HomeMy WebLinkAboutAdvanced Systems GroupGitrr of Meridian
Purchasing Dept.
Memo
To: C. Jay Coles, City Clerk
From: Keith Watts, Purchasing Manager
CC; Dave Trede
Dalez 1012312017
Re: October 24h City Council Meeting Agenda ltem
The Purchasing Department respectfully requests that the following item be placed on the
October 24h City Council Consent Agenda for Council's consideration.
Approval of Purchase Order 18-0088 to Advanced Systems Group for SAN
ac€ment ent for a NolTo-Exceed amount of 000
Recommended Council Action: Approval of PO# 18{088 to Advanced
Systems Group for SAN replacement equipment for the Not-To-Exceed amount
of $321,000 and authorize the Purchasing Manger to sign the PO. This
purchase is utilizing the Federal GSA Contract #GS.35F{119Y.
Thank you for your consideration.
1
a Page 1
E IDIAN
Purchase Order 10t20t2017 18-0088
Attention: David Teide
Billing
Address:
Attn: Finance
33 E Broadway Ave
Nleridian, lD 83642
CITY OF MERIDIAN
33 EAST BROADWAY AVE.
MERIDIAN, ID 83642
(208) 888-4.133
Vendor Address:
ADVANCED SYSTEMS GROUP
12405 GRANT STREET
THORNTON. CO 80241
Shipping
Address:
City of Nleridian
lT Department
33 East Broadway, Ste. 304
N,leridian. lD 83642
Shipping Method:
FOB:
Contractor
Destination Pre-Paid
Description Unit Quantity Unit Price Total
Nutanix San and related equipment & license Dollar 321000.00 1 .00 321,000.00
Purchase Order Total $321.000.00
Purchasing Manager:
Special lnstructions
San Replacement per GSA Contract # GS-35F-0119Y and written quote #QUO-82139-J 1X6J7 by Advanced Systems Group/Sara
Kajkowski dated 101912017 . Not-To-Exceed $321 ,000.00 01-1510-94350 Case #58170 PO Approved by Council 101241?017
IDAHO
o[Jo-82'r 39-J1X6J7 QUOTATION
Confidential - for ASG customer use only
AoYaxceo Svsrurrs Gnoup
O€TVEi PHOENIX SdDIEGO SALTTAXE'ITY SOISE
O(TAHOMACIIY
Corporate Oftice: l2lO5 Grant St. Thornton, CO 80241
Dave Tiede
CITY OF MERIDIAN
(208) 489-0496
dtiede@meridiancity.org
Nutanix 5-Node Primary Cluster - 2 Years Support
GSA Scheduls No: G$35F-0119Y
Page I ol 2
PO Fax #: 466-572-5273
Prepared By:
Email:
Office
Mobile
Julia Hale
ihale@virtual.com
(303) 301.3050
Acmunt Manager:
Email:
Office
Mobile Phone:
QUO-82139.J1X6J7
,|
10t9t2017
1013112017
Prod. Oescription t.Jnit NetI@EIilE1 422-NX-61 55-G5-34640 Nutanix Hardware Platfo' NX-61ssNutanix
Soflware* Foundation - Hypervisor Agnostic
lnstaller. Controller VM' Prism Starter
Management' Acropolis Starter License EnNutanix -
NX-6155-G5-34640
2 422-C-CPU-268Oy4 ocessor 2.4GHz 14-core Broadwell E5-680 v4 35M
CacheNutanix - C-CPU-268 4
3 422-C-MEM-32GB- 32GB Memory Module Nutanix - C-MEM-32G8-
DDR4-2400 DDR4-2400
4 422-C-SSD-1920G8-3.5- 1.92T8 3.5" SSDNutanix - C-SSD-1920GB-3.5-C
5 422-C-HDD-6TB-3.5 6T8 3.5" HDDNutanix - C-HDD-6TB-3.5
6 422-C-N|C-10G-2-Sl 10GbE Dual SFP+ Network AdapterNutanix - C-
