PWS.docx

PERFORMANCE WORK STATEMENT (PWS) POINT OF USE (POU) OMNICELL MAINTENANCE SUPPORT SERVICE

DWIGHT D. EISENHOWER ARMY MEDICAL CENTER (DDEAMC)

FORT GORDON, GA 30905

1. General: This is a service contract to pay the annual cost associated with replacement parts and 24 hour telephonic and on-site support for over 128 Point of Use (POU) Omnicell supply cabinets. The Omnicell Shared Maintenance plan offers discounted pricing per unit price in exchange for EAMC maintaining a person being Omnicell Biomed certified to respond to user level and first echelon level maintenance within the facility.

1.1 Description of Services:

Omnicell shall provide the Supply Systems SHARED plan

The plan consist of the following:

· 24 hour telephonic support

· Remote Software & Interface Diagnostic support

· Onsite support for disabled system, 6 hours response time

· Onsite support for non-critical system, 24 hour response time

· Repair/Replacement parts support

· Software updates and upgrades support

1.2 Background: EAMC uses automated supply cabinets manufactured by Omnicell Inc. to store and track the consumption of supplies at the Ward, Clinic and Service level.

1.3 Objectives: Telephone Support. During the Service Term, Omnicell shall provide the customer access to Omnicell’s telephone hotline. Such access will allow customer to report system problems and to seek telephonic assistance for use of the delivered products.

1.3.1 Remote Software & Interface Diagnostics. During the service term, Omnicell Inc. agrees to enable the delivered products as having remote software and interface diagnostics availability, remote diagnostic and software maintenance services.

1.4 Scope: On-Site Support. When required, Omnicell shall provide on-site visits to resolve problems unable to be handled via Telephone Support or Remote Software & Interface Diagnostics. Upon determination that on-site coverage is required, Omnicell shall respond within six hours for disabled systems and 24 hours for non-critical systems.

1.4.1 Repair/Replacement Parts. Replacement parts shall be furnished on an exchange basis and shall be provided within a 1 to 2 business day timeline.

1.5. Period of Performance:

The period of performance is for one (1) base year of 12 months. The period of performance is as follows:

Base year - 01 February 2023 – 31 January 2024

1.6 General Information

1.6.1 Quality Control: All necessary measures taken by the Contractor to assure that the quality of an end product or service shall meet contract requirements.

1.6.2 Quality Assurance: The government shall evaluate the contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan. This plan is primarily focused on what the Government must do to ensure that the contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and the minimum acceptable defect rate(s).

1.6.3 Recognized Holidays: The contractor is required to perform services on holidays.

1.6.4 Hours of Operation: The contractor is responsible for conducting business, between the hours of 0730-1600 Monday thru Friday. Contractor must also be available through Contractor Help desk 24 hours a day and must respond onsite for emergency equipment within 6 hours and 24 hours for non-emergency equipment.

1.6.5 Place of Performance: The work to be performed under this contract will be performed through contractor help desk unless on-site support is required in DDEAMC hospital or Connelly clinic.

1.6.6 Type of Contract: The government will award a service contract.

1.6.7 Security Requirements: Government will assist contractor personnel performing work under this contract with access to get on Fort Gordon by submitting a Criminal and Drivers History Consent form, PS Form 190-6, dated 18 April 2015.The Government will also escort the contractor to the required work areas in the hospital after receiving a hospital visitor badge at the Hospital Security office.

1.6.7.1 PHYSICAL Security: The contractor shall be responsible for safeguarding all government equipment, information and property provided for contractor use. At the close of each work period, government facilities, equipment, and materials shall be secured.

1.6.7.2 Key Control (Not Applicable) The contractor is off-site.

1.6.7.2.1. In the event keys, other than master keys, are lost or duplicated, the Contractor shall, upon direction of the Contracting Officer, re-key or replace the affected lock or locks; however, the Government, at its option, may replace the affected lock or locks or perform re-keying. When the replacement of locks or re-keying is performed by the Government, the total cost of re-keying or the replacement of the lock or locks shall be deducted from the monthly payment due the Contractor. In the event a master key is lost or duplicated, all locks and keys for that system shall be replaced by the Government and the total cost deducted from the monthly payment due the Contractor.

1.6.7.2.2. The Contractor shall prohibit the use of Government issued keys/key cards by any persons other than the Contractor’s employees. The Contractor shall prohibit the opening of locked areas by Contractor employees to permit entrance of persons other than Contractor employees engaged in the performance of assigned work in those areas, or personnel authorized entrance by the Contracting Officer.

1.6.7.3 Lock Combinations (Not applicable). The Contractor shall establish and implement methods of ensuring that all lock combinations are not revealed to unauthorized persons. The Contractor shall ensure that lock combinations are changed when personnel having access to the combinations no longer have a need to know such combinations. These procedures shall be included in the Contractor’s Quality Control Plan.

PART 2

DEFINITIONS & ACRONYMS

2. DEFINITIONS AND ACRONYMS:

2.1. DEFINITIONS:

2.1.1. CONTRACTOR. A supplier or vendor awarded a contract to provide specific supplies or service to the government. The term used in this contract refers to the prime.

2.1.2. CONTRACTING OFFICER. A person with authority to enter into, administer, and or terminate contracts, and make related determinations and findings on behalf of the government. Note: The only individual who can legally bind the government.

2.1.3. CONTRACTING OFFICER'S REPRESENTATIVE (COR). An employee of the U.S. Government appointed by the contracting officer to administer the contract. Such appointment shall be in writing and shall state the scope of authority and limitations. This individual has authority to provide technical direction to the Contractor as long as that direction is within the scope of the contract, does not constitute a change, and has no funding implications. This individual does NOT have authority to change the terms and conditions of the contract.

2.1.4. DEFECTIVE SERVICE. A service output that does not meet the standard of performance associated with the Performance Work Statement.

2.1.5. DELIVERABLE. Anything that can be physically delivered, but may include non-manufactured things such as meeting minutes or reports.

2.1.6. KEY PERSONNEL. Contractor personnel that are evaluated in a source selection process and that may be required to be used in the performance of a contract by the Key Personnel listed in the PWS. When key personnel are used as an evaluation factor in best value procurement, an offer can be rejected if it does not have a firm commitment from the persons that are listed in the proposal.

2.1.7. PHYSICAL SECURITY. Actions that prevent the loss or damage of Government property.

2.1.8. QUALITY ASSURANCE. The government procedures to verify that services being performed by the Contractor are performed according to acceptable standards.

2.1.9. QUALITY ASSURANCE Surveillance Plan (QASP). An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance.

2.1.10. QUALITY CONTROL. All necessary measures taken by the Contractor to assure that the quality of an end product or service shall meet contract requirements.

2.1.11. SUBCONTRACTOR. One that enters into a contract with a prime contractor. The Government does not have privity of contract with the subcontractor.

2.1.12. WORK DAY. The number of hours per day the Contractor provides services in accordance with the contract.

2.1.12. WORK WEEK. Monday through Friday, unless specified otherwise.

2.2. ACRONYMS:

3. GOVERNMENT FURNISHED ITEMS AND SERVICES:

N/A

4. CONTRACTOR FURNISHED ITEMS AND RESPONSIBILITIES:

4.1 General: The Contractor shall furnish all tools and equipment required to perform work under this contract.

5. Specific Task.

5.1 Contractor shall provide access to contractor’s telephone help desk.

5.2 Contractor shall make adjustments and replace component parts of the delivered products when required.

5.3 Software updates shall be provided by the contractor as necessary.

5.4 Contractor shall provide onsite support to fix issues that are unable to be resolved by telephone support or remote diagnostics.

5.5 Contractor shall respond onsite within six hours for disabled systems and 24 hours for non-critical systems

5.6 Contractor shall provide maintenance support for all supply cabinet by serial numbers as listed in exhibit 1

6. APPLICABLE PUBLICATIONS (CURRENT EDITIONS:

N/A

7. Attachment/Technical Exhibit List:

Exhibit 1: Listing of Omnicell cabinets by serial number

Exhibit 2: Performance Requirement Summary

EXHIBIT 1

EXHIBIT 2

Performance Requirements Summary (PRS)

Performance Requirements Summary

Log Report

Document on file

(Para 5.5)

Document on file image1.emf

Technical exhibit 1.pdf

Revision No: 2 Page 1 of 9

Pricing Supplement - Support Services Renewal Summary By Product

10331Ship To:

V797D-30111Master Agreement ID:

115145Quote:

Aug 23, 2022Issued On:

Jan 31, 2023Quote Expires On:

10331Sold To:

Service Effective Dates: Shared PlanService Level:Jan 31, 2024to

Contract Note:

United States

Fort Gordon GA 30905

12 monthsSupport Services Term:

Dwight D Eisenhower Army Medical Center

Feb 1, 2023

300 E Hospital Road

Products Monthly Services

Service Start Date Product Description Qty Unit

Services Service Term

(month) Extended Services

Service End Date

Feb 1, 2023 SUP-LIC-003 SERVICE-OPEN SUPPLY LICENSE KEY 80.00 $30.75 12 $29,520.00 Jan 31, 2024

Feb 1, 2023 SUP-AUX-103 SERVICE-SUPPLY AUX-XT 3-CELL 22.00 $52.00 12 $13,728.00 Jan 31, 2024

Feb 1, 2023 SUP-FRM-103 SERVICE-SUPPLY-XT 3-CELL 35.00 $96.00 12 $40,320.00 Jan 31, 2024

Feb 1, 2023 SUP-AUX-102 SERVICE-SUPPLY AUX-XT 2-CELL 20.00 $40.00 12 $9,600.00 Jan 31, 2024

Feb 1, 2023 SUP-FRM-102 SERVICE-SUPPLY-XT 2-CELL 39.00 $84.00 12 $39,312.00 Jan 31, 2024

Feb 1, 2023 SUP-AUX-101 SERVICE-SUPPLY AUX-XT 1-CELL 5.00 $32.00 12 $1,920.00 Jan 31, 2024

Feb 1, 2023 SUP-FRM-101 SERVICE-SUPPLY-XT 1-CELL 7.00 $80.00 12 $6,720.00 Jan 31, 2024

Feb 1, 2023 OMC-LIC-020 SV-OC REMOTE ACCESS WIN2016 UPG (SINGLE) 5.00 $10.00 12 $600.00 Jan 31, 2024

Revision No: 2 Page 2 of 9

Products Monthly Services

Feb 1, 2023 OMC-SRV-082 SERVICE-OMNICENTER BASE SERVER 1.00 $215.00 12 $2,580.00 Jan 31, 2024

Grand Total (USD) $144,300.00

To continue your Support Services coverage pursuant to the terms and conditions of the mutually negotiated Master Agreement #V797D-30111. Complete, sign and send this Support Services Renewal Confirmation, along with a copy of your purchase order (if needed) and Tax Exemption Certificate, to your Service Contract Specialist before your expiration date.

PLEASE NOTE

Support Services Coverage is billed as a Lump Sum invoice. Please note that Omnicell is hereby relying to its detriment upon customer's representation and certification by its submission of this Renewal that the assets listed are currently in service and in use such that if it is found at a later date not to be the case, the customer has therefore forfeited any claim to a refund, reimbursement or credit based upon such overpayment for service upon assets not in service.

