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HomeMy WebLinkAboutCanon AgreementCanon CANON SOlUTIO N S AMERI CA Canon Solutions America, In c . ("CSA") On e Canon Park, Me lville , NY 11747 (800)-6 13 -2228 Customer ("You"): Cu.sfomar Account: 1846458 Company Legal Name : ~O'A/ER KITTITAS COUNTY COURTS Doing Business As : Billing Address : 205 W 5TH AVE RM 180 DISTRICT COURT Clti ELLENSBURG County: KITTITAS Sale sperso n : Rodney Scott Gilmore 0 Corporation 0 Partnership UNIFIED LEASE AGREEMENT #ULF S0847588 .01 Order Date: 2/1/20 19 0 Limited Liability Company 0 Limited Liability Partnership 0 Non -Profit Corporation ~ State or Local Government ilp: 98926 Phone: 509 .962. 7075 0 Sole Proprietorship If selected, complete Date of Birth Ccihtact .Elarb Demory Fa x: E-Mail : barbara.demory@co.kittitas.wa.us Lease Information Lease Term # of Payments _6_0 ___ . Months 60 · ·corisiimabIasInc1us1v11 ·· Base $ 207 .43 I!'.'.} Toner l•ou:lud•scJ,arJ [!'.'.I Other Staples Payment• Maintenance $~ Address: Total $ 207.43 (• Plus applicable taxe!l). Erid of Lease Term Purchase Option"• 0 $1.00 0 Other 0 Advance : TOTAL DUE AT SIGNING• s 0 .00 ¢heck m~ust 11c;cgrrip<!f1Y119ree_rrie11L .. Tax Exempt . (estimated) (Attach certificate) D nclu ad, except or qu pment ·c • excluded on Schedule A ~ Per Unit O Fleet ·· ··· Toner Fulfillment Method ·· · · ·········poReqliiriia Charges · l!'.'.l. No See Schedule A C J;~~QOfcd.1~:.0l)jt .. Qi'..~"'9 ~~~/.G!llitan!~~)'):il(I . . . .. ot... '1 SOi. rt0!'/S'AME!il<;A;Jt:iest ' ... <)'en_~Ji;!O;•~'~.-•bt.~ (~li,.;~any"~or ~~)hereto, ·Agreemenr) with the customer i dentified above reustomor"), irrevocably and uncondilionally, jointly and severally, guaranlee lo Lessor (as definlltd in lhe Agreomenl) and its successOB eoif' assigns. the payment when due of all amounts owed under the A greement {whether at meturif'I or upon the occurrence of an event of defautt or olherwise) and the performana, by Cu.slomer of all terms of tne:_Agraement and any other transaction between Cuslomer and lessor (or CSA as assig ned to Lessor) {conectively, "Liabilitie s·). If Customer sheU fail to pay or perform any liabHitie.s when due. Guarantors ahal1. upon demand, pay any amounts which may be due l'fom Customer and take any action required of Customer under the Agreement. This is an absolute and contim.ing guaranty and Guarantor..' tia bili ly under Ujl• Guaranty is primary and will nol be anected by any se!Uemenl, extension. renewal or modification of lhe Agreement or any discharge or-release of Customer's obligations, whether by al)l'eemenl or operation ~Jlaw. If any paymenl applied by Lessor on the Liabilities is thereafter sel aside, recovered or reQuired to be rotumed for any reaso n (induding without limitation the bankruptcy, Insolvency or reorganization of other pe~on), the UabUilles to which such payment was applled shall for the purposes of this Guaranty be d&efl'l&d to have continued i n existence, notwithslanding such application, and lhis enforceable as to such Liabilities as ft.Illy as if such application had never been made. This Guaranty may be laminated only upon sixty (60) days' prior written notice lo CSA and l essor. and shall be eft'Octive onJy as to Liabilities arising under sdle-Oules, supplements, or agreements entered inlo after the effective dale of temiihation and shaR not aff&d Lessor'$ rights under this out of Iha Agreement or other agreements entered into prior to such dale, Guaranto~ waive an damages, demands, presentments and notices of every kind and nature. any rights of set-off, and ~Y. defenses available to a guarantor (other than the defense of payment and performance in fu ll) under appli cable l aw . Guarantors furthe r waive Any {i) notice of !he incurring of indebledness by Customer and th6 acceptance of this Guaranty, (Ii) right to reQui re svil against Customer or any other party before enforci ng this Guaranly and (i ii) right of subrogal ion to Lessor's righls against Customer until the Liabilil ies are :rnlisfied in fu ll . A ny (a) renewals and extensions of time of paymenl , (b) release. substitution or corr.promise of or realization upon the Equipmenl, other guaranlies or any collateral security and (c} exercise 0.f'any other right uf'lder this or any olher eg.-eement between Lessor (or CSA a s assigned by Lessor ) and Customer or any third par1y, may be made, granted and effected by Lessor withoul notice to Guarantors and without in any manner affecting Guarantors' liabil ity under this Guaranty, arantors shail pay all expense's (Including attorneys' fees and legal e)(J)enses) p8id or incurred by Lessor in endeavoring to collect the Liabilities Of any part thereof and in enfoscing the Guarantv •. J HIS , SHALL-FOR ALL P\Jl<l'oSES BE DEEMED A CONTRACT ENTERED INTO IN THE ST ATE OF NEW JERSEY. THE RIGHTS OF THE PARTIES UNDER THIS GUARANTY SW.LL BE GOVERNED . S OF THE STATE OF NEW JERSEY WlTHOVT REFERENCE TO CONFLICT OF LAW PRINCIPLES. ANY ACTION BETWEEN GUARANTORS AND LESSOR SW.LL BE BROUGHT IN ANY STATE OR FEDERAL COURT LOCATED IN THE COUNTY OF CAMDEN OR BURLINGTON. NEW JERSEY. OR AT LESSOR"S SOLE OPT ION, IN THE STATE WHERE ANY GUARANTOR, CUSTOMER OR EQUIPMENT IS LOCATED, GUARANTORS. BY TH EIR EXECUTION ANO D ELI VERY HEREOF. IRREVOCABLY WAJVE OBJECTIONS TO JURISDICTION OF SUCH COURTS ANO OBJECTIONS TO To'VENUE ANO CONVENIENCE OF FORUM, GUARANTORS. BY THEIR EXECUTION ANO DELIVERY HEREOF. A NO CSA AND LESSOR.BY THEIR ACCEPTANCE HEREOF, HEREBY IRREVOCABLY W~)/E ANY RIGHT TO A JURY TRIAL IN MN SUCH PROCEEDINGS. Guarantors agree that CSA and Lessor may accept a facsilTile or other el octronic transmi ssion of this Guaranty as an original , and thal facsimile or eledronically transmitted copies or Guarantors' ~~-~ will be treated as an ori ginal for all pu rposes. Printed Name: _____________________ Signature : ________________________ (no lille} Date:.~-----; ~[~~-----~----------------------------------Phone:,.... _________ _ Printed Name:·----------+-----------Signature: ________________ ~-~-~---<no tille) Date: _____ --,! Date : __ ~::_.,.