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HomeMy WebLinkAboutREPLACEMENT OF OBSOLETE TECHNOLOGY EQUIPMENT_ HEWLETT PACKARD2 INCUMBENCY CERTIFICATE (State and Local Government Master Lease Agreement) I, the undersigned being the duty appointed and acting Secretary or Cleric of CITY OF AUGUSTA, GEORGIA("Lessee") DO HEREBY CERTIFY that(i)I have custody of the records of Lessee;and(0)based on an examination of such records of Lessee as of the date set forth below,the following persons In the respective capacities indicated opposite their names have been authorized to execute,with full authority to bind the Lessee to the State and Local Government Master Lease Purchase Agreement between Lessee and HEWLETT- PACKARD FINANCIAL SERVICES COMPANY as lessor ("Master Agreement"), and alt other agreements, documents and instruments executed and delivered and to be executed and delivered in connection therewith, including without limitation, the Master Agreement, any Schedules and Acceptance Certificates (as such terms are defined in the Master Agreement;collectively referred to as the"Documents"); and(10)the signature set forth opposite such individual's name and titieloffice is the true and authentic signature of that individual;and,(iv)each such individual has(and had on the date each such individual affixed his or her signature to the Documents)the authority to enter into the Documents on behalf of the Lessee. Name Title/Office Sisanatur@ 1)1E M, Of- rn.A-wz.- ...- ik‹:5. 4' plio On behalf of Lessee, I hereby certify the due and effective ratification, approval, and confirmation of all such acts and things that any of the above-referenced persons has done or may do in connection with the matters outlined above prior or subsequent to the date of this Certificate. I do further certify that the foregoing authority shall remain in full force and effect, and HEWLETT-PACKARD FINANCIAL SERVICES COMPANY shall be entitled to rely upon same,until written notice of the modification, rescission or revocation of same,in whole or in part, has been delivered to HEWLETT-PACKARD FINANCIAL SERVICES COMPANY,but no such modification, rescission or revocation shall,in any event,be effective with respect to any documents executed or actions taken in reliance upon the foregoing authority prior to the delivery to HEWLETT-PACKARD FINANCIAL SERVICES COMPANY of said written notice of said modification,rescission or revocation.The execution and delivery of the Documents for and on behalf of Lessee is not prohibited or in any manner restricted by any law, ordinance or regulation. IN WITNESS WHEREOF, I ave duly executed this Incumbency Certificate and affixed Lessee's seal hereto this 42311-4 day of ,2016. $ecretaryJClerk or duly elected or appointed and acting ---:-r--.- i; "'at H ss 'officer(or duly authorized designee of such officer)of + 3 SEAL • ge st:,e•- "*4.:61%+ 1111 OF AUGUT) 7iØ1 / illih 0 ,t," ''4"- '''' yo% 'Signsdure• inf 0 elflii et * 1 s _'^ ,gyp Print Name: /. .- is% cl 4 '"` ills: �.� I�GIXI►�?1 51 GIt1 [PLEAS 1 . N PUI 'QSE OF THIS DOCUMENT IS TO AUTHORi2E INDIVIDUALS TO SIGN *E.,1'. OCUMENTS. CONSEQUENTLY, THE PERSON PROVIDING THE AUTHORIZATION NNOT HIM OR;HERSELF BE ONE OF THE SIGNERS OF THE LEASE DOCUMENTS.