Thank you for your interest in establishing a credit account with CGS Imaging. In order to initiate credit terms, please complete the enclosed credit application and fax to the attention of Accounting at (419) 893-4316 or email a PDF to the email address below. Upon acceptance, we will notify you of the terms and amount of credit issued. Initial terms are Cash On Delivery (COD). Once credit approval is obtained, our standard terms are net 30 days. Certain situations, special orders, etc. may require minimum down payments. As a result, all amounts due will be based on the stated terms disclosed on each CGS Imaging estimate(s) and/or sales order(s). Again, thank you for your business. If there are any questions concerning this application or requested credit amounts, please call. Sincerely, Carol Stranc Vice President - Finance castranc@cgs-imaging.com Note: If you have internally prepared financial and credit information, feel free to attach those forms to this application.
Standard Terms and Conditions The following terms and conditions of sale constitute a part of all purchase orders for the sale of products or goods or services from CGS Signs, LLC dba, CGS Imaging an Ohio corporation, to Buyer, and are the only terms and conditions which apply to such sales, except those terms which relate to prices, quantities, delivery schedules, and the description and specifications of the goods or services set forth in the accompanying sales order or purchase order. CGS Imaging hereby objects to and rejects any other terms or conditions. Buyer s acceptance of CGS Imaging s products or goods constitutes its acceptance of the following terms and conditions. Billing And Payment Payments will be due upon the later of the date of delivery of the goods and services ordered, or the date and terms specified in CGS Imaging s Invoice. CGS Imaging reserves the right to assess service charges of one and one-half percent (1 ½ %) per month on overdue accounts. Price quotes may be exclusive of taxes, and Buyer agrees to pay applicable taxes, if any. Design Approval; Changes By executing this Standard Terms and Conditions, Buyer approves the design of the goods or services. Any changes to the goods or services may require an increase in the price charged to Buyer and may require Buyer to execute a supplemental purchase order or sales order. Because of potential differences in equipment substrates, inks and other conditions between color proofing and production operations, a reasonable variation in color between proofs and the completed goods or services will constitute a sufficient tender of delivery, entitling CGS Imaging to full payment. Acceptance Of Products Or Services; Delivery Subject to any defective goods or services as described below, acceptance by Buyer of the goods or services will be Buyer s determination that the goods or services are satisfactory to Buyer in all respects. All prices are F.O.B. CGS Imaging s warehouse. To the extent Buyer wishes for goods to be shipped to Buyer, CGS Imaging will arrange for transportation of goods ordered by an appropriate means of transportation. From and after the time goods are delivered to carrier for transportation, Buyer will be responsible for risk of loss, theft, damage, or destruction of goods. Buyer will pay all transportation charges incurred after the goods are delivered to the carrier. Where Buyer furnishes special transportation instructions, any additional or special expenses will be exclusively borne by Buyer, including special handling, packaging, and additional freight charges. Warranty/Defective Work/Repairs; Limitations Of Remedies Except as expressly provided for herein, Buyer accepts the goods or services in an AS-IS/WHERE IS condition. EXCEPT AS EXPRESSLY PROVIDED FOR HEREIN, ALL OTHER WARRANTIES, INCLUDING WITHOUT LIMITATION ANY IMPLIED WARRANTY AS TO MERCHANTABILITY OR FITNESS FOR ANY PARTICULAR PURPOSE, ARE EXPRESSLY DISCLAIMED. CGS Imaging will repair or replace the goods or services, provided that such product or service is deemed defective by CGS Imaging. Performance of such repair or replacement will be CGS Imaging s sole and exclusive obligation with respect to any defects in the goods or services, and Buyer s rights to enforce such performance by CGS Imaging will be Buyer s sole and exclusive remedy with respect to any defects in the goods or services in limitation of any contract, warranty or other rights, whether express or implied, that Buyer might otherwise have under applicable law. CGS Imaging will not be liable for any consequential, incidental or special damages. Indemnification Buyer will pay all royalties and intellectual property license fees related to the goods or services, if any. Buyer will pay for any trademark, patent or copyright fees associated with the goods or services. Buyer will defend, indemnify and hold harmless CGS Imaging its officers, directors, shareholders, employees, agents and affiliates from any and losses, costs, expenses, liabilities, claims or damages (including attorneys fees, expert fees and court costs) arising out of any and all suits or claims for infringement of any patent rights relating to equipment or materials incorporated in the goods and services. Choice Of Law And Forum All transactions between Buyer and CGS Imaging, and any matters arising from or as a result of the sale of CGS Imaging s goods or services, will be governed by Ohio law, without regard to conflict of law principles. Jurisdiction will be exclusively in the state or federal courts of the State of Ohio, and the parties hereby agree to personal jurisdiction and venue in such courts.