-_.L----'------t Title : CSA Authorized Signature : Date: Printed Name : Title : SLS-107F CFS-1209 September 2018 Page, ULF # S084758 8 01 GENEHAL TEHMS AND CONDITIONS 1. LEASE OF EQUIPMENT AND SOFTWARE 1 .1 Ll5te;d lfoms.· Commencemont of LBMq; L~sor. CSA sh all supply, for lea,e by you as provided b elc-..... , and you 3hslt lease the units or equ!pment CE qutpmenr) and licenses of sottware with separate support contracts, if applicable rusted Software ": and together with ttie Equipment and all replacements and additions thereto. ~Listed Item:,() ind icated on Sche dule A . The initial lessor i s Canon Flnnncla l Servlce5, Inc. (together with any future assignees of its right!l as lessor , ~lessor'"). You shall keep the Usted llems at the "Ship To" location, not move them to another location w ithout the prior written consent of Lessor (defined below). and keep them free and deer or all liens and e ncumbrances. This Agreement shall be effective on tho date the Listed Items are delivered to you rLease Commencement Date'") The term of this Agr~ment beg ins on the date accepted by CSA or any later dale that CSA designates ("Agreement Date;. and shall continue for an initial term of the number of months specified on page 1(toget her with any renewal periods, ~Lease Term·). Your execution of an acceptance certificate provided by CSA shall condusive ly eitabllsh that the Listed Items have been delivered to and irrevocably accepted by you. If you have not. within 10 days after deli ve ry of Equipment, delivered to Lesso r written notice of non-acceptance of any Equipment, spe ci fying the reasons and referencing this Agreement. you shall be deemed to have irrevocably accepted the Equipment. Mer eccoptance. you shell have no right to cancel this Agreement or return the Listed Items prior to the end of the Lease Term for any reason whatsoever, induding termination of any maintenance services that may be provided by CSA under this or any separate agreemenl Title to all Li sted Items shall be transferred by CSA to lesso r, CSA shall assign to Lessor ell of its rights (but none of its obligations.) with respect to the listed Items. lnduding the right to receive all Payments. Lessor does not and shall not es,ume any obligation, under this Agreement CSA shall remain .solely liable for the performance of all maintenance, service, and warranty Obligations de,cribed in tnis Agreement,( 1.2 paYffiilnts artd-·COSta. Yo u shall pay to Lessor "ach billing period the fixed basi, and, if applicable, the fixed maintenance amounts and per image charges and all other amounts , as li sted and specified on page 1 and Sch9dule A and such other amounts permitted in this Agreement as invoiced by lessor (~lectively, "Peym<,nts·; the fixed maintenance amounts and the per image charges ere the "CSA Payments~. and all other Payments arc the "le93or Payments"). If You have opted for a ninety (90) day deferral of payments. then invoicing for ell Payments. induding excess per image charges. shall be quarterty, and no Payment shall be due for the first ninety (90) days fO,lowing commencement of the initial term. For Equipment designated as Corporate Advantage, the meter sh.el! record a quantity of 2 images. for any image produced on media wider than 8½". The Payments shall not increase during the initial term. Prepaid charges shall not be refundebJe e,tcept as provided in Paragraph 2., (b). Invoices shall be due and payable upon receipl All Payments will be applied in such order as Lessor, in its discretion, may determine. This lease is a net lease . Lessor Payments shell be made without set-otf or deduction, even if the Listed Items ma lfunction and irrespective of any non- performance by CSA of Its maintenance obligations. You authorize Lessor to adjust the Peyment3 and the End of Term Pun::.ha se Option amount (if specified on page 1) rPun::.hase Option1 by up to 15% if 1he actual ~ of the U:stcd Item:, and any related services and supplies. induding any sales and use tax, eJtceed CSA's estimates on which such amount:5 were based. You ,hall pay a $65 documentation fee and any applicable taxes (anduding personal property tax). e,cpenses. charges and fees imposed with respect to the Listed llems, the Payment.s or your performance or non-performance under this Agreement. and you .shall reimburse Le:rnor for the same plus processing fees (collectiv~y. ~costs•). You agree that Lessor may in its sole discretion apply, but shall not be obligated to apply, any amount.s paid in advance to any amount due or to become due hereunder, and in no event shall any amount paid in adv11nce earn Interest unless required by applicable law. If any Payments are late, you shall pay (a) the actual and reasonable costs and expenses of collection. indudlng attorneys' fees, whether or not .suit Is brought. (b) a late charge equal to the higher of 10% of the amount due or $25. a, rea,onable II qui dated damage,. and (c) if Lessor should bring court action. you agree that attorney fees equal to 25% of the amount sought shall be deemed reasonable , in each case not to exceed the maximum amount permitted by law. 1.3 PµrybM9 Op!lon1 · Rcrtum . (a) ENO OF TERM PURCHASE OPTION. To elect 1his option. you ·sh ell give le55or 60 days' prior irrevocable written notice (unless the Purchase Option price is $1 .00} that you will purchase, upon the expiration of the Lease Term , alt the listed Items at lhe Purchase Option price plus any Costs. (b) PRIOR TO MATURITY PURCHASE. You may upon not less than 60 days' prior irrevocable written notice, purchase an the U,tecfltei'i,1t:-8 t a price equal to the ,um of all remaining Payments, plus the Fair Martir.et Value. plus 'costs . For purpo,es of this Agreement. ·Fair Mant:et Value" shall be Lessor's retail price al the time you notify Lessor of your inlenl to purchase the Equipment (c) Listed Item purchase, she ll be ~AS•I S WHER E-is· wi ltlout warranty, except for tide; purchases of licenses of Li sted Software are subject to the terms thereof. (d) Unless this Agreement contains a $1 .00 Purchase Option, this Agreement shaK automatically re new on a month to month ba:,is et the same Payment amount (subject to increase of CSA Payments) and frequency unless you , at least 60 days before the end of the Lease Term, send