EDI Hosting and Maintenance FY 22

Header Information Purchase Order Number: 22-563WCC-WCC56-P-27942 Release Number: 0 Short Description: EDI Hosting and Maintenance FY 22 Status: 3PS - Sent Purchaser: David Larson Receipt Method: Quantity Fiscal Year: 2022 PO Type: Blanket Minor Status: Organization: WCC - Illinois Worker's Compensation Commission Department: WCC563 - Illinois Worker's Compensation Commission Location: AA001 - Illinois Worker's Compensation Commission Type Code: Small Purchase Alternate ID: 4100142349 Entered Date: 06/23/2021 08:48:41 AM Days ARO: 1 Retainage %: 0.00% Discount %: 0.00% Release Type: Direct Release Contact Instructions: Contact David Larson at (312) 814-8770 Tax Rate: Actual Cost: $0.00 Print Format: Is this a Small Business Set Aside Procurement?: No Date Contract Executed: Master Contract?: No Original/ Old Contract/PO Number: Incoterm Key: Incoterm Location (City): Release Begin Date: Release End Date: Is there a BEP/VBP Participation Goal? : No Primary Vendor Information & PO TermsVendor: V00010134 - Ebix, Inc. Shayne Garner One Ebix Way Johns Creek, GA 30097 US Email: EbixRMIS@ebix.com Phone: (678)281-2020 FAX: (614)883-9393 Payment Terms: NA Shipping Method: Shipping Terms: Freight Terms: PO Acknowledgements: DocumentNotificationsAcknowledged Date/Time Purchase Order Emailed to EbixRMIS@ebix.com at 06/30/2021 03:58:59