Nlc-'10G-2-St
7 422-S-PRO-6155-G5- 2YR Production System support for NulanixNx-
2YR 6155-G5Nutanix - S-PRO-6155-G$2YR
8 422-L-PRO-6155-G5 License, PRO entitlement for NX-6155-G5 ;Valid
for life of deviceNutanix - L-PRO-6155-G5
9 422-C-CBL-NONE No Cable.Nutanix - C-CBL-NONE
10 422-CNS-INST-1-NC OFFERING: Nutanix cluster deployment, per
nodebasis.DELlVERED BY: Nutanix GSOPRICED:
Per Node.Nutanix - CNS-INST-1-NC
11 422-CNS-T&E-NC Time and Expense (T&E). Priced per T&E
unit.Estimate of unit count by project location
andduration.NOTE: Please work with GSO to size
the T&E cost.Nutanix - CNS-T&E-NC
Nutanix Hardware Platfo' NX-61 55Nutanix
Software' Foundation - Hypervisor Agnostic
lnstaller* Controller VM' Prism Starter
Management* Acropolis Starter License EnNutanix -
NX-6155-G5-34640
ocessor 2.4GHz 14-core Broadwell E5-680 v4 35M
CacheNutanix - C-CPU-268 4
32GB Memory Module Nutanix - C-MEM-32GB-
DDR4-2400
6T8 3.5" HDDNutanix - C-HDD-6TB-3.5
12 422-NX-6155-G5-34640
13 422-C-CPU-2680V4
5 $29,210.00 146.050.00
5
5
'10
40
'10
50
5
,|
5
6
24
30
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
36,800.00
2,530.00
0.00
'1,640.00
29.210.00
0.00
0.00
0.00
0.00
0.00
36,800.00
12,650.00
0.00
8,200.00
0.00
87.630.003
14 422-C-MEM-32G8-
DDR4-2400
15 422-C-HDD-6TB-3.5
To:
Account:
Phone:
Email:
Project:
Sara Kajkowski
SKaikowski@virtual.com
(208) 333.7021
(208) 860-s595
Quote #;
Version:
Date:
Expires On:
0.00
Send POs to orders@virtual.com. Price excludes tax/inyfreight. ASG Terms apply to all purchases resulting
from this quote unless ASG has previously negotiated terms. Per manuf policy products cannot be cancelled or
retumed. www.virtual.com/lerms
QUO-82139-J 1X6J7 QUOTATION
Confidential - fo( ASG customer use only
Product Number Prod. Description Qtv Unit Net Line TotalII
16 422-C-SSD-1920GB-3.5- 1.92T8 3.5" SSDNutanix - C-SSD-1920G8-3.5-C
17 422-C-N|C-10G-2-Sl 1ocbE Dual SFP+ Network AdapterNutanix - C-
Nlc-10G_2_St
'18 422S-PRD-6155-G5- 2YR Production System support for Nutanix NX-2YR 6'155-G5 Nutanix - S-PRD-6155-G5-2YR
19 422-L-PRO-6155-G5 License, PRO entitlement for NX-6155-c5 :Vatid
for life of deviceNutanix - L-PRO-6155-c5
6
3
1
3
0.00
0.00
22,080.00
2,530.00
0.00
0.00
22,O80.O0
7,590.00
20 422-C-CBL-NONE
21 422-CNS-tNST-1-NC
No Cable.Nutanix - C-CBL-NONE
OFFERING; Nutanix cluster deployment, per
nodebasis.DELlVERED BY: Nutanix GSOPRICED
Per Node.Nutanix - CNS-INST-1-NC
Time and Expense (T&E). Priced per T&E
unit.Estimate of unit count by project location
andduration. NOTE: Please work with GSO to size
the T&E cost.Nutanix - CNS-T&E-NC
Support Term Two Years
\rvhen renewed, prices will be at Nutanix then
current rate, which rate shall not exceed the
price quoted herein, increased by an amount
equal to 5%as of the date Nutanix issues such
quote for said support renewal."
