DOC1931524935.pdf

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CN NE|CW30340
Contract number
CW30340
Issued by
Nebraska

About this file

Contract Summary

This is a Master Service Agreement (CW 30340) between the Board of Regents of the University of Nebraska and NE Lutheran Outdoor Ministries Carol Joy Holling Camp & Retreat for lodging, food, and meeting room services. The contract is governed by Nebraska law, with disputes resolved in Lancaster County state courts in accordance with the Nebraska State Contract Claims Act. The University of Nebraska system comprises a chief governing administrative unit and four universities: University of Nebraska at Kearney, University of Nebraska-Lincoln, University of Nebraska Medical Center, and University of Nebraska at Omaha. The supplier contact is Dana Jahn (Manager of Events) at djahn@nlom.org.

The contract pertains to the Great Plains Leadership Institute retreat originally scheduled for March 22-25, 2026, amended to April 19-22, 2026, with a total contract value of $7,794.00 and no tax charges. Services include lodging at Swanson and Sjogren facilities (93 total reserved bedrooms across three nights), meeting room rentals (Thrivent, Dillon, and Town Hall rooms), catering for 32 participants (breakfasts, lunches, and dinners), and equipment rental (LCD projector and sound system). The pricing breakdown includes Swanson Package NFP ($142.00 per night for 15 rooms), Sjogren Package NFP ($116.00 per night for 1 room), challenge course activities ($30.00 per person), and miscellaneous equipment and catering fees. A deposit of $1,746.00 was due by April 23, 2025. The contract is classified as a travel expense under $50,000 requiring no competitive bidding, with the amendment ratifying all prior terms while maintaining the same contract value.

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Procure-to-Pay

3835 Holdrege Street | Lincoln, NE 68583-0742 | 402.472.2126 nebraska.edu/p2p

University of Nebraska Contract Summary

CONTRACTOR/COMPANY INFORMATION

Supplier NE LUTHERAN OUTDOOR

MINISTRIES CAROL JOY HOLLING

CAMP & RETRE

Contact Name and Email

Dana Jahn - djahn@nlom.org

CONTRACT DESCRIPTION/INFORMATION

Contract Summary (brief description and/ or event name) Lodging, food and meeting room expenses associated with the Great Plains Leadership

Institute event on 3/22/26-3/25/26.

Amendment 1 to change dates to 4/19/2026-4/22/2026

Purchase Category Travel

Total Amount of Spend

$7,794.00 Start Date

4/19/2026 End Date

4/22/2026

BID INFORMATION

Bid Number

Competitive Review Findings

Under $50k

Contract Information N/A

INTERNAL USE ONLY

CW 30340

{00053602.DOCX; 2} Page 1 of 1

Title: Amendment .One (1) to Master Service Agreement CW 30340 Revised: 220727

University of Nebraska Amendment No. One (1) to Master Service Agreement CW 30340

This Amendment No. One (1) to Master Service Agreement CW30340 (“Amendment”) is effective as of the date of the last signature set forth below (“Effective Date”) by and between the Board of Regents of the University of Nebraska a public body corporate and governing body of the University of Nebraska (“University”), which is composed of a chief governing administrative unit (University of Nebraska System), four universities (University of Nebraska at Kearney, University of Nebraska-Lincoln, University of Nebraska Medical Center, and University of Nebraska at Omaha), and such other institutions and units as may be designated by the Nebraska Legislature and NE LUTHERAN OUTDOOR MINISTRIES CAROL JOY HOLLING CAMP & RETRE(“Supplier”). University and Supplier are collectively referred to as “parties.”

RECITALS

A. University and Supplier entered into a Master Service Agreement effective as of April 15, 2026, wherein the parties agreed to Room rental (“Agreement”).

B. The parties desire to amend the Agreement.

AGREEMENT

NOW THEREFORE, in consideration of the mutual covenants contained in the Agreement and this Amendment, the parties agree as follows:

1. Ratification. Except as expressly provided in this Amendment, all of the terms and provisions of the Agreement are and will remain in full force and effect and are hereby ratified and confirmed by the parties.

2. Definitions. Capitalized terms used and not defined in this Amendment have the respective meanings assigned to them in the Agreement.

3. Modifications. The Agreement is amended as follows:

4. Date change to 4/19/2026-4/22/2026.

5. Value of contract remains the same.

6. Entire Agreement. The Agreement, as amended, constitutes the entire agreement between the parties and supersedes all prior and contemporaneous understandings, agreements, representations, and warranties, both written and oral.

7. Amendment. No change, modification, or waiver of any term of the Agreement shall be valid unless it is in writing and signed by both parties.

IN WITNESS WHEREOF, the parties have entered into this Amendment as of the date set forth below.

Board of Regents of the University of Nebraska

Signature: _______________________________

Printed Name:

Title:

Date: ___________________________________

Supplier

Signature: _______________________________

Printed Name:

Title:

Date: ___________________________________

Manager of Events

12/12/25 | 08:53 CST

Dana Jahn

12/15/25 | 18:56 CST

Michael Hrncirik

Assistant Vice Chancellor for Business F

Ref: 21545Booking Contract Great Plains Public Health Leadership Institute - Retreat

Main Contact Brandon Drozd Tel. 402-559-3564

Fax.

