CONTRACT 5723 Vender AgreementOrder Form
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ER Contact Details
1.00 $2,028.00 $2,028.00 Annual Subscription
Prepared by
Greg Anderson
Phone
Email
greg@emergencyreporting.com
Fax
Customer Contact Details
1.00 $500.00
Account Name
EI Segundo Fire Department
Quote Number
Contact Name
Scott Martinez
Created Date
Phone
(310) 524-1990
Expiration Date
Email
smartinez@elsegundo.org
Customer Type
Ship To
314 Main ST
Year 1 Total
EI Segundo, CA 90245
Yearly Subscription $2,028.00,,
County
Los Angeles
Fees
Department Type
Career
Order Summary
Agreement No. 5723
(801)935-1822
(866) 929-6157
00015279
5/7/2018
6/30/2018
New
Emergency Reporting
2200 Rimland Dr., Suite 305
Bellingham, WA 98226
www.emergencyreporting.com
Phone: 866.773.7678
Fax: 866.929.6157
Fire Package FP -1
1.00 $2,028.00 $2,028.00 Annual Subscription
Fire Package Setup Fee FP -S1
1.00 $769.00
$769.00 One -Time Setup
Flat File Parser CAD Link Annual Fee FFP -4
1.00 $799.00
$799.00 Annual
non-NFIRS Data Import Fee DI -1
1.00 $500.00
$500.00 One -Time
Safety Analytics - Tier 1 SA- 1
1.00 $999.00
$999.00 Annual Subscription
Safety Analytics Setup - Tier 1 SAS - 1
1.00 $250.00
$250.00 One -Time Setup
Summary
Bill To Name EI Segundo Fire Department
Bill To 314 Main ST
Year 1 Total
EI Segundo, CA 90245
Yearly Subscription $2,028.00,,
Fees
# Years 5
Annual CAD Link $799.00'
Payment Schedule Yearly
Maintenance Fees
Initial invoice will be issued upon receipt of the order form. If this
Annual Vision Fee $0.00
represents a problem for the accounting department please contact
Annual Safety $999.00
your sales rep.
Analytics Fee
Billing Cycle Start Date. The AGENCY agrees that the billing cycle
One -Time Setup $1,019.00
start date will become affective on the 1 st of the following month in
Fees
which the signed order form is received.
Annual Interface $0.00
Fee
Data Import Fee $500.00
Training Fees $0.00
Year 1 Cost $5,345.00
Estimated Yearly $3,826.00
Total: Year 2+
Data Import & Contact Information - *Required to Process Order
FDID 19065
FDID:
*Is the organization tax exempt?
If "Yes", please include a copy with your order form.
*Do you have NFIRS data to be imported?
- This is included in your setup fee.
There is a $500 charge (as a group) to import any of the
non-NFIRS data listed below. If you wish -to import any non-NFIRS
data and the "import fee" is not a line item on this order form, please
contact your sales rep to have the order form updated. Your order
cannot be processed until this fee is added to the above products
"line item" list. ER doesn't import training records at this time.
Other Imports (Check all that apply - imported for a fee)
Equipment
Occupancy
Hydrants
Flow Test
Personnel
Apparatus
Agreement No. 5723
EMSID
The ER Support team will configure your account to export NFIRS
data to the state fire marshal's office, provided the office receives
NFIRS data. As a courtesy, ER will also send a copy of the email to
your department. Please enter the department email to receive these
email's in the space provided below. Existing Customers and
Non-NFIRS orders do not need to complete this section for
implementation.
*Dept. NFIRS Email Recipient:
- Please check one. ftw Customer Accouats-DpW
For Occupancy Module configuration would you like your setup
to be based on NFPA or ICC ?
* This is for setting up Categories and Subcategories.
*Account Setup Contact Name:.
*Phone#:
*e-mail:
Terms and
Conditions Emergency Reporting, a trade name of Reporting Systems, Inc. ('RSI'), and the above named account ('AGENCY') are
entering into an agreement as of the signature date.
Fire & EMS Solution Terms & Conditions
RSI shall perform the following services:
1. Collect emergency response data via a website accessible at https://secure.emergencyreporting.com.
2. Maintain collected data to standards set by FEMA's National Fire Incident Reporting System (NFIRS) and/or the
National Emergency Medical Services Information System, version 3.3.4 or 3.4.0 as supported by your state.
