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Dear __________________________: the attached equipment order (quote) is for your review from Henry Schein, Inc. dba HSD. Please read these Supplemental Terms
<br />and Conditions which are applicable to your purchase of dental equipment (“equipment” or “goods”) and review all lines of the equipment order (quote) for accuracy. If
<br />all documents meet your requirements, please sign at the appropriate signature area.
<br />DENTAL EQUIPMENT / SUPPLEMENTAL TERMS AND CONDITIONS
<br />1.Late Delivery. HSD shall attempt to deliver on the date specified in the equipment order, but is not responsible for delays and any delays are not considered a breach
<br />by HSD hereunder.
<br />2.Partial Delivery. By signing this equipment order, Purchaser agrees that, if in order to fulfill Purchaser’s needs and/or installation requirements, HSD may make
<br />partial deliveries, and Purchaser must pay amounts owed relating to any such partial delivery. Partial billing is due upon receipt of invoice.
<br />3.Warranty Disclaimer. Except as provided in HSD’s equipment standard terms of sale, HSD does not give warranties (on products or installation). HSD personnel,
<br />including Equipment Specialists or Field Sales Consultants, are not authorized to bind HSD or to make warranties. Oral statements by HSD personnel or agents do
<br />not constitute warranties and may not be relied upon or considered a contract.
<br />4.Labor and Services Time Periods. Labor described in your equipment order (such as maintenance, repairs, replacement of defective parts, or repairs) must be
<br />completed within 90 days following installation. Services (such as training) must be completed within 180 days following installation.
<br />5.Repairs/Loaners. If manufacturer is unable to provide replacement product during repair HSD may endeavor to provide a temporary loaner during any period of
<br />repair, to the extent available.
<br />6.Not Included. Costs relating to the following activities are the sole responsibility of Purchaser and ARE NOT INCLUDED IN THE PURCHASE PRICE:
<br />a. Disconnecting and/or reinstalling Purchaser's existing equipment
<br />b. Changes or additions in plumbing, electrical, or carpentry
<br />c. Governmental inspections, approvals, or fees
<br />d. Union intervention in installation or delivery
<br />e. Disposal of old equipment
<br />f.Delivery of donated equipment
<br />g.Insurance
<br />7.Late Payment Charges. 1½% PER MONTH WILL BE CHARGED ON PAST DUE BALANCES (18% PER YEAR).
<br />8.Office Space Plans. Office space plans drawn by HSD, are the sole property of HSD and are not to be used without HSD’s prior written consent.
<br />9.Purchaser’s Name. The name provided in the equipment order is the exact legal name of Purchaser.
<br />10.Return Policy. (Return Policy) Initial Here: _____
<br />60 days or under
<br />● Goods purchased on equipment orders
<br />through HSD will be subject to a 15%
<br />restock fee if the goods are returned in
<br />original sellable condition (see below).
<br />Goods returned not in original sellable
<br />condition are subject to a 25% restock fee.
<br />61 to 90 Days
<br />● Goods purchased on equipment orders through HSD will be
<br />subject to a 25% restock fee if the goods are returned in original
<br />sellable condition. Goods returned not in original sellable condition
<br />are subject to a 50% restock fee.
<br />● Regardless of condition, technology goods including laptops,
<br />desktop PCs, servers, printers, TVs, monitors, portable storage
<br />devices and network hardware will be subject to a 50% restock fee.
<br />Greater than 90 days
<br />● Goods purchased on equipment orders
<br />through HSD that have been installed and
<br />put into use can only be returned after
<br />approval for a credit to Purchaser’s
<br />account which may only be used for
<br />future purchases from HSD or to settle an
<br />open balance, and will be subject to a 50%
<br />restock fee.
<br />Exceptions/Additional Information:
<br />a.Goods covered by this policy are those sold by HSD in product series 800, 805, 819, 826, 845 and 850.
<br />b.Dates above are calculated from invoice date.
<br />c.Goods are not returnable after 12 months from invoice date or that show obvious signs of abuse or misuse.
<br />d.The following are not returnable: small equipment, hand pieces and software (including Dentrix).
