MLA0068.01_A9_FY26_Form.io_License_Schedule_DAS_fully_signed.pdf

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Attached to
Waiver of Competitive Selection OH|MLA0068
Contract number
MLA0068
Issued by
Ohio

About this file

This document is Amendment 9 to a Master Contract for Software Licensing (MLA0068) between the State of Ohio, Department of Administrative Services, and Form.io LLC. The amendment updates the existing license schedule, which was originally established on June 5, 2019, and continues the ongoing software licensing agreement between the state agency and the software contractor.

The amendment details a new set of annual software subscriptions for fiscal year 2026 (July 1, 2025 - June 30, 2026), covering various software licenses including Large Enterprise Project (Unlimited Forms), Medium and Small Enterprise Projects, API Server Environment with Security Compliance features, PDF Plus Server, and an Annual CSR & Online Developer Support Package. The total license fees for these subscriptions amount to $184,314, with license types ranging from 1-10 copies per category. All licenses are annual subscriptions with support included, and the fees are due within 30 days of invoice. The amendment maintains the existing contract terms and conditions, with these new licenses representing an extension and expansion of the previous licensing arrangement.

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Form.io LLC MLA0068, License Schedule MLA0068.01, Amendment 9 Page 1 of 4

Version 7/23

MASTER CONTRACT FOR SOFTWARE LICENSING (MLA0068)

LICENSE SCHEDULE MLA0068.01

AMENDMENT 9

This Amendment 9 to License Schedule MLA0068.01 of contract #MLA0068 (the "Amendment") is between the State of Ohio, Department of Administrative Services (the "State") and Form.io LLC (the "Contractor").

This Amendment changes the terms of the Master Contract for Software Licensing (MLA0068) (the "Contract").

WHEREAS, the State and the Contractor entered into the Contract and License Schedule MLA0068.01 (the “Schedule”) on June 5, 2019; and

WHEREAS, the State and the Contractor determined that an amendment is necessary to address certain revisions to the Contract.

NOW, THEREFORE, the Contract is amended as follows:

1. In License Schedule MLA0068.01, add the following to the Granted Licenses table:

FY26 Granted Licenses

Software Copies

Delivered License Type # of

Licenses (E.g., Users)

List License Price

Discount Actual License Fee*

Support Percentage

Start Date

End Date

Large Enterprise Project (Unlimited Forms)

2 Annual Subscription

1 $7,920 $7,920 Included July 1, June 30, Bundle of five

(5) Large Enterprise Project (Unlimited Forms)

2 Annual Subscription

1 $37,620 $37,620 Included July 1, June 30, Bundle of five

(5) Medium Enterprise Project (Limit of fifteen (15) Forms)

2 Annual Subscription

1 $26,334 $26,334 Included July 1, June 30, Small Enterprise Project (Limit of seven (7) Forms)

2 Annual Subscription

1 $1,980 $1,980 Included July 1, June 30, Bundle of five

(5) Small Enterprise Project (Limit of seven (7) Forms)

10 Annual Subscription

1 $47,025 $47,025 Included July 1, June 30, API Server Environment with Security

6 Annual Subscription

1 $47,520 $47,520 Included July 1, June 30, Form.io LLC MLA0068, License Schedule MLA0068.01, Amendment 9 Page 2 of 4

Compliance features

PDF Plus Server with Security Compliance features

2 Annual Subscription

1 $15,840 $15,840 Included July 1, June 30, Annual CSR & Online Developer Support Package / Online training Support Includes dedicated Customer Success Rep and 60 hours to be used within the annual subscription period not to exceed 10 hours per month during normal business hours (CST).

1 Optional 1 $18,000 $18,000 Included July 1, June 30, *The License Fee [ X ] does [ ] does not include the Support Fee for email support for each Software license identified above.

† The Support percentage is based on [ X ] list price [ ] discounted price. Any increase in annual maintenance must be equal to or less than the annual increase in the list price of the Software and is subject to the caps specified in the Contract.

License Descriptions

License Type Description of License

Term Subscription The fees applicable to the Products that Ohio is licensing under this License Schedule are set forth in the tables above and an invoice for these fees will be sent upon the Effective Date of this License Schedule.

Ohio’s license for the Products listed in the table above shall commence on the License Start Date and continue until the License End Date (the “Initial Term”).

All fees under this License Schedule are in US Dollars and due within 30 days of the invoice date.

Form.io LLC MLA0068, License Schedule MLA0068.01, Amendment 9 Page 3 of 4

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 Contract. Except as modified by this Amendment, all other terms, conditions and pricing of the Contract 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.

FORM.IO LLC STATE OF OHIO

DEPARTMENT OF ADMINISTRATIVE SERVICES

By: By:

Name: Name: Kathleen C. Madden

Title: Title: Director

Date: Date:

Form.io LLC MLA0068, License Schedule MLA0068.01, Amendment 9 Page 4 of 4

SUMMARY OF AMENDMENTS

Amendment Number

Effective Date Description

9 TBD Updated the license schedule.

8 9/9/2024 Updated the license schedule.

7 6/20/2024 Updated the license schedule.

6 5/22/2023 Updated the license schedule.

5 7/26/2022 Updated the license schedule.

4 10/14/2021 Updated the license schedule.

3 8/13/2020 Updated the license schedule.

2 1/20/2020 Updated the license schedule.

1 11/6/2019 Updated the license schedule.

FY26 Granted Licenses
License Type
Software
License Descriptions
SUMMARY OF AMENDMENTS
iBwwHhCTnt43_WMzGF7CKu2cN: 2025-05-12 12:45:06
2025-05-12T12:45:07+0000
Client IP: 156.63.196.113, Transaction ID: LJOB0NYQRxPzRUaebx8THFbo1Do=
OneSpan
E-SIGNED by Kathleen C. Madden /RLG (ryan.garber@das.ohio.gov), ID: efd3700f-4814-4668-9ba4-a99be50cda0f

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