Email bdrozd@unmc.eduGreat Plains Leadership Institute

984335 NE Med Ctr Omaha NE 68198-4335

2nd Contact Kathleen Brandert Tel. 402-552-7256

Fax.

Email kbrandert@unmc.eduGreat Plains Leadership Institute

984335 NE Med Ctr Omaha NE 68198-4335 ConfirmedBooking status

Dates Sun Apr 19 26 to Wed Apr 22 26

16Guaranteed Minimum

Booked On Event Manager

Wed Apr 02 25 Dana Jahn

Booked By Dana Jahn

Times 12:45 PM to 02:30 PM Contact Tel. 402-944-2544 Contact Email djahn@nlom.org

Contact Information

Rooms From/To Layout x People Conference Rooms

Equipment Qty

Nebraska Lutheran Outdoor Ministries

12:45PM to 2:30PM Thrivent room Sun Apr 19 - Wed Apr 22 Empty Space (28) Flip chart & Easel 1

LCD Projector 1 Screen 1Function Room

4:00PM to 10:00AM Swanson Lodging Sun Apr 19 - Wed Apr 22 Empty Space (28)

Beds Booked

4:00PM to 10:00AM Sjogren Lodging Sun Apr 19 - Wed Apr 22 Empty Space (16)

Beds Booked

12:45PM to 2:30PM Dillon room Sun Apr 19 - Wed Apr 22 Round Tables 5 ft (28)Flip chart & Easel 1

Function Room

1:00PM to 4:00PM Town Hall Sun Apr 19 - Sun Apr 19 Empty Space (16)

Function Room Catering Catering Time Description Qty Room Sunday Apr 19 2026

05:00 PM06:00 PM 32 Dining Hall-Dinner Monday Apr 20 2026

07:30 AM08:30 AM 32 Dining Hall-Breakfast 12:00 PM01:00 PM 32 Dining Hall-Lunch 06:00 PM07:00 PM 32 Dining Hall-Dinner

Tuesday Apr 21 2026 07:30 AM08:30 AM 32 Dining Hall-Breakfast 12:00 PM01:00 PM 32 Dining Hall-Lunch 06:00 PM07:00 PM 32 Dining Hall-Dinner

Wednesday Apr 22 2026 07:30 AM08:30 AM 32 Dining Hall-Breakfast 11:30 AM01:00 PM 32 Thrivent room-Lunch

Date Type Reserved Notes Lodging

Page 1 of 4Printed by Dana Jahn at 3:13 PM on December 5 2025

Date Type Reserved Notes

Swanson

King Room 4Sun Apr 19 26 Queen Room 24 King Room 4Mon Apr 20 26 Queen Room 24 King Room 4Tue Apr 21 26 Queen Room 24

Sjogren Double 3Sun Apr 19 26 Double 3Mon Apr 20 26 Double 3Tue Apr 21 26

Total reserved bedrooms 93 Quote Information Description Quantity Net Rate Net SubtotalTaxable Sun Apr 19 2026 Other items

15 $142.00 $2,130.00Swanson Package NFP Single Rate 1 $116.00 $116.00Sjogren Package NFP Single Rate

27 $30.00 $810.00Challenge course 1 $50.00 $50.00Equipment-LCD Projector 1 $100.00 $100.00Equipment-Large Sound System

Net Subtotal $3,206.00 Mon Apr 20 2026 Other items

15 $142.00 $2,130.00Swanson Package NFP Single Rate 1 $116.00 $116.00Sjogren Package NFP Single Rate

Net Subtotal $2,246.00 Tue Apr 21 2026 Other items

15 $142.00 $2,130.00Swanson Package NFP Single Rate 1 $116.00 $116.00Sjogren Package NFP Single Rate

Net Subtotal $2,246.00 Wed Apr 22 2026 Other items

32 $3.00 $96.00Catering fee/person lunch Net Subtotal $96.00 Net Total Tax Total $0.00

TOTAL $7,794.00

$7,794.00

Deposits Due Date Deposit Due Apr 23 2025 $1746.00

Page 2 of 4Printed by Dana Jahn at 3:13 PM on December 5 2025

Terms and Conditions

Page 3 of 4Printed by Dana Jahn at 3:13 PM on December 5 2025

Date:Signature

Signature

Printed Name

Page 4 of 4Printed by Dana Jahn at 3:13 PM on December 5 2025

12/15/25 | 18:56 CST

Procure-to-Pay 3835 Holdrege Street | Lincoln, NE 68583-0742 | 402.472.2126 nebraska.edu/p2p

University of Nebraska Contract Summary

CONTRACTOR/COMPANY INFORMATION

Supplier NE LUTHERAN OUTDOOR

MINISTRIES CAROL JOY HOLLING

CAMP & RETRE

Contact Name and Email

Dana Jahn - djahn@nlom.org

CONTRACT DESCRIPTION/INFORMATION

Contract Summary (brief description and/ or event name) Lodging, food and meeting room expenses associated with the Great Plains Leadership

Institute event on 3/22/26-3/25/26.

