No preview available
HomeMy WebLinkAboutC22-413 Quality Health NetworkProduct/Services Order Dated: 11-02-2022 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): CRN Access for the Healthy Families Division of Eagle County Public Health and Environment. CRN will continue to be at no cost until 12/31/2022. Starting on 01/01/2023, the monthly cost of CRN will be $200 per month. Click here to enter text. $0 $200 Travel expenses (mileage at IRS allowed rate - $0.56) $0 $0 Sub Total: $0 $200 Adjustments: $0 $0 Total Amount Due: $0 $200 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: ____________________________________________________ Advisor: Sherri Corey Printed Name and Title Notes: Access to CRN for this program will be free until December 31st, 2022. On January 1st, 2023, there will be a $200 per month fee invoiced. Fees will increase annually a minimum of 2% or Consumer Price Index - whichever is greater. DocuSign Envelope ID: 3003717C-1004-467E-8013-064C7632598A Jeff Shroll 11/18/2022 County Manager