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
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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
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1.DOCX
CONTRACT NO. P-17-447-I Page 3
ESO Solutions, Inc.
December 2, 2021
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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)