—I.E.CANNOT AUTHORIZE HIM OR HERSELF]. Incumbency Ce,ri$,ate 11-02 Master Agreement Number 103557 Schedule Number 103557000005 COUNTERPART NO. OF . TO THE EXTENT THAT THIS SCHEDULE CONSTITUTES CHATTEL PAPER(AS DEFINED ON THE UCC),NO SECURITY INTEREST IN THIS SCHEDULE MAY BE CREATED THROUGH THE TRANSFER OR POSSESSION OF ANY COUNTERPART OTHER THAN COUNTERPART NO.1. STATE AND LOCAL GOVERNMENT MASTER LEASE PURCHASE AGREEMENT SCHEDULE HEWLETT-PACKARD FINANCIAL SERVICES COMPANY' ('Lessor") and CITY OF AUGUSTA, GEORGIA, an agency, department or political subdivision of the State of Georgia ('Lessee')are parties to the State and Local Government Master Lease Purchase Agreement identified by the Master Agreement Number specified above(the"Master Agreement). This Schedule(which shah be identified by the Schedule Number specified above)and the Master Agreement together comprise a separate Lease between the parties. The terms and conditions of the Master Agreement are hereby incorporated by reference into this Schedule. All capitalized terms used in this Schedule without definition have the meanings ascribed to them in the Master Agreement a. LEASE. A. D_gsd$on M Items o?Leapd EaUIonrerrt T Refer to Hewlett Packard Enterprise Quote Attached $145,000.00 B. Term:36 Months. 2. RENT. See Attachment A. ANNUAL RATE OF INTEREST 4.39% 3. LATEST COMMENCEMENT DATE:May 31,2016. Lessor's obligation to purchase and lease the Equipment is subject to the Acceptance Date being on or before the Latest Commencement Date. 4. EQUIPMENT LOCATION: 535 'T i✓L-G A I R. ST Tj t_ 2600 it4Act 0 21., 6 A _ 304 0 l s. SELLER:Hewlett Packard Enterprise. 6. APPROPRIATIONS: Monies for all Rent and other payments due under the Lease for the Fiscal Period ending are available from Lessee's appropriated funds for such Fiscal Period and that appropriations and/or other funds have been encumbered or designated for the payment of all Rent and other payments that shah become due under the Lease in such Fiscal Period. 1. NON-ASSIGNABILITY BY LESSOR: Notwithstanding any other terms or conditions set forth in the Master Agreement to the contrary,Lessor hereby agrees that it shall not and will not sell,discount,factor,hypothecate or otherwise dispose of is interest in the Equipment or this Schedule or any Lease. t. ADDITIONAL PROVISIONS: 9. FISCAL PERIOD: LESSOR AGREES TO LEASE TO LESSEE AND LESSEE AGREES TO LEASE FROM LESSOR THE EQUIPMENT DESCRIBED IN SECTION 1.A ABOVE. SUCH LEASE WILL BE GOVERNED BY THE MASTER AGREEMENT AND THIS SCHEDULE,INCLUDING THE IMPORTANT ADDITIONAL TERMS AND CONDITIONS SET FORTH ABOVE. IN THE EVENT OF ANY CONFLICT BETWEEN THE TERMS OF THIS SCHEDULE AND THE MASTER AGREEMENT, THE TERMS OF THIS SCHEDULE SHALL GOVERN. LESSEE HEREBY REPRESENTS AND WARRANTS THAT ON AND AS OF THE DATE HEREOF EACH OF THE REPRESENTATIONS AND WARRANTIES MADE BY LESSEE IN THE MASTER AGREEMENT ARE TRUE, CORRECT AND COMPLETE. LESSEE: LESSOR: CITY OF AUGUSTA,GEORGIA > HEWLETT- KARD�CRVICES COMPANY' i, 7i By_ A+VBy:c /� ���^ Name and lltle � / e and Title t sf�..jr� / J� Date Date 'Authorized to do business In the name of HEWLETT-PACKARD FINANCIAL SERVICES COMPANY in are states of Alabama and New York. t Authorized to do business in the name of HEWLETT-PACKARD FINANCIAL SERVICES COMPANY in the states of Alabama and New York. Pay 1of10 MLPA 98-22-01 Masker Agreement Number 103557 Schedule Number 103557000005 ATTACHMENT A TO SCHEDULE TO STATE AND LOCAL GOVERNMENT MASTER LEASE PURCHASE AGREEMENT The first payment of Rent will be due on the Acceptance Date and ail payments will be due annually thereafter. Rent Rent interest Principal Principal Concluding Payment Balance Payments No. 5145,000.00 5147,900.00 I $50,426.65 $0.00 550,426.65 $94,573.35 $96,464.82 2 $50,426.65 54,156.84 546,269.81 $48,303.54 $49,269.61 3 $50,426.65 $2,123.11 548,303.54 $0.00 50.00 Tatab 8151,279.95 56,279.95 5145,000.00 Please note that the Concluding Payment Includes a 2%prepayment premium which is payable only In the event you prepay this lease early. Lessee Please Initiai and date: tile. Sfigl It Arm Pegc2 of3 MLPA 01-22.07 Master Agreement Number 103557 Schedule