3
3
0.00
0.00
22 422-CNS-T&E-NC 0.00
Subtotal $321,000.00
Total $32r,000.00
ASG Solution Partners
Oracle - Gold Hitachi Oata Systems - Platinum Partner NetApp - Slar partner Clsco - premier
HP - Gold VMware - Premier Partner Dell.EMC - Titanium Pa(ner Check Point - 3 Star Partner
Symantec - Silver Nutanix - Elite Brocade - Alliance Quantum - Premier lsilon Spectralogic
ClLogic Veeam Nimble Storage ExtraHop Riverbed Commvault F5 Red Hat
Send POs to orders@virtual.com. Price excludes tax/inyfreight. ASG Terms apply to all purchases resulting
from this quote unless ASG has previously negotiated terms. Per manuf policy products cannot be cancelled or
returned. wlr /v.virtual.com/terms
Page 2 of 2
0.00
0.00
1 0.00
Aovanceo Svsrrms Gnoup
!2405 GRANT STREET
THORT{TON, CO 80241
303.301.3000
FAX 866.572.5265
WWW.VIRTUAL,COT
MASTER TERMS & CONDITIONS
This Master Terms & Conditions Agreement ("Agreement") is made as of the date of the date of this Contract (the
"Effective Date") and is between Virtual Enterprises, lnc. d/b/a Advanced Systems Group ("ASG"X"Selle/'), located
at 12405 Grant Street, Thornton, Colorado,80241, and
at Now therefore, ln consideration of the mutual covenants
("Buye/') located
and obligations contained herein, the parties agree as follows
1. DEFINITIONS:
(a) "Acceptance" means the Buyer's acknowledgment that Products, Software, Services, and Monthly
Recurring Services procured and delivered hereunder conform to the requirements of the Purchase Order,
Purchase Agreement and/or Monthly Recurring Services Contract.
(b) "Agreement" means this written contract between Seller and 8uyer, together with any attachments,
exhibits, or amendments to this Agreement.
(c) "Delivery" means partial or full receipt of Product and/or Software at the location specifled by the Buyer
in the Purchase Order, Purchase Agreement, Statement of Work (SOW) or Monthly Recurring Services
Contract.
(d) "End User" means the Buyerwhowill enterintoan End User Agreement as partof theMonthly Recurring
Services Contract.
(e) "End User Agreement" means the agreement associated with the Monthly Recurring Services that Provider
enters into with Buyer which describes the terms and conditions of the Monthly Recurring Services,
including any service level agreement.
(f) "Manufacturer Warranty" means the warranty against defective parts and workmanship for the period
equal to the warranty period specified by the Product and/or Software manufacturer. The Manufacturer's
Warranty is the ONLY warranty provided to Buyer for Product and/or Software under this Agreement.
(g) "Monthly Recurring Services" means the infrastructure as a service (laas), software as a service (SaaS),
and/or platform as a services (PaaS) Products and Services of which Seller is a reseller;
(h) "Monthly Recurring Services Contract" means the written or electronic document which stipulates the
Buyer's specific purchase instructions for Monthly Recurring Services including but not limited to the
Provider, purchase quantity, description, price, and the speciflc shipping and billing instructions.
(i) "Products" means the technological hardware, goods, supplies, articles, items, parts, components,
assemblies, and the incidental associated Software offered for sale to the Buyer.
(j) "Provider" means the lT service infrastructure entity which operates and manages the Monthly Recurring
Services and to whom End User enters into an End User Agreement with, including any service level
agreement.
(k) "Purchase Orde/' means the written or electronic document which stipulates the Buyer's specific purchase
instructions, including but not limited to purchase quantity, description, price, and the specific shipping and
billing instructions.
(l) "Purchase Agreement" means the written or electronic document executed by the Buyer (Seller will provide
form) to replace the Purchase Order in the event that the Buyer does not issue Purchase Orders in the
ordinary course of business.
BOISE
BOU STOt'l
LOS AII GE LE S
SAN OI EGO
SEATT LE
v-415116
2
Aovarceo Svsrrus Gnoup
CONTROLLING AGREEMENT: All agreements made between the parties, whether written or oral, shall be
performed under, governed by, and deemed to be made a part ol the terms and conditions of this Agreement.
lf applicable, the terms of the End User Agreement (including any service level agreement) with Provider are
deemed to be part of this Agreement. Unless otherwise specifled in writing, if there is any inconsistency
between the terms of this Agreement and any other agreement between the parties, the terms of this
Agreement shall control.
AGREEMENT OF SALE: Upon receipt of a Pu rchase Order and/or Monthly Recurring Services Contract executed
by the Buyer's authorized agent or legal representative and subject to credit approval, Seller shall agree to
deliver and/or install System to the location(s) specified by the Buyer. lf the Buyer does not submit Purchase
Order and/or Monthly Recurring Services Contract in the ordinary course of business, Seller will require Buyer
to complete a Purchase Agreement form and/or Monthly Recurring Services Contract available from Seller.
