CITY OF ROUND ROCK Police Dept-Office Of The Chief;2701 N Mays St;Round Rock TX 78665 C8155112 $308.86 46 CITY OF ROUND ROCK Public Safety Training Facility;2801 N Mays St;Round Rock TX 78665 C8155112 $291.29 47 CITY OF ROUND ROCK Public Safety Training Facility;2801 N Mays St;Round Rock TX 78665 C8155H2 $291.29 48 CITY OF ROUND ROCK Public Safety Training Facility;2801 N Mays St;Round Rock TX 78665 C405DN $86.13 49 CITY OF ROUND ROCK Public Safety Training Facility;2801 N Mays St;Round Rock TX 78665 WC3345 $39.26 5o CITY OF ROUND ROCK SMT Convention And Visitor Bureau-#150;231 E Main St;Round Rock TX 78664 C81551­12 $291.29 51 CITY OF ROUND ROCK SMT Multipurpose Complex;2001 N Kenney Fort;Round Rock TX 78665 WC3345 $39.26 52 CITY OF ROUND ROCK SMT Sports Center-Gm Office;2400 Chisholm Trl;Round Rack TX 78681 WC3345 $39.26 53 CITY OF ROUND ROCK SMT Sports Center-Admin Office;24DO Chisholm Trl;Round Rock TX 78681 WC3345 $39.26 54 CITY OF ROUND ROCK Transportation 2nd FI;3400 Sunrise Rd;Round Rock TX 78665 C8145112 $206,44 55 CITY OF ROUND ROCK Transportation Admin 3400 Sunrise Rd;Round Rock TX 78665 C81451­12 $202.31 56 CITY OF ROUND ROCK Utilities-Admin 1st FI;3400 Sunrise Rd;Round Rock TX 78665 C81451­12 $206.44 57 CITY OF ROUND ROCK Utilities Environmental Svcs;5200 N Ih-35;Round Rock TX 78664 38155112 $172.87 58 CITY OF ROUND ROCK Utilities Operations LPC 3400 Sunrise Rd;Round Rock TX 78665 C8135T2 $202.26 59 CITY OF ROUND ROCK Utilities Water Line Maintenance;910 Luther Peterson;Round Rock TX 78665 C8145H2 $202.31 60 CITY OF ROUND ROCK Utilities Water Systems Supprt;5200 N Ih-35;Round Rock TX 78664 C8145H2 $202.31 61 CITY OF ROUND ROCK Utilities Water Treatment Plant;5200 N Ih-35;Round Rock TX 78664 C81451­12 $202.31 62 CITY OF ROUND ROCK Utilities Water Treatment Plnt Blvd Admin Bldg;3939 E Palm Valley;Round Rock TX 78665 C8145112 $206.44 Initials: Xerox Financial Services, L1,C 201 ;Merritt 7 Norwalk,C(-0685 t Customer A royal: XFS Approval: Customer SiiggnatGure , 1 ,,,,� � �// XFS Signature Q-T-Met.t AkCRC.�+`1't�1 Thomas Lyle Name Name �OK General Manager Title _ Title Zo 2 02/04/2021 Date Date Initials: Exhibit „C„ Managed Document Services Agreement xe roX TM Shaded areosfor in-house use only Business Solutions Southwest Order Date: Contract No: Customer No: Effective Date: SK Trans# Service Location: B Multiple Locations(use Location schedule) Bill To: Name: Name: City of Round Rock City of Round Rock Address: Address: Multiple-See Schedule 221 E. Main St. City/State/Zip/County City/State/Zip/County Round Rock Contact: Phone: Contact: Phone: (512)218-6682 Allen Reich (512)218-6682 Hours of Operation: Email address: Email address: areich@roundrocktexas.gov See corresponding schedules(s)for included equipment SPECIAL INSTRUCTIONS: Pricing & Contract for the City of Round Rock is based off of PACE P00161 Cooperative Contract PROGRAM: Includes all service supplies and staples;paper is excluded.Overages are billed quarterly unless otherwise stated. One Rate Pools Office A4 (OA4) Included Pages Overage Office A3 Included Pages Overage (OA3) Desktop Included Pages Overage (DSK) Unlimited Program(A3/A4) Other Unlimited B&W (UBW) #of Units Production Pools Color B&W Allowance Overage B&W(PBW) Allowance Overage (PC) Color Allowance Overage Specialty Finishing(SF) Volume Based (VB)ff]MFP