March 14, 2016 - Anderson County Government

DATE:
March 9. 2016
TO:
Purchasing Commiffee
FROM:
Pamela Cotham, Purchasing Agent
SUBJECT:
Contracts for approval
Purchasing Commission will meet at 4:30 p,m. in room 312 on March 14. 2016. to review the following
multi-year contracts, which will be presented to County Commission during their next scheduled meeting.
1.
Insisht Mobile Data
February 23,2017.
2.
State of Tennessee - Homeland Security Grant for the period of September I ,2015 thru April 30,
-
Three-year contract County Jail for the period of February 23,2016 thru
2016.
3.
Knoxville Ilarley Davidson - One-year contract for four (4) Harley Davidson Motorcycles for
the period of April 1,201 6 thru March 31,2017 .
Oth,er Items as mav come before the Committee.
Please let me know
if you need any additional information.
DmtSigrr Ernrelope lD: O0G!7C2G7C[D-4TAFTADCD{8!!E4|
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Anderson County EMS
Corporate Offlce
233:t0 Gottonwood Parlway, Suite 3i13, Gallfornla, ItD 20619
Phone: (301) 866-1990 Fax (301)S0e1992 www.lnsightmoblbdata.com
Envelope f D: 09087C2C-7 CDO-47AF-ADCD€8IIIE41 2D1 BB3
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Master Servlces Subscrlptlon Agreement
lubsqiber {L€oal Nama ot Entltv)
Anderson County EMS
Primary Gmtact Narne
AldncssAd&ess
fot'tntrv
314 Public Safety Ln, Clinton, TN 37716
USA
Nathan Sweet
Stata
Pfnne
Email
nsweet
@
(86s)
ande rsonems.com
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of Incsmalion
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lqlntry
Shiopinq Address
314 Public Safety Ln,Clinton, TN 37716
3iflinq Maltsrs {A/P)
USA
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Sciedule of Monthlv Subccription Rate (Exchding Sales & Uee Taxer, il
apdb*)
I of Units
$onthlv Fee
rjnit Type
19
$ 42.9s
$trcetEagle GPS Tracking
tiicinS fnotud6: fndrlhtion p6r Ord.r, Wlrll€rB Dala & Adn rton, Equipmsr Wrtranty lot Lite of Sewice, 24r/,385 Technical Suppon
Shloolno (UPS Ground). Sa€ comDletc TerIrE br srldltbnal inbmslion
Other current or future services as describod (and at the subscription rateg) on the takedown Schedules
Acoss,
gubeslbsr Adoowlodgenr€flt & Spadd T!im!:
Wc har€ r!ad, undsrsbod, sd accrpild th. bn|r! at thia Con'ra0 lmludirE ihe Ocnc€l Conditlon!, and v|€ agtB€ to pay thc cha4es
d€iallcd hg€in or on arry takadown Sd}gduL sxoqJbd In cofln€c{on hgra fri.
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Accepted on behalf of Subscribor:
Accepted by InSight Mobile Data, lrrc.
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Envefope f D: 090il7C2er7CDD47AF-ADCD€8ilE41
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MobiNe Data
Schedule No.
Ihis Sclrecble incomorales bv refernce he tcnG end
9ubsib€r
condtfs
ol thc rcfcrcnccd M$tsr Scwlc$ AorccrEnt bcltilcn InSiEht iloblle Dala, lnc.
taymenl Metrod
Legal Nana
Anderson County EMS
&rsiness Address
314 Public Safety Ln, Glinton, TN 37716
3illlno Matters (A/P) Name
Email
Line ltems
Product Name
Ouantlty
Salec Prlce
Monthly Fees
MRM Driver Buzzer
19.00
$ 0.00
$ 0.m
MRM DriverlD Dashmount Reader
19.m
$ 0.00
$ 0.00
DriverlD Hardware Lease
19.00
$ 0.00
$ 0.00
StreetEagle MRM Kit Verizon
19.m
$ 0.00
$ 0.00
StreetEagle Vehicle Trac*ing Unit Installation
19.m
$ 0.00
$ 0.00
Tracking SeMco Upgrade - 30 sec updates
19.00
$ 0.00
$ 0.00
StreetEagle Pro Prefened Plan
19.00
$ 42.9s
$ 816.0s
Totals
Total Monthly Payment: $ 816.05
Payment Duc Now for hlonthly Subrcrlptlon Peymcnta In Advancc
Number
Rate
Subtota
$ 816.05
$ 1,632.1C
Document Preoaration Fee
fotal Pavment Due
$ 1.632.1C
ferma of thls AErpement: 36 pawnents owr an cqull numbor of monthr
Accepted on behalf of Subscriber
Accepted on behalf of InSlght Mobile Data, Inc.
By:
By:
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Nathan
Sweet
Title:
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Accepted & Acknowledged on Mhalf of Su0sr;ri0err:
By:
Name Nathan Sweet
Title
Enrrefope lD: 090{!7C2C-7CDD47AF-ADCD€8I}E41 2D1 BBlil
Mobile Data
General Condltions
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Envelope
I
D:
09oif 7C2G7CDD-47AF-ADCD-683 E4 1 2D 1 BB3
Mobile 0ata
Hardwarc and Ingtallatlon Order
Please complete this page in
Ilpe
lb ontrety for each bcatbn that Ingtallation will bo performed
Wireless Servil:e:
of order:
InSlght
ConfaA No:
ICL Conhaqt No:
titv
Statc
Ztp
Anderson County
314 Public Safety
EMS
Clinton
TN
97716
Primarv Contact Name
E-MailAddress
>hone
Nathan Sweet
nsweet @ ande rsonems.com
(86s) 4s7-8609
Subscriber
lnsbllation Addrass
Ln
-MailAddresg
Installation Contact Name
(86s) 4s7€60e
n$,veet@andersonems. com
Nathan Sweet
lnstaller Name
Phone
]ity
Instaflation Date: 2117
State
ap
Phone
E-Mail
6 2016-03-01
tdp3, ltt chout!, slck
Service Starting Date: 3/1801
l?o'16 2016-02 -17
tnauCeO-iniiii|Lmd trlp. .lt l&F 8rm€pm w|tr I trlp p.r 10 rhlclr.. A.tdltloml
unayllhbL lnrtlll. ere .ublect to lddltlonal ch!l!c.'
nd
Indrll. .nd
$rvlcsc ittcluded on Quote
19
StreetEagle Units Installed
Scrvlcts wlth Addttlorpl Chargoo'trot lncluded In ordcr
Number of Installs
Switch/Bufton w/parts
E20.00
0
PTO with Relay (single in-cab wiring to customer specified wiro)
02s.00
0
PTO w/o Relay (single in-cab wiring to customer specified wire)
$1s.00
0
Uninstall old equipment
$25.00
0
After hours or Weekend install
$s0.00
0
Travel Charge for under 5 installs
875.00
0
lnstetlstton Provlded $rvlctrs
-
must be artarryed wlth lnstaller
Door LocMJnlock
Installer price
0
lgnition Disable
Installer price
0
Remote Starter
Installer price
0
Extended Travel (> 50 miles)
Installer price
Accepted on Behalf of InSight Mobile Data Inc.
Accepted on Behalf of Subscriber
Envelope lD: 090il7C2C
-7CDM7 AF-ADCD€83E41
2D1 BB3
IwSTcHT
Mobile Data
lnsurancs Authorlzatlon Request
(tNstGHT CAP|TAL, LLC W|LL SEND THIS TO YOUR INSURER)
Required on Transactions of 30 or rnore StreetEagle GPS Tracking Units
MSSA No:
Date MSSA Signed by Insured:
TO:
Phone:
Nane of Insurance Agency:
Fax:
Street:
City:
State:
zip:
Attention:
We have entsred into a Mastar S€Mces Subsc{iption Agroement and haw agteed with Insight Mobile Data, lnc.
and/or its assigns to bo r€sponsible tor lnsurlng thc cquipmeflt ownod by Insight Mobil€ Daia, Inc. and instrall€d in our
vdticles and to pay the cost thsr€of. Pl€as€ provide a C€rlifcato of Insurance wtifying the minimum limits lbt€d
bglow and proriding for thirty (30) dsy notics to us in lh€ qront of canc€llation or altoration.
EQUIPMENT REQUIRED
FOR:
Insight Vehicle Hosting Subscription
City: State:
Zip:
Damage: fire, theft, extended cor/€rage, vandalism and malicious mischief for the
value of the equipment.
Payee: .lnSight Capital, LLC ard its assigns, BS its interests may appear.'
blllty: With minimum limits of $250,@0/$500,0@ for BODILY ll{JURY and
Thank you. lf you have any questions, please @ntact InSight Capital, LLC at 410-268-5588.
nsured's Name
::s
Title:
Nathan svveet
Orprce On THn Courrry Law DmncroR
AxornsoN Couxry, TswxEssEE
l0l
South Main Street, Suite
3l0
CLINTON, TENNESSEE 377 I 6
N. JAY YI:ACER
TELEPHONIi:
(E65) 457-6?90
(865)457--1775
Email : jyeagerl4aclawdirector.com
[.aw Darector
FACSIMILE:
February 29, 2A16
Terry Frank
County Mayor
100 N. Main St.
Clinton, TN 37716
RE:
Homeland Security Grant
Dear Teny:
Pursuant to your request dated February 25.2016, I have reviewed the above-referenced contract
for legal form. After review. I am satisfied this document meets or exceeds all requirements fbr
contract formation under Tennessee law. Therefore, I have approved this contract as to legal
form.
Plewe note that this contract exterds beyond the fiscal year; therefare
County C ommiss ian fur approval.
it
must be submitted to
This approval js to legal form only. I assume, since you submitted this contract to my office fbr
approval that iou have read this agreement. and the terms and conditions set fonh are desirable
to you and the department involved. I have not been involved in the negotiations of this contract;
however, if you would like additional guidance and advice regarding a specific provision of the
contract, please feel free to contact me. Funhermore, for the purpose of the approval process, it
is assumed that this contract has been properly bid, if required. and budgeted according to state
law.
.frfr,
Please call,
if you have additional questions or concerns.
Kr"r'
N. Jay
Enclosure,
19.
pages
914.15 G6
GOVERNMEHTALGRII,NTCSI'ITRACT
gevernmental entity ar their
grLT.t ccntract wiitr a federar or Tennesse* rocar
{ccst reimbursement
agents and insttumentelitiesi
34101 -22716
04130tza18
0gl01l?015
Edlsan lD
*gencY Tracking #
End Date
Edison Vendsr lD
Grantee Legal EntitY Name
ANDERSON COUNTY
CFDA
SubreciPient or Gontractor
X Suut*ciPient
#
97"0F7
Grantea's fiscat ye*r end Jun*
[-l contractor
$CIth
$ervice GaPtion {one line onlY}
FENERAL FISCAL YEAR 2CI15
HOMEI.AND SECURITY GRANT PROGRAM
tnterdePertmenta!
i
TOTALGTan@
Other
20,000.0s
10,000.00
20,000.t0
Grantea Selection Process Eummary
f] co*petitive $election
ffi ruon-tomPetitive $eleetion
ThiE c*ntrgct is !n
ih*
int€re$t
be51'ol
sf ?te slste. state agencir*s and Tennesse€ counties are
T*n****"'s r*n*ty-f'e roril{es-.i1 easigned t0 one of deven
pi"il"t",
a|r cf cohi* p**rc't9.',* ry S'"Y-lt:1T1-:*il:-?:::'
Securitv
Homa*and
$'* &e Garcmof to recomfngnd atrocations.
xffiffir ;ffi;t#il-fr."tgr, ;;;1c1
digible recipients. E"J,
;{;
grant specifics and datermines allocations.of
The Hor,.,elarld $sc*r*y'b;iln€il i* U**f"g on ilre
rkk qrd need- Funds are allocated
funding ta Ho{r€land Seg,rtity Dlttitts bayd 9n $p*tatio*,
Dietfict council detennines the proiects
!o ttre steials e{even ncm#n* $ecalrity Distids. Eacfr
based on that predetormined need
snd the assscraied ru"di"i"*=--cl tadttty Hithln ths Oistfict
are risk and effedivenaes sf
and risk. The specific critiria use* in malting asisrd deismi'nations
T*nness€*"s Homeland Sectjrity.*qtrilegy' Risk'
use gf f,"rnds and, *o*fuiion *t* the ${ets if
aeed srd yulnerabiliiy
s* o*r*t*#o
by tne Fepartrnent of Hcmeland Security {DH$), in canced
lntelligence-Agency {clA}'
Federd a"r.ui;-]i-inru*#on (FBtl ard rhe ce{gl
of tl€ l'lomsland Security Council
EffeciivBness sf use rs J*f"*i*tl fy-fnu *ali*ctiu* leadership
anJ ihe elaven Hornela*d $*cr.lrity Sktrict Councils'
*irh &e
Eudget 0fficer CEnfirnration: There is a balance in ihe
appripriation from which abligations hereunder are pay
i" be paid that is not already encumbered tc
;;;ir;a
other obligations-
$peed Chart (oPtionali
Acs*unt Csd* i*Ptional)
713S1000
CFO U$€
- CG
9"1"4-15 G6
GRJTilT COFNTRACT
BETWHER THE STATE OF THHHES$EE'
EM ENT AG EHCY
Er.rr oF M rLtr;t*t, TElr FI EssEF Erd E RGEHcY M AHAG
Af.lS
'EpARTM
AHDERS*f..T COUtrTY
state of rennessee, Department of Military'
This grant contract ("Grant contract'), by and.be{ee1 the
to as the "$tate" or the "Grantor state
referrsd
hereinafter
Tenneggee Emergency Managem*nt'Agincy,
referred to as the 'Grantee," is for the provision of
Agency,, and Graitee Ande*n Counti, neieinafter
$ecurity, Homeland security Grant
pass-througn tundilg ryy the united states Department of Hsmeland
gEL'VEfi'ABLESj
AND
ilogr"*, # fortn", AefrneA in the "SCCPE OF SERVtCES
Grantee Edison Vendsr lfr
A.
A.1.
