County of Sacramento Department of Health Services PO-HS-26008605

SOFTWARE-CACTUS-SYMPL PROVIDER AFFILIATION LETTERS SUBSCRIPTION PERIOD: 6/1/26 - 5/31/27 ***ELECTRONIC DELIVERY - LIN...

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SOFTWARE-CACTUS-SYMPL PROVIDER AFFILIATION LETTERS SUBSCRIPTION PERIOD: 6/1/26 - 5/31/27 ELECTRONIC DELIVERY - LINE IS NOT TAXABLE; SOFTWARE-CACTUS-SYMPL PROVIDER ENTITY TIER 3 SUBSCRIPTION PERIOD: 6/1/26 - 5/31/27 ELECTRONIC DELIVERY - LINE IS NOT TAXABLE; SOFTWARE-CACTUS-SYMPL PROVIDER PLATFORM TIER 1 SUBSCRIPTION PERIOD: 6/1/26 - 5/31/27 ELECTRONIC DELIVERY - LINE IS NOT TAXABLE; SOFTWARE-CACTUS-SYMPL PROVIDER HL7 EXPORT SUBSCRIPTION PERIOD: 6/1/26 - 5/31/27 ELECTRONIC DELIVERY - LINE IS NOT TAXABLE; SOFTWARE-CACTUS-SYMPL PROVIDER PRIVILEGE VIEWER SUBSCRIPTION PERIOD: 6/1/26 - 5/31/27 ELECTRONIC DELIVERY - LINE IS NOT TAXABLE; SOFTWARE-CACTUS-SYMPL PROVIDER SCHEDULER SUBSCRIPTION PERIOD: 6/1/26 - 5/31/27 ELECTRONIC DELIVERY - LINE IS NOT TAXABLE; SOFTWARE-CACTUS-SYMPL PROVIDER XML EXPORT SUBSCRIPTION PERIOD: 6/1/26 - 5/31/27 ELECTRONIC DELIVERY - LINE IS NOT TAXABLE; SOFTWARE-CACTUS-SYMPL PROVIDER APPLICATION MANAGER SUBSCRIPTION PERIOD: 6/1/26 - 5/31/27 ELECTRONIC DELIVERY - LINE IS NOT TAXABLE; SOFTWARE-CACTUS-SYMPL PROVIDER SOFTWARE-CACTUS-SYMPL PROVIDER LICENSE MONITOR DEA & STATE SUBSCRIPTION PERIOD: 6/1/26 - 5/31/27 ELECTRONIC DELIVERY - LINE IS NOT TAXABLE REF QUOTE DATED 2/25/26 SYMPLR ACCOUNT ID: 152897 DEPT END USER CONTACT: LAURA WILLIAMS @ LWILLIAMS@DHS.LACOUNTY.GOV DEPT PROCUREMENT CONTACT: GUSTAVO E. TRUJILLO @ 626-434-3262 OR GTRUJILLO3@DHS.LACOUNTY.GOV VENDOR CONTACT: legal@symplr.com PLESAE SEND INVOICE TO: E: GHXODAP.LACOUNTY@NA.FIRSTSOURCE.COM SYMPLR ACCOUNT ID: 152897 ******************************************************** THE PARTIES ACKNOWLEDGE THAT THEY INTEND TO ENTER INTO GOOD FAITH NEGOTIATIONS OF A BUSINESS ASSOCIATE AGREEMENT (BAA) AND ADDITIONAL INFORMATION SECURITY AND PRIVACY REQUIREMENT (ISPR ) TERMS AND UPON FINALIZATION, THE BAA AND ISPR WILL BE INCORPORATED INTO THE AGREEMENT BY WRITTEN AMENDMENT SIGNED BY BOTH PARTIES WHICH SHALL AMEND ANY PRIOR AGREEMENT(S) AND RESPECTIVE COUNTY PURCHASE ORDER ACCORDINGLY ******************************************************** FOR INTERNAL USE ONLY: REQ: 558-26012 UNIT: 20212 REQUESTOR: ANAHIT GEZALIAN BUYER: GUSTAVO E. TRUJILLO PRIOR: PO-HS-25008476