Appendix D Contractor and Reseller Information. Lot 1 Software

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1 Appendix D - Contractor and Page 1 of 3 Appendix D Contractor and... 1 Procurement Card and Prompt Payment Discount Information Contractor will complete Appendix D Contractor and for any updates required for Contractor or Reseller information during the term of the Contract. See Appendix C Contract Modification Procedure for additional information regarding resulting Contract Modifications and Updates. A separate Appendix D form must be submitted for each awarded Lot (for example, one Appendix D form for Software, a different Appendix D form for Hardware, etc.). Lot 1 Software Company Name: Doing Business As: N/A Website: Federal ID #: NYS Vendor ID #: Contract Administrator Name: Roxanne Lerner Contract Administrator Information : Director of Contracts roxanne.lerner@tritech.com

2 Appendix D - Contractor and Page 2 of 3 Account Manager Name: Bridget Vuolo Account Manager Information bridget.vuolo@tritech.com Bridget Vuolo Sales/Billing Information Toll Free bridget.vuolo@tritech.com Emergency Contact Information Toll Free support@tritech.com Procurement Card and Prompt Payment Discount Information Procurement Card Information 1. Will the Contractor accept the New York State Procurement Card? Yes No 2. If Yes, enter any dollar limit on orders for which the Contractor will accept the NYS Procurement Card: $ Prompt Payment Discounts Prompt payment discount percentage for payment within 15 days of delivery and/or receipt of voucher: Prompt payment discount percentage for payment within 30 days of delivery and/or receipt of voucher: invoices invoice

3 Appendix D - Contractor and Page 3 of 3 This Contract does not contain Resellers. Company Name: Website: Federal ID #: NYS Vendor ID #: Qualifying Criteria This Contract does not contain Sales Agents. Agent Name:

4 Appendix D - Contractor and Page 1 of 4 Appendix D Contractor and... 1 Procurement Card and Prompt Payment Discount Information Contractor will complete Appendix D Contractor and for any updates required for Contractor or Reseller information during the term of the Contract. See Appendix C Contract Modification Procedure for additional information regarding resulting Contract Modifications and Updates. A separate Appendix D form must be submitted for each awarded Lot (for example, one Appendix D form for Software, a different Appendix D form for Hardware, etc.). Lot 4 Implementation Services Company Name: Doing Business As: N/A Website: Federal ID #: NYS Vendor ID #: Contract Administrator Name: Roxanne Lerner Contract Administrator Information : Director of Contracts roxanne.lerner@tritech.com

5 Appendix D - Contractor and Page 2 of 4 Account Manager Information Account Manager Name: Bridget Vuolo bridget.vuolo@tritech.com Sales/Billing Information Bridget Vuolo Toll Free bridget.vuolo@tritech.com Emergency Contact Information Toll Free support@tritech.com Procurement Card and Prompt Payment Discount Information Procurement Card Information 1. Will the Contractor accept the New York State Procurement Card? Yes No 2. If Yes, enter any dollar limit on orders for which the Contractor will accept the NYS Procurement Card: $ Prompt Payment Discounts Prompt payment discount percentage for payment within 15 days of delivery and/or receipt of voucher: Prompt payment discount percentage for payment within 30 days of delivery and/or receipt of voucher: invoices.% invoices.%

6 Appendix D - Contractor and Page 3 of 4 This Contract does not contain Resellers. Company Name: Website: Federal ID #: NYS Vendor ID #: Qualifying Criteria

7 Appendix D - Contractor and Page 4 of 4 This Contract does not contain Sales Agents. Agent Name:

Appendix D Contractor and Reseller Information. Lot 1 Software

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