HomeMy WebLinkAboutLR Printer-Copier Services for the Recreation and Childcare Division
3131 Esplanade • Chico, CA 95973 • Phone: 530.343.6065 • Fax: 530.343.9470
The words “User,” “Lessee,” “you” and “your” refer to Customer. The words “Owner,” “Lessor,” “we,” “us” and “our” refer to UBEO West, LLC.
CUSTOMER INFORMATION
FULL LEGAL NAME
STREET ADDRESS
City of San Rafael
1400 Fifth Ave
CITY
STATE
ZIP
PHONE
FAX
San Rafael
CA
94901
(415) 485-3333
BILLING NAME (IF DIFFERENT FROM ABOVE)
BILLING STREET ADDRESS
CITY
STATE
ZIP
E-MAIL
EQUIPMENT LOCATION (IF DIFFERENT FROM ABOVE)
EQUIPMENT DESCRIPTION
MAKE/MODEL/ACCESSORIES
SERIAL NO.
STARTING METER
NOT FINANCED
UNDER THIS
AGREEMENT
☐
☐
☐
☐
☐
☐
☐
☐
☐x See attached Schedule A ☐ See attached Billing Schedule
TERM AND PAYMENT INFORMATION
60 Payments* of $
1260.00
If you are exempt from sales tax, attach your certificate.
*plus applicable taxes
The payment (“Payment”) period is monthly unless otherwise indicated.
Payment includes
Schedule A
B&W images per month
Overages billed at $
Schedule A
per B&W image*
Payment includes
Schedule A
General Color images per month
Overages billed at $
Schedule A
per General Color image*
Payment includes
Pro. Color images per month
Overages billed at $
per Pro. Color image*
Payment includes
scans per month
Overages billed at $
per scan*
Please check one: Meter Readings verified: Monthly Quarterly Other: (If nothing is selected, then Quarterly will be your Meter Reading option.)
Upon acceptance of the Equipment, THIS AGREEMENT IS NONCANCELABLE, IRREVOCABLE AND CANNOT BE TERMINATED.
OWNER ACCEPTANCE
UBEO West, LLC
OWNER SIGNATURE TITLE DATED
CUSTOMER ACCEPTANCE
BY SIGNING BELOW OR AUTHENTICATING AN ELECTRONIC RECORD HEREOF, YOU CERTIFY THAT YOU HAVE REVIEWED AND DO AGREE TO ALL TERMS AND CONDITIONS OF
THIS AGREEMENT ON THIS PAGE AND ON PAGE 2 ATTACHED HERETO.
City of San Rafael
X
CUSTOMER (as referenced above) SIGNATURE TITLE DATED
94-6000424
FEDERAL TAX I.D. # PRINT NAME
TERMS AND CONDITIONS (Continued on Page 2)
1. AGREEMENT: You agree to rent from us the goods, together with all replacements, parts, repairs, additions, and accessions incorporated therein or attached thereto and any and all proceeds of the foregoing, including, without limitation,
insurance recoveries ("Equipment") and, if applicable, finance certain software, software license(s), software components and/or professional services in connection with software (collectively, the “Financed Items,” which are included in the
word “Equipment” unless separately stated) from software licensor(s) and/or supplier(s) (collectively, the “Supplier”), all as described in this Agreement and in any attached schedule, addendum or amendment hereto (“Agreement”). You
represent and warrant that you will use the Equipment for business purposes only. You agree to all of the terms and conditions contained in this Agreement, which, with the acceptance certification, is the entire agreement between you and us
regarding the Equipment and which supersedes any purchase order, invoice, request for proposal, response or other related document. This Agreement becomes valid upon execution by us. In order to facilitate an orderly transition, the start
date of this Agreement will be the date the Equipment is delivered to you or a date designated by us, as shown on the first invoice. If a later start date is designated, in addition to all Payments and other amounts due hereunder, you agree to
pay us a transitional payment equal to 1/30th of the Payment, multiplied by the number of days between the date the Equipment is delivered to you and the designated start date. The first Payment is due 30 days after the start of this Agreement
and each Payment thereafter shall be due on the same day of each month. In addition, should this Agreement replace a previous UBEO West, LLC generated equipment rental, a CLOSING BILL on the agreement being replaced, up to the
installation date of the new equipment, will be sent approximately (10) days after delivery of the new equipment. You agree to pay this CLOSING BILL charges as they represent valid charges for product and services provided under the prior
agreement up to the installation date of the new equipment. If any provision of this Agreement is declared unenforceable, the other provisions herein shall remain in full force and effect to the fullest extent permitted by law.
2. OWNERSHIP; PAYMENTS; TAXES AND FEES: We own the Equipment, excluding any Financed Items. Ownership of any Financed Items shall remain with Supplier thereof. You will pay all Payments, as adjusted, when due, without
notice or demand and without abatement, set-off, counterclaim or deduction of any amount whatsoever. If any part of a Payment is more than 5 days late, you agree to pay a late charge of 10% of the Payment which is late or, if less, the
maximum charge allowed by law. The Payment may be adjusted proportionately upward or downward: (i) if the shipping charges or taxes differ from the estimate given to you; and/or (ii) to comply with the tax laws of the state in which the
Equipment is located. You shall pay all applicable taxes, assessments and penalties related to this Agreement, whether levied or assessed on this Agreement, on us (except on our income) or you, or on the Equipment, its rental, sale,
ownership, possession, use or operation. If we pay any taxes or other expenses that are owed hereunder, you agree to reimburse us when we request. You agree to pay us a yearly processing fee of up to $50 for personal property taxes we
pay related to the Equipment. You agree to pay us a fee of up to $50 for filing and/or searching costs required under the Uniform Commercial Code (“UCC”) or other laws. You agree to pay us an origination fee of $125 for all closing costs.
We may apply all sums received from you to any amounts due and owed to us under the terms of this Agreement. If for any reason your check is returned for insufficient funds, you will pay us a service charge of $30 or, if less, the maximum
charge allowed by law. We may make a profit on any fees, estimated tax payments and other charges paid under this Agreement.
36241 (2017) (v2) Page 1 of 2 Rev. 11/03/2022
APPLICATION NO.
AGREEMENT NO.
VALUE RENTAL
AGREEMENT
Docusign Envelope ID: A16A37BF-0B65-47BC-92EB-36EAB64E1890 2026.0019
February 8, 2026City Manager
Cristine Alilovich
Vice President of FinanceFebruary 6, 2026
3. EQUIPMENT; SECURITY INTEREST: At your expense, you shall keep the Equipment: (i) in good repair, condition and working order, in compliance with applicable laws, ordinances and manufacturers’ and regulatory standards; (ii) free
and clear of all liens and claims; and (iii) at your address shown on page 1, and you agree not to move it unless we agree in writing. You grant us a security interest in the Equipment to secure all amounts you owe us under this Agreement or
any other agreement with us (“Other Agreements”), except amounts under Other Agreements which are secured by land and/or buildings. You authorize and ratify our filing of any financing statement(s) to show our interest. You will not
change your name, state of organization, headquarters or residence without providing prior written notice to us. You will notify us within 30 days if your state of organization revokes or terminates your existence.
