BlueBridge/ComRel/Addl Serv/13800/Simpleview Bluebridge
Community Relations Department -2015
Appropriation#1203-4359300; Y.O.#32018
Contract Not To Exceed$13,800.00 g RpV�
ADDITIONAL SERVICES AMENDMENT TO rpO
AGREEMENT FOR PURCHASE OF GOODS AND SERVICES
THIS AMENDMENT TO THE GOODS AND SERVICES AGREEMENT ("Agreement") entered into by and
between the City of Carmel and Blueridge (the "Vendor'), as City Contract dated July 2, 2014 shall amend the terms
of the Agreement by adding the additional services to be provided by Vendor consistent with the Scope of Work
attached hereto and incorporated herein as Exhibit"A". Furthermore, the terms of the Agreement shall be amended
to include the E-verify requirement as stated in Indiana Code § 22-5.1.7 et seq., which is attached hereto and
incorporated herein as Exhibit"B", as well as the required E-verify Affidavit, attached hereto and incorporated herein
as Exhibit "C". Also, pursuant to I.C. § 5-22-16.5, Vendor shall certify that in signing this document, it does not
engage in investment activities within the Country of Iran. The terms and conditions of the Agreement shall not
otherwise be affected by this Additional Services Amendment and shall remain in full force and effect.
IN WITNESS WHEREOF,the parties hereto have made and executed this Amendment as follows:
CITY OF CARMEL, INDIANA Bluebridge
by and through its Board of Public
Works and Safety
By: BY
es Brainard, Presiding Officer Authorized Signature
Date:
f fm W ti
Printed Name
Mary An urke, Meer h
v' /P Or
Date: /7-'
Title
Lori S.Watson, ber FIDfTIN:
Date: ( �
Last Four of SSN if Sole Proprietor:
ATTEST:
/ D Date: // /.S
piana Cordray, IAMC, -Tr asurer
Date:
•
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Quote Valid Until: 7/15/15
Order Form
Order Information Subscription Term
Customer Name: :City of Carmel Start Date: ' 4/27/15
Billing Frequency: 'Annual See ContYa2+- S)xola_1 1tans End Date: •4/26/17
.on nexl-..ixrge_
Payment Terms: Net 30 Bitting Method: ; Invoice
Billing Information
Contact: fJJct nal '"i ea_ Phone: (31/)61/-7L/Q y Fax
Address: e
_ _.. .. Civri Sr •
�urlr�- City: CLtrn� i
State: .Zr i Zip Code:: L((10;3 Country: us/i .
Are Purchase Orders Required? Yes: as No: Email: ii hecka Car me J.i n.Jov
Purchase Order Number:` .. 12.0 1C • Is your company Sales Tax Exempt? Yes X No::
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Direct Pay I\ ayvA 4,q-k< 11
enroll in Direct Pay and $100 per year. B mpleting the Btueb ' uto Pay Enrollmer yments will
tomatically be withdrawn a invoice date an stomer will receive 100 discount on the T Cost.
If this Order Form is executed and/or returned to Bluebridge by Customer after the Start Date above, Bluebridge may
adjust the Start Date,without changing the Total Cost, to be the later of the date Bluebridge receives the Order Form or
\•' the Start Date above.The End Date will not be adjusted. Following activation, any adjustments to the Start Date may be
_t confirmed by contacting customerservicee )1uebd09ej1iflital com-
�( " v If Customer fails to pay all (due amounts •t 10 business day item Customer's woe' th to Notice, then
r) Bluebridge may sus Customer's 1o_lhe Platform a provision of Services
�,� 1if
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Upon signature by Customer and submission to Bluebridge, this Order Form shall become legally binding and governed
by the Master Subscription Agreement between Bluebridgo and Customer(found at http://www.gobluebridge.com/msa) •
unless otherwise agreed by Bluebridge and Customer. Bluebridge may reject this Order Form if: (1)the signatory below '
does not have the authority to bind Customer to this Order Form,(2) changes have been made to this Order Form(other
than completion of the purchase order information and signature block),or(3) the requested purchase order information
or signature is incomplete or does not match our records or the rest of this Order Form. Subscriptions are non-
cancelable before their Order End Date.
Customer: City of Carmel
Name: Signature:
Title: Date:
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EXHIBIT 4 /AI Z
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� � 0r � x Y}�' � � � �1 � s;,f �, �,'i bluebrltlge
SKU Product Description Order Order End Unit Price
Start Date Date Qty Total Price
100004 Mobile Visitor's Guide Pkg:Adv 4/27/15 4/26/16 $ 6,900.00 1 S 6,900.00i
300007 Simpleview Integration Setup 4/27/15 4/26/16 $ 1,500.00 1 $ 1,500.00;
200018 Simpleview Annual Maintenance 4/27/15 4/26/16 $ 500.00 1 S 500.00;
200018 Simpleview Integration Discount 4/27/15 4/26/16 $ (1,500.00) 1 $ (1,500.00)1
000002 Simpleview Annual Maintenance Discount 4/27/15 4/20/16 $ (500.00) 1 5 (500.00)I
1
Year 1 Subtotal: S6,90o
5KU Product Description Order Order End Unit Price Qty Total Price
Start Date Date -
100004 Mobile Visitor's Guide Pkg:Adv 4/27/16 4/26/17 $ 6,900.00 1 $ 6,900.00'
200018 I Simpleview Annual Maintenance 4/27/16 4/26/17 $ 500.00 1 $ 500.00,
000002 Simpleview Annual Maintenance Discount 4/27/16 4/26/17 5 (500 00) 1 $ (500.00)
•
' I
Year 2 Subtotal: $6,9eo
Total: $13,800
Contract Special Terms
This contract replaces your original contract with Bluebridge.809c($5,520)of the first year total of$6,900 will be billed
immediately,due net 30.The remaining 20914($1,380)of the first year total will be billed upon completion of the updated
Simpleview Integration. •
EXHIBIT A 2df
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