CONTRACT 5550C Amendment CLOSED Agreement No. 5550C
CANON SOLUTIONS AMERICA EASE UPGRADE,TRADE-IN, RETURN OR BUY-OUT
Canon Solutions America, Inc.("CSA") REIMBURSEMENT ADDENDUM TO AGREEMENT#S0769409 the "AGREEMENT"
One Canon Park, Melville, NY 11747
613-2228
Page 1 of__ l
Customer("You"): Customer Account: Buy-out Reimbursement
Company: CITY OF EL SEGUNDO •__--• ___• _. $0 to be paid under the circumstances described in
Address: 350 MAIN STREET-CITY CLERK'S OFFICE Section 1 below.
_—......_..__...-..-._...........................................................................................
90245
City: EL UV
State: CA rNDO County: LOS ANGELES-.. •M.....•__• Payable to: El You F,—/] Canon Financial Services, Inc.
E • Zip; Phone#: (310)524-2306
Reason for check issuance:
Email: Isandoval@elsegundo.org
Lease Upgrade or Buy-out Acknowledgement
If this transaction includes a lease upgrade or buy-out to be paid upon delivery and List the leasing company and lease number associated with any lease upgrade or buy-out.
acceptance of the Equipment listed on the Agreement, select one of the following:
❑ Not Applicable Leasing Company Name Lease Number
❑ You will return the equipment to the leasing company according to the terms and I Canon Financial Svcs, Inc. 200-5004718-001
conditions of your lease agreement. '-....'......
21 CSA will return the equipment to the leasing company per Section 2 below.
❑ You will retain the equipment.
If so,will the equipment remain under a CSA Maintenance Agreement? _.�• •_.
Yes ❑ If yes,under an Existing Contract ❑ or New Contract❑ No❑
❑ CSA will pick up the equipment for Trade In.
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Return Authorization
Please select one: Pick-UD Information:
❑ Trade-In 0 Same Date as Delivery of Listed Items specified on the Agreement.
Please note that any applicable trade-in credit is reflected in the periodic lease
payments or purchase price as specified in the Agreement ❑ Other Specified Date:
,•glyyl,rcu�nrd At u o et, ❑Good Working Condition ❑As is condition (but no longer than 30 days after delivery of Listed Items under Agreement)
Q Return Equipment to selected Leasing Company Contact Name: LILI SANDOVAL Phone: (310)524-2306
❑ Canon Financial Services E-Mail: Isandoval@elsegundo.org
❑ Return Equipment to CSA. original Order Date
Special Removal Instructions:
Return Item MeterN Equipment location,if Contact Name& Alt.Pick
Code Code Description Serial# Readin different than above Phone Email Up Date
R-CFS IRC7065i HJZ52911 634,4421 SAME SAME SAME
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Return Codes: Trade-In:TRD Return to CFS:R-CFS Return to CSAR-CSA
You have agreed to acquire from CSA certain Listed Items pursuant to the Agreement. By your signature below,you agree to supplement the terms of the Agreement as follows:
1. If Buy Out Reimbursement is selected:The Buy-Out Reimbursement indicated above will be paid directly to the designated party by CSA upon installation and testing of the Listed Items and payment
to CSA(by you or by the Leasing Company)of the purchase price for the Listed Items,The Buy-Out Reimbursement will be paid for the sole purpose of reimbursement of early termination charges or fees
and associated expenses payable for(a)early termination of the lease of the Trade-in or Return Equipment or for other equipment being replaced by the Listed Items under the Agreement,(b)refinancing
the lease of other equipment or(c)preparation of the site for installation of Listed Items.You acknowledge and agree that CSA's financial obligation is limited to the Buy-Out Reimbursement amount,and
that you are responsible for any other obligations,including any charges which are not covered by the Buy-Out Reimbursement.
2.If Trade-in Equipment or Return to Leasing Company is selected:You hereby authorize CSA to pick up the Trade-in or Return Equipment listed above.You agree to pay CSA's removal charges if,
on the date specified above,the Trade-in or Return Equipment is unavailable for pickup and removal through no fault of CSA,Trade-in Equipment shall be conveyed to CSA,and(a)you represent that CSA
will receive good and marketable title to each unit of Trade-in Equipment,free and clear of any and all liens and leasehold interests,(b)you warrant that the Trade-In Equipment will be delivered to CSA
(unless specified above that the trade-in is on an"As Is"basis)in good working condition,reasonable wear and tear excepted,and(c)you shall make the Trade-In Equipment available for pickup by CSA
on the relevant date specified above. If you breach or fail to comply with any of the foregoing,CSA may,without limiting its other remedies under applicable law,return the Trade-In Equipment to you(at
your expense both for the return and the original pickup)and rescind,or require you to refund to CSA,promptly upon receipt of CSA's invoice,the full amount of any trade-in credit reflected in the Agreement
(which amount shall equal the fair market value of such Trade-In Equipment,as determined by CSA).Return Equipment shall be shipped to the Leasing Company specified above,and CSA's sole obligation
is to use commercially reasonable efforts to pick-up and remove the Return Equipment and to arrange,on your behalf and at CSA's expense and risk(but only to the extent of obvious damage in transit),
for the shipment of the Return Equipment to the Leasing Company.
3. DATA.You acknowledge that the hard drive(s)on the Equipment,including attached devices,may retain images,content or other data that you may store for purposes of normal operation of the
Equipment("Data").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
CSA nor any of their affiliates 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:(i)your compliance with
applicable law and legal requirements pertaining to data privacy,storage,security,retention and protection;and(ii)all decisions related to erasing or overwriting Data. The terms of this section shall solely
govern as to Data,notwithstanding that any provisions of this Agreement or any separate confidentiality or data security or other agreement now or hereafter entered into between you and CSA could be
construed to apply to Data.
THIS ADDENDUM SHALL BECOME EFF E AT E SAME TIME AS THE AGREEMENT BECOME EFFECTIVE IN ACCORDANCE WITH THE TERMS THEREOF. EXCEPT AS
SUPPLEMENTED HEREBY THE AGRCEf SH LR CHANGED AND IN FULL FORCEAN D EFF�3T
Customers Authorized
Printed NameSignature � �", . I:µ....
µ Title Date„ r//
SLS-004B March 2016 CSA