4. INSURANCE; COLLATERAL PROTECTION; INDEMNITY; LOSS OR DAMAGE: You agree to keep the Equipment fully insured against all risk, with us named as lender’s loss payee, in an amount not less than the full replacement value
of the Equipment until this Agreement is terminated. You also agree to maintain commercial general liability insurance with such coverage and from such insurance carrier as shall be satisfactory to us and to include us as an additional insured
on the policy. You will provide written notice to us within 10 days of any modification or cancellation of your insurance policy(s). You agree to provide us certificates or other evidence of insurance acceptable to us. If you do not provide us
with acceptable evidence of property insurance within 30 days after the start of this Agreement, we may, at our sole discretion, to do so as provided in either (A) or (B) below, as determined in our discretion: (A) We may obtain insurance
covering our interest (and only our interest) in the Equipment for the Agreement term and renewals. Any insurance we obtain will not insure you against third party or liability claims and may be cancelled by us at any time. You may be required
to pay us an additional amount each month for the insurance premium and an administrative fee. The cost may be more than the cost of obtaining your own insurance; or (B) We may charge you a monthly property damage surcharge of up to
.0035 of the Equipment cost as a result of our credit risk and administrative and other costs, as would be further described on a letter from us to you. We may make a profit on this program. NOTHING IN THIS PARAGRAPH WILL RELIEVE
YOU OF RESPONSIBILITY FOR LIABILITY INSURANCE ON THE EQUIPMENT. We are not responsible for, and you agree to hold us harmless and reimburse us for and to defend on our behalf against, any claim for any loss, expense,
liability or injury caused by or in any way related to delivery, installation, possession, ownership, renting, manufacture, use, condition, inspection, removal, return or storage of the Equipment. All indemnities will survive the expiration or
termination of this Agreement. You are responsible for any loss, theft, destruction or damage to the Equipment (“Loss”), regardless of cause, whether or not insured. You agree to promptly notify us in writing of any Loss. If a Loss occurs and
we have not otherwise agreed in writing, you will promptly pay to us the unpaid balance of this Agreement, including any future Payments to the end of the term plus the anticipated residual value of the Equipment, both discounted to present
value at 2%. Any proceeds of insurance will be paid to us and credited against the Loss. You authorize us to sign on your behalf and appoint us as your attorney-in-fact to endorse in your name any insurance drafts or checks issued due to a
Loss.
5. ASSIGNMENT: YOU SHALL NOT SELL, TRANSFER, ASSIGN, ENCUMBER, PLEDGE OR SUBRENT THE EQUIPMENT OR THIS AGREEMENT, without our prior written consent which will not be unreasonably withheld. You
shall not consolidate or merge with or into any other entity, distribute, sell or dispose of all or any substantial portion of your assets other than in the ordinary course of business, without our prior written consent, and the surviving, or successor
entity or the transferee of such assets, as the case may be, shall assume all of your obligations under this Agreement by a written instrument acceptable to us. No event shall occur which causes or results in a transfer of majority ownership of
you while any obligations are outstanding hereunder. We may sell, assign, or transfer this Agreement without notice to or consent from you. You agree that if we sell, assign or transfer this Agreement, our assignee will have the same rights
and benefits that we have now and will not have to perform any of our obligations. You agree that our assignee will not be subject to any claims, defenses, or offsets that you may have against us. This Agreement shall be binding on
and inure to the benefit of the parties hereto and their respective successors and assigns.
6. DEFAULT AND REMEDIES: You will be in default if: (i) you do not pay any Payment or other sum due to us or you fail to perform in accordance with the covenants, terms and conditions of this Agreement or any other agreement with us
or any of our affiliates or fail to perform or pay under any material agreement with any other entity; (ii) you make or have made any false statement or misrepresentation to us; (iii) you or any guarantor dies, dissolves, liquidates, terminates
existence or is in bankruptcy; (iv) you or any guarantor suffers a material adverse change in its financial, business or operating condition; or (v) any guarantor defaults under any guaranty for this Agreement. If you are ever in default, at our
option, we can cancel this Agreement and require that you pay the unpaid balance of this Agreement, including any future Payments to the end of term plus the anticipated residual value of the Equipment, both discounted to present value at
2%. We may recover default interest on any unpaid amount at the rate of 12% per year. Concurrently and cumulatively, we may also use any remedies available to us under the UCC and any other law and we may require that you immediately
stop using any Financed Items. If we take possession of the Equipment, you agree to pay the costs of repossession, moving, storage, repair and sale. The net proceeds of the sale of any Equipment will be credited against what you owe us
under this Agreement and you will be responsible for any deficiency. In the event of any dispute or enforcement of our rights under this Agreement or any related agreement, you agree to pay our reasonable attorneys’ fees (including any
incurred before or at trial, on appeal or in any other proceeding), actual court costs and any other collection costs, including any collection agency fee. WE SHALL NOT BE RESPONSIBLE TO PAY YOU ANY CONSEQUENTIAL, INDIRECT
OR INCIDENTAL DAMAGES FOR ANY DEFAULT, ACT OR OMISSION BY ANYONE. Any delay or failure to enforce our rights under this Agreement will not prevent us from enforcing any rights at a later time. You agree that this Agreement
is a "Finance Lease" as defined by Article 2A of the UCC and your rights and remedies are governed exclusively by this Agreement. You waive all rights under sections 2A-508 through 522 of the UCC. If interest is charged or collected in
excess of the maximum lawful rate, we will refund such excess to you, which will be your sole remedy.
7. INSPECTIONS AND REPORTS: We have the right, at any reasonable time, to inspect the Equipment and any documents relating to its installation, use, maintenance and repair. Within 30 days after our request (or such longer period as
provided herein), you will deliver all requested information (including tax returns) which we deem reasonably necessary to determine your current financial condition and faithful performance of the terms hereof. This may include: (i) compiled,
reviewed or audited annual financial statements (including, without limitation, a balance sheet, a statement of income, a statement of cash flow, a statement of changes in equity and notes to financial statements) within 120 days after your
fiscal year end, and (ii) management-prepared interim financial statements within 45 days after the requested reporting period(s). Annual statements shall set forth the corresponding figures for the prior fiscal year in comparative form, all in
reasonable detail without any qualification or exception deemed material by us. Unless otherwise accepted by us, each financial statement shall be prepared in accordance with generally accepted accounting principles consistently applied
and shall fairly and accurately present your financial condition and results of operations for the period to which it pertains. You authorize us to obtain credit bureau reports for credit and collection purposes and to share them with our affiliates
and agents.
8. END OF TERM: At the end of the initial term, this Agreement shall renew for successive 12-month renewal term(s) under the same terms hereof unless you send us written notice between 90 and 150 days before the end of the initial term
or at least 30 days before the end of any renewal term that you want to return the Equipment, and you timely return the Equipment. You shall continue making Payments and paying all other amounts due until the Equipment is returned. As
long as you have given us the required written notice, you will return all of the Equipment to a location we specify, at your expense, in retail re-saleable condition, full working order and complete repair. At the end of the term or upon repossession
of the Equipment after a default, you agree to pay us a minimum return fee of $250, which will cover up to 10 units of returned Equipment and will not be prorated, and in addition, a supplemental return fee of up to $50 per each unit of returned
Equipment in excess of 10 units (collectively, the “Return Fee”). If, in our sole discretion, we allow you to return any Equipment prior to the end of the term, you shall pay us the Return Fee each time you return Equipment. YOU ARE SOLELY
RESPONSIBLE FOR REMOVING ANY DATA THAT MAY RESIDE IN THE EQUIPMENT, INCLUDING BUT NOT LIMITED TO HARD DRIVES, DISK DRIVES OR ANY OTHER FORM OF MEMORY.
