ZirMed, Inc/Fire/198.00/Subscriber AddendumZirMed, Inc,
Fire Department - 2018
Appropriation # 43-552.00 Fund P.O. #101469 Q4V
Contract Not To Exceed $198.00 Gd�
ADDITIONAL SERVICES AMENDMENT TO
AGREEMENT FOR PROFESSIONAL SERVICES
THIS AMENDMENT TO THE AGREEMENT FOR PROFESSIONAL SERVICES ("Agreement") entered into
by and between the City of Carmel and ZirMed, Inc. (the "Professional"), as City Contract dated May 18, 2616 shall
amend the terms of the Agreement by adding the addltlonal services to be provided by Professional consistent with
the Scope of Work attached hereto and incorporated herein as Exhibit "A 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
by and through its Board of Public
Works and Safety
By:
_ames Brainard, 7
MaryAnr.
Date:
Lori S.
Date:
Memb
Lti
Christine Pauley, Pferk-
Date: I'M
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TrMed, Inc.
Printed Name
NUO
Title
FUTIN:
Last Four of SSN if Sole Proprietor:
Date: 31
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ZirMed Subscriber Addendum
This Subscriber Agreement Addendum ("Addendum") is intended to amend and supplement the Subscriber
Agreement ("Agreement") made and entered into between ZirMed, Inc. ("ZirMed") and City of Carmel Fire
Department ("Customer") regarding Ccstomer's access and use of the products and services ("Services") provided by
ZirMed directly or made available through the ZirMed website by third parties. ZirMed and Customer agree to the
following terms that shall be additive to those found in the Agreement and restate and recite 0 other terms as
defined in the Agreement. Unless ctherwise specifically defined in this Addendum, terms shall have the same
meaning as in the Agreement in effect between the Parties.
Section 11- Solutions & Pricing
This Agreement governs access to and use of Services identified herein at the fees associated therewith. The
proposed fee schedule will be honored until 03/31/2018 and expires thereafter unless accepted.
Patient Financial Services
Credit Card Processing
$25 per Merchant ID per month. Subscribed for 1
Merchant ID(s). $0.25 per transaction and 0.50% per
dollar processed, in addition to Interchange and
Assessments, for Visa, Mastercard, and Discover
transactions. $0.25 per transaction and 0.80% per dollar
$25.00
9.0(i
processed, in addition to Interchange and Assessmerts,
for American Express transactions. See Merchant
Agreement for complete transaction pricing. $5 Monthly
Service Fee per encrypted device (EMV or E2E), as
applicable.
Check Processing
$0.50 per check, $0.25 per ATM Verification, $5 per
$0.00
$99.00
returned check,
E -Commerce Portal Fee
Monthly Fee of $49 per e-comme,ce portal(s). Subscribed
$39.00
$0.00
for 1 portal(s).
Total
$198.00
Technology, Staffing, and Support Services
In addition to the features and functionality referenced within, you'll also receive the following technology, staffing and
support services:
• Six Sigma designed implementaticn
• Unlimited users
• Ongoing training available online
• Support available through via phone, chat, or online case submission Exhibit
—A
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The information contained in this doctnnent is intended for the recipient and is considered confidential :nfonnatfon. - I v ED
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• Frequent updates and communications from ZlrMad about the company's newest available features,
functionality, and regulatory changes that could impact your business
• Reporting package available online
SSAE-16 Certification & Disaster Recovery
Access to ZirMed's developer portal that facilitates product integration
Your support team and ZirMed's Support & Training Center enable your users and managers to:
• Log support issues
• View/manage status of aper issues
• View/manage prior Issues and resolution
• Access knowledgebase articles
• Access training materials such as user guides and training videos 2417
• Attend regularly scheduled training webinars
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The inforMatiori contained In this document Is intended for the recipient and is considered confidential information. I NEC
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Note: The above fee schedule will be honored until 0313112018. Unless this Addendum is accepted and upon
expiration, ZirMed reserves the right to modify the prking and payment terms enumerated herein.