Number 103557000005 STATE AND LOCAL GOVERNMENT MASTER LEASE PURCHASE AGREEMENT ACCEPTANCE CERTIFICATE HEWLETT-PACKARD FINANCIAL SERVICES COMPANY' ("Lessor") and CITY OF AUGUSTA, GEORGIA, an agency, department or political subdivision of the State of Georgia ("Lessee") are parties to the State and Local Government Master Lease Purchase Agreement(the"Master Agreement") and Schedule under such Master Agreement(the"Schedule") identified by the Master Agreement Number and Schedule Number, respectively, specified above. The Master Agreement and Schedule together comprise a separate Lease, that is being accepted and commenced pursuant to this Acceptance Certificate. All capitalized terms used in this Acceptance Certificate without definition have the meanings ascribed to them in the Master Agreement. 1. LEASE ACCEPTANCE. Lessee hereby acknowledges that the Equipment described in Section 1 of the Schedule, or if different, the Equipment described in the attached invoice or other attachment hereto, has been delivered to the Equipment Location specified below, inspected by Lessee and found to be in good operating order and condition, and has been unconditionally and irrevocably accepted by Lessee under the Lease evidenced by the Master Agreement and the Schedule as of the Acceptance Date set forth below. Lessee authorizes Lessor to reduce the Rent payments on the Schedule to reflect the Final Invoice Amount set forth on the attached invoice(s)if such amount is different than the Total Cost on the Schedule. 2. LESSEE ACKNOWLEDGEMENTS. Lessee hereby agrees to faithfully perform all of its obligations under the Master Agreement and the Schedule and reaffirms, as of the date hereof, its representations and warranties as set forth in the Master Agreement. Lessee hereby acknowledges its agreement to pay Lessor Rent payments, as set forth in the Schedule, plus any applicable taxes, together with all other costs, expenses and charges whatsoever which Lessee is required to pay pursuant to the Master Agreement and the Schedule, in each instance at the times, in the manner and under the terms and conditions set forth in the Master Agreement and the Schedule, respectively. 3.EQUIPMENT LOCATION. The Equipment has been installed and is located at the following Equipment Location: J 3 5 •Te,t - :1 ST: L-66- A000 A--vA G-iAz1a.t GG .3ot` 1 • 4.REPRESENTATIONS AND WARRANTIES. Lessee hereby represents and warrants that on and as of the date hereof each of the representations and warranties made by Lessee in the Master Agreement are true, correct and complete. CITY OF AUGUSTA, GEORGIA / By: ' itAtAdv E DAV IS 1jg.FF m 4 YO fe. orrAR -Name ernd Title Acceptance Date: i /,2,0/4 W` 'Authorized to do business in the name of HEWLETT-PACKARD FINANCIAL SERVICES COMPANY in the states of Alabama and New York. Page 3 of 3 MLPA 08-22-07 Hewtett Packard Enterprise Legal Quotation To:Augusta,City of(Mc) 53o GREENE ST RM 806 In reply to your request: AUGUSTA, GA 30901-4451 City of Augusta_SO5ioo 48TB_03-07-2016-Rev2 HPE Quote# Created Expires SLED-05774-0o 3/11/2016 6/9/2016 Your HPE Sales Contact: Marc Seidband, Phone: +1678.3019276 Fax: Phone: Email: marc.dan.seidband@hpe.com Payment Terms: Fax: Email: Net 3o days from the invoice date,subject to credit approval. Submit Purchase Order To: U.S.SLED Order Management. Phone: . Fax: 1-800-825-2329 Email: US-SLED-ORDERS@hpe.com Solution Net Price Hardware: US$ 80,502.58 Software: US$ 7,709.36 Support: US$ 41,403.20 Installation: US$ 15,384.86 Other: US$ 0.00 Sub-Total: US$ 145,000.00 Shipping and Handling: 175$ o.00 Grand Total: US$ 145,000.00 Estimated delivery upon PO receipt(in business days): 20 Delivery Method: Standard