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Page 1 of 14 <br />GDSVF&H\9154876.4 <br />GDSVF&H\9154876.4 LA515\1\1011954.v2 <br />BS&A <br />CUSTOMER ORDER FORM <br />This Customer Order Form (this “Order”) is entered into as of the “Effective Date” identified below between BS&A <br />Software, LLC, a Delaware limited liability company with offices located at 14965 Abbey Lane, Bath, MI 48808 (“BS&A”) <br />and the “Customer” identified below. Capitalized terms used but not defined in this Order have the meanings given them <br />elsewhere in the Agreement (as defined below). BS&A and Customer may be referred to herein collectively as the “Parties” <br />or individually as a “Party”. The Parties hereby agree as follows: <br />Customer Name: City of Lake Elmo, Washington County <br />MN Sponsor Contact: <br />Billing Address: Sponsor Phone: <br />Accounts Payable Email: Sponsor Email: <br />Platform and Fee Information <br />Effective Date: <br />Platform Description: Those modules and feature packs of BS&A’s proprietary hosted enterprise resource planning <br />service for managing local government functions that are identified in the Pricing Sheet. <br />“Usage Limitations”: <br />☐ Number of Authorized Users: <br />☐ Other: <br />“Initial Subscription Period”: [One (1) year] <br /> <br />Subscription Fees: <br />$44,855 payable [annually]. <br />Professional Services (if any): $105,920 Service Fees (if any): <br />Other Customer Terms: <br />The Customer Agreement (the “Agreement”), made and entered into as of the Effective Date between BS&A and <br />Customer, includes and incorporates: (i) the above Order; (ii) any Orders previously or subsequently entered into by the <br />Parties; and (iii) the Customer Terms and Conditions, which are attached to this Order (the “Terms and Conditions”); (iv) <br />the Pricing Sheet attached to this Order (the “Pricing Sheet”); and (v) any Statements of Work (each an “SOW”) entered <br />into by the parties, a form of which is attached to this Order . <br />BS&A SOFTWARE, LLC CITY OF LAKE ELMO, WASHINGTON COUNTY, MN <br /> <br /> <br />Name: <br />Title: <br /> <br />Name: <br />Title: <br />