The following information will be held in the strictest of confidence. Please fill out and fax to 419.893.4316. Thank you. Company Information: Requested Credit Limit: Expected Annual Purchases: Company: Credit Application By signing this Credit Application, as a customer of CGS Imaging you and (if applica - ble) the Company you represent, agree to be bound by CGS Imaging s Standard Terms and Conditions, herein incorporated by reference to this credit application. EIN/TIN/SS#: DUNS#: Type of Entity: Individual Corporation Partnership Other (Specify): Names of Principal Owners, Officers, etc: Name: Name: Kind of Business: Title: Title: Yrs in business: Bank Reference: (If more convenient, attach your own bank & credit reference data) Bank Name: Bank Officer: Bank Address: Acct. No: Credit References: (Provide at least 3) Supplier: Supplier:
Financial Information: If available, attach most current financial statements. Balance Sheet Assets: Cash: Accounts Receivable: Inventory: Net Fixed Assets: Other Assets: Total Assets: Liabilities & Equity: Accounts Payable: Bank Debt: Accrued Expenses: Other Liabilities: Total Liabilities: Capital Stock: Retained Earnings: Other Equity: Total Equity: Total Liabilities & Equity: Income Information: (Provide comparitive data for the past 2 years) For the period ending: Current Year Prior Year Revenue: Gross Profit: Operating Expenses: Net Income: Prepared By: Print Name: Other matters that we should consider in this request: CGS Imaging Use Only: Credit Terms: Approved By: Credit Limit: -
Form W-9 Request for Taxpayer (Rev. January 2003) Identification Number and Certification Department of the Treasury Internal Revenue Service Print or type See Specific Instructions on page 2. Name Business name, if different from above Check appropriate box: Address (number, street, and apt. or suite no.) City, state, and ZIP code List account number(s) here (optional) Individual/ Sole proprietor Corporation Partnership Other Give form to the requester. Do not send to the IRS. Requester s name and address (optional) Exempt from backup withholding Part I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. For individuals, this is your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3. Note: If the account is in more than one name, see the chart on page 4 for guidelines on whose number to enter. Part II Certification Under penalties of perjury, I certify that: Social security number or Employer identification number 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and 3. I am a U.S. person (including a U.S. resident alien). Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the Certification, but you must provide your correct TIN. (See the instructions on page 4.) Sign Here Signature of U.S. person Purpose of Form A person who is required to file an information return with the IRS, must obtain your correct taxpayer identification number (TIN) to report, for example, income paid to you, real estate transactions, mortgage interest you paid, acquisition or abandonment of secured property, cancellation of debt, or contributions you made to an IRA. U.S. person. Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN to the person requesting it (the requester) and, when applicable, to: 1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued), 2. Certify that you are not subject to backup withholding, or 3. Claim exemption from backup withholding if you are a U.S. exempt payee. Note: If a requester gives you a form other than Form W-9 to request your TIN, you must use the requester s form if it is substantially similar to this Form W-9. Foreign person. If you are a foreign person, use the appropriate Form W-8 (see Pub. 515, Withholding of Tax on Nonresident Aliens and Foreign Entities). Date Nonresident alien who becomes a resident alien. Generally, only a nonresident alien individual may use the terms of a tax treaty to reduce or eliminate U.S. tax on certain types of income. However, most tax treaties contain a provision known as a saving clause. Exceptions specified in the saving clause may permit an exemption from tax to continue for certain types of income even after the recipient has otherwise become a U.S. resident alien for tax purposes. If you are a U.S. resident alien who is relying on an exception contained in the saving clause of a tax treaty to claim an exemption from U.S. tax on certain types of income, you must attach a statement that specifies the following five items: 1. The treaty country. Generally, this must be the same treaty under which you claimed exemption from tax as a nonresident alien. 2. The treaty article addressing the income. 3. The article number (or location) in the tax treaty that contains the saving clause and its exceptions. 4. The type and amount of income that qualifies for the exemption from tax. 5. Sufficient facts to justify the exemption from tax under the terms of the treaty article. Cat. No. 10231X Form W-9 (Rev. 1-2003)