UPDATED EDMENTUM ORDER FORM WITH PAYMENTS W-SIGNATURE PAGE.PDF
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Date: 6/2/2021
Order Number: Q-297670
Revision: 5
Order Form Expiration Date: 7/9/2021
ORDER FORM Please fax all pages to 1.877.519.9555 or email to orders@edmentum.com
Orders Under $25,000.00 may pay by Credit Card:
Call 214.294.9901 or e-mail creditcardprocessing@edmentum.com
Customer and Billing Address
Customer No.: 438724
Customer Name: Lower Buckeye Jail
Billing Address: MCSO Financial Svs Div, 550 W Jackson St, 4th Fl
Phoenix, AZ 85004
Products and Services
Courseware
Products Qty License License License
Start Date End Date Term
(Months)
Courseware: Core Library - Concurrent License 40 7/5/2021 7/4/2024 36
Courseware: Higher Education and Career Readiness Library - Concurrent 40 7/5/2021 7/4/2024 36
License
Courseware: CTE Library - Concurrent License 40 7/5/2021 7/4/2024 36
Exact Path: Core Library - Program License 800 7/5/2021 7/4/2024 36
Fixed Form Assessment with Prescriptions: Core Library - Program License 400 7/5/2021 7/4/2024 36
Courseware Silver Onboarding Extension Package 1 7/5/2021 7/4/2022 12
Courseware Subtotal: $247,868.00
GED Ready Test Simulation Year 1
Products Qty License License License
Start Date End Date Term
(Months)
GED® Ready Test Simulation 400 7/5/2021 7/4/2022 12
GED Ready Test Simulation Year 1 Subtotal: $1,600.00
GED Ready Test Simulation Year 2
Products Qty License License License
Start Date End Date Term
(Months)
GED® Ready Test Simulation 400 7/5/2022 7/4/2023 12
GED Ready Test Simulation Year 2 Subtotal: $1,600.00
Edmentum | P.O. Box 776725 | Chicago, IL 60677-6725 | www.edmentum.com
Page 1 of 5
Date: 6/2/2021
Order Number: Q-297670
Revision: 5
Order Form Expiration Date: 7/9/2021
ORDER FORM Please fax all pages to 1.877.519.9555 or email to orders@edmentum.com
Orders Under $25,000.00 may pay by Credit Card:
Call 214.294.9901 or e-mail creditcardprocessing@edmentum.com
GED Ready Test Simulation Year 3
Products Qty License License License
Start Date End Date Term
(Months)
GED® Ready Test Simulation 400 7/5/2023 7/4/2024 12
GED Ready Test Simulation Year 3 Subtotal: $1,600.00
Subtotal: $252,668.00
Estimated Tax: $19,802.77
Total US Funds: $272,470.77
** Unless otherwise specified in this Order Form, the Start Date for your license(s) will be one of the following: (a) the day immediately following the
expiration date of the prior license term or (b) the date in which we have accepted your order and have issued log-in credentials for your software
license.
*** Services purchased are valid for an annual term. Any service offering that is not used during the applicable term will expire and cannot be carried
over or used in subsequent periods.
*** GED® is a registered trademark of the American Council on Education (ACE) and administered exclusively by GED Testing Service LLC under
License. This material [or content] is not endorsed or approved by ACE or GED Testing Service.
Invoicing and Payment Terms
PO Due Date Payment Due Date Amount
Due at Time of Order Net 15 $105,358.77
6/20/2022 7/5/2022 $83,556.00
6/20/2023 7/5/2023 $83,556.00
Total $272,470.77
Terms and Conditions
For the purposes of this Order Form, "you" and "your" refer to Customer, and "we", "us" and "our" refer to edmentum Inc. and affiliates. This Order
Form and any documents it incorporates (including the Standard Purchase and License Terms located at http://www.edmentum.com/standardterms
and the documents it references) form the entire agreement between you and us ("Agreement"). You acknowledge that any terms and conditions in
your purchase order or any other documents you provide that enhance our obligations or restrictions or contradict the Agreement do not have force and
effect.