A.z,
#
4145
$COPE OF $ERVICES AND DELIVERAHLES:
as required,
The Grantee shall provide the scape of services and deliverables {"scope")
described'anddetai|edinthisGrantGontract'
Grant Prograrn tHsGP} Grantees are
Alt Federal Fiscal year {FFy} :015 Homeland $ecurity
with the investments approved for
required to submit an invesinent justiflcation, cnnsistent
(DH$), that provides background
Tennessee uv tn* u.s. Depa*rnenr of Homeland security
funding/imptementation plan, and
their
information, strategic objectives and prisrities addressed,
part
of
the FFY 2015 HSGF investment
As
proposed
investment.
the anticiprt*o i*["ct CIi eash
pursuant to the target
outcomes
specific
tn
establish
required
justifications, Grantees are
associated with their
and
$trategy,
capabilities set farth by the state's Hgmeland $ecurity
PrcPosed investrnents.
A.g.
funded from the FFY 2CI15 H$GP
lt shall be understood by the Grantee that each Grant Contl'act
of Tenne$see's
will be in compliance with the FFY 2015 HSGP Guidance and the $tate
Homeland SecuritY StrategY'
A.4.
previausly establiehed homeland
The Grantee agrees ta be responsible for the sustainrnent ef
gff1F
agrees that the federal funds
turther
Grantee
projects"
The
security efforts,-as well as FFy
to supplant any funds for
received thraugh this agreement will be used to supplement, but not
local governments.
A.F.
guidelines as established by
The Grantee agrees to campty with the financial and administrative
Cost Principles and Audit
R*quiremenls,
Adrninistrative
'Lintform
the regulaiions entifred
faund in Volume 2 of the
naw
Circulaf}
'$uper
the
as
to
referrad
Requirement$" {calloguially
C.F.R. (specifically, 2 C,F-R' part 20CI)'
A.6.
The Grantee supports the implementation af $tate Homeland Security Strategies by addressing
training and exercise needs required to prevent, respond to,
the identified planning, equiprnent,
'tenorism.
ln additian, the Grantee agrees to comply with the
and recover frorn acts of
implementation of tfre Na$onal Preparedness Goal and the Natianal Response Framework
(NRF).
A.T.
The Grantee will comply with the Cash Management Art and understands that no federal funds
A.g.
The Federal Award ldentificaticn worksheet shal! be included as a part of this grant contract and
designated as Attachment 2.
B.
TERM OF CONTRACT:
received by the Grantee may be *nvested in an interest bearing account.
9-14-15 G6
1, 3-015 ("Effective *ate") and e.f51d for a
This Grant Contract shall be affective on septenrber
Date, thereby endlng on April 30, 2018
Effective
the
sfter
period of thirty-two {3?} mpnths
far fulfiltment of the scope outside
(,.Ferm"i. il,*'strt* srrirr n*u* no ohligation to the Grantee
the Term.
C.
c.1.
PAYMEHT TERNilS ANF CONDITIOH$:
of the state under this Grant csntract
Maxim#m Liabifitv. ln no event shalt the maximum liability
Thg Grant
Liability"}.
exceed twenty thoussnd and 00/100 dotlars ($ 20,0c0-oo) {"naaximum
due the Grantee
amount
maximum
is
the
1
Attachment
incorporated-as
Budget, attached and
lirnited ts, all
not
are
but
include,
under this Grant csntract. The Grant sudget line*items
be incurred
to
or
incurred
indirect
costs
and
applicable taxes, fees- overhead, and alt otheidirect
by the Grantee.
c.?.
escalation for any
gornpens'li:on Firm. The Maximurn Liability nf tlre $tate is not subject to
of the Grant
duration
firm
for
the
are
amounts
reason unless amended" The Grant nudget
as provided in
unless amended, except
Contrsct and are not subject to escalatisn f*r any !-ea$&n
Seetion C'6.
c.3.
peyraent Mglhgdals#v. The Grantee sha{l be reimbursed fsr actual, reasonable, and neces$ary
Liability established in $ection
costs based upon the Grant Budget, nct to exceed tfre Maximum
$ection A of this Grant
c.1. upon progress towaid the &mpletian of the $cop*, as describedofinallowable
costs'
reimbursement
Contrart, tnb giantee shall subrnlt invnises prior to any
c.4.
for travel, meals, or lodging shall b'e
Trqyql cornggnp,ption. Reimbursement to the Srantee
"$tate comprehensive Travel Regulations," as
subiect toffioiilanc limitations specified in the
and limited by the Grant
they are amended from time to tims, and shall be cantingent upnn
Budget funding for said reimbursement'
c.g,
no rnore aften than monthly, with all
Invojqp E*suirEmgn!*. The Grantee shatl invoice the $tate
n*cesuaffirting documentation' and present such to:
Tennessee Emergency Management Agency
Homeland $ecurity Frogram Manager
3041 $idco Drive
Nashville, TN 3?204
a.
Each invoice shall clearly and acaurstetry detail sll af the foltswing required information
(calculations must be extended snd totaled correctly)(1)
(2)
(3)
t4)
(5)
(6)
(7)
(8)
(9i
t10)
tt t i
lnvoicelRefersnce Number {assigned by the Grantea).
lnvoice Date.
Invoice Period {ta whicfr the reimbursement request is applicable}'
Grant Contract Number {assigned by the $tatei.
Grantcr: Department of Military, Tennessee Emergency [Ianagement Agency.
Grantor Nurnber {assigned by the Grantee to the above-referenced Grantor}.
Grantee Narne.
Grsntee Tennessee Edison Registratisn lD Number Referenced in Preamble of
this Srant Contraet.
Grantee Remittnnce Address.
Grantee Contact for lnvoice Questions {name, phone. or fax}.
ltemiaation of Reimbursement Requested for the lnvoice Period* it must detail,
at minimum, all of the following:
i.
The amount requested by Grant Budget line-item {including any travel
expenditure reimburgernent reguested and for which docurnentation and
9-14-15 GG
receipts,*srequiredby'stateCornprahensiveTrave|Regu|ations,',are
ii.
iii.
iv.
b.
attached to the invoice}'
to date'
The amount reimbursed by Grant Sudge_t line=ifem
to date'
Cantract
Grant
the
under
reimbursed
The totat
Period'
lnvoice
the
for
arn*unt requested {ali line-items}
The total "*ount
tha following'
The Grantee understands and agrees to all of
(1)
include only reimbursement requests
An invoice under this Grant cantract shall
ie.u.uit?f il the delivery of
experrditules
for actual, reasonable, and n*o*otry
shall be subject to the Grant Budget
service described ry idi* Grant contract and
provision of this Grant Contract retating to allowable
and any other
(21
tr,?ffi:rlfii*I. tni, Grant contracr shail not include anv reimbursement
requeet for futura exPenditures'
t3i
shall initiate the tirneframe for
An invoice under this Grant contract
receipt of the invcice, and the invoice
reimbursement onty wrren the $tats is in
c.5'
meets the minimum requirements of this sectiun
C.6'Budaet.'Line'|te'.".s'fxnencitures,reirrbursements,andpayrnenGunderthisGrantContractshg||
expenditures may NCIT vary frorn the Grant Budget
adhere to tne Grant Budget. Reimbursable
line-item amounts'
c"7.
The Grantee shall submit any final invoice and a
in
sixty (60) days of the Grant Contract end date'
disbursement ieconciliation report within
Fisbur*eqenr x9g"qnpttra$qtt
ffi
q' lu
ioim ana substance acceptable to the State'
a.
b.
this Grant contract exceed the arnounts
lf total disbursements by the $tate pursuant to conditions of this Grant contract' the
and
perrnitted by the section c, payment tenns
The Grantee shall subrnit the refund
$tate.
;;
th;
difference
the
refund
shall
Grantee
*m tn* final grant disburseffient reconciliation reporl
payrnentcf any invoice suhmitted to the state
The state shall not be responsible for the
The $tate will not deem any Grantee
after the grent disbursement recon"ili*tlo*'r*po*.
grant
disbursement resonciliaticn report to
the
after
costs submitted {sr reimbursement
aid *uch invoices will Nor be paid'
be allowable and reirnbursable by the state,
reconciliation report to the
The Grant€e,s failure to prcvide a final gran! di*bursement
Grantee being deerned
the
]n
result
shall
state as required by this Grant contrait
shall be required
Grantee
the
and
contract"
Grant
this
ineligible for reimbursement under
this Grant Contract'
tol*iunO any and utt p*ytn*nts by the State pursuant to
accounting recordx.at the end of the Term in such a way
d. The Grantee must close sut its and
reu*nie cnllections ar€ |\lor canied forward'
that reimbursable
"ip*ncitures
for indireet costs, the Grantee rnust
Indirepl eost. $hould the Grantee reEuest reinnbursement
by the cognizant federal agency or
submit t* the $tate a copy af the indirect cast rate approve
be reimbursed for indirect costs in
will
Gr:antee
The
the cognizant state agency, as appticable.
and limitations specified. in the
accordance with the approved indirect cnst rate and arnounts
and treats a given cost ss direct or
attached Grant Budget" once the Grantee malqes an electisn
cl.range during the Term" Any
not
may
and
indirect, it must apply that fi-eatment consistently
prior
of the cognizant federal
approval
hatre
must
rate
cost
changes in the approved indirect
indirect cost rate is provisional during
agency or the cognizant state agency, as applica.ble. lf the
remit any overpayment of funds to
the Term, *n"* tile rate becomes final, the'Grantee agrees ta
ts remit any underpaynnent to
$tats
agrees
the
the $tate, and subject to the availahitity of funds
c.
c.e.
the Grantee.
5-:"4-15 6G
C.g.
joint
costs
under this Grant Csntraot are
*llqSatipn. lf any part of the costs to be reirnbursed
and
be
allocated
shall
c$sts
invclving alloiation to more than one prograTr or a*tivity, such
Policy
Adnninistration
Finance
and
of
nepar"tment
provisionslf
reparted in accordan*e with the
CoS*
Statement 03 or any arnendrnents or revisi*ns made
C.10.
t* this pollcy staternent during the Term.
parlrnent oJ lnyoigp. A payment by the $tate shall not prejudice the $tate-s rigfrt to object to sr
rei*bursement, invoice, cr related matter" A payment by the $tate shall net be
question any
provided
construed as acceptanse of any part of the work or service
cost'
allowable
an
a$
amcunt
C.11.
or as approval of any
Any amounts payable to the Grantee shall be subjecl to reduction for
invsice or payment that are deternrined by the $tate, on the basis of
ln
any
amounts included
Sontract, to constitute
audits or msnitaring conducted in ac'cordance wlth tFre terms of this Grant
*Jon:allc"Wablq Q.ostq.
unallowabte costs.
C.12.
that are or
Stat*,q Fiqht to Set Ptf* The State reserves the right to sel off or deduct from amounts
any other
or
under
Contract
this
Grant
under
payaUle
the
Grantee
to
neoffi_6us;nd
snatt
a right
has
Grantee
whioh
the
under
Tennessee
agreement betseen the Grantee and the State of
to receive payment fronn the State.
C.13.
Grant Gontract
Fr:ergquisite Docu.frrqntalion. The Grantee shall not invoice the State under this
documentation.
prcperly
completed
;ntifim State has received the following,
a.
The Grantee shall oomplete, sign. and retur* ta the $tate an "Authorization Agrcement
for Automatic Deposit i*Cl-t Ciedits) Fonn" provided by ttre State. Sy doing_ so- the
Grantee acknowledges and agrees that, on6e this form is received by the State, all
payments to the drantee under this or any other grant contract wlll be made by
automated clearing hou*e {.ACH")'
b.
The Grantee shall cemplete, sign, and return to the State the $tate-provided W€ form.
The taxpayer identification nurnber on the W-9 icrm must be the same as the Grantee's
Federal Ernployer ldentificaii*n Number nr $acial Security Number referenced in the
Grantee's Edison regl*tratian information'
P.
D.1.
STAHOARD TERilII$ AT'ID CONDITISf*S:
parties
ReaUifp,d, ApslCIvajq" The State ls not baund by this Grant Contract until it ls signed by the
and tttroved by appr:opriate officials in accordance with apptricable Tennessee laws and
regutations {depending upon the specifics of this Grant Contract, the ofiicials rnay include, but are
not limited io, the Commlssioner of Finance and Administration, the Commissioner of Human
Resources, and the Comptroller of ihe Treasury).
fr,2.
Mo{ificatipn and Arnendmq$!. This Grsnt Ccntract may be msdified only by s written arnendmer}t
rigdd by all parties and
approved by the officials who appraved the Grant Contract and,
depending upon the specifics of the Grant Contract as arnended, any additional officials reguired
by Tennesses laws and regulations {the officials may include, but are not limited to, the
Commissioner of Finance and Adrninistration, the Comrnissioner of Human Resources, and the
Cornptroller of the TreasurY)'
O.3.
Termjflation for Sonvenience. The $tate rnay terminate this Grant Contract without cause for any
reasofl. A termination for ccnvenience shall not be a breach of this Grant Contract by the State.
The $tate shall give the Grantee at le€st thirty tSSi days written notice before the effective
termination date. The Grantee shall be entitled ta campensation for authorized expenditures and
satisfactory services completed as of the termination date, but in no event shall the $tate be liable
to the Grantee for compensation for any seryice that has not been rendered. The final decision
9-14-15 GG
be determined by the $tate. The Grantee
as to the amount for which the state is liable shall
incidental, consequential, or any other
special,
general,
*hall not have any right tc any actual
for the $iate's exet"cise of its right to terrninate
damages what*oeverbf any de-scription br amouni
for convenienee.
D_4.
properly pe;form its obligations under this Grant
Terminatior-r.j*r causg. lf th* Grantee fails to
Grant contract, the state shall have the right
contract, or if the Grantee violates any lerrns orinis
withhnld payments in excsss cf feir
and
contract
terminate this Grant
to
immediately
the exercise of the state's right ta
compensation for compleled services, hlstwiihstanding
not be relieved of liability to the state
terminate this Grant contract for cause, the Grantee shail
contract by the Grantee'
Grant
this
for damages sustained by virtue of any breach of
D.g.