Section 11- Terms and Conditions
Solutions and Pricing. Customer desires to access and use Services provided for in this Addendum In addition
to those covered by the Agreement between the Parties. Customer agrees to pay all charges as billed to
Customer including monthly fees, transaction or usage fees, implementation fees and any customer
development or consulting fees as incurred as described above or in a supplement development agreement.
Transaction or usage fees shall be based on the amount of usage recorded by ZirMed's computer system,
and the pricing in effect at the time of Customer's use of such Services as documented herein.
Payment. Payment terms shall be as stated in the Agreement unless modified herein, in which case the terms
in this Addendum shall control. ZirMed reserves the right to charge Customer a $50.00 reactivation fee for
frequent late payments resulting in disruption or deactivation in Service. late payments (after 60 days) will be
subject to a late fee equal to one and one-half (1.5%) per month or at the maximum interest rate allowable
under applicable law, whichever is lower, of the overdue amount, except amounts disputed by Customer in
writing in good faith within ten (10) days following receipt of the invoice. If any undisputed amount of any
invoice remains unpaid, ZirMed may (without terminating this Agreement and reserving cumulatively all other
remedies and rights under this Agreement and at law) suspend further Services and licenses to access the
Services under this Addendum or the Agreement without further notice to Customer. Customer is msporsible
for all costs of collection including, but not limited to, collection agency fees and attorney fees. Due to the nigh
direct costs of some services, ZirMed restricts the use of purchasing cards, credit cards or debit cards to
transactions totaling less than five thousand dollars ($5,000) in a given month. Charges in excess of this
amount will be subject to a convenience fee of three percent (3%).
3. Term and Termination. Nothing herein shall act to extend or modify the term of the Agreement beyond that
previously agreed to between the Parties. The term and termination provision of the Agreement shall be
incorporated by reference herein and Customer access to the Services described above shall be the covered
by the Agreement.
4. Entire Agreement. This Addendum and the Agreement previously entered into between the Parties sets forth
all the representations, promises and understandings between the Parties on the matters If any part or parts
of this Addendum or the underlying Agreement are held to be invalid, illegal or unenforceable, such part will
be treated as severable, and the remaining parts shall continue to be valid and enforceable as to the Parties
hereto.
5. Counterparts. This Addendum maybe executed in counterparts and delivered by facsimile or other electronic
means, each of which will be deemed an original but all together Wil constitute only one agreement.
in Witness Whereof, the Parties to this Agreement, in recognition of their undertakings set forth above, and for due
and valid consideration, execute this Agreement.
Customer
By (signed).
By (signed):
ZirMed Exhibit-1-4-
The
xhibit/4'4"
The Information contained in this document is intended for the recipient and is considered confidential infonmatlon. I NED
Name:
Title:
Date:
ZJrRIVEE:Y
Name: 70% l,hC
Title: MM
Date:
The information contained in this document is intended for the recipient and is considered confidential information. ZI F:ZNM
INDIANA RETAIL TAX EXEMPT Page 1 of 1
C'ty
®� Camel
�eCERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
JL FEDERAL EXCISE TAX EXEMPT 101469
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES, AIP
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
PURCHASE ORDER DATE l DATE REQUIRED 1 REQUISITION NO. VENDOR NO.
3/8/2018 370269
DESCRIPTION
ZIRMED Fire Department
VENDOR 1311 SOLUTIONS CENTER SHIP 2 Civic Square
TO Carmel, IN 46032 -
CHICAGO, IL 60677--1311
PURCHASE ID BLANKET CONTRACT
24031
QUANTITY UNIT OF MEASURE
Department: 1120 Fund: 101 General Fund
Account: 43-552.00
PAYMENT TERMS
DESCRIPTION
1 Each Check Processing Implementation Fee
1 Each Credit Card Processing Implementation Fee
Send Invoice To:
Fire Department
FREIGHT
UNIT PRICE
$99.00
$99.00
Sub Total
EXTENSION
$99.00
$99.00
$198.00
2 Civic Square
Carmel, IN 46032- 1) ( FAN
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $198.00
SHIPPING INSTRUCTIONS A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
'SHIP PREPAID. AFFIDAVIT ATTACHED I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
'C.O.D. SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Denise Snyder
TITLE Budget & Accreditation Manager
CONTROL NO. 101469 CLERK -TREASURER