The URL can be used to link to this page

Home My WebLink AboutCAG2019-407 - Extension - #1 - Origami Risk LLC - Risk Management Information System (RMIS) - 09/05/20228/24/22 8/25/22 CAG2019-407 STATEMENT OF WORK #20220905 This Statement of Work ("SOW") describes services to be performed by Origami Risk LLC ("Origami") for City of Kent, Washington ("Client"). This SOW is subject to all the terms and conditions of the Software Subscription Agreement between Client and Origami dated September 5, 2019 (the "Agreement"). PURPOSE AND TERM The purpose of this SOW is to renew Client's subscription to Origami's Risk Management Information System (RMIS) (the "Service") as set forth in this SOW. The tern of this SOW shall begin on September 5, 2022 and shall continue for a duration of three years. Origami and Client agree that the term of the Agreement shall be extended through the duration of the term of this SOW. LICENSES Base Functional Functionality Selected Description RMIS Yes Includes functionality related to risk management, including incidents, claims, insurance policy management, locations, safay, and risk management portal. Claims Adjudication No Includes additional functionality related to claims adjudication. Policy Underwriting and No Includes additional functionality related to policy underwriting and issuance. Issuance Governance, Risk & No Includes GRC/ERM functionality. Compliance (GRCI * Origami may also offer other base functionality not included under this SOW. User Licenses A `� License quantiy DescriDtion Full User 3 These licenses have access to all the capabilities and features of the Service under the base functionality selected above, except those features utilized for adjusting claims such as check writing, setting reserves and calculating indemnity benefits. These licenses have access to Extended Functionality features to the extent selected below. Light User 1 These licenses have access to the dashboard, reports pre -configured for them, and read-only access to other areas of the Service under the selected base functionality. Light Users do not have access to Administration features or Extended Functionality features. Claims Adjusting 0 "These licenses have access to all the features and capabilities of the Service under the base functionality User selected above, including those features utilized for adjusting claims such as check writing, setting reserves and calculating indemnity benefits. These licenses have access to Extended Functionality features to the extent selected below. Nan -Named -User Access Licenses ' uanti Descri tion License Selected Enterprise No Up to 0 These licenses are not named licenses and have access only to enter records either by (1) an Wide records anonymous collection portal, by clicking an anonymous collection link generated via Origami's Record added per administration features ("Portal Data Entry") or (2) granting access to a URL sent from the Entry year Service as a Data Entry Event email notification, giving time limited access to a single record "Grant Access"). Enterprise No 0 Users These licenses allow representatives in the field to enter data through the Service's online Values platform pertaining to information necessary for renewal submissions, such as TIV, Square Collection Footage, COPE information, or other such asset and exposure data. Extended Functionality Licenses License Selected uanti D_eacription API Access No N/A This license provides access to Origami's web service REST APIs using calls. API calls may be made concurrently, subject to reasonable limitation when needed to preserve system performance. Requires a minimum of five (5) Full Users and/or Claims Adjusting Users. Secure Email Yes Up to 5,000 Secure This license provides secure email functionality, which provides password protected Emails sent per hosting for email communications from and to the Service. month Page i OCR Scanning No Not Included This license provides optical character recognition (OCR) functionality for mapping s ecified data from scanned documents to data fields within the Servile. Certificate of No 0 Insureds This license provides certificate of insurance tracking for third party insureds, such as Insurance Track in tcnants, vendors contractors or customers. SMS Messaging No 0 SMS Messages This license provides the ability to send SMS messages as workflow actions within the Service's adminislralion features. Two Factor No 0 2FA hlessaecs This license provides the ability to send SMS and/or email messages to users to Authentication validate their identity before logging in from a new device and/or once every 30 days from the same device. Mobile Forms App No Not Included Origami's Mobile