4. CONDITIONS OF SALE: All sales pursuant to this Agreement shall be subject to credit approval by the Seller
5. TERMS OF PAYMENT & CREDIT: ln the event that Seller approves credit application, the Buyer agrees to the
credit payment policy term of net 30 days from invoice date and receipt of equipment. Seller accepts payment
only in U.s. Dollars by check, ACH or wire. Buyers that do not receive credit approval from Seller are subject to
the cash payment policy that requires 50% deposit or full payment of purchase price PRIOR TO PLACEMENT OF
PURCHASE ORDER AND/OR MONTHLY RECURRING SERVICES CONTRACT depending on the financial condition
of the Buyer. Euyer must provide written notification to Seller of its intention to contract with third party funding
source PRIOR TO PLACEMENT OF PURCHASE ORDER and/or Monthly Recurring Services Contract. Seller agrees
to expedite requests for sales documentation by third party funding source. lf the Buyer's third party funding
commitment is cancelled or terminated for any reason before Seller receives full payment, the Buyer shall
immediately make payment to Seller for unpaid balance of the invoice and any amounts due Seller hereunder.
It is the Buyer's responsibility to promptly execute all documents and take all other actions necessary to cause
payment to Seller from the Buyer's third party funding source in accordance with the terms of this Agreement.
5. DEIIVERIES: All stated delivery and installation dates are approximate and subject to product availability and
third party shippinB deadlines. sellershall immediately notify Buyer ofany anticipated delivery or installation
3
v-4/5/16
Page 2 of 6
(m) "RMA Number" means the return merchandise authorization number issued by the Seller in response to
Buyer's request for return Product approval.
(n) "Sales Quote" means the written or electronic document that stipulates quantity, description and price for
Products, Software and/or Services offered for sale to Buyer.
(o) "Security Agreement" means the legal document that provides collateral security for the indebtedness of
the Buyer (Debtor)to the Seller (Secured Party).
(p) "services" means the consulting, design, labor or installation work performed by seller employees,
subcontractors, authorized agent(s) or Monthly Recurring Services Providers.
(q) "Software" means computer programs and the related documentation including, without limitation, all
versions, updates, enhancements, and corrections, together with operating instructions, user manuals,
training materials and other written documentation. Softwa re does not include sou rce code or proprieta ry
design documentation unless otherwise agreed to in writing by the parties.
(r) "SOW" means the written or electronic document that stipulates the scope and timing of Services to be
performed with or without the sale of Product and/or software. The Buyer is requ ired to execute the SOW
prior to engagement of professional service personnel.
(s) "system" means all Products, software and services procured by the Buyer as specified in the Sales Quote
and/or SOW.
Aovaxceo Svsreus GRoup
www.vittuol,on
delays. However, Seller shall not be deemed to be in defa ult hereu nder or be lia ble for consequential, incidenta I
or special damages, or commercial loss resulting from delays in delivery, installation, or services beyond the
control of Seller.
Buyer selects the following shipping terms:
FOB Destination Prepaid and Allowed, meaning seller pays and bears freight charges and owns the goods while
they are in transit. Title passes at the buyer's location. Seller is responsible for loss or damage subsequent to
delivery at destination.
8. CANCELTATION: Requests for cancellation of an order will be in strict accordance with the Manufacturer's
policy and/or End User Agreement with Provider.
10. tlMlTED WARRANTIES: Seller warrants the System against defective parts and workmanship for a period equal
tothewarranty period(s)for each component ofthe System as provided bythe Manufacturer Warranty. Seller's
sole obligation under this warranty and the sole and exclusive remedy of the Euyer under this warranty is limited
to the replacement or repair, at Seller's or the manufacturer's options, of the defective part(s) or workmanship,
and is conditioned upon the System not having been altered or repaired by anyone other than Seller, its
employees, or agents. Seller shall not be responsible for any defect resulting from the mishandling, abuse,
improper storage, accident, negligence, theft, vandalism, fire, water, forces of nature, or other peril beyond the
control of Seller or because of conditions outside of specifications, including but not limited to wiring, electrical
power, temperature, humidity or dust; or by cause other than normal use; or due to improper installation by
someone other than Seller, its employees, or agents. Seller shall perform all Services in a good, workman-like
manner in accordance with the standards of the computer industry. Except for the foregoing warranty, no other
warranties, written or oral, statutory, express or implied, lncluding merchantability or fitness for a particular
purpose, shall apply to the System.