9. USA PATRIOT ACT NOTICE; ANTI-TERRORISM AND ANTI-CORRUPTION COMPLIANCE: To help the government fight the funding of terrorism and money laundering activities, federal law requires all financial institutions to obtain,
verify, and record information that identifies each customer who opens an account. When you enter into a transaction with us, we ask for your business name, address and other information that will allow us to identify you. We may also ask
to see other documents that substantiate your business identity. You and any other person who you control, own a controlling interest in, or who owns a controlling interest in or otherwise controls you in any manner (“Representatives”) are
and will remain in full compliance with all laws, regulations and government guidance concerning foreign asset control, trade sanctions, embargoes, and the prevention and detection of money laundering, bribery, corruption, and terrorism, and
neither you nor any of your Representatives is or will be listed in any Sanctions-related list of designated persons maintained by the U.S. Department of Treasury’s Office of Foreign Assets Control or successor or the U.S. Department of State.
You shall, and shall cause any Representative to, provide such information and take such actions as are reasonably requested by us in order to assist us in maintaining compliance with anti-money laundering laws and regulations.
10. MISCELLANEOUS: Unless otherwise stated in an addendum hereto, the parties agree that: (i) this Agreement and any related documents hereto may be authenticated by electronic means; (ii) the “original” of this Agreement shall be the
copy that bears your manual, facsimile, scanned or electronic signature and that also bears our manually or electronically signed signature and is held or controlled by us; and (iii) to the extent this Agreement constitutes chattel paper (as
defined by the UCC), a security interest may only be created in the original. You agree not to raise as a defense to the enforcement of this Agreement or any related documents that you or we executed or authenticated such documents by
electronic or digital means or that you used facsimile or other electronic means to transmit your signature on such documents. Notwithstanding anything to the contrary herein, we reserve the right to require you to sign this Agreement or any
related documents hereto manually and to send to us the manually signed, duly executed documents via overnight courier on the same day that you send us the facsimile, scanned or electronic transmission of the documents. You agree to
execute any further documents that we may request to carry out the intents and purposes of this Agreement. Whenever our consent is required, we may withhold or condition such consent in our sole discretion, except as otherwise expressly
stated herein. From time to time, Supplier may extend to us payment terms for Equipment financed under this Agreement that are more favorable than what has been quoted to you or the general public, and we may provide Supplier information
regarding this Agreement if Supplier has assigned or referred it to us. All notices shall be mailed or delivered by facsimile transmission or overnight courier to the respective parties at the addresses shown on this Agreement or such other
address as a party may provide in writing from time to time. By providing us with a telephone number for a cellular phone or other wireless device, including a number that you later convert to a cellular number, you are expressly consenting to
receiving communications, including but not limited to prerecorded or artificial voice message calls, text messages, and calls made by an automatic telephone dialing system, from us and our affiliates and agents at that number. This express
consent applies to each such telephone number that you provide to us now or in the future and permits such calls for non-marketing purposes. Calls and messages may incur access fees from your cellular provider. You authorize us to make
non-material amendments (including completing and conforming the description of the Equipment) on any document in connection with this Agreement. Unless stated otherwise herein, all other modifications to this Agreement must be in
writing and signed by each party or in a duly authenticated electronic record. This Agreement may not be modified by course of performance.
11. WARRANTY DISCLAIMERS: WE ARE RENTING THE EQUIPMENT TO YOU “AS-IS.” YOU HAVE SELECTED SUPPLIER AND THE EQUIPMENT BASED UPON YOUR OWN JUDGMENT. IN THE EVENT WE ASSIGN THIS
AGREEMENT, OUR ASSIGNEE DOES NOT TAKE RESPONSIBILITIES FOR THE INSTALLATION OR PERFORMANCE OF THE EQUIPMENT. SUPPLIER IS NOT AN AGENT OF OURS AND WE ARE NOT AN AGENT OF SUPPLIER,
AND NOTHING SUPPLIER STATES OR DOES CAN AFFECT YOUR OBLIGATIONS HEREUNDER. YOU WILL MAKE ALL PAYMENTS UNDER THIS AGREEMENT REGARDLESS OF ANY CLAIM OR COMPLAINT AGAINST ANY
SUPPLIER, LICENSOR OR MANUFACTURER, AND ANY FAILURE OF A SERVICE PROVIDER TO PROVIDE SERVICES WILL NOT EXCUSE YOUR OBLIGATIONS TO US UNDER THIS AGREEMENT. WE MAKE NO WARRANTIES,
EXPRESS OR IMPLIED, OF, AND TAKE ABSOLUTELY NO RESPONSIBILITY FOR, MERCHANTABILITY, FITNESS FOR ANY PARTICULAR PURPOSE, CONDITION, QUALITY, ADEQUACY, TITLE, DATA ACCURACY, SYSTEM
INTEGRATION, FUNCTION, DEFECTS, INFRINGEMENT OR ANY OTHER ISSUE IN REGARD TO THE EQUIPMENT, ANY ASSOCIATED SOFTWARE AND ANY FINANCED ITEMS. SO LONG AS YOU ARE NOT IN DEFAULT UNDER
THIS AGREEMENT, WE ASSIGN TO YOU ANY WARRANTIES IN THE EQUIPMENT GIVEN TO US.
12. LAW; JURY WAIVER: This Agreement will be governed by and construed in accordance with the law of the principal place of business of Owner or, if assigned, its assignee. You consent to jurisdiction and venue of any state or federal
court in the state of the Owner or, if assigned, its assignee has its principal place of business and waive the defense of inconvenient forum. For any action arising out of or relating to this Agreement or the Equipment, BOTH PARTIES WAIVE
ALL RIGHTS TO A TRIAL BY JURY.
13. MAINTENANCE AND SUPPLIES: You have elected to enter into a separate arrangement with Supplier for maintenance, inspection, adjustment, parts replacement, drums, cleaning material required for proper operation and toner and
developer (“Arrangement”). You agree to pay all amounts owing under this Agreement regardless of any claim you have against Supplier relating to the Arrangement. Supplier will be solely responsible for performing all services and providing
all supplies under the Arrangement. You agree not to hold Owner (if different from Supplier) or any assignee of this Agreement responsible for Supplier’s obligations under the Arrangement. As a convenience to you, we will provide you with
one invoice covering amounts owing under this Agreement and the Arrangement. If necessary, Supplier’s obligations to you under the Arrangement may be assigned by us. You have been informed that a surge protector is recommended to
protect your electronic investment from harmful high voltage power disturbances. Said surge protectors should have network protection when connected in a network environment. Units that provide network protection are available through
UBEO West, LLC. You are responsible for providing manufacturer recommended adequate power supply. Check one of the following: Purchased Has existing Declined and will be responsible for damage caused by not having
a surge protector. You agree to pay a monthly supply freight fee to cover the costs of shipping supplies to you. An image/scan is equal to a single sided 8.5” x 11” copy or print. Each month, you are entitled to produce the minimum number
of images/scans shown on page 1 of this Agreement for each applicable image/scan type. Regardless of the number of images/scans made, you will never pay less than the minimum Payment. You agree to provide periodic meter readings
on the Equipment. If at any time during the term of this Agreement meter readings are not collected electronically there will be a $5 fee assessed per device, per month for the term of this Agreement or until the meter readings are set-up
electronically. You agree to pay the applicable overage charge for each metered image/scan that exceeds the applicable minimum number of images/scans. Images/scans made on equipment marked as not financed under this Agreement
will be included in determining your image/scan and overage charges. At the end of the first year of this Agreement, and once each successive 12-month period thereafter, the maintenance and supplies portion of the Payment and the overage
charges may be increased by a maximum of 15% of the existing payment or charge. If you have multiple devices at the installation address, which use the same supplies provided under this Agreement, all devices using the same supplies
must be covered under an active agreement with Supplier. UBEO West, LLC agrees not to disclose any customer information to manufacturers or competitors that is not required by law.
