HomeMy WebLinkAboutC22-244 Quality Health NetworkProduct/Services Order Dated: 06/22/2022 Exhibit B Addendum of QHN eCommerce Agreement Dated: 11/10/2020 Order is valid for 30 days Quality Health Network Product/Services Order Form. Revised January 2022. Page 1 of 1 Sold To Name: Eagle County Government Address: PO Box 660, Eagle, CO 81631 Contact Name: Jeff Schroll Contact Phone: 970-471-0112 Contact Email: jeff.shroll@eaglecounty.us QHN Products and Services One Time Fees Monthly Fees Statement of Work (SOW) detail below or attached (rate = $150/hr): QHN will set up and train up to 10 users with access to the Community Resource Network (CRN) for the Healthy Families Division of Eagle County Public Health and Environment. PAID FOR BY GRANT PAID FOR BY GRANT Travel expenses (mileage at IRS allowed rate - $0.56) $0 $0 Sub Total: PAID FOR BY GRANT PAID FOR BY GRANT Adjustments: PAID FOR BY GRANT PAID FOR BY GRANT Total Amount Due: PAID FOR BY GRANT PAID FOR BY GRANT Amounts will be due under this Order when Specified work is complete. Work is considered complete when system is available for productive use. License and Services Fees are delivered pursuant to the eCommerce Agreement with QHN. Special Fee Schedules may apply for special situations. Travel & out-of-pocket expenses are invoiced to Participant as incurred. Add-on Users to be invoiced per the current QHN fee schedule. QHN is not responsible for any Participant vendor fees that may apply. Signature below authorizes delivery of products and services listed pursuant to eCommerce Agreement. Executed by: ____________________________________________________ Date: Authorized Participant Signature Printed name: ___Jeff Shroll, County Manager _________________________________________________ Advisor: Sherri Corey Printed Name and Title Notes: Access to CRN for up to 10 users will be grant funded until October 31st, 2022. On October 31st, 2022, this order will expire and a new agreement for CRN access will need to be put into place. DocuSign Envelope ID: 5BB8BE85-44CB-4BFD-B625-4C7BA1971A53 7/5/2022