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HomeMy WebLinkAboutP-17-447-I ESO Solutions Amend 1.pdfCONTRACT INFORMATION SHEET DATE: 12/10/2021 Contract No.: P-17-447-I Vendor Number: 0000285835 Contract Title: Digital Innovation, Inc.: Name/Address: ESO Solutions, Inc. Trauma Registry V5 11500 Alterra Parkway, Suite 100 Austin, TX 78758 Contract Period: 8/23/2017 – 8/22/2022 Contact: accountsreceivable@eso.com Using Agencies: DPH Email: contracts@eso.com Terms: Net 45 Total Contract Amt.: $31,500.00 Buyer Name: Crystal Nino Requisition No: 5622200373 Org: 56201695 Supersedes: NEW RENEWAL X AMENDMENT X TICK DATE REFERENCE (RFQ# / RFP#) DESCRIPTION: Trauma Registry V5 is the database utilized by local area hospitals to track trauma data. DPH will be utilizing this Software to analyze system data. 12/10/2021 – Amendment #1 to increase contract maximum. SPECIAL INSTRUCTIONS: DISTRIBUTION: Completed By: Date: Completed By: Date DEPARTMENT: DPH REQUISITIONER: Carolyn Popovich Cn 12/10 Rev 1/3/2017 County of Fresno INTERNAL SERVICES DEPARTMENT ROBERT BASH, DIRECTOR – CIO Information Te ions 333 W. Pontiac Way, Clovis, CA 93612 / (559) 600-7110 * The County of Fresno is an Equal Employment Opportunity Employer * AMENDMENT NUMBER ONE (1) Agreement Number: P-17-447-I December 2, 2021 ESO Solutions, Inc. 11500 Alterra Parkway Suite 100 Austin, TX 78758 Contract Number P-17-447-I covering Trauma Registry V5 Database is amended as follows: Maximum: The County of Fresno desires to increase this Agreement in the amount of Five Thousand Dollars ($5,000.00). In no event shall services performed and/or fees paid under this Agreement be in excess of Thirty-One Thousand Five-Hundred Dollars ($31,500.00). Electronic Signatures. The parties agree that this Agreement may be executed by electronic signature as provided in this section. A. An “electronic signature” means any symbol or process intended by an individual signing this Agreement to represent their signature, including but not limited to (1) a digital signature; (2) a faxed version of an original handwritten signature; or (3) an electronically scanned and transmitted (for example by PDF document) of a handwritten signature. B. Each electronic signature affixed or attached to this Agreement (1) is deemed equivalent to a valid original handwritten signature of the person signing this Agreement for all purposes, including but not limited to evidentiary proof in any administrative or judicial proceeding, and (2) has the same force and effect as the valid original handwritten signature of that person. C. The provisions of this section satisfy the requirements of Civil Code section 1633.5, subdivision (b), in the Uniform Electronic Transaction Act (Civil Code, Division 3, Part 2, Title 2.5, beginning with section 1633.1). D. Each party using a digital signature represents that it has undertaken and satisfied the requirements of Government Code section 16.5, subdivision (a), paragraphs (1) through (5), and agrees that each other party may rely upon that representation. This Agreement is not conditioned upon the parties conducting the transactions under it by electronic means and either party may sign this Agreement with an original handwritten signature. Please acknowledge your acceptance by returning all pages of this letter to my office via email or USPS. If you have any questions, please contact Crystal Nino, Purchasing Technician, at (559) 600-7110 or email cnino@fresnocountyca.gov. CONTRACT NO. P-17-447-I Page 2 ESO Solutions, Inc. December 2, 2021 G:\PUBLIC\CONTRACTS & EXTRACTS\I\P-17-447-I ESO SOLUTIONS\CONTRACTS AND AMENDMENTS\P-17- 447- ESO SOLUTIONS AMEND 1.DOCX FOR THE COUNTY OF FRESNO Gary E. Cornuelle Purchasing Manager 333 W. Pontiac Way Clovis, CA 93612 GEC:cn G:\PUBLIC\CONTRACTS & EXTRACTS\I\P-17-447-I ESO SOLUTIONS\CONTRACTS AND AMENDMENTS\P-17-447- ESO SOLUTIONS AMEND 1.DOCX CONTRACT NO. P-17-447-I Page 3 ESO Solutions, Inc. December 2, 2021 G:\PUBLIC\CONTRACTS & EXTRACTS\I\P-17-447-I ESO SOLUTIONS\CONTRACTS AND AMENDMENTS\P-17- 447- ESO SOLUTIONS AMEND 1.DOCX CONTRACTOR TO COMPLETE: Company: Type of Entity: Individual Limited Liability Company Sole Proprietorship Limited Liability Partnership Corporation General Partnership Signature Print Name and Title Date Signature Print Name and Title Date Address City State Zip TELEPHONE NUMBER FAX NUMBER E-MAIL ADDRESS ACCOUNTING USE ONLY ORG No.: 56201695 Account No.: 7309 Requisition No.: 5622200373 (2/2021)