Purchase Category Travel

Total Amount of Spend

$7,794.00 Start Date

3/22/2026 End Date

3/25/2026

BID INFORMATION

Bid Number

Competitive Review Findings

Under $50k

Contract Information N/A

INTERNAL USE ONLY

CW 30340

{00052178.DOCX; 10} Page 1 of 6

Title: Legal and Policy Compliance Addendum Revised: 230512

University of Nebraska Legal and Policy Compliance Addendum

This University of Nebraska Legal and Policy Compliance Addendum (the “Addendum”) to the NE LUTHERAN OUTDOOR MINISTRIES CAROL JOY HOLLING CAMP & RETREAT Agreement dated concurrently with this Addendum (the “Agreement”) is made and entered as of the date of the last signature set forth below between the Board of Regents of the University of Nebraska a public body corporate and governing body of the University of Nebraska (“University”), which is composed of a chief governing administrative unit (University of Nebraska System), four universities (University of Nebraska at Kearney, University of Nebraska-Lincoln, University of Nebraska Medical Center, and University of Nebraska at Omaha), and such other institutions and units as may be designated by the Nebraska Legislature, and NE LUTHERAN OUTDOOR MINISTRIES CAROL JOY HOLLING CAMP & RETREAT (“Supplier”).

RECITALS

A. University desires to enter the Agreement with Supplier.

B. The Agreement is in the form provided by Supplier, which the parties are using for their mutual convenience.

C. The Agreement is, with the exceptions noted in this Addendum, acceptable to University.

D. Certain provisions in the Agreement cannot be accepted or are required in the Agreement by University as a matter of law and policy of the State of Nebraska and University.

E. Supplier is willing to modify the Agreement as set forth in this Addendum.

AGREEMENT

NOW, THEREFORE, in consideration of the mutual covenants set forth in the Agreement and herein and the above recitals, which are incorporated herein by this reference, the parties agree as follows:

1. Incorporation and Priority of Terms. The Agreement is amended as stated herein and this Addendum is incorporated into the Agreement by this reference. In the event of a conflict between the terms of this Addendum and the Agreement, the terms of this Addendum shall prevail.

2. Assignment. The Agreement is non-assignable and non-transferrable unless agreed to in writing by the parties. Any attempt by either party to assign its rights or obligations hereunder without the written agreement of the other party shall be void.

3. Governing Law and Forum. The Agreement shall be governed by the laws of the State of Nebraska without giving effect to its conflicts of law provisions. Any legal actions brought by either party hereunder shall be in the state courts located in Lancaster County, Nebraska. It is understood and agreed that any legal action by Supplier in relation to the Agreement may only be instituted in accordance with the provisions of the Nebraska State Contract Claims Act (Neb. Rev. Stat. §§ 81-8,302 to 81-8,306).

4. Liability. To the fullest extent allowed by law, Supplier shall defend, indemnify, and hold harmless University, its regents, officers, employees, agents, and students for any loss, claim, damage, expense, or liability of any kind arising out of or in connection with the performance or nonperformance by Supplier and its officers, employees, agents, and subcontractors.

5. Work Status Verification. Supplier and its subcontractors shall use a federal immigration verification system to determine the work eligibility status of new employees physically performing services within the State of Nebraska pursuant to Neb. Rev. Stat. §§ 4-108 to 4-114.

6. Debarment List. Supplier certifies and warrants that it has not been debarred, suspended, or declared ineligible as defined in the Federal Acquisition Regulation 48 CFR Ch.1 Subpart 9.4. Supplier also

{00052178.DOCX; 10} Page 2 of 6

Revised: 230512 certifies that Supplier, its partners, directors, officers, employees, licensees, subcontractors, or agents have not been excluded or debarred or otherwise become ineligible to participate in Federal health care programs pursuant to 42 USC § 1320a-7. This shall be an ongoing certification and warranty during the term of the Agreement and Supplier shall immediately notify University of any change in the status of the certification and warranty set forth in this section. If Supplier becomes excluded from Federal health care program participation or placed on the Consolidated List of Debarred, Suspended, and Ineligible Contractors, the Agreement may be terminated immediately, for cause, by University. If any partners, directors, officers, employees, licensees, subcontractors, personnel, or agents of Supplier become excluded from Federal health care program participation, such individual shall be removed from participating in the Agreement immediately. Failure by Supplier to remove such excluded individual immediately shall provide University the right to terminate the Agreement immediately for cause.

7. Taxpayer Transparency Act. Under Neb. Rev. Stat. §§ 84-602.01 to 84-602.04, University is required to provide the Nebraska Department of Administrative Services with a copy of each contract that is a basis for an expenditure of state funds, including any amendments and documents incorporated by reference in the contract. Copies of all such contracts and documents will be published by the Nebraska Department of Administrative Services at https://statecontracts.nebraska.gov/. It shall be the sole responsibility of Supplier (a) to notify University of any requested redactions to such contracts and documents and (b) to indicate the legal basis for such requested redactions at the time of execution. In addition, Supplier agrees to defend any challenge to such redactions at its own expense. Supplier’s failure to request redactions to any contracts and documents released by University shall constitute a complete waiver of any and all claims for damages caused by any such release.

8. Public Records. Under Neb. Rev. Stat. §§ 84-712 to 84-712.09, information or records of or belonging to University regarding, related to, or part of the Agreement will be open to public inspection and copying unless exempted from disclosure in accordance with the University’s interpretation and application of applicable law. It shall be the sole responsibility of Supplier (a) to notify University of requested redactions to any such information or records that may otherwise be required to be open to public inspection and copying and (b) to indicate the legal basis for such requested redactions. In addition, Supplier agrees to defend any challenge to such requested redactions at its own expense. Supplier’s failure to request redactions to any information or records released by University shall constitute a complete waiver of any and all claims for damages caused by any such release.

