UN 1012005 13 22 Page 1 I 'l i I Quotation Form ID #a A 1 Ll236 Revised Eligible Entity Requesting Quota tions: HJ I (Im1lmc?'m'_ /Eu' to Leuxe QIJOIU) lfrallmni . (617) 626-44114 Elinible Entity Nmme: Ofliwr ul the (Rove-r1|u|? ax Number: (6 I7) 727-3766 Address: Stall# lltillse Room lT..Mui1 Addrengg Buslull. MA 02|33 SECTIUN. pluilw rutltl thu iuslruclinmt Ull I-, :mtl IH um! IC ol' Th* l11llSl pI'0viCf\: it tht' "Total l`l` Price" tin' IT hu is lisurd in Schedule IA. Hy executing thus form, :hu l>>2qui|>>mm? mm. ilmult-mutt. in shall 1112 Fl' lit ui merit in EUR1C?0rdr1uu=witl ITE ui Conn-act. IT IT PRICE QUN - unte Must lic Received li lfIli `hlel1:n,ti Within Five A Mines; Da Vondar ado Number 74 "6l6l$0'? Numbm 781-337 (Inntact Parson: Gill Fai; Number; Address: tlulmtl item l` Schedule IA Total Number uf IT Equipment I Total IT Equip ment Prine from Schedule IA 2 4 . Dale: C0 aftor Signatory E'mrigu; 1 . m__4km?Zi. . 'd i9l`ON OTHVINO wwQ7:1| 0 Quotation Form ID A 2 . 0 L1236kevised 0 BEFORE THIS SECTION, please reed the instructions stoning on page 1, QA and 13 of fhis form. The Statewide Lease Contraetormust provide a quote for- the "Total IT Equipment Price" for IT Equipment to be leased which is listed in Schedule IA. By executing this form, the Lease Contractor agrees, that if selected, it shall provide the Tenn Lease for The IT uipment in accordance with the tonne of the Statewide Contract. LEASE CONTRACTOR - IT LEASE UOTATION Quotes Must Be Received Eli ible Enti 0. Within Five 5- Business D21 ITC02 Lease Contractor Name Ontario Telephone Number (7515) 431.-467 6 Investments, Inc Vendor _Code Number 161224033 0007 Fax Number (315) 431 4675 Contact Person James Marsallo Ir Mail Address nn ontinv tom $107 494 77 Total Duration of Lease onths Total of all Lease 13:10 ments for Duration of Lease 0 Signature: _Datez /0 ITC02 Contractor Authorized Signatory (Quotation Sub fired ro Eligible Erttitv) Title: Iliff Siliefv I - 2 'd l9l OIHVINO vutftzirln imp Quotation Form ID #z I PCA 3 L1236 Revised ELIGIBLE ENTITY ACCEPTANCE OF QUOTE AND NOTICE TO PROCEED As of the date executed below the Eligible Entity accepts the quotes provided by the IT Equipment Contractor and the Statewide Lease Contractor identified in Part 1 and Part 2 above and authorizes the IT Equipment Contractor and Statewide Lease Contractor to commence procedures to ensure that the IT Equipment is delivered and accepted by the "Expected Delivery Date" id Schedule IAC2f5 lgnature. A ri A . \.4i Date: Eligible EntityA orized Si ry Title: Em Leetefeg THE ACCEPTANCE DATE WILL AUTOMATICALLY OCCUR 30 DAYS AFTER THE IT EQUIPMENT SHIP DATE WITHOUT WRITTEN NOTICE TO THE LEASING IF THE DOES NOT ARRIVE AS EXPECTED, THE ELIGIBLE ENTITY MUST NOTIFY THE LEASING COMIPANY AND IT EQUIPMENT CONTRACTOR IN i A Lease Commitment will be void prior to the commencement of a Lease if: a) the Eligible Entity notifies the Lease Contractor, in Writing, of non-acceptance of the IT Equipment within the time frame for acceptance as specified in RFR Section 7.4. - I 4 The Eligible Entity is responsible for returning the IT Equipment back to the IT Equipment Contractor within five (5) days of non-acceptance, of the IT I Equipment and in the same condition as the Eligible Entity received the IT Equipment. Failure to do so within the timeframe stated above will result in the Lease commencing with payments due until the Eligible Entity returns the IT Equipment (proof of return will be available to the Lease Contractor upon request). The Eligible Entity will be responsible for insuring that the IT Equipment is free of any damages while under their possession. b) the IT Equipment is not delivered to the Eligible Entity, or I c) the Lease Contractor conditions the Lease on the Eligible Entity's execution of additional terms and conditions or other documentation that was not approved under this RFR or by the IT PMT. 3 "3 l?l`ON wvaz ll @nnz~i| Form ID A 4 236 Revised UPON EXECUTION, THE ELIGIBLE ENTITY MUST FAX THIS NOTICE TO TI-IE IT EQUIPMENT CONTRACTOR AND LEASE CONTRACTOR. NOTE: ELIQIBLE ENTITY - ONLY COMPLETE IF ACCEPTING THE EQUIPMENT EARLY IT EQUIPMENT EARLY ACCEPTANCE BY ELIGIBLE ENTITY T116 Eligible Ellilfy Certlfies that Expected Date ofDel1ve1y' of IT Eqmpment hsted 111 Schedule 1A ms amended to change the date as mdlcated below and 13 to be clelwerecl 111 accordance the IT Equlpment Contractor respons1b1111:\es The El1g1ble Entity cerutles that the IT Eqmpment lisned 111 Schedules IA and 1C to 'be Term Leased under the Statewide IT Lease Contract IS essential to the proper efiiclent and econonuc operations of the Entity will comply VVIIZTJ. the terms outlined In the Statewide IT Lease Contract and that for the current fiscal year Lease payments under the Lease the Eligible Entity has sufiicment unexhausted and appropnanons or 053.31 funds for the lease payments due 111 the current fiscal year Eligible Entity; that The Eligible Entity is a public body and authorized to enter into this Lease, that the Eligible a -iffSignature. Cf"- Date 2 7' (JJ Eligible Entity Authorized Signatory Title: I s4_ 9 ld L?l crm-me Nm