3. Provide EMS export services for states that are officially supported by RSI for EMS exports. Due to the number of
states that have modified the NEMSIS standard, NEMSIS 3 is not a supported EMS Export type in many cases.
State EMS reporting is not supported unless the state is specifically listed on our website.
4. Provide ongoing changes and bug fixes, at no additional charge, to remain in compliance with NFIRS & NEMSIS
3.
5. For supported states and exports (NFIRS, state specific EMS, or other export types) provide email or direct
HTTPS download to the necessary recipients. If possible, RSI will configure direct submission to the state; if the
state prohibits third party submissions, RSI will provide Agency with the applicable data for state reporting
requirements.
6. Ensure appropriate security, privacy, and encryption of data transmitted to and from the website, in compliance
with RSI's internal polices, federal HIPAA regulations, industry practices regarding security, and (if applicable)
Department of Defense (DoD) requirements as outlined in DoD directive 8500.1, 8500.2, PIA & SORN, necessary
STIGS, and others, as defined by the Secretary of Defense or his/her designee.
7. Provide access to the website by current browser technology as stated in the RSI Users Policies Manual.
8. Provide data backup to guard against data loss in the event of catastrophic system failure.
9. Guarantee uptime of 99.9%, as calculated on an annual basis.
The Agency shall be responsible for the following:
1. Maintain an active user list of accounts that are authorized to access the website.
2. Pay all outstanding charges in a timely fashion. Non -timely payment may result in deactivation of service
(deactivation will occur with warning to the AGENCY; AGENCY data will be accessible when charges are brought
current).
,i. iwamtain active internet aervice t-roviaer tiarl services to access the weosite. iar- cnarges are not inauaea in
this agreement. ISP failures are not the responsibility of RSI.
4. Enter emergency response data and all other data into the website per syst-;A-,yr@(D01tsNMrt5723
recommendations, and in accordance to the RSI User Policy Manual available on the support page from within
Emergency Reporting's website.
5. Use supported web browsers as listed in the RSI User Policy Manual.
Governing Law
The AGENCY agrees that the rights of user and RSI shall be governed by the Laws of the State of CA, without regard to
any conflicts of law, rules or provisions. Sole and exclusive jurisdiction for any action or proceeding arising out of or
related to this agreement shall be in an appropriate State or Federal Court located in CA State.
Data Ownership
All data transmitted to the website remains the property of the AGENCY. Retransmission of this data to the necessary
state reporting authorities is authorized. Modifying, deleting or other modifications of submitted incident data by RSI is
prohibited. Scientific research that is based on broad data trends is authorized, but no AGENCY specific data is to be
made visible to any third parties.
Statute of Limitation
The AGENCY agrees that any cause of action you may have against RSI must be commenced within (6) six months after
the claim arises.
Pricing
The AGENCY agrees to the prices set forth in this agreement. RSI reserves the right to modify AGENCY pricing at the
contract renewal date, and will provide 30 day advance written notice of its intent to do so.
Copyright
The AGENCY recognizes that the RSI website is protected under U.S. copyright and trademark law, international
conventions and other applicable law. The AGENCY agrees to not license, sell, publish, decompile, reverse engineer, or
otherwise deconstruct any portion of RSI's technology.
RSI uses computer technology to collect data, and no such technology is 100% reliable at all times. System failures may
occur without warning. Although all efforts will be made to prevent such failures, the AGENCY recognizes that these
failures are outside the control of RSI, and agrees to hold RSI, its principals, employees, and agents harmless. If any court
holds any portion of this Agreement to be unenforceable, then the remainder of this Agreement shall survive.
Order Agreement
Print Name: CZ,14 /�)UJOV4^
Title: Fire Chief
Phone #: (310) 524-2219
Email: cdonovan@elsegundo.org
Signature:
Date:
or -
Select Billing Frequency:
If not billing cycle is selected, the account will automatically be billed
yearly.
Billing Frequency:
Yearly
Monthly
Billing Contact:
Invoices and billing related information will be sent electronically to
this contact. If left blank ER will use the primary contact information
listed at the top of this order form,-
Billing
orm:
Billing Contact: Accounts Payable
Billing Email: allaccountspayable@elsegundo.org
Would you like to receive a copy of your invoice via mail please check
here:
Mail