DVP Base (6) Subscription

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DVP Base (6) Subscription Form

Please note that an additional file manipulation will be applied for any Ancillary and Voluntary carriers with multiple benefits; examples include but are not limited to: Guardian, Unum, Reliance Standard, The Standard, etc.

Included Users (up to 6)

Organization Name*

Write Here

User Information : 1 of 6 *

Full Name : User 1

Email Address User 1

User Information : 2 of 6

Full Name : User 2

Email Address User 2

User Information : 3 of 6

Full Name : User 3

Email Address User 3

User Information : 4 of 6

Full Name : User 4

Email Address User 4

User Information : 5 of 6

Full Name : User 5

Email Address User 5

User Information : 6 of 6

Full Name : User 6

Email Address User 6

Billing Contact Information*

Billing Name*

Billing Email*

Billing Phone*

Billing Street Address*

Billing City*

Billing State*

Billing Zipcode*

Select Package: All Packages include 6 Admin User Logins and Unlimited Verifier Logins*

I understand that $1000 one-time implementation fee will be billed and/or charged at the time the form is received. This one-time implementation fee includes the DMS team setting up my Organizations Audit Management Workflow for one (1) company that will be used during the Organization training. A member of the DMS team will contact my organization to obtain the information needed for set up.

Option 1: Starting at $119.39 recurring monthly CC subscription charged the 5th of each month

Option 2: Starting at $1,289.41 annual CC payment (includes 10% discount of $143.27 for full year payment. $1432.68 annually - $143.27 = $1289.41)

Option 3: Starting at $1,289.41 annual Invoice (includes 10% discount of $143.27 for full year payment. $1432.68 annually - $143.27 = $1289.41)

Additional Audits Pricing*

This subscription level includes 100 audits per month. An additional fee of $1.00/Audit applies to audits in excess of 100 per month and will be billed on a separate invoice.

I understand I will be billed $1.00 per audit per month for Audits in excess of 100 on a separate invoice.

How did you hear about our Data Validation Tool?*

If "Other" selected above, please describe here:

Data Validation Platform Features

Analyze and audit data points between two (2) files and or worksheets within a file. (Supported File types are .xlsx, .xls and .csv)
Mapping feature allowing easily converting data sets to a unique data set to ensure optimal results
Mapping library to re-use previously created mappings
Instantly identifies discrepancies between data points
Provides discrepancy count of mismatch and missing data points within the audit
Data Analytics by company and/or comparison
Verifier level access for easy data validation
Auditor and Verifier notes feature for streamlining communication between audit and verifier
Export discrepancy reports and files used for audit process
Merge data points between two (2) files and/or worksheet within a file. (Supported File types are .xlsx, .xls and .csv)
File export customizations to include column ordering and renaming on export file
Six (6) Organization Admin level users with full comparison and merge functionality
Unlimited Org Verifier access with company whitelist capabilities
Unlimited Company Level verifier access

Service Agreement

Payment Terms: This service is a monthly subscription-based model with an annual auto renewal. The credit card will be charged on the 5th day of each month. Should the 5th of the month not fall on a business day, payment will be executed on the business day immediately prior to the 5th. If opting for the annual payment option, your card will be charged the 5th day of the month following receipt of the subscription form for the annual payment amount. The renewal will occur 1 year following the subscription date. This service has a 1-year rate lock from the date of subscription. If the subscription level changes the applicable upgrade fees will be assessed on the transaction the 5th of the month following the upgrade.

One-Time Implementation Fee: I understand that $1000 one-time implementation fee will be billed and/or charged at the time the form is received. This one-time implementation fee includes the DMS team setting up my Organizations Audit Management Workflow for one (1) company that will be used during the Organization training. A member of the DMS team will contact my organization to obtain the information needed for set up.

Assurance: By signing the below, I as the customer, certify I am an authorized user of the credit card provided and as such, there will be no disputed for these scheduled transactions with the bank or credit card company; so long as the transactions correspond to the terms indicated in this subscription form. In addition, as the customer, I will provide Data Management Solutions with updated payment information promptly. Failure to comply may result in a service interruption.

Professional Liability Insurance: Data Management Solutions LLC shall obtain and always maintain during the prosecution of the work under this Agreement Professional Liability insurance to include Errors and Omissions and Cybersecurity.

Termination: Data Management Solutions or Customer may terminate this Agreement by providing thirty (30) days written notice (“Termination Notice”) to the other party. Cancellation requests should be submitted via this Termination Form. Billing will cease the billing cycle following or coinciding with the 30-day period. Example, if the termination is received on the 10th of February, billing will be complete on March 5th and cease with the April billing. If the termination is received on February 1st, the final billing will be February 5th.

Security: Our DMS Security Statement sets for information security standards for the protection of all client information through the Data Management Solutions Software. Please click here to Access our Data Management Solutions Security Statement.

Terms of Service: Our DMS products and services adhere to the Data Management Solutions Terms of Service. These terms may be accessed by clicking here.

Electronic Signature

Signature to accept Terms & Conditions*

Your Full Name

Your Title

Your Signature

Date Time Title*

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DVP Base (6) Subscription