Revision No: 2 Page 3 of 9

Service Start Date Product Name Product Description Age Qty Serial Number Service End Date

Feb 1, 2023 SUP-AUX-103 XT SUP AUX 3-CELL CABINET 1 188071 Jan 31, 2024

Feb 1, 2023 SUP-FRM-103 XT SUP 3-CELL CABINET 1 188139 Jan 31, 2024

Feb 1, 2023 SUP-FRM-103 XT SUP 3-CELL CABINET 1 188076 Jan 31, 2024

Feb 1, 2023 SUP-FRM-103 XT SUP 3-CELL CABINET 1 188073 Jan 31, 2024

Feb 1, 2023 SUP-FRM-103 XT SUP 3-CELL CABINET 1 188075 Jan 31, 2024

Feb 1, 2023 SUP-FRM-103 XT SUP 3-CELL CABINET 1 188072 Jan 31, 2024

Feb 1, 2023 SUP-FRM-103 XT SUP 3-CELL CABINET 1 188138 Jan 31, 2024

Feb 1, 2023 SUP-FRM-103 XT SUP 3-CELL CABINET 1 187992 Jan 31, 2024

Feb 1, 2023 SUP-FRM-103 XT SUP 3-CELL CABINET 1 188074 Jan 31, 2024

Feb 1, 2023 SUP-AUX-103 XT SUP AUX 3-CELL CABINET 1 187991 Jan 31, 2024

Feb 1, 2023 SUP-FRM-102 XT SUP 2-CELL CABINET 2 1 179110 Jan 31, 2024

Feb 1, 2023 SUP-AUX-103 XT SUP AUX 3-CELL CABINET 2 1 179167 Jan 31, 2024

Feb 1, 2023 SUP-FRM-102 XT SUP 2-CELL CABINET 2 1 179168 Jan 31, 2024

Feb 1, 2023 SUP-FRM-102 XT SUP 2-CELL CABINET 2 1 179178 Jan 31, 2024

Feb 1, 2023 SUP-FRM-102 XT SUP 2-CELL CABINET 2 1 179173 Jan 31, 2024

Feb 1, 2023 SUP-AUX-101 XT SUP AUX 1-CELL CABINET 2 1 179185 Jan 31, 2024

Feb 1, 2023 SUP-FRM-102 XT SUP 2-CELL CABINET 2 1 179183 Jan 31, 2024

Feb 1, 2023 SUP-FRM-102 XT SUP 2-CELL CABINET 2 1 179182 Jan 31, 2024

Feb 1, 2023 SUP-AUX-102 XT SUP AUX 2-CELL CABINET 2 1 179169 Jan 31, 2024

Feb 1, 2023 SUP-FRM-102 XT SUP 2-CELL CABINET 2 1 179181 Jan 31, 2024

Feb 1, 2023 SUP-AUX-102 XT SUP AUX 2-CELL CABINET 2 1 179176 Jan 31, 2024

Feb 1, 2023 SUP-FRM-102 XT SUP 2-CELL CABINET 2 1 179189 Jan 31, 2024

Feb 1, 2023 SUP-AUX-103 XT SUP AUX 3-CELL CABINET 2 1 179186 Jan 31, 2024

Feb 1, 2023 SUP-AUX-102 XT SUP AUX 2-CELL CABINET 2 1 179175 Jan 31, 2024

Revision No: 2 Page 4 of 9

Feb 1, 2023 SUP-FRM-102 XT SUP 2-CELL CABINET 2 1 179225 Jan 31, 2024

Feb 1, 2023 SUP-AUX-102 XT SUP AUX 2-CELL CABINET 2 1 179166 Jan 31, 2024

Feb 1, 2023 SUP-FRM-103 XT SUP 3-CELL CABINET 1 187993 Jan 31, 2024

Feb 1, 2023 SUP-AUX-102 XT SUP AUX 2-CELL CABINET 1 1 182507 Jan 31, 2024

Feb 1, 2023 SUP-FRM-101 XT SUP 1-CELL CABINET 1 1 182338 Jan 31, 2024

Feb 1, 2023 SUP-FRM-103 XT SUP 3-CELL CABINET 1 1 182539 Jan 31, 2024