to Lessor written notice {the "End of Term Notice'') that you either~) are purchasing al (but not less than ell) of the Equipment in accordance with the terms hereof, or (ii) do not want to renew this Agreement, and at the end of the Leese Term shall return the Equipment as provided below. Unless this Agreement automatically renews or you purchase the Equipment as provided in this Agreement. you .shell, at the termination of the Lease Term. return the Eq uipment at your sole cost and expense in good operating condition, ordinary wear and teer resu!Ung from proper use excepted, to a location specified by Le5.sor. Lessor may charge you a return fee equal to the greeter of one Lessor Payment or $250 for the processi ng of returned Eq ui pmont. If for any reason you fe ll to return any Equipment to Lessor as provided in this Agreement by the lest day of such Lease Term . you sha ll pay to Lessor upon demand one billing period 's les,or Payment for each billing period or portion thereof that such return is delayed. If you fa il to provide the required End of Term Notice and re turn the Equipment at the end of the Lea se Tenn, you shall pay to Lessor upon de mand the BO•dey equivalent of Les sor Payments to satisfy the End of Term Notice pe:ri Od refere nced above . You shell reimbur3e Lessor for any cosb incurred by Le:,sor to place the listed Items in good operati ng condition. 2. MAINTENANCE. YOU SHALL RECEIVE THE MAINTENANCE DESCRIBED IN THIS PARAGRAPH 2 ("Maintenance") ONLY IF YOU HAVE ACCEPTED MAINTENANCE ON PAGE 1. Such siervtceo are siubject to the exclusions hereinafter described. Maintenance provided to you under separate agreement between CSA and you shell be governed solely by th e provisions thereof . 2.1 CoV1Jrod Service. (a) CSA shall provide all routine preve nti ve maintenance and emergency se/"Vice necessary to keep tnc Equipment in good working order in accordance 'Mth this Agree ment and CSA's normal practice, Such service shall be performed between 6:30 A.M. and 5:00 P.M. Monday throug h Friday. except holidays . (b) Yo u shall afford CSA reasonable and sare access to the Equ ipment to perform on.site service . CSA may terminate its ma intenance obligations as to any Equipment if you rel ocate it to a site oubide CSA's service covorago sn:a. If. in CSA·s opinion. any Equipment cannot be maintained in good working order through CSA's SLS-107F CFS-1209 S eptember 20 18 routine maintenanco sorvices. CSA may, at its option. (i ) substitute comparable Equipment or (ii) cancel any balance of the term o f rt:s mainte nance obl lgati ons as to such Equipment and re fund the unearned po:ton of any prepaid CSA. Peyment3. Parts or Equipmen! repleced or removed by CSA in connectioo with Ma intenance shall become the property of lessor and you disdaim any interest in the m. (c) lnstall ation/lmplementation of Listed Software may be at an additional diarge except to the extent induded as a Li sted Item and may be conditioned on your agreement to a separate statement or work or other document covering the scope and schedule of installati on/implementation , configuratiort• options. responsi bili ties of each party , and othe r matters, whidi shall so(eiy govern as to the matters covered therein . Additional charges may appfy for work beyond the initial sc.ope deSCtibed in such separate document (d) Support fo r Us1ed Software is provided directly by the respective develope~ thereof and as set forth in each developer's applica ble separate .support contract. end is not provided by CSA under this Agreement exce pt as expressly provided herein. Support for Listed Software may require !eparate purcnase by you of a suppcrt contrad, unless included under this Agreement as a Listed Item. The terms of 9upport contract! for listed Software are available from the develope~. or wi ll be provided to you by CSA upon req uest Notwithstanding any provision in the support co ntract to the comrary. it shall automatic.atty renew on an annual bas is. subject to a price increase after the initial term. (e} CSA shall make available to yoo from time to time upgrades and bu g fixes for the so ftwero 6censed es part of the Equipment end for Listed Software. but: (i) only if such upgrades and bug fixes are provided to CSA by the devclope~ of .such Listed Software. (ii) avail ability of upgrades and bug fixes may be at additional diarge, end (iii) installeti oa of such upgradeis and bug fixes by CSA if requ~ted by you shall be at additional charge. You are not required to us.e CSA for installation of either Listed Software or for any upgrades. a nd bug fixes , but if in.s.taUation is done by anyone other than CSA, CSA shall have no m:,ponslbillty for any performance or other is.sues that may result from sudl installation. (f) CSA shah ~lso use reasonable efforts to provide Level 1 support fOf the Listed Software (except that ror certain Listed Software, Level 1 support shall be provided o nly If and so long as a separate software support c:ontract for sudl Listed Software from the developer thereof is in effect). Level 1 support consists of (i) providing he{~ine telephone assistance in operating the Listed Software, and identifying service problems in the Listed Software . and attempting to troubleshoot any such problems: {ii) escalating operating problems to !tie applicable developer of the Listed Software as needed to rectify sudl problems, induding facilitating contact between you and the d8Vaoper of the Li sted Software as nece_s.sa(Y.:_~nd (iii) maints.Jni?0 a log of such problems to assist ln traddng the same. 2.2 Maifuohi'nCO' -~Jofm' ·arid Chafucis~ (a) Maintenance shan start on the Lease Commencement Date and shen continue for the Lease Term. (b) Consumables l ndusive Maintenance lndudes replenishment of toner only (and other consumables. but only If speciried on page 1). Toner is supplied for exduslvq use with the EquipmenL CS A may terminate the Maintenance if you use consumables in a different manner. If your toner usage exceeds by more than 10% the publ ishod manufacturer specifications for conventi onal office image coverage, CSA may invoice you for such excess usage. You may purchase additional