Forms App may be used by any named user for no additional license fec, but service hours are required for configuration. Mobile Claimant No Not Included Origami's Mobile Claimant App may be used by any named user for no additional App license fee, but service hours are required for configuration. Requires a minimum of three 3 Claims AdjLiStinP, Users. Workers' No Jurisdictions: N/A This license includes the following Origami Compliance solutions (this functionality Compensation is only available to Claims Adjusting Users): Solutions • Automated EDI FROI/SROI State Reporting via Mitchell • Indemnity Benefits Rates • Workers' Compensation State Dorms ODG Integration No 0 Users This license provides integration with ODG's Return to Work guidelines. Only User Claims Adjusting Users and Full Users may utilize this feature. This feature queries ODG's RTW and treatment guidelines based on WC claim diagnosis codes. Tableau No 0 Users This license allows Origami users to access Tableau within the Origami environment, providing enhanced data visualization. eSignature No 0 Envelope$ This license provides the ability to tag mail merge documents with electronic Integration signature Iields, authenticatingthrough a third- art eSi nature tool. License Notes: 1. Origami adds generally available features from time to time that may require configuration prior to use. If Client requests Origami's assistance in this configuration, Professional Services hours may be applied for any such configuration. 2. In addition to the generally available features, Origami may occasionally deploy new functionality that will require an Extended Functionality License similar to those listed in the Extended Functionality License section above. These features may require additional fees based on record volume, number of additional users accessing the new features, or some other incremental cost driver. Client may agree to add such an Extended Functionality License in a separate Statement of Work. HOSTING Origami will provide data hosting for up to 5,000 claims and incidents. In addition, Origami will provide 50GB of searchable file attachment hosting. Additional hosting is available at any time during the term of this SOW as set forth in the Pricing section below. Origami will host the application and data in a secure internet accessible environment. Origami will backup Client data at periodic intervals each day. Page ii ONGOING SUPPORT Carrier 1 TPA Claims Data Ongoing Processin Origami will: Process the claim data updates received from Client data providers as follows: • Carl Warren: Claims and Financial Transactions processed Monthly • Eberle Vivian: Claims and Financial Transactions processed Monthly Client will: ■ Use tools in the Service to resolve exceptions, if any, such as missing locations, incomplete code maps, and other exceptions, which may occur in the update as a result of data errors or missing data from data providers. • Notify Carrier / TPA of data exceptions when appropriate to have data corrected at source. Professional Services This SOW includes up to 30 hours of Professional Services in the first year, up to 30 hours in the second year, and up to 30 hours in the third year. Professional Services include any work performed by Origami professionals on behalf of Client. Examples include: ■ Helpdesk support for users • Additional user training • General assistance utilizing the Service • Configuration of features for Client's use ■ Maintenance of screens and system configurations as workflows evolve • Configuration of customized reports • Maintenance or modification of any import or export scripts • Attendance in meetings • Project management tasks and administration Page iii PRICING AND INVOICE SCHEDULE The price for the licenses and services listed above in this SOW is $42,000.00 for the first year, $42,000.00 for year two, and $42,000.00 for year three of this SOW. Exhibit A provides a detailed breakdown of the components of the price. Such payments will be due as follows: 09/05/2022 - $42,000.00 09/05/2023 - $42,000.00 09/05/2024 - $42,000.00 If needed, additional services can be purchased through an addendum to this SOW. All fees are subject to state sales tax, where applicable. All travel costs and expenses will be pre -approved by Client in writing and billed to Client as incurred. ADDITIONAL PRICING: 1. If Client requires additional hosting during the term of this SOW, additional hosting fees will apply as follows: - Current annual fee for hosting of up to 5,000 Claims / Incidents = $7 500 - Annual fee for hosting of 5,001-10,000 Claims / Incidents = $10,000 - Annual fee for hosting of 10,00 1 -25,000 Claims / Incidents = $15,000 Current annual