<br />e. The following are returnable only in the first 90 days: laptops, desktop PCs, servers, printers, TVs, monitors, portable storage devices and network hardware.
<br />f.Interest rate charges or early pay penalties charged by financial institutions are the sole responsibility of the customer.
<br />g.Custom goods are not returnable.
<br />h.Deposits placed on custom orders that are canceled will be subject to forfeiture at any time if the manufacturer of the goods is unable to cancel an order.
<br />i.Original sellable condition is defined as the goods being returned in good working order, free of cosmetic imperfections and fully operational to the manufacturer’s
<br />specifications.
<br />11.Credit Line Review. By signing this equipment order, Purchaser authorizes HSD and its subsidiaries and affiliates, by or through their designees: (i) to investigate
<br />Purchaser’s personal credit and finance records, including obtaining records from the listed bank(s) and from such other applicable banks providing information
<br />related to the opening and extension of credit and other accounts with HSD, and (ii) to use Purchaser’s social security number to request and obtain consumer credit
<br />reports in connection with the opening, monitoring, renewal and extension of accounts with HSD. Purchaser further consents to the sharing of the information
<br />provided in connection with any Purchaser application and account, as well as the information on Purchaser’s consumer credit report, by and among HSD and its
<br />subsidiaries and affiliates, and with third parties from which Purchaser elects to apply for credit, for purposes of applying for and extending credit and other forms
<br />of accounts. Bank and credit information may be obtained for future reference provided Purchaser’s account remains in active standing. Purchaser hereby authorizes
<br />the listed bank to release Purchaser’s financial information to verify funds availability for payments under this equipment order. Upon request from Purchaser, HSD
<br />or its designee may apply on Purchaser's behalf for appropriate financing to finance this equipment order.
<br />12.Financing Statements. By signing this equipment order, Purchaser acknowledges that HSD may file financing statements and amendments thereto for HSD to
<br />perfect its security interest in the equipment described in this equipment order. Such security interest will be maintained until HSD receives payment in full for such
<br />equipment.
<br />13.Credit Card Policy. Limits on credit card uses: (a) Henry Schein-branded credit cards, no limit; (Credit Card Policy) Initial Here: _____
<br />(b)non-Henry Schein-branded credit cards, limited to the greater of 10% of an order or $20,000; and (c) no credit cards (Henry Schein-branded or other) may be
<br />used for payments regarding EZPay purchases.
<br />14.Sales Tax. Sales tax shown is an estimate and actual sales tax will be calculated at time of invoice.
<br />15.Installation. Equipment orders from Henry Schein of $5,000 or less will be subject to installation charges. If the equipment (or technology/digital equipment)
<br />purchased does not include necessary installation materials from the manufacturer, Schein may charge for necessary installation materials, except where prohibited
<br />by other applicable contract.
<br />16.Standard Terms of Sale. HSD’s equipment standard terms of sale are hereby incorporated herein by this reference and apply to this equipment order.
<br />DISCOUNTS, REBATES AND DISCLOSURES: Invoice or statement prices may reflect or be subjected to a bundled discount or rebate pursuant to purchase
<br />offer, promotion or discount program. You must fully and accurately report to Medicare, Medicaid, Tricare and/or any other federal or State program, upon
<br />request by such program, the discounted price(s) or net price(s) for each invoiced item, after giving effect to any applicable discounts or rebates, which price(s)
<br />may differ from the extended prices set forth on your invoice. Accordingly, you should retain your invoice and all relevant information for your records. It is
<br />your responsibility to review any agreements or other documents, including offers or promotions, applicable to the invoiced products/prices to determine if your
<br />purchase(s) are subject to a bundled discount or rebate. Any such discounts must be calculated pursuant to the terms of the applicable purchase offer, promotion
<br />or discount program. Participation in a promotional discount program is only permissible in accordance with discount program rules. By participation in such
<br />program, you agree that, to your knowledge, your practice complies with the discount program requirements.
<br />HSD Equipment Supp 8c-1/20/25
<br />Orange County Health Dept
<br />Docusign Envelope ID: A6A79380-F992-4605-AD65-69E9820B20A1
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