D.6.
contract or enter into a subcontract for
su.bqantrgcjing" The Grantee shail not asslgn tfris Grant
the pricr written
without abteining
any of ttilEl.ui"e* perfarmed under this Grant contract the $tste,
by
ga.ch shall contain, at a
appraved
are
subcontracts
lf
such
$tate.
tnu
approval or
Interest"' "Lobbying,"
of
"Conflicts
to.
pertaining.
minimum, ssctions of this Grant Cantra*t
"Reccrds"
(as identified by the
,,Nondi$crimination,,. "publii Accountability," "Public frlottce,. and
subcontractors, the Grantee shall
section headings). Notwithstanding sny us6 of apprcved
remain responsible for all w*rk perf*rnred'
part of the tstal Grant contract Amount shall
confllgts of Intg"{est. The Grantee wanants that nc
as wages'
indirectly ts an emplayee or offi*ia{ of the $tate of Tennessee
be paid fr;
or
subcontractor,
emplayee,
agent,
afficqr,
compensation, or gifts in e#tr*ng* for'aciing as an
this
to
ralative
performed
or
contemplated
work
lny
cansultant to the Gr,antee in canniction with
Grant Contract'
D.7.
its knpwlecige and belief, that:
LobbVing. Tfre Grantee certifies. to the b*st of
a.
paid, by or an behalf af the
No federally appropriated funds have been paid or will be
to influence_an cfficer or
undersigned, ta eny per$on for influen*ing *r attempting
employee of Congres$, or
or
officer
an
ernployee of an agency, a Mernber of Cangress,
the
awarding of any federal
with
connection
in
an employee of inl"muer of congress
loan, the entering inta
federal
any
of
rnaking
the
federal
any
[rant,
contract, ine rnaking of
or
of any cooperative agresment, and the extensi*n, continuation, renawal, amendment,
agreement.
modification of any federal csntract, grant, lcan. or coopsrativ€
b.
paid or will be paid to any
lf any funds other than federally appropriated funds have been
of any agency' a
or
employee
officer
an
influence
to
or
attempting
p*r*on for influencing
of a Member
or
an
employee
Member of Congres{, en ofilc,sr cr-employee of Congres$,
the
agreement,
or
soop€rative
grant,
loan,"
of Congress in lonnectisn with this ccntract,
"Disslo$ure
Grantee shsll camplete and submit Standard Fonn-l-LL,
of
Lobbylng
Activities," in assordance with }ts instructions'
c.
The Srantee shall require that the language af this certification be included in the award
documents for all sub-awards at all tiers {including subccntracts, sub-grants, and
contracts under grants, loans, and c*cperative sgreements) and that all subrecipi*nts
shall certify and disclose accordingly.
This certification is a material representatlon of fact upon which reliance was placed when this
transactian was made or entersd into and is a pt€rsquisite fcr making or entering into this
transaction irnposed by 31 U"$.C" $ 1352.
notices, consents, dernands, or other
communicaiiols required or contemplated by this Grant Contract shall be in writing and shall be
made by certified, first class rnail, return receipt requested and pastage prepaid, by overnight
courier service with an asset tracking *yst*m, or by ernail or facsimile transmission with recipient
D.B. C.ommunicaspns and Sant4-c"f,S. All instructions,
9-1{-15 C6
sf transrnission, shall be addressed to
confirmation. All comrnunicatione, regardless of method
the respective party ss set out below:
The State:
Gary Baker, Homeland $ecurity Pragram Manager
Tennessee Emergency Managernent Agency
3M1 $idco Drive
Nashville, TN 37204
abaker@tne$a.orq
fetePfrone #: {Sl 5l'7 41'7 A37
FAX #: (615) 532's222
The Grantee:
TenY Frank, CountY MaYor
Anderson CountY
100 North Main $treet, Suite 208
Clinton, TN 3771S
tfranlt@andersonln*?fq
retePlrone #: (865) 457-6280
FAX #: (8651457-6270
Foint of Contact:
$teve PaYne, Director
Anderson GountY EMA
111 $outh Charles G. Seivers Boulevard
Glinton, TN 37716
Pavnh"*YQhotmait'con
TelePhone #: (86$) 457-6765
F,AX
#: (SS5) 457{.657
noti*e to the person designated by the
A change to the above contact infcrmatian requires written
other Party to receive notice'
All instructions, notices, consents, dsmands- or sther communications shall be considered
rnay be required.
effectively given upon receipt or recipient csnfirmatisn as
D.g.
is subiect to the appropriation and availability
subjgct to Funds Availabilitv. This Grant contract
funds are not appropriated or are othenrise
that
the
event
In
ttre
of $tate or Federsl funds]
this Grant Contract upon writtan nc'tice to
to
terminate
right
tfre
reserves
State
the
unavsilable,
the Grantee. The $tate's right to teiminate this Grant Contract due to lack of funds is not a
breach of this Grant Cantracf by the State. Upon receipt of the written notice, the Grantee shall
cease all work associated with the Grant Conirsct. Shsuld such an event flccur, the Grantee
shall he entitled ta campensation fsr all s*tisfffctery and authorized services completed as of the
terminatlon date. Upon such tenninatian, the Grantee ehall have no right tCI, recover from the
State any actual, g*neral, special, incidental- csn$aquential sr any other darnages whatsoever of
anY descriPtion or amount'
D.10.
person shall be
lrlsndiscrimination. The Grantee hereby agrees, waffants, and assures that no
otherwise
subjected
to
discrimination
of,
or
be
eiCiu6en from partieipation in. be denied benefits
practices
the
Grantee
on the
of
ernplcyment
or
in
the
Gontract
Grant
this
performance
of
in the
grounds of handicap or disability, age, race, cCIlor, religion, sex, national origin, or any other
ilassification protected by federal, Tenness.ee state constitutional" or statutcry law" The Grantee
9-14.13 GG
and sharl post in conspicuous places'
shar, upon request, show proof .of nondiscriminstion
applicants, notices of nondiscrimination'
available to all employee*
"nd
with obrigatisns under the Health
Thg'$taie and the Grantee sha'l compry
D.11. HrpAA gomprianqg.
Iniormation Technology fcr
Health
(*trAA),
nc"ountebility a"ioilbee
tnsurance portability
laws and regulations
relevant
any.oilren
and
"nc
shall
Economic and clinisal H"ann *ct 4ntrgcH)
".ry;""v iuilr"}. }h*;btigatians set fcrth in this $ection
regarding privacy {cotectivery !h;
Contract'
survive ttrtitermination of this Grant
a,
it is familiar with the requirements of the Frivacy
The Grantee warrants to the state tNlat
FIIFAA requirements in the course of this Grent
Rules and will comply with alt applicable
Contract'
b.
with the $tata, including cooperation and
The Grantee wanants that it will cooperate
and other cornpliance officers required by the
noordination with $tate privacy officiais
csntract so tfrat both parties
coursa oi p**o*rn** of this Grant
privacy Rules, in
td
willne"incompliarrcewithtfreFrivacyRu|*s'
including but nnt limited to business
The $tate and the Grantee will sign documents,
nv tr,* . Privacy Rules and that are reasonably
associate ,gru**ni", as requi#"
in comfliance with.the,Privacy Rules' This
nece$sary to xeepln* bt*tu and the Grantee
byr the $tate under this Grant Contract is
teoeived
provisi*n shall not tpprY if informaiil*
by the Privacy Rules, or if the Privacy
NoT *protected health inf*rmation;;** defined
infcrmation without entering into a business
Rules permit the $tate tc receivu sucn
asgociateagreemgntorsigninganctherguchdocument.
et seg.l or if this
Grantee is subiect to Tenn' code Ann' S &4401
lf
of the shte'
?qblic.,F,pq,puntability. gr*
behalf
on
Grantee
"itrepi*i*ion of u**i"** ta citizens by the
Grant contrjct involves
present
may
services
of
iecipienlr
rnrhich
the Grantee agreeu to *it*btish a syste*'friougtr
in a
dispray
arso
shs*
Grantee
The
program..
grievances about *re opeiation sf the servise
receive
to
order
in
public
enters
$fh inthe
prominent ptace, located near the passag"**yir'tio*In (11")
height and seventeen inshes {1?')
incnls
*ru",in
r*"ut
Grant supported services,
e.
D.12.
in width stating:
"lig" "i
OF TAXPAYER FUNDING' IF YOU SBSERVE AN
NOTICE: THIS AGENCY I$ A RECIPIFNT
IN ANY ACTIVITY WHICH YOU CONSIDER
AGENCY $RECTOR OR EMPIOYET rr'rC*EING
prrasr
cALL THE $TATH OOMPTR0LLER'$
To BE TLLEGAL, rMpRoFEc, sR wA$T;;uL,
TOLL-FREE HOTLINE: 1-s0S'232-5454'
$tate
h,y the ccnrptrollgr af the Treasury' The Grantor
The sign shall be on the fonn prescribed
request
Lipon
and
Treasury,
the
af
the comptroller
Agency ;ilil obtain capies of the sign from
signs'
necessary
any
with
Grantee
provide
from ttre Giantee,
D.13.
signs' and
inforrnational pamphlets',press releases' research reports'
Pgblip NOticp. All notices,
shall
contract
Grant
this
to
relatian
and releau*c nyyrg crayee in
similar public n*tices prepared
*This
grant cantract with the state of
project is iundec under a
ts this Grant Gontract shall be approved by the
Tennessee.,, All notices nv tne c*i'tt*u in relation
incrude
the statement,
State.
and any approved subcontractor shall be licensed
n.14. Licgnsqre. The Grantee, its employees,
and local laws. ordinances, rulss' and regulations and
pursuant to all appllcable federal, staie,
sha|luponrequestprovideproofcfa|llicenses'
n.15.
for all
The Grantee and any appfoved subcontrsctor shall maintain documentation
any
and
of
the
Grantee
documents
and
reccrds*
tne
uCIots,
crrargeJunder thls Grant Contract.
this
under
received
perfonned
money
or
work
relate
to
they
as
insofar
approved subcontractor,
Becor-d-$----------------.
9-14-15 G6
with applicable Tenneseee law. ln no case
Granl Gontract, shall be maintained in acccrdance
than five (5) full years from the date of the
period
less
of
a
shall the records be maintainea for
audit at any reascnable time and upon
final payment. The Grant*u;* **rds shall be sublect,to
comptroller of the Treasury, or their duly
reasonabfe notice by the Grantor state Agency, tlre
aPPointed rePresentatives'
Govemmental Accsunting $tandards Board
The records shall be maintsined in accordance with
standards Baard (FASB) Accounting
Accotrnting
Finencial
the
cr
{GASB} Accounting $tandards
lndustry Audit and Accouniing
AICPA
retated
any
and
applicable,
as
standards codification*
guides'
rg awards' alld expenditures will
r^a's*^*.f;'rn" of
n{grant
nr*nl applications,
;rnnli*ntinns' budgels'
budogts'
- documentation
*of reports'
In addition,
and Budget's unifarm
Managernent_
be maintained in accordi*ie wi*r' u.s. offise
far
Federal Awards'
Requirements
Audft
and
Cosf Principtas,
Administrative Requira*uiti,
local goverfimEnt purchasing policies and
Grant expenditures shall be made in acssrdance with
authorized under state law'
governments
local
far
procedures and purchasing pracedures
reporting requirements prescribed by
The Grantee shall also comply witfr any recordkeeping and
Trea*ury'
the Tennessee Comptraller of lhe
utiliz-e the CO$0 lnternal Control The Grantee shall establish a system of internal contrals that
contrcl system' The Grantee
internal
for
the
fotrndatian
basic
lntegrated Framework rnodel
into its internal control
"sin*
incorpoiate any additional comptraller of the Treasury direetives
shall
sYstem'
in the above standards shall
Any other required records er reports which are not contemplated
the central Procurement
Agency$tate
follow the format designated by tire head of the Grantor
Tennessee.
of
$tete
of
the
Administration
and
office, ar the commissioner of Finance
s.16.
and records rnaintained pursuant to this Grant
Mpnitgring. The Grantee's antivities csndueted
the $tate, the cornptroller of the
eontract ?nun be subject to monltcring and evaluation by
Treasury,ortheirdulyappointedrepresent*tiv*s'
fr.17. *togrsss B"qp.orts.
The Grantee shall submit brief, periodic, progress reports to the $tate as
requested.
D.18.
months of the conclusion of
shsll submit, within three {3)
&rnual and Final Benqfxg. The Grantee
gre
For grant 9g1tractl. with a term of less than one {1} year,
rep*rt.
annuat
rerm,-an
each yea, or
of the Term. For
the Grantee shall submit a final report within ilrree {3} rnonths of the conclusion
grant
with multiyear terms, the final repart vrill take the place of tfre annual report for the
"oot*ot*
of tt * Term. The Grantee shall subrnit annual and final reparts to the Grantor State
final year
electronic capies of
Agency and the Deparirnent of Finance and Adrninistration {"F&ff}. Send
final reports shall
annual
and
annual and final reports io F&A at fa.qqdit@tr*{ov, At li1imum,
number, Term, and
include: (ai tne Grantee's narne; {n} tne Crant Contra*t's Edissn identification
goals,
sufice$ses
pr*gram's
outcomes,
the
deseribes
that
section
a nanative
total amoJnt; {c}
"wttether
progress, and
to
determine
indicators
or
benchmarks
used
Grantee
the
and setbacks,
whether any proposed activities were not carnpleted; end {d} other relevant details requested by
the Grantoi State Agency. Annual and final report documsnts to be completed by the Grantee
shall appear sn the Grantbr $tate Agency's website sr as an attiachment to the Grant Contract.
