You are on page 1of 15

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
SN: Q2TN-11X66—NEJ6 SN: Q2TN—HYNU-
39YE SN: Q2TN—JUXS—KL8Q
SN: Q2TN—KDM6-87WC SN: Q2TN—KF5A—
EUC accessories EH Plantronics Savi W740 - headset Plantronics NA 24-May-18 PO143704 $209.94 Delivered PR217043
QWPT SN: Q2TN—KFGL—RZ93 55 WATER ST 1-Jun-18 1-Jun-18 NA NA $209.94 $87.56 $26.40 $16.20 $0.00 $340.10 Yes
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 NA NA 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
NEC NP-ME361X - LCD projector - portable - LAN(2) 1534258500071TF 175 SCOTT SWAMP RD
EUC accessories Kodak NA 31-May-18 PO144892 $1,059.86 Delivered 10-Jul-18 NA NA $1,059.86 $68.40 $85.89 $60.71 $0.00 $1,274.86 Yes
1534258500059TF

1.TRIPP 6FT VGA MONITOR CABLE M/M (100)


2.TRIPP 6FT DVI SINGLE LINK CABLE M/M(100)
EUC accessories Tripp Lite, Targus NA 4-Jun-18 PO144891 $904.16 Delivered _ 55 WATER ST 25-Jun-18 25-Jun-18 NA NA $904.16 $ 63.53 $ 86.88 $52.73 $0.00 $1,107.30 Yes
3.EDGE 16GB DISKGO C2 USB FLASH DRIVE(2)
4.TARGUS WIRELESS MOUSE(18)

EUC accessories Privacy screen for EH laptops 14 inch and 12.5 inch 3M 24-May-18 6-Jun-18 PO146103 $4,040.00 Delivered _ 55 WATER ST 25-Jun-18 25-Jun-18 NA NA $4,040.00 $52.52 $363.25 $222.79 $0.00 $4,678.56 Yes

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 Delivered
09571;
55 Water St 20-Jun-18 20-Jun-18 NA NA $3,026.40 $47.28 $272.79 $167.32 $0.00 $3,513.79 Yes
000000000052817209;0000000000528172
61;000000000052809579

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


2.Microsoft Surface Pro Type Cover (M1725) -keyboard - with trackpad,
accelerometer(95)
Microsoft Corporation
Laptop 3.UAG Rugged Case for Surface Pro, Surface Pro 4, & Surface Pro LTE - Black - case (US)
21-Jun-18 21-Jun-18 PO147486 $128,774.15 Delivered _ 55 WATER ST 20-Jul-18 15-Aug-18 NA NA $128,774.15 $ 958.88 $ 11,513.81 $7,062.34 $0.00 $148,309.18 Yes
for tablets(90)
4.MS Surface Dock - docking station(20)
1.Apple MacBook Pro with Touch Bar - 15.4"" - Core i7 - 16 GB
RAM - 256 GB SSD (12)
2. Apple Magic Keyboard - Keyboard - Bluetooth - English – US (15)
3. Apple Magic Mouse 2 - Mouse - multi-touch - wireless - Bluetooth - for iMac; Mac mini (Late 2012,
Late 2014, Mid 2011); Mac Pro (Mid 2012); MacBook; MacBook Pro (15)
Laptop
4. Thunderbolt 3 Docking Station - Compatible with Windows / macOS – Dual Monitors - HDMI -
Apple NA 10-Jul-18 PO150956 $31,950.00 Delivered 55 Water St 14-Aug-18 14-Aug-18 NA NA $31,950.00 $329.80 $2,864.85 $1,757.23 $0.00 $36,901.88 Yes
TB2DOCK4KDHC – Docking station - Thunderbolt - GigE - for Apple MacBook Pro with Retina display (15)
5. Compulocks The Ledge - MacBook Pro Touch Bar Cable Lock Adapter - Keyed Cable Lock - Silver -
System security kit - silver – for App le MacBook Pro with Touch Bar (15)
6. Apple MagSafe 2 - Power adapter - 85 Watt - for MacBook Pro with Retina display 15.4" (15)

Monitors LG 27MU58-B - LED monitor - 4K - 27"(40) LG NA 10-Jul-18 PO150959 $11,666.40 Delivered 55 Water St 29-Jul-18 29-Jul-18 NA NA $11,666.40 $497.30 $1,079.53 $662.16 $0.00 $13,905.39 Yes

EUC accessories Lenovo Power adapter INSIGHT 22-Aug-18 22-Aug-18 PO155291 $817.00 Delivered 4-Sep-18 4-Sep-18 NA NA $817.00 $93.16 $80.78 $49.55 $0.00 $1,040.49 Yes

Laptop Microsoft surface Pro(75) INSIGHT 10-Sep-18 18-Sep-18 PO157925 $99,540