Delivery Duty Paid Shipping&Handling and Special Handling Exempt Print Date: 3/11/2016 12:59:02PM Hewlett Packard 16111 Enterprise Legal Quotation Quote Number Page SLED-o5774-oo 2 No. Qty Product Description Extended Estimated Item Net Delivery Price Upon Order Entry 0100 1 BB915A HPE StoreOnce 5100 48TB System 20, 559.55 20 0101 1 BB916A HPE StoreOnce 5100 48TB Capacity Upg Kit 16,007.71 11 1 Opt.oDi Factory integrated 14 0102 2 BB926A HPE StoreOnce 1oGbE Network Card 1,394.00 11 2 Opt.oD1 Factory integrated 14 0103 2 BB928A HPE StoreOnce 8Gb Fibre Channel Card 2,290.20 11 2 Opt.oDi Factory integrated 14 0104 1 BB885A HPE StoreOnce 4500/5100 Replication LTU 2,140.51 11 1 Opt.oDi Factory integrated 14 0105 1 BB888A HPE StoreOnce 4500/5100 Catalyst LTU 1,712.35 11 1 Opt.oDi Factory integrated 14 0106 2 BB949A HPE StoreOnce 1oGbE Netwrk Exp LTU 0.80 11 2 Opt.oD1 Factory integrated 14 0107 2 BB951A HPE StoreOnce 8Gb Fibre Channel Card LTU 0.80 11 2 Opt.oDi Factory integrated 14 0108 1 BB945A HPE StoreOnce 5100 48TB Upg Kit LTU 0.40 11 1 Opt.oDi Factory integrated 14 0200 1 H1K92A3 HPE 3Y Proactive Care 24x7 Service 1 Opt.QBS HPE StoreOnce 4500/5100 Catalyst Supp 1,356.20 1 Opt.RWH HPE StoreOnce 4500/5100 Repl Supp 2,670.94 1 Opt.XDR HPE StoreOnce 5100 48TB Backup Supp 8,554.87 1 Opt.XDS HPE StoreOnce 5100 48TB Upgrade Kit Supp 8,119.95 0300 1 HA124A1 HP Technical Installation Startup SVC 1 Opt.5T7 HPE StoreOnce Sing N Catalys Startup SVC 3,688.36 2 Opt.55Q HPE StoreOnce System startup SVC 4,004.80 0400 1 BB915A HPE StoreOnce 5100 48TB System 20,559.54 20 0401 1 BB916A HPE StoreOnce 5100 48TB Capacity Upg Kit 16,007.70 11 I Opt.oDi Factory integrated 14 0402 2 BB926A HPE StoreOnce 1oGbE Network Card 1,393.96 11 2 Opt.oDi Factory integrated 14 0403 2 BB928A HPE StoreOnce 8Gb Fibre Channel Card 2,289.92 11 2 Opt.oDi Factory integrated 14 0404 1 BB885A HPE StoreOnce 4500/5100 Replication LTU 2,140.33 11 HPE Proprietary for Customer Use Only-Do Not Share Print Date: 11/03/2016 12:59:02p.m. Hewlett Packard ;,, Enterprise Legal Quotation Quote Number Page SLED-o5774-0o 3 No. Qty Product Description Extended Estimated Item Net Delivery Price Upon Order Entry I Opt.oDi Factory integrated 14 0405 1 BB888A HPE StoreOnce 4500/5100 Catalyst LTU 1,712.17 11 1 Opt.oDi Factory integrated 14 0406 2 BB949A HPE StoreOnce loGbE Netwrk Exp LTU 0.80 u 2 Opt.oDi Factory integrated 14 0407 2 BB951A HPE StoreOnce 8Gb Fibre Channel Card LTU o.8o u 2 Opt.oDi Factory integrated 14 0408 1 BB945A HPE StoreOnce 5100 48TB Upg Kit LTU 0.40 u 1 Opt.oDi Factory integrated 14 0500 1 H1K92A3 HPE 3Y Proactive Care 24x7 Service 1 Opt.QBS HPE StoreOnce 4500/5100 Catalyst Supp 1,356.02 1 Opt.RWH HPE StoreOnce 4500/5100 Repl Supp 2,670.76 1 Opt.XDR HPE StoreOnce 5100 48TB Backup Supp 8,554.69 1 Opt.XDS HPE StoreOnce 5100 48TB Upgrade Kit Supp 8,119.77 o600 1 HA124A1 HP Technical Installation Startup SVC 1 Opt.5T7 HPE StoreOnce Sing N Catalys Startup SVC 3,688.18 2 Opt.55Q HPE StoreOnce System startup SVC 4,003.52 Grand Total: US$,145,000.00 HPE Proprietary for Customer Use Only-Do Not Share Print Date: 11/03/2016 12:59:02p.m. Hewlett Packard nterprise Legal Quotation Quote Number Page SLED-o5774-oo 4 "For inquiries regarding this quote please contact:RFQ-US-SLED@hp.com Upon issuing a Purchase Order to Hewlett Packard Enterprise please include the following: Hewlett Packard Enterprise listed as the Vendor Bill to&ship to addresses PO#and valid Hewlett Packard Enterprise quote number Hewlett Packard Enterprise Purchase Agreement#SWC9o813-o4 Contact name,phone number&e-Mail address For electronic software include the end user e-Mail Address Requested delivery date(per SLA requirements)and any special delivery requirements Tax status If support is ordered provide the end user's name and phone number. For upgrades include the serial number or the support identifier for contract entitlement. *Prices are exclusive of use,sales value added and other taxes. Should the item(s)being quoted herein be exempt from sales tax please include the appropriate valid tax exemption certificate referencing Hewlett Packard Enterprise as the vendor. *If quoted herein,Remarketed Products are fully remanufactured and carry new product warranty. Purchase is subject to inventory availability at receipt of order. Inventory may not be reserved. Hewlett Packard Enterprise reserves the right to substitute new components if appropriate, or to cancel orders by notifying the customer if necessary components are unavailable. *If quoted herein,Hewlett Packard Enterprise Promotions must be ordered as quoted,no substitutions will be allowed. POs must be received on or prior to the expiration date of the quote or special promotion whichever comes first. *If quoted herein,Hewlett Packard Enterprise Consignment/Demo equipment is currently at the location listed on this quote. Issuing a PO against this formal quotation will imply acceptance and delivery of the Consignment/Demo inventory. The standard warranty applicable to new equipment will apply. Some demo equipment may contain products that are remanufactured to be functionally equivalent to new." "The terms and conditions of the WSCA/NASPO contract number SWC9o813-o4 applies to any order placed as a result of this inquiry. No other terms and conditions shall apply.Please reference this contract when placing an order" Quote contains special discounts. Unless the customer has another valid agreement with Hewlett Packard Enterprise,this quotation is governed by Hewlett Packard Enterprise Customer Terms-Portfolio. A copy of these terms can be found on-line at http://www8.hp.com/us/en/hpe/hp-information/end-user-agreement/terms.html. HPE Proprietary for Customer Use Only-Do Not Share Print Date: 11/03/2016 12:59:02p.m. • • Farm 8038-6 information Return for Tax-Exempt Governmental Obligations • (Rev.Reptantber 2011) ►Under Intarlietl Revenue Cade section 140(e) OUR No.1545-0720 Departmentof11u Treasury separate Instructions. Internal Revenue Service Caution:If rile issue price is u►tder$10O,000,use Form 8058-GG emu Reporting Authority If Amended Return,check here 1 Cl I Muer'a name 2 issuers employer idamtfleation number URN) City ofAuguste,Georgia "m.3.o4'a7y 50 Name of parson(other then issuer)with whom the IRS may cammunb ate about this return(see Instructions) 8h Telephone number of other prior shown on Se 4 Number and street(or P.O.box if mat is not deivared to Street address) Room/prdte 0 Report number{For IRS Use 530 Greene Street 1 3 e City.town,or post office.state,and ZIP coda 7 Date of issue Augusta.GA 30901 e Name of issue 8 CUSP number Lease Purchase 103557000005 102 Mune and tide of officer crow m aloyea of the issuer whom the IRS may oats for mom Information(see 400 Telephone member of officer or other Instructions) employee shown on 10s NM Type of Issue(enter the Issue price).See the Instructions and attach schedule. 11 Education 11 5145,000 00 12 Health and hospital 12 13 Transportation 13 14 Public safety 14 15 Environment(includlrig sewage bonds) 16 18 Housing 18 17 Utilities 17 18 Other.Describe ► 18 19 if obligations are TANe or RANs,check only box 19a P 0 If obligations are BANS,check only box 19b ► 20 If obligations are in the form of a lease or installment sale,check box 1 0 P rt t III Description of Obligations.Complete for the entire issue for which this form is being filed. (pi ai maturity date P)Issue p M Slated redemption (r3 weighted Mai le)Yield price at maturity average maturity 21 $ 145,000.00 $ 3 years 4,39 g6 Pal I IV Uses of Proceeds of Bond Issue(Including underwriterst discount) 22 Proceeds used for accrued Interest 22 23 issue price of entire issue(enter amount from Nne 21,column 0))) 23 24 Proceeds used for bond issuance costs('including underwriters'discount). 24 r' co 25 Proceeds used for credit enhancement 25 28 Proceeds allocated to reasonably required reserve or replacement fund , 28 27 Proceeds used to currently refund prior issues 27 28 Proceeds used to advance refund prior issues 28 4 29 Total(add lines 24 through 28) 29 30 Nonrefunding proceeds of the issue(subtract line 29 from line 23 and enter amount here) . 30 Desoqption of Refunded Bonds.Complete this part only for refunding bonds. 31 Enter the remaining weighted average maturity of the bonds to be currently refunded. . . . P years 32 Enter the remaining weighted average maturity of the bonds to be advance refunded . . . ► Yew 33 Enter the last date on which the refunded bonds wIN be called(MM/DD/YYYY) ► 34 Enter the date(s)the refunded bonds were issued►(MMODNYYY) For Paperwork Reduction Act viatica,see separate Motivations. Cat.Na,837785 Form 8038-3(Rev.0-2011) Form 9033 tRov.9-2011) Pege 2 p 't V l IY sce#eneou* 35 Enter the amount of the state volume cap allocated to the issue under section 141{b)(5) . . . 35 38a Enter the amount of gross proceeds invested or to be Invested in a guaranteed investment contract (GIG)(see instructions) 36a b Enter the final maturity date of the GIC► C Enter the name of the GIC provider► 37 Pooled financings: Enter the amount of the proceeds of this issue that are to be used to make loans to other governmental units 37 Sea If this issue Is a loan made from the proceeds of another tax-exempt Issue,check box► ❑and enter the following information: b Enter the date of the master pool obligation to c Enter the Ear of the issuer of the master pool obligation► d Enter the name of the issuer of the master pool obligation► 39 If the Issuer has designated the issue under section 285(b)(3)(9)(1)011)(small issuer exception),Check box . . ► ❑ 40 If the issuer has elected to pay a penalty in lieu of arbitrage rebate,check box I. 0 41a if the issuer has identified a hedge,check here► ❑and enter the following Information: b Name of hedge provider 1. c Type of hedge► d Term of hedge► 42 If the issuer has euperintegrated the hedge,check box ► 43 If the issuer has established written procedures to ensure that all nonqua ified bonds of this Issue are remedlated according to the requirements under the Code and Regulations(see instructions),check box ► 44 If the issuer has established written procedures to monitor the requirements of section 148,check box ► 0 45* If some portion of the proceeds was used to reimburse expenditures,check here► 0 and enter the amount of reimbursement ► b Enter the date the official intent was adopted► Under psnaltes of perjury,I declare that I have examined this return and accompanying schedules and statements.and to the best of my knowledge Signature and baler.they are true,correct end complete.I further declare that I consent to the IRS's disclosure of the issuer's return Information,as necessary to and process tide return,to the person that 1 have authorized above. Contend t 4./5' 11 1Cil t.. 4�.f 6f/?74 -/(0:16., Sign*ture of issuer's authorized representative Data Type or print titre and title Paid Printlrype prepare l nacre Preprer'a elprptttre Data Check 0 t PTiN Preparer self-employed Use only Fun's name ► Fkm'a EN Firm's address► Phone no. Form 8038-3(Rev.9-2011) BILLING INFORMATION REQUEST FORM— INVOICING INSTRUCTIONS Customer ID Number: 2131062075 Schedule Number: 103557000005 IN ORDER FOR HEWLETT-PACKARD FINANCIAL SERVICES COMPANY TO PROPERLY BILL AND CREDrrYOUR ACCOUNT,IT IS NECESSARY THAT YOU COMPLETE THIS FORM AND RETURN rr WITH THE SIGNED DOCUMENTS. BILL TO ADDRESS xga70MERLAW.AMOS City of Augusta,Georgia Dept Name: IMFbIlirsPri o►r Virc,itir.>ttrsq 1 IAT' Streeter g3.5 Te i-! S.1 g L r 4 i cx O &City,StalsZip:Augusta,GA 30001, STATES' BILLING CONTACT: First,VI and Last Name: Th1e Win r� Phone Number 'lA6 14—? S 2. Fax Number: b Email: '11 rnw r 1 . . r G PURCHASING CONTACT: First,M 1.and Last Nemo: Qt ViStmrA. Lo h L t..4x.yrtf Tolle: Phone Number: 14161 -S2.1 — 53 Fax Number. 'FC1re-8i 2 t Email: tada.1446.01.0 Q uh u a_ C.4.(V PURCHASE ORDER NUMBER: Do your Invoices require PO numbers:}YES El NO FEDERAL TAX ID PRAISER: ;a - 7-1 c/ A E YOU SALES/RENTAL TAX EXEMPT? S(Please return a copy of your Sales and Use Tax Exempt CediIIcate with this Form).year,You wru aE A==Esau TAXES CARDS OLY ❑NO POINT OF CONTACT FOR SURVEYS(from thee to time we survey our customers to see HOW WE CAN BEITER SERVE YOUR NEEDS EI'C) 1� first.ALI.and Last Name:l ru. $tS sC►wr-i Tette: sG<.vy. W1\sr. r Phorrs Nu Inc h R11-2� LmeH: "rai.bwr+ de) l4-.1 wr.Jf'a 6 .Goff. Customer Portal Admiplarator"The HP Financial Services Customer Portal is a free,web-based,self-eerviee lease management tool,Mat provides 24 hour access to your lease portfoto in real time. The HPFS Customer Portal also aggregates your global lease information into a centralized tool and allows an administrator to manage internal user profiles. Customer Portal Administrator Feat,N.J.end Last Name: Name of Individual who wit control Portal access Tee: Phone Number. Email` Some available features on The HP Financial Services Customer Portal include: elwrgrimP :0" A, In -we* •&throb*C.d.of Acceptance •vi w Contract Wonualion •M. NW Repots antro. •Vow Invoice. -Standard Riptide •Docuraant Rspoolory Singl. •Wow Endaf Lao*Options •Manage Craton Penal Data Wigan for loam rkere.rente -Aecapt Endlf Lasa Qualm min •And Wail at pawl/el/1d lwal There are 3 Levels of Access to the Portal and they are Administrator,Approver and General User Access. Administrator has complete control over who has access to the portal and their level of access. You can also perform the following tasks: • View and update personal profile information • Add and manage individual user profiles and grant user access in the USER ADMIN section • Notify individuals via email of admin,signatory or user access privileges Approver access allows a user to approve documents within the portal for example Lease Acceptance Certificates in addition to all the reporting capabilities General User access allows the user to the reporting features and to view the features of the tools but they cannot grant access to other colleagues or approve any documents. You will be granted access to the tool once you have identified who you would like to be the Administrator of your Customer Portal Account Please let us know who you are designating and that person's contact information, name, phone#and email address For more information about the Customer Portal,please take a look at the Brochure and the Site Tour for a brief demonstration of the Toot • Broctjure • Site Tout We look forward to working with you as you explore the new Customer Portal and appreciate your business. SIGNATURE AND DATE: ST-6 (Rev.012014) STATE OF GEORGIA DEPARTMENT OF REVENUE SALES TAX CERTIFICATE OF EXEMPTION GEORGIA PURCHASER OR DEALER To: EPE FINANCIAL SERVICES 05/23/2016 Mortsm ser tb 200 CONNELL DRIVE SUITE 5000 BERKELEY HEIGHTS NJ 07922 Aurruarrs 48cnIe$ tarn plum (ZIP cam THE UNDERSIGNED DOES HEREBY CER11FY that al tangible personal property pied or leased after this date will be for the purpose hdicsted below and that this cerillos*e shag remain in effect until revoked in writing. Any tangible personal property obtained under this certificate of exemption is subject to the aides and use tax ilk is used or consumed by the purchaser In any manner other than that indksted on this oartilcate, (Check appropriate box.) r 1. Purchases or leases of tangible Personal property or services for ansate.O.C.GA.5 48-8.30 2. Purchases or leases of tangible persons]property or services made by ria Federal Government.The Amedcan Red Crass.Georgia Stade Goernxneni, argn county,mu racIPO hi, queHying authority,or public school system of tints state. .O C.GAALieorola Salm and IJha tax null*la not raq►d for kris 5 48-+(1X8)(6,1)(5.2) fl 3. Purchases or lessee of tangible personal property or services for RESALE 016Ly by a cluck quoin/Mg nonprolk aped owing institution.nonprtali parent teacher organization or association. nonproM private school (grades X-12),f preen eudly raking funds for a public library,member mewls dew Boy Scouts of the V.S.A.or Gel Scouts of the U.S.A. THIS EXEMPTION DOES NOT EXTEND TO ANY PURCHASE TO SE USED BY OR DONATED BY THE PURCHASING ENTITY. A peones Sales and.Use lax number Is not mauled lar this glomidge,O.C.GA 548.8. 3(A 5)(30)(41)i8e'K59)(71) fl 4. MaterIfis used for packaging tangible personal properly for shipment or sale. Such materials must be u ed solely for Packaging end mist not be purchased for rause by lite shipper or saga ,A teorolepacies and Use tax lumber is at rsouirad tar kala 5M0161om.0-G.G.A.6 48.1.3{84) r 5.Alas*watercraft,motor vehicles, and other trarrepoitauon equipment maradectured or assembled in this state sold by the manufacturer or asaendbler for use exdualvely outside of this state when possession is taken by the purchaser within this stale for the sole purpose of removing the property from this stale nater lis own power dura to the fact that the equipment does not lend Ikea more reasons*to removal by other means. A Georale Salm and Use tax number is not reargt for fit . O.C.GA,g 484-3(32) fl t The stile Of aircraft,antenna railroad locomotives end raring stack,motor vehicles. and major components and rep/Moment/repair paps of each,which will be used prIncipaly to aces the borders obis state In the service of tango ing passengers or ergo by common carriers in Interstate or foreign commerce under authority granted by the United Stales govomhcent Privet:and corkrect Carters are not exempt. O G.G.A.4 48-8-3(33)(A) f 7.Purchases or leases of lenge*personal properly or seams made by a fedandy chartered wadi union,credit unions c rgedzsd under the taws delis stale,end cede unions organized under the laws of the United Sletesand dornkled wikhbc tick stats. A 6earak Shies a idd,tl.Me nw ether k ort ranked for Brie exarceden. 12 U.S.C-S. P88,O.C.G.A.5 40.847 CITY-COUNTY CONSOLIDATED GOVERNMENT tawcOmea Oolong Aotrray) tinder penalties of perjury f declare that this certificate has been examined by ora and o the best of my knowledge and belief is Ma avid corrteot,made bi good faith,punned to the sales and use tax law of Bre Slate of Georgia. BusIhesa Nwre. Ai3GUSTA 1tICHNOND COUNTY CONSOLIDAnp Gory Sales Tax Nurriber:582-204274 BusIneuAdaess: 53S TELPAIR STREET Y AUGUSTA) State:4A Zip Code 30901. Purchasers Neme:GERI A• t>AMt3 /� ^��{,y��gr. Ter nzREwrOR A dealer must seem one properly completed cergtleate of exemption from each buyer orating purchases without payment of time tax. The dealer must maintain a copy of the arttOcate et crampoon presented for sudit purposes.