Schedule C-8

Supplier-Procured End User Device Charges

Delivery Customer Coverage / Total Asset Amortization Monthly Hardware Start of Monthly Hardware End of Monthly Start of Monthly Hardware End of Monthly Monthly Coverage /
Device Category Equipment Type OEM PO Number PO Value Status Serial # Location Acquisition Date In-Service Date Start Date End Date Cost of Acquisition Freight Sales Tax Admin Fee Cost of Funds Cost Finalized Vendor
Approval Approval Response Charge Period Charge Charge Hardware Charge Charge Hardware Charge Amount Response

EUC accessories EH Plantronics Savi W740 - headset Plantronics NA 24-May-18 PO143704 $209.94
PR217043
55 WATER ST NA NA $209.94 $87.56 $26.40 $16.20 $0.00 $340.10 Yes

EUC accessories Privacy screen for EH laptops 14 inch and 12.5 inch 3M 24-May-18 6-Jun-18 PO146103 $4,040.00 _ 55 WATER ST NA NA $4,040.00 $202.00 $0.00 $4,242.00 No

Microsoft Surface Pro - 12.3" - Core i5 7300U - 8 GB RAM - 256 GB SSD(95)

Microsoft Surface Pro Type Cover (M1725) -keyboard - with trackpad,
accelerometer(95)
Microsoft Corporation
Laptop UAG Rugged Case for Surface Pro, Surface Pro 4, & Surface Pro LTE - Black - case for (US)
21-Jun-18 21-Jun-18 PO147486 $128,774.15 _ 55 WATER ST NA NA $128,774.15 $ 958.88 $ 11,513.81 $7,062.34 $0.00 $148,309.18 Yes
tablets(90)
MS Surface Dock - docking station(20)

EUC accessories TRIPP 6FT VGA MONITOR CABLE M/M (100) Tripp Lite, Targus NA 4-Jun-18 PO144891 $915.36 _ 55 WATER ST NA NA $915.36 $ 63.53 $ 86.88 $53.29 $0.00 $1,119.06 Yes
TRIPP 6FT DVI SINGLE LINK CABLE M/M(100)
EDGE 16GB DISKGO C2 USB FLASH DRIVE(2)
TARGUS WIRELESS MOUSE(20)

NEC NP-ME361X - LCD projector - portable - LAN(2) 175 SCOTT SWAMP RD

EUC accessories Kodak NA 31-May-18 PO144892 $1,059.86
1534258500071TF NA NA $1,059.86 $68.40 $85.89 $60.71 $0.00 $1,274.86 Yes
55 WATER ST
1534258500059TF
000000000052818248;0000000000528182
94;000000000052818365;
000000000052818375;0000000000528184
47:000000000052818457;0000000000528
EUC accessories Kodak SCANMATE i940 - document scanner - desktop - USB 2.0 (10) Kodak NA 8-Jun-18 P0145453 $3,026.40
09571;
55 Water St NA NA $3,026.40 $47.28 $272.79 $167.32 $0.00 $3,513.79 Yes
000000000052817209;0000000000528172
61;000000000052809579
SN: Q2TN-11X66—NEJ6 SN: Q2TN—HYNU-
39YE SN: Q2TN—JUXS—KL8Q
SN: Q2TN—KDM6-87WC SN: Q2TN—KF5A—
QWPT SN: Q2TN—KFGL—RZ93
SN: Q2TN—LKQN-5D5P SN: Q2TN—LSNX—
X82D SN: Q2TN—MCXM-5GGQ
SN: Q2TN—P59F-2WPR SN: Q2TN—QDAP—
EUC accessories EH_Meraki Z3 - 40 Qtys CISCO NA 31-May-18 PO144503 $9,639.00
BU6S SN: Q2TN—QEUB—TF9E
175 SCOTT SWAMP RD 10-Jun-18 10-Jun-23 $9,639.00 $119.98 $619.69 $518.93 $0.00 $10,897.60 Yes
SN: Q2TN—QQZA—BK3Q SN: Q2TN—RD2B-
2BFF SN: Q2TN—UZLM—PD9R
SN: Q2TN—V5CE—FKU3 SN: Q2TN—VL29-
7E8T SN: Q2TN—VQFP—KCB4
SN: Q2TN—VQL2-85BU SN: Q2TN—VQUF—
KSKN
$0.00 $0.00 $0.00 $0.00 Yes

$0.00 $0.00 $0.00 $0.00 Yes

$0.00 $0.00 $0.00 $0.00 Yes

$0.00 $0.00 $0.00 $0.00 Yes

EmblemHealth/Supplier Confidential
Page 1
 PO143704 HW Freight Sales T Total Location
Invoice 913677015 $ 209.94 $ 87.56 $ 26.40 $ 323.90 55 Water St
Total $ 209.94 $ 87.56 $ 26.40 $ 323.90

