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2015-381-E Tax-EMS - Zoll Data Systems, Inc. to provide training for in-house EMS billing and collection $9,000
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2015-381-E Tax-EMS - Zoll Data Systems, Inc. to provide training for in-house EMS billing and collection $9,000
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7/31/2015 11:14:57 AM
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7/30/2015 4:08:35 PM
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7/29/2015
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Agreement
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R 2015-381-E Tax - Zoll Data Systems, Inc. to provide training for in-house EMS billing and collection
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DocuSign Envelope ID: E49FBB4E-2281-4303-A3F6-F6BBB81858FB <br /> ZOLL Data Systems,Inc. Order No:00013008 <br /> Order Form Addendum <br /> This Order Form is entered into as of June 8,2015 (the"Effective Date"),executed subject to and made a part of that certain Master Software <br /> License Agreement between ZOLL Data Systems,Inc.("ZOLL")and Orange County Emergency Services("Customer')(the"MSLA")previously <br /> executed.Unless explicitly stated otherwise in this Order Form,any capitalized terms shall have the meaning given to them in the MSLA. <br /> Bill To: Orange County Emergency Services Ship To: Orange County Emergency Services <br /> 510 Meadowlands Drive Attn: Felicia Williams,fwilliams@co.orange.nc.us <br /> Hillsborough,NC 27278 510 Meadowlands Drive <br /> Hillsborough,NC 27278 <br /> Shipping: <br /> Territory Manager: Lynn Isaacs Expires: July 30,2015 <br /> Annual <br /> Item License Description Qty List Price Disc. Adj.Price Ext.Price Maint. <br /> ARC --- A/R Consulting Day(Excludes ME) 3 $1,500.00 $1,500.00 $4,500.00 $0.00 <br /> ARC --- A/R Consulting Day(Excludes ME) 3 $1,500.00 $1,500.00 $4,500.00 $0.00 <br /> Comments: SUBTOTAL SOFTWARE: <br /> SUBTOTAL PROFESSIONAL SERVICES: $9,000.00 <br /> TOTAL: $9,000.00 <br /> ANNUAL MAINTENANCE: $0.00 <br /> Payment Terms: The TOTAL amount specified above in this Order Form is due within 30 Days from completion of services. <br /> Maintenance Fees:Maintenance Fees specified in this Order Form will be prorated up to the next maintenance billing cycle and included as a line <br /> item in the invoice issued in connection with this Order Form. <br /> Service Fees: Service Fees are specified in each SOW. Customer will also reimburse ZOLL for all reasonable out-of-pocket expenses(including <br /> travel and accommodation expenses)incurred by ZOLL in providing the Services. <br /> Scope of License:Software is licensed based upon the License Type and quantity purchased,as more particularly set forth above and in the attached <br /> License Description Addendum. <br /> Tax Exempt Status: If Customer is tax exempt or pays state taxes directly,then prior to invoicing,Customer must provide ZOLL with a copy of a <br /> current tax exemption certificate issued by Customer's state taxing authority for the given jurisdiction. <br /> The person signing below represents and warrants that she or he has the authority to bind Customer to the terms of this Order Form. By signing <br /> below,the parties agree to the terms and conditions of this Order Form. Once signed,any reproduction of this Order Form,or any attachment or <br /> exhibit hereto,made by reliable means(for example,photocopy or facsimile)is considered an original and all Software,Services and Maintenance <br /> Services ordered and provided under this Order Form are subject to the terms of the MSLA. <br /> ZOLL Data Systems,Inc. Orange County Emergency Services <br /> S tjb Signed by: S" bBEGSigned by: <br /> Sky.�c y K;. ov�,A,if, �kauxwte v sl t i� <br /> 6C257F569EF94B2... 7 5Fd 7Z <br /> Name: <br /> sandy King Name: Bonnie Hammersley <br /> Title: <br /> Accounting operations Manager Title: county Manager <br /> Date: <br /> 7/16/2015 Date: 7/29/2015 <br /> DS <br /> Page 1 of 2 Customer Initials: <br />
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