CM-08-01-021BLUE SHEET FORMAT
DATE: January 25, 2008
SUBJECT: City Manager - Pitney Bowes copier pickup authorization
ITEM: Consider having the City Manager sign authorization forms for Pitney
Bowes to pickup a photocopier that has been replaced with a newer version.
Department: Finance
Staff Person: Cindy Demers, Finance Director
Justification:
This form is required by Danka Office Imaging Company before they will
pickup the copier located at 2801 Enterprise Drive. The afore mentioned
copier is being replaced by a newer copier under the City's copier
agreement.
Funding:
Cost: N/A
Source of funds: N/A
Blue Sheet Format
Updated 01/20/04
REMOVED EQUIPMENT AGREEMENT
This Agreement is entered into between L OF Ca /ij ; 4. "CUSTOMER"), and Danka Office Imaging Company, ("DANKA"), and documents the
PARTIES' agreement relative to CUSTOMER oed or leased equipment removed ("Removed Equipment") by DANKA at CUSTOMER's request. CUSTOMER
hereby authori and., reque s th.t KA ove specific CUSTOMER Equipment identified herein from the following location:
ERrrants that the CUSTOMER Representative executing this waiver is fully authorized •and warrants
e accuracy of such epresent • ion. C STOMER warrants that (Please select A or B):
1,/ CUSTOMER is currently obligated the third party lessor for the Removed Equipment identified below and aside from a remaining lease
obligation on the original lease, there are no additional encumbrances of any kind on such Equipment. The existing Lease information follows:
A.
Vendor National Account Rental Asset
Lease (Complete table below)
Lease Number
(Mandatory )
Serial Number
( M,undatory
315
Make & ;Model
(Mandator,)
Inti c? fr Via,
Leasing Company
(Mandatory)
a air
J
B. CUSTOMER is the sole owner and holder of title of Removed Equipment identified below and such Equipment is free of liens and/or
encumbrances of any kind. Accordingly, CUSTOMER fully indemnifies DANKA against any claims whatsoever from any third parties
regarding such Removed Equipment identified below, including but not limited to, claims of ownership and claims for damages related to
DANKA's removal and disposition of the Removed Equipment. CUSTOMER acknowledges and agrees that CUSTOMER will be solely
responsible for any claims by third parties regarding such Removed Equipment.
Eligible equipment owned outright by CUSTOMER can be traded on a one-to-one basis toward the net new purchase. The following terms and
conditions apply to all trade-ins of competitive equipment:
- Trade -In equipment is to be in good working order and currently under a maintenance agreement and will be subject to inspection by DANKA's
designated representative. If such equipment is not fully functional, credit will not be issued.
- Trade-in equipment must be made available for removal the same day as the day of installation of the new Equipment. DANKA will prepare the
trade-in equipment for removal and arrange and pay for its shipment. Equipment with no DANKA trade-in value is subject to a DANKA removal
charge.
- The CUSTOMER will receive a one-time credit for the trade-in equipment upon the verification that a DANKA designated carrier or agent has
inspected and removed the trade-in equipment. The amount of the credit will not exceed the purchase price of the new Equipment sold and will be a
credit to the CUSTOMER.
— Credit may only be applied toward the purchase price of new DANKA Equipment.
Serial Number
(Mandator )
Make and Model
(Mandatory)
Serial Number
(Mandatory )
Make and Model
(Mandatory)
DANKA SHALL HAVE NO OBLIGATION TO REMOVE AND/OR CREDIT EQUIPMENT IN CASES WHERE THIS AGREEMENT IS
INCOMPLETE, INACCURATE OR OTHERWISE LACKING IN EXECUTION. CUSTOMER AGREES TO INDEMNIFY DANKA
FULLY AGAINST THIRD PARTY CLAIMS IN THE EVENT THE INFORMATION DISCLOSED ON THIS AGREEMENT IS
INACCURATE.
1 . �;
//-33 •i
9.
DANKA OFFICE IMAGING COMPANY
Signature
Printed Name
Title
Date