14. EXCLUSIONS: Maintenance service under the Arrangement is contingent upon proper use of the device. The Arrangement does not include: a) Repairs resulting from causes other than normal use; your willful act, use of any paper stock
that does not meet device specifications, negligence or misuse including, without limitation, damage to any part or mechanisms and/or use or supplies or spare parts not manufactured and/or use or supplies or spare parts not manufactured by
the original equipment manufacturer and which cause abnormally high service calls or service problems; accident, transportation, failure of electrical power, air conditioning or humidity control related problems, acts of nature (fire , flood etc.),
theft, or any other unusual circumstance. b) Repairs made necessary by service performed by personnel other than UBEO West, LLC representative. c) Work which you request to be performed outside regular business hours. d) Reconditioning
or modification to the Equipment except those specified by UBEO West, LLC’s Technical Service Department to assure greater performance of the Equipment. e) Any and all work related to data flow between the covered device and your
computers, software or computer network; or work on your computers, software or computer network independent of the Equipment. f) Repairs to the Equipment that is past the manufactures end of service life.
36241 (2017) (v2) Page 2 of 2 Rev. 11/03/2022
Docusign Envelope ID: A16A37BF-0B65-47BC-92EB-36EAB64E1890
NOTE: CAPITALIZED TERMS IN THIS DOCUMENT ARE DEFINED AS IN THE AGREEMENT, UNLESS SPECIFICALLY STATED OTHERWISE.
36251 Page 1 of 2 Rev. 11/03/2022
STATE AND LOCAL GOVERNMENT ADDENDUM (AK, AZ, CA, CO, HI, ID, MT, NV, NM, OR, UT, WA, WY)
Addendum to Agreement # 3171915 and any future supplements/schedules thereto, between City of San Rafael, as Customer (“Customer”) and UBEO West, LLC, as
Lessor. The words “you” and “your” refer to Customer. The words “we” and “us” refer to Lessor. In the event of any conflict between the terms and conditions of the
Agreement and this Addendum, the terms and conditions of this Addendum shall control, and in the event of any conflict between the general provisions of this Addendum and
any provision of this Addendum that expressly applies to you only if you are a political subdivision, county, city, or school district of specific state (“State-Specific Provision”),
then the State Specific Provision shall control.
1. The parties wish to amend the above-referenced Agreement by adding the
following language:
REPRESENTATIONS AND WARRANTIES OF CUSTOMER: You hereby represent and
warrant to us that: (i) you have been duly authorized under the Constitution and laws of
the applicable jurisdiction and by a resolution or other authority of your governing body to
execute and deliver this Agreement and to carry out your obligations hereunder; (ii) all legal
requirements have been met, and procedures have been followed, including public bidding,
in order to ensure the enforceability of this Agreement; (iii) this Agreement is in compliance
with all laws applicable to you, including any debt limitations or limitations on interest rates
or finance charges; (iv) the Equipment will be used by you only for essential governmental
or proprietary functions of you consistent with the scope of your authority, will not be used
in a trade or business of any person or entity, by the federal government or for any personal,
family or household use, and your need for the Equipment is not expected to diminish during
the term of this Agreement; (v) you have funds available to pay Payments until the end of
your current appropriation period, and you intend to request funds to make Payments in
each appropriation period, from now until the end of the term of this Agreement; and (vi)
your exact legal name is as set forth on page one of this Agreement.
INITIAL TERM AND RENEWAL TERM(S): The term of the Agreement consists of an initial
term beginning on the date we pay Supplier and ending at the end of your fiscal year in
which we pay Supplier, and a series of renewal terms, each co-extensive with your fiscal
year. Except to the extent required by applicable law, if you do not exercise your right to
terminate the Agreement under the Non-Appropriation or Renewal paragraph as of the end
of any fiscal year, the Agreement will be deemed automatically renewed for the next
succeeding renewal term.
An election by you to terminate the Agreement under the Non-Appropriation or Renewal
paragraph is not a default.
Notwithstanding anything to the contrary set forth in the Agreement, if we cancel the
Agreement following a default by you, we may require that you pay the unpaid balance of
Payments under the Agreement through the end of your then-current fiscal year, but we
may not require you to pay future Payments due beyond that fiscal year or the anticipated
residual value of the Equipment. If we sell the Equipment following a default by you, you
will not be responsible for a deficiency, except to the extent of our costs of repossession,
moving, storage, repair and sale, and our attorneys’ fees and costs.
NON-APPROPRIATION OR RENEWAL: If either sufficient funds are not appropriated to
make Payments or any other amounts due under this Agreement or (to the extent required
by applicable law) this Agreement is not renewed either automatically or by mutual
ratification, this Agreement shall terminate and you shall not be obligated to make
Payments under this Agreement beyond the then-current fiscal year for which funds have
been appropriated. Upon such an event, you shall, no later than the end of the fiscal year
for which Payments have been appropriated or the term of this Agreement has been
renewed, deliver possession of the Equipment to us. If you fail to deliver possession of the
Equipment to us, the termination shall nevertheless be effective but you shall be
responsible, to the extent permitted by law and legally available funds, for the payment of
damages in an amount equal to the portion of Payments thereafter coming due that is
attributable to the number of days after the termination during which you fail to deliver
possession and for any other loss suffered by us as a result of your failure to deliver
possession as required. You shall notify us in writing within seven days after (i) your failure
to appropriate funds sufficient for the payment of the Payments or (ii) to the extent required
by applicable law, (a) this Agreement is not renewed or (b) this Agreement is renewed by
you (in which event this Agreement shall be mutually ratified and renewed), provided that
your failure to give any such notice under clause (i) or (ii) of this sentence shall not operate
to extend this Agreement or result in any liability to you.
SUPPLEMENTS; SEPARATE FINANCINGS: To the extent applicable, in the event that
the parties hereafter mutually agree to execute and deliver any supplement or schedule
(“Supplement”) under the above-referenced Agreement, such Supplement, as it
incorporates the terms and conditions of the Agreement, shall be a separate financing
distinct from the Agreement or other Supplements thereto. Without limiting the foregoing,
upon the occurrence of an event of default or a non-appropriation event with respect to the
Agreement or a Supplement (each, a separate “Contract”), as applicable, we shall have the
rights and remedies specified in the Agreement with respect to the Equipment financed and
the Payments payable under such Contract, and we shall have no rights or remedies with
respect to Equipment financed or Payments payable under any other Contract unless an
event of default or non-appropriation event has also occurred under such other Contract.
2. The parties wish to amend the above-referenced Agreement by restating certain
language as follows:
Any provision in the Agreement stating that you shall indemnify and hold us harmless is
hereby amended and restated as follows: “You shall not be required to indemnify or hold
us harmless against liabilities arising from this Agreement. However, as between you and
us, and to the extent permitted by law and legally available funds, you are responsible for
and shall bear the risk of loss for, shall pay directly, and shall defend against any and all
claims, liabilities, proceedings, actions, expenses, damages or losses arising under or
related to the Equipment, including, but not limited to, the possession, ownership, lease,
use or operation thereof, except that you shall not bear the risk of loss of, nor pay for, any
claims, liabilities, proceedings, actions, expenses, damages or losses that arise directly
from events occurring after you have surrendered possession of the Equipment in
accordance with the terms of this Agreement to us or that arise directly from our gross
negligence or willful misconduct.”