toner from CSA if required . You shall beac all ris.k of loss., theft or damage to unused con,umables, which shall remain CSA's property and shall be reb.Jmed promptly upon termination of this Agreement or Maintenance. (c) If you seJected the Fleet or Aggregate Coverage Plan on page 1, the Base Charge and the Covered Images lnduded shall apply to all of the Equipment on Schedule A unles.s otherwise indicated. If specifted on page 1 that the Listed Items are being added to an e»sting fleet under a previous agreement between you and CSA, (i) the fleet shall indude the !isled items und"r the previous agreement. and au other agreements for whldl the add to existing neel option was selected. and (Ii) thet maintenance tenn for all Listed Items under this Agreement -shall be the same a3 the maintenance term for all listed items under all such previous agreements. (d) If specified on the face page that the Listod Items are being added to an existing Aggregate Coverage Plan under a previous agreement between you and CSA. the Covered Images shall appry to all of the Equipment on the schedule, unless otherwise indicated , ptus the listed items under th a previous agreement(s), and all other agreements for which the add to existing Aggregate Coverage Plan was selected, on an aggregated basis, for .so 1011g as the maintenance term for all .such li sted items continues. (e) Unless otherwise indicated on Schedule A. you authorize CSA to use net-Norked features CX the Equipment induding imageWARE to receive software updates, activate features/new ljcenses and b"ansmit use and service data accumulated by the Equipment overyol.K network by means of an HTTPS protocol end to store, analyze and Lisa such data tor ~SM related to !eMdng the Equipment, providing reports and product improvemcnt.,This r~tµce i s not capable of sending or receMng image data._ (f} You shall provide meter readings to CSA In accordance with the Meter-Read Method selected. If you selected the myCSA website, you, your empl oyees or agents shall complete CSA's reQ istration process goveming access to and use of such website. and yo u agree to be bound by, and comply with its Terms of U se _ CSA may chmnge your meter read options from time to ti me upon 60 days' notice. If CSA does not receive timely meter readings from you, you .shell pay invoices that reflect CSA's estimate.s of meter read ings . CSA may verify the accuracy of any meter readings from time to time and invoice you for any shortfall in the next invoice. (g) You agree that CSA may suspend performance of Maintenance jf and so long as any Payments are overdue, and that any such !USpension shell not in end of itself be d&emed a termination of this Agreement. 2..3 N0!1:.COYei'ed S,ryici,. The following .services are not ioduded ¥within Malr\tenancc end s.hall be Invoiced. in accordance with CSA's then current labor, parts and supply charges: (a) replacement of any oonsumables not provided as part of Consumable lnduslve Maintenance identified on page 1. induding, without limitation, paper, toner, ink , waste ccnta!ners. fuser oil . staples (. other media. print heads and puncher dies: (b) repairs necessitated by factor.a other than normal u:,e induding . without limitation, any willful act. negligence, abuse or misu se of the Eq ui pment ~ use of parts, supplies or software not supplied by CSA: service performed by anyone other than CSA: accident; uso of Equipment with non-compatible hartfwere or sofiwert! component:s; electrical power malfunction or heating , cooling or humidity ambient conditions: (c) de-installation, re--instaUation, or relocation d Equipment; (d) repairs to or realignment of Equipment and related tr.lining necessitated by ctumges made to your system configuration or network envfronment: (e) work requested to be performed oubide of CSA's regular business hours : and (f) repair of 8S'f'/ network/system connection devicos . except when listed on page 1. If you have NOT .selected Maintenance on page 1. any of the ma intenance service.:, dexribed in Paragraph 2 .1 above shell be available only upon your request. either under separate agmcment with CSA or invoiced in accortiance with CSA's then current labor, parts and suppl y charyes . Installation of certain Listed Software may also ~uire a separate agreement bet.w'ee n you and CSA se tting forth the scope of work, your responsibilities in c:onnection with such instsllalion, and other te rms and conditions. as required by CSA. Such separate agreemenl{s) shell solety govern . and thi s Agree ment shell not apply to, the service:, described the rein _ 3. CSA CUSTOMER SATISFACTION POLICY. If you are not s8tisfied with the pe rformance of yo ur Canon or Oce bra nd pro duct, upon your written request. CSA in its .sate discretion wi ll repair oc repl ace the prod uct W'ith a like unit with equivalent capabilities , Prior to re place men t, CSA shalt have had the opportunity to return the product lo good wo r1c:ing order in accorda nce with the term s of this agreement, If a replacement unit is provided. the lee se hereunder of the replaced uni t shall be deemed terminated and the replacement unit shall be deemed a "listed P a ge 2 ~ :;;.,' ,., . .., CANON SO!UTIONS AMEI\ICA ,..,,:/·· #ULF ~.o841saa.01 1 Page of 1 Canon Solutions America, Inc. ("CSA') ------One Canon Park, Melville, NY 11747 ._;~ >r 800)-613--2228' ~ Customer Name: LOWER KITTITAS COUNTY COURTS , Shop To Information Delivery Address: 205 W 5TH AVE RM 180 DISTRICT C:OURT .Connectivity Contact: Barb Demory City: ELLENSBURG County: KITTITAS 1rr Phone #: 509,962.7075 I E-Mail: barbara.demory@co.kittitas.wa.us State: WA jzip: 98926 Phone#: 509.962. 7075 Elevator: Yes • No 0 I Loading Dock: Yes D No 0 Delivery Contact: Barb Demory Fax#: Earliest Delivery Qate: 2/8/2019 # of Steps: O Hours of Operation: 9-5 E-Mail: barbara.demory@co.klttitas.wa.us s t:lal Instructions: Equipment and Software ("listed Items") Equ,pment Maintenance Information Item Code Product Description Qty Serial# ~pleto the follov,;irjg infonnation, If Mali)1enii~ Is ~/ected on 1hE! race page. Maintenance is automatically selec!ed herein unless you choose the option lo exclude Maintenance by checking box(es) below. 