Attachment_1_ITC70_LeaseQuote_Form.doc
DOC document 46 KB Posted
- Attached to
- ITC70 Operational Lease Financing
- Solicitation number
- BD-19-1080-OSD03-SRC01-30287
- Issued by
- Massachusetts
About this file
This document is an Asset Lease Quote Form for the Statewide Operational Leasing Contract ITC70 issued by the Commonwealth of Massachusetts. The form requests financing details for asset(s) the lessee wishes to acquire, including a brief description of the asset(s), total financing amount, useful life, vendor information, anticipated delivery and funding dates, and a description of the asset's essential use. The leasing vendor must complete the form by providing a fixed interest rate quote, payment schedule details, and an Asset Acceptance Certificate and Lease Payment Schedule. The lessee must obtain approval from their funding authority before submitting the completed form to the leasing vendor for signature.
The leasing vendor's quote is valid for 30 days, and the lessee certifies that funding is available for the lease. The leasing vendor certifies that the quote complies with the ITC70 Statewide Operational Lease Services Contract. Pricing terms, set-asides, and other financial details are not provided in this specific document, but would be governed by the overall ITC70 contract.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| ITC70_RFR~1.docx | DOCX document | |
| Attachment_2_ITC70_AssetListing_Acceptance_EssentialUse_and_Appropriation_Certs.docx | DOCX document | |
| Attachment_4_eppform_0.docx | DOCX document | |
| Appendix_4_ITC70_GENERAL_LEASE_TERMS_CONDITIONS.doc | DOC document | |
| Attachment_3_ITC70_RecentExperience.docx | DOCX document | |
| Standard State Forms.zip | ZIP file | |
| sdp-plan-form-1-commitment~30.docx | DOCX document |
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Text version
Commonwealth of Massachusetts – Statewide Operational Leasing Contract ITC70
ASSET LEASE QUOTE FORM
ASSET TRANSACTION SUMMARY
Lessee: Click here to enter text.
Lessee Location: Click here to enter text.
Lessee Contact Name: Click here to enter text.
Telephone: Click here to enter text.
Fax: Click here to enter text.
Email: Click here to enter text.
The Lessee hereby requests financing under the Statewide Operational Lease Services Contract ITC70 for the following Asset(s). The table will expand to accommodate additional rows. Lessee should append a row at the bottom of the list of Assets for de-installation, packaging, and/or return of the Asset(s) upon lease termination, if appropriate.
| Brief Description of Asset(s) |
| Asset Cost: |
| Total Financing Amount |
Requested:
Useful Life in Years
| Click here to enter text. |
| $Click here to enter text. |
| $Click here to enter text. |
| Click here to enter text.Years |
Asset Vendor Name (Entity being paid by Leasing Vendor): Click here to enter text.
Statewide Contract ID from which the asset is being acquired: ________________. Asset Quote #: ______________________
Vendor Address: Click here to enter text.
Vendor Remittance Address if different:Click here to enter text.
Contact Name: Click here to enter text.
Telephone: Click here to enter text.
Fax: Click here to enter text.
Email: Click here to enter text.
Description of items being purchased from this Asset Vendor: Click here to enter text.
Anticipated Delivery Date for Acceptance of Asset by Lessee after Delivery: Click here to enter text.
Total Amount of Asset Cost to be paid to Asset Vendor: Click here to enter text.
Anticipated Date for funding to be made by Statewide Operational Term Leasing Vendor/Lessor: Click here to enter text.
Anticipated Lease period: Click here to enter text.
Describe the essential use of the Asset and whether this Asset is replacing a current Asset or is a new essential use: Click here to enter text.
Statewide Operational Term Leasing Vendor Name: Click here to enter text.
Vendor Code: Click here to enter text. (For state agency Lessee payments.)
Contact Name: Click here to enter text.
Telephone: Click here to enter text.
Fax: Click here to enter text.
Email: Click here to enter text.
QUOTE:
The Statewide Operational Term Leasing Vendor must complete the following, execute this document and submit a proposed Payment Schedule for this Quote. If accepted, the Lessee will execute this document (below) then complete and submit the necessary Asset Listing, Essential Use Certification, Certificate of Appropriation, and Asset Acceptance Certificate to their Financial/Budget Authority for approval, and, after receipt and acceptance of the Asset, shall complete the Asset Acceptance Certificate, including the Final Asset Lease Payment Schedule.
ITC70 Vendor Offer of Fixed Interest Rate Quote (Valid for 30 days): [Enter interest rate (A.P.R.) as a percentage]. % ITC70 Vendor Payment Schedule Number of payments: [Enter number of payments] ITC70 Vendor Payment Schedule payment amount: [Enter payment amount ($) and frequency (monthly/quarterly/semi-annually/annually)]
ITC70 Vendor Complete and attach the ASSET ACCEPTANCE CERTIFICATE AND LEASE PAYMENT SCHEDULE
Lessee certifies that this document is being submitted to its funding authority to confirm availability of Lease funding. Contractor certifies that this quote will be held for 30 days and is being made in compliance with the Statewide Operational Lease Services Contract ITC70.
AUTHORIZING SIGNATURE FOR THE OPERATIONAL LEASING VENDOR:
X: . Date: .
(Signature and Date Must Be Handwritten At Time of Signature)
Print Name: Click here to enter text.
Print Title: Click here to enter text.
AUTHORIZING SIGNATURE FOR THE LESSEE:
X: . Date: .
(Signature and Date Must Be Handwritten At Time of Signature)
Print Name: Click here to enter text.
Print Title: Click here to enter text. .
Revised: 8/14/2018
File details come from the government source that posted it. Updated .