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1 of 8 <br />NEOGOV ORDERING FORM <br />Employee Count: 1,060 GRYHUQPHQWMREV.FRP, IQF. (GEa ³NEOGOV´) <br />300 Continental Blvd., Suite 565 <br />El Segundo, CA 90245 <br />accounting@neogov.com <br />Customer Information <br />Customer <br />Name: <br />City of Santa Ana (CA) Customer <br />Contact <br />Name: <br />Haney Mostafa <br />Customer <br />Address: <br />20 Civic Center Plaza <br />Santa Ana, CA 92702 <br />Email <br />Address: <br />hmostafa@santa-ana.org <br />Fee Summary <br />Service Description Term 1: 7/1/21 - <br />6/30/22 <br />Term 2: 7/1/22 - <br />6/30/23 <br />Subscription Fees: <br />Onboard License $15,429.20 $16,200.66 <br />Perform License (50% off Term 1) $14,198.11 $28,396.22 <br />Position Integration License (50% off Term 1) $1,500.00 $1,500.00 <br />Employee Import Integration License (50% off <br />Term 1) $1,500.00 $1,500.00 <br />Professional Service Fees: <br />Perform Training $2,500.00 N/A <br />Perform Setup $2,985.00 N/A <br />Position Integration Setup Waived N/A <br />Employee Integration Setup Waived N/A <br />Total: $38,112.31 $47,596.88 <br />A. Agreement and Applicable Modifications to the Agreement. <br />1.Agreement. This Ordering Document and the Services purchased herein are governed by the <br />terms of the Services Agreement either affixed hereto or the version most recently publis hed <br />prior to execution of this Ordering Document available at https://www.neogov.com/service- <br />specifications, as well as the Service Specifications and applicable Schedules incorporated <br />therein. <br />2.Effectiveness & Modification. Neither Customer nor NEOGOV will be bound by this <br />Ordering Document until it has been signed by its authorized representative. This Order Form <br />may not be modified or amended except through a written instrument signed by the parties. <br />B. General Terms Summary. <br />1.Summary of Fees. Listed above is a summary of Fees under this Order. Once placed, your <br />order shall be non-cancelable and the sums paid nonrefundable, except as provided in the <br />Agreement.