D.1g.
pass*through enJlty means a non-federal entity that
Agdit Repgr:t. For purpases of this $eciion,
carry
out part of a federal pr"ogram.
provi6es a subaward to a subre+ipient to
The Grantee shall provide audited flnancial staternents ts the Tennessee Comptroller of the
Treasury ("Comptrollef) if during the Grantee's fiscal year. the Grantee: (1) expends saven
hundred nfty tnoussnd doflars {$750,000} or msre in direct and indlrect federal financial
assistance and the $tate is a pass-through entity; {2} expends seven hundred fifty thousand
dollars {$750,S00} or more in state funds frorn the State; or (3} expends seven hundred fifty
9-X4-13 C6
financial assistance and state funds frorn the
thousand dsllars t$?s0,00ff) or rnare in federal
i*"*i ninety {90} days befare the end of its fiscal
$tate, and the $tate i* a pas!-if,rcugn entity, At
notify the $tate whether or not Grantee is
year, the Grantee shsil cornplete lttaclyent 3 to
ane, campleted Notice of Audit Report
on{y
subject toln iugtt. The Grantee shsuld iubmit
Gran*: f* is subjeet to an audit and so
document during the Grantu*{ liuo"l year. Any
4. lf the Graniee is subiect to an audit'
indicates on Attachment 3 shalr complete *[u"rl*"nt
engaging.a licensed, independent public
befare
Grantee shall obtain the cornptrolleli apgroval
nnay contact the comptroller for assistance
accountant to perform trre audit. rhe"Granise
identifuing auditors-
the comptroltrer's requirements, as pasted on its
All audits shall be performed in accord a*ee with
audit shall be perforrned in accordance
web site. when a federal single audit is required, the
ana Bildget's l,jnifarm Adninistrative Requiremenfs, cosf
with u.s. office of uanagJment
principles, and Audit Requiiements for Fedenl Awards"
the ccmptrolter by the ticensed, independent public
A capy of the audit report shall be provided to
gccountant. Audit reparls shall be made available tc the public'
Auditor shall be on a ccntract fonn prescribed by
The audit contract between lhe Grantee and th*
for paynrent cf fees for an audit prepared by a
the comptroller. The Grantee shail be responsible
of.the"audit fees by the Grantee shsll be
iayment
licen*ed, independent public aeecuntant.
fees LonFined wlthin this Gr-arrt contracl The Grantee
subject to the pravisian r*i*tl*g tn such
for any casts of an audit prepared by the
shall be responsible foleimn[oing the comptroller
ComPtroller"
D.a'.
for trie ccst of goods'
propurement. lf other terms of this Grant cantract atlaw reimbursement
nr contraeted servises, procurBrnents by the
materials, supplies, equipment, motor vehicles"
For any procurenlent for which reimbursement is
Grantee shall be competitive where practicable.
the conrpetitive procurement method'
paid unde, iniu Grant contrast, tha Grantee shall docurnent
procurennent method is not
eompetitive
a
of
use
that
ln each instance u,riere it is determined
a written iustification for the decision and for
pracgcable, supporting docurn*rrtutio* shall include
Grantee is a subr*cipie*t, the Grantee shall
the use of a non-competitive pr*curement. lf the
proparty and services under a federal
procuring
wnen
compty with z c.F.R, gg zoo.gtg*zs0.ge6
award.
b*f*re purchasing any equiprnent or motor
The Grantee shall obtain prior approvalfrom the state
vehicles under this Grsnt Contract'
p.21.
u.22.
t* lnsist in any one or more csses
$trigt pq#gnar,rce. Failure by any pirty to this Grant ccntract
provisions of this Grant
anq * the terms, Govenants, conditions' or
upsn the strict perfcr,man"*
or provision' No term
condition,
eovenant,
"!
tenn,
contract is not a waiver or relinguishment ef any
deleted except hy a
or
modified,
waived,
be
to
held
b*
shalt
or ccndition sf this sr*nt contract
parties'
the
by
written amendment signed
partners, joint venturer$, or
lqgenengent,"#o,lrtractpr. The parties shall not ac! as employee$,
as*ociatffiotherintheperfermanceofthisGrantC*ntract.Thepartiesacknow|edge
Contract shall be
that they are independent contrs*ting entities and thst nothing in this Grant
or direction
control
to
exercise
construed to cr.*ate a principallagent ielationship cr to allsw either
provides
its Llsual
or
affairs
business
its
tr'i*ic*r
transacts
the other
over the manner or method'ny
be the
to
construed
or
deemed
be
party
shall
not
of
one
services. The employees ciagents
employees or agents of the other party for any purpose whatsoever'
e.zg.
stalq Liqgil.tty" The state shsll have nQ liability except as speci,fically provided in this Grant
Conlract.
9.14-15 gG
A.24.
Force Maieure, 'Forse Majeure Event" mgan$ fire, flsod, earthquake, elgrnents of nature or acts
of Gsd, *arsJiots, civil disorders, rebelllans or revotutions, acts sf terrorism or any sther similar
cause beyond the reasonable control of the party except to the efrefit that the non-perfarming
party is af fault in failing to prevent or causing the default or delay, and provided that the default
or delay cannot reasonabty ne circumvented by the non-performing party through the use of
altemate $ourc€s, workaround plans or cther mean$" A strike, lockout or labor dispute shall not
excuse either party from its obligations under this Grant Gsntract. Except as set forth in this
$ection, any failure or delay by a party in the perforn'rance sf lts cbligations under this Grant
Contract ariiing from a Farce Majeure Event is not a default under this tlrant Contract or grounds
for terminetion. The non-perfomring parfy will be excused from performing thase obllgations
direcgy affected by the Farce Majeure Event, and on*y for as long as the Force Majeure Event
continues, provided that the party continues to use diligent, good faith efforts to re$ume
perforrnance without detay. The sccurrence cf a Force Maieure Event affecting Grantee's
representalives, suppli*rs. subcontractors, custcmers CIr business apart frorn this Grant Contrgct
is not a Force Majeure Evenl under tl'lis Grant Contract, Grantee will prornptly notifu the State of
any delay caused by a Force M*jeure Event {ts be csnfirmed in a written notice to the $tate
within oni {t } day oflne inception af the delay} that a Force Majeure Event has occurred, and will
dessribe in^reasonable detait ihe nature of the Force Majeure Hveni. lf any Force Majeure Event
results in a delay in Grantee's performance longer than foriy-eight {48) hours, the $tate rnay,
upon notice to Giantee: {a} cease payment tf the fee until Grantee re$umes perforrnance of the
affected obligation$; or (b) immediately terrninate this Grant Contract or any purchase order, in
whole or in fart, without further payment except far fees then due and payable- Srantee wifl not
increase its charges under this Grant C*ntract or" charge the $tate any fees other than those
provided for in this Grant Contract as the result of s Force Mejeure Event'
O,ZS. Te-nnessee Dppsrtryent of Rey*nq-?..Rggi$,lf,glion. The Grantee shall cornply with all applicable
tegrstration requiiements contained in Tenn. Code Ann. $$ 67-6-601-608. Gornptiance with
applicable registration requirements is a material requirernent of tftis Grant Contract.
D.26.
ChargeF tg S*ryicg.Fecioients_flrohibited. The Grantee shall nat colleet any arnount in the form
of teGs or reimUuiiements frorn the recipients of any service pravided pursuant to this Grant
Contract.
g.ZT.
glgte Inlerest i*",.H,quiRment or Motor Y_ehjd-eF, Ttre Grantee shall take legal title to all equipment
or motor vifrictes purchased totally or in part with funds provided under this Grant Contract,
subject to the $tate's equitable interesl therein. to the extent of its pro rafa share, based upon the
Staie's contrlbution to the purchase pri*e. The term "equiprnent" shall include any article of
nonexpendable, tangible, perscnal property having a useful life af more than one year and an
acquisitioncostwhichequa|sorexceedsfivethgusanddol|ars{$5,000'00i,Theterm"motor
vehicle" shalt include any adicle of tangible personat property that is required to be registered
under the "Tenne$see Mstor Vehicle Title and Registration Law", Tenn. Code Ann. Title 55,
Chapters 1-6.
As authorized by the Tennessee Uniform Cornrnercial Code, Tenn. Code Ann. Title 47, Chapter $
and the "Tennessee Motor V*hicle Title and Registration Law," Tenn. Code Ann. Title 55,
Chapters 1-6, the parties intend this Grant Contrect to create a security interest in favor of the
$tate in the equipment or motor vehicles acquired by tha Grantee pursuant to the provisions of
this Grant Contract" A further intent of this Grant Contract is to acknowledge and continue the
security interest in favor of the $tate in the equipment or motor vehicles acquired by the Grantee
pursuant ta the provislons sf this prcgram's pri*r year Granl Contracts between the State and tfre
Grantee.
The Grsntee grants the State a security interest in all equipment or rnctor vehicles acquired in
wlrole ar in part by the Grantee under this Gnant CCIntract" This Grant Contract is intended to be a
security agreem€nt pursuant to the Uniform Commercial Code for any of the equipment or motor
vehicles herein speeified which, under appticable law, may be subject to a security interest
10
9-14*15 6G
grants the state a security
pur$uant to the uniform eomrnercial code, and the Grantee hereby
the $tate may file this
that
agrees
Grantee
The
vehicles.
motsr
interest in said *quip*unt or
appropriate offiee' as a financing statement for
Grsnt Gontract oi-*'i*p'oducticn thereof in anlr-spiiifiea"
Any reproductian of this or any other
any of the equipment or motor vefiicles herein
as a financing statement' ln
sufiicient
be
snail
statement
security agreement ar financing
toLxecute and deliverto the state, upgn the $tate's.request, any
additisn, the Grantee agrees
"as well
a$ extensions, renewals, and amendmants thereof, and
financlng statements,
to perfect a security
i"pi"JJltion of this Gr:ant Contract in such form as the state may require
pay all costs of filing
shall
The
Grantee
vehicles.
mctor
or
eguipment
interest with respect to said
pmendnnents
thereof, and
releases
and
such financing statements and any extensions,,renewal$,
the
statements
for
financing
searches
record
shall pay all reasonable costs and **p*nses of any
shall
Grantee
the
$tate,
the
of
consent
prior
written
the
State may reasonably reguire. wlthsut
Code any other security
nst create ar suffer tl ne'created pursuant i* the Uniform Cornrnercial
and additions thereto' Upon
interest in said equipment or motoivehicles, including replacements
Grant ccntract, including
this
in
the Grantee,s htrsach of any cavenant or agreernen{ contained
the State shall have the
Contract,
Gylt
this
by
seiured
the coven*ntu to-puy"*rt*o iue all sums
the State's optionr may
at
and,
Code
Comrrrercial
Uniform
the
party
under
remedies of a se;;d
also invoke the remedies herein provided'
management, and
The Grantee agrees to be responsib*e tnr the accountability, maintenance, this Grant Contract.
provid'ed
under
part
funds
urith
in
or
totally
purchased
inventory of all property
or motor vehicles
The Grantee shall maintain a perpetual inventory system for all equiprnent
inventory control
an
shall
submit
and
purchased with tuncs prnvided'under this Grant Contract
fcllowing:
th*
repart which nrust inelude, at a minimum,
a.
b.
c.
d.
e.
f,
g.
h.
t.
j.
Description of the eguipment or motor vehicles;
Manufacturgrs seriai number or sther identification nurnber, when applicable;
Consecutive inventsry eguipment or motor vehicles tag identification;
Acquisition date, cost, and check number;
identificatian;
Fund source, State Grant number, or other applicable fund source
purchase;
Percentage of state funds applied to the
is used;
Locstion witfrin the Granteet operations where the equipment or motor vehicles
possession:
has
longer
no
Grantee
if
date
property
dispositian
or
Condition of the
Depreciation methed, if applicable; and
Monthly depreciation amount, if applicable'
which is cross
The Grantee shall tag equipment or rnotor vehicles with an identiftcation number
The Grantee
repart.
contral
inventory
the
itern
nn
vefiicle
nrotor
or
referenced to the eq,Jipme*t
the results of
ccmpare
must
The
Grantee
annually.
vehicles
motor
or
equipment
inventory
shall
il,* inu*ntory witfr the inventory control repori and investigat* any differences- The Erantee must
then adjust the inventory csntrot report to reflect the results cf ihe physical inventory and
subsequent investigation.
purchased
Th* Grantee shallsubmit its inventory control report cf all equiprnent or motnr vehicles
in
fsrm and
date
and
of
its
end
days
within
thirty
{30}
wltfr funding through this Grant Coniract
the
minimum,
a
contain,
at
shall
report
control
inventory
This
$tate.
the
to
substance acceptalle
writing,
in
the
$tate,
notify
shall
The
Grantee
central.
for
inventory
abov*
specified
requiremeftts
of any equipment or motor vehicle l*ss dessibing the reason$ for the loss. $hould the equipment
or motor.vehicles be destroyed, lost, nr stolen, the Srantee shall be responsible in the State for
the pra rafa amount of ths residual value at the tlme sf loss based upon the $tate's ariginal
contributisn to the purchase priceUpon terminatian of the Grant Contract, where a furth*r contractual relatisnship is not entered
into, or at another tirne during the tenil sf the Grant Oontract, the Grantee shall request written
approval from the State for any prapcsed disposition of equipment nr motor vehicles purchased
wifh Grant funds" All equipment or mstor vehicles shall be disposed of in such a manner as the
11
9.14.15 6G
Departrnent of General
parties may agree from among arternatives approved by the Tennessee
or regulations'
laws
federal
serviees as appropriate and in accordance with any applicable
D.?g.
Grantee shall comply with alf applicable state and federal
Ftate._Fnd.tedera{,,Compliance, The
|a*sanc@rrnanc9althisGra*tContract'TheU's.officeofManagemBnt
and Audit Requirements for Federal
and Budguit n**inistrative Requirements, cost Frinciples,
Awardsisarrai|ab|ehere:hllp;#$ry'rnry'gchgovicgi*in{te&
iTi
1497S&tpl=/
idx?$|D=c6b2m5395Z35 ba9
governed by and construed in ascardance with the
[-aw. This Grant contract shal{ be
agrees th6t it will be subiect ta the exclusive
Grantee
The
laws of the $tate of Tenneesse"
this Grant
jurisdiction of the courts ol the $tste of Tennesse; in actions that may arise under
state of
the
against
or
clairns
rights
that
any
Contract. The Grantee act<nswledges and agrees
to
subject
shall
be
from,
there
arising
remedies
and
iny
Tennessee or its enrployees hereunder,
9-8-101
Ann'
Code
Tenn.
under
available
$$
if
any,
remedies,
and 1imited to those rights and
n.2g. sov"srning
through 9-8-407.
D.30.
is connplete and contains the entire understanding between
Qgrytpletene$s. This Grant cnntract
including all the terms and conditions
the parties relating to the subject matter-contained herein,
agreed
to bt the"parties. riris €rant contract supersedes any and all prior t;nderstandings,
parties, whether written or oral'
,"pruu*ni*tion*, negotiations, or agresments between the
D,31.
conditions of this Grant Ccntract are held to be invalid or
not be affected and shall
unenforceable as a matter of law, the other t*rms and conditions shall
this Grant contract are
of
csnditians
and
remain in full force and effect. Ts this end, the terms
g"?,verability.
lf any terms and
declared severable'
D.3?.
E.
8.1.
purp*$e$ only and shall not be construed as part
HeadinqS. section headings are for reference
of this Grant Gantract'
SPECIAL TEKMS AI-ID CONDIT}ON$:
confliet with
Conflictinc ferps an#, gpnditiong. $hould any of thesa specialterms and conditions
shall be
canditions
and
terms
special
the
Contractany otner terms and condfriliTof this Grant
ssnditions"
and
terms
*ther
Contraet's
subordinate to the Grant
1.SS4. The Grantee agrees to camply with the
8.2.
the1g64civitRigtrts-4ct{4?u'stC.2000d}.andanyfedera|
Iequtations specific to the funding of this grant. The Grantee further agree$ to complete and
retr.rrn a self-compliance report a* provided by the Grantor'
E.g.