0602C037 I RADVC55601V2 1 • Equipment excluded .• Corporate D Equipment under separate 0610C002 HIGH CAPACITY CASSETTE FEEDING UNIT-A1 1 from Maintenance Advantage MPS agreement ~·~·----8815A003 COPY TRAY-J2 1 Coverad Images Included Start Meter Excess per Image Charge 96118001 INNER 2 WAY TRAY-J1 1 , __ B&W ,-:. Color B&W Color B&W Color 0615C002 INNER FINISHER-H1 1 I ' ..... ~----0 0 I 0.00680 l 0.05040 0618C002 INNER 213 HOLE PUNCHER-B1 1 ... I 1 0.166C007 SUPER G3 FAX BOARD-AS2 1 I.Auto Toner Fi:ilflllment ••f~uires tmageWare Remote) 1972V073 ESP NEXT GEN PCS POWER FILTER (120V/20A) XG-P· 1 2368V120 MID VOLUME CONNECTIVITY-3Q.+PPM UP TO 7tlPPM 1 -----3537V002 INSTALL PAK C55501 & C5560l 1 lntSupplies Pre-Installed Supplies Installed In Machine 1 --.. ... • Alternate Meter Read Method: ---L 0651C002 DRC240 4 ,, Equipment excluded p: Corporate D Equipment under separate . ~ • 353.7V017 SMALL DR-CHECK SCANNERS (8-12 LBS) INST.A.LL PAI 4 ..•. = .. , ....... , from Maintenance Advantage MPS agreement ___ ('' Covered lma§eiiilncluded . ~ ... , .. : Start Meter Excess per Image Charge .. · .... ·: ..... -. '>··•· · ............. ,. 'lft. B&W ;;.·, --Color ,,B&W Color B&W Color ............ . .... ~ .. ,_ ... ·•··• I I ... I · ... :··. .... -·· .. ! ...... , ... . .. --' -··· ,!!Auto Toner Fulililment !*(Requires lmageWare Remote) t<-'~. Alternate Meter Read Method: ---....... n··i:-..i-ar ... _ .. • 11"St'U'luu"u'--0-11........u. 1,...i,..c.• nn16A ah.;,,.vn nr W 1: nl~snana .._.,..orN• SLS-\07F CFS-1209 Sep18,,_ 2018 Item· for the lease and all other purposes of this Agreement. This polic; shall apply only if you are not in default of this Agreement and Maintenance under this Agreement has nol been canceled or termlnetsd. ,. DATA. You acknow1edge that th e hard drive(s) on the Equipment, induding attached devices. may retain images, content or other data that you may store ror purposes of normal operation of the Equipment roata·)_ You acknowiedge that Lessor is not storing Data on behalf or you and that exposure or ac.cess to the Data by CSA or Lessor, if any, is purely incidental !o tho services performed by CSA or Lessor. Neither CSA nor Lessor nor or any of their affiJieles hes an obligation to erase or overwrite Data upon your return of the Equipmenl to CSA or Lessor or any other disposition of tho Equipment by you . You are solely responsible for: (A) your compliance with applicable law and legal requirements pertaining to data privacy. storage, security, retention and protection; and (B) all decisions re lal&d to erasing or ouerwrtting Data.· Without limiting the foregoing, you should. {i} enable the Hard Disk Drive (HOD) data erase functionality that is a standard feature on certain Equipment and/or (ii) prior to return or other disposition of the Equipment. utilize the HOD (or comparable} formatting function (which may be referred to as ~Initialized All Data/Settings· function) if found on the Equipment to perform a one pass overwrite of Data or, if you have higher security requirements, you may purchase from CSA et cun-ent rates an appropriate option fo r the Equipment. which may lndude (a) an HOD Data Encryption Kit option wtlic:h disguises information before it is written to the hard drive using encryption algorithms, (b) an HOD Data Erase Kit that can perform up to a 3-pass overwrite of Data (for Equipment not containing data erase functionality as a standard feature). or (c) a replacement hard drive (in which case you should property destroy the replaced hard drive). You shall indemnify Lessor. CSA. their subsidiaries, directors. officers, employees end agents from and against any and 3g costs, expenHs. liabilllies. dafms, damages. losses. judgments or fees (indudlng reasonable attorneys• fees) arising or related to the storage. transmission or destruction of the Data. The terms of this section shall solely govern es to Date, notwithstanding that any provisions of this ~reement or any separate confidentiality or d•ta security or olher agreement now or hereafter entered in1o between you and CSA or Lessor applies. or could be construed to appfy to Data . 5. LIMITED WARRANTY; EXCLUSIONS & LIMITATIONS; INDEMNIFICATION 5.1 LJmH:ed WarrJnty. Equipment is wammted only as provided in the manufacture(s warranty provided with the Equipment (for CANON brand Equipment. the manufacture(s warranty is provided by Canon U .S .A., Inc.). End user warranties , if any, for Listed Software are provided solely by the developers or suppliers of tha Listed Software. So long es you are not in breach or default or this Agreement, Lessor auigns to you. solely for the purpose of making and prosecuting any such daim, the righb, if any, which Leuor may have under all such warranties for the U.sted Items. 5.2 Dlsc!ofmer of Warrantfa. LESSOR IS NOT A MANUFACTURER . DEAL ER. OR SUPPLIER OF THE LISTED ITEMS. AS BETWEEN YOU AND LESSOR. THE LISTED ITEMS ARE LEASED "AS IS" AND ARE OF A SIZE, DESIGN . AND CAPACITY SELECTED BY YOU . LESSOR HAS MADE NO REPRESENTATION OR WARRANTY OF ANY KIND . EXPRESS OR IMPLIED. WITH RESPECT TO THE LISTED ITEMS. Tne warranties. tr any, provided for any of the Listed Items are enforceable by you onty against the Canon company or third party making such warTBnties, not against any Lessor. CSA ill not an agent or representative of Lessor and is not authorized to waive or alter any of le"o(s rights or make any representation for Lessor about the Listed Items. except to the extent set rorth in this Agreemenl EACH OF CSA AND LESSOR EXPRESSLY DISCLAIMS ALL WARRANTIES. EXPRESS OR IMPLIED. INCLUOING IMPLIED WARRANTIES OF MERCHANTABILITY HID FITNESS FDR A PARTICULAR PURPOSE RELATING TO THE USE OR PERFORMANCE OF THE LISTED ITEMS OR CSA'S SERV1CES . THE FURNISHING OF MAINTENANCE UNDER THIS AGREEMENT DOES NOT ASSURE UNINTERRUPTED OPERATION OR USE OF NIY OF THE LISTED ITEMS. 