MLA0068.02_A1_FY26_Form.io_License_Schedule_COM_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 an Amendment 1 to a Master Contract for Software Licensing (MLA0068) between the State of Ohio, Department of Administrative Services, and Form.io LLC. The amendment modifies the existing contract originally entered into on June 5, 2019, with this specific license schedule dated June 20, 2024.

The amendment adds new licensing terms for fiscal year 2026, including an API Server Environment with Security Compliance features (1 annual subscription at $7,920), a PDF Basic Server with Security Compliance features (1 annual subscription at $5,940), and Start-up/Online training support (20 hours at $5,000). The licenses are valid from November 14, 2025, to November 13, 2026, with support included. The licensing fees are in US dollars and due within 30 days of invoice, with the support percentage based on list price. The amendment maintains the existing contract's core terms while updating the specific licensing details for the upcoming fiscal year.

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Form.io LLC MLA0068, License Schedule MLA0068.02, Amendment 1 Page 1 of 3

Version 7/23

MASTER CONTRACT FOR SOFTWARE LICENSING (MLA0068)

LICENSE SCHEDULE MLA0068.02

AMENDMENT 1

This Amendment 1 to License Schedule MLA0068.02 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 on June 5, 2019 and License Schedule MLA0068.02 (the “Schedule”) on June 20, 2024; 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 MLA0068.02, 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

API Server Environment with Security Compliance features

1 Annual Subscription

1 $7,920 $7,920 Included November 14, 2025

November 13, 2026

PDF Basic Server with Security Compliance features

1 Annual Subscription

1 $5,940 $5,940 Included November 14, 2025

November 13, 2026

Start-up/ Online training Support (20 hours) These hours are available in minimum one

(1) hour increments within three (3) months from order

1 Optional 1 $5,000 $5,000 Included November 14, 2025

November 13, 2026

*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.

Form.io LLC MLA0068, License Schedule MLA0068.02, Amendment 1 Page 2 of 3

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.

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 MLA0068.02, Amendment 1 Page 3 of 3

SUMMARY OF AMENDMENTS

Amendment Number

Effective Date Description

1 TBD Updated the license schedule.

FY26 Granted Licenses
License
Software
Type
License Descriptions
SUMMARY OF AMENDMENTS
RD1hGE7FYfAN_iwnrrpacNukN: 2025-05-12 12:45:01
2025-05-12T12:45:02+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 .