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ESSENTIAL USE QUESTIONNAIRE <br /> Lessee Contact Name/Position:__.�_x.��.g_�.__Za,.en-ta-xa---- __--Phone Number:__,��._.7_.__L�5.0__�26___. <br /> 1) Please clariiy legal n�ne of proposed lessee? CITY OF DECATUR,ILLINOIS _��_ _ ____ <br /> 2) Is any equipment to be leased replacing any existing equipmenl? (Il No,proceed to question 3)..................................... ..�Q Y ❑ No <br /> What percentage of the equipment to be leased is repl�ement? __...___1_0 0 % <br /> How long was the exisling equipme�rt in use? ❑1-3 yrs ❑3-5 yrs �Q 5+yrs <br /> Why is lhe exisiing equipment being replaced? _D i-�--�-o.�--s-u�p-p o r--t—V�I R---a-n-d---P-O� --------------- <br /> 3) For what purpose is the equipment being acquired?(Provide detail as to which department(s)and the expected use of the equipment} <br /> -----C i t�—d-e p a-��m e-n-t---w��e--t-e3-e p�ie-a�--sy-s t e m--r-e-p-�-a-e-e me-a-t t-o--s�-F-p-o-r t-_-- <br /> ___ ex�ansi_on_ of _ existing„_Cisco__sy_stem___wit_h_ current network__infra-.�___ <br /> structure <br /> 4) Was the equipmenVlease placzci tor compelitive bitl? .............................................................................❑ Yes No <br /> 8 No,why was a bid not required? <br /> ❑ Covered under state coniract(Contract name and# �_, ______—_—__. �__— ) <br /> � Size of transaction does not require competitive bid Nllhat documentation —_____.___.__—._....—__....__._.. —) <br /> ❑ Transaction exempt trom bidding process pursuant to current statutes(statute�_�.^___ —.____�__.—__—,_) <br /> /(Please aflach copy of stalute if available) <br /> I� Other __P h a s e__2 o f a __p r o 'e c _b e�,i n n i n g_._i r�29 L3.___._�____.__—_—.—_.__ <br /> 5) What is the source of(untls for repayment of Ihis obligation? <br /> ❑-1 Loal Property Taxes <br /> M 5tafe Unrestricted Revenues <br /> - ❑ Federal financial Rssistance <br /> O Chapter I O Chapter II ❑ Other _-_-_--___--.^ --_---..-------_- <br /> O Other -------------------------.�...-- <br /> ---------_-------___...__ ! <br /> 6) Are the funds to be used for repayment of this obligation appropriated and encumbered in an approved budget? ........................... .( �t l�s ❑ No <br /> �.-J ' <br /> If No,why is the obligation not included in an approved butlgeC?_____._..____.__—_._._ —.__—_^..._____._._.___.___—�__�� , <br /> -------------_ �..._.._.._------------- -----------------------.._.......—------- � <br /> 7j Why do you expect tunds to continue to be appropriated in the future for repayment of this obligation? --_Ile-b-t--,se��-v-rEe-3 s—a— <br /> priority expense <br /> --------------------..�__.._._..__._...------------------- --_--------------.._ _...... ----------- <br /> To the best of your knowledge,have you ever non-approprialed funds in the past?......................................................O Yes �N <br /> If Yes,Please provide detaiis_._.---. ----.,_d,...�.�,_,._.�.._r.. ___..----.---._.___�..__..._....__--.--__--_--_— <br /> 8) What is r uired on the Invoice tor rom t ���7�� ����� � '�`�� �`��� <br /> �9 P P P�ent?.---�— ��------------------ <br /> f__�___._------ <br /> a <br /> Completed By: � � <br /> Signalure: _____ _ ___. ______Date: _— _ c <br /> �-�hq , vz —.�---------- a <br /> PrintName:,.�_�/___.__._/�'t�'-..--..-_- --_-_-.-.--._.__.__.—.__.--.------.Phone:__--�-�__l��_----.__...-.----- o <br /> � <br /> C.�2010 All Aighls fleservCA.PoMetl in th^U S.A tOPPDOC17417/10 <br />