ServiceLogix+Amendment+22+-+signed.pdf

CONTRACT AMENDMENT

AMENDMENT NUMBER 22

Amendment 22 to the Contract between the State of North Dakota, acting through its Workforce Safety and Insurance (STATE), and ServiceLogix, Inc. (CONTRACTOR).

The parties agree to the following terms and conditions and expressly agree that if any of the following terms and conditions conflict with any of the terms and conditions of the Contract, then, notwithstanding any term in the Contract, the following terms and conditions govern and control the rights and obligations of the parties.

Whereas, 29 Merger and Modification, Conflict in Documents states “…This Contract may not be modified, supplemented or amended, in any manner, except by written agreement signed by both parties.”; therefore, the contract is amended as follows:

Section 2. Scope of Work is hereby amended to add the CAPS Program –Release 11 Claims Maintenance Part 1 Statement of Work to provide project management, business analysis, quality assurance, development, application architecture support, and database services for the re-facing effort for Release 11 as laid out in the CAPS Release Plan.

This section is also hereby amended to add the myWSI Program – Release 7 Statement of Work to provide project management, business analysis, quality assurance, development, application architecture support, and database services for the implementation of Release 7 as laid out in the myWSI Release Plan.

This section is also hereby amended to add the Production Support Statement of Work to enhance and support what was implemented in CAPS Releases 1-10 and myWSI Releases 1-6.

The attached Statements of Work shall be incorporated and considered part of the Contract upon signature by both STATE and CONTRACTOR.

Section 3. Compensation, a. Contractual Amount is hereby amended to increase the Contractual Amount from $19,483,856 to $23,130,073, an increase of $3,646,218. Billing for services will be at a Time and Materials rate of $135.00 per hour.

a. The increase includes $2,122,000 for services for CAPS Release 11 and travel expenses not to exceed $28,217.

b. The increase also includes $621,000 for services for myWSI Release 7.

c. The increase also includes maintenance and operations support for CAPS and myWSI in the amount $875,000.

Section 3. Term of Contract.

The Contract expires on June 30, 2023, and has no renewal or extension options available, but does include a renegotiation option. The parties have agreed to renegotiate the Term of Contract to add an additional two years starting July 1, 2023 through June 30, 2025 with two options to renew the Contract for twelve months each and one option to extend the Contract for up to twelve months.

Section 17. Insurance. Insurance requirements are hereby amended as follows, listed by subsection:

Art Thompson (Jun 21, 2023 17:49 CDT) Art Thompson

06/21/2023 https://na2.documents.adobe.com/verifier?tx=CBJCHBCAABAAF3tJqeqqoPHqdACD1OWQzLRtB25LB2Xp

ServiceLogix Amendment 22 Final Audit Report 2023-06-21

Created: 2023-06-21

By: Tricia Opp (topp@nd.gov)

Status: Signed

Transaction ID: CBJCHBCAABAAF3tJqeqqoPHqdACD1OWQzLRtB25LB2Xp

"ServiceLogix Amendment 22" History Document created by Tricia Opp (topp@nd.gov)

2023-06-21 - 8:57:28 PM GMT

Document emailed to arthompson@nd.gov for signature

2023-06-21 - 8:58:34 PM GMT

Email viewed by arthompson@nd.gov

2023-06-21 - 10:48:31 PM GMT

Signer arthompson@nd.gov entered name at signing as Art Thompson

2023-06-21 - 10:49:08 PM GMT

Document e-signed by Art Thompson (arthompson@nd.gov) Signature Date: 2023-06-21 - 10:49:10 PM GMT - Time Source: server

Agreement completed.

2023-06-21 - 10:49:10 PM GMT