Kyoceraow�
- CALIFORNIA
Kyocera Document Solutions West, LLC
Response to:
Request for Proposal
Printer/Copier Lease and Maintenance Services
Program
September 29, 2023
September 29, 2023
Doug Kinley
Management Analyst
The City of La Quinta
78495 Calle Tampico
La Quinta, CA 92253
Dear Doug:
Thank you for considering Kyocera Document Solutions for your managed print and output device needs.
Kyocera clients are increasingly choosing Kyocera because of the quality of our output devices, proven Kyocera
ADIMD (Assess, Design Implement, Manage, Optimize) approach and our ability to customize Project
Implementations to meet their specific needs, timeline, and culture transitions. Furthermore, our approach
allows for continuous improvements and potential savings over the life of our partnership.
Kyocera is the only manufacturer who will provide a single, non -blended, cost per page for both color and
mono pages across the entire fleet. Regardless of printing on a Single Function Printer (SFP) or a large Multi -
Function Printer (MFP), you receive the same mono or color CPP?
We understand the importance and critical nature of a complete technology refreshjreplacement and that The
City of La Quinta is seeking to partner with a company that not only has superior products and pricing but
understands the complexity and nuance of a highly distributed implementation. We believe that Kyocera has
the expertise and product line-up to exceed expectations and has responded in kind with a comprehensive
solution. We also understand that to structure a solution versus a hardware replacement, it's critical for us to
capture the type of users, usage profile and their related locations along with current state and desired future
state. If selected, we will welcome the opportunity to work with The City of La Quinta Team and provide
consultative guidance and direction in this area.
All Pricing included in this RFP is valid for 90 days with no increase.
All individuals that will be working with The City of La Quinta are free of any conflict of interest.
Again, thank you for this important opportunity. Please do not hesitate to contact us if you find you have
additional questions or require additional information.
Sinc rely,
Mike Graves
President, Kyocera Document Solutions West
14101 Alton Parkway
Irvine, CA 92618
Section 1: Company Overview— Firms Background. Qualification and Experience, Including the
following:
(a) Number of years in business
(b) Taxpayer Identification number
(c) Number of years performing this service list service here
(d) Resumes of the Project Manager and key personnel who will be responsible for performance
if any agreement results from the RFP
(e) Firm ownership and if incorporated, list the state in which the firm is incorporated and the
date of incorporation.
(f) If the firm is a subsidiary of a parent company, Identify the parent company
Number of years in
Business
Kyocera began in 1934, 89 years young
Taxpayer Identification
Number
95-2819506
Number of years
performing this service
89 years
list service here
Resumed of the Project
Jennifer Mustful, Enterprise Sales, in the industry for 25+ years
Manager and key
Todd Montgomery, Director of Sales, in the industry 25+ years
personnel
Mervyn McCurchin, Director of Service, in the industry 25+ years
Firm Ownership
Kyocera Document Solutions West is a wholly owned subsidiary of Kyocera
Corporation
If the firm is a
subsidiary of a parent
company, Identify the
Kyocera Corporation
parent company
Kyocera Document Solutions is a 13 billion dollar worldwide ceramic technology company. Kyocera was
founded in November 1934 and established in 1948. We have 78,000+ employees encompassing all 71
entities of which 19,029 employees are in our Document Solutions entity. At Kyocera, we pride ourselves
on always putting the customer first. Because of our "customer first" business practice, we have
customers that have been with us for more than 20 years due to the excellent service, exceptional
customer support and long-lasting equipment. We will make this happen in an enriching environment of
trust, cooperation, and mutual respect. We want to be known for reliability, flexibility, responsiveness,
innovative products and services, and exemplary citizenship. Growth, longevity, and financial success will
naturally follow. We work with our clients and partners to establish the highest quality standards and
manage that success.
Kyocera's business marketing strategy centers on the approach of providing its high-quality services,
technologically advanced products, and solutions at competitive prices. Kyocera continually enhances its
products to ensure that they function efficiently in increasingly complex enterprise network
environments. It also provides proactive tools, such as Kyocera developed software, KFS. KFS, enables
remote monitoring by Kyocera technicians, which allows us to monitor your devices to quickly detect real
time service issues and respond accordingly to maximize fleet uptime. This allows our clients to focus
solely on their job responsibilities while Kyocera manages your devices.