5.3 Umltallog of Ll1bll~y. NEITHER CSA NOR LESSOR SHALL BE LIABLE FOR INJURY DR DAMAGE .. EXCEPT TO THE EXTENT CAUSED BY SUCH PARTY'S NEGLIGENCE OR WILLFUL MISCONDUCT. NEITHER CSA NOR LESSOR SHALL BE LIABLE FOR EXPENDITURES FOR SUBSTITUTE EQUIPMENT OR SERVICES, LOSS OF REVENUE OR PROFIT. LOSS . CORRUPTION DR RELEASE OF DATA. FAILURE TO REALIZE SAVINGS OR OTHER BENEFITS . STORAGE CHARGES: DR INCIDENTAL. SPECIAL. PUNITIVE DR CONSEQUENTIAL DAMAGES ARISING OUT OF THE USE OF OR IN CONNECTION WITH THIS AGREEMENT, REGARDLESS OF THE LEGAL THEORY ON WHICH THE CLAIM IS BASED AND EVEN IF CSA DR LESSOR HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. 5.4 l,,:gimgttJe;a{lqp. You shall reimbu1'3e Lessor for and defend Lessor against any claim for tossos or·in;ury·ceuscd by the listed Items. before and after the Lea:se Term ends. 8. ADDITIONAL LEASE REQUIREMENTS . 8.1 Warranty or Buslnesa Purpose: Maintenance. You warrant that the Listed Items will not be used for per.1onal, family Of household purposes. If at any time for eny reason whatsoever CSA's maintenance obligations have terminated , at your sole e,cpense you shall keep the Equipment in good wcrl:ing ordet and supply and inst.fl replacement perui and accessories.when required to maintain lhe Equipment Arr, 3UCh replacements shell be the prope~ of Lessor and shall be deemed Equipment. 8.2 Risk of loss;'Jnaunlnc9. Effective upon delivery to you, you shall bear the entire risk of any toss Of theft of or damage to the EqUpment rLoss·). You shall obtain and maintain during the term hereooder including an renewals end extensions, at your expense, (a) property insurance for the full replacement value of the Equipment and (b) comprehensive public liability and property damage insurance. All such insurance shall provide for a deductiti,e not exceeding $5,000 and be in form and amount and wUh companies satisfactory to Lessor. Each insurer providing !uch insurance shall name Lessor as additional Insured and loss payee and provide lessor 30 days' prior written notice of alteration or cancellation. You shall deliver certific.etes or other evidence of insurance to Lessor. You appoint le!sor as your attorney.in . fact solely to make daim for. receive payment of, enel e:w:ecute and endorse document.9, checks. or drafts ror any Loss. If within 1 0 days after request you fail to deliver satisfactory evidence of such insurance to Lessor. then Lessor shall have the right, but not the obligation. to obtain Insurance covering Lessor's Interests In ltle Equlpment. and add the costs of maintaining such insurance and an adminlstrativo fee to the amounts due from you under thts Agreement Lessor and any or its affiliates may make a profit on the foregoing . You shall promptly (i) repair or replec.e any Equipment subjed to a Loss or (ii) pay to Lessor the Remaining Leese Balance (defined bolow). No Lo.ss shall relieve you of any obligation under th is Agreement. 7. OEFAUL T; REMEDIES. You shall be ln default of this Agreement if: (a} you fall to make any Payments when due or perform any of your other obligations unelo r this A greement. (b) you fail to make payments when du e or any indebtedness to Lessor: (c) you or any guarantor or your obligations rGuarantor") cease doing business es a going concern: (d) you or any Guarantor become insolvent or make an a ssignment for the benefit of cred itors : (e) a petition or proceeding is filed by or against you or any Guarantor under any bankruptcy or insolvency law; (f) a receiver. trustee. conservato r. or li quidator is appointed for you , any Guarantor. or any of your or any Guarantor's property; (g) any statement, representation or warranry made SLS-107 F CFS-1209 September 2018 ULF # S0847588.01 by you or any Guarantor to CSA or Lessor is incorrect in any material respec1 : or (h) you or any Guaranior who is a neiural person die. If you are in defeuit. you shall pay ror Lesso(s reasonable collection and other co.sts. and without limiting any of CSA's rights hereunder or under applicable law, Lessor may exercise (on behalf of itself and . as applicable. CSA) any one or all of the following remedies : (1} declare eti unpaid Payments (other then per image charges) immediately due end payabl e. with Lessor reta ining title lo the Li sted Items ; (2) lerminale any and all agreements with you; (3) without notice, demand or legal proce ss. retake possession of the Listed Items (and you authonLe Lessor lo enter upo11 the premi ses where the Listed Items may be found) and (A) retain the Listed Items end all Payments and other sums paid. (8) re--l ease the Listed Items and recover from you the amount by which the Remaining Lease Balance exceeds the value attributed to the listed Items by lessor for purposes of calculating the payments under the new lease agreement, or (C) tell the listed Items and recover from you the amount by which the Remaining Lease Balance exceeds the net amount received by Lessor from suc h sale: o r (-4) punue any other remedy permitted at law or in equity. Lessor may sell the Listed Items after preparing them or not and may disdaim wan-enties of title and the like. It the listed ttems are not available for sale. you shall be lia~e for ltie Remaining Lease Balance and any other amounts due. The ·Remaining Lease Balance· shall be the sum of: (i) all Lessor Payments then owed by you to lessor: (ii) the present value or all remaining Lessor Payments for the full Lease Term: (ill) the Purchase Option price of the Listed Items indicated on the face of this Agreement; plus (iv) any applicable taxes. expenses. charges , and fees . For purposes of determining present value, Lessor Payments shall be discounted at 3% per year. e. SECURITY; WAIVER. You authorize Lessor to filo any form of financing or continuation statements and amendments thereto. THE LEASE CREATED BY THIS AGREEMENT IS INTENDED AS A "FINANCE LEASE" AS THAT TERM IS DEFINED IN ARTICLE 2A OF THE UNIFORM COMMERCIAL CODE ("UCC 2A) AND LESSOR IS ENTITLED TO ALL BENEFITS. PRIVILEGES AND PROTECTIONS OF A LESSOR UNDER A FINANCE LEASE, AND YOU IRREVOCABLY WANE ANY RIGHT OF NOTICE THEREOF. YOU WANE YOUR RIGHTS AS A LESSEE UNDER UCC 2A SECTIONS 508-522. II the lease is determined not to be a true lease. you grant Lessor a security interest in the Listed Items. Your exact legal name, your chief executive office address, and your jurisdiction of organiZBtion are as set forth on page 1; if you chemge any o f them or the corporate structure. you sh all provide prior written notice to Lessor 3 0 days before such change. Upon request. you will e:w:ecule and deliver to Lessor such documents as required or appropriate. 