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DocuSign Envelope ID:08FFF9DF-E68C-4766-AOEF-6FB69555BF48 <br /> Custom Reporting—Work Order <br /> Pricing <br /> Item Price <br /> Custom Project $875 <br /> Total $875 <br /> Additional Support Per Year 10% $88 <br /> Notes <br /> This is an estimate of effort. Substantial changes to the scope or effort required to complete this project may result <br /> in revisions to the functionality,pricing,and timelines indicated on this work order. <br /> Additional requests or changes to the functionality of this system must undergo a change review process and may <br /> result in additional cost for this project. <br /> All ZOLL"General Terms and Conditions"apply to this contract(available on request). Payment is due 90 days <br /> after acceptance of deliverables. <br /> In order to provide support for your custom applications into the future, 10%of this quote will be added to your <br /> current support agreement. This does not include adding new functionality or features,but ensures your program <br /> operates as outlined in the Functional Overview as documented above or the attached Functional Specification. <br /> This contract gives the client the license to use the software or report. Source code remains the property of ZOLL. <br /> Any discrepancy or determination of functionality within the scope of this project is at the discretion of the Custom <br /> Reporting Manager. <br /> Should the customer requirements fail to be met,ZOLL reserves the right to invoice the customer for work to date at <br /> any time. <br /> This work order is valid for 60 days from the date of issue. <br /> ZOLL Client <br /> DocuSigned by' o ? ,""""DocuSigned,¢by: <br /> 0b 9/30/2016 PWt, bVttt,SbIA, 10/20/2016 <br /> 5981°°5OA11F13rlene Forney Date `wt8fe$ gWnature Date <br /> 10/20/2016 <br /> 303-801- <br /> Database Training Coordinator 1866 Tax Admi ni strator <br /> (Title) (Title) Please sign and return <br /> i1 „,111 1 Page 3 of 3 <br />