Feb 1, 2023 SUP-FRM-101 XT SUP 1-CELL CABINET 1 1 182509 Jan 31, 2024

Feb 1, 2023 SUP-FRM-101 XT SUP 1-CELL CABINET 1 1 182339 Jan 31, 2024

Feb 1, 2023 SUP-AUX-101 XT SUP AUX 1-CELL CABINET 1 1 182336 Jan 31, 2024

Feb 1, 2023 SUP-FRM-101 XT SUP 1-CELL CABINET 1 1 182514 Jan 31, 2024

Feb 1, 2023 SUP-AUX-101 XT SUP AUX 1-CELL CABINET 1 1 182335 Jan 31, 2024

Feb 1, 2023 SUP-AUX-102 XT SUP AUX 2-CELL CABINET 1 1 182337 Jan 31, 2024

Feb 1, 2023 SUP-FRM-103 XT SUP 3-CELL CABINET 1 188137 Jan 31, 2024

Feb 1, 2023 SUP-FRM-102 XT SUP 2-CELL CABINET 2 1 179171 Jan 31, 2024

Feb 1, 2023 SUP-FRM-103 XT SUP 3-CELL CABINET 1 1 186507 Jan 31, 2024

Feb 1, 2023 SUP-FRM-103 XT SUP 3-CELL CABINET 1 1 186510 Jan 31, 2024

Feb 1, 2023 SUP-FRM-103 XT SUP 3-CELL CABINET 1 1 186506 Jan 31, 2024

Feb 1, 2023 SUP-FRM-103 XT SUP 3-CELL CABINET 1 1 186509 Jan 31, 2024

Feb 1, 2023 SUP-AUX-103 XT SUP AUX 3-CELL CABINET 1 1 186487 Jan 31, 2024

Feb 1, 2023 SUP-FRM-103 XT SUP 3-CELL CABINET 1 1 186511 Jan 31, 2024

Feb 1, 2023 SUP-FRM-103 XT SUP 3-CELL CABINET 1 1 185036 Jan 31, 2024

Feb 1, 2023 SUP-AUX-103 XT SUP AUX 3-CELL CABINET 1 1 186486 Jan 31, 2024

Feb 1, 2023 SUP-FRM-103 XT SUP 3-CELL CABINET 1 1 186501 Jan 31, 2024

Feb 1, 2023 SUP-FRM-103 XT SUP 3-CELL CABINET 1 1 186485 Jan 31, 2024

Revision No: 2 Page 5 of 9

Feb 1, 2023 SUP-FRM-103 XT SUP 3-CELL CABINET 1 1 186505 Jan 31, 2024

Feb 1, 2023 SUP-FRM-103 XT SUP 3-CELL CABINET 1 1 186512 Jan 31, 2024

Feb 1, 2023 SUP-FRM-103 XT SUP 3-CELL CABINET 1 1 186380 Jan 31, 2024

Feb 1, 2023 SUP-FRM-103 XT SUP 3-CELL CABINET 1 1 186513 Jan 31, 2024

Feb 1, 2023 SUP-FRM-103 XT SUP 3-CELL CABINET 1 1 186508 Jan 31, 2024

Feb 1, 2023 OMC-SRV-082 OC BASE SERVER-UNDER 200 DEVICES 1 1 D340R051 Jan 31, 2024

Feb 1, 2023 SUP-AUX-101 XT SUP AUX 1-CELL CABINET 2 1 177957 Jan 31, 2024

Feb 1, 2023 SUP-FRM-102 XT SUP 2-CELL CABINET 2 1 177956 Jan 31, 2024

Feb 1, 2023 SUP-AUX-103 XT SUP AUX 3-CELL CABINET 2 1 179170 Jan 31, 2024

Feb 1, 2023 SUP-FRM-102 XT SUP 2-CELL CABINET 2 1 179180 Jan 31, 2024

Feb 1, 2023 SUP-FRM-102 XT SUP 2-CELL CABINET 2 1 179172 Jan 31, 2024

Feb 1, 2023 SUP-FRM-102 XT SUP 2-CELL CABINET 2 1 179179 Jan 31, 2024

Feb 1, 2023 SUP-FRM-102 XT SUP 2-CELL CABINET 2 1 179187 Jan 31, 2024

