8M Consent 2021 0104 - Laserfiche WebLink

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SCHEDULE 1 TO THE ESCROW AND ACCOUNT CONTROL AGREEMENT FORM OF DISBURSEMENT REQUEST Re: Equipment Lease/Purchase Agreement dated as of January 22, 2021 by and between Banc of America Public Capital Corp, as Lessor, and the City of San Leandro, California, as Lessee (the “Lease”) (Capitalized terms not otherwise defined herein shall have the meanings assigned to them in the Lease.) In accordance with the terms of the Escrow and Account Control Agreement, dated as of January 22, 2021 (the “Escrow and Account Control Agreement”) by and among Banc of America Public Capital Corp (“Lessor”), the City of San Leandro, California (“Lessee”) and Bank of America, National Association, (the “Escrow Agent”), the undersigned hereby requests the Escrow Agent pay the following persons the following amounts from the Escrow Account created under the Escrow and Account Control Agreement for the following purposes: DISBURSEMENT AMOUNTS: Payee’s Name and Address (disbursement via wire, must include wire transfer instructions) Invoice Number Dollar Amount Purpose <Payee’s Name> <Payee Address 1> <Payee Address 2> <Payee Address 3> <Payee Bank Name*> <Payee Bank ABA/Routing*> <Payee Bank Account No*> <Payee Account Name*> <*Payee Address and Payee Bank information is required.> <invoice list OR “see attached” with a spreadsheet> < invoice amount> <general description of equipment; ex “police cruiser”> <Payee’s Name> <Payee Address 1> <Payee Address 2> <Payee Address 3> <Payee Bank Name*> <Payee Bank ABA/Routing*> <Payee Bank Account No*> <Payee Account Name*> <*Payee Address information is required. Payee Bank information only to be included for wire/EFT.> <invoice list OR “see attached” with a spreadsheet> <invoice amount> [<mobilization fee that is payable to the Vendor under the Vendor Agreement>] 337