9. Equal Opportunity (intentionally bolded). If the Agreement is for $10,000 or more and involves federal funds, then Supplier shall comply with 41 CFR §§ 60-1.4(a), 60-300.5(a), and 60-741.5(a), incorporated by reference with the following statement: “This contractor and subcontractor shall abide by the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60- 741.5(a). These regulations prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, sexual orientation, gender identity, national origin or for inquiring about, discussing, or disclosing compensation. Moreover, these regulations require that covered prime contractors and subcontractors take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.”

10. Affirmative Action Program. If Supplier has fifty (50) or more employees and the Agreement involves $50,000 or more in federal funds, then the Supplier shall develop or maintain an affirmative action program as described in 41 CFR 60‐2 or 41 CFR 60‐741, subpart C , as applicable. If Supplier has fifty (50) or more employees and the Agreement involves $150,000 or more in federal funds, then the Supplier shall develop or maintain an affirmative action program as described in 41 CFR 60‐300, subpart C.

{00052178.DOCX; 10} Page 3 of 6

Revised: 230512

11. Nondiscrimination. Supplier agrees that neither it nor any of its subcontractors shall discriminate against any employee, or applicant for employment to be employed in the performance of the Agreement, with respect to hire, tenure, terms, conditions, or privilege of employment because of the race, color, religion, sex, disability, or national origin of the employee or applicant in accordance with the Nebraska Fair Employment Practice Act (Neb. Rev. Stat. §§ 48-1101 to 48-1125).

12. Logos or University Marks. Supplier shall not use or display any University campus name, logo, trademark, service mark (individually a “Mark” and collectively the “Marks”) and/or other indicia designated by University as a source identifier, unless expressly authorized in writing by University. Any unauthorized use of University Marks is expressly prohibited. Supplier agrees it will not use University’s name in any manner that acts as an endorsement or is an appearance of any endorsement in any promotion, advertisement, solicitation, or other communication, especially as it relates to Supplier’s business.

13. Right to Audit Privilege. University reserves the right to audit or inspect work performed by Supplier under the Agreement. University may participate directly or through an appointed representative in order to verify that the services related to the Agreement have been performed in accordance with the procedures indicated.

14. Purchase Order Requirement. A purchase order shall be issued by University to Supplier for payment in accordance with the terms of the Agreement. All invoice(s) submitted by Supplier shall make reference to the appropriate purchase order number to be eligible for payment.

15. Conflict of Interest. Supplier certifies, to the best of its knowledge and belief, that there are no potential organizational conflicts of interest related to the Agreement. If Supplier cannot so certify, it shall provide to University a disclosure statement that describes all relevant information concerning any potential conflict of interest under the Agreement. In the event the potential conflict of interest cannot be resolved, University may declare the Agreement void and of no further force or effect and University shall have no further obligations under the Agreement.

16. Compliance. Supplier and its employees and agents will comply with all laws, ordinances, codes, rules, regulations, and licensing requirements that are applicable to the conduct of its business, including those of federal, state, and local agencies having jurisdiction and/or authority, as well as applicable University policies.

17. Insurance. Supplier shall at its own expense obtain and maintain throughout the term of the Agreement general commercial liability insurance against claims for bodily injury, death, and property damage with limits of not less than one million dollars ($1,000,000) per occurrence, and three million dollars ($3,000,000) general aggregate to cover such liability caused by, or arising out of, activities of Supplier and its agents and/or employees while engaged in or preparing for the provision of the goods or services provided under the Agreement. The vendor’s umbrella bridges the gap to meet the required coverage of $3,000,000. If the goods or services include providing technology services, software, or support, Supplier shall obtain and maintain cyber liability insurance coverage of not less than ten million dollars ($10,000,000) to cover such liability resulting or arising from acts, errors, or omissions in rendering such technology services, software, or support. Upon request by University, Supplier shall furnish to University certificates of insurance evidencing such insurance is effective prior to commencement of work under the Agreement.

By requiring such minimum insurance, University shall not be deemed or construed to have assessed the risk or limited the liability that may be applicable to Supplier under the Agreement. Supplier shall assess its own risks and, if it deems appropriate, maintain higher limits or broader coverages. Supplier further agrees, upon request, to include University as an additional insured on its general liability insurance policy on a primary and non-contributory basis. Supplier is not relieved of any liability or other obligations assumed or pursuant to the Agreement by reason of its failure to obtain or maintain insurance in sufficient amounts, duration, or types.

{00052178.DOCX; 10} Page 4 of 6

Revised: 230512

18. Notice. Any notice required or permitted to be given under the Agreement shall be in writing, sent via certified mail or hand delivery, effective when received, and delivered to the addresses provided on the signature page of the Agreement.

19. Unavailability of Funding. Due to possible future reductions in State and/or Federal funds, University cannot guarantee the continued availability of funding of the Agreement notwithstanding the consideration contained within the Agreement. In the event funds to finance the Agreement become unavailable, either in full or in part, due to such reductions, University may terminate the Agreement or reduce the consideration upon notice in writing to Supplier. Said notice shall be delivered by certified mail (return receipt requested) or in person (with proof of delivery). University shall be the final authority as to the availability of funds. The effective date of such termination or reduction in consideration shall be the actual effective date of the elimination or reduction of funding. In the event of a reduction in consideration, Supplier may cancel the Agreement as of the effective date of the proposed reduction upon the provision of advance written notice to University. Supplier shall be entitled to receive just and equitable compensation for any satisfactory work performed up to the date of the notice of termination. In the event of unavailability of funding, University shall not be liable for any penalty, expense, or liability, or for general, special, incidental, consequential, or other damages resulting therefrom.

