MCSA0034-2_SA_3_AM_1_-_Signed.pdf

Bamboo Health, Inc. MCSA0034, Service Attachment 3, Amendment 1 Page 1 of 2

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MASTER CLOUD SERVICES AGREEMENT (#MCSA0034)

SERVICE ATTACHMENT 3

AMENDMENT 1

This Amendment 1 to Service Attachment 3 of contract #MCSA0034 (the “Amendment”) is between the State of Ohio, Department of Administrative Services (the “State”) and Bamboo Health, Inc. (the “Service Provider”). This Amendment changes the terms of Master Cloud Services Agreement (#MCSA0034) (the “Agreement”).

WHEREAS, the State and Service Provider entered into the Agreement on April 23, 2015 and Service Attachment 3 on December 21, 2016; and

WHEREAS, the State and Service Provider determined that an amendment is necessary to address certain revisions to the Agreement.

NOW, THEREFORE, the Agreement is amended as follows:

1. In Service Attachment 3, Article 3, Fees and Payment, delete the Application Maintenance and Support row in the table and replace it with the following:

Description Unit Fee Billable Upon Term Billing when Application Maintenance and Support

$153,150 annual

Go Live Annual Ongoing

Go Live

This Amendment shall become effective as of the date of the State’s signature and shall remain in full force and effect for the term of the Agreement. Except as modified by this Amendment, all other terms, conditions and pricing of the Agreement shall remain the same and in full force and effect.

IN WITNESS WHEREOF, the parties have executed this Amendment as of the dates appearing below.

BAMBOO HEALTH, INC. STATE OF OHIO

DEPARTMENT OF ADMINISTRATIVE SERVICES

By: By:

Name: Name: Kathleen C. Madden

Title: Title: Director

Date: Date:

Sr. Manager, Revenue Operations

Andrew Boynton

6/30/2025 https://na1.conga-sign.com/app/v1/audit/transaction/725luo536xbj917h2d8rxqmc58b5u5tvz24e42jdmv6d7fb4cq

Bamboo Health, Inc. MCSA0034, Service Attachment 3, Amendment 1 Page 2 of 2

Version 5/24

SUMMARY OF AMENDMENTS

Amendment Number

Effective Date Description

SA3-1 Upon Signature Updates the Application Maintenance and Support fee.

3 Upon Signature Renews the Agreement and updates standard terms and conditions

SA1-3 4/21/25 Added ongoing annual maintenance and operation (subscription) fees for five enhancements to PMP AWARxE (OARRS Hosting).

SA1-2 9/23/25

Added Naloxone Prompt/Indicator in OARRS/PMP Gateway and Non-fatal Overdose Event Display Annual Maintenance and Operation Fees.

2 10/11/2023 Assignment and delegation and updates standard terms and conditions.

SA1-1 7/1/2018 Adds Compliance Monitoring and Peer Review Committee Roles functionality to base OARRS Prescription Monitoring Program.

1 10/16/2017 All references to Optimum Technology as the Service Provider are deleted and replaced with Appriss Inc. Hosting environment changes to Amazon Web Service environment.