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Agreement - Pitney Bowes 2017-06-14 See Pitney Bowes Fixed Term Rental Terms for terms and conditions Contract Number Full Legal Name of Client DBA Name of Client Tax ID # (FEIN/TIN) Billing Address: Street City State ZIP+4 Billing Contact Name Billing Contact Phone # Billing BPN # Installation Address (if different from billing address): Street City State ZIP+4 Installation Contact Name Installation Contact Phone # Installation BPN # Quote Expiration Business Solution Description *Does not include any applicable sales, use, or property taxes, which will be billed separately. _________________________________________________________________ _________________________________________________________________ Client Signature Pitney Bowes Signature _________________________________________________________________ _________________________________________________________________ Print Name Print Name _________________________________________________________________ _________________________________________________________________ Title Title _________________________________________________________________ _________________________________________________________________ Date Date _________________________________________________________________ Email Address Sales Information Account Rep Name Rep ID Page 1 of 1 PBGFS Fixed Term Rental Agreement (Version 5/15)©2015 Pitney Bowes Inc. All rights reserved. Pitney Bowes Purchase Power is a registered trademarks of Pitney Bowes Inc. or a subsidiary. Sales deal number Campaign number Items to be included in client’s payment:Standard Maintenance Service Includes Unlimited Postage By Phone® Meter ResetsPurchase Power® Resets Included / Softguard® Included* PFREEPBP Your Signature By signing below, you agree to be bound by all the terms of this Agreement, including those located in the Pitney Bowes Fixed Term Rental Terms (Version 5/15),which are available at www.pb.com/fixedrentalterms and are incorporated by reference. The rental will be binding on us after we have completed our credit anddocumentation approval process and have signed below. PITNEY BOWES Guaranteed Price Lock Your Business Information GPL Client PO #Cl Your Business Needs Overage fees under the Purchase Power® program may apply. Your Payment Plan Guaranteed Price Lock: ____ months at current payment. Retaining current product Adding PTV0 PB Smart Postage at no Charge * DocID: 20170608161025430 IP: 69.75.134.146Title: Administrative Assistant Iltran@cmsdca.gov Lieu Tran 06/14/2017 11:17 AM EDTE-Signed : Sertifi Electronic Signature Doc ID: 20170608161025430 Sertifi Electronic Signature