Feb 1, 2023 SUP-FRM-102 XT SUP 2-CELL CABINET 2 1 179226 Jan 31, 2024

Feb 1, 2023 SUP-FRM-102 XT SUP 2-CELL CABINET 2 1 179109 Jan 31, 2024

Feb 1, 2023 SUP-FRM-102 XT SUP 2-CELL CABINET 2 1 179174 Jan 31, 2024

Feb 1, 2023 SUP-AUX-102 XT SUP AUX 2-CELL CABINET 2 1 179177 Jan 31, 2024

Feb 1, 2023 SUP-FRM-102 XT SUP 2-CELL CABINET 2 1 179188 Jan 31, 2024

Feb 1, 2023 SUP-FRM-102 XT SUP 2-CELL CABINET 2 1 179184 Jan 31, 2024

Feb 1, 2023 SUP-FRM-102 XT SUP 2-CELL CABINET 3 1 162459 Jan 31, 2024

Feb 1, 2023 SUP-AUX-103 XT SUP AUX 3-CELL CABINET 3 1 162455 Jan 31, 2024

Feb 1, 2023 SUP-AUX-103 XT SUP AUX 3-CELL CABINET 3 1 154272 Jan 31, 2024

Feb 1, 2023 SUP-AUX-103 XT SUP AUX 3-CELL CABINET 3 1 154275 Jan 31, 2024

Feb 1, 2023 SUP-FRM-103 XT SUP 3-CELL CABINET 3 1 154450 Jan 31, 2024

Revision No: 2 Page 6 of 9

Feb 1, 2023 SUP-AUX-102 XT SUP AUX 2-CELL CABINET 3 1 154271 Jan 31, 2024

Feb 1, 2023 SUP-AUX-103 XT SUP AUX 3-CELL CABINET 3 1 154273 Jan 31, 2024

Feb 1, 2023 SUP-FRM-102 XT SUP 2-CELL CABINET 3 1 154426 Jan 31, 2024

Feb 1, 2023 SUP-FRM-103 XT SUP 3-CELL CABINET 3 1 157249 Jan 31, 2024

Feb 1, 2023 SUP-AUX-103 XT SUP AUX 3-CELL CABINET 3 1 157185 Jan 31, 2024

Feb 1, 2023 SUP-FRM-102 XT SUP 2-CELL CABINET 3 1 157251 Jan 31, 2024

Feb 1, 2023 SUP-AUX-102 XT SUP AUX 2-CELL CABINET 3 1 157183 Jan 31, 2024

Feb 1, 2023 SUP-FRM-103 XT SUP 3-CELL CABINET 3 1 157250 Jan 31, 2024

Feb 1, 2023 SUP-AUX-102 XT SUP AUX 2-CELL CABINET 3 1 157184 Jan 31, 2024

Feb 1, 2023 SUP-AUX-102 XT SUP AUX 2-CELL CABINET 3 1 158380 Jan 31, 2024

Feb 1, 2023 SUP-AUX-101 XT SUP AUX 1-CELL CABINET 3 1 158383 Jan 31, 2024

Feb 1, 2023 SUP-AUX-103 XT SUP AUX 3-CELL CABINET 3 1 158382 Jan 31, 2024

Feb 1, 2023 SUP-FRM-103 XT SUP 3-CELL CABINET 3 1 158372 Jan 31, 2024

Feb 1, 2023 SUP-FRM-102 XT SUP 2-CELL CABINET 3 1 158377 Jan 31, 2024

Feb 1, 2023 SUP-AUX-102 XT SUP AUX 2-CELL CABINET 3 1 162453 Jan 31, 2024

Feb 1, 2023 SUP-FRM-102 XT SUP 2-CELL CABINET 3 1 162458 Jan 31, 2024

Feb 1, 2023 SUP-FRM-102 XT SUP 2-CELL CABINET 3 1 162460 Jan 31, 2024

Feb 1, 2023 SUP-AUX-103 XT SUP AUX 3-CELL CABINET 3 1 162456 Jan 31, 2024

Feb 1, 2023 SUP-FRM-103 XT SUP 3-CELL CABINET 3 1 157873 Jan 31, 2024

Feb 1, 2023 SUP-AUX-103 XT SUP AUX 3-CELL CABINET 3 1 157731 Jan 31, 2024

Feb 1, 2023 SUP-FRM-103 XT SUP 3-CELL CABINET 3 1 157729 Jan 31, 2024

