CONTRACT 5723D AmendmentAgreement No. 5723D
Agreement No
FIRST AMENDMENT TO
PROFESSIONAL SERVICES SUBSCRIPTION AGREEMENT
BETWEEN
THE CITY OF EL SEGUNDO AND
BACKDRAFT OPCO, LLC DBA EMERGENCY REPORTING
This First Amendment is entered into this I" day of May 2021, by and between the CITY
OF EL SEGUNDO, a municipal corporation and general law city ("CITY") and BACKDRAFT
OPCO, LLC DBA EMERGENCY REPORTING, a Washington Corporation
("CONSULTANT").
1, The parties desire to amend the Agreement by replacing the existing Order Summary
and adding CONSULTANT's updated Order Summary Fee Schedule, and amend the
term of the Agreement, so that the Agreement will now expire on June 30, 2023, in
accordance with updated Fee Schedule.
2. The parties also desire to amend the Agreement to increase the total amount of the
Agreement not -to -exceed $10,000 annually over the two-year term.
3. This Amendment may be executed in any number or counterparts, each of which will
be an original, but all of which together constitutes one instrument executed on the
same date.
4. Except as modified by this Amendment, all other terms and conditions of Agreement
No. 5723 remain the same.
[Signatures on next page]
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Agreement No. 5723D
Agreement No
IN WITNESS WHEREOF the parties hereto have executed this Amendment the day and
year first hereinabove written.
CITY OF EL SEGUNDO
E M
kott Mitnick,
City Manager
ATTEST:.
jcyTrer,
lerkr°-
APPROVED AS TO FORM:
Mark D. Hensley,
City Attorney
I
BACKDRAFT OPCO, LLC DBA
EMERGENCY REPORTING
ZLI
David Nokes
CEO
Taxpayer ID No. �71-0930426
Change Order Form - Backdraft OpCo, LLC
Agreement No. 5723D
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It:4 "*1 IL EN
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ER Contact Details
Prepared By
Greg Anderson
Phone
Email
greg.anderson@emergencyreporting.com
Fax
Customer Contact Details
Account Name
El Segundo Fire Department (CA)
ER Account ID
ER Account ID
7333
Quote Number
Contact Name
Carol Lynn Urner
Expiration Date
Phone
(310) 524-2395
Customer Type
Ship To
314 Main ST
El Segundo, CA 90245
County
Los Angeles
Order Summary
(801) 935-1822
(866) 929-6157
7333
00027435
5/31/2021
Existing
Emergency Reporting
2200 Rimland Dr.. Suite 305
Bellingham. WA 98226
www.emergencyreporting.com
Phone: 866.773.7678
Fax: 866.929.6157
Gold CAD
USD
USD
Annual
Please reach out to your CAD provider as there may be a cost to interface
CAD-P1
1.00
'
Subscription
Package
799.00
799.00
to Emergency Reporting.
Fee
Gold
Target
INT-3
1.00
USD j
USD
Solutions
Includes the following: (2) - Partner Connections, Dept API Connection,
Interface
895.001
895.00
and
Medical Billing, eFax
Package
I
Crewsense
Includes the following modules: NFIRS, Occupancy (preplans), Inspections,
Gold
Annual
Hydrants, Permits, Maintenance Module, Truck Checks, Apparatus,
Package Base-7
1.00
USD
USD
Subscription
Training Module, Inventory Module,Calendar, Daybook, Demographics,
Base
4,062.00
4,062.00
Fee
Events, Library, Messages, Payroll, Reports, Staffing, LOSAP, Response
Analytics/Safety Analytics Premier, Google Maps, Vision, BI Basic
Annual i
Subscription
InspectER
USD I
USD
Fee
InspectER App - Level 3 - Department access of Read, Write, Edit and
App -
I INSP-1_3'i=i
1.00
1,104.00
1,104.00
Inspector
Inspection features.
Leve13
1
i
and
Company
Summary
Bill To Name El Segundo Fire Department (CA)
Bill To 314 Main ST
El Segundo, CA 90245
Initial invoice will be issued upon receipt of the order form. If this
represents a problem for the accounting department please contact
your sales rep.
Please make checks payable to: Backdraft OpCo, LLC
Year 1 Total
Yearly Subscription USD 5,166.00
Fees
Annual Vision Fee USD 0.00
Annual Interface USD 895.00
Fee
One -Time Setup USD 0 00
Original Order Form Terms & Conditions Apply to this Change Order
01 CA CC CA C11'_K1Cn ill In'rC Tn I_QRR_U9O_F1 r7 r%D C!`A Rif C_RM.il♦...... n+ 4,_
Bata liorl:mirt Fee usil.) a Agreement No. 5723D
I otal 11 irairilng Cost USID 01 00
Year 1 Cost USID 6,B60 00
Estimated Featly L)SID 6,860 00
I otalYear 2 ii
Department Information - *Required to Process Order if applicable.
FIDID: EMS ID:
FIDID 19065
Notes / Comments
Special Order Invoice
Terms #INV210309#
Terms & Conditions
Order Agreement
Print Name
Title
Phone #
Signature
Date
06glinall Order i errns & Conditions Al: ply
BliHng Contaft
Invoices and bdlOg related information will be sent electronically to
this contact. If left blank ER will use the pnharycontact it
listed at the top of this order form:
Name
HM
Would you lilke to receNe a copy ofyouir invoice via rnaH please check
hiere: Mail [ �
MaHed invoices wfl1l be sent to the olling address Mist above,
DIE: A CC: CA V CI r-'Klg=n nU Un'rC: 'rr% 4_QAr_09 Q-A I r7 nD Qe' A KO I r--Rfi,; I I,-
4