B&W Allowance 293,680 Overage $0.0053 Color Allowance 94,314 Overage $0.037 ❑ MPS B&W Allowance Overage Color Allowance Overage ❑OOG ❑PPO B&W Allowance Overage Color Allowance Overage PROGRAM MONTHLY BASE: Term: 60 Monthly Service Rate: 2 Included in Lease Agreement ❑ Billable Monthly $ APPROVALS1 By signing below,you accept all terms and conditions of the contract,listed above and on reverse of agreement. Customer Signature: + Account Manager: Date: �✓ Betty Rice 02/23/2021 Title: Date: Credit Approval Signature: Date: ?j Z 2 02/23/2021 Internal Authorization: Title: Date: VP of Finance&Administration 02/23/2021 Exhibit „C„ Xerox Business Solutions SW 8200111 10 West Ste.400 San Antonio,TX 78230 Device Schedule - Attachment "A" Unit No. Location Proposed Model 60M mt/Unit 1 CITY OF ROUND ROCK Administration#1;221 E Main St Ste 3;Round Rock TX 78664 88170H2 $247.02 2 CITY OF ROUND ROCK Administration#2 3rd FI;221 E Main St;Round Rock TX 78664 C815SH2 $291.29 3 CITY OF ROUND ROCK Finance-Business Center-2nd FI;231 E Main St;Round Rock TX 78664 C815SH2 $296.18 4 CITY OF ROUND ROCK Finance#2(Color)2nd FI;231 E Main St;Round Rock TX 78664 C8145H2 $228.89 S CITY OF ROUND ROCK Finance Municipal Court Ste 120;301 W Bagdad Ave;Round Rock TX 78664 88155H2 $172.87 6 CITY OF ROUND ROCK Finance Utility Billing 1st Fl;221 E Main St;Round Rock TX 78664 C8145H2 $224.00 7 CITY OF ROUND ROCK Fire Dept-Central Station;203 Commerce Blvd;Round Rock TX 78664 C814SH2 $206.44 8 CITY OF ROUND ROCK Fire Dept-Central Station;203 Commerce Blvd;Round Rock TX 78664 SCTS270 $22S.66 9 CITY OF ROUND ROCK Fire Dept-Station#2;200 W Bagdad Ave;Round Rock TX 78664 88155H2 $172.87 10 CITY OF ROUND ROCK Fire Dept-Station#3;221 Sundance Pk ,Round Rock TX 78681 88155H2 $172.87 11 CITY OF ROUND ROCK Fire Dept-Station#7;2811 Oakmont Dr;Round Rock TX 78665 98155H2 $172.97 12 CITY OF ROUND ROCK Fire Dept Station#8;1612 Red Bud Ln;Round Rock TX 78664 B8155H2 $172.87 13 CITY OF ROUND ROCK Fire Dept Station#9;2721 Sam Bass Rd;Round Rock TX 78681 881551,12 $172.87 14 CITY OF ROUND ROCK Logistics;3300 Gattis School;Round Rock TX 78664 B8155H2 $172.87 15 CITY OF ROUND ROCK Fire De t-Station#5;350 Deepwood Dr;Round Rock TX 78681 138155H2 $172.87 16 CITY OF ROUND ROCK Fire Dept-Station#6 Blvd;2919 Joe Dima io;Round Rock TX 78665 B815SH2 $172.87 17 CITY OF ROUND ROCK Fire Dept-Station#4;1301 Double Creek Dr.;Round Rock TX 78665 R81551,12 $172.97 18 CITY OF ROUND ROCK General Services Vehicle Maintenance;901 Luther Peterson;Round Rock TX 78665 C8145H2 $202.31 19 CITY OF ROUND ROCK General Services;Building Maint 212 Commerce Blvd;Round Rock TX 78664 C8145H2 $202.31 20 CRY OF ROUND ROCK General Services-Facility Maintenance-2015 Lamar Drive,Round Rock,TX 78664 WC6515DN(Current) $107.37 21 CITY OF ROUND ROCK Human Resources Ste 100;231 E Main St;Round Rock TX 78664 C8145H2 $206.44 22 CITY OF ROUND ROCK Information Technology/2nd FI;221 E Main St;Round Rock TX 78664 C405DN $86.13 23 CITY OF ROUND ROCK Library-Administration;216 E Main St FI 2;Round Rock TX 78664 IPK7800HS $272.04 24 CITY OF ROUND ROCK Libra -Public Services;216 E Main St FI 2;Round Rock TX 78664 C8145H2 $224.00 25 CITY OF ROUND ROCK Libra -Public Services;216 E Main St FI 2;Round Rock TX 78664 C8135T2 $194.21 26 CITY OF ROUND ROCK PARD BACA Senior Center-Bldg 2;301 W Bagdad Ave;Round