Fillable Network Site Survey Template (Page 2 of 2) in pdf

NETWORK R ELEASE

NETWORK S ERVICES -‐ I NSTALLATION R ATES C HARGE

SOFTWARE A CKNOWLEDGEMENT A ND R ELEASE

DEMO P RINT A LLOWANCE/DEMO U SE O NLY

Customer h ereby a cknowledges t hat i t h as r equested T he P olack

DemonstraDon U nits -‐ u p t o 3 w orksta-ons i nstalled a t n o

Customer acknowledges that addi-onal prints surpassing the

Corporation to install certain so8ware or hardware products ("the

charge. Addi-onal w orksta-ons a 8er t he 3 rd w ill b e b illed a t

print allowance will be charged at $0.025 per print on B/W in

products") on customer's computer hardware, peripherals, network

excess of 2000 images and $0.25 on color images in excess of 500

$160.00/hr. with a m inimum o f 1 h our.

Sold Units -‐ up to 6 worksta-ons installed at n o charge.

hardware, and network so8ware ("the Computer"). Customer

@REMOTE a nd F Maudit S ERVICES

Addi-onal worksta-ons a8er the 6th will be billed at $125/

acknowledges that Polack has no knowledge or control over the type

hr. w ith a m inimum o f 1 h our.

of so8ware currently on the customer's computer or the environment in

@Remote and FMauidt is so8ware that permits automa-c

Stand A lone U nits -‐ U SB. O ne w orkstation i nstalled a t n o

which it operates some so8ware, including exis-ng so8ware which may

monitoring of the device (for example, a copier or printer).

charge. Sharing t he d evice t o a ddi-onal w orksta-on w ill b e

@Remote and FMaudit will provide the following types of

contain conﬁgura-ons or algorithms which are incompatible with the

billed a t $ 125.00/hr. w ith a m inimum o f 1

func-onality: remote meter reading, supply usage, repor-ng of

h our.

products. Customer acknowledges that because of these and other

malfunc-on/error codes and in-‐bound machine adjustments or

SoGware P ackages s old b y T he P olack C orporaDon -‐

factors which are beyond the control of The Polack Corpora-on, there

ﬁrmware upgrades. The data and informa-on gathered by

AddiDonal charges m ay a pply.

are risks associated with the installation or service of the products

@Remote and FMaudit is sent to an oﬀ-‐ site server maintained by

including, without limitation, the risk that the data on the computer may

Note: EFI/Fiery u nits. EFI/Fiery s oftware w ill b e i nstalled o n

Ricoh Corpora-on and FMaudit. @Remote and FMaudit cannot

the primary u ser's w orksta-on o nly. A ddi-onal w orksta-ons

be d amaged o r d eleted.

and does not collect your document content or user informa-on.

can b e installed f or a n a ddi-onal f ee o f $ 125.00/hr. w ith a 1

You may request, at any -me, that the @Remote and FMaudit

Customer acknowledges that it is advisable and the sole responsibility

hour minimum.

Services be deac-vated. Ricoh and FMaudit retains all r ights, -tle

of the customer, prior to installation or service of products, to back up

and interest to the data collected by @Remote and FMaudit,

Calibration -‐ A vailable u pon request a nd i s b illable a t $ 125/

all data contained on the computer which the customer, in its sole

which it may use or provide to third par-es authorized by R icoh/

hr. with a m inimum o f 1 h our.

discretion, deems necessary, including, without limitation, all directories,

Savin to service your machines and in order to provide beWer

CUSTOMER R ESPONSIBILITIES

subdirectories, and partitions. If any data is damaged or deleted,

service to you. Except for the limited data capture by @Remote

customer is responsible for r estoring s uch d ata t o t he c omputer.

Data ports, network drops, network, cables, USB/Firewire/

and FMaudit, Ricoh and FMaudit do not have any rights to your

In considera-on of The Polack Corpora-on agreeing to perform

documents o r i nforma-on.

Parallel cables, network switches and power receptacles are

such installation, customer agrees for itself, its employees, agents,

to be provided b y t he c ustomer.

NETWORK S URVEY A CCEPTANCE S IGNATURE

successors, and assigns from any and all claims, debts, liabilities, costs,

Provide a d edicated p olarized e lectrical p ower o utlet

●

**PLEASE S IGN A

CCEPTANCE**

expenses (including aWorneys fees), damages, ac-ons, and causes of a c-on

meeting manufacturer's s pecifications. ( See b elow)

of service, maintenance, function or use of the products and the ac-ons

of any employees or agents of T h e Polack Corpora-on related to the

●

Provide d edicated a nalog f ax l ine i f f axing i s r equired.

installation, m aintenance, f unction, o r u se o f t he s o8ware o r h ardware.

___________________________________________________

●

Provide a dedicated active network port with static IP

COMPANY N AME:

address and p roper c abling.

CONNECTIVITY W ARRANTY

●

Provide a dequate s pace f or e quipment m eeting

manufacturer's specifications.

The Polack Corporation warrants the connec-vity for 30 days. In any

____________________________________________________

instance, even within the 30-‐day warranty period, the customer updates

●

Provide n etwork a dministrator o n s ite f or i nstallation

CUSTOMER S IGNATURE:

the operating system, upgrades the network server, and/or purchases a new

support, workstation s etup, a nd t raining. P rovide k ey u sers

worksta-on, thus requiring addi-onal service(s) connec-ng the Polack device;

on s ite f or training.

this service will be billed a t a r ate o f$125.00 p er h our w ith a 1 h our m inimum.

____________________________________________________

Select M odel

All Faxes & seg 3 or lower use NEMA5-15R

PRINT N AME:

All s egment 4 m odels a nd a bove r equire a d edicated o utlet ( refer t o o utlets b elow)

____________________________________________________

TITLE:

____________________________________________________

DATE:

Network Site Survey Template Page 2

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