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HomeMy WebLinkAboutSAFETY CONTRACT tfefocit EHS MSDSonline CUSTOMER ORDER FORM y -a✓elorityENS solution--- 222 Merchandise Mart Plaza, Suite 1750 Contract Number: RS-085048 Chicago, IL 60654 Contract Date: 10/28/2019 Ph: 312.881.2000 Sales Rep: Charles Schuenemann Fax: 866.590.4961 Offer Valid Through: 11/27/2019 Tax ID#:04-3626476 Customer Information Bill to: Ship to: Customer: City of Jeffersonville Customer City of Jeffersonville Attn: Brian Smith Attn: Brian Smith Address: 500 Quartermaster Ct. Address: 500 Quartermaster Ct. Jeffersonville, IN 47130 Jeffersonville, IN 47130 Terms and Conditions Related Contract: Not Applicable PO Number: Contract Start Date: 1/1/2020 Payment Terms: Net 30 Contract End Date: 12/31/2022 Billing Frequency: Annually Term: 3 Years Initial Invoice Due: 1/1/2020 Coverage: 1 Location(s) Chemical Management Licensing Product Qty Year 1 Year 2 Year 3 HQ Account 1 $2,250.00 $2,250.00 $2,250.00 Additional Management Licenses-HQ 9 $300.00 $300.00 $300.00 Compliance Solutions Licensing Product Qty Year 1 Year 2 Year 3 Fax Back Service-Domestic 25 Included Included Included Total $2,550.00 $2,550.00 $2,550.00 This Customer Order Form,including all a hibits,and the Services provided hereunder are governed by the terms and conditions of the VelocityEHS Master Subscription and Services Agreement,as posted on https://www.ehs.com/mssa,which is he-., incorporated into is Customer Order Form(the"Agreement").By signing below,Customer agrees to be bound by such terms and conditions.VelocityEHS may deem this Customer Order Form null an void if t -: ecuted agreement not received by VelocityEHS by the"Offer Valid Through"date listed above,or if the document is returned with handwritten changes. City of Jeffersor vill= VelocityEHS Signature: Signature: Name: / ;k77e DOPE Name: Title: 777/F c:),€_ Title: Date: /%//9 Date: Contract#:RS-085048 ©2001-201 9VelocityEHS.All rights reserved.VelocityEHS®and MSDSonline®are proprietary trademarks of VelocityEHS. Page 1 of 2 i doc t EHS MSDSonline EXHIBIT A -a✓elodtyalS solution-- (M)SDS Management Base subscription pricing includes: • 1 annual HQ subscription(s)for the Customer and its employees included within the Coverage of this agreement. •A Primary Account Administrator and 9 Additional Administrator(s). Additional Administrators may be purchased for 250.00 USD per Administrator. • Unlimited MSDS database searches,views and additions to the eBinder. •Access to eBinder and MSDSonline database search from the SDS/Chemical Management mobile application. •Access to the MSDSonline Desktop Application,which allows administrator(s)to print SDSs,and download an electronic backup of their SDSs and basic information. •Annual allotment of 50 MSDS Requests and 100 MSDS Uploads. Additional MSDS Requests may be purchased in bundles of fifty(50)for 200 USD;additional MSDS Uploads may be purchased in bundles of(100)for 200 USD. •Technical&Customer Support. • Supplemental Terms and Conditions apply. To learn more,click here. Fax-Back Service—Domestic: This 24/7 Service provides all Customer employees included within the Coverage of this agreement access to a toll-free telephone number in order to request an (M)SDS to be supplied via facsimile, receive chemical exposure support,or medical information. • Customer is allowed up to 25 fax events on an annual basis. • Chemical exposure support or medical information calls will be counted as five(5)fax events. • Initial purchase includes allotment of ten(10)8.5 x 11 Posters and fifty(50) 1-800-Number Stickers to communicate the program. •Additional fax events may be purchased in bundles of ten(10)for 200.00 USD. •Additional materials are available upon request at 2.50 USD per Poster and 0.10 USD per Sticker(minimum 25 USD order). • DISCLAIMER -THE FAX-BACK SERVICE CONSISTS OF CUSTOMER RECEIVING REQUESTED COPIES OF(M)SDS DOCUMENTS VIA FAX. CUSTOMER ACKNOWLEDGES THAT THE FAX-BACK SERVICE IS PROVIDED THROUGH THIRD PARTY CONTRACTORS RETAINED BY VELOCITYEHS AND THAT SUCH CONTRACTORS MAY PROVIDE OR OFFER TO PROVIDE ADDITIONAL SERVICES, ADVICE, REPORTS OR RECOMMENDATIONS TO CUSTOMER, INCLUDING BUT NOT LIMITED TO MEDICAL, HEALTH CARE OR EMERGENCY INFORMATION ABOUT OR PERTAINING TO EXPOSURE TO OR TREATMENT FOR EXPOSURE TO CHEMICALS,THAT ARE NOT PART OF THE FAX-BACK SERVICE ("OTHER SERVICES OR ADVICE"). IN NO EVENT SHALL VELOCITYEHS BE LIABLE TO CUSTOMER OR TO ANY THIRD PARTY FOR ANY LOSS, DAMAGE, OR EXPENSE RELATING TO SUCH OTHER SERVICES OR ADVICE OR CUSTOMER'S RELIANCE THEREON,AND CUSTOMER AGREES TO HOLD VELOCITYEHS HARMLESS FROM SAME. All Year One(1)fees are in USD and unless otherwise noted, become due on the Contract Start Date,as noted on page one(1)of this agreement.The Contract Start Date reflects the subscription"anniversary date";subsequent yearly fees will be invoiced between 45 and 60 days before each anniversary date,with payments due prior to each anniversary date. Customer may at its discretion pre-pay the full term of the agreement. Sales tax associated to this Order will appear on the invoice,where applicable. Contract#:RS-085048 ©2001-201 9VelocityEHS.All rights reserved.VelocityEHS®and MSDSonline®are proprietary trademarks of VelocityEHS. Page 2 of 2