20. Unenforceability of Certain Terms. Notwithstanding any provision of the Agreement to the contrary, any of the following terms within the Agreement shall have no effect and shall not be enforceable:

a. Any term automatically continuing the Agreement period from term to term;

b. Any term requiring or stating that the terms of the Agreement shall prevail over the terms of this Addendum in the event of conflict;

c. Any term requiring University (or any University employee acting in the course and scope of employment) to indemnify or to hold harmless Supplier or any third party for any act or omission;

d. Any term requiring University to add Supplier or any third party as an additional insured;

e. Any term imposing interest charges contrary to those allowed by Neb. Rev. St. § 81-2404;

f. Any term requiring the application of the law of any state other than the State of Nebraska in interpreting or enforcing the Agreement or requiring or permitting that any dispute under the Agreement be resolved in the courts of any state other than the State of Nebraska;

g. Any term limiting or adding to the time period within which claims can be made or actions can be brought;

h. Any term waiving the sovereign immunity of the State of Nebraska;

i. Any term limiting Supplier’s or any third party’s liability for damages to University (or any University employee acting in the course and scope of employment) for any cause whatsoever related to: (i) intellectual property indemnity required by the Agreement; (ii) liquidated damages assessed under the Agreement; (iii) claims for personal injury, including death; (iv) claims for damage to real property or tangible or intangible property arising from Supplier’s acts or omissions under the Agreement; (v) any loss or claim to the extent the loss or claim is covered by a policy of insurance maintained, or required by this Addendum or the Agreement to be maintained, by Supplier; (vi) damages arising from the gross negligence or willful misconduct of Supplier, its employees, its subcontractors, or its agents; and (vii) damages arising from Supplier’s breach of data security or confidentiality obligations under the Agreement;

j. Any term permitting unilateral modification of the Agreement by Supplier or any third party;

k. Any term obligating University to pay attorneys’ fees;

{00052178.DOCX; 10} Page 5 of 6

Revised: 230512

l. Any term requiring the confidentiality of records in contravention of the Nebraska public records statutes, Neb. Rev. Stat. §§ 84-712 through 84-712.09;

m. Any term binding University (or any University employee acting in the course and scope of employment) to any method of resolution of disputes under the Agreement not instituted in accordance with the provisions of Neb. Rev. Stat. §§ 81-8,302 to 81-8,306;

n. Any term requiring any University employee acting in the course and scope of employment to guarantee performance or any obligation under the Agreement;

o. Any term requiring the University to endorse or perform any act that may be perceived as an endorsement of a commercial good or service, the Vendor, or any third party;

p. Any term requiring the University to waive its rights to a jury trial or to participate in a class action;

or

q. Any term granting Supplier or any third party a security interest in property of University.

[Signature page to follow]

{00052178.DOCX; 10} Page 6 of 6

Revised: 230512

IN WITNESS WHEREOF, the parties have entered into this Addendum as of the date set forth below.

Board of Regents of the University of Nebraska

Signature:

Printed Name:

Date:

Title:

Supplier

Signature:

Printed Name:

Date:

Title:

Notices to the University shall be sent to:

Notices to Supplier shall be sent to:

With copy to:

Legal Notices C/O P2P Procurement Contracts 1700 Y Street, BSC 125 Lincoln, NE 68588-0645

Manager of Events

NLOM

27416 Ranch Rd Ashland, NE 68003

04/15/25 | 10:02 CDT

Dana Jahn

04/15/25 | 10:04 CDT

Pam Ehmke at pehmke@unmc.edu

Assistant Vice Chancellor for Business F

04/15/25 | 13:26 CDT

Ref: 21545Booking Contract Great Plains Public Health Leadership Institute - Retreat

Main Contact Brandon Drozd Tel. 402-559-3564

Fax.

Email bdrozd@unmc.eduGreat Plains Leadership Institute 984335 NE Med Ctr Omaha NE 68198-4335

2nd Contact Kathleen Brandert Tel. 402-552-7256

Fax.

Email kbrandert@unmc.eduGreat Plains Leadership Institute 984335 NE Med Ctr Omaha NE 68198-4335

ProvisionalBooking status Dates Sun Mar 22 26 to Wed Mar 25 26

16Guaranteed Minimum

Booked On Event Manager

Wed Apr 02 25

Dana Jahn

Booked By Dana Jahn

Times 12:45 PM to 02:30 PM

Contact Tel. 402-944-2544

Contact Email djahn@nlom.org

Contact Information

Rooms From/To Layout x People

Conference Rooms Equipment Qty

Nebraska Lutheran Outdoor Ministries

12:45PM to 2:30PM

Thrivent room Sun Mar 22 -Wed Mar 25 Empty Space (28) Flip chart & Easel 1 LCD Projector 1 Screen 1

Function Room

4:00PM to 10:00AM

Swanson Lodging Sun Mar 22 -Wed Mar 25 Empty Space (28)

Beds Booked

4:00PM to 10:00AM

Sjogren Lodging Sun Mar 22 -Wed Mar 25 Empty Space (16)