Any provision in the Agreement stating that the Agreement is governed by a particular
state’s laws and you consent to such jurisdiction and venue is hereby amended and
restated as follows: “This Agreement will be governed by and construed in accordance
with the laws of the state where you are located. You consent to jurisdiction and venue of
any state or federal court in such state and waive the defense of inconvenient forum.”
Any provision in the Agreement stating this Agreement supersedes any invoice and/or
purchase order is hereby amended and restated as follows: “You agree that the terms and
conditions contained in this Agreement, which, with the acceptance certification, is the
entire agreement between you and us regarding the Equipment and which supersedes any
purchase order, invoice, request for proposal, response or other related document.”
Any provision in the Agreement stating that this Agreement shall automatically renew
unless the Equipment is purchased, returned or a notice requirement is satisfied is hereby
amended and restated as follows: “Unless the purchase option is $1.00 or $101.00, you
agree to send us written notice at least 30 days before the end of the final renewal term
that you want to purchase or return the Equipment, and you agree to so purchase or return
the Equipment not later than the end of the final renewal term. If you fail to so purchase or
return the Equipment at or before the end of the final renewal term, you shall be a holdover
tenant with respect to this Agreement and the Equipment, and this Agreement shall renew
on a month-to-month basis under the same terms hereof until the Equipment has been
purchased or returned.”
Any provision in the Agreement stating that we may assign this Agreement is hereby
amended and restated as follows: “We may sell, assign, or transfer this Agreement without
notice to or consent from you, and you waive any right you may have to such notice or
consent.”
Any provision in the Agreement stating that you grant us a security interest in the Equipment
to secure all amounts owed to us under any agreement is hereby amended and restated
as follows: “To the extent permitted by law, you grant us a security interest in the Equipment
to secure all amounts you owe us under this Agreement and any supplements hereto. You
authorize and ratify our filing of any financing statement(s) and the naming of us on any
vehicle title(s) to show our interest.”
Any provision in the Agreement stating that a default by you under any agreement with our
affiliates or other lenders shall be an event of default under the Agreement is hereby
amended and restated as follows: “You will be in default if: (i) you do not pay any Payment
or other sum due to us under this Agreement when due or you fail to perform in accordance
with the covenants, terms and conditions of this Agreement; (ii) you make or have made
any false statement or misrepresentation to us; or (iii) you dissolve, liquidate, terminate
your existence or are in bankruptcy.
Any provision in the Agreement stating that you shall pay our attorneys’ fees is hereby
amended and restated as follows: “In the event of any dispute or enforcement of rights
under this Agreement or any related agreement, you agree to pay, to the extent permitted
by law and to the extent of legally available funds, our reasonable attorneys’ fees (including
any incurred before or at trial, on appeal or in any other proceeding), actual court costs and
any other collection costs, including any collection agency fee.”
Any provision in the Agreement requiring you to pay amounts due under the Agreement
upon the occurrence of a default, failure to appropriate funds or failure to renew the
AGREEMENT NO.
3171915
Docusign Envelope ID: A16A37BF-0B65-47BC-92EB-36EAB64E1890
NOTE: CAPITALIZED TERMS IN THIS DOCUMENT ARE DEFINED AS IN THE AGREEMENT, UNLESS SPECIFICALLY STATED OTHERWISE.
36251 Page 2 of 2 Rev. 11/03/2022
Agreement is hereby amended to limit such requirement to the extent permitted by law and
legally available funds.
3. If your end-of-term option is the purchase of all Equipment for $1.00 or $101.00,
the following applies: Unless otherwise required by law, upon your acceptance of the
Equipment, title to the Equipment shall be in your name, subject to our interest under this
Agreement; provided, however, that if you are a political subdivision of the State of
Colorado, and if your end-of-term option is the purchase of all Equipment for $1.00 or
$101.00, title to the Equipment shall be in our name, subject to your interest under the
Agreement.
4. With respect to any “Financed Items,” the following provisions shall be applicable
to such Financed Items:
This Addendum concerns the granting to you of certain software and/or software license(s)
(“Licensed Software”), the purchase by you of certain software components, including but
not limited to, software maintenance and/or support (“Products”) and/or the purchase by
you of certain implementation, integration, training, technical consulting and/or professional
services in connection with software (“Services”) (collectively, the “Financed Items”) from
software licensor(s) and/or supplier(s) (collectively, the “Supplier”), all as further described
in the agreement(s) between you and Supplier (collectively, the “Product Agreement”). For
essential governmental purposes only, you have requested and we have agreed that
instead of you paying the fees pursuant to the Product Agreement to Supplier for the
Financed Items, we will satisfy your obligation to pay such fees to Supplier, and in
consideration thereof, you shall repay the sums advanced by us to Supplier by promptly
making certain installment payments to us, which are included in the Payments set forth in
the Agreement.
To the extent permitted by law, you grant us a security interest in the license(s), including
without limitation, all of your rights in the Licensed Software granted thereunder, the
Products, all rights to payment under the Product Agreement, the Financed Items, and all
proceeds of the foregoing to secure all amounts you owe us under this Agreement. You
authorize and ratify our filing of any financing statement(s) to show our interest.
Ownership of any Licensed Software shall remain with Supplier thereof. All Financed Items
shall be provided by a Supplier unrelated to us, and your rights with respect to such
Financed Items shall be governed by the Product Agreement between you and Supplier,
which shall not be affected by this Agreement. IN NO EVENT SHALL WE HAVE ANY
OBLIGATION TO PROVIDE ANY FINANCED ITEMS, AND ANY FAILURE OF SUPPLIER
TO PROVIDE ANY FINANCED ITEMS SHALL NOT EXCUSE YOUR OBLIGATIONS TO
US IN ANY WAY. YOU HAVE SELECTED SUPPLIER AND THE FINANCED ITEMS
BASED UPON YOUR OWN JUDGMENT. WE DO NOT TAKE RESPONSIBILITY FOR
THE INSTALLATION OR PERFORMANCE OF THE FINANCED ITEMS. SUPPLIER IS
NOT AN AGENT OF OURS AND WE ARE NOT AN AGENT OF SUPPLIER, AND
NOTHING SUPPLIER STATES OR DOES CAN AFFECT YOUR OBLIGATIONS
HEREUNDER. YOU WILL MAKE ALL PAYMENTS UNDER THIS AGREEMENT
REGARDLESS OF ANY CLAIM OR COMPLAINT AGAINST ANY SUPPLIER,
LICENSOR OR MANUFACTURER, AND ANY FAILURE OF A SERVICE PROVIDER TO
PROVIDE SERVICES WILL NOT EXCUSE YOUR OBLIGATIONS TO US UNDER THIS
AGREEMENT. WE MAKE NO WARRANTIES, EXPRESS OR IMPLIED, AS TO THE
FINANCED ITEMS COVERED BY THE PRODUCT AGREEMENT AND TAKE
ABSOLUTELY NO RESPONSIBILITY FOR MERCHANTABILITY OR FITNESS FOR
ANY PARTICULAR PURPOSE OR AS TO ANY PATENT, TRADEMARK OR
COPYRIGHT INFRINGEMENT, CONDITION, QUALITY, ADEQUACY, TITLE, DATA
ACCURACY, SYSTEM INTEGRATION, FUNCTION, DEFECTS OR ANY OTHER ISSUE
IN REGARD TO THE FINANCED ITEMS. YOU HEREBY WAIVE ANY CLAIM
(INCLUDING ANY CLAIM BASED ON STRICT LIABILITY OR ABSOLUTE LIABILITY IN
TORT) THAT YOU MAY HAVE AGAINST US FOR ANY LOSS, DAMAGE (INCLUDING,
WITHOUT LIMITATION, LOSS OF PROFITS, LOSS OF DATA OR ANY OTHER
DAMAGES) OR EXPENSE CAUSED BY THE FINANCED ITEMS COVERED BY THE
PRODUCT AGREEMENT OR A TERMINATION OF THE FINANCED ITEMS PURSUANT
TO AN EVENT OF DEFAULT, EVEN IF WE HAVE BEEN ADVISED OF THE POSSIBILITY
OF SUCH DAMAGE, LOSS, EXPENSE OR COST.