PO144891 HW Freight Sales T Total Location

Invoice MZN3133 $ 915.36 $ 63.53 $ 86.88 $ 1,065.77 55 Water St
Total $ 915.36 $ 63.53 $ 86.88 $ 1,065.77

PO144892 HW Freight Sales T Total Location

913720637 $ 529.93 $ 34.20 $ 35.82 $ 599.95 175 SCOTT SWAMP RD
Invoice
913720655 $ 529.93 $ 34.20 $ 50.07 $ 614.20 55 Water St
Total $ 1,059.86 $ 68.40 $ 85.89 $ 1,214.15
 P0145453 HW Freight Sales T Total Location
Invoice 913744944 $ 3,026.40 $ 47.28 $ 272.79 $ 3,346.47 55 Water St
Total $ 3,026.40 $ 47.28 $ 272.79 $ 3,346.47

PO147486 HW Freight Sales T Total Location

Invoice 913838220 $ 128,774.15 $ 958.88 $ 11,513.81 $ 141,246.84 55 Water St
$ 128,774.15 $ 958.88 $ 11,513.81 $ 141,246.84

P0144503 HW Freight Sales T Total Location

95095274 $ 4,590.00 $ 57.14 $ 295.09 $ 4,942.23 175 SCOTT SWAMP RD
Invoice
95095273 $ 5,049.00 $ 62.84 $ 324.60 $ 5,436.44 176 SCOTT SWAMP RD
Total $ 9,639.00 $ 119.98 $ 619.69 $ 10,378.67
 PO Invoice Serial
PO143704 913677015 PR217043
-
PO146103
-
-
-
PO147486 913838220
-
-
-
-
PO144891 MZN3133
-
1534258500071TF -
913720637
PO144892
913720655 1534258500059TF

P0145453 913744944 000000000052818248;000000000052818294;000000000052818365;

000000000052818375;000000000052818447:000000000052818457;
000000000052809571;
000000000052817209;000000000052817261;000000000052809579

95095274 -

SN: Q2TN-11X66—NEJ6 SN: Q2TN—HYNU-39YE SN: Q2TN—JUXS—KL8Q

SN: Q2TN—KDM6-87WC SN: Q2TN—KF5A—QWPT SN: Q2TN—KFGL—RZ93
P0144503 SN: Q2TN—LKQN-5D5P SN: Q2TN—LSNX—X82D SN: Q2TN—MCXM-5GGQ
95095273 SN: Q2TN—P59F-2WPR SN: Q2TN—QDAP—BU6S SN: Q2TN—QEUB—TF9E
SN: Q2TN—QQZA—BK3Q SN: Q2TN—RD2B-2BFF SN: Q2TN—UZLM—PD9R
SN: Q2TN—V5CE—FKU3 SN: Q2TN—VL29-7E8T SN: Q2TN—VQFP—KCB4
SN: Q2TN—VQL2-85BU SN: Q2TN—VQUF—KSKN
 Item Name Quantity
Plantronics Savi W740 - headset 1
3M Privacy Filter for 14" Widescreen Laptop -_x000D_notebook privacy filter 100

3M Privacy Filter for 12.5"" Widescreen Laptop- notebook privacy filter 20

Microsoft Surface Pro - 12.3" - Core i5 7300U - 8 GB RAM - 256 GB SSD 95

Microsoft Surface Pro Type Cover (M1725) -keyboard - with trackpad, accelerometer 95

UAG Rugged Case for Surface Pro, Surface Pro 4, & Surface Pro LTE - Black - case for tablets 90

MS Surface Dock - docking station 20

TRIPP 6FT VGA MONITOR CABLE M/M 100
TRIPP 6FT DVI SINGLE LINK CABLE M/M 100
EDGE 16GB DISKGO C2 USB FLASH DRIVE 2
TARGUS WIRELESS MOUSE 20

NEC NP-ME361X - LCD projector - portable - LAN 2

Kodak SCANMATE i940 - document scanner - desktop - USB 2.0 10

Meraki Z3 telecom gateway licenses 20

MERAKI Z3 CLOUD MANAGED TELEWORKER GATEWAY 20

Model
83542-01
PF140W9B

PF125W9B

GWP-00001
FMN-00001

UAG-SFPRO4-BLK-VP

PF3-00005
P512-006
P561-006
PE230807
AMW575TT

NP-ME361X

1960988

LIC—Z3—ENT-5YR

Z3—HW
EUC accessories Yes
Laptop No
Monitors