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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