9. GENERAL 9.1 Cbolce·of ljlw •nd-forum . THIS AGREEMENT AND ALL Cl.AIMS, DISPUTES AND CAUSES OF ACTION RELATING THERETO, WHETHER SOUNDING IN CONTRACT, TORT OR STATUTE . SHALL FOR ALL PURPOSES BE GOVERNED BY THE LAWS OF NEW JERSEY WITHOUT REFERENCE TO CONFLICT OF LAW PRINCIPLES. YOU CONSENT TO THE EXCLUSIVE JURISDICTION AND VENUE OF ANY STATE DR FEDERAL COURT LOCATED WITHIN CAMDEN OR BURLIN GTO N COUNTY . NEW JERSEY. OR A T LESSOR"S OPTION IN ANY STATE WHERE YOU OR THE EQUIPMENT ARE LOCATED, YOU WAIVE OBJECTIONS TO TI-E JJRISDICTION OF SUCH COURTS. TO VENUE AND TO CONVENIENCE OF FORUM. ANY SUIT . OTHER THAN ONE SEEKING PAYMENT OF AMOUNTS DUE, SHALL BE COMMENCED, IF AT A LL, WITHIN 1 YEAR OF THE DATE THAT THE Cl.AJM ACCRUES. THE PARTIES IRREVOCABLY WAIVE ANY RIGHT TD A JURY TRIAL IN ANY SUIT BElWEEN THEM . 9.2 Entli'e:AqMIT!!nt;-Elect(0'11c Aeeeptane•. This Agreement shall be binding upon you ~,yoi,•,,;pn It, _upon (;,sA when C.S)\ has lnslallcd the Equfpmen~ and upon Lessor when yoo have accepied the Listed Items. Alf provisions or this Agreemen~ lndudlng Section 4 , which by their naluffl can be construed to survive the e>epiration Of termination d the Agreement shall so survive. CSA or lessor may insert missing or a>rrect other information includino the Listed Item description, serial number, and location: and corrections tc your legal name; but other\vise this Agreement (together with any separatD agreement entered into between you and CSA as described in Section 2 .3 above) constib.ltes Iha entire agreement between the parties with respect to the sub;ect matter hereof. Any pun:hase order utilized by you shall be foi your administrative convenionce only. and any terms therein which conflict with, very from or supplement the provisions of this Agreement 3hall be d&emed null and void. No representation or sbttement shall be binding upon Lessor or CSA 83 e wen-anty or otherwise unless it is conbtined in the original of this AQreemenl Tt.s ~reement shell not be modifted or amended except in a written amendment signed by an authorized signer of CSA and you. If a court ftnds any provision to be unenforceable, the remaining provisicns shall remain in lul force and effect. You expressly disdaim having relied upon any statement conc:eming the capablllty. condition, operation, performance or specifications of the Listed Items. except to ihe extent set forth in the original of this Agreement CSA or Lessor may accept electronic images of this Agreement or any Acceptance Certific.ete as originals, and electronic copies of your signature will be treated as original for all purposes. 9.3 Joint and Sev•ral Llabllfty; A.saignment. If more than one entity executes this Agreement es the Customer, your obligatiONI shall be joint and several. YOU SHALL NOT ASSIGN DR PLEDGE THIS AGREEMENT, NOR SHALL YOU SUBLET OR LEND ANY LISTED ITEMS.-Each of CSA and Lessor may pledge or assign its rights under this Agreement. tf a lessor assigns its rights, the assignee wm have the same rights and benefits that the Lessor had and shall not have any obJ igations hereunder. The rights of the auignae wil not be subject to any daims, defenses, or setoffs that you may have against the Lessor. 9 .~ !i2!!£!!. AH notices required or permitted under t his Agreement shell be sufficient if delivered personally, sent v;a fac,imile or other electronic transmission. or mailed to such party at the address set forth on page 1 or at su·ch other address as such party may designate in writing from time to time. Notices shall be effective 3 days after deposit in the U .S . mail. duly addressed, or upon defivery via personal or expre ss delivery, facsimile or other electronic transmission. You shall send all notices regarding lease provisions to Lessor only , and all notices reQarding maintenance provisions to CSA only Addresa tor notices to Canon Solutions Address fo r notlc.es to Canon Flnanclal Amaric.a. Inc..: 300 Commerce Square Blvd. Burlington. NJ 08016 Attn: Customer Service Department Phone: (800) 613-2226 Fax: (800) 220-4002 S.rvlcDS, Inc.: 158 Gaither Drive. Suite 200 Mount Laurel. NJ 0605-4 Attn : Customer Ser.rice Department Phone: (800) 220.0330 Fax: (856) 81~5122 Emeil: customercare@csa.c.anon.com Email : custo merimcfs..canon.com 9.5 USA PATRIOT Act; Credit lnf9rmallon. To help th~ oovemment fight the funding of terrori sm end money laundering activities, fede,al law req uires all fin ancial institution s to obts in, verify . and record informatio n that identifies each per.i;on who enters into a lease. This means that when you enter into a lease, Lessor may ask for, among other things. (a) your federal tax identification number a nd (b) you r date of birth, jf you are a sole proprietor . Lessor mov also ask to soe identifying documents. You authorize your credit ,eferenc.es. any credit reporting agency. or any third party (induding Les .sor) to c.ollect any credit information and to release the same to Lessor, its affiliates , and their respective designees or ass ignees . Pagel Canon CANON SOLUTIONS AMERICA EASE UPGRADE, TRADE-IN, RETURN OR BUY-OUT -REIMBURSEMENT ADDENDUM TO AGREEMENT# Canon Solutions America, Inc. ("CSA") S0847588.01 (the "AGREEMENT") One Canon Park, Melville , NY 11747 0 613-2228 -· Page 1 of Customer ("You"): I Cust omer Account: 1846458 Buy-out Reimbursement Company: LOWER KITTITAS COUNTY COURTS $ to be paid under the circumstances described in Address: 205 W 5TH AVE RM 180 DISTRICT COURT Section 1 below. City : ELLENSBURG I County: KITTITAS Payable to : Ovou 0 Canon Finan cial Services, Inc. State: WA j Zip: 98926 I Phone#: 509.962 . 7075 Reason for check is s uance: Email: barbara.demory@co .kitlitas.wa .us lease Upgrade or Buy-out Acknowledgement If this transaction includes a lease upgrade or buy-0ut to be paid upon delivery and List the leasing company and lease number associaled with any lease upgrade or buy-0ut. acceptance of the Equipment listed on the Agreement, select one of the following: ·.cc·· .. ·• ··:· .....