Kyocera's target business markets include large corporations, small and medium businesses, and the
public sector. Regardless of the market, we deploy a unique approach called ADIMO, which is a branded
method of operation. With each customer we assess -develop -implement -manage -and optimize, which
allows us to engineer a solution to meet each customer's specific needs. With our proven technology and
unique approach, we have continued to grow year over year.
As referenced below, Kyocera has a very diversified portfolio. Within Document Solutions (our 2nd largest
revenue contributor), we serve all vertical markets and leverage our experience to provide customized
client solutions.
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Kyocera Assessment Approach
The Kyocera ADIMO Approach
Because no two customers' asset mix and workflow challenges are ever the same, the ADIMO process is
followed to Assess, Design, Implement, Manage, and optimize each customer's unique needs. The results:
cost-efficient, creative, and effective solutions.
Assess
• Cost of existing Technology: Understanding exactly where the money is being spent.
• Deploy Kyocera Fleet Services to gather information of current assets (device manufacturer agnostic)
including make, model, serial numbers and page counts.
• Devices and consumables: Their efficiency, suitability, and maintenance costs.
• Workflows: Whether productivity can be improved through smarter software.
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• Documents: How efficiently and securely they are being printed, stored, managed,
and distributed.
• Environmental: Where you can save energy and reduce your carbon footprint.
• Solution Design: With a comprehensive portfolio of software, we improve
workflows, system control, resource efficiency and document security.
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• Fleet Design: With one of the widest ranges of office hardware, we consider
�.55ESS
everything from the most suitable devices for your needs to their placement
• for optimal productivity.
• Financial Services: Together with a variety of financial partners, we offer uncomplicated leasing
programs to optimize your balance sheet as well as your equipment.
Design
• Solution Design: With a comprehensive portfolio of software, we improve workflows, system control,
resource efficiency and document security.
• Fleet Design: With one of the widest ranges of office hardware, we consider everything from the most
suitable devices for your needs to their placement for optimal productivity.
• Financial Services: Together with a variety of financial partners, we offer uncomplicated leasing
programs to optimize your balance sheet as well as your equipment.
Implement
• Professional Change Management: Dedicated service with constant progress reports.
• Hardware & Software Installation: By qualified engineers and technicians.
• Training: Staff and helpdesk support to eliminate errors and downtime.
• Flexible Logistics Planning: Implementation at any time of day to suit your business needs.
• & Disposal: Secure, efficient and environmentally and legally compliant.
Manage
• Fleet Maintenance: Service packages for maximum uptime.
• Remote Monitoring: Delivering proactive support.
• Automatic Restock of Consumables: Saves hassle and downtime.
• Hardware & Software Support: Remote or on-site IT teams to maximize performance and reliability.
• Performance Reviews: Face-to-face meetings and accurate Management Information (MI) reports
ensure your full satisfaction.
Optimize
Data Analysis: Through fleet uptime and optimization analyses, we can quantify the financial value
• of our services.
• Fleet Design: Making sure your equipment keeps pace with your requirements.
Section 2: References — References of California Government agencies
(a) Client name, client project manager, telephone number and email address
(b) Project Description
(c) Project start date, and end date
(d) Staff assigned to each project by the firm
(e) Provide a summary of final outcome
Reference 1
City of Escondido — Nargis Sakha — 858/609-1505 — nargis.sakha@da.kyocera.com
Current Client - 55 devices; Copiers & Printers
Heatherinns
Division Coordinator
Information Systems I City of Escondido
Direct: 760-839-6261
hinns@escondido.org
Reference 2
California State University— Long Beach
Production Print and over 30 Printers / All Campus 49er Shops
April 2022
Josie Rameriz / Copy and Print Services Manager
562-985-7704 / josie.ramerez@csulb.edu
Reference 3
TBD in Needed (Per Q&A Response)
3. Complete Pricing List — Proposal shall include a detailed fee schedule for the services requested by
this RFP
Kyocera is proposing a total like for like refresh of your existing technology. It is our belief that this long-
term vision will ultimately provide efficiency and savings far beyond managing an ageing multi
manufacturer/model fleet. The pricing includes the following:
• 60 -month FMV hardware lease
• The only manufacturer who can provide an organic non -blended single mono and 3 -Tier color
cost per page across your entire fleet.
