Attachment_III_ITC83_AssetListing_Acceptance_EssentialUse_and_Appropriation_Certs ~1.docx
DOCX document 40 KB Posted
- Attached to
- IT Asset Lease Services
- Contract number
- ITC83
- Issued by
- Massachusetts
About this file
This document is an Asset Listing and Acceptance Certificate for the Commonwealth of Massachusetts' Statewide IT Asset Lease Services Contract (ITC83), which serves as a comprehensive form for leasing and acquiring IT assets. The document provides a standardized template for Massachusetts state entities to document the procurement, acceptance, essential use, and appropriation of technology assets through a centralized state contract vehicle.
The contract appears to be a flexible IT asset leasing agreement that allows state agencies to acquire technology equipment with specific provisions for asset documentation, acceptance, and financial certification. While the specific pricing details are not populated in this template, the document outlines a process for listing individual assets, their quantities, unit prices, locations, and useful life. The contract includes provisions for asset de-installation, packaging, and pick-up, and requires agencies to certify the essential use of the equipment, complete equipment acceptance steps, and confirm budget appropriations for lease payments. The contract term includes specific start and end dates, with lease payments commencing only after equipment delivery, installation, and training are completed.
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Text version
Commonwealth of Massachusetts - Statewide IT Asset Lease Services Contract ITC83
ASSET LISTING, ACCEPTANCE CERTIFICATE
ESSENTIAL USE CERTIFICATION, CERTIFICATE OF APPROPRIATION
ASSET LISTING
This listing identifies the Asset(s) that are to be leased pursuant to the Statewide IT Asset Lease Services Contract. This list will be used to reference all Assets to be financed, which will be subject to an Acceptance Certificate, and are certified by the Lessee to be for the immediate and essential use of the Lessee. List each separate type of Asset (separate Model Number) on a separate line and indicate quantities, price, useful life and location where the Asset will reside. All Assets must be listed here and not by attachment. Insert as many additional rows as necessary. Assets to reside at different locations must be listed separately by location.
Asset Name/Description
| Model Number |
| Number of Units |
| Useful Life of Unit |
| Unit Price |
| Location of Unit (department & address) |
| Maintenance Costs if Included |
| Total Cost |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
Asset Cost Subtotal
| $ |
| 0 |
Asset De-Installation, Packaging, and Pick-Up Eligible Entity indicate below if ITC83 Contractor (Lessor) will be responsible for de-installation, packaging, or pick-up of the Assets upon lease termination. Vendor (Lessor) complete if requested by the Eligible Entity:
| Requested? (y/n) |
| Item |
| Cost, if any |
| De-installation: |
| $ |
| Packaging: |
| $ |
| Asset Pick-Up: |
| $ |
ASSET ACCEPTANCE CERTIFICATE
Lessee through their undersigned authorized representative below certifies that the Lessee: has received all of the Assets described herein in good condition and unconditionally accepts all of the Assets described herein; represents that no event which constitutes, or with the giving of notice or passage of time, or both, would constitute, an Event of Default shall occur and that no material adverse change in Lessee’s financial condition shall have occurred subsequent to this date hereof; confirms that it will commence payment as of the date of the Acceptance Certificate Lease Payment Schedule; and certifies that all of the representations, warranties and covenants of the Statewide Contract remain in full force and effect. The undersigned Statewide IT Asset Lease Services Vendor/Lessor, by its execution hereof, agrees to pay the Asset Vendor the Acquisition Cost referenced herein in accordance with the relevant Statewide Contract.
ESSENTIAL USE LETTER:
Lessee through their undersigned authorized representative below certifies that the Asset listed in this ASSET LISTING will be used by Lessee for the following purposes and the Lessee certifies that this use is and, throughout the Lease term, will continue to be an essential and necessary use to the Lessee’s proper, efficient, and economic operation:
[Enter description of essential use for which the Asset will be used.]
Eligible Entity must initial all four (4) items below acknowledging completion prior to final approval.
Initial
| 1. Equipment delivered undamaged |
| 2. Received start-up supplies (as shown above) and the ESP Power Protection (if required). |
| 3. Equipment is installed, and operational and power management features are enabled. |
| 4. Received satisfactory training from the Contractor including instructions on how to use power management features. |
· Lease, Rental or Purchase payment terms do not begin until the appropriate items above have been approved by the Eligible Entity.
| Start Date of this Lease, Purchase or Rental Agreement: |
| Termination Date of this Lease, Purchase or Rental Agreement: |
Month
Day
Year
Month
Day
Year
Payment Start Date:
Payment End Date:
Month
Day
Year
Month
Day
Year
CERTIFICATE OF APPROPRIATION
Lessee through their undersigned authorized representative below hereby certifies: the Lessee is duly elected or appointed and has custody of the financial records and budget information of the Lessee; and that funding for the attached ASSET LISTING is available and reserved from unexhausted and unencumbered appropriations or other available funds within Lessee’s budget for the current fiscal year Lease payments; and that similar appropriations or other available funds have been designated or shall be sought and designated for the payment of those Lease payments that will come due under the Lease in each subsequent fiscal year in accordance with the General Terms and Condition of the Statewide Contract ITC70.
ELIGIBLE ENTITY (Buyer):
CONTRACTOR (Seller):
Signature:
Signature
Name (Print):
Name (Print):
Title:
Title:
Date:
Date:
The above signatures are authorized by their respective organizations to bind the said organization to the terms and conditions of the above agreement.
Revised: May 10, 2023 Page 1
File details come from the government source that posted it. Updated .