•. , .. : .... , ... :. ·.,. •••• , •.. ,. :. D Not Applicable :"" ,' 'b'ia a1 if'g Co=mpanyNam~'1"' "' r'° ·tlilase"Nu'iri&r_j'iF'Ti : -~ 3', ·.-,;;· ·::;,;; ~>-., ~ :.;· ,;;-:,,, .... =, D You wiD retu rn the equipment lo the leasing company aocording to the teflTls and conditions of your lease agreement. D CSA will ret urn the equipment to the leasi ng company per Section 2 below . D You ..;11 relain the equipment. If so, will the equipment remain under a CSA Maintenance Agreement? . .. .. ·•••·"".•················•••,:::" ...... -........ ---.. ...... , ... ~~ - Yes 0 If yes, under an Existing Cootract 0 or New Contract 0 No • ~ CSA will pick up the equipment for Trade In . -·-· -- Return Authorization ";/~, . -,-·.J,,,~>-,, . ~ ·~.~ -. i ~-' Please select one : Pick-!,!~ Information : ~ Trade-In ~ Same Date as Delivery of Listed Items specified on the Agreement. Please note that any applicable b-ade41 credit is reftected in the periodic lease D paymont.s or~purctiase prtce as specified In ltae Agreemerit~ Other Specified Date: __ I __ I ___ ~!lli!omeni~, 0 Good Working Condition ~ As Is condition (but no longer than JO days after del ivery of Listed Items under Agreemen t) D Return Equipment to selected Leasing Company Contact Name: .. Phone: D Canon Financial Services •····--- E-Mail: D Return Equipment to CSA. Original Order Dale. .. Special Removal lnstru_ctiona : ;Rinim Item S I ' ,; ";j':f' <'' ''Jt ~,:;::;, !;' ~ Equlpm eriflocitlciii;' Ir 'o/. ,,,, ·,1_:C on!a cO ia111• & 1 \-;;_ ,,,,:--~ -.f;. ··,;, :-_, 'All"'Plck Code Code De1criot16n Serial# dtffarent than· 16o ve ,.,, ., .p1,o.,.· Email Uo Data TRO 36938002 IRAOV6055 HTT1S.00 Haro uemory barbara.demory@co.kit1i1as ,wa .us 509.962,7075 .. .. ... . . ... : .. - Return Codes: Trad e-ln :TRD Return to CFS :R-CFS Return to CSA:R-CSA You have agreed lo acquire from CSA certain Listed llems pursuant to the Agreement. By your signature below , you agree to supplement the lenns of lhe Agreement as follo ws : 1. If Buy Out Reimbursement is selected : The Buy-Out Reimbursemenl indicaled above .,;11 be paid directly to the designaled party by CSA upon inslallalion and tes ting of the Lisled Iiams and payment lo CSA (by you or by the Leasing Company} of the purchase price for the Listed Items . The Buy-Out Reimbursement wiD be paid for the sole purpose of reimbursement of earty te nn ination charges or fees and associated expenses payable for (a} early tenninalion of the lease of the Trade-in or Return Equipment or for other equipment being replaced by the Listed llems under the '°(Jreement, (b) refinancing the lease of other equipme nt or (c} preparation of the s~e for installation of Lisled Items . You acknowledge and agree that CSA's financial obligation is limited lo the Buy-Ou l Reimbursemen t amo unt , and that you are responsib le for any other obligations, including any charges v.tlich are not covered by the Buy-Oul Reimbuisemenl, 2. If Trade -In Equipment or Return to Leu Ing Company Is selected : You hereby authorize CSA to pick up the Trade -in or Return Eq uipment listed above . You agree lo pay CSA's removal ch arges~. on the date specified above , the Trade-in or Relum Equipmen t is unavailable for pickup and removal lhrough no faull of CSA . Trad.,.in Equipment shall be conveyed to CSA, and (a} you represent that CSA will receive good and marketable tiUe to each un it of Trade -in Equipmenl , free and clear of any and all liens and leasehold inleresls , (b) you warrant thal the Trade-In Equ ipment .,;11 be delivered to CSA (un less specified above tha t the trade-in is on an "As Is' basis) in good v.orl<ing condition, reasonable wear and lear excepled , and (c} you shal make lhe Trade -In Eq.,ipmenl available for pickup by CSA on the relevant date specified above . ff you breach or fai lo comply wilh any or the foregoing , CSA may, .,;thout imiting its othe r remedies und er applicable law, return the T rade-ln Eq uipment to you (al your exper,se both for lhe return and the original pickup) and rescind , or require you to refund lo CSA, prempUy upon receipl of CSA's invoice , lhe full amounl of any lrade-i n credil reflected in the Agreement (which amounl sh al equal lhe fair market value of such Trade-In Equ ipmenl, as detennined by CSA). Return Equipment shall be shipped to lhe Leasing Company specified above, and CSA's sole oblig alion is lo us e commercially reasonable efforts lo pick -up and remove the Return Equipment and to arrange , on your behaff and at CSA's expens e and risk (but on ly to lhe extent of obvious damage in transit), for the shipment o/ the Return Equipment lo lhe Leasing Company. 3. DATA . You acknov.ledge lh al the hard drive(s} on lhe Equipment, indud ing attached devices, may relain images, coolenl or other dala thal you may slore for purpos es of nonnal operation of Iha Equipment fOaia"}. You acknowledge thal CSA is nol storing Data on behaff of you and tha t exposure or access to th e Dala by CSA, if any , is purely incidenlal lo the services perfonned by CSA Ne ilher CSA nor any of the i' affiliales has an oblig aion to erase or overwrite Data upon Your return of the Equipment lo CSA or any leasing company . You are solely responsible for : Q) your oompliance wilh applicable law and lega l requirements pertaining 10 data privacy, slorage, security , retention and prelection ; and Qi) all decisions related to erasing oroverwritilg Data. The lenns of this sectioo shall solely govern as to Dala. nol'Mlhs lan<f1ng thal any previs ions or th is Agreement or any separale confidentiality or dala security or other agreemenl now or hereafter enlered inlo between you and CSA could be co nstrued to apply lo Dala . THIS ADDE NDUM SHALL BECOME EFFEC TIVE AT THE SA ME TIME AS THE AGREEMENT BECOME EFFECTIVE IN ACCORDANCE WITH TH E TERM S THE REOF . EXCE PT AS SUPPLEMENTED HEREBY THE AGREEMENT SHALL REMAIN UN CHANGED ANO IN FULL FORCE ANO EFFECT . Custome(s Authorized Signa ture _____ .,q _ _c.,..._ ___ J ___ -'~-_c_---'~~~~-"-'="'-'===;,._----------------+----J''---- Title __ '"J._...__r-=F-'=---------Date _.,l.___,/__,-<--+-/__..(_4\..,.__ Printed Name _ _.../-'~-'--ll._1... _ _,_[C=-_-=cJ_,//'--'-_t>J_O_~-~----- S LS -004B Maret, 2018 CSA