Feb 1, 2023 SUP-AUX-103 XT SUP AUX 3-CELL CABINET 3 1 157738 Jan 31, 2024

Feb 1, 2023 SUP-FRM-102 XT SUP 2-CELL CABINET 3 1 157739 Jan 31, 2024

Feb 1, 2023 SUP-AUX-103 XT SUP AUX 3-CELL CABINET 3 1 157733 Jan 31, 2024

Revision No: 2 Page 7 of 9

Feb 1, 2023 SUP-FRM-102 XT SUP 2-CELL CABINET 3 1 159443 Jan 31, 2024

Feb 1, 2023 SUP-FRM-102 XT SUP 2-CELL CABINET 3 1 159440 Jan 31, 2024

Feb 1, 2023 SUP-FRM-102 XT SUP 2-CELL CABINET 3 1 159437 Jan 31, 2024

Feb 1, 2023 SUP-FRM-102 XT SUP 2-CELL CABINET 3 1 159439 Jan 31, 2024

Feb 1, 2023 SUP-FRM-102 XT SUP 2-CELL CABINET 3 1 159442 Jan 31, 2024

Feb 1, 2023 SUP-AUX-102 XT SUP AUX 2-CELL CABINET 3 1 162454 Jan 31, 2024

Feb 1, 2023 SUP-AUX-102 XT SUP AUX 2-CELL CABINET 3 1 158378 Jan 31, 2024

Feb 1, 2023 SUP-AUX-102 XT SUP AUX 2-CELL CABINET 4 1 149919 Jan 31, 2024

Feb 1, 2023 SUP-FRM-103 XT SUP 3-CELL CABINET 4 1 149915 Jan 31, 2024

Feb 1, 2023 SUP-FRM-102 XT SUP 2-CELL CABINET 4 1 149917 Jan 31, 2024

Feb 1, 2023 SUP-FRM-103 XT SUP 3-CELL CABINET 4 1 149916 Jan 31, 2024

Feb 1, 2023 SUP-AUX-102 XT SUP AUX 2-CELL CABINET 4 1 149918 Jan 31, 2024

Feb 1, 2023 SUP-AUX-103 XT SUP AUX 3-CELL CABINET 4 1 151169 Jan 31, 2024

Feb 1, 2023 SUP-FRM-102 XT SUP 2-CELL CABINET 4 1 151170 Jan 31, 2024

Feb 1, 2023 SUP-AUX-102 XT SUP AUX 2-CELL CABINET 4 1 151168 Jan 31, 2024

Feb 1, 2023 SUP-FRM-102 XT SUP 2-CELL CABINET 4 1 151171 Jan 31, 2024

Feb 1, 2023 SUP-FRM-101 XT SUP 1-CELL CABINET 4 1 151197 Jan 31, 2024

Feb 1, 2023 SUP-AUX-103 XT SUP AUX 3-CELL CABINET 3 1 153418 Jan 31, 2024

Feb 1, 2023 SUP-FRM-103 XT SUP 3-CELL CABINET 3 1 153414 Jan 31, 2024

Feb 1, 2023 SUP-AUX-103 XT SUP AUX 3-CELL CABINET 3 1 153408 Jan 31, 2024

Feb 1, 2023 SUP-AUX-103 XT SUP AUX 3-CELL CABINET 3 1 153419 Jan 31, 2024

Feb 1, 2023 SUP-FRM-103 XT SUP 3-CELL CABINET 3 1 153407 Jan 31, 2024

Feb 1, 2023 SUP-FRM-102 XT SUP 2-CELL CABINET 3 1 155580 Jan 31, 2024

Feb 1, 2023 SUP-AUX-103 XT SUP AUX 3-CELL CABINET 3 1 155579 Jan 31, 2024

Revision No: 2 Page 8 of 9

Feb 1, 2023 SUP-AUX-102 XT SUP AUX 2-CELL CABINET 3 1 155671 Jan 31, 2024

Feb 1, 2023 SUP-FRM-102 XT SUP 2-CELL CABINET 3 1 155724 Jan 31, 2024

Feb 1, 2023 SUP-AUX-102 XT SUP AUX 2-CELL CABINET 3 1 155578 Jan 31, 2024

