Neogov Insight Order Form

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NEOGOV ORDERING FORM 
Employee Count:  
Governmentjobs.com, Inc. (dba “NEOGOV”) 
300 Continental Blvd., Suite 565 
El Segundo, CA 90245 
accounting@neogov.com 
Customer Information 
Customer 
Name: 
City of El Mirage (AZ) 
Customer  
Contact Name: 
Vicki Chavez 
Customer 
Address: 
10000 N. El Mirage Road 
El Mirage, AZ 85335 
Email Address: 
vchavez@elmirageaz.gov 
 
Fee Summary 
Description of Subscriptions 
SaaS Subscription  
Fees 
Non-Recurring 
Professional Service Fees 
Service Fee 
Sub-Totals 
Insight Enterprise 
(IN) 
$5,682.25 
 
$5,682.25 
Position Management 
(PM) 
 
 
 
GovernmentJobs.com  
(GJC) 
 
 
 
Perform  
(PE) 
 
 
 
E-Forms 
(EF) 
 
 
 
Onboard  
(ON) 
 
 
 
Learn  
(LE) 
 
 
 
Integrations  
(IG) 
 
 
 
Core HR  
(CHR) 
 
 
 
Payroll  
(PR) 
 
 
 
Time & Attendance  
(TA) 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Order Total: 
$5,682.25 
A.  Agreement and Applicable Modifications to the Agreement. 
1. Agreement. This Ordering Document and the Services purchased herein are governed by the terms of the Services Agreement either affixed 
hereto or the version most recently published prior to execution of this Ordering Document available at https://www.neogov.com/service-
specifications, as well as the Service Specifications and applicable Schedules incorporated therein.  
2. Effectiveness & Modification. Neither Customer nor NEOGOV will be bound by this Ordering Document until it has been signed by its 
authorized representative. This Order Form may not be modified or amended except through a written instrument signed by the parties. 
B.  General Terms Summary. 
1. Summary of Fees. Listed above is a summary of Fees under this Order. Once placed, your order shall be non-cancelable and the sums paid 
nonrefundable, except as provided in the Agreement. 
2. The Effective Date. This Order is made and entered into as of the date of Customer signature on this Order Document (the “Effective Date”). 
3. SaaS Subscription(s) Start Date. The Effective Date. 
4. Billing Frequency. Annual. Net 30 from Customer receipt of NEOGOV invoice. 
5. Order of Precedence. This Ordering Document shall take precedence in the event of direct conflict with the Services Agreement, applicable 
Schedules, and Service Specifications.  
6. Offer Validity. This Order is valid for 30 days from the date of Customer receipt of this Ordering Document unless extended by NEOGOV. 
C. Special Conditions (if any).

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IN WITNESS WHEREOF, the parties have caused this Order to be executed by their respective duly authorized officers as of the 
date set forth below, and consent to the Agreement.  
 
Customer 
Governmentjobs.com, Inc. (DBA “NEOGOV”) 
Entity Name: 
 
 
 
 
 
Signature: 
 
 
Signature: 
 
 
Print Name: 
 
 
Print Name: 
 
 
 
Date: 
 
 
 
Date: