ITC80_ECF_6.12.2023.docx
DOCX document 44 KB Posted
- Attached to
- Imaging Devices, Supplies, and Services
- Contract number
- ITC80
- Issued by
- Massachusetts
About this file
This document is an Equipment Confirmation Form (ECF) for the Commonwealth of Massachusetts' Statewide Contract related to copiers, printers, and related devices. The form is designed to facilitate lease, rental, or purchase of office equipment, with a standardized template for eligible entities to order from a designated contractor. The document appears to be a comprehensive procurement instrument that allows government agencies to acquire office technology equipment through a pre-negotiated state contract.
The ECF covers multiple equipment categories including convenience copiers, production copiers, wide format devices, printers, digital duplicators, and scanners/micrographic equipment. The form allows for flexible procurement options such as operational leases, rentals (not exceeding 6 months), and purchases. Contractors are required to provide start-up supplies, and the agreement includes provisions for equipment delivery, installation, training, and operational verification. The pricing structure involves monthly lease/purchase costs, potential trade-in allowances, and maintenance plan options. The contract includes specific requirements for equipment setup, with the payment terms beginning only after the eligible entity has initialed confirmation of delivery, supplies, installation, operational status, and training completion.
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Other files
| File | Type | Posted |
|---|---|---|
| ITC80%20Contract%20User%20Guide%204.3.2025.pdf | ||
| ITC80 Contract User Guide 4.3.2025~1.docx | DOCX document | |
| ITC80 RFR Final - V3 (6).pdf |
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Text version
ITC80 Equipment Confirmation Form Copiers, Printers, and Related Devices
This form must be used for Photocopiers, Printers, Digital Duplicators, and Facsimile Machines lease or rental and may be used for purchases of equipment and/or maintenance plans. All terms and conditions of the Statewide Contract between the Commonwealth of Massachusetts and CONTRACTOR are incorporated herein and made a part hereof. Conflicting or additional terms, conditions or agreements included in or attached to this form, which conflict with the terms of the Statewide Contract shall be considered to be superseded and void.
P.O. or Encumbrance Document Number:
Fiscal Year:
| ELIGIBLE ENTITY (Buyer): |
| CONTRACTOR (Seller): |
| Contact Person: |
| Contact Person: |
| E-mail: |
| Buyer FEIN: |
| E-mail: |
| Phone: |
| Fax: |
| Phone: |
| Fax: |
| Billing Address: |
| Contractor Address: |
| Contact: |
| Phone: |
Delivery Address (If different from Billing Address Above):
If applicable:
Leasing Company:
CONTRACTOR / Leasing Company agreement # (If applicable):
Authorized Dealer:
Contact: Phone:
|_| Operational (FMV) Lease Term: # Months: _____
|_| Rental (Not to exceed 6 months)
|_| Purchase
Check off the applicable box(es) for equipment type:
| |_| Convenience Copiers |
| |_| Production Copiers |
| |_| Wide Format Devices |
| |_| Printers |
| |_| Digital Duplicators |
| |_| Scanners/Micrographic Equipment/Fax |
| EQUIPMENT MODEL NUMBER |
| EQUIPMENT DESCRIPTION |
(e.g. Digital Black & White 35cpm)
| QTY |
| MONTHLY LEASE, PURCHASE or RENTAL COST |
| TRADE-IN ALLOWANCE |
| MONTHLY NET TOTAL LEASE, PURCHASE or RENTAL COST |
| MAINTENANCE PLAN |
(describe in the column below, including price)
OR
|_| See Attached Vendor’s
ECF MAINTENANCE SCHEDULE
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| $ |
| TOTAL MONTHLY PAYMENT |
| $ |
| $ |
| $ |
| $ |
Special Instructions/Additional Information (e.g. equipment model traded, supplies exchanged):
NOTE: Contractors are required to provide the following start-up supplies. Paper items necessary to operate the equipment are excluded.
Category 1 – As specified in the Participating Addendum with the CONTRACTOR or as specified in the ECF Maintenance Plan/Schedule
Eligible Entity and Contractor signatures below acknowledge ONLY that the equipment order has been placed pending delivery, installation, start-up supplies and training.
ELIGIBLE ENTITY (Buyer):
CONTRACTOR (Seller):
Signature:
Signature
Name (Print):
Name (Print):
Title:
Title:
Date:
Date:
Eligible Entity and Contractor signatures below acknowledge completion of the four (4) items below to the Eligible Entities satisfaction in addition to the payment start and termination dates.
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
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: June 1, 2023 Page 2 image1.png
File details come from the government source that posted it. Updated .