Rock TX 78664 C813ST2 $180.57 27 CRY OF ROUND ROCK PARD Clay Madsen Rec Ctr Rd;1600 Gattis School;Round Rock TX 78664 C81451,12 $206.44 28 CRY OF ROUND ROCK PARD Dep Front Ofc Ste250;301 W Bagdad Ave;Round Rock TX 78664 C8155H2 $291.29 29 CITY OF ROUND ROCK PARD Dept Back Ofc Ste2$D;301 W Bagdad Ave;Round Rock TX 78664 C8135T2 $184.70 30 CITY OF ROUND ROCK PARD Yard;300 S Burnet St;Round Rock TX 78664 C813ST2 $180.57 31 CRY OF ROUND ROCK PARR/Blvd;3300 E Palm Valley;Round Rock TX 78665 WC3345 _ $39.26 32 CITY OF ROUND ROCK Planning Development Svcs Ofc Ste 140;301 W Bagdad Ave;Round Rock TX 78664 C8135T2 $204.74 33 CITY OF ROUND ROCK Planning Ste 210;301 W Bagdad Ave;Round Rock TX 78664 C8135T2 $202.26 34 CITY OF ROUND ROCK Planning-Bldg 2;301 W Bagdad Ave;Round Rock TX 78664 C813ST2 _ $184.70 35 CITY OF ROUND ROCK Police Department-Criminal Invstn Div;2701 N Mays St;Round Rock TX 78665 C813ST2_ $202.26 36 CITY OF ROUND ROCK Police Department-Evidence;2701 N Mays St;Round Rock TX 78665 C813ST2 $180.57 37 CITY OF ROUND ROCK Police Department-Intel;2701 N Mays St;Round Rock TX 78665 C813ST2 $180.57 38 CITY OF ROUND ROCK Police Department-Narcotics;2701 N Mays St;Round Rock TX 78665 C8135T2 $190.57 M12 CRY OF ROUND ROCK Police Department-Patrol/Admin;2701 N Mays St;Round Rock TX 78665 C8145H2 $206.44 CRY OF ROUND ROCK Police Department-Patrol;2701 N Mays St;Round Rock TX 78665 C8145H2 $206.44 CRY OF ROUND ROCK Police Department-Records;2701 N Mays St;Round Rock TX 78665 C8145H2 $206.44 CITY OF ROUND ROCK Police Department-Trainin;2701 N Mays St;Round Rock TX 78665 C8145H2 $206.44 CITYOFROUND ROCK Police Department-Communications;2701 N Mays St;Round Rock TX 78665 C8155H2 $291.29 CITY OF ROUND ROCK Police Department Logistics;2701 N Mays St;Round Rock TX 78665 C8155H2 $291.29 CITY OF ROUND ROCK Police Dept -Office Of The Chief;2701 N Mays St;Round Rock TX 78665 C8155H2 $308.86 46 CITY OF ROUND ROCK Public Safety Training Facility;2801 N Mays St;Round Rock TX 78665 C815SH2 $291.29 47 CITY OF ROUND ROCK Public Safety Training Facility;2801 N Mays St;Round Rock TX 78665 C815SH2 $291.29 48 CITY OF ROUND ROCK Public Safety Training Facility,2801 N Mays St;Round Rock TX 78665 C40SDN $86.13 49 CRY OF ROUND ROCK Public Safety Training Facility;2801 N Mays St;Round Rock TX 78665 WC3345 $39.26 so CITY OF ROUND ROCK SMT Convention And Visitor Bureau-#150;231 E Main St;Round Rock TX 78664 C81551­12 $291.29 51 CITY OF ROUND ROCK SMT Multipurpose Complex;2001 N Kenney Fort;Round Rock TX 78665 WC3345 $39.26 52 CITY OF ROUND ROCK SUIT Sports Center-Gm Office;2400 Chisholm Trl;Round Rock TX 78681 WC3345 $39.26 53 CRY OF ROUND ROCK SUIT Sports Center-Admin Office;2400 Chisholm Trl;Round Rock TX 78681 WC3345 $39.26 54 CRY OF ROUND ROCK Transportation 2nd Fl;3400 Sunrise Rd;Round Rock TX 78665 C8145H2 $206.44 55 CITY OF ROUND ROCK Transportation Admin 3400 Sunrise Rd;Round Rock TX 78665 C8145H2 $202.31 56 CITY OF ROUND ROCK Utilities-Admin 1st FI;3400 Sunrise Rd;Round Rock TX 78665 C81451,12 $206.44 57 CITY OF ROUND ROCK Utilities Environmental Svcs;5200 N Ih-35;Round Rock TX 78664 B8155H2 $172.87 58 CITY OF ROUND ROCK Utilities Operations LPC 3400 Sunrise Rd;Round Rock TX 78665 C8135T2 $202.26 59 CITY OF ROUND ROCK Utilities Water Line Maintenance;910 Luther Peterson;Round Rock TX 78665 C8145H2 $202.31 60 CRY