C.gnfidentiafry of RecordE. $trict standards of confldentiality
maintain6d in accordance with applicable stste and federal
cf records and information shall be
law. All material and information,
regardless of form, rnedium or method of communication, prcvided to the Srantee by the $tate or
acquired by the Grantee on behatf *f the $tate that is regarded as confidential under state or
federal law shall be regarded as "Confidential Intormation." f$othing in this $ection shall permit
Grantee to disclase any Confidentiaf Information, regardless of whether it has been disclased or
made avaitable to the Grantee due ts intentional or negligent actions or inactions of agents of the
State or third partios. Confidential lnformation sh*ll not be disclosed except as required or
permitted under state or f*dpral larlr. Grantce shall take all neoessary steps to safeguard the
confidentiality of such rnaterisl or information in confarmanse with applicable state and federal
law.
The obligatiarrs set fsrth in this Sectinn shaln survive the terminatisn sf this Grant Contract.
12
s"1r-15 6G
H.4.
The Grantee shalf provide a drug-free workplae€ pur*uant to tfre "Orug*Free Workplaee Act," 41
u.$.c. $$ s101 through 81s6, and its accsmpanying r*gulations.
E.g.
*nyir*nrqgntalTebqcco Sl$,p,,kp. Pursuant tn the provlsions of the federal "Pro-Children Act of
le9a"anmrC|ean|ndoorAirof19g5.'Tenn.CodeAnn.$$39.17-1601
through 160C, the Grantee sftalt profriblt er*oking of t*bascs qroductx **tlg any indacr premises
in which servic€s are provided td individuals under the age of eightee* {18} years. The Grantee
shall post 'no smoking* signs in appropriater p*nnan€nt *ltes within such prernises. Tttis
prohibgion xhall be appiicabie during all hBurs, not iust the haurs in which children are present.
Vlolators of the prarriOiiion rTlay be sunle*t to civil penaities and flnes. This prohibition shall apply
to and ba made pert of any subcontract retated to this Grant C*ntra*t'
8.6.
C"omekape rfJ,irh Netlqnel i,ngid; nt-Msnsqernen.t..9]aslS.fr' ffYlM$j. The Grantee lvill be in
campli#ce'fidth NiMS $tendards established by the U"$. seBartment of Homelsnd $ecurity and
tne Federal Emergency Managenrent Agency authcrized by Horneland Securtty Freqidentlsl
Directive 0S {H$ptr-Cgl. Tlre Grantee agrees that it hss met NIMS compliance slandards. The
Grantee further agree$
to
carnpl*te within tlre snnounced $usFense date the NIMS
lmPlementation YearlY surveyIN WITNE$S WHEREOF,
A}INERSOH COUHTY:
SATE
GRAilETET S$HATURE
COUI'ITY [tlAYOR
TERRY
pRIl{TEn f-lAifrE At-{il TITLE SF GRANTEE $SilAfSRY {abova}
DEPARTIT EHT
gF
}Jl I
LrrARY,
TETI
TIES$EH
EM
ER€E I{SY II|AHAGEIil gf'IT AG E!{ SY :
fiIS TERRY TI{" HA$TOTiI, THg ADJI.TTAf.{T GEHERAL'
UILT ARY OEFARTI{EHT
tr
OITTE
certify thst this entity m**ts Civil
Eights Title 1T compliance"
Signatnre
L*w Flrcctsr
Date
Fcvi*rv*d by
ltep'e^
of l;[i]iravy
&{il Sight*Titi*
VI O{tic*
13
9-14.15 GG
ATTACHMENT
COUHTY
GRAITTEE NAIiE: A}.IDERSON
,*, ^*. rr? 6tr/{rrattdll
t flee'v
HOMELANU tiEuultt t I ltrr',*rr',
9n'l
1
E
incured during the
belsw shalt be applicable anly to expenses
The Grant Eudget line'itern amounts
following aPPlicable Period:
€ND:
BEGfltl: tglAUzO1$
04J3013018
I
POUCY
03 obl.ct
Lln*,ltsm
R}f€railce
EXPEHSE OBJECT LIHE-ITEfrfi CATESORY
1,2
Salaries, Benefits & Taxes
4, 15
Professional Fee, Grant & Aueard
5,6.
?,
g. 1B
I,
Supplies, Telephone, Post'age. &
0.00
0.00
20,000.00
0.00
20,000.00
0.s0
0.00
0.00
0"0c
0.00
0.00
0.o0
0.00
0.00
s.00
0.00
0.00
0.00
0^00
0.00
i
0.00
0.00
0,00
i
0"00
0.00
0.80
s.oo
0"00
0.00
9.00
0.00
0.00
0.00
0.00
0.00
*.oCI
0.00
0.00
20,0$0.0s
0,09
20,000,00
!
!fig{n$,
Oiiup"n"y, Equipment Rental & Maintenance'
Travel, Conferences & Meetings
2
r3
lnterest
14
lnsurance
t6
Snecific Assistance To Individuals
17
Depreciation
1E
Other Non-Personnel2
?.
i
I
:-a
i
1
2
20
capital Purchase
n
lndirect Cost
24
In-Kind Expense
r{a
Gr:antee Match Requirement
a-#
l
,
I
for any arnount of the
is
nqt specifically'
that
Match
iequiteo Grantee
deiineated by budget line-items above)
GRAND TOTAL
2S
PRoJEcr
0.c0
Printing & Fublications
11.12
GRAITEE I rorarMATCH I '-
GRAHT
COHTRACT
.
bylhe Departrnent cf Finance and Administration Policy a3' unifow
E".f, expen$e object lineitern stlall be de*nedptans
A'
tar subredpients af Federalanlsbte €rant Manies, Appendix
tien
AJJoca
Rapartrng Fequrrernenfs and Gs*f
rnte*ei'"t, http:lfwww.s*ate.tn.usftinancelact/documentelpolicyS.pdf).
detailfollows ttris page if line-item is {unded'
3
B1d$etr, and the maximum totai amount reimbursable by the stale
A Grantee Match Requiremant is detailed by this srant
*Grant contract" calumn above, shatt be reduced by the amount of any
the
aetaileJiy
as
pursuant to this srani contract,
brantee failure to meetthe Match Requiremenl'
(posted on the
'
npgl*ul*
,9'1tt'156G
A]rTACHHENT
{
GRAT.IT BUOCgf LINE'ITEII DETfdL:
PROFES{TIOTTAL FEE, SRA}IT
FUNDTNG OF TRAINI!'IG,
TiE
AffOUilT
E AITARD
$GRCISES, PLAt'lNlNG At'lO E{IUIPMENT PURCFIASES ALLOIfYABLE I,NDER
20,(n0,00
FFY 2O'5 HOMEI.AND SECURTW GRAT{T PROGRAM
TOTAT
20,0m.00
9-14-15 GG
ATTACHMENT 2
t match registered
h6m^ in
I'11
lt$C\
0749016L3
8MW20153S00023
rhraninient's
nUNS nufnbgf
r
Fartorsl Award ldentificetion Number tFAlNi
EaAaral nwnni date
r- trnA nr lmher end narne
Qr
Ciant contract's b.eirn
0s101 12a15
g7.0AZ Homeland Security
awa#2a15
a4ftalaa1e
ig!g-*
Grant contract's end date
20,000.00
obligated hY this grant
contract
Consolidated Data Not Available
amCIunt of federal funds obligated to me
rl, rl.traniniJ:nf
fotat
Tbffiount
af the federal award to the pa$s-
Agen-gv}
throush entity {G-rantor State
Name of federal awarding agency
informatisn fclr the federal
awarding official
ffiCt
3,978,000,00
-
U"S. Department CIf Homeland $gsg1!yDennis Fonenoo
Federal Emergency Management Agency
800 K $treet NW
Washington, DC 2A47 2-36?5
Tel:2*2ff86-9837
ls thefsderal award for research and
development?
lndirect cost iate for the federaf award ($ee 3
C.F.R. $200.331 for information on type of
indirect cost ratei
Grglt Proglam -
No
0
*,1.4-15SC
ATTACHMENT 3
Hatlce $f Audit RePcrt
Check one of the twa boxes belaw and complete the rennainder of this document as
p*F file to c*s"aud,i'tfigtig$,ffi$'gov, The
instructed. SenC comgeted dccuments as a
grantee slrsutd sr,*mif only &n&, eotnplefed *f$a#te of *udit R*prrt" dscument
to the Sf€ts during the &ran{aek fiscet y#'&r.
|l
il
*nOerson County is subject to an
*udit for fiscal yaar ?016.
*n6erssn Csunty is n*t sr.lbjectt* an audit fcr fiscal y*ar 201S.
Any Grantee that l* subject to an audit must compl*te the infnrmation belsw.
Grantee's Edison Vendor lD Nurnber: at*g
Type sf tunds Bxpended
Federal pass4hrough funds
a. Fund* passed through the $tate sf
Tennessee
b, Furrds pa*sed thrnugh any other
entitY
the federal
Funde re,ceived direcfY
govemment
ffin-fsdEffit funds rsc*ived direc'tly fram
the State of Tennessee
Eatinnnted anr$unt of furde expended
bv snd sf Grantssns fiacal Year
a.
b.
&Hs,dnnnqrrl-s
lKu-s*
t*
+
b*
3;i
C**Flr{*.1
il;naftrL*5*s5L
+u
hio*fiqht.d.
\)d
Etv\d),.il
ftddn
"
B+*g*-*
s
9-14-15
6s
ATTACHI{ENT 4
Farent Chil d lnfarrnaticn
submit anly
as a pDF file te cpg.apditnotiqp#F.q?v. Tke Grantea sltould
send compfeted dscurnents
durfng the Granfee's fiscaf ye&r
,,Farent ehild tnfomtattos"
one,eomptrefad
lf thagmn{Be indicafes if is snb;ast to an audttan ffie "fiIefiee of At dif Feport" dscumanL
oacffite
least one other entity.
'Farent,, rnean$ an entity whnse lR$ filing contains the inforrnati*n of at
*Child,, rneans an entity whose inforrnaticn is csntalned in another entitY s IRS filing'
Grantee's Edisnn Vendcr lD number: 4145
ls Anderssn County a Parent?
Yesil
No[
of any child entities'
lf yes, provide the name and Edison vendor lD number, if applicable,
ls Anderson CountY a child?
ilYes
il
No
If yes, comPlete the fields below.
Parent entitY's name:
Parent entity's tax identification numb*r:
nurnber, this torm
Note: If the parent entig's tax identification number is a sacial security
rnust be submitted via US mail to:
Central Procr:rernent Office, Grants Prograrn Manager
36 Flosr, WRS Tenness*e Tower
31? Rasa L Parks Avenue
Nashville, TN 37243
Farent entity's contact information
Narne of primarY contact Person:
Address:
Fhone number:
Emaif address:
Farent entity's Edison Vendor lD number, if applicable:
Orrrcn Or Tun CouNry Lnw Drnncron
ANonnsoN CouNry, TENNESSEE
101 South Main Street, Suite 310
CLINTON, TENNESSEE 377 16
N. JAY YEAGER
TELEPHONE: (865) 457-6290
Law Director
FACSIMILE:
Emai
I:
(865) 457-3775
jy e aga@aclawdi rector. com
March 7 ,2016
Chief Deputy Mark Lucas
Anderson County Sheriff s Department
101 S. Main Street, Suite 400
Clinton, Tenness ee 37716
RE:
I
Harley Davidson Motorcycle Lease vIN #'s I HDI FMMI5886I I323;
HDI FMMI 5886I I 84I ; 1 HDI FMMI 388609005 ; I HDI FMMI g88609436.
Dear Mark:
r\t
Cll}
fjl\
:-P
'::r
t-:::lt
Pursuant to a request dated March
7 , 2016, I have reviewed the above-referenced
contru"ffiro,. ffi
legal form' After review, I am satisfied these documents meet
or exceed all requirements for :d
contract formation under Tennessee law. Therefore, I have
approved
these contract, u, td?.gut..|
r-
-
form.
Please note that these controct terms extend beyond
the fiscal year
/ - and
submitted to county commission
for
approval.
-
--'
ff-"-ll
therrfo*
mustb# :;
S t;
This approval is to legal form only. I assume, since you
submitted these contracts to my office
for approval that you have read this agreement, and the terms
and conditions set forth are
desirable to you-and the department involved. I have not
been involved in the negotiations of
these contracts; however, if you would like additional
guidance and advice regarding a specific
provision of the contracts, please feel free to contact
me. Furthermore, for the purpose of the
approval process, it is assumed that these contracts have
been properly bid, if required, and
budgeted according to state law.
Please call,
if you have additional questions or concerns.
Enclosure: 4 pages
t-
-a
ANDERSON COUNTY GOVER}IMENT
PURCHASING DEPARTMENT
MAIN STREET
STIITE 214
CLTNTON, TN 377t6-3687
(86s) 4s742sr
FAX (86s) 4s7-62s2
lOO N.
MBMORANDUM
DATE:
TO:
Jay Yeager, Law Director
FROM:
HazelOrick Gibson, Interim purchasing Agent
suBJEcr:
March 9,2016
Knoxville-Harley Davidson 4 contracts
Anderson County Sherifp s Deparfinent
Please review the attached contract and approve it
form.
hg
LEASOR
SCHEDULE of PAYMENTS
PAYMENT (S) OF
Knoxville Harley-Davidgon, Inc.
5800 Clinton Hwy.
Knoxville TN. 37912
Plrone 865.689.2454
Fax 865 ,689,4794
/z/q
fz
YEARLY
QUARTELY
LESSEE
MONTHLY
A
ftlttbt laP (*trtrt -/mrri
lEt 5. lflon R,n^ thO
oTHER_
NuMgms
Dn
PAYABLE AT SIGNING on uensE
{
Month
s//2)':
Acquisition-Fco $: g:othcr
Purchase option @Ngne or
Purchase pricc of
$ .-.
f
Security
(-rrlru: Yrt 3>>tb
Deposit $
*
'|J,9*and
fiffi;:;ii,ffii
|:ffT;lt:.'".ri:l;'1i^111i*:*11-oflc
(iov,ldfi;rd;ilr#ilffi;ilffiffi.iiloil iiriildlHiliilr:
This lease srarts on the delivery date of
ends
untit such timc ar purcharc option pricc prur ron pcrccnr
Ncdussd ycar
VEHICLE DESCRIPTION
Makc
Modet
vN
#
un""s(trr/)
dn.tt t{aq*4.h&le,i) f",+rp //lDlFmnlfnB;tt te?
yr.r
!