Beds Booked

12:45PM to 2:30PM

Dillon room Sun Mar 22 -Wed Mar 25 Round Tables 5 ft (2 Flip chart & Easel 1

Function Room

1:00PM to 4:00PM

Town Hall Sun Mar 22 - Sun Mar 22 Empty Space (16)

Function Room

Catering Catering Time Description Qty Room Sunday Mar 22 2026

05:00 06:00 32 Dining Hall-Dinner

Monday Mar 23 2026 07:30 08:00 32 Dining Hall-Breakfast

12:00 01:00 32 Dining Hall-Lunch

06:00 07:00 32 Dining Hall-Dinner

Tuesday Mar 24 2026 07:30 08:30 32 Dining Hall-Breakfast

12:00 01:00 32 Dining Hall-Lunch

06:00 07:00 32 Dining Hall-Dinner

Wednesday Mar 25 2026 07:30 08:30 32 Dining Hall-Breakfast

11:30 01:00 32 Thrivent room-Lunch

Date Type Reserved Notes

Page 1 of 4Printed by Dana Jahn at 10:58 AM on April 8 2025

Date Type Reserved Notes

Swanson King Room 4Sun Mar 22 26 Queen Room 24 King Room 4Mon Mar 23 26 Queen Room 24 King Room 4Tue Mar 24 26 Queen Room 24

Sjogren Double 3Sun Mar 22 26 Double 3Mon Mar 23 26 Double 3Tue Mar 24 26

Total reserved bedrooms 93

Quote Information

Description Quantity Net Rate Net SubtotalTaxable

Sun Mar 22 2026 Other items

15 $142.00 $2,130.00Swanson Package NFP Single Rate

1 $116.00 $116.00Sjogren Package NFP Single Rate

27 $30.00 $810.00Challenge course

1 $50.00 $50.00Equipment-LCD Projector

1 $100.00 $100.00Equipment-Large Sound System

Net Subtotal $3,206.00

Mon Mar 23 2026 Other items

15 $142.00 $2,130.00Swanson Package NFP Single Rate

1 $116.00 $116.00Sjogren Package NFP Single Rate

Net Subtotal $2,246.00

Tue Mar 24 2026 Other items

15 $142.00 $2,130.00Swanson Package NFP Single Rate

1 $116.00 $116.00Sjogren Package NFP Single Rate

Net Subtotal $2,246.00

Wed Mar 25 2026 Other items

32 $3.00 $96.00Catering fee/person lunch

Net Subtotal $96.00

Net Total

Tax Total $0.00

TOTAL $7,794.00

$7,794.00

Deposits Due Date Deposit Due Apr 23 2025 $1746.00

Page 2 of 4Printed by Dana Jahn at 10:58 AM on April 8 2025

Terms and Conditions

Page 3 of 4Printed by Dana Jahn at 10:58 AM on April 8 2025

Date:Signature

Signature

Printed Name

Page 4 of 4Printed by Dana Jahn at 10:58 AM on April 8 2025

04/15/25 | 13:26 CDT

Certificate Of Completion

Envelope Id: AE7B1508-6DB4-4FF6-ADF8-94D6CF23DFBA Status: Completed

Subject: CW30340 - NLOM_UNMC_COPH March 2026

Source Envelope:

Document Pages: 11 Signatures: 3 Envelope Originator:

Certificate Pages: 5 Initials: 1 Melody Stark

AutoNav: Enabled

EnvelopeId Stamping: Disabled

Time Zone: (UTC-08:00) Pacific Time (US & Canada)

1400 R Street

LINCOLN, NE 68588

melody.stark@nebraska.edu

IP Address: 35.223.106.21

Record Tracking

Status: Original

4/15/2025 8:23:43 AM

Holder: Melody Stark melody.stark@nebraska.edu

Location: DocuSign

Signer Events Signature Timestamp

Dana Jahn djahn@nlom.org

Manager of Events

Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style

Using IP Address: 173.244.131.78

Sent: 4/15/2025 8:26:18 AM

Viewed: 4/15/2025 10:00:23 AM

Signed: 4/15/2025 10:02:08 AM

Electronic Record and Signature Disclosure:

Accepted: 4/15/2025 10:00:23 AM ID: 3cf2b2c7-5871-42a6-912c-9f6803cfa0b0

Pam Ehmke pehmke@unmc.edu

Assistant Dean of Finance

College of Public Health

Security Level: Email, Account Authentication (None)

Signature Adoption: Pre-selected Style

Using IP Address: 192.94.102.1

Sent: 4/15/2025 10:02:10 AM

Viewed: 4/15/2025 10:03:27 AM

Signed: 4/15/2025 10:04:09 AM

Electronic Record and Signature Disclosure:

Accepted: 4/15/2025 10:03:27 AM ID: d33b33b2-32fa-4847-833f-318e6ef198b9

Michael Hrncirik mhrncirik@unmc.edu

Assistant Vice Chancellor for Business F

University of Nebraska Medical Center

Security Level: Email, Account Authentication (None)

Signature Adoption: Pre-selected Style

Using IP Address: 192.94.102.0

Sent: 4/15/2025 10:04:13 AM

Viewed: 4/15/2025 1:25:05 PM

Signed: 4/15/2025 1:26:10 PM

Electronic Record and Signature Disclosure:

