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4. Additional Services; Subsequent Orders. Any subsequent purchase orders signed by the Parties for <br />additional services during the term of the Agreement shall also be subject to the terms, conditions and restrictions <br />of Agreement as defined herein (below) and modified by these Additional Terms unless such purchase order <br />explicitly states otherwise and references this Order and the Agreement. <br />OFFER AND AGREEMENT <br />This purchase order (the "Order") is merely an offer to enter into a contract until signed by Client and, if not <br />signed, will expire 30 days after receipt by Client. <br />Once signed by Client, this Order, together with the General Terms, Business Associate Agreement and other <br />addenda attached hereto or referenced therein collectively constitute the Agreement, all of which are incorporated <br />herein by reference (the "Agreement"), and contain the terms and conditions under which TriZetto Provider <br />Solutions, LLC, ("TriZetto") will provide the Services, as defined in the General Terms. The Agreement is effective <br />as of the date as of the date Client signs below (the "Effective Date"). The Agreement supersedes any previous <br />agreements and understandings between the Parties regarding the Services. <br />CLIENT ACCEPTANCE <br />By signing below, Client agrees that Client has read and agrees to the General Terms found at: <br />iLttp..f/www.trizettoprov6di�i-,co i '1'rize,ttoln rcin:w ,1 •.°. 1,,mgal t)()cuni ntl-r r1 - <br />05232017_pdf and the business associate agreement located at <br />littj).1 www L,i (-t . „.. t triz3ttolIitrarlet: In.,�liw, Tri:?'..., �, aI Doctlnme-ib BAA-0.`2' 20"17piffThe <br />person signing below further represents that he/she is duly authorized to execute the Agreement on Client's <br />behalf. <br />Please sign below, keeping your signature within the box: <br />Signature: <br />iiat"�f�t,, "art <br />Scan, fax, or mail this signed Purchase <br />k <br />Order to: <br />P H 09 ZU 9. m mm <br />.._ <br />Name. <br />-_ <br />Attention TPS S.. <br />ales <br />--° <br />TriZetto Provider Solutions, LLC <br />Title: <br />."�'...�.- <br />3300 Rider Trail South <br />.,. <br />Earth City, MO 63045 <br />_-- <br />1-800-969-3666 <br />Date: <br />Fax: 314-802-6822 <br />physidansales cL)l,s art, w <br />PO TRIZETTO CONFIDENTIAL/TRADE SECRET <br />20150408 form reviewed <br />Page 3 of 4 T,t wMrm. „ <br />tl. tilpvMxwMnu <br />