Dear Lessee: wc hrvc
wriucn rhis lcrsc in plain lurguagc bccrusc rve want you to fully
undcnhnd lts tffins. plcarc nad
copy of this lcasa aarsfulty ond fccl ficc to rsk uo.ny q,fotio*
)ou mry hrvo o6out it. Wo usc tho wwds yOU rnd yOUR to rroon
lhc Lcsscc indicatcd bclow. Thc words wE, us and oUR,
rcfar to rhc lnssor indicrtcd bclow.
l;
LEASE AGREEMENT: You agrcc to lcars fiom uc rnd rvc rgrcc
to lcrrc to yor, tho vchicto firtcd rbovc oron my
eshcdulc to this lcasc. You agrcc thrt' at our oi'tion, ury
rctrelulo to this lcrsl$41 bc consioorsa r scpsntc lsasc anl lhc
tomr ud
conditions of thlc lcrsc agrccmcnt ohatl rko aipty ig riy.e*Ju!1
vor.q.ro.m1ic rd
rtrc cum orht
rcnht prynrcnrs
indicucd abovc or on rny rchcdulg whiolr sum cfur
tc drlculaco uy mul'itptyi"i rrrJnirurrof paymon6 ilnror thc prymorl
lmoun[
indioatcd obovo or on-rn! cchcdulo. Tho unounr
of acfr relruiirrd*r dioir-rto"i-or on my rohodulo is buod on
our crlmuod
lotal eost of lhe vohiolo including, if applicrblc,
ooct. m;Trrd;rynilni ri"n u.i.irco
lorn roo, in r prcportlonrto
vchisic'is grcaicr thrn ourcstimoic ana
;id
iiirr
i*lrtrui-
r; illit'ri;t
H??ittjtllllil'ffi:$the
2: oRDERING
vEHlcLE:
*
ro
'oiu'rrtdffii-r]/r.rr
uv',,p io
r.,i-p*,
You r.quGst thar rvs'rsng: dclivcry to
In rho ovcnt rhat rrc havr issued
)ou at
a ;rurohrsc ordor or conltsct for tho vchiclg you
sgroo rhat 0rc prrcharc otoir'*-o-rrrir i, acocprrblc to you. yor
lf
hrvo cntcrcd lnto
'ouroxponso.
a purchasc conlract
you agrcc to cssign ir to ug cffcaivc whcn wc
thc vchiclc,
or,
I
tl,!lt,tlc,
*
3: No WARRANTIES: we aie leasing this vchicto to you
"As t3;. wE MAKE No yARRANTy,
EXPRESSED oR IMPLIED, INCLUDNb wARRANTtbs
oF NoN.TNFRTcEMENT,
MERCHANTABILTY, OR FITNESS FOR A PATICULAR PURPOSE
coNNEcTIoN wlTH THls LEASE s.9 lop ss rrs not in dofaulr undcr OR ORDINARY USE TN
]ort
rny tcrms.of rhir lCIse, wo trnnsfor to you rny
warrantics madc lo us by the msnuficturc or supplicr.
fou ,inootstud and rgrcc trrrr rr,o vondor, itr rgcnlr rnd cmplqc.
ur not
agsnts of ours, nor sto thcy authorizod to *{yt ol.rr",tc
ony tcrms or condifions of this lcrsc. yOd AGREB
THAT,
REGARDLESS oF cLAUsE, YoU WLL Nor
nssenr ANY cfnrrtl wHATsoEvER AcAINsT Us
FOR LOSS OR PROFITS YOU EXPECTED TO MAKE
OR ANY OTHER
DIRECT,
CoNSEQUBNTIAL' sPEclAL oR INDIRECT DAMAGqS.
lf you havo anlcrcd into r mainr'nEnoc agrocmonr wirh
paia ovcr tho tcrm. or a portion of thc torm,
F rri
;itilir"icass shsllrot
" bc rcsponsibfs for tho rorvicg ropairs, nor of thir
a-n{
yir, r.inr*u-r* liiror-r, rnd ovcn if you havo r disnrrs
.
vou wifi-oontinu. to plv 6t iuor, rseignco rrr ronrairrib mrinton.* prvi,,il-c ous
unoor6ic tc.,c
us with rcspcat to thc vohicfc ond 0re cost
of t!nl, mainrcnanoo
fcasc, lhcn you rcknowtcdgo that 8nyono ro wtrqm
wc
maintcnancc of llrc vshiclc, that suclr asignoc. lr not
ri-.it
ii;**r,,
litJ:',il:r$i?*t||[:r[:gico
4: NON-CANCELABLE LEASE: you cannot cancel this
lease.
SEE REVERSESI
LTERMS AND CON]'ITIONS W'IICH ARE PART OFT]IIS TEASE
ACCEPTANCE
Namc
LESSES
/rp.S - 6..S*?f-
Address
citytslstetzip
c.I^..?'..,
I[./
3]r
I
eV,
Print
name, lV\,Mr L,tqA6
THE PERSON (S) SIGNING THIS LEASE CERTIFY THEY
ARE THE LEGAL REPRESANTIVE
TO DO SO AND AGREE NO MODIFICATTONS MAY BE
MADE TO TH]S LEASE UNLESS
BOTH PARTTES AGREE TO SUCH MODIFICiTitiX irV
WiriliNC.
TO
FORM
Law Dfrcctor
a IERUS OFlC SE, COmIERCIAL LEASE ACOUIgITIO FEET Tha lolrr b|n l|ll lr.|to.r 0r.dab0lltq|'vltddar h d€{v!.!d b yor/ of}orr.eaitftrCo. rfr.rs{'
Drb:).rdr, cot lr,F unu you hrv! trrt sll otyurob{e.{onr trdrr t|r kr.... Th. pqmab ot r!it !re p.tEU. p.rlodbdly In !dfE G.md on lh. Fr,ssa dd. oro rr
ratEdulc b tir h$c. Th. falt psyf|lnt b d|,. on lha Co.mrdEgrrr{ D€te. You $/f bo odfad in rrltno fu,g d|rng€.th. d.b of tofat paFqt fhd!dir., cor€frt
Fdod|cp€y|tF'tbli||b.d$ontFsaIEday!schp€t|odhd|cebdo0t'oEr,d8.d&'N!8yn'€it!w||borEdgto!!|loqdr€!5of0*ba6,d.t.no0|...ddl.!tr.t
NqIdd6|grbhwdun0.Yo4ob||g.donbpayArabbus|r0coidtlorEl.rdhnCi!ub|cctbanyndcton,rctdl,d!f$.,ofcoun|gda|mbr!.|yt!.!q|r|,ldo.Yrr.Y
qfortc
u! b In$d v€hiclo ldentifcadon nbd! ard othcr ldcndf..don d.b.boutth. vdrH!,.ltidl.. dr€romlf.d bctr.l i!.tbt!.
b. hdd byu! b E€qrs tour iBltir, pdlbnrfcr ot t s b8!!, and fnf bs rgturrd orapdl€d r. dabd In Parq[.ph'14. On tho Coot'|Eiid{ D& dt$ lc$. aad 6ch
.drdtl. b til ho!€, tou rtull Fyb uE I o{p{rno.d.nlnlrta{v! bc, rct b qo.€d f3q).q), b lllmbw!€ u.6rotl.t drf .dni.i!!.dv..t$ Eoodlm co!b.
ofr..rhF otth.
t. ASSlOt{ E n Yo.r rn.y not r.ll, k rter, rtllgn o. rubl.[. th. sftldr. W. m!y, ul0|o||t rt]tyhg tou. ||ll ttign or b.npllr thl.l.... rdp.rtorm.ny
of 6f
wtrttt; at you aq.!c trat'tt w. do ro, tt|. n r L.-.or tllt hrvc tha |.m. dght! dd ba.Eib fhd w.,roe h.v+ and lh. mf h o.s|I.rofh!lo
iilgrti-. %u i!r.f t|.t O|. rlghb ot 0|. n r 1..|or wlll not b. ubract to .ay cldm., d.fan... oJ ..bfrt th.t you m.y h.n |ed|tt uG Hos.Y..' r|y r.rdl
tvf
rarinm.rq!!h,;tr;d..ofthl!1o...o.v.hidcwlllmtr.ll.v.u3olot|losllgitomloyourrd.rlhltL.t.
.tlPt!bd.lmov|rEd pdt€t.lecbt.sdm
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you.grcc hat yotr wll d.! dm.r k!.91h. v.t{dcfs toil
FutF.,
proa.ct.nd
drd{.lo
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d€frid
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io
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errv|cdpricors'ortt$|rf.tro.vr''.nd}ou;r[.dvo;hn;&ibmthcfa0y|[email protected].||.obe!..'bdold.d..enlnrttr.vrhb.'sohE.|to.l.'!trothd.
w. .g(r€ 0Lt lou lhell quidy ulr tnd e.Ioy tF vr cL'
l.a!a,
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itiii-.'.c.'tt,,t.r"r'n.*rrnit*o"oi"tri*rr.r'uo}Atfc;.doftE|€.mo.tca€e-}aud||'!iuntEv€hic|obu',8t}ouraQert!..'Yot,!l!t!!port!|bl6brpto4h
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b. (i) i!p€t o( E0lqc. tr vGt{do, or (ll) pr b ut lh. fic.r
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irahF
o{ our sHlaiha6st
traaa
aid
lha
rtr{
rnier
hr
ot
figr.fair*U
F!€cd
UatarE€
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d€ldtt vah! ol both
'
Frc.nt (6tf ) Fr ]€er). you
yc'rb
hav€ lh' ahm
agrElo paywrro du. cl taxa!.firE!, rlglsratonfaas ard panaltas €Lftrg to tHr baao, You also rorcc-ttstvrr
to. TAxEg ANo FEES:
'cillttEb
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brc!
ur
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i
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you
rltL._fG-rttti6,.lg; ]i;"* b.ny dodrnt t uE pu!or. of ad! nlhe ' so ltxt 'r tF i[ng do'! tbl lr*"br ti'itr
rerty pay,,Frr o. od[rr,*r. v* a"o
"or*
b ddtd
t{dc' You.grr. b tlktrbt' tn iot
'r'
nor.""po6hb b..ny |rdurter or hcr.. toJo,u o..ny ourG. p€rlon drt€d bv tre rnr of t€t
'fd
".
ac.h.t.rrd.|m!io.g{'|o"*"o.roun""'iJ.iif.riroec-rrrrrmo.,t.aGolrdnc..blro.!tlc{||rlinty;htYE.Th|.|'[email protected]..|h.b.'nd
to u.
erd m.kd.b.t ,wr ovh op.$6 (r) r*r.rdtc._.eainlt to.., thdt, d.n.gr or d€;.non
iflfiunrnc* y* .ert b(b)gq,td.
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poi"rty
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pub{c
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hn
ad
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pF{rld;
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ua-lrdr
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b
n
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n
|!a|!lt) lhdl bc latataatory o
by lpqloo oflhvo'.t'c lo€'
(.rot oaucrC ty rniddn o'r'tuttd df t P"id
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b c*,t
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'fb'L
2t. CXOICE OF LAWI
You
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lb'E
'nd
LEASOR
SCHEDULE of PAYMENTS
PAYMENT (S) OF
Knoxville Harley-Davidson, Inc.
5800 Clinton Hrqy.
Knoxville TN. 37912
Plrone 865.689.2454
Fax 865 ,689,4794
tln:
YEARLY
QUARTELY
LESSEE
MONTHLY
N-bt&sc^r hn*
t
OTHER-
/urotFft b.so
Dt 5 . cv\ftrn. Aoorr 4 0o
Crr rryg^1
,
NUMBER of PAYMENTS t
PAYABLE ATSIGNING OF
ms
d
$J$OO:a
Month
Security
I
Tr.r 3) ntL
Deposit $ --_
Acquisition Foe
Othcr
Purchasc option
Purchase price
Nono
$.-
of
or
/l
$ll:!l-E:tlt#,:llTiH:il:ts::""M,p,1,:t*:l
tiovrtruiuhrgo
until such timc
Ncw/Uscd
q
as purcharo option
pricc plur ton p€rccnt
ior ttrinod.timcly rcturn of suclr
VEHICLE DESCRIPTION
Ycar
8or I
Makc
Model
l{Aerc,l\*urxar->
vrN
"aifur.
#
ir-riiriiJili"
uilugttarjdJ
lHDl Famtf&B7ttg4
Fr-*rP
Dear Lessee: wc havc wrlucn thb lctsc in plain lurguagc
bocrusc rve want you to fully undontud itc tcms. ptaaro rcrd your
mpy of this loasa aarofully ond fccl licc to rsk uo
qrrortlo. you mry hrvo a6out lr. Wc ucc ihc u,ords yOU rnd youR to
mcrn
lhc Lcsscc indicatcd bolow. Tho words WE, US and OUR, rcfcr to tho
Lossor indicrted bclow.