11. WARRANW FOR MONTHTY RECURRING SERVICES. Seller does not guarantee that the Monthly Recurring
services will be performed error-free or uninterrupted or that Provider will correct all Monthly Recurring Service
errors. End User acknowledges that Seller does not control the transfer of data over communications facilities,
including the lnternet, and that the Monthly Recurring Services may be sub.iect to limitations, delays and other
problems inherent in the use ofsuch communications facilities. Seller is not responsible for a ny delays, delivery
failures or other damage resulting from such problems. End User understands and agrees that Seller does not
provide any guaranty or warranty with regard to the Monthly Recurring Services. End Users sole remedy is
limited to the warranty provided by the Provider as described in the End User Agreement. Seller disclaims any
warranties of merchantability, fitness for any particular purpose and non-infringement relating to the Monthly
Recurring Services and the End User Agreement.
v-4l5ll6
Page 3 of6
7. ACCEPTANCE AND RETURN POLICY: Buyer is responsible for inspecting System and reporting any defective or
damaged Product and/or Software to the Seller in writing within 7 business days of delivery. Buyer's sole
remedy is that Seller will replace defective or damaged Product or Software in accordance with the
Manufacturer's warranty. Unless Buyer receives prior written approval from Seller, the Seller will not accept
Product and/or Software for return credit or refund. Requests for product returns or exchanges will be in strict
accordance with the Manufacturer's policy.
9. NOTICES: All notices required or permitted to be given under this Agreement may be given by either party to
the other by depositing written notice in the United States Mail with registered postage prepaid, or by fax or
email. Unless changed by written notice, such notices shall be directed to the Seller's and Buyer's corporate
address noted at the top of this Agreement.
Aovaxceo Svsreus Gnoup
vJvw,tituol.con
12. INDEMNIW. Buyer will indemnify Seller (including its officers, shareholders and employees) from and against
any claims, demands, penalties, fines, suits, judgments, losses, expenses, including reasonable attorneys'fees
and court costs, arising out of or related to any breach of this Agreement by Buyer, Buyer's use of the Monthly
Recurring Services, any information or content contained within the Monthly Recurring Services, the
infringement of any intellectual property rights, or any damages that result from the Euyer acts or omissions.
Buyer's indemnity is subject to the limits of ldaho Law.
14. DEFAUTT: lf Buyer sha ll fail to make payment of a ny sum owing to Seller hereunder when due, then, in addition
to all other remedies available to Seller by law or under other provisions of this Agreement and not in limitation
thereof, Seller may, until said sum is paid in full,; cease maintaining or installing the System; cease performing
warranty service without extending the warranty period; cease performance of any other obligation undertaken
in this agreement or any related agreement with Buyer; and repossess the System with or without court
proceeding as allowed under the law. ln the case of default under the Monthly Recurring Services Contract, End
User Agreement shall control. It is expressly agreed and understood that in no event shall the aggregate interest
charges under the provisions of this paragraph exceed the maximum rate of interest, which could be charged
under applicable law. Should either party institute legal action to enforce its right under this Agreement, the
prevailing party in such action shall be entitled to recover reasonable attorneys'fees in the amount allowed by
the court.
15. MONTHTY RECURRING SERVICES BlLLlNG. End User acknowledges that Monthly Recurring Services may be
billed in advance for the monthly or prepaid charges based on the subscription services purchased. Any metered
usage components and other subscriptions, features, products, services or add-ons, if applicable, may be billed
in arrears. End User is aware that Monthly Recurring Services may cause their monthly billing amount to
fluctuate and/or result in multiple invoices. lf the fees charged by Monthly Recurring Services Provider increase,
Buyer's fees may increase. All fees due are non-cancelable and the sums paid nonrefundable. End User
acknowledges that Provider may suspend its Monthly Recurring Services as may be described in the End User
Agreement and that End User may not have access to any electronic files, materials, data, text, audio, video,
images or other content transmitted, stored, retrieved or processed by End User during a suspension of the
Monthiy Recurring Services by Provider. End User is responsible for maintaining current and reliable backups
of stored files. ASG has no obligation to help recover files. Fees for Monthly Recurring Services will continue to
be charged during a suspension and fee(s) may be charged for reinstatement of suspended Monthly Recurring
Services.
v-4l5ll6
Page 4 of6
13. TIMITATION OF TIABITITY: EXCEPT FOR TIABITITY UNDER A CTAIM SUBJECTTO INDEMNIFICATION HEREUNDER
OR FOR A PARW.S GROSS NEGTIGENCE OR WITTFUT MISCONDUCT, IN NO EVENT SHATL: (1) EITHER PARTY BE
TIAEIE FOR ANY CONSEQUENTIAL INCIDENTAT, PUNITIVE, SPECIAI. EXEMPTARY OR INDIRECI DAMAGES
(tNctuDtNG tosT PRoFtTs, sAvl]'tcs oR REVENUE), A SERVTCE ORDER OR THE PERFORMAI{CE OR BREACH
THEREOF, EVEN IF SUCH PARTY WAS ADVISED OF THE POSSIBITIW OF THE OCCURRENCE OF SUCH DAMAGES;
OR (2} EITHER PARW'S LIABItIW HEREUNDER EXCEED AN AMOUNT EQUAT TO THE TOTAT AMOUNT PAID TO
SETTER HEREUNDER FOR PRODUCT, SOFTWARE AND/OR SERVICES THAT ARE THE SUBJECT OF THE CTAIM
DURING THE 12 MONTHS PRIOR TO THE OCCURRENCE OF THE EVENTS GIVING RISE TO THE CLAIM.
15. FORCE MAJEURE: The obligations of Seller hereunder shall be suspended to the extent and for the period of
time that it is rendered or prevented from performing because of labor disturbances, strikes and lockouts, forces
of nature, fires, storms, water, unreasonable delays in transportation, governmental action, failure of suppliers,
and or any other cause beyond Seller's control.
ADVANCED SYSTEms GROUP
wwmvlrtuotcom
17. BUYER TO PROVIDE: Buyer shall, as specified by Seller, provide appropriate environmental conditions,
necessary commercial power and facilities for the System, access to the premises, remote access trunk, and if
required local law, conduit. Buyer shall pay all utilities charges.
18. REPRESENTATION OF BUYER: Buyer warrants and represents that Buyer has been duly authorized by all
necessary corporate procedures or other action of Buyer, and that Buyer's execution of this Agreement is
authorized, will not violate any provision or law of its Articles of Incorporation or Bylaws, or result in the breach
of any agreement to which Buyer is a party, including that the customer is the end-user of products as required
by Seller's vendor agreements.
19. TERM: This Agreement shall commence on the Effective Date and shall remain in effect for a period of one year
unless sooner terminated as allowed herein.
20. TERMINATION: Either party may terminate this Agreement without cause by providing the other party with 30
days prior written notice. Termination for Monthly Recurring Services shall be as described in the End User
Agreement. Buyer shall be charged for all fees incurred with Monthly Recurring Services Provider and
acknowledges that this Contract is open-ended with regard to Monthly Recurring Services Provider fees. If the
Buyer fails to comply with any provision of this Agreement or to make payments in accordance with this
Agreement, the Seller may, at its option, defer further shipments or, without waiving any other rights it may
have, terminate this Agreement; provided, however, that the Buyer shall be obligated to pay all amounts owed
to Seller for Systems shipped prior to termination of this Agreement.
21. GENERAL: Sales Quotes are good for thirty (30) days and are subject to immediate revision if/when vendor's
list prices and/or Providers prices increase. This contract contains the entire agreement between Seller and the
Buyer and supersedes any prior or contemporaneous oral or written agreements or communications between
them relating to the subject matter hereof. This contract may not be assigned, modified or cancelled without
Seller's prior written consent, and any attempt to assign, modify or cancel it without such consent shall be
absolutely void. In the event any of the provisions herein shall for any reason be held void or unenforceable, the
remaining provisions shall remain in full force and effect and shall control. The laws of the State of Colorado,
excluding choice of law rules, will govern any action related to this Agreement.
Price excludes sales tax. By placing a Purchase Order and/or Monthly Recurring Services, Buyer accepts ASG's
terms and conditions as reflected here.
Bu er Si n ure: Seller Signature:
(Si ned authori rep s ntative)
Signature Signature
IQ, �-17'1 g t kd
Printed Name Printed Name
COL)Al-
Title
v-4/5/16
Title
Advanced Systems Group ("ASG")
Page 5 of 6
Company Name
Aoverceo Svsrerrs Gnoup
www.vituol.aon
DateDate
Return completed application to:
Advanced Systems Group, Credit Department
accountsreceivable@virtual.com
12405 Grant Street, Thornton, CO 80241
Phone (303) 301-3000 Fax (866) 572-5266
v-4/5/16 Page 6 of6