Purchase Order
You acknowledge that this Agreement is non-cancellable and you will submit a Purchase Order with this Order Form covering the initial portion of the
amount and you will submit future Purchase Orders based on the Invoicing and Payment Terms table and timely make corresponding payment(s) for the
remaining amount(s) owed.
Customer Contact for Future Purchase Orders:
Name:
Email Address:
EdOptions Academy Post Pay Option
Included in this Agreement is your option to enroll students in our EdOptions Academy (the “EdOptions Academy Post Pay Option”). You may exercise
this option at any time during the 365 day period beginning on the date that your order under the Agreement is processed (the “Option Exercise Period”)
by sending an email to teacherneeded@Edmentum.com and identifying your desire to exercise this option. If you either (a) notify us of your decision to
Edmentum | P.O. Box 776725 | Chicago, IL 60677-6725 | www.edmentum.com
Page 2 of 5
Date: 6/2/2021
Order Number: Q-297670
Revision: 5
Order Form Expiration Date: 7/9/2021
ORDER FORM Please fax all pages to 1.877.519.9555 or email to orders@edmentum.com
Orders Under $25,000.00 may pay by Credit Card:
Call 214.294.9901 or e-mail creditcardprocessing@edmentum.com
exercise the EdOptions Academy Post Pay Option within the Option Exercise Period or (b) actually enroll any of your students in any of the EdOptions
Academy courses/programs, you agree that (i) the fees your required to pay us for each Academy enrollment shall be as identified on Appendix A during
the Option Exercise Period, after which the fees shall be as agreed to by the parties, all such fees to be payable by you within fifteen (15) days of your
receipt of our invoice, (ii) you will not be required to issue an additional purchase order to cover any of your Academy enrollments and (iii) the terms and
conditions identified in or referenced in this Agreement, including those on Appendix A, shall exclusively control.
Acceptance
This offer will expire on the Order Form Expiration Date noted above unless we earlier withdraw or extend the offer in writing. I represent that I have
read the terms and conditions included in this Agreement, that I am authorized to accept this offer and the Agreements terms and conditions on behalf
of the customer identified above and that I do accept this offer on behalf of the customer who agrees to adhere to the Agreements terms and conditions.
To the extent that either parties process does not require that I execute this Order Form, I accept, acknowledge and agree to the terms and conditions
identified in and referenced in this Agreement as signified by my receipt, use or access of the products and/or services identified. Please fax all pages to
1.877.519.9555 or email to orders@edmentum.com.
Customer Signature: See below
Name (Printed or Typed):
Title:
Date:
Edmentum | P.O. Box 776725 | Chicago, IL 60677-6725 | www.edmentum.com
Page 3 of 5
Date: 6/2/2021
Order Number: Q-297670
Revision: 5
Order Form Expiration Date: 7/9/2021
ORDER FORM Please fax all pages to 1.877.519.9555 or email to orders@edmentum.com
Orders Under $25,000.00 may pay by Credit Card:
Call 214.294.9901 or e-mail creditcardprocessing@edmentum.com
Appendix A: EdOptions Academy Products
All courses and programs included in the table below will be available for enrollment at the indicated price.