• 3 -Tier Color Pricing provides a lower cost -per -page for spot/partial color output, driving your
cost down
• Kyocera Fleet Services Management software
• Kyocera will be offering pricing utilizing OMNIA Partners Contract number R191102
4. List of Complementary Services Offered by Proposer along with Corresponding Prices
In addition to our long-lasting Copiers and Printers, Kyocera Document Solutions West offers a wide range
of solutions that allow us to help our clients in other areas of their business. Some of the services offered
are print asset management (follow -me print), IT Services, Wide Format printing, Production Print,
Backfile scanning, Enterprise Content Management (ECM), Smartboard Technology, Unified
Communications as a Service (UCaaS), Disaster recovery (Business Continuity), Network assessments,
Security, Cloud storage and migration services.
5. Staffing and Project Organization
The City of La Quinta will have a Project Manager assigned to the account, a full implementation team
that will vary between a 2 -man team to as many teams needed to adhere to the final scope and timeframe
to The City of La Quinta's desired implementation timeframe.
6. Subcontracting Services
All individuals that will be working with The City of La Quinta will be Kyocera badged employees.
7. Disclosures
Kyocera firmly states there is no negative history.
8. Acknowledgement of Insurance Requirements (Attachment 2)
Please see attached
9. Non -Collusion Affidavit (Attachment 3)
Please see attached
10. Acknowledgement of Addenda (Attachment 4)
Please see attached
KYOCERA Proposed Devices
Additional accessories are available on various models such as finishing and additional paper capacity.
d ✓ Kyocera TASKalfa 4054— 40 page per min, Color MFD
✓ Replaces 9 current units
✓ Basic configuration includes:
• Mainframe A3 (up to 11x14) 35 ppm, duplex print
• Print / Copy / Color Scan / Fax (std)
• 320 sheet Dual Scan Document Processor/Feeder
• 1500 sheet paper tray, 100 sheet multipurpose tray (MPT) -Max paper
capacity 2,600
• 4000 Sheet Finisher (Staple / 3 -Hole Punch / Booklets)
✓ Kyocera TASKalfa 7054 — 70 page per min, Color MFD
✓ Replaces 2 current units
✓ Basic configuration includes:
• Mainframe A3 (up to 11x14) 35 ppm, duplex print
• Print / Copy / Color Scan / Fax (std)
• 320 sheet Dual Scan Document Processor/Feeder
• 1500 sheet paper tray, 100 sheet multipurpose tray (MPT) -Max paper
capacity 2,600
• 4000 Sheet Finisher (Staple / 3 -Hole Punch / Booklets)
✓ Kyocera TASKalfa MA5500-57 page per min, B&W MFD
✓ Replaces 6 current units
✓ Basic configuration includes:
• Mainframe A5 (Letter and Legal) 57 ppm, duplex print
• Print / Copy / Color Scan / Fax (std)
• Additional 500 sheet paper tray, Max paper capacity 1,000
✓ Kyocera Ecosys PA6235 — 37 page per min, Color Printer
✓ Replaces 2 current units
✓ Basic configuration includes:
• Mainframe A4 (Letter and Legal) 37 ppm, duplex print
• 500 sheet paper tray
✓ Kyocera Ecosys PA5500-57 page per min, B&W Printer
✓ Replaces 6 current units
✓ Basic configuration includes:
• Mainframe A4 (Letter and Legal) 57 ppm, duplex print
• 500 sheet paper tray
✓ Epson SureColor T5475— 36 inch Wide Format Color Inkjet Printer
✓ Replaces 2 current units
r ✓ Basic configuration includes:
Al/D-sized print: 22 seconds
-: Color and monochrome heads; 800 nozzles x 4 channels
• 2400 x 1200 dpi
KYOCERA Maintenance Program
Cost per page maintenance rates include:
All Parts and Labor, image drums and consumable supplies (excluding paper and staples).
Up -Time Assurance
With superior Kyocera device quality and support infrastructure, Kyocera Document Solutions West, LLC.
guarantee 95% equipment uptime. If your uptime is less than guaranteed, the problem equipment will be
replaced at "no cost" with a "like model" of similar volume and capabilities. Guaranteed uptime will be
measured over two consecutive quarters. Downtime calculations begin at the time Kyocera Document
Solutions West, LLC. receives the service call and continues until the service call is completed by a KDS West
technician and the equipment is deemed operational. Up -Time Assurance applies only to Equipment that has
been purchased/leased from, and continuously maintained by Kyocera Document Solutions West, LLC. This
Guarantee will be effective for 3 years after original installation or the end of the initial finance term,
whichever is greater.
Loaner Assurance
In the unlikely event that we are unable to repair your equipment within 48 hours, we will expedite a loaner of
similar capabilities at "no cost". The loaner unit will remain in place until we are able to repair and return your
original device. Loaner Assurance applies only to Equipment that has been purchased/leased from, and
continuously maintained by Kyocera Document Solutions West, LLC. This Guarantee will be effective for 3
years after original installation or the end of the initial finance term, whichever is greater.
Obsolescence Assurance
Technology is ever evolving. As new products are introduced into the marketplace, old products are
discontinued, and parts/supplies can become obsolete. This can be a concern when making long term
technology investments. If your equipment cannot be repaired to factory specs, or it's no longer cost effective
to do so, KDS West will replace the equipment at no added cost, with a "like model" of similar volume,
capability, and features. Obsolescence Assurance applies only to Equipment that has been purchased/leased
from, and continuously maintained by Kyocera Document Solutions West, LLC. This Guarantee will be
effective for 3 years after original installation or the end of the initial finance term, whichever is greater.
Emergency Response
When you contact our Service Department, a certified service technician will attempt to respond to your
emergency service call at your location within (4) business hours. In no event will our average response time,
measured over ninety days, exceed four (4) business hours.
Recognized Business Hours
Monday through Friday from 8:00 a.m. until 5:00 p.m. excluding published Kyocera Document Solutions West,
LLC. holidays. An annual list of KDS West holidays will be provided upon request.
Device Relocations
If a move of the equipment is necessary, Customer shall contact Kyocera Document Solutions West, LLC.
Service Dept to request a transportation estimate or otherwise report on a new location. Contract covered
equipment may only be moved to a new location within the service boundaries of Kyocera Document Solutions
West, LLC. If the equipment is moved within the service boundaries of Kyocera Document Solutions West, LLC,
no additional charge per impression will be added. If moved outside of service boundaries, device(s) will be
removed from service contract.
KYOCERA PROPOSED PRICING
Monthly Payment Includes a Fair Market Value Lease Payment (Optional $1 Buyout Capital Lease), Kyocera Fleet
Services, installation, and training
Both Lease options include 5,000 Mono Pages and 5,000 Color Pages Per Month.
Cost Per Page Includes all Maintenance Services and Consumables except paper and staples on all Kyocera MFP's
and Printers. Epson Wide Format Printer is covered by a 5 Year Warranty. Ink not included
FMV 60 Month Term - Monthly Payment $2,259.97
Optional 60 Month $1 Buyout Lease $2,549.98
All Mono Pages over 15,000 billed Quarterly @ .0049
All Color Pages over 15,000 billed Quarterly @ .049
Pricing Stipulations
• The monthly price is based on a "Like for Like" device proposal. Device Configuration and
subsequent pricing may change after an Onsite Assessment is completed
• Cost per page rates could be potentially change based on the finally agreed upon contracted
minimum pages (if any).
• Kyocera does not agree to Master Service Agreement term 8.7 TERMINATION WITHOUT CAUSE
(For Convenience). The monthly payment includes a Fair Market Value Lease or $1Buyout Lease (f
preferred) which cannot be terminated for convince without payment of the sum of remaining lease
months. It is important to note that any financial institution deemed as "Lessor" will require these
terms.
All .II 41 0%1.% -
►_f0r_T•1:iulVi01
NON -COLLUSION AFFIDAVIT FORM
Must be executed by proposer and submitted with the proposal
I,�1�ti%�� _ (name) hereby declare as follows:
I am rof Zle tlyn yea o , We5A
(Title) (Company)
the party making the foregoing proposal, that the proposal is not made in the interest of,
or on behalf of, any undisclosed person, partnership, company, association, organization,
or corporation; that the proposal is genuine and not collusive or sham; that the proposer
has not directly or indirectly induced or solicited any other proposer to put in a false or
sham proposal, and has not directly or indirectly colluded, conspired, connived, or agreed
with any proposer or anyone else to put in a sham proposal, or that anyone shall refrain
from proposing; that the proposer has not in any manner, directly or indirectly, sought by
agreement, communication, or conference with anyone to fix the proposal price of the
proposer or any other proposer, or to fix any overhead, profit, or cost element of the
proposal price, or of that of any other proposer, or to secure any advantage against the
public body awarding the agreement of anyone interested in the proposed agreement;
that all statements contained in the proposal are true; and, further, that the proposer has
not, directly or indirectly, submitted his or her proposal price or any breakdown thereof,
or the contents thereof, or divulged information or data relative hereto, or paid, and will
not pay, any fee to any corporation, partnership, company, association, organization,
proposal depository, or to any member or agent thereof to effectuate a collusive or sham
proposal.
I declare under penalty of perjury under the laws of the State of California that the
foregoing is true and correct.
Proposer Signature:
Proposer Name:
Proposer Title:
Company Name:
Address:
Page 12 of 13
2-61
r
All .II 41 0%1.% -
►_f0r_T•1:iulVi01
NON -COLLUSION AFFIDAVIT FORM
Must be executed by proposer and submitted with the proposal
I,�1�ti%�� _ (name) hereby declare as follows:
I am rof Zle tlyn yea o , We5A
(Title) (Company)
the party making the foregoing proposal, that the proposal is not made in the interest of,
or on behalf of, any undisclosed person, partnership, company, association, organization,
or corporation; that the proposal is genuine and not collusive or sham; that the proposer
has not directly or indirectly induced or solicited any other proposer to put in a false or
sham proposal, and has not directly or indirectly colluded, conspired, connived, or agreed
with any proposer or anyone else to put in a sham proposal, or that anyone shall refrain
from proposing; that the proposer has not in any manner, directly or indirectly, sought by
agreement, communication, or conference with anyone to fix the proposal price of the
proposer or any other proposer, or to fix any overhead, profit, or cost element of the
proposal price, or of that of any other proposer, or to secure any advantage against the
public body awarding the agreement of anyone interested in the proposed agreement;
that all statements contained in the proposal are true; and, further, that the proposer has
not, directly or indirectly, submitted his or her proposal price or any breakdown thereof,
or the contents thereof, or divulged information or data relative hereto, or paid, and will
not pay, any fee to any corporation, partnership, company, association, organization,
proposal depository, or to any member or agent thereof to effectuate a collusive or sham
proposal.
I declare under penalty of perjury under the laws of the State of California that the
foregoing is true and correct.
Proposer Signature:
Proposer Name:
Proposer Title:
Company Name:
Address:
Page 12 of 13
2-61
-x.1111 i1N�1:1--�
ATTACHMENT 2
INSURANCE REQUIREMENTS ACKNOWLEDGEMENT
Must be executed by proposer and submitted with the proposal
I, 1 &A- (name) hereby acknowledge and
confirm that Wivelle 11M ela (name of company) has reviewed
the City's indemnification and minimum insurance requirements as listed in Exhibits E and
F of the City's Agreement for Contract Services (Attachment 1); and declare that insurance
certificates and endorsements verifying compliance will be provided if an agreement is
awarded.