Feb 1, 2023 SUP-FRM-102 XT SUP 2-CELL CABINET 3 1 155672 Jan 31, 2024

Feb 1, 2023 SUP-FRM-103 XT SUP 3-CELL CABINET 4 1 151172 Jan 31, 2024

Feb 1, 2023 SUP-FRM-102 XT SUP 2-CELL CABINET 4 1 149517 Jan 31, 2024

Feb 1, 2023 SUP-AUX-102 XT SUP AUX 2-CELL CABINET 4 1 149513 Jan 31, 2024

Feb 1, 2023 SUP-FRM-101 XT SUP 1-CELL CABINET 4 1 149514 Jan 31, 2024

Feb 1, 2023 SUP-FRM-101 XT SUP 1-CELL CABINET 4 1 149515 Jan 31, 2024

Revision No: 2 Page 9 of 9

115145Quote:

V797D-30111Master Agreement ID:

Pricing Supplement - Support Services Renewal Supplement

1. The Pricing Supplement is subject to and incorporates by reference all of the terms and conditions as set forth within the Master Agreement identified above.

2. Any terms and conditions on any Purchase Order issued in conjunction with this Pricing Supplement shall be for reference purposes only and shall not become a part of the terms and conditions of this Pricing Supplement.

3. Customer acknowledges that auto-renewal of Support Services will no longer occur, a new service term will require express agreement.

4. Customer acknowledges and agrees that it is Customer’s obligation to pay the amounts as set forth on this Pricing Supplement and that such payment obligations are governed by the terms and conditions of the above referenced Master Agreement including all applicable scheduled, attachments and exhibits.

5. The undersigned hereby acknowledges that he/she has the authority to sign this Pricing Supplement and bind the Customer to the terms and conditions of this Pricing Supplement.

OMNICELL INC.

Signature: ____________________________________

Print Name: ___________________________________

Title: ________________________________________

Date: ________________________________________

CUSTOMER

Signature: _________________________________

Print Name: ________________________________

Title: _____________________________________

Date: _____________________________________

**Please e-mail all the document pages to

Jan 31, 2023Quote Expires On:

Aug 23, 2022Issued On:

10331Ship To ID:

Shared PlanService Level:Service Effective Dates:

10331Sold To ID:

12 monthsSupport Services Term:

Jan 31, 2024

Feb 1, 2023 to

Stacy CerwinAdministrator:

(847) 596-3464Phone Number:

STACY.CERWIN@OMNICELL.COMEmail Address: