Attachment_II_ITC83_LeaseQuote_Form~1.doc
DOC document 64 KB Posted
- Attached to
- IT Asset Lease Services
- Contract number
- ITC83
- Issued by
- Massachusetts
About this file
This document is an Asset Lease Quote Form for the Commonwealth of Massachusetts' Statewide IT Asset Lease Services Contract (ITC83), designed to facilitate IT equipment leasing for state agencies. The form is a template for state lessees to request financing for technology assets, with fields for comprehensive transaction details including lessee information, asset descriptions, vendor details, and lease specifications.
The contract appears to be a standardized leasing vehicle for state technology acquisitions, allowing agencies to lease IT assets with flexible financing options. The form enables lessees to specify asset costs, useful life, vendor information, and anticipated delivery dates. The leasing terms include a 30-day fixed interest rate quote, with payment schedules that can be structured in various frequencies (monthly/quarterly/semi-annually/annually). While specific pricing is not filled in on this template document, the contract provides a structured approach for Massachusetts state agencies to acquire and finance technology assets through a pre-negotiated statewide leasing mechanism. The document was last revised on 5/10/2023, indicating it is a current operational contract vehicle.
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Text version
Commonwealth of Massachusetts – Statewide IT Asset Lease Services Contract ITC83
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 IT Asset Lease Services Contract ITC83 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 IT Asset Lease Services 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.
ITC83 Vendor Offer of Fixed Interest Rate Quote (Valid for 30 days): [Enter interest rate (A.P.R.) as a percentage]. % ITC83 Vendor Payment Schedule Number of payments: [Enter number of payments] ITC83 Vendor Payment Schedule payment amount: [Enter payment amount ($) and frequency (monthly/quarterly/semi-annually/annually)]
ITC83 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 IT Asset Lease Services Contract ITC83.
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: 5/10/2023
File details come from the government source that posted it. Updated .