Products Price
EdOptions Academy College Pathways School Year $2,500.00
EdOptions Academy Elementary Pathways $3,000.00
EdOptions Academy Elementary Semester $1,600.00
EdOptions Academy Active Yearly per Student $2,500.00
EdOptions Academy Active Monthly per Course $80.00
EdOptions Academy Active Monthly per Student $250.00
EdOptions Academy 18 Week Core Courses $295.00
EdOptions Academy 18 Week CTE and Elective Courses $295.00
EdOptions Academy 18 Week Health and Fitness Courses $295.00
EdOptions Academy 18 Week Advanced Courses $325.00
EdOptions Academy 18 Week World Language Courses $325.00
EdOptions Academy 18 Week Advanced World Language Courses $325.00
EdOptions Academy 18 Week Course Extension Fee $50.00
EdOptions Academy 9 Week Semester Courses $200.00
EdOptions Academy 9 Week Course Extension Fee $25.00
EdOptions Academy Test Prep Courses $295.00
EdOptions Academy Remediation Courses $295.00
Terms and Conditions for Academy Products:
Prices identified above do not include taxes and any taxes imposed on your purchases shall be invoiced and payable by you. To the extent that you
have not provided a Subsequent Purchase Order to cover your Purchases, upon our request, you will promptly issue a subsequent Purchase Order in
the amount we identify to cover such Purchases. You agree to pay all invoices within 15 days of receipt. Although we will generally not invoice you until
after you enroll, use, or access, we reserve the right to immediately invoice you for any services you purchase.
We provide a no charge grace period for enrollments that are dropped within the following number of days from enrollment: Standard (9 or 18 week)
courses, Calvert Instructional Support = 14 days, College Pathways, Active Yearly per Student = 30 days, Active monthly = 3 days.
College Pathways School Year allows the student access to the Academy for a set 12-month school year with a start date of 8/1 and end date of 7/31.
Active Yearly per Student allows the student access for a 12-month period following initial enrollment date.
Enrollment extensions are available: 2 Weeks - $25. 4 Weeks - $50.
Roles and Responsibilities:
Our Responsibilities
We will administer the program with the support of your staff.
We will be responsible for the following:
• Provide the licensed courses to students using the program.
• Provide qualified teachers for each course (valid for Calvert Digital only if Instructional Support option for Calvert is utilized per Appendix
A).
• Provide live training and/or training through webinar(s) for individuals selected by you to facilitate the program, in accordance with the
services you have purchased.
• Provide an online registration and course enrollment process.
• Provide online access to student progress on an ongoing basis to appropriate personnel that you identify.
Edmentum | P.O. Box 776725 | Chicago, IL 60677-6725 | www.edmentum.com
Page 4 of 5
Date: 6/2/2021
Order Number: Q-297670
Revision: 5
Order Form Expiration Date: 7/9/2021
ORDER FORM Please fax all pages to 1.877.519.9555 or email to orders@edmentum.com
Orders Under $25,000.00 may pay by Credit Card:
Call 214.294.9901 or e-mail creditcardprocessing@edmentum.com
• Provide access to the online courses that you've licensed 24 hours 7 days a week for student and organization use, subject to normal
downtime for updates and maintenance.
• Provide reporting on student progress throughout each course and program.
• Access to learning management system which gives access to student info, student's official gradebook, and communications
concerning student.
• Printable access to an enrolled student’s transcript.
Your Responsibilities
You will work with us to design and implement a program that meets the educational needs of the students selected to participate in the program.
You will be responsible for the following:
• Designate one person who will be the program administrator. This person will be responsible for coordinating the operation of the
program with our staff.
• Arrange for our training to your staff involved in the program. The training will be provided through virtual sessions.
• Submit enrollment forms and other miscellaneous required documents via our Student Information System.
• Determine what course(s) students will take and assist students or administrators in accurately inputting required information.
• Ensure that students participating in this program have regular access to the internet.
• Provide proctors for the exams associated with each course.
• Promptly notify us in the event that you become aware of a change in law or regulation that impacts the operation of the program or the
policies in place governing a student's participation in the program.
• Promptly contact us if a student withdraws, is suspended, or has other status changes that will affect the student's participation or
progress in class.
• Using reasonable efforts to ensure that your students understand and adhere to our policies, including but not limited to our Student
Code of Conduct policy.
Edmentum | P.O. Box 776725 | Chicago, IL 60677-6725 | www.edmentum.com
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