hostin2 fee includes 50GB of searchable File Attachment hosting - Additional searchable File Attachment hosting is $2,500 per 50GB per year 2. Additional Professional Service hours will be invoiced as incurred at Origami's unbundled rate. Bundled hours (minimum of 10) may be added prior to the start of each contract year at Origami's bundled rate. 3. Additional users, additional licenses or additional use beyond that which is listed above in the Licenses section of this SOW shall require additional fees. Origami shall invoice Client, and Client shall pay for any additional licenses, hosting, service hours or other usage in excess of what is specified in this SOW. Page iv STATEMENT OF WORK APPROVAL The undersigned agree to this Statement of Work. ORIGAMI RISK LLC By: Name: Earnest Bentley (Print Name) Title: President, Risk Solutions Date: 8/17/22 CITY OF KENT, WASHINGTON Name: Dana Ralph (Print Name) Title: Mayor Date: 08/24/20 2 Page V EXHIBIT A PRICING DETAIL Quote Year } Opporturhy Name Pooled: Produd Family Proded Name Product Notes Start Date 4td Date Quantity Dear hill, Yterl 2022 Renewal-Ciry of Kent, Washington LICENSE RMIS 9/5/2022 9/4/2023 LICENSES 2022 Renewal-Ciry of Kent, Washington LICENSE Full Lker(s) 9/5/2022 9/4/2023 LICENSES 2022 Renewal- CIry aFKent Washington LICENSE Secure Email 9/5/2022 9/4/2023 EMAIL BLOCKS OF 5,000 2022 Renewal- City oFKent,Washinll LICENSE Light Users) 9/51202Z 9/4/2023 LICENSES 2022 Renewal- Cl" of Kent, Washington HOSTING Hosting, N—rk & Storage> Traditional Par Claim 9/5/2022 9/4/2023 CLAIMS, INCIDENTS, POUCI ES 212,Renewal- Ciry of Keni, Washington DATA PROCESSING Claim and Transation> Monthly/Qtrly Carl Warren 9A12022 9/4/2023 CLAIMS 2022 Renewal -City of Keno Washire. DATA PROCESSING Claim and Transastlon> Mongdy/Q" Ebnle Vivian 9/5/2022 9/4/2023 CLAIMS 2021 Renewal -City of Kent, Washington ONGOING SUPPORT Ongoing Support&Malnlenana, 9/5/2022 9/4/2023 HOURS 2022 Renewal- City of Keno Washington DISCOUNTS b6ouunt 9/5/2022 9/4/2023 SOURCES Subtotal sum Year 1012Renewal-Ciry of Kent. Washington LICENSE RMIS 9/5/2023 9/4/2024 LICENSES 2022 Renewal- Ciry of Kent Washington LICENSE Full Userls) 9/5/2023 9/4/2024 LICENSES 2022 Renewal- Cityof Kent, Washington LICENSE Sersre Email 9/5/2023 9/4/2024 EMAIL BLOCKS OF S,000 2022 Renewal- Clry of Kent, Washington LICENSE Light User(s) 9/5/2023 9/4/2024 LICENSES 2022 Renewal- Ciry of Kent, Washington HOSTING Hosting, Neework& Storage> TradIdo-I Per Claim 9/5/2023 9/4/2024 CLAIMS, INCIDENTS, POUCIES 2022 Renewal- Cityof Kent Washington DATA PROCESSING Claim and Transadion> Monthly/Qtrly Cud Warren 9/5/2023 9/4/2024 CLAIMS 2022 Renewal- City of Kent, Washington DATA PROCESSING Claim and Transadlon> Monthly/C&iV twe11ysna 9/5/2023 9/4,1024 CLAIMS 2022 Renewal- Cityof Kent, Washington ONGOINGSUPPORT Ongoing Support &Maintenanoe 9/S/20Z3 914,2024 HOURS 2022 Renewal- City of Kent, Washl nglon DISCOUNTS Dho>unt 9/5/2023 9/4/2024 SOURCES Subtotal Sum Yetr3 2022 Renewal- City of Kent, Washington LICENSE RMIS 9/5/2024 9/4/202S LICENSES 2022 Ran swat- City of Kent, Washington UCENSE Full Userfsl 9/S/2024 9/4/202S LICENSES 112, Renewal-Ciry Of Ken[, Washington LICENSE Semre Entail 9/5/2024 9/4/2025 EMAIL (ROCKS OF 5,000 2022 Renewal- CIry of Kent, Washington LICENSE Ugh[ userls) 9/S/2024 9/4/2025 LICENSES 2021Renewal-City of Kent,Washiliton HOSTING Hosing,Network& storage>Tradigonal Per Claim 9/5/2024 9/4/2025 CLAIMS, INCIDENTS, POUCHES of Keno Washington 20" Penewal City DATA PROCESSING Claim and Transadlon> Monthly/QUIV Carl Warren 9/S/2024 9/4/2025 CLAIMS 2022 Renewal- Ciry of Kent, Washington DATA PROCESSING Claimand Transadin—Mmuldr/Orrly EberleMvlan 9/5/2024 9/4/2025 CLAIMS 1122 Renewal- ClI, of Kent Washington ONGOINGSUPPORT Ongoing Support&Malnlmano, 9/5/2024 9/4/2025 HOURS 2012 Renewal- Clry of Kent Washington DISCOUNTS Dh=t 9/5/2024 9/4/2025 SOURCES Subtotal 5- Quantity Net Total 1 USD 10,00000 3 U50 7,500 00 1 USD 2,40000 1 USD 500 DO SOOD U5D7,50000 75000 USD 6,000 00 75000 USD 6,00000 30 USD 6,750 00 3 U50-4,61100 USD 42,000 DD 1 USD 10,00000 3 USD 7,500.00 1 USD 2,400 00 1 USD 500.00 5000 USD 7,500.00 75000 USD 6,000.00 75000 USD 6,000.00 30 USD 5,75000 1 USD -4,65000 USU 42,000.00 1 U5010,00000 3 USD 7,50000 1 USD 2,40000 1 USD 50000 5000 USD7,500.00 75000 USD 6,00000 7500D USD 6,00000 30 USD 6,75000 1 USD -4,65000 USD 42,000.00 NOTE: The parties agree that any discounts to the price for the licenses and services shall first apply to professional services and if any discounts should remain after applying them against the professional services, then they shall be applied to any remaining licenses and services on a proportional basis. Page v i