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Home My WebLink AboutSafety Contract (BPW approved 11/4/25) City of Jeffersonville Government Contract Coversheet Please note: All information MUST be completely filled out and submitted to Clerk's Office within 48 hrs of execution. Date Submitted to Clerk: 11/5/2025 Department: Safety Vendor Name: Velocity EHS Sign Date: 11/5/2025 Ending Date: 12/31/2026 Amount of Original Contract: $3.499.01 Is this an amendment or change order to original contract? No Amended Contract Amount: Purpose: City wide online MSDS For Clerk's Office to fill out Date uploaded to Gateway: uocusign tnvetope tu: oil obuo-li tD/A-4y I4-Nl./y-Lu/y bbbuONN Docusign Envelope ID:C944C1BC-546C-4304-8DAC-1CCACABEF17B ielocit HS . CUSTOMER ORDER FORM 222 Merchandise Mart Plaza. Suite 1750 Contract Number: 0-267330 Chicago,IL 60654 Issued Date: August 21, 2025 Ph:312.881.2000 Issued By: Bernard Siliezar Fax:866.320.1021 Offer Valid Through: October 31,2025 Tax ID#:04-3626476 Customer Information Customer: City of Jeffersonville Attn: Brian Smith D-U-N-S®Number: 071320964 Terms &Conditions Related Contract: Payment Terms: Net 30 Contract Start Date: December 31,2025 Billing Frequency: Annual Contract End Date: December 30,2028 Annual Price Adjustment: 5.00% Initial Term: 36 Months Subscriptions& Services December 31, December 31, December 31, 2025 to 2026 to 2027 to Item Type Qty December 30, December 30, December 30, 2026 2027 2028 SDS/Chemical Management Annual 1 SDS Management Annual 1 S2,974.01 53.122 71 S3.278.84 Included Site Administrator Annual 1 Additional Site Administrators Annual 4 Fax Back Service-Domestic Annual 25 5525.00 5551 25 $578.82 Total: $3,499.01 $3,673.96 $3,857.66 1 This Customer Order Form.including all Exnibrts.and the Services provided hereunder are governed by the terms and conditions of the VetocrtyEHS Master Subscription and Services Agreement.as posted on triton-www ens com-mssa which is hereby incorporated into this Customer Order Form(the'Agreement").By signing below Customer agrees to be bound by such terms and conditions as of the date of signing VelocityEHS may deem this Customer Order Form null and void if the executed agreement is not received by VeloatyEHS by the'Offer Valid Through date listed above.or d the document is returned with handwntten changes Pricing includes an additional 10%discount for a commitment to a 3-year agreement. City of Jeffersonville VelocityEHS "—Signed by: Signature: ' _---- Signature: F1:elwa$ y \--85LUbUUUA12E4bt_- Name: �` 'Roe f� Name. Michael Bruffey Title: MG a c Title: Director, Renewals Date: \( S - o�� Date: 11/6/2025 Contract#:0-267330 0 2001-2025 VelocityEHS.All rights reserved.VelocityEHS®.MSDSonl/ns®,Humanfech®,and Changed!)are proprietary trademarks of VelocityEHS. Page 1 of 3 Uocus gn tnvelope IU: ti:i/yti5U25-tiybH-4y14-AUf -2dtJ/ ib5UbAH Docusign Envelope ID:C944C 1BC-546C-4304-8DAC-1CCACABEF 17B ✓elocit EI S Y CUSTOMER ORDER FORM Exhibit A SDS Management Base subscription pricing includes: • One annual SDS Management subscnption(s)for the Customer and up to 200 employees. • Unlimited Account Administrators • Unlimited SDS database searches,views and additions to the eBinder. • Access to eBinder and database search from the SDS/Chemical Management mobile application. • Access to the Desktop Application,which allows administrator(s)to print SDSs.and download an electronic backup of their SDSs and basic information. • Annual allotment of 50 SDS Requests and 100 SDS Uploads.Additional SDS Requests may be purchased in bundles of 250 for$1000:additional SDS Uploads may be purchased in bundles of 500 for$1000. • Technical&Customer Support. • Additional 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 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. • Additional materials are available upon request at$2.50 per Poster and$0.10 per Sticker(minimum$25.00 order). • DISCLAIMER-THE FAX-BACK SERVICE CONSISTS OF CUSTOMER RECEIVING REQUESTED COPIES OF 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 fees are in USD and,unless otherwise noted,are due on the Contract Start Date,as noted on page one(1)of this agreement. The Contract End Date reflects the subscnption 'anniversary date-.subsequent years fees will be invoiced between 45 and 60 days before each anniversary date,with payments due prior to each anniversary date.Where applicable, all travel expenses will be invoiced to Customer as incurred.Sales tax associated to this Order will appear on the invoice,where applicable. I Contract 0.0-267330 D 2001-2025 Ve/ocifyEHS.All rights reserved.VelocityEHS®.MSDSonlines.Humantech49,and ChemteAAare proprietary trademarks of VelocutyEHS. Page 2 of 3 UOCusign envelope IL): ti;d(9UbUtt-liVOA-4914-HU/9-29Uf9bb5UbHH Docusign Envelope ID:C944C1BC-546C-4304-8DAC-1CCACABEF17B Velocity CUSTOMER ORDER FORM Exhibit B Customer Support Customer Support is included with the customers software subscnption.Support includes troubleshooting,product usage assistance.and general inquiries regarding Customer's account(s). • Support is available Monday-Fnday,excluding weekends and U.S.holidays.Support Business Hours are listed in the Support Business Hours table below. • First Response times are based upon Support Business Hours and vary according to issue Seventy and customer subscription.First Response time goals are listed in the Support First Response Times Goals table below.Seventy Definitions are included in the Severity Definitions table below. • Separately.for custom project engagements.VelocityEHS can scope and deliver a service project(s)for an additional fee.VelocityEHS will obtain approval poor to proceeding with any custom work that will result in additional charges. Support Business Hours Americas Barn-8pm Eastern(UTC-4) 7am-7pm Central(UTC-5) 5am-5pm Pacific(UTC-7) EMEA 9am-12am UTC/BST 10am-lam CET(UTC+1) 11am-2am EET(UTC+2) Support First Response Times First Response Time Goals Severity# Severity Name First Response Time(Business Hours) S1 Critical 2 hours S2 High 8 hours S3 Medium 72 hours S4 Low 6 days(96 hours) Severity Definitions Severity# Severity Name Definition Critical service(s)unavailable OR platform access unavailable for all customers or all admins on 1 account OR j end users cannot access the site to view an SDS Si Cnticai OR data corruption/loss. And no workaround is possible. (Note:Does not include dev environments.) Degraded performance of Critical services OR Important service(s)are unavailable.including access to eBinder pnmary functions.ENS workflows,etc. S2 High OR only some users are unable to access platform/site. Generally multiple users or accounts are impacted by the issue. Degraded performance of Important services.for example intermittent errors on functions or workflows(but S3 Mediumaccess is not blocked) OR a specific component is impaired,resulting in inconvenience or delays OR login/access issues for a single user. Non-impacting issue OR issue impacting only 1 user AND not related to accessilogin S4 Low OR issue not blocking workflow OR Inquiry OR Request for an item not currently part of the application,including: How-to question.Feature Request,Change Request.Documentation Request.or troubleshooting of dev environment. Contract# o-267330 n 2001-2025 VelocityEHS.All rights reserved.VelocityEHS®.MSOSonline®.Humantech®.and CMmte1J are proprietary trademarks of VeloctyEHS. Pape 3 of 3