The following shall be additional events of default under the Agreement: (i) you fail to perform
in accordance with the covenants, terms and conditions of the Product Agreement, or (ii)
the Product Agreement is terminated, suspended, materially restricted or limited.
The following shall be additional remedies we have for your default under the Agreement: We
shall have the right to: (a) cause the termination of the Financed Items and you irrevocably
consent to such termination of the Financed Items by Supplier; and (b) require you to
immediately stop using the Financed Items (regardless of whether you are in default under
the Product Agreement) and you shall, at our option, either deliver to us a certification
executed by a duly authorized officer certifying that you have ceased use of the Financed
Items or deliver the Financed Items to a location designated by us. In the event you are
entitled to transfer the right to use the Financed Items to any third party, you hereby agree
to transfer any such right to use the Financed Items to any third party selected by us and
acknowledge that you shall have no right to fees payable by any third party in connection
with such transfer. However, we shall not be required to mitigate our damages caused by
a default by transferring any Financed Items to a third party.
5. If you are a political subdivision of the State of Arizona, the following applies: We
understand that you may cancel the Agreement within three years after the start date of the
Agreement if any person significantly involved in negotiating, drafting, securing or obtaining
the Agreement for or on your behalf becomes, during the term of the Agreement, our
employee or agent or becomes, during the term of the Agreement, a consultant to us with
respect to the subject matter of the Agreement.
6. If you are a school district in the State of California and your end-of-term option
is the purchase of all Equipment for $1.00 or $101.00, the following applies: You will
be deemed to have acquired title to the Equipment from the Supplier on the date we pay
for it, and you hereby sell, transfer and convey the Equipment to us on that date. You
represent to us that the resolution of your governing body authorizing the execution and
delivery of the Agreement contained a finding that the Equipment is a major item of
equipment or data processing equipment and that the sale and leaseback of the Equipment
was the most economical means of providing the Equipment to you.
7. If you are a political subdivision of the State of Idaho, the following applies: If you
are required under the Agreement to make any payments to us (other than a Payment)
during any fiscal year during the term of the Agreement in the event of (a) a late payment
charge for Payments, (b) an advance by us which you are required to repay, (c) an
indemnity payment you owe to us, or (d) any other additional payment obligation you owe
to us under the Agreement (collectively, the “Additional Payments”), the Additional
Payments shall be payable solely from legally appropriated funds available for such fiscal
year (“Available Funds”). To the extent Available Funds are not available for such fiscal
year for payment of the Additional Payments, then the Additional Payments shall be subject
to appropriation for the following fiscal year, or the fiscal year following the final fiscal year
of the term of the Agreement, if the Additional Payment was incurred in the final fiscal year
of the term of this Agreement. Failure to so appropriate the Additional Payments for the
following fiscal year in each such case shall be a non-appropriation described in the Non-
Appropriation or Renewal paragraph of the Agreement, providing the remedies to us for
such an event in said paragraph. You will not be entitled to prepay the Agreement or to
exercise your option to purchase the Equipment at the end of the term of the Agreement
so long as any Additional Payments are outstanding and unpaid.
8. If you are a political subdivision of the State of Nevada, the following applies: You
represent to us that, to the extent required by applicable law (a) the Agreement has been
approved by the Executive Director of the Nevada Tax Commission, (b) the Agreement was
approved by resolution of your governing body, and such resolution was approved by two-
thirds of the members of such governing body, and (c) the resolution approving the
Agreement was in form that complies with Nevada Revised Statues Section 350.087,
including the required findings of fact, and was published in accordance with the
requirements of Section 350.087. To the extent required by applicable law, you agree to
update your plan for capital improvements in accordance with the requirements of Nevada
Revised Statutes Section 350.091.
By signing this Addendum, Customer acknowledges the applicable changes noted above are incorporated by reference into the Agreement. In all other respects,
the terms and conditions of the Agreement remain in full force and effect and remain binding on Customer. Customer has caused this Addendum to be executed
by its duly-authorized officer as of the date below.
UBEO West, LLC
Lessor
Customer
X
Signature Signature
Title
Date Title Date
䍩瑹
Docusign Envelope ID: A16A37BF-0B65-47BC-92EB-36EAB64E1890
February 8, 2026City ManagerFebruary 6, 2026Vice President of Finance
PAGE 1 of
LN Model #Serial #Ownership Location Address City ST Zip Start Meter Pool #Covered
Copies
Overage
Rate Start Meter Pool #Covered
Copies
Overage
Rate
1 imageRUNNER ADVANCE DX C3935i FP 50 Canal San Rafael CA 94901 1 7000 $0.0070 2 6500 $0.0500
2 imageRUNNER ADVANCE DX C3935i FP 51 Albert Park Ln San Rafael CA 94901 1 Included $0.0070 2 Included $0.0500
3 imageRUNNER ADVANCE DX C3935i FP 670 Del Ganado Rd San Rafael CA 94903 1 Included $0.0070 2 Included $0.0500
4 imageRUNNER ADVANCE DX C3935i FP 1408 Mission Ave San Rafael CA 94901 1 Included $0.0070 2 Included $0.0500
5 imageFORCE C5150 FP 618 B St San Rafael CA 94901 1 Included $0.0070 2 Included $0.0500
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CUSTOMER ACCEPTANCE
This Equipment Schedule A is herby Verified as correct by the undersigned Lessee, who acknowledges receipt of a copy:
Dated: _____________________ Customer: _________________________________________________ Signature: ______________________________________________ Title:___________________________________________ Print Name: __________________________________________
Dated: _____________________ Customer: _________________________________________________ Signature: ______________________________________________ Title:___________________________________________ Print Name: __________________________________________
EQUIPMENT INFORMATION Black and White Color Pool
This Equipment Schedule A is to be attached to and become part of the item description for the Agreement. Dated:_____________________ by and between the undersigned and UBEO West, LLC
Agreement NumberEquipment Schedule A
Docusign Envelope ID: A16A37BF-0B65-47BC-92EB-36EAB64E1890
Library & Recreation DirectorFebruary 3, 2026 Catherine QuffaCity of San Rafael
February 8, 2026 City Manager Cristine AlilovichCity of San Rafael
February 6, 2026
NOTE: CAPITALIZED TERMS IN THIS DOCUMENT ARE DEFINED AS IN THE AGREEMENT, UNLESS SPECIFICALLY STATED OTHERWISE.
A595 REV 10/19
CALIFORNIA JUDICIAL
REFERENCE ADDENDUM
AGREEMENT #
3171915
Addendum to Agreement # 3171915 and any future supplements/schedules thereto, between City of SanRafael, as Customer and UBEO West, LLC, as Lessor/Secured Party
(“Agreement”). The words “you” and “your” refer to Customer. The words “we,” “us” and “our” refer to Lessor/Secured Party.
