(Name) (Address, City, Zip) (Name) (Address, City, State, Zip) (Name) (Address, City, State, Zip) Location where services to be performed will be changed or shifted by Contractor: (Address) (Address, City, State, Zip) Name/Location(s) where services will be changed or shifted to be performed by Subcontractor(s): (Name) (Address, City, Zip) (Name) (Address, City, State, Zip) (Name) (Address, City, State, Zip) (Name) (Address, City, State, Zip) ATTACHMENT NINE ODRC ELECTRONIC HEALTH RECORD (EHR) SYSTEM COST PROPOSAL The Cost Proposal is included in electronic form on the Opportunity Details Page on the State Procurement Website for this RFP. The Cost Proposal is to be submitted, separately sealed, as a Microsoft Excel workbook in native Excel format not PDF. – The Cost Proposal Workbook has three tabs that need to be completed: Costs with Contractor Hosting with Customer Hosting Contractor Rate Card The Offeror must only add content or cost values in the orange shaded of each tab. ATTACHMENT TEN: MASTER CONTRACT FOR SOFTWARE LICENSING (MLA NUMBER [0000000]) THIS CONTRACT (the is between the State of Ohio (the through the Department of Administrative “Contract”) “State”), Services, Investment and Governance Division, with offices at 30 East Broad Street, Columbus, Ohio 43215, and [Company name of the Contractor] (the "Contractor"), with offices at [street address, city, state and zip code for the Contractor], and whose Federal Tax ID Number is [the Contractor’s TIN] and D-U-N-S Number is [the Contractor’s
(Name) (Address, City, Zip) (Name) (Address, City, State, Zip) (Name) (Address, City, State, Zip) Location where services to be performed will be changed or shifted by Contractor: (Address) (Address, City, State, Zip) Name/Location(s) where services will be changed or shifted to be performed by Subcontractor(s): (Name) (Address, City, Zip) (Name) (Address, City, State, Zip) (Name) (Address, City, State, Zip) (Name) (Address, City, State, Zip) ATTACHMENT NINE ODRC ELECTRONIC HEALTH RECORD (EHR) SYSTEM COST PROPOSAL The Cost Proposal is included in electronic form on the Opportunity Details Page on the State Procurement Website for this RFP. The Cost Proposal is to be submitted, separately sealed, as a Microsoft Excel workbook in native Excel format – not PDF. The Cost Proposal Workbook has three tabs that need to be completed: Costs with Contractor Hosting with Customer Hosting Contractor Rate Card The Offeror must only add content or cost values in the orange shaded of each tab. ATTACHMENT TEN: MASTER CONTRACT FOR SOFTWARE LICENSING (MLA NUMBER [0000000]) THIS CONTRACT (the “Contract”) is between the State of Ohio (the “State”), through the Department of Administrative Services, Investment and Governance Division, with offices at 30 East Broad Street, Columbus, Ohio 43215, and [Company name of the Contractor] (the "Contractor"), with offices at [street address, city, state and zip code for the Contractor], and whose Federal Tax ID Number is [the Contractor’s TIN] and D-U-N-S Number is [the Contractor’s
0A1220_ODRC%20EHR%20RFP%20in%20MS%20Word%20format.docx