OF ROUND ROCK Utilities Water Systems Supprt;5200 N Ih-35;Round Rock TX 78664 C814SH2 $202.31 61 CITY OF ROUND ROCK Utilities Water Treatment Plant;5200 N Ih-35;Round Rock TX 78664 C8145H2 $202.31 62 CITY OF ROUND ROCK Utilities Water Treatment Pint Blvd Admin Bldg;3939 E Palm Valley;Round Rock TX 78665 C8145H2 $206.44 Initials: Exhibit Xerox Business Solutions SW 82001H 10 West Ste.400 San Antonio,"PX 78230 Custom Approval: XBS oval: Customer Sig pture XBS ature Doug Vroegh Name Name Ascb(, VP of Finance&Administration Title Title 3 1251 Z02,1 02/23/2021 Date Date Initials: CERTIFICATE OF INTERESTED PARTIES FORM 1295 1 0f 1 Complete Nos.1-4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos.1,2,3,5,and 6 if there are no interested parties. CERTIFICATION OF FILING 1 Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number: of business. 2021-707481 Dahill Office Technology Corporation dba Xerox Business Solutions Southwest San Antonio,TX United States Date Filed: 2 Name of governmental entity or state agency that is a party to the contract for which the form is 01/19/2021 being filed. City of Round Rock Date Acknowledged: 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract,and provide a description of the services,goods,or other property to be provided under the contract. 000000 000000 4 Nature of interest Name of Interested Party City,State,Country(place of business) (check applicable) Controlling Intermediary Rice, Betty Austin,TX United States X Pike,Joshua Austin,TX United States X Garza, Bonnie San Antonio,TX United States X 5 Check only if there is NO Interested Party. 6 UNSWORN DECLARATION My name is Bonnie Garza and my date of birth is My address is 8200 iH-10 West.Suite 400 San Antonio Texas 78230 USA (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in Bexar County, State of Texas ,on the day of_r, ,,ary 20 21 (month) (year) 15MI i2 Gakaa Signature of authorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.ceffd98a I CERTIFICATE OF INTERESTED PARTIES FORM 1295 1 of 1 Complete Nos.1-4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos.1,2,3,5,and 6 if there are no interested parties. CERTIFICATION OF FILING 1 Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number: of business. 2021-707481 Dahill Office Technology Corporation dba Xerox Business Solutions Southwest San Antonio,TX United States Date Filed: 2 Name of governmental entity or state agency that is a party to the contract for which the form is 01/19/2021 being filed. City of Round Rock Date Acknowledged: 01/22/2021 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract,and provide a description of the services,goods,or other property to be provided under the contract. 000000 000000 4 Nature of interest Name of Interested Party City,State,Country(place of business) (check applicable) Controlling Intermediary Rice, Betty Austin, TX United States X Pike,Joshua Austin, TX United States X Garza, Bonnie San Antonio,TX United States X 5 Check only if there is NO Interested Party. ❑ 6 UNSWORN DECLARATION My name is and my date of birth is My address is (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. Executed in County, State of on the day of ,20 (month) (year) Signature of authorized agent of contracting business entity (Declarant) Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.ceffd98a