-y
l;
LEASE AGREEMENT: You agcc lo lcaro ftom us slq rvc ogrcc to lsrsc to
1ou, tho vchiclo lirtcd rbovc oror sry
schcdulc to this lcasc, You rgrcc thal at our option, any rchadulc to
thk lcarl rhall bo oonsiOorca a scpsntc lcasc and lhc tcrmr rnd
conditions of thls lcasc rgrccrnonhhall alro aipty ig riypcrrcouic."
vor.q.rq1n.iri ri
rho cum oriit orns rerrat pgyrncn'
indicucd abovc or on any sohcdulc, whictr rum cin tc crtoulaco
uy mul'iiptyi"i urJnirurrof pryrmng tlrnor tho prymort lmomt
indicatcd abovo or on my schcdulc. Tho rmount orogr.rcnnr
on rny rolrcdulo ir barcd on our ontlmrrod
eoircnt
iii*
total coct of the vchiolc including, if applicrblc, imrrttorion
*bivnito"i.
i,or[r:n ,6rrt ;ryr;i;inib.'rfi;'6;;;,
mEnncr, ifthc adual cost of the vshicls is grcatir thsn ourGstimoic,
ana
ccnt (107c) if it is ncccssary.
in r proporrlonrro
p, iulrori* us to aolust tlrc rcntal paymcnt W up to tcn ,.r-
2: ORDERING VEHTCLE: You rcqucst that rvc atranp dclivcry to
lou rr,ouroxpanso. In tho ovsnt thot wc haw is*rod
a purchosc ordcr or oonlracl for ths vshicfg you agrGo thrt
thc purchuo oroi'ot'oonrnir
hrvo mtcrcd lnto
purclnsc
a
contrsct ht t!,lLltigla you agrcG to rssigr it
t *ipr*irlo p try*
to w, offoctivc whcn wc pay for thc whicfc,
3: No WARRANTIES: Wo are leasing this vohiolo to you
"AC t3;. WE MAKE NO yARRANTy,
EXPRESSED OR IMPLIED, INCLUDWA WnnRANTIijs oF NoN.INFRIGEMENT,
MERCHANTABILTY, OR FITNESS FOR A PATICULAR PURPOSE OR
ORDINARY USE IN
coNNEcTIoN wlTH THls LEASE. rqg as loo rp not in dofrult undcr rny tcrmr of
rhir tcasc. wo trnnofor
T
to )ou my
warrantics madc to us by tho msnufacturc orsupplior. you
unocrgtEnd and agrcc rrriinsvondor, irs rpnts rnd cmployccr
no1
zd lo wTye o-r churg3 Eny tcrms or conditione of rhis tcrsc. YOU AGREE
filf, 'c
sgents of ours. nor sro lhcy authori
REGARDLESS o-F CLAUSE, You wLL Noi AssERT
ANy cunlu wHATsoEVER AcAINST us
FOR LOSS OR PROFITS YOU EXPECTED TO MAKE OR ANY
OTHER DIRECT,
CONSEQUENTIAL, SPECIAL OR INDIRECT DAMAGqS. lf yor
hrvo onlcrcd into r matnrcnanos sgr6monr wirh
us with rcsPcct to thc vohlolc ond thc cott of such mainronuroc
fcasc, lhcn you acknowlcdgo that anyonc to wlm.m
maintcnansc of tha vchielc, that sucli usignoc is noi a
o
rg*r,*r
rri paio ovcr thc torm, or I portion of lho tcnn, of thls
for rhe scwicc, ropair, nor
r.inronu-r*r llrccmcnt, and cvcn if you havc a dlrputo
ro
t; *igrnis-irsr; irtur!1 noiti*proiuro
.
rcgarding mrintcnancc or rcwico you wili-oontinuc
to
and ell schodulcr to this loEsc.
ffiiitir*.nir*rr
piy
rssignco
rfr maintonanoo
atlrontii
pgvmcnts duo undcr rhis lcrsc
4: NON-CANCELABLE LEASE: you cannot canoel this leasc.
SEE REVERSESIT}E FOR
LESSOR
TERMS AND COND]TIONS W]IICH ARE PART
ACCEPTANCE
A*r
By:
Name
Title:
Address
o^r", 4aqt#
,/
AC
OF'rnls LEASE
LESSEE
4- X=u,z
ka
/h
Printname,
Mngf
Llc,q,s
Ilq
!EI'!ON (S) SIGNTNG THIS LEASE CERTIFY THEY ARE THE LEGAL REPRESANTIVE
TO DO SO AND
AGREE NO MODIFICATIONS MAY BE MADE TO THIS LEASE
UNLESS
BOTH PARTIES AGREE TO SUCH MODIFTCATION irV WirftirVC.
'l.f!'
FORM
Law Dlrcctor
l
a IERIS
co,|
OF LEAaE
ERclAL LE^gt Acqu|smo FEE: ?r ha!. b.n vdll !biq|ttcdabhltanyvctdcb lsd.ll'r!r!dbyouo.yoqr.ornt('1h.Co.flrsc.mqtt
haw ird a[ of ro!. oUl0.Ion! und..th.l€e!.. Thc pqtrFnt ofE l.rE p.y.t . p!dodc.ly In rdv!ic... r!.bd oo lh. Ev€Fa
polmlr|t 13 dlr on tc Codric.rnad lh{e. You ${l ba nodfLi, in wrfE Itng ch.r€c lh. drtg of Fqrfrsl psyrnanL ns!an{, cf!cod!r!
rH.6on.r
b!|r,o.drdrd.ddq*{dru.
lhb-',|ndrv codnu{ltou
!dF&|c b 0i! los9. Th. f.!i
'
rbw baduem0|O3afl|!rhy.Edr pqbd Indlcsbdon$o.rvqls8ld€. AIpoymnbdlbrmadrbgest.qraddt!!3mlhl.
dorEb In wdUm. YqrobICEdon b pay Fni.b b r6 b urrondltoosl ard lr r{ suq!d b rny EdrJcih.l, sd{f, d9b.E€, or couFd*n lba any Q!!on $tEbo.\rc., Yoo
0sta 6 b lrcd whhh ldon{feuon nunbq! 8rd ofra kLntifo.Xo.r dab ebod fi. vrhld., G n!0.r oth.r o.nllt dhctd nEtrr.
It wllbc hcd by us b srcutB your bltfl pcrforrErrs of hb ba5e, rrd lt w{llbo rEtlm.d or applLd as dabd h PrraoFph t4. Of tha Comr|rcfit thb of lt$ b€...ttd {dt
tdFdrl. b tG bas!, )otJ.h.llpeylo u!. one{ma !dnk*h.dr,c bo, r.tto.r@ccd lgn.00, b,*nb!r!. ur lb. our !bG!p d||*&fatvc.rd .edfE ood!.
.nd o$u.hlp of lh.
f, ASSlctWE t: You may ndt icll, trnrfcr, |'dgn o. ]|bl!||r l rd olc t'Y. mry, ulthout nodttng yoq rll,4.fOn or hndr lhb brx
v!htcl.; drd you !gr|. th.ilt m do ro, !l|r .i l.r!o. rdtl hwt tttG .dr. .lghir .nd b.rfb lhd r. mr h!v.,-.ttd li. no L..or rlll nd luv. io p..to..n -!t o, ou.
;t6d;; 'tou;r* dr.t !|. .tghtr od !| l|.ry t...o. * t not b. r&.l.ct to |t|y drlm., d.lbne.. or ..ffi tH yor| m.t hiv! .g.ln|l ur Hofw.., ||ry rr.il
FalodcpqyflE
vradd
Or vahlcla wlll not ]'.lLva Ua of our Oblha0o io you rmdaa lhla ltaX.
ENJOYIENT: W. a|r th. oum.r otth. v€hkrl.6rd hav€ ti. bth. v.lida lf anyotd p..&n atbnpt ioolelm orvrrdip.atrwtldsbya$qtnC
btFY.hldo. Fuh.r, ygl.r.0t!o h.l yql nlll.fsX ddF! k!.P tEwdclefE tD.n
,r;fh,!,rgh
)ou.€F€,.tyoq.r!p€ns€, b poi.d and da[dd
o.li.n is .d.drd o. ri.lto .eEin!t lh. vrhld.. So lom.r toulr.ol In dCdt
tlany]qElpr@..
ui
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,bdc.
rf.t!o"g,
or
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vdtld.slv elvoif ck! -!.t
trtcttld€ hgood rvotldng-ordlr-and €palr. You nill k6p
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LEASOR
SCHEDULE of PAYMENTS
PAYMENT (S) OF
Knoxville Harley-Davidson, Inc.
5800 Clinton Hwy.
Knoxville TN. 37912
/4 a'l-e
Plrone 865.689.2454
Fax 865 ,689,4794
YEARLY
QUARTELY
MONTHLY
OTHER-
Arbr4rD^r Cg"^pk lntRrt=Ft bslF.
I
NUMBER of PAYMENTS I
PAYABLE AT SIGNING OF LEASE
ot {, fhRrrnr l\oorrn Aoo
Crr,JToo Trur , ? )) tL
t
lx
S t l{ rv\ €
Month
Security
Deposit $
$---=$- -
Acquisition Fco
Othcr
Purchase option
Purchase price of
$;:,.!;f=:[fi,:t:ltTi,H'fl*"n:
until such timc cs purchaso option pricc plur tcn psr ccnt (io 74 rui*rarye ror
Ncduscd Ycar
14
lot
l
None
or
$ -'-
#,l,H*:l,
crjnori+rrli raitn oiircii-itaiirrc
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h-.ii,iilil"
VEHICLE DESCRIPTION
Makc
Modet
vrN #
Mircagc( ggsb
ll+ar.r+-bR.r,bssJ Fu_d,TP lFlorFrrrv\ l3 B B(rftoAf
Dear Lessee: ws havc wrltrcn this
lcrsc in plain langurgo bccrusc uq wmt you to fully undcntand lts tcnns. plcorc
nrd your
mpy of this leosc oarsfully rnd fccl frcc lo rsk ur rny qucstlonr yo,, mty hrvc aforut it.
Wc uco thc u,ords yOU rnd YOUR to mcul
thc Lcsscc indicatcd bclow. Thc words WE, US and OUR, rcfcr to thc Lscor indicrtcd
bclow,
l:
LEASE AGREEMENT: You rgrc to lcuo fionr us
wc rgrlG to lcuc to yor, tlro vchicto lietcd rbow qor
schcdufs to this lcas€, You rgrcc thaf rt our optlon, ury rchcdulc to thb
lcrishall consiiorsb r
iclsc ano thc tormc ad
conditions of thls lcasc rgrccmsnt rhall aleo apply to rnyrclrcdulo- Yor promi;
tho cum offul ofrho rcntnl prynrarrs
indicucd abovc or on lny rchcdulg whiclr rum cin uc irtcutaco uy mufrtplyi"i
tr,inimurr of prymonts tlmls rhc paymort lnomt
indicatod obovo or on ony rclrodufo. Thc rmount orcrcrr rcnoiirqq"t
rny rclrodulo ie brrcd on o.r ortlmuod
totsl Gost of tho vchiole including, if applicablc, inctrllrtion oocir. mJl,"rrrl
sia[ uchuoo or lonrrcd, in a proporllonuo
mlnncrr ifthc rgual cost of thc vchicicig grcatcr lhan oursstimilc, and
r", iuiriitri* ue to rojust tlrc rcnhl prymont by up t0 tcn pcr.
ccnt (f 07o) if it is ncccssary.
q{
*
t;;;i;s
dffi;im"i oi*
'y
s.pfi;
ttyfii
2: ORDERING
You rcqusst that rvo $rmto dclivcry to )ou rt
lolr oxpcnso. In thc ovenl hat nc haw is*rod
a purchasc ordor or conlracl for thc vchislg you tgrGo that 0rc
p,r. if yo,, hrvs cntcrcd into
nrrclrua oroir or-onrtrir tr
a purchasc conlnagt for tlr!rychi9tq you agroc to assign it to us,
slhotivc whcn wc pry rirthc vclriclc.
VEHICLE:
*.ipn*irro
3: NO WARRANTIES: Wo are leasingthis vehiclo to you "nS t3". WE MAKE
NO yARRANTy,
EXPRESSED OR IMPLIED, |NCLUDIXA UnRANflES OF NON.INFRIcEMENT,
MERCHANTABILTY, OR FITNESS FOR A PATICULAR PURPOSE OR ORDINARY
USE IN
CONNECTION wlTH THIS LEASEro$ st !'or us not in dcfrult undcany terme of thir lcrso, wo trnnrfor ro you rny
wrrrantics made to us
*
by thc mrnufccturc orsupplior. You undcntmd and agrcc ttrarrhaVondor,
itr agcntr 4rd anployecr
agcntsofours,norsrothoyruthorizdtotojyogl.ltngconytgmsorconditionsoflhistcrsc.
,,t not
YOdAGREEfief,
REGARDLESS oF cLAUsE, YoU WILL Nof AssERT ANY
cuntrrl wHATsoEVER AcAINsr us
FOR LOSS OR PROFTTS YOU EXPECTED TO MAKE OR ANY
OTHER DIRECT,
CONSEQUENTIAL, SPECIAL OR INDIRECT DAMACIS. tfyou havocntsrcd
intosmsintcnanocagroonronl wirh
us with rcspcct to tlrc vohiclc and thc cost of t,*1, maintcnoncc
agrocmarl
f,i priO oro thc lcrm. or r portion of tho tcrnl of thir
!
lcasc' thcn you
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acknowlcdgo that anyonc to whom *c GiEt tirir-i*r shall,not bc
rcsponsiblc for tho scrvicq rcpaim. nor
maintcnancc of thc vchislc, that such usignoc ir not t
io',,ir"ir,
Iiiccmcnt, cnd cvcn ifyou havc r dispurc
.
rcgarding maintcnancc or scwicc lou wifl continuc to piy f6r ruch assigncc
ollrcnrii
maintonurcoprirJnir dua undcr rhic lorrc
rnd all schodulcr to this lcssc.
ilry
*iii*.r*
lfr
4: NoN-CANCELABLE LEASE: you cannot cancel this leasc.
SEE REVERSE SIDE FOR ADDITIONALTERMS AND CONDITTONS W]IICH
ARE PART OF'THts
LESSEE
LEsstR A/
ACCETTANCE
LEASE
By:
Title:
our", /2m0f
Address
/
ilOt b
ITE- PERSON (S) SIGNING THIS LEASE CERTIFY THEY ARE THE LEGAL REPRESANT'VE
TO DO SO AND AGREE NO MODIFICATTONS MAY BE MADE TO THIS
LEASE UNLESS.I
BOTH PARTIES AGREE TO SUCH MODIFICATION IX WirItirVC.
FORM
Lew Dlruetor
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27. CHOICEOFL W! Yo{rtd*r'erbra!ET,
'..- - '
r,$,
|out
ir{atd b th. co.{tctr btt
ottd rLb'
LEASOR
SCHEDULE of PAYMENTS
PAYMENT (S) OF
Knoxville Harley-Davidgon, Inc.
5800 Clinton Hwy.
Knoxville TN. 37912
14 0 a'e
Plrone 865.689,2454
Fax 865 .689.4794
YEARLY
QUARTELY
MONTHLY
A,rrbteeoa
I
Cn
uotf* {n,
Dt ( .(natzu QOom
Cr, ^, Tq^,
'nJ
a,
OTHER
NUMBER of PAYMBNTS
PAYABLE AT SIGNING OF LEASE
trFrtbr,pr
4Oo
l{Month
$ l{0d"
Deposit i-Acquisition Fce $:Othcr
$:
.ffi
Purchase option
None or
Purchase price of
$ -...-.
371 | U
Security
n
or A0Ar
u t /' Ol.fa and ends o^ /)*rcH I t ?OtV
Lcssecsgrgc6.|o]cturn8sidvchic|catcndortofpurclrrccoption'*rr.rffi
untif such timc ar purcharc option pricc plur ton p€r ccnt
tiov.t*i*argo ioi 0,Jno,iii*rly;ffi;ilil
ls compl:tc.
This lease srarts on the dgJi.very out,
"*,ioto
VEHICLE DESCRIPTION
Ncdused ycar
tr
Estt
Makc
Moder
F*nP
t'lnerrq'bAurDsD.J
Dear l'essee: ws havc wriucn
#
Mircagc cqrqd
il*Dtrnrn rtBB60q L,.b
vN
this lcrsc in phin lmguage bcouc rvq wsnt you
g n ly undcntmd ltr tcnnr. plcrro rcad yo.r
oopy of this loasc carsfully and fcct frcc to uk ur.ny q,iofJ*
]ou mry hrvc r6out it. wc ucc tho words yOu rnd yoUR to rncul
lhc Lcsscc indlcatcd bclow. Tho words WB US and
OUR, rcfcrL thc l*ssor indiotcd bclow.
l:
LEASE AGREEMENT: You agrcc lo lcrco fiom us and rvc rgrcc
to lcrsa to 1ou, tho vstriolo lictad $ovc oron ory
schcdule to thig lcasc' You agrcc thu, .t out oition,
uri rcrtJrir to urr brd fialt bc con*uorea r scparalc lsasc and thc tomr
rnd
condilions of thlr leasc rgrccmont rhall rko riply
io riv ior"oouio.
rhc c'm ofin ortno ,Gn,.t prymm*
indioatcd above or on any sohcdulg whiclr sum
cin ua crtoumce
uy multtptyini rr,Jnirurrof payrnonu tlnror tho prynart
-prt
cnomt
indicatcd abovc or on my cchodule. rnc rmounr
orcocrr rcnrrr
o" rny rclrodulo is bucd on our orilmuod
lottl cost of the vehiolc incfuding if applicrblc, rruralretion
cortlTd,Ftrt
iiafl ucioig!d;;-da;d, in a prcportlonao
vohiclc is grcaicr than orrctinuic, rnd
firh'-i;-us to aoiusirddhi-"ymcnr by up r0 ron
v*.ryd.i;;ii;;i*
-r'rtidriug.i *
;;il;
!d
ffi?fitf il1l,'j'*H:ilthc
2: oRDERtNG
,or.
vEHlcLE:
You rcqulst thot rvc t*nry dclivcry to
lou
a purchasc ordor or conlrasl for tho vchislg you
agrcc that thc nrrchrec
a purcfiasc contract
ht^tl!*I,:El9u
ar
p,roxponeo. In rhc ovcnr thar
roi.*'*rrr.i
rryc
hrw
iscued
i, rcccptrblc to y1,r. lf yor hrvc cnrorcd Into
agrcc lo usign it rc uq cffcgivc whcn ws pey for thc vchich.
3: No WARRANTTES: we aie teasin{thit urttlrtu to you
"eC i!;l wE MAKE No yARRANTy,
EXPRESSED oR IMPLIED, tNcLUDrNb wnninNrrix
oF NoN.TNFRIcEMENT,
MERCHANTABTLTY, oR FITNESS FoR A pniicur,AR
PURpose on oRDTNARv
coNNEcrloN wlrH
ls LEASE
usE IN
* *,
hg ts
in default undcr rny rcrns of rhir rcasc. wo trnnsfor
to you rny
warranlics madc to us by thc mmufaoturc orrupplicr.
fou rinoantuo
and rgrccir,ir no v*oor, ilr agcnts and cmployc*
'otl
.,, not
sgents of ouls, nor 8rG thcy authorizcd to *1,y0__ol
rlrarttc any tcrns or sonditions of thie tcrsc. yOtj
AGREE
TH
*
THAT,
REGARDLESS oF cLAUsE, You wLL llor
aCsenr ewycuelr"r wHATsoEVER AGAINsT us
FOR LOSS OR PROFTTS YOU EXPECTED rO
rvrnrE OR ANY OTHER DIRECT,
CoNSEQUENTIAL' SPECIAL oR INDIRECT DAMAGIS.
rf r* r,.* Gntcrcd into r marnrcnanos rgrocmonl
wirh
us with rcspcct to thc vohicfc and the cost
ofcuch mainronanoc
ro d prii orcr-rtrorcrm. ora portion of rhc tom,
of tftie
!1
lcasg thcn you
acknowtcdgo that anyono lo whom
maintcnanec of thc vshictc, that sucli asignoc-ii
:t"tJlfillrffi?*i:T:r"fl#licc
ii*rq,shall.not
*r *ign ti,ir-i*,
*i.
vou wilfcontinuo to
fi{'y
pli
bc ruponsiblc
sonicc, rcpairs, nor
liilirr* rrinrcnanc, Iii*n*r,forandths avcn
if pu havc r dispuro
ru*'rssignco
16r
ulrenrii afr
mrinronsnoo p.ymonrs dus undcr ihig torsc
4: NON-CANCELABLE LEASE: you cannot
oancer this lease.
SEE REVERSESIDE FOR ADD
Title:
L TERMS AND CONDITIONS WIIICH ARE PART
ACCEPTANCE
OF'ril|s LEASE
LES{iEg
Address
CitylstatelZip
rr, AP\-[----t
.
Printname' hfi.eer
Ln <
THE PERSON (S) SIGNTNG THIS LEASE CERTIFY
THEY ARE THE LEGAL REPRESANT,VE
To Do so AND AGREE No MoDtFIcATIoNCll4Y BE MAqE
To THrs LEASE uNLEss
BOTH PARTIES AGREE TO SUCH MOOMICINION
IN WRITING.
Law Dlrucror
C lERfla OFLEA3E, cOl|mERcLAL LEASE A@lr|smot{ FEE: Th. h6r! bm wl{ lhdm tF d& hat.ny t/€t*rar l! ddhqld b }ou orlour ac.dc'0! Conm.r${'t'n
ttf con0ntr lil !ou lEw ilgt 9l oftour obllgdhns unds tF la!.. lh€ psrn nb d Dr{.G pa}€bb pododcrlyln.dv!nc..r.i.bd on th..€rrsr. rH. doi.rr
dldtL b fr l€|!q, Th. trlt ps,t|rnl b due m hr Conmonc.nd D.la. You wlll b. nodfcd h wlUng It w! drng.lh. dab oa yourfd pqyl|rnt thllafba, cort o.dw
pqlodlcps}ttrnb wf,lbc duc on tE 88mc &yldr Frlod ldicabd on t! llv€Ga dds. Al !€ynonb wlllbc msdrbgrrtouaddFrs m fd.l!!uq ddrdsaddr€!.rflchs
rguld&dgnb|nw tng. Youro gsdon b pgyEr{ab b 6 b qEnduqEl ad l! rF( slbjecl b suEducilon, !dd, dcfE!, o.ccur&rd.
adE&a u3b lnsadvcilch ldoodncatm nuiO.r! ad otr€.tL. ioaton daia.bout th. v.hH.,.r wd.! ottrd ddtbd .nd mabo. lf ry! Epbd...qrrd.9odt!.n Fu,
Itl|[ bc hrld by |r! b s6l]aurfalhflpcrfoanance dtis bqrc, sd ltw{llbc ntrnod o.eppXcd.E rbbd h P..rCrEph I't, Oo $.CofnE rdrstl Ih d bb La!.ld.dl
!d!dd. b ti! bgso, rotr ihell pay b !r. orte{nl. ad[inHraiva tuc, abtlo.r@6ed l9(x].00, b dmbur!. u.lbr 0|' lt.rtrp dmlt{rb.Uva lald |tcord}|l cqb.
t ASSGL[Etft: You mry not r.tl, b|'irt ,.r.l$ or tub|....ifi. wh&lG W. drry, wlthout nodtlng you, rf, |r.lgn o. butt .tlt Lr. ardpaottFr|hl9 ollha
o]n &yofcur
y{a do to, tha nar laaaor wlll hlvr rh |rma dgfi|| and banalnt th*wa ru, haw, atd lt nawlaaaoa r|[ nothm b
wl{da; tnd you
-Yot|aelta Oiat_lt
a!,aa tht |||a algtrL ol tha n r, laaaof ulll mt ba aublact lo rry ddna, daiara.a or aaffi lhlt trolr ltlit hav! aednat uL Ho$rta. l'ry rlch
oblloationa.
aaalgntr|cr|l' |!la, or hnafaa of lft|| taraa or val claw l mt aall$ ur of or|l oblhatom to you undlr lNr hara.
AOfo ERiHF iNg OUTET ENJOttltE Tt Wa atlt|c oumorotth. r4hld..nd h.v€ dd€ b tr. El*lc. lf .nyotF. p..ton gttsmpL bc{dm srtv|.rdipof tErdid.by*ld{tre
i* iai"eitrst y"";hr!.Ah you, you .e€, at roq opcGo, b pot€.1Jd dahnd ou id. b fF v!htlo. FurtFr, tou.eF.thatyo.ltlll.tall tdF! karp tFrr!fcbtt!.ltqr
!
Da|!-') md
"'r"r"qddo.""l'I.n*r'"rioir,et,inororrrilalt-ctvou;hnFdi.ti!nodc.|'any|.g!lp.Do6.!o.||.n|!.!8..ddm.de.o.|n!t0rvrh|d!.so|ong..rou.t"h|
uit r.ny oa tha i.flr| In thb l6.sb, $tr ag|!a lt|.t tou sh.ll quidy tE .nd onloy tE v.tich.
qlyd tortt$!
i'Cine', usi exo r-ocrno ; ioss oF vEHEfEr You.l! ll6po.|Elb|! b.k6cpl.le th.v.hldc h!@d nottlng o.dor€nd €palr. You rvlllkc.p th.r€hld.
ii-'nit.lc"cc"6|d",and$;uld{oryUr.itbrbus|n€s6pqpos.!and|ncomp||am.vi,|ba||.pp|tcablo|aw'Yolw|0not'tl.k..nyalb.ado.Ebth.rahHowit
st h;n$ca6;auywitltpldl Adt ;rd olt|o t€nn of lc€so- )oowll tltl||n 0r vrhlcl€ b t6. at]olr€sp.tr3€',YoueG spo.Eibbbql4p h.
"c
h.v. tF op0on ia 0) FPqf o. Eplqcc f. t€hld€' o. (li) Fyb u8lhotF
tr.n
""t{a.h.a"'i.g.,o".Ptfo'o.dln.r|ve..'dt....rldfr.nanyoth!tt|.dof|o$Yrtti|.,9uh8v!th.Ehic|.o.wt{bit|!b.itfd.ltv..!dbyo|l.|ntrGYr'{tEvbbjd
ilii.i.o,.--f"uiiv"r al" not tno*iftnacru," sas€ orsoy;ttE obligatioE to us,
tab. of our Gsldu.l Ini.rGt In tho v€t*:b (.cch co,ltPd.d tYlh . dkcoul.sb ot dr
A;G ;;; i. unp€td bst&Ee of the rsrmintng Ent sibr ltr L!es6 end th. p.r€€r{ 'o!.h.ll
iiin n c""*"it*ler
pcrc.. (6t{) p€r,!rr).
io- ilfjGS iifo Fee'S:
iii
liirr,,
vor.q.
pr"filv Gili
iffr
to paywtEn
duo.lltrxd, fnr€, Fglsbatlon 6.6 ard pctEld.€ Ebtrt b t$ b!!€. Yo!.1!o sCr€€tLlrv! hav. ttF d0htcr.i y.at to.€ttL&
t
andtrit lou rdtt pay ug tto ostmabd trre! wtr..r sre lrqu.il pelmont Itw! psyrlyof $oG.lea fE nClt .to.l
Urarifr fe o,r fq ne
"lrici"
lt.io.rii'rru""r".y"i,,'y",ag.roonhb$!r;o.|;i,fEnderraro.*iayrrpni*toetar.donurf/df|o!rofgE-lrtai6.wi!!dEgE'dbaiyd|!F|lll|v€'rb
y6u atso aercc fr*-iiiiE* u. rien 6 atdr 6,r mrm b .ny docrrncrt br ttE Frpo€. ot r.Eh flns, !o lono Bt $c tl&E doc not lnnrt|€'! n'ltt vort
;;t;i6".t"i;uirf.
rlotrt b u!€ lh. t!t*d!.
ut to"id b d€6'd uc
JB ,t rorponEtDF ror any ld!airr oa lo6a€€ !o tou or any ohra parron caus.d by tL wa ot tE !alicl.. Yor acra€ b 'ttn$un€ t rndu .lca$ h"
rl. NoE lTyl wa-"*h
b.to.strictlbullty'd.lrn . Il{r hdqitv.lel oonddF.YU.f.rtF
o,rt'ancdk;rc!,
i**"'o.r,rrr..,lriiili,iitiJaarrm
a;d;ft
b'Q b t'lix t!pbc"rstE&''
srd m.lnr.h.r For owi eltp.r.! (a) Insu...rc..o{rt 106r' qtofi,99eg. otd.;tdo.r b uFl*L,
f iitunrxce, v* "er- b p.syido
as 8n .ddnlonallmund. sudl k|slrance (.nd wdtgr did"rc' d'lhor€d b us lt oul
onti
tnrrin""
n.r;
prdtc
6u[t;;
(b)
pay..:
cld
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proLctin€ t! pl'c"l et lo
*. r,tti tsvc.tp rtgf bn n { 0r obllg8don, b hEYr .|dr ldut"lo'
,!ou.rt) .hr|t b€ !.drfcio.y o ur. n vou ral L-6JloJ --"r*t "iid.,"., u.n(-t
or pald b u. t[d6t tl. polrcy by l! Eoo of lbvo"bl€ loGs
l!tnd
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tlloc'bd b
b p€y &rdl tnp!td! h
wth $dt In6i'encc You
.rpqL.,c.).rd.ny o,"51nafy a*c.oq' |q; J;;L of o(r. dg3l!o.!soii.d
'q!61Ind'ld'ntr
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ot"th6ln;6*tyinorarpe' In intanprrt or !pon anv tp'cific !cfrF and condidorE
dd anyotttdp.fEo,rorpddy. v", **--"oOt'tti*-"i-t-ttqi;;"€q,! g,',nt,
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