Accepted: 4/15/2025 1:25:05 PM ID: fb8c0651-9498-441d-a149-0492d1c23c85

In Person Signer Events Signature Timestamp

Editor Delivery Events Status Timestamp

Agent Delivery Events Status Timestamp

Intermediary Delivery Events Status Timestamp

Certified Delivery Events Status Timestamp

Carbon Copy Events Status Timestamp

Melody Stark melody.stark@nebraska.edu

Sourcing Agent

University of Nebraska

Security Level: Email, Account Authentication (None)

Sent: 4/15/2025 1:26:11 PM

Resent: 4/15/2025 1:26:13 PM

Viewed: 4/15/2025 1:27:15 PM

Electronic Record and Signature Disclosure:

Accepted: 11/13/2023 10:42:36 AM ID: f6be8008-ef45-4d6e-b4e3-5c6f95447db3

Witness Events Signature Timestamp

Notary Events Signature Timestamp

Envelope Summary Events Status Timestamps

Envelope Sent Hashed/Encrypted 4/15/2025 8:26:18 AM

Certified Delivered Security Checked 4/15/2025 1:25:05 PM

Signing Complete Security Checked 4/15/2025 1:26:10 PM

Completed Security Checked 4/15/2025 1:26:12 PM

Payment Events Status Timestamps

Electronic Record and Signature Disclosure

ELECTRONIC RECORD AND SIGNATURE DISCLOSURE

From time to time, NU Contracts+Ariba (we, us or Company) may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically through the DocuSign system.

Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature Disclosure (ERSD), please confirm your agreement by selecting the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system.

Getting paper copies

At any time, you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the ability to download and print documents we send to you through the DocuSign system during and immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents for a limited period of time (usually 30 days) after such documents are first sent to you. After such time, if you wish for us to send you paper copies of any such documents from our office to you, you will be charged a $0.00 per-page fee. You may request delivery of such paper copies from us by following the procedure described below.

Withdrawing your consent

If you decide to receive notices and disclosures from us electronically, you may at any time change your mind and tell us that thereafter you want to receive required notices and disclosures only in paper format. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below.

Consequences of changing your mind

If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can complete certain steps in transactions with you and delivering services to you because we will need first to send the required notices or disclosures to you in paper format, and then wait until we receive back from you your acknowledgment of your receipt of such paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to receive required notices and consents electronically from us or to sign electronically documents from us.

All notices and disclosures will be sent to you electronically

Electronic Record and Signature Disclosure created on: 5/16/2023 6:53:28 PM Parties agreed to: Dana Jahn, Pam Ehmke, Michael Hrncirik, Melody Stark

Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given

us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us.

How to contact NU Contracts+Ariba:

You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows:

To contact us by email send messages to: richard.horner@nebraska.edu

To advise NU Contracts+Ariba of your new email address

To let us know of a change in your email address where we should send notices and disclosures electronically to you, you must send an email message to us at richard.horner@nebraska.edu and in the body of such request you must state: your previous email address, your new email address. We do not require any other information from you to change your email address.

If you created a DocuSign account, you may update it with your new email address through your account preferences.

To request paper copies from NU Contracts+Ariba

To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an email to richard.horner@nebraska.edu and in the body of such request you must state your email address, full name, mailing address, and telephone number. We will bill you for any fees at that time, if any.

To withdraw your consent with NU Contracts+Ariba

To inform us that you no longer wish to receive future notices and disclosures in electronic format you may:

i. decline to sign a document from within your signing session, and on the subsequent page, select the check-box indicating you wish to withdraw your consent, or you may;

ii. send us an email to richard.horner@nebraska.edu and in the body of such request you must state your email, full name, mailing address, and telephone number. We do not need any other information from you to withdraw consent.. The consequences of your withdrawing consent for online documents will be that transactions may take a longer time to process..

Required hardware and software

The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: https://support.docusign.com/guides/signer-guide-signing-system-requirements.

Acknowledging your access and consent to receive and sign documents electronically

To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system.

By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm that:

You can access and read this Electronic Record and Signature Disclosure; and You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and

Until or unless you notify NU Contracts+Ariba as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by NU Contracts+Ariba during the course of your relationship with NU Contracts+Ariba.

Certificate Of Completion Envelope Id: B1C76EF4-1801-4A00-8B96-48F47DE850EF Status: Completed

Subject: CW30340 - Amendment NLOM_UNMC_COPH March 2026

Source Envelope:

Document Pages: 22 Signatures: 3 Envelope Originator:

Certificate Pages: 5 Initials: 0 Melody Stark

AutoNav: Enabled

EnvelopeId Stamping: Disabled

Time Zone: (UTC-08:00) Pacific Time (US & Canada)

1400 R Street

LINCOLN, NE 68588

melody.stark@nebraska.edu

IP Address: 35.223.106.21

Record Tracking Status: Original

12/12/2025 8:45:42 AM

Holder: Melody Stark melody.stark@nebraska.edu

Location: DocuSign

Signer Events Signature Timestamp Dana Jahn djahn@nlom.org

Manager of Events

Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style

Using IP Address: 173.244.131.78

Sent: 12/12/2025 8:47:59 AM

Viewed: 12/12/2025 8:52:29 AM

Signed: 12/12/2025 8:53:45 AM

Electronic Record and Signature Disclosure:

