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2024-671-E-IT Dept-ESO Solutions-Software licensing and support for ESO application
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2024-671-E-IT Dept-ESO Solutions-Software licensing and support for ESO application
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Last modified
11/21/2024 9:32:11 AM
Creation date
11/21/2024 9:32:08 AM
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Contract
Date
11/1/2024
Contract Starting Date
11/1/2024
Contract Ending Date
11/4/2024
Contract Document Type
Contract
Amount
$9,000.00
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Please send payments to: ESO Solutions, Inc. PO Box 738310Dallas, TX 75373-8310 <br />Invoice <br />Date:10/8/2024 <br />Invoice #ESO-151994 <br />Terms Net 30 <br />Due Date 11/7/2024 <br />PO# <br />1 of 2 <br />Bill To Ship To <br />Orange County EMS - NC510 Meadowlands Drive PO Box 8181Hillsborough NC 27278United Statessensenat@orangecountync.gov <br />Orange County EMS - NC510 Meadowlands Drive PO Box 8181HillsboroughNC 27278US <br />Item From To QTY UOM List Amount Discount Total <br />ESO EHR Suite <br />Patient care reporting suite, includes EHR web and mobile client, Quality Management, AdHoc Reports, Analytics, Patient Tracker. Allows for <br />unlimited users, unlimited mobile applications, live support, state and federal data reporting, ongoing weekly web training, software updates and <br />upgrades. <br />9/29/2024 9/28/2025 15,960 Incidents USD $26,048.70 USD $3,034.00 USD $23,014.70 <br />EHR Cardiac Monitor Integration <br />Cardiac monitors integration. Allows for import of cardiac monitor data via local or cloud integration. Ongoing maintenance included. Unlimited <br />connections. <br />9/29/2024 9/28/2025 15,960 Incidents USD $1,546.31 USD $154.64 USD $1,391.67 <br />EHR Daily Data Backup 9/29/2024 9/28/2025 15,960 USD $1,188.09 USD $0.00 USD $1,188.09 <br />EHR Billing Interface <br />Allows for integration of discrete ePCR data into third-party billing software. Ongoing maintenance included. <br />9/29/2024 9/28/2025 15,960 Incidents USD $949.27 USD $949.27 USD $0.00 <br />EHR CAD Integration <br />Allows for integration of CAD data into EHR mobile and web application. Ongoing maintenance included. Additional fees from your CAD vendor <br />may apply. <br />9/29/2024 9/28/2025 15,960 Incidents USD $3,218.56 USD $0.00 USD $3,218.56 <br />Invoice Message: <br />ACH/EFT bank information: JP Morgan ChaseRouting: 111000614Account Number: 577211926 <br />Check Remittance lockbox address: ESO Solutions, Inc. PO Box 738310Dallas, TX 75373-8310 <br />Total (Without Tax):USD $28,813.02 <br />Tax:USD $0.00 <br />Grand Total:USD $28,813.02 <br />Amount Paid/Credit:USD $0.00 <br />Total Recurring:USD $28,813.02 <br />Total One-Time: <br />Invoice Balance:USD $28,813.02 <br />Please submit payment remittances to accountsreceivable@eso.com to ensure correct invoice application. <br />Amounts invoiced are per your agreement(s) which may include annual uplift and an increase in quantities based on usage overages. Your payment of this invoice serves as acceptance of such increases. <br />Questions? Contact: AccountsReceivable@eso.com 866-766-9471 option 8 <br />Tax ID: 36-4566209 <br />ESO will never e-mail you soliciting payment information. Please call us or e-mail AccountsReceivable@eso.com if you have any questions or wish to make a change. <br />This invoice presents the total net price of the product(s) and/or service(s) which is inclusive (net) of any discount. As the buyer of such product(s)/service(s), you may have additional reporting obligations to federal or state health care programs (including pursuant to 42 CFR 1001.952(h)) and/or upon inquiry by the HHS Secretary or other state or federal agencies. As the buyer, you must adhere to any other relevant federal or third-party payer requirements. <br />Docusign Envelope ID: EEDF8BAE-5C17-4977-94BB-7031A1A422BA
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