The parties wish to amend the above-referenced Agreement by adding the following language:
1. Any and all disputes, claims and controversies arising out of, connected with or relating to the Agreement or the transactions contemplated thereby (individually, a
"Dispute") that are brought before a forum in which pre-dispute waivers of the right to trial by jury are invalid under applicable law shall be subject to the terms
contained in this Addendum in lieu of the jury trial waiver otherwise provided in the Agreement. Disputes may include, without limitation, tort claims, counterclaims,
claims brought as class actions, claims arising from schedules, supplements, exhibits or other documents to the Agreement exe cuted in the future, disputes as to
whether a matter is subject to judicial reference, or claims concerning any aspect of the past, present or future relationships arising out of or connected with the
Agreement.
2. Any and all Disputes shall be heard by a referee and resolved by judicial reference pursuant to California Code of Civil Proc edure (“CCCP”) §§ 638 et seq. The
referee shall be a retired California state court judge or an attorney licensed to practice law in the State of California wi th at least 10 years' experience practicing
commercial law. The parties shall not seek to appoint a referee that may be disqualified pursuant to CCCP §641 or 641.2 without the prior written consent of all
parties. If the parties are unable to agree upon a referee within 10 calendar days after one party serves a written notice of intent for judicial reference upon the
other parties, then the referee will be selected by the court in accordance with CCCP § 640(b).
3. The referee shall render a written statement of decision and shall conduct the proceedings in accordance with the CCCP, the Rules of Court, and the California
Evidence Code, except as otherwise specifically agreed by the parties and approved by the referee. The referee's statement of decision shall set forth findings of
fact and conclusions of law. The decision of the referee shall be entered as a judgment in the court in accordance with the provisions of CCCP §§644 and 645.
The decision of the referee shall be appealable to the same extent and in the same manner that such decision would be appeala ble if rendered by a judge of the
superior court.
4. Notwithstanding the preceding agreement to submit Disputes to a judicial referee, the parties preserve, without diminution, certain rights and remedies at law or
equity and under the Agreement that such parties may employ or exercise freely, either alone or in conjunction with or during a Dispute. Each party shall have and
hereby reserves the right to proceed in any court of proper jurisdiction or by self-help to exercise or prosecute the following remedies, as applicable: (A) all rights to
foreclose against any real or personal property or other security by exercising a power of sale granted in the Agreement or under applicable law or by judicial
foreclosure and sale, including a proceeding to confirm the sale, (B) all rights of self -help including peaceful occupation of property and collection of rents, setoff,
and peaceful possession of property, (C) obtaining provisional or ancillary remedies including injunctive relief, sequestration, garnishment, attachment, appointment
of receiver and in filing an involuntary bankruptcy proceeding, and (D) when applicable, a judgment by confession of judgment . Preservation of these remedies
does not limit the power of a judicial referee to grant similar remedies that may be requested by a party in a Dispute. No provision in the Agreement regarding
submission to jurisdiction and/or venue in any court is intended or shall be construed to be in derogation of the provisions in this Addendum for judicial reference of
any Dispute. The parties do not waive any applicable federal or state substantive law except as provided herein.
5. If a Dispute includes multiple claims, some of which are found not subject to this Addendum, the parties shall stay the proceedings of the claims not subject to this
Addendum until all other claims are resolved in accordance with this Addendum. If there are Disputes by or against multiple parties, some of which are not subject
to this Addendum, the parties shall sever the Disputes subject to this Addendum and resolve them in accordance with this Addendum.
6. During the pendency of any Dispute that is submitted to judicial reference in accordance with this Addendum, each of the parties to such Dispute shall bear equal
shares of the fees charged and costs incurred by the referee in performing the services described in this Addendum. The compensation of the referee shall not
exceed the prevailing rate for like services. The prevailing party shall be entitled to reasonable court costs and legal fees, including customary attorney s’ fees,
expert witness fees, paralegal fees, the fees of the referee and other reasonable costs and disbursements charged to the party by its counsel, in such amount as is
determined by the referee.
7. In the event of any challenge to the legality or enforceability of this Addendum, the prevailing party shall be entitled to recover the costs and expenses from the
non-prevailing party, including reasonable attorneys' fees, incurred by it in connection therewith.
8. THIS ADDENDUM CONSTITUTES A "REFERENCE AGREEMENT" BETWEEN THE PARTIES WITHIN THE MEANING OF AND FOR PURPOSES OF CCCP §
638.
By signing this Addendum , Customer acknowledges the above changes to the Agreement and authorizes Lessor /Secured Party 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. This Addendum may be executed in multiple counterparts, each of which shall constitute an original, but all of which, when taken
together, shall constitute one and the same agreement.
UBEO West, LLC
Lessor/Secured Party Customer
X
Signature
Signature
Title Date
Title Date
Docusign Envelope ID: A16A37BF-0B65-47BC-92EB-36EAB64E1890
City of San Rafael
City Manager February 8, 2026February 6, 2026Vice President of Finance
Updated January 7, 2026
CONTRACT ROUTING FORM
INSTRUCTIONS: Use this cover sheet to circulate all contracts for review and approval in the order shown
below.
All following documents are attached as reference material.
RESPONSIBLE PARTY DESCRIPTION COMPLETED
Project Manager Email PINS insurance request to Contractor ☐
City Attorney’s Office Review, revise as needed, and approve agreement as to
form
Department Director
Review and approve agreement
☐ AB 339 not applicable or ☐ Complied with AB 339
Risk Management Confirm insurance documentation is complete
Finance Review and sign off on funding availability
TO BE COMPLETED BY INITIATING DEPARTMENT PROJECT MANAGER:
Contracting Department:
Project Manager:
Contractor Name:
Contractor’s Contact: Contact’s Email:
City Council Date: ☐ ___________________ or ☐ Not applicable
☐ FPPC: Check if Contractor must file Form 700
X
X
Craig Veramay
Kerri Schultze
UBEO Business Services
kschultze@ubeo.com
Library and Recreation
Docusign Envelope ID: A16A37BF-0B65-47BC-92EB-36EAB64E1890
X
Certificate Of Completion
Envelope Id: A16A37BF-0B65-47BC-92EB-36EAB64E1890 Status: Completed
Subject: DocuSign: San Rafael Rec/Childcare & UBEO agreement for copier/printer services
Source Envelope:
Document Pages: 7 Signatures: 8 Envelope Originator:
Certificate Pages: 5 Initials: 4 Craig Veramay
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
111 Morphew St
San Rafael, CA 94901
Craig.Veramay@cityofsanrafael.org
IP Address: 199.88.113.100
Record Tracking
Status: Original
1/27/2026 2:33:27 PM
Holder: Craig Veramay
Craig.Veramay@cityofsanrafael.org
Location: DocuSign
Signer Events Signature Timestamp
Nataly Torres
Nataly.Torres@cityofsanrafael.org
Legal Assistant
City of San Rafael
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address:
2600:1700:9750:3df0:5cba:d99:65e5:976
Sent: 2/3/2026 8:39:21 AM
Viewed: 2/3/2026 8:42:13 AM
Signed: 2/3/2026 8:42:19 AM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Catherine Quffa
Catherine.quffa@cityofsanrafael.org
Library & Recreation Director
City of San Rafael
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 199.88.113.100
Sent: 2/3/2026 8:39:21 AM
Viewed: 2/3/2026 8:40:46 AM
Signed: 2/3/2026 9:30:22 AM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Van Bach
Van.Bach@cityofsanrafael.org
Signing Group: Finance
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 199.88.113.8
Sent: 2/3/2026 9:30:24 AM
Viewed: 2/4/2026 9:09:12 AM
Signed: 2/4/2026 9:09:18 AM
Electronic Record and Signature Disclosure:
Accepted: 2/4/2026 9:09:12 AM
ID: 2b5810ff-903f-4b1e-a121-eef47667e325
Heather Davis
Heather.Davis@cityofsanrafael.org
Risk Manager
City of San Rafael
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address:
2601:205:4b01:1550:d11a:c03f:9a30:3ade