Accepted: 12/12/2025 8:52:29 AM ID: b1c861f0-93dc-4979-83dc-50d48ccbf152

Michael Hrncirik mhrncirik@unmc.edu

Assistant Vice Chancellor for Business F

University of Nebraska Medical Center

Security Level: Email, Account Authentication (None)

Signature Adoption: Pre-selected Style

Using IP Address: 209.50.12.90

Signed using mobile

Sent: 12/12/2025 8:53:47 AM

Viewed: 12/15/2025 6:55:33 PM

Signed: 12/15/2025 6:56:01 PM

Electronic Record and Signature Disclosure:

Accepted: 12/15/2025 6:55:33 PM ID: abe3f48a-bf25-482f-840a-2f4ada29cc97

In Person Signer Events Signature Timestamp

Editor Delivery Events Status Timestamp

Agent Delivery Events Status Timestamp

Intermediary Delivery Events Status Timestamp

Certified Delivery Events Status Timestamp

Carbon Copy Events Status Timestamp Pam Ehmke pehmke@unmc.edu

Assistant Dean of Finance

College of Public Health

Security Level: Email, Account Authentication (None)

Sent: 12/12/2025 8:47:58 AM

Viewed: 12/12/2025 8:49:27 AM

Electronic Record and Signature Disclosure:

Accepted: 12/12/2025 7:51:22 AM ID: 2a1e264a-ba3d-421f-b62e-bb00583c7211

Carbon Copy Events Status Timestamp Melody Stark melody.stark@nebraska.edu

Sourcing Agent

University of Nebraska

Security Level: Email, Account Authentication (None)

Sent: 12/15/2025 6:56:02 PM

Electronic Record and Signature Disclosure:

Accepted: 11/13/2023 10:42:36 AM ID: f6be8008-ef45-4d6e-b4e3-5c6f95447db3

Witness Events Signature Timestamp

Notary Events Signature Timestamp

Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 12/12/2025 8:47:58 AM

Certified Delivered Security Checked 12/15/2025 6:55:33 PM

Signing Complete Security Checked 12/15/2025 6:56:01 PM

Completed Security Checked 12/15/2025 6:56:02 PM

Payment Events Status Timestamps

Electronic Record and Signature Disclosure

ELECTRONIC RECORD AND SIGNATURE DISCLOSURE

From time to time, NU Contracts+Ariba (we, us or Company) may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically through the DocuSign system.

Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature

Disclosure (ERSD), please confirm your agreement by selecting the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system.

Getting paper copies

At any time, you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the ability to download and print documents we send to you through the DocuSign system during and immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents for a limited period of time

(usually 30 days) after such documents are first sent to you. After such time, if you wish for us to send you paper copies of any such documents from our office to you, you will be charged a

$0.00 per-page fee. You may request delivery of such paper copies from us by following the procedure described below.

Withdrawing your consent

If you decide to receive notices and disclosures from us electronically, you may at any time change your mind and tell us that thereafter you want to receive required notices and disclosures only in paper format. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below.

Consequences of changing your mind

If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can complete certain steps in transactions with you and delivering services to you because we will need first to send the required notices or disclosures to you in paper format, and then wait until we receive back from you your acknowledgment of your receipt of such paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to receive required notices and consents electronically from us or to sign electronically documents from us.

All notices and disclosures will be sent to you electronically

Electronic Record and Signature Disclosure created on: 5/16/2023 6:53:28 PM Parties agreed to: Dana Jahn, Michael Hrncirik, Pam Ehmke, Melody Stark

Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given

us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us.

How to contact NU Contracts+Ariba:

You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows:

To contact us by email send messages to: richard.horner@nebraska.edu

To advise NU Contracts+Ariba of your new email address

To let us know of a change in your email address where we should send notices and disclosures electronically to you, you must send an email message to us at richard.horner@nebraska.edu and in the body of such request you must state: your previous email address, your new email address. We do not require any other information from you to change your email address.

If you created a DocuSign account, you may update it with your new email address through your account preferences.

To request paper copies from NU Contracts+Ariba

To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an email to richard.horner@nebraska.edu and in the body of such request you must state your email address, full name, mailing address, and telephone number. We will bill you for any fees at that time, if any.

To withdraw your consent with NU Contracts+Ariba

To inform us that you no longer wish to receive future notices and disclosures in electronic format you may:

i. decline to sign a document from within your signing session, and on the subsequent page, select the check-box indicating you wish to withdraw your consent, or you may;

ii. send us an email to richard.horner@nebraska.edu and in the body of such request you must state your email, full name, mailing address, and telephone number. We do not need any other information from you to withdraw consent.. The consequences of your withdrawing consent for online documents will be that transactions may take a longer time to process..

Required hardware and software

The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: https://support.docusign.com/guides/signer-guide-signing-system-requirements.

Acknowledging your access and consent to receive and sign documents electronically

To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system.

By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm that:

You can access and read this Electronic Record and Signature Disclosure; and

You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and

Until or unless you notify NU Contracts+Ariba as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by NU Contracts+Ariba during the course of your relationship with NU

Contracts+Ariba.

https://support.docusign.com/guides/signer-guide-signing-system-requirements https://support.docusign.com/guides/signer-guide-signing-system-requirements

2025-12-15T18:49:20-0800
Digitally verifiable PDF exported from www.docusign.com

File details come from the government source that posted it. Updated .