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DocuSign Envelope ID:91182FB2-D8B4-43AB-B971-D5A34C4B619D <br /> ZOLL Data Systems,Inc. Order No:00014447 <br /> Order Form Addendum <br /> This Order Form is entered into as of March 1,2016(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,filliams&o.orange.nc.us <br /> Hillsborough,NC 27278 510 Meadowlands Drive <br /> Hillsborough,NC 27278 <br /> Shipping: <br /> Territory Manager: Lynn Isaacs Expires: March 31,2016 <br /> Annual <br /> Item License Description Qty List Price Disc. Adj.Price Ext.Price Maint. <br /> STECM PL Patient Invoice-Single Trip ECM 1 $3,000.00 55% $1,350.00 $1,350.00 $600.00 <br /> Comments:Zirmed Promotion SUBTOTAL SOFTWARE: $1,350.00 <br /> SUBTOTAL PROFESSIONAL SERVICES: <br /> This contract will replace SO 00012406,closed on TOTAL: $1,350.00 <br /> 10/7/15 <br /> ANNUAL MAINTENANCE: $600.00 <br /> Payment Terms: The TOTAL amount specified above in this Order Form is due within 30 days of ZOLL's invoice for such amounts. <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 /> Signature: Signature: <br /> D,o(cuSigned by: DocuSigned by: <br /> ✓J a,,....(_..i Kam-9 ��bin,but, (�a,wtwtt.V'S�,U� <br /> D68AD77392 C4C'I. <br /> 0637994B755E$77._ <br /> Name: <br /> Sandy Kin g Name: Bonnie Hammersley <br /> Title: Accounting operations Manager Title: County Manager <br /> Date: <br /> 3/1/2016 Date:3/7/2016 <br /> Page 1 of 2 Customer Initials: <br />