List one item OR group (for use as a package ) per page. Vendor info. (name, address, Web site URL, Part or Model phone #, , etc.
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1 STUDENT TECHNOLOGY FEE REQUEST FORM Procedure for Submission: Form Updated: 8/20/3. Submitter must obtain all required information from the desired vendor(s). An official quote from the vendor must be attached. 2. Only one request per Request Form. This request must be reviewed, approved, and submitted by the requesting program s Department Chair. 3. The Dept. Chair may this request to the Tech Fee Director. Since some departments will have multiple requests, please rename request in the following format: Dept # (rank, being the highest priority) and a brief title Dept. making request: College Computing Requesting Faculty: Kyle Parsons Date Submitted: 0/8/204 IMPORTANT: Attach an official quote from the vendor. Item Name Magstripe RDR SA3000 Controller West Penn West Penn 8 Metal Door Switch FSE Strike List one item OR group (for use as a package ) per page. Vendor info. (name, address, Web site URL, Part or Model phone #, , etc.) # Blackboard Transact Mick Tanner DR400-OF SA300DC-OF WPW25242B WPW25224B Course(s) where Expected life of Social Work dept. Courses unknown 0-2 item(s) will be used product (years) Location equipment or Will Tech Fee funds be needed for HH2634 No software will be used/stored annual renewals or maintenance? Provide a brief description of the technology requested*: This device is a card swipe system that locks/unlocks doors Cost (each) Qty Total # Students Impacted per Year Briefly describe how the technology will be used (function)*: The card swipe system will be installed on HH2632 to allow students to access the Tech Fee supported recording system in that location. Provide a rationale that Tech Fee funds are appropriate for this request*: The room that houses the student recording system was provided by Tech Fee. This card swipe would provide greater access to this equipment for students. *Keep in mind that the committee members come from a variety of educational backgrounds and may not be familiar with department specific language. Please use concise, common terminology so that committee members reviewing this form will be able to fully understand the request.
2 If you are submitting a request for computers, printers, scanners or software, you must consult with College Computing and the technology staff, to acquire a quote and to make sure that this equipment/software is supported by UT and compatible with existing technology.
3 Budgetary Estimate: Date: 9/30/204 Currency: USD Expiration Date: 0/30/204 Quote To From Blackboard Transact Customer: University of Toledo Rep: John Sikora Contact: David Weis Title: Regional Sales Executive Phone: Purchase Orders Fax: or Credit Card Fax: Submit: Quote Description: TSEXP.DOOR.Health and Human Services 2634 Qty Unit of Part Number Description Unit Price Extended List Measure Blackboard System Components - Readers EA DR400-OF FELICA AND MAGSTRIPE DOOR RDR $ $ Contactless (FeliCa and Mifare) and Magstripe Door Reader. Lead time - up to week. If you need immediately, please contact your CM for availability. EA SA3000DC-OF SA3000 DOOR CONTROLLER $ $ Door Controller Only. Lead time - up to week. If you need immediately, please contact your CM for availability. Readers Subtotal $, Grand Total $, Blackboard Inc. PROPRIETARY AND CONFIDENTIAL
4 Budgetary Estimate: Date: 9/30/204 Currency: USD Expiration Date: 0/30/204 Blackboard Terms and Conditions The Blackboard Master Terms and applicable Schedules govern the sale of equipment, supplies, cards and services and/or the licensing of Blackboard software. The following standard Blackboard terms also apply to this Quotation and expressly supersede any conflicting provisions in the Blackboard Master Terms or applicable Schedules unless subsequently otherwise agreed to in writing. Shipping Terms: F.O.B. shipping point. Title and risk of loss transfer to Customer upon delivery of equipment to common carrier. Blackboard shall arrange insurance coverage for the Equipment during shipment on Customer's behalf. Freight is prepaid and added to invoice (including expenses for special packing). Shipping, travel and transportation expenses (including actual airfare, hotel, car rental and meals) are billed at cost. Expedited shipments of Equipment done at the request of the Customer will be charged an additional 0 percent of the total purchase price for such expedited shipment. Shipping dates will be established by Blackboard upon acceptance of Purchase Orders. Shipping dates will be assigned as close as practicable to the Customer's requested date based on Blackboard's then-current lead time. Blackboard shall not be liable for damage or penalty for delay in delivery or failure to give notice of any delay. Blackboard shall make deliveries under this Exhibit in accordance with its standard delivery procedures. Payment Terms: System software and hardware components: net 30 days; invoiced when product is shipped ID Cards and accessories: net 30 days; invoiced when product is shipped Labor/Services: net 30 days; invoiced when services are rendered Product Returns: Blackboard will accept returns of product, unopened and still in original packaging, within thirty (30) days of purchase with a 20 percent restocking fee. No cash refunds will be issued; credit for the returned product will be returned to the client's account to be applied to future orders as desired. A restocking fee of 5 percent of the system price will be charged on all canceled orders. Shipping charges related to any returns will be at the responsibility of the client. Other Terms and Conditions: Taxes: if applicable, will be added to customer's invoice. The unit price shall govern any discrepancy between the unit price and the extended price calculations. Blackboard provides estimated software and hardware maintenance costs upon request only. The purchaser acknowledges that all information included herein is correct. Remote telephone assistance is available from 6am to 6pm MST Monday - Friday, excluding U.S. / Federal and AZ state holidays. Blackboard Inc. 2 PROPRIETARY AND CONFIDENTIAL
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