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❑ocusign Envelope ID:861E96OD-5A7A-4OC7-A546-9E2B8236ACC2 <br /> 0 evident <br /> Evident ID,Inc Remit To Address <br /> - <br /> 945 East Paces Ferry Road NE,Suite 1400,Atlanta,CA 30326 Evidenl ID,Inc <br /> Tel,+1 977 832.5298,Email:salesrwevFdentid.com 2810 N Church SI,Suite 95997,Wilmington,OE 19a02-4447 <br /> wnrw evidentld-com. Quote Expiration: 4/17/26 <br /> Order Fora;prepared for: Date: 13-Apr-2026 <br /> City of Santa Ana Evident Contact: Lisa Szemes <br /> Entity Name(internal use):sanraana Email: ;A.szernes@evidentid.com <br /> Account ID(internal use):001 Rm00000ZH6AB Phone: 909-446-5815 <br /> License Fee <br /> above included <br /> Annual Included (Per Vendor above:rr <br /> Service Platform Fee Licenses Included) <br /> Insurance Verification-as-a-Service(IVaaS)-Managed Services Tier S28,99QA9 No gas.gg <br /> Each License is for 1 year of service,and includes. <br /> -Custom brandato_and communications <br /> •Decision,ng fng:na includes Unlimited Coverage Types and Groups <br /> -Notice of Carceilauan Support(Digital and PO Box) <br /> -Embedded`ins-•raree for third parties <br /> -AP111nte5ration Srppwl.unlimited aderimiusers <br /> -Hastortc COI Access <br /> Managed Services <br /> Limited-Time Discount <br /> Evident has extended a special discount reflected in the pricing above to support the City`s <br /> ability to proceed under its current purchasing process and remain wlthin the City's small- $20,000.OD 800 $25.DD <br /> purchase ti-reshold(under$30,000),avoiding the need to initiate a formal RFP This <br /> discount is contingent upon the execration of a mutually agreed order Form and applicable <br /> agreements art or before April 17,2026. <br /> Onboardtng(one-time:) $2,50D.00 <br /> Total Year 1 With Discount: S22,SD0.00 <br /> Milling Information Billing Terms <br /> Address 20 Civic Center Plaza Term: 12 Months <br /> Santa Ana.CA 92701 onhoarding Service: Included in First Invoice <br /> Annual Platform Fee: Invoiced Annually <br /> Contact: Brandon Ghandler All Other Fees and Services: Invoiced Monthly,in Arrears <br /> Email: bchander@santa-ana.org Payment Terms 45 Days from Invoice <br /> Additional <br /> Initial Term: <br /> May i,2026-April 30.2027(Term begins at date listed or upon initial usage of service,whichever occurs sooner) <br /> Ivaas; <br /> The licenses pack included in the Platform Fee will be activated when the term begins and renew annually. <br /> Insurance Verification is an annual subscription service whereby an individual 12-month service is Initiated upon activation of an individual insured. <br /> The subscription fee cannot be prorated,including upon termination of the agreement. <br /> The City agrees to pay Evident ID,Inc,at an amount not-to-exceed$50,000.These costs may include additional license fees above the 1000 included licenses, <br /> Subscription is not subier:t to auto-renewal. <br /> By signing this Order Form,you agree to:(a)purchase the products and services pursuant to the terms set forth herein;(b)authorize Evident to submit Invoices for such <br /> payment;and(c)be bound by the Evident Relying Party Subscription Terms&Conditions(Agreement).This Order Form will renew as set forth In the Agreement,unless <br /> expressly stated otherwise herein. <br /> Evident ID,Inc City of Santa Ana <br /> Name Dana Thomas Name: Lori Schnaider <br /> Title: Chief Operating Officer Title: Executive Director of HR <br /> .o�N. <br /> Signature AS Signature: <br /> Date: 411412026 Date:04/13/2026 <br />