I am f3 r of 0e4 r�
itle) (Company)
Page 11 of 13
Commercial General Liability (at least as broad as ISO CG 0001)
$1,000,000 (per occurrence); $2,000,000 (general aggregate)
Must include the following endorsements:
General Liability Additional Insured
General Liability Primary and Noncontributory
Commercial Auto Liability (at least as broad as ISO CA 0001)
$1,000,000 (per accident
Personal Auto Declaration Page if applicable
Errors and Omissions Liability $1,000,000 (per claim and aggregate)
Worker's Compensation (per statutory requirements)
Must include the following endorsements:
Worker's Compensation Waiver of Subrogation
Worker's Compensation Declaration of Sole Proprietor if applicable
Cyber Liability in the amount of $1,000,000 per occurrence
Umbrella or Excess Liability may be used to meet policy limits
Page 11 of 13
Fags 1 of 1
AC C)R��
CERTIFICATE OF LIABILITY INSURANCE
HATE j102 / 2023
Ds1D2/2a23
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER
Willis Toners Watson Hortbeast, Inc.
c/o 26 Century Blvd
ox
P.O. Box 305191
CONTACT Willis Towers Watson Certificate Center
NAME:
PHONE 1_$77_94$-7378 FAX 1-889-467-2378
A1C Np
E-MAIL
Certificates@willia.com
Nashville, TN 372305191 USA
INSURER(S) AFFORDING COVERAGE NAIC4
INSURERA: Soho America Insurance Comany 11126
INSURED
KYOCERA Document Solutiona West, I.tC
L4101 Alton Parkway
INSURER S.- Valley Forge Insurance Company 20509
INSURER C : Continental insurance Company 35289
114SURER0:
Irvine, CA 92616
INSURER E:
INSURER F
COVERAGES CERTIFICATE NUMBER: W29794506 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IR
TYPEOFINSURANCE
% D
I
SUBR
POLICYNUMBER
POLICY EFF
MYYYMHDLTR
POLICY
LIMITS
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE f -X-1 OCCUR
EACH OCCURRENCE 5 11000,000
PREMISES Ea occurrence 5 1,000,000
MED EXP (Any one person) $ 5,000
A
PERSONAL & AOV INJURY $ 1.000,000
TGH30035226900
04%01/2023
04/01/2024
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERALAGGREGATE $ 2,000,000
i< POLICY ECF LOC
PRODUCTS -COMPIOPAGG S 2,000,000
S
OTHER:
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT $ 1,000,000
Ea .11.1.j
BODILY INJURY (Per paracn) S
}(
ANY AUTO
A
OWNEDSCHEDULED
AUTOS ONLY AUTOS
TA1430017921401
04/01/2023
04/81/2024
BODILY INJURY (Per acodenl) S
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPRII-ZDAMAGE S
Per aatidenl
S
A
X
UMBRfLLAiIAB X OCCUR
EACH OCCURRENCE $ 10,000,000
AGGREGATE g 10,000,000
EXCESS LIAB CLAIMS -MAGE
CI?U41021V0
04/0112023
04/01/2024
QED I X RETENTIONS 10,000
5
3
WORKERS COMPENSATION
ANDEMPLOYERS'LJABYIN RlTY
ANYPROPRIETORfPARTlJEFt(EXECUTIVE
OFFICSRIMEMBEREXCLUDE07 No
NIA
7036311671
01/01/2023
01/01/2024
X PER OTH-
STATUTE ER
E.L EACH ACCIDENT S 1,000,000
E.L_DISEASE- EAEMPLOYEE S 1,000,000
(Mandatory In NH)
If yes. domriba under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT S 1, 000 , 040
C
Workers Compensation &
703637160$
01/01/2023
01/01/2024
E.L. Each Accident $1,000,000
Employers Liability ICA Policy)
E.L. Disease -Each $1,000,000
Per Statute
E.L. Disease -Pol Lm $1,000,000
DESCRIPTION OF OPERATIONS! LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe allached if more space is require dl
SCOPE OF WORK: Copier Sales, Leasing 6 Maintenance
CERTIFICATE HOLDER CANCELLATION
Myeoera Document Solutions West, LLC
14101 Alton Parkway
Irving, CA 9261$
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE: EXP[RATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
01988-2016 ACORO CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
Sit ID- 24496862 enrcri- 3076078
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ATTACHMENT 4
ACKNOWLEDGEMENT OF RECEIPT OF ADDENDA
Must be executed by proposer and submitted with the proposal;
If no addenda has been issued, mark "NIA" under Addendum No. indicating
Not Applicable and sign
ADDENDUM NO. 1 SIGNATURE INDICATING RECEIPT
Page 13 of 13