LEASE $MARTRequest for Lease Quote (RFLQ)

Date ______RFLQ Number ______

Is this quote for an ACTUAL LEASE or for PLANNING NUMBERS? (circle one)

Agency ______

Address ______

City______Zip ______

Address and County where Leased Asset(s) will be installed and used (determines sales and property tax %)

Address ______

City ______Zip ______

County ______

Contact Name (printed)______

Title ______

Phone ______FAX ______

E-mail ______

Equipment Description (give accurate description and attaches vendor quotation)

______

______

Reason for acquisition

______

______

Is this replacement equipment or new equipment? ______


Estimated Delivery Date ______

Estimated Acceptance Date ______

Estimated Purchase Price of Leased Asset(s) (excluding sales tax) ______

Payment Frequency (all payments are in advance):

Monthly ( ) Quarterly ( ) Semi-Annual ( ) Annual ( ) Other ______

Term (how many periods) ______

Estimated First Payment Date ______

Comments ______

______

______

In response to this form, the Lessor must return a Lease Payment Schedule in the attached Lease Payment Schedule format. This Lease Quote is valid for a period of 60 days.

State's Options

Per Lease $Mart Terms and Conditions, Version .2.0

Section 3 – ASSUMED ACCEPTANCE

()Allow interim rent in the Lease Payment Schedule. If equipment is accepted on a day other than the first day of a month, interim rent (1/30 of Monthly Payment per day) is charged for each day beginning on the date of acceptance through, but not including, the first day of the term.

( ) Interim rent amount rolled up into the other payments

( ) Interim rent amount billed separately at beginning of lease

( ) No interim rent. Term starts on first day of the month immediately following completion of installation


Section 20 -- RETURN OF LEASED ASSETS

()Lessor to include deinstallation, packing and shipping as part of the Lease costs.

Please provide comments on your deinstallation process and requirements. i.e. Will the equipment be aggregated into one area or will there be multiple pick up locations? One-time pickup or multiple? Any onsite data eradication requirements or data migration requirements? Removal from desktops, disconnecting from networks?

______

______

______

______

()State to pay for deinstallation, packing and shipping.

Lessor’s Options

Per Lease $Mart Terms and Conditions, Version 2.0

Section 19, Item B – PURCHASE OF LEASED ASSET(S)

List other options included in the Lease Payment offered to the State in your response to this RFLQ, and list costs separately (i.e., Asset Management, Data Destruction, Pack-Wrap-Ship). The State reserves the right to accept or reject any and all options, either in part or in their entirety:

OPTION ______COST ______

______

______

______

______

Department Name
Date of Quote
RFLQ Number

Supplier Name
(List of Equipment with Serial Numbers to be attached when equipment ships from supplier)

a.  Cost of Equipment(hardware only) $xxx,xxx.xx

b.  Non-hardware costs How to handle software?

c.  Interim Interest (if applicable) $xxx,xxx.xx

d.  Total Amount to be Leased (sum of a, b, and c)$xxx,xxx.xx

Lease Factor (per $1.00).xxxxxx
Monthly Payment$xxx,xxx.xx
(Lease Factor x Total Amount to be Leased = Monthly Payment)

Payment Payment Monthly Casualty
Number Due Date Payment Value
------

1 mm/dd/yy $xx,xxx.xx x.xx%
2 mm/dd/yy $xx,xxx.xx x.xx%
3 mm/dd/yy $xx,xxx.xx x.xx%
4 mm/dd/yy $xx,xxx.xx x.xx%
5 mm/dd/yy $xx,xxx.xx x.xx%

n mm/dd/yy $xx,xxx.xx x.xx%

Total $xxx,xxx.xx

This Lease Quote is valid for a period of 60 days.

SCHEDULE PROVISIONS

Interest Rate Contingency: The Lease Factor(s) specified herein are based upon a _____ year interest rate swap of _____%. Lessor intends to obtain a fixed-rate, non-recourse loan, using only the Equipment and the Lease as collateral (the "Loan"). If, at the time the Loan is closed, the three year interest rate swap set forth in the Intercontinental Exchange Report Center, https://www.theice.com/marketdata/reports/180, Series/Run USD Rates 1100 exceeds _____%, then the Lease Factor(s) shall be increased by .0001 for each 25 basis points by which the then current three year interest rate swap exceeds ____%. The Lease Factor(s) will be increased only until the then current three year interest rate swap exceeds _____% by 300 basis points. Any increases in the ______year interest rate swap in excess of 300 basis points will have no further effect on the Lease Factor(s). Increases of the three year interest rate swap by increments of less than 25 basis points will have no effect on the Lease Factor(s).