Sent: 2/4/2026 9:09:20 AM
Viewed: 2/5/2026 3:21:19 PM
Signed: 2/5/2026 3:21:24 PM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Signer Events Signature Timestamp
Lindsay Lara
Lindsay.Lara@cityofsanrafael.org
City Clerk
City of San Rafael
Signing Group: City Clerk
Security Level: Email, Account Authentication
(None)
Completed
Using IP Address: 199.88.113.8
Sent: 2/6/2026 9:38:51 AM
Viewed: 2/11/2026 12:48:16 PM
Signed: 2/11/2026 12:49:07 PM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Cristine Alilovich
Cristine.Alilovich@cityofsanrafael.org
City Manager
City of San Rafael
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 67.54.192.183
Signed using mobile
Sent: 2/6/2026 9:38:50 AM
Viewed: 2/8/2026 8:12:19 AM
Signed: 2/8/2026 8:12:34 AM
Electronic Record and Signature Disclosure:
Accepted: 8/8/2025 5:50:59 PM
ID: 92734b64-c5dc-4308-af7f-b0f4b9ffd306
Sean Martin
smartin@ubeo.com
Vice President of Finance
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 173.166.229.249
Sent: 2/6/2026 9:38:50 AM
Viewed: 2/6/2026 10:51:11 AM
Signed: 2/6/2026 10:53:48 AM
Electronic Record and Signature Disclosure:
Accepted: 2/6/2026 10:51:11 AM
ID: 73e37a5a-62fe-4992-9884-a6287e443f7e
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Nataly Torres
Nataly.Torres@cityofsanrafael.org
Legal Assistant
City of San Rafael
Security Level: Email, Account Authentication
(None)
Using IP Address:
2600:1700:9750:3df0:5cba:d99:65e5:976
Sent: 2/2/2026 6:46:57 PM
Viewed: 2/3/2026 8:23:36 AM
Completed: 2/3/2026 8:39:20 AM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Andrea Visveshwara
Andrea.Visveshwara@cityofsanrafael.org
Chief Assistant City Attorney
City of San Rafael
Security Level: Email, Account Authentication
(None)
Using IP Address: 199.88.113.8
Sent: 2/4/2026 9:09:20 AM
Viewed: 2/6/2026 9:38:49 AM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Carbon Copy Events Status Timestamp
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 2/2/2026 6:46:57 PM
Envelope Updated Security Checked 2/3/2026 8:39:20 AM
Envelope Updated Security Checked 2/3/2026 8:39:21 AM
Envelope Updated Security Checked 2/3/2026 8:39:21 AM
Envelope Updated Security Checked 2/3/2026 8:39:21 AM
Envelope Updated Security Checked 2/3/2026 8:39:21 AM
Certified Delivered Security Checked 2/6/2026 10:51:11 AM
Signing Complete Security Checked 2/6/2026 10:53:48 AM
Completed Security Checked 2/11/2026 12:49:07 PM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
ELECTRONIC RECORD AND SIGNATURE DISCLOSURE
From time to time, City of San Rafael (we, us or Company) may be required by law to provide to you certain written
notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures
electronically through the DocuSign system. Please read the information below carefully and thoroughly, and if you can
access this information electronically to your satisfaction and agree to this Electronic Record and Signature Disclosure
(ERSD), please confirm your agreement by selecting the check-box next to ‘I agree to use electronic records and
signatures’ before clicking ‘CONTINUE’ within the DocuSign system.
Getting paper copies
At any time, you may request from us a paper copy of any record provided or made available electronically to you by us.
You will have the ability to download and print documents we send to you through the DocuSign system during and
immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents for a
limited period of time (usually 30 days) after such documents are first sent to you. After such time, if you wish for us to
send you paper copies of any such documents from our office to you, you will be charged a $0.00 per-page fee. You may
request delivery of such paper copies from us by following the procedure described below.
Withdrawing your consent
If you decide to receive notices and disclosures from us electronically, you may at any time change your mind and tell us
that thereafter you want to receive required notices and disclosures only in paper format. How you must inform us of your
decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and
disclosures electronically is described below.
Consequences of changing your mind
If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can
complete certain steps in transactions with you and delivering services to you because we will need first to send the
required notices or disclosures to you in paper format, and then wait until we receive back from you your
acknowledgment of your receipt of such paper notices or disclosures. Further, you will no longer be able to use the
DocuSign system to receive required notices and consents electronically from us or to sign electronically documents from
us.
All notices and disclosures will be sent to you electronically
Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you
through the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other documents
that are required to be provided or made available to you during the course of our relationship with you. To reduce the
chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and
disclosures to you by the same method and to the same address that you have given us. Thus, you can receive all the
disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with
this process, please let us know as described below. Please also see the paragraph immediately above that describes the
consequences of your electing not to receive delivery of the notices and disclosures electronically from us.
How to contact City of San Rafael:
You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies
of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as
follows: To contact us by email send messages to: city.clerk@cityofsanrafael.org
To advise City of San Rafael of your new email address
To let us know of a change in your email address where we should send notices and disclosures electronically to you, you
must send an email message to us at city.clerk@cityofsanrafael.org and in the body of such request you must state: your
Electronic Record and Signature Disclosure created on: 5/22/2025 12:46:43 PM
Parties agreed to: Van Bach, Cristine Alilovich, Sean Martin
previous email address, your new email address. We do not require any other information from you to change your email
address.
If you created a DocuSign account, you may update it with your new email address through your account preferences.
To request paper copies from City of San Rafael
To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically,
you must send us an email to city.clerk@cityofsanrafael.org and in the body of such request you must state your email
address, full name, mailing address, and telephone number. We will bill you for any fees at that time, if any.
To withdraw your consent with City of San Rafael
To inform us that you no longer wish to receive future notices and disclosures in electronic format you may:
i. decline to sign a document from within your signing session, and on the subsequent page, select the check-box
indicating you wish to withdraw your consent, or you may;
ii. send us an email to city.clerk@cityofsanrafael.org and in the body of such request you must state your email, full name,
mailing address, and telephone number. We do not need any other information from you to withdraw consent.. The
consequences of your withdrawing consent for online documents will be that transactions may take a longer time to
process..
Required hardware and software
The minimum system requirements for using the DocuSign system may change over time. The current system
requirements are found here: https://support.docusign.com/guides/signer-guide-signing-system-requirements.
Acknowledging your access and consent to receive and sign documents electronically
To confirm to us that you can access this information electronically, which will be similar to other electronic notices and
disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on
paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to
an email address where you will be able to print on paper or save it for your future reference and access. Further, if you
consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-
box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system.
By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm that:
You can access and read this Electronic Record and Signature Disclosure; and
You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and
Disclosure to a location where you can print it, for future reference and access; and
Until or unless you notify City of San Rafael as described above, you consent to receive exclusively through
electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required
to be provided or made available to you by City of San Rafael during the course of your relationship with City of
San Rafael.