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HomeMy WebLinkAbout2024-719-E-IT Dept-ESO Solutions-Software licensing and support for ESO application HDE Payer Insight to ESO + HDE ePCR connectionRevised 01/24 NORTH CAROLINA CONTRACT AMENDMENT ORANGE COUNTY THIS CONTRACT AMENDMENT (“Amendment”) is made and entered into this 12th day of November 2024 by and between ORANGE COUNTY (hereinafter referred to as “County”) and ESO Solutions, Inc. (hereinafter referred to as “Provider”). WITNESSETH: THAT WHEREAS, the County and Provider entered into a contract dated September 29, 2017 (hereinafter the “Original Agreement”), for the provision of services for the provision of services for electronic patient care reporting and billing software specifically designed for EMS settings and WHEREAS, the County and Provider desire to amend the Original Agreement while keeping in effect all terms and conditions of the Original Agreement not inconsistent with the terms and conditions set forth below. NOW THEREFORE, for and in consideration of the mutual covenants and agreements made herein, the parties agree to amend the Original Agreement as follows: 1. In order to ensure the completion of the Services identified in the term of the Original Agreement is amended to reflect an end date by which all Services shall be completed of December 17, 2025 2. The Original Agreement is amended by adding the following tasks and services to the Services to be provided by the Consultant: Services as noted in invoice ESO-154004 (see Attachment A) 3. Article 5, Section a is amended to reflect a maximum payable not-to-exceed amount of $147,548.31 ($47,572.50 from original contract + $49,352.04 from amendment on December 5, 2023 + $40,628.77 for amendment on October 28, 2024 + $9,995.00 for this amendment). 4. Except for the changes made herein, the Original Agreement shall remain in full force and effect to the extent it is not inconsistent with this Amendment. In the event there is a conflict between the terms of the Original Agreement and the terms of this Amendment, this Amendment shall control. IN TESTIMONY WHEREOF, this Amendment has been executed by the parties hereto, as of the date first above written. ORANGE COUNTY PROVIDER ______________________________ __________________________________ Travis Myren Robert Munden County Manager Chief Legal & Compliance Officer Docusign Envelope ID: 534E527E-89D7-4C90-A46E-7C5433DC7D98 11/13/202411/21/2024 Revised 01/24 ORANGE COUNTY—INTERNAL USE ONLY ______________________________________________________________________________ Finance Information Vendor Name: ESO Solutions Vendor Contact Person: Sharon Kor Phone: 866-766-9471 Address: 11500 Alterra Parkway City Dallas State: TX Zip: 78758 Department: Emergency Services Amount: $9,995.00 Purpose: Software licensing and support for ESO application (HDE Payer Insight to ESO + HDE ePCR connection) Budget Code(s): 10315020-625010 Vendor # 64783 Vendor Status with NCSOS: Current - Active Vendor is a BOCC consultant: Yes No Contract Details Contract Type: New Amendment (Original Contract: 9/29/2017) (Most Recent Amendment 10/28/2024) Effective Date 11/12/2024 End Date 12/17/2025 Notice Date (Notice Purpose ) Award Approved by Board (Agenda Date: ); Made or Administered by Kirby Saunders Signature Authority - BOCC Express Delegation (Agenda Date: ) - Policy 9.4: Under $5,000; Service Under $90,000; Construction Under $250,000 - Budget Policy Section XV (Capital Improvement Project: ) Bidding Informal Bidding ($30k-$90k); Formal RFP ($90k+); Other (<$30k); Exception(# ) Department Affirmation This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has not been initiated prior to execution of the agreement. This agreement is approved as to technical form and content. Services related to this agreement have already begun or been completed. Description of the nature of the emergency condition that was addressed: Department Director’s Signature ________________________________________ Date: ________ Information Technologies This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer___________________________________ Date: ________ Inapplicable because no hardware/software purchases or related services Risk Management This agreement is approved for sufficiency of insurance standards, specifications, and requirements: Office of the Risk Management Officer ___________________________________ Date: _________ Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer ____________________________________ Date: _________ Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney __________________________________________Date: ________ Clerk to the Board All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Received for record retention: Office of the Clerk to the Board __________________________________________Date:_________ Docusign Envelope ID: 534E527E-89D7-4C90-A46E-7C5433DC7D98 11/13/2024 11/19/2024 11/20/2024 11/21/2024 11/21/2024 Revised 01/24 Docusign Envelope ID: 534E527E-89D7-4C90-A46E-7C5433DC7D98 Please send payments to: ESO Solutions, Inc. PO Box 738310Dallas, TX 75373-8310 Invoice Date:11/18/2024 Invoice #ESO-154004 Terms Net 30 Due Date 12/18/2024 PO# 1 of 1 Bill To Ship To Orange County EMS - NC510 Meadowlands Drive PO Box 8181Hillsborough NC 27278United Statessensenat@orangecountync.gov Orange County EMS - NC510 Meadowlands Drive PO Box 8181HillsboroughNC 27278US Item From To QTY UOM Total HDE Payer Insight to ESO Billing Feed of Hospital Patient Demographic and Insurance Information into billing. 12/18/2024 12/17/2025 1 HDE Records USD $7,000.00 HDE - ePCR Connection Connection and bidirectional exchange for a non-ESO ePCR customer with participating hospitals 12/18/2024 12/17/2025 16,027 Incidents USD $2,995.00 Invoice Message: ACH/EFT bank information: JP Morgan ChaseRouting: 111000614Account Number: 577211926 Check Remittance lockbox address: ESO Solutions, Inc. PO Box 738310Dallas, TX 75373-8310  Total (Without Tax):USD $9,995.00 Tax:USD $0.00 Grand Total:USD $9,995.00 Amount Paid/Credit:USD $0.00 Total Recurring:USD $9,995.00 Total One-Time: Invoice Balance:USD $9,995.00 Please submit payment remittances to accountsreceivable@eso.com to ensure correct invoice application. 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. Questions? Contact: AccountsReceivable@eso.com 866-766-9471 option 8 Tax ID: 36-4566209 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. 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. For a 3% fee, pay via Card Direct Card Payment Link: https://app.suitesync.io/payments/acct_1FelgtGvY2g6ha8S/custinvc/7928983/?amount=1029485 Pay via Online Bank Transfer Direct Bank Transfer Link: https://app.suitesync.io/payments/acct_1FelgtGvY2g6ha8S/custinvc/7928983/?card=false Attachment ADocusign Envelope ID: 534E527E-89D7-4C90-A46E-7C5433DC7D98 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2016 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 1,000,000 36075664 HOU-004070248-09 X N/A Dallas, TX 75201-7357 1 N/A 2,000,000 1,000,000 N/A N/A X 05/03/2024 03/31/2024 Orange County, its officers, agents and employees are included as additional insured where required by written contract with respect to General Liability. X P.O. Box 8181 Hillsborough, NC 27278 Orange County N/A A N/A CN122676965--Finpr-2425 15,000 2,000,000 20281 1,000,000 4400 Comerica Bank Tower MARSH USA, LLC. 1717 Main Street 11500 Alterra Parkway ESO Solutions, Inc. Austin, TX 78758 Suite 100 300 West Tryon Street X 03/31/2025 Federal Insurance Company Docusign Envelope ID: 534E527E-89D7-4C90-A46E-7C5433DC7D98