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Home My WebLink AboutContract 55856-SP9CSC No. 55856-SP9 B U S I N E S S SERVICES Full Legal Name: City Of Fort Worth Address: Phone: Billing Address: Application No. 3025063 Master Agreement No. 500-0650038-000 Supplement Supplement No. -009 200 Texas Street (817) 392-6689 Fax: 200 Texas Street City: Fort Worth DBA: City: Fort Worth State: TX Zip: 76102 Replaces 55856-08 State: TX Zip: 76102- EQUIPMENT ADDED: Qty. 1 1 1 1 1 1 Make Ricoh Ricoh Ricoh Ricoh Item Optional Counter added to D55130 IM C2500 Card Reader added to D56238 IM 350F IM C2510 Card Reader added to D55802 Description (or Accessories) EQUIPMENT DELETED: Qty. Make Item Description (or Accessories) 1 1 1 Ricoh Ricoh Ricoh P 800 D55536 - SN: 5301X228008 P 800 D56190 - SN: 5301X126042 P C600 D56327 - SN: 5321X317322 NEW TOTAL CONSOLIDATED BILLING: Rental Payment* $106,506.11 Workgroup - B&W Allowance Workgroup - Color Image Allowance Desktop - B&W Image allowance Desktop - Color Image Allowance 840,000 250,000 633,000 171,666 Excess Per Image Charge (WG B&W) $ 0.00600 Excess Per Image Charge (WG Color) $ 0.05300 Excess Per Image Charge (Desktop B&W) $ 0.00950 Excess Per Image Charge (Desktop Color) $ 0.08500 METERS READINGS VERIFIED Quarterly *plus applicable taxes TERM: mos. Balance of applicable term. Termination date of this supplement coincides with the termination date set forth in the Master Agreement or previous supplement. New term for equipment referenced above only. Such term begins upon supplement endorsement and acceptance by Owner. The term of the original Agreement shall remain in full force and effect for the remaining original equipment. TERMS AND CONDITIONS: You have requested this supplement to the Master Agreement (the "Supplement"). Which Supplement incorporates the terms and conditions of the Master Agreement (as amended), and constitutes an agreement between you and us with respect to the Equipment reference herein, separate and distinct from the Master Agreement. "Master Agreement" refers to the agreement between customer and Owner (or its predecessor) identified in Owner's records by the Master Agreement No. above. The parties agree that the original hereof for enforcement and perfection purposes, and the sole "record" constituting "chattel paper" under the UCC, is the paper copy hereof bearing (i) the original or a copy of either your manual signature or an electronically applied indication of your intent to enter into this Supplement, and (ii) our original manual signature. Except for the specific provisions set forth above, the original terms and conditions set forth in the Master Agreement and any personal guaranty(s) shall remain in full force and effect and are incorporated herein by reference. CUSTOMER ACCEPTANCE: Print Name: Valerie Washington Date: Sep 18, 2023 Signature: X��— �,anQruui Wa,wll inf1111:03(Sepv:flE'„202.3dU'3;08 1110113 For: City Of Fort Worth Title: Assistant City Manager OWNER ACCEPTANCE: Print Name: Scott Hanson Date: Sep 15, 2023 Signature: For: UBEO, LLC ACCEPTANCE OF DELIVERY: The Customer hereby certifies that all the Equipment: 1) has been received, installed, and inspected, and 2) is fully operational and unconditionally accepted. All conditions and terms of the agreement have been reviewed, acknowledged and are now irrevocable and unconditional. Signature: X Print Name: Supplement - Cons Wardle ' n,wllvi30 Il03 (Sep 1E3 202.3 03;08 0111010 Valerie Washington Date: Sep 18, 2023 For: City Of Fort Worth OFHCUAOL RECORD CITY SECRET ^ RY FT. ','1,'ODRM, TX Rev. 10/23/2020 TEXAS ADDENDUM (STATE AND LOCAL GOVERNMENT) AGREEMENT # 3025063 Addendum to Agreement # 3025063, between City of Fort Worth, as Customer and UBEO, LLC, as Owner. The words you and your refer to Customer. The words we, us and our refer to Owner. The parties wish to amend the above -referenced Agreement by adding the following language: You represent and warrant pursuant to Texas Government Code Section 2252.908 and Texas Administrative Code Chapter 46 the following (select one of the applicable): x_ You have received the required "disclosure of interested parties" from us that was submitted by us to the Texas State Ethics Commission. The Agreement is for less than $1,000,000 and a Customer's Counsel's Opinion has been provided to us confirming the following applies: (a) your governing body has legal authority to delegate to its staff the authority to execute the Agreement; (b) your governing body has delegated to its staff the authority to execute the Agreement; and (c) your governing body did not participate in the selection of the business entity with which the Agreement is entered into. By signing this Addendum, Customer acknowledges the above changes to the Agreement and authorizes Owner to make such changes. In the event of any conflict between this Addendum and the Agreement, this Addendum shall prevail. In all other respects, the terms and conditions of the Agreement remain in full force and effect and remain binding on Customer. UBEO, LLC City of Fort Worth Owner 0,04 d":IIAV',V Signature VP/GM Title Sep 15, 2023 Date XU iStOuef z:.G rs iv°u:... Signature Assistant City Manager Sep 18, 2023 Title Date NOTE: SIGNER OF THIS DOCUMENT MUST BE SAME AS ON THE AGREEMENT. A FACSIMILE OF THIS DOCUMENT WITH SIGNATURE SHALL BE CONSIDERED TO BE AN ORIGINAL. CAPITALIZED TERMS IN THIS DOCUMENT ARE DEFINED AS IN THE AGREEMENT, UNLESS SPECIFICALLY STATED OTHERWISE. A634 REV 03/17 CERTIFICATE OF INTERESTED PARTIES FORM 1295 1 of 1 Complete Nos. 1- 4 and 6 if there are interested parties. Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number: 2023-1066246 Date Filed: 08/30/2023 Date Acknowledged: 1 Name of business entity filing form, and the city, state and country of the business entity's place of business. UBEO LLC Grapevine , TX United States 2 Name of governmental entity or state agency that is a party to the contract for which the form is being filed. City of Fort Worth 3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 3025063 Office Equipment 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary 5 Check only if there is NO Interested Party. 6 UNSWORN DECLARATION SC , and my date of birth is , `3 - c9,7 ^ (c I (0 -1G . My name is Cit± (4c.,In so n 41L My address is 10C) L tAJGS-tpcift P Wy aob , GM pep ✓1€- , ' 1Co03l asp.. , (street) (city) (state) (zip code) (country) I declare under penalty of perjury that the foregoing is true and correct. 30 Executed in —Ta. Q' rcul County, State of e,'QS , on the day of A(1,6. 20 3. , (month) (year) Signature o a orized agent of contracting business entity (Declarant) ovided ny Texas Ethics Commission www.ethics.state.tx.us Version V3.5.1.39e6f620 EQUIPMENT FINANCE CONSENT TO ASSIGNMENT AGREEMENT # 3025063 Re: Agreement # 3025063 between UBEO LLC ("Assignor") and CITY OF FORT WORTH ("Customer"), dated ("Agreement"). Customer hereby consents to the assignment of the above -referenced Agreement to U.S. Bank Equipment Finance, a division of U.S. Bank National Association ("Assignee") and, effective as of the date of this Consent to Assignment, and until further notice from Assignee to the contrary, agrees to recognize Assignee as the sole and exclusive holder of the Agreement, with all rights, benefits and privileges attendant thereto, but none of the obligations of Assignor under the Agreement. Customer hereby consents to the assignment of the Rental Payments portion in the above -referenced Agreement and all other amounts now or hereafter becoming pursuant to the Agreement to U.S. Bank Equipment Finance, a division of U.S. Bank National Association ("Assignee"). Customer agrees to direct remittance for any charges relating to Excess Images to UBEO LLC ("Assignor"). Customer agrees that the rights of Assignee will not be subject to any claims, defenses or set offs that Customer may have against Assignor. UBEO LLC CITY OF FORT WORTH Assignor Scott, Hanson (Sept' 15, 20231..0:04. C11)11 Customer yrpy073 07 QD11 CDT.) Signature Signature VP/GM Sep 15, 2023 Assistant City Manager Sep 18, 2023 Title Date Title Date NOTE: SIGNER OF THIS DOCUMENT MUST BE SAME AS ON THE AGREEMENT. A FACSIMILE OF THIS DOCUMENT WITH SIGNATURE SHALL BE CONSIDERED TO BE AN ORIGINAL. CAPITALIZED TERMS IN THIS DOCUMENT ARE DEFINED AS IN THE AGREEMENT, UNLESS SPECIFICALLY STATED OTHERWISE. A562 REV 04/16 Modified - City of Fort Worth - 8.30.23 BUSINESS SERVICES Additions Summary of Changes for UBEO 36 Month Supplement Current Monthly Payment: $ 106,201.11 Reauest # Department Address Description Device ID Monthly Payment Added 157639 Library 8829 McCart Ave optional counter added to D55130 NA $ 3.00 Neighborhood IM C2510, Paperbank, Internal 157591 1100 NW 18th St Finisher, Postscript, card reader, card D58774 Services reader cover $ 220.00 157892 PMD 5021 James Avenue card reader added to D56238 NA $ 6.00 155254 PARD 1815 Jenson IM 350F, Postscript D58565 $ 40.00 158389 PARD 9601 Fossil Ridge IM C2510, Cabinet, Fax, Postscript, D58567 Card Reader, Card Reader Cover $ 192.00 158530 Water 2201 W Daggett card reader added to D55802 NA $ 6.00 Total Additions $ 467.00 Deletions Reauest # 152302 155254 158389 Department Neighborhood Services PARD PARD Device paid off by City of Fort Worth 158389 PARD Address Description Device ID Monthlv Payment Deleted 4660 Horne St Ricoh P 800 - Not being used D55536 $ (25.00) 1815 Jenson Ricoh P 800 - Upgraded to a device D56190 $ (25.00) with scanning Ricoh P C600 - Combined functionality 9601 Fossil Ridge into one device D56327 $ (32.00) Total Deletions $ (82.00) 9601 Fossil Ridge *this device is not listed on the supplement as it was paid off by City of Fort Worth and not UBEO* Month 1 $ 104,788.11 (60 month agreement) Invoiced Month 2 $ 105,796.11 (59 month supplement) Invoiced Month 3 $ 105,796.11 (59 month supplement) Invoiced Month 4 $ 105,800.11 (57 month supplement) Invoiced Month 5 $ 105,800.11 (57 month supplement) Invoiced Month 6 $ 105,800.11 (57 month supplement) Invoiced Month 7 $ 105,825.11 (54 month supplement) Invoiced Month 8 $ 105,825.11 (54 month supplement) Invoiced Month 9 $ 105,825.11 (54 month supplement) Invoiced Month 10 $ 105,722.11 (51 month supplement) Invoiced Month 11 $ 105,722.11 (51 month supplement) Invoiced Month 12 $ 105,722.11 (51 month supplement) Invoiced Month 13 $ 105,621.11 (48 month supplement) Invoiced Month 14 $ 105,621.11 (48 month supplement) Invoiced Month 15 $ 105,621.11 (48 month supplement) Invoiced Month 16 $ 105,949.11 (45 month supplement) Invoiced Month 17 $ 105,949.11 (45 month supplement) Invoiced Month 18 $ 105,949.11 (45 month supplement) Invoiced Month 19 $ 105,874.11 (42 Month Supplement) Invoiced Month 20 $ 105,874.11 (42 Month Supplement) Invoiced Month 21 $ 105,874.11 (42 Month Supplement) Invoiced Month 22 $ 106,201.11 (39 Month Supplement) Invoiced Month 23 $ 106,201.11 (39 Month Supplement) Invoiced Month 24 $ 106,201.11 (39 Month Supplement) Month 28-60 (without any equipment additions or deletions) Ricoh MP 2555 - damaged by rodents D56250 $ (80.00) Total monthly decrease $ (80.00) Total 60 month Stream of Payments $ New Monthly Paymnet Effective 10/1/2023: $ 106,506.11 Month 25 $ 106,506.11 (36 Month supplement) Month 26 $ 106,506.11 (36 Month supplement) Month 27 $ 106,506.11 (36 Month supplement) 106,506.11 6,373,578.60 [Executed effective as of the date signed by the Assistant City Manager below.] / [ACCEPTED AND AGREED:] City: By: Vaal u° Ihihrh ulfo02:3 0 08 III Name: Valerie Washington Title: Assistant City Manager Date: Sep 18, 2023 Vendor: By: Scott Hallllmon (yrlly 15 20?.313;04 C1313 Name: Scott Hanson Title: VP & General Manager Date: VP/GM CITY OF FORT WORTH INTERNAL ROUTING PROCESS: Approval Recommended: By: 1:111&inp2s20 od¢DOG11 Name: Kevin Gunn Title: Director, IT Solutions Approved as to Form and Legality: By: G/ CP Name: Taylor Paris Title: Assistant City Attorney Contract Authorization: M&C: 21-0235 Approval Date: April 6, 2021 Form 1295: 2023-989247 Contract Compliance Manager: By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. By: Name: Cynthia Tyree Title: Assistant IT Solutions Director City Secretary: By: gk"-P Name: Jannette Goodall Title: City Secretary OFFICIAL RECORD CITY SECRET RY FT. '....'ORM, TX