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CANON SOLUTIONS AMERICA
<br />Canon Solutions America, Inc. ("CSA")
<br />One Canon Park, Melville, NY 11747
<br />=0) 613-2228
<br />�EASERADE, TRADE-IN, RETURN OR BUY-OUT
<br />REIMBURSEMENT ADDENDUM TO AGREEMENT #
<br />r S1042244.04 (the "AGREEMENT")
<br />Customer ("You"): I Customer Account: 1846043
<br />Company: KITTITAS CO PROSECUTING OFC
<br />Address: 205 W 5TH AVE RM 213
<br />City: ELLENSBURG
<br />State: WA I zip:98926
<br />County: KITTITAS
<br />Phone #: 509.962.7520
<br />Email: elishia.harvill@co.kittitas.wa.us
<br />Lease Upgrade or Buy-out Acknowledgement
<br />If this transaction includes a lease upgrade or buy-out to be paid upon delivery and
<br />acceptance of the Equipment listed on the Agreement, select one of the following:
<br />❑ Not Applicable
<br />❑ You will return the equipment to the leasing company according to the terms and
<br />conditions of your lease agreement.
<br />10 CSA will return the equipment to the leasing company per Section 2 below.
<br />❑ You will retain the equipment.
<br />If so, will the equipment remain under a CSA Maintenance Agreement?
<br />Yes ❑ If yes, under an Existing Contract ❑ or New Contract ❑ No ❑
<br />❑ CSA will pick up the equipment for Trade In.
<br />Return Authorization
<br />Please select one:
<br />❑ Trade -In
<br />Please note that any applicable trade-in credit is reflected in the periodic lease
<br />payments or purchase price as specified in the Agreement
<br />EnunxNDJ_C2nMugfi ❑ Good Working Condition ❑ As is condition
<br />Q Return Equipment to selected Leasing Company
<br />® Canon Financial Services
<br />❑ Return Equipment to CSA, original order Date
<br />Page 1 of
<br />I Buy-out Reimbursement
<br />$ to be paid under the circumstances described in
<br />Section 1 below.
<br />Payable to: ❑ You ❑ Canon Financial Services, Inc.
<br />Reason for check issuance:
<br />List the leasing company and lease number associated with any lease upgrade or buy-out.
<br />Leasing Company Name Lease Number
<br />CFS 001-0638482-005
<br />Pick-up Information:
<br />0 Same Date as Delivery of Listed Items specified on the Agreement.
<br />❑ Other Specified Date: _ I
<br />(but no longer than 30 days after deliveryof Listed Items under Agreement)
<br />Contact Name:
<br />E-Mail:
<br />Special Removal Instructions:
<br />Return Item Meter Equipment location, If Contact Name & Alt Pick
<br />Code Code Description Serial # Readln different than above Phone Email up Date
<br />UGTR 5559B003 IRADVC5250 JM019094 241532 307WU WA 98926 ANUML ENSBURG LISH509. 62 7520LL ellshia harvill®co.kitdtas wa.us
<br />[�ReturnCocles: Trade-In:TRD Return to CFS:R-CFS Return to CSA:R-CSA
<br />You have agreed to acquke from GSA certain Listed Items pursuent to the Agreement By your signature below, you agree to supplement the terms of the Agreement as follows:
<br />1- If Buy Out Refmbufsameni Is selected: The Buy -Out Reimbursement indicated above will be paid direc* to the designated party by CSA upon installation and fasting of the Listed Items and payment
<br />to CSA (by you w by the Lea0lg Company) of the purchase price far the Listed Trams. The Buy -Out Reimbursement will be pall for the sole purpose of reimbursement of early termination charges or Coos
<br />and associated expenses payable for (a) early termination of the tease of the Trade-in or Return Equip;nant or for other equipment being regtaond by the Listed Ilam under the Agreement, (h) refinancing
<br />Vie lease of other equipment or (c) preparation of the site for instatHaton of Listed Items. You acknowledge and agree that CSA's IIInandel obligader Is 11mited to the Buy -Out Reimbursement amount, and
<br />that you are responsible far any other obligations, including any charges which are not covered by the Buy -Out Reimbursement
<br />2. If Trade -In Equipment at Ratum to Leasing Company is selected: You hereby auahonza CSA io pick up the Tradedn or Return Equipment listed above. Yau agree to pay CSA's remover charges if,
<br />on the dale specdiad above. the Trade-in or Return Equipment is unavailable for pickup and removal through no fault of CSA- Trade-in Equlpment shall be conveyed to CSA, and (a) you represent lhat CSA
<br />will receive good and marhelable title to each unit of Trade-in Ergglpment. frea and clear of any and all liens and leasehold interests, (b) you warrant that the Trade -In Equipment will be doWered to CSA
<br />(unless spea tied above that the trade-in Is on an 'As fs' basis) in good working coridilion, reasonable wear and tear excepted, and (c) you shall make the Trade -In Equipment available for pickup by CSA
<br />on lira relevant date specified above. If you breach or fall to comply 0b any of the. foregoing, CSA may, without fimting its other remedies under appllcabie law, return the Trade -In Equipment to you (at
<br />y,tt, return and the orghral p-lekup) and rescind, or require you to refund to CSA, promptly upon reeelpt or CSR's invoice, the full amount of any Vade-In credit reflected in fire Agreement
<br />(+� SI CAir,st the Fair marker value of such Trade in Equlpmenl, as datarmkned by CSA). RaWm Equipment shall>fe shipped to the Using Company spao[isd above, and CSA's solo obT}gation
<br />,t t • •. y ;: •lisonabie efforts 10 pick-up and remove the Return Equipment and to ananga, on your behalf and al CSR's exp9ase and nsk (but only to the extent of obvious damage in transit),
<br />t;;r +•�:: r' cum Equipment to ore Leasing t;.amlpany You acknowledge that additional charges for supplies, media, excess usage, etc-, wfif be invoiced to you, and you shall be responsible
<br />for all invoices due and r,wing up to and including the date such Trade-in equipment or Return Equipment is received by CSA
<br />3; PA gdae that the hard drrvefs) on the Equipment, including attached devices, may retain Images, content or Oat data that you may slore for purposes of normal operation of the
<br />Elam it a You acknowledge that CSA is not storing Data on behalf of you and that exposure or access to the Data by CSA, if any, is purely incidental to the services performed by CSA. Neither
<br />C$A n any of r) Ie.aHillates has an obligation to erase or overwrite Data upon Your return of the Equipment to CSA or any leasing company. You are solely responsible for: (t) your compliance with
<br />a¢on tit law .rr, I.
<br />�Lrequtrenveits pertaining to data privacy, storage, security, retention and protection; and (it) all decisions related to erasing or overwriting Data. The terms of this section shall solely
<br />g t , m :?rr;t fhstendNg that any provisions of+his ,lgreemufil or any separate confidentiality or data security or other agreement now or hereafter entered into between you and CSA could be
<br />canatrts m ,rlr u 13
<br />TVNV ;A QM MJALL BECOME ESF IVE HE $A Tt S THE A BECOME EFFECTIVE IN ACCORDANCE WITH THE TERMS THEREOF. EXCEPT AS
<br />s4'i�fal?L(_N T.20,1-j1�RE$Y THE ACRE EI�fT ALL REMAIN HANGED LL FORCE AND EFFECT
<br />Customer's Authorized Signal ure �q
<br />Printed Name Title �v�r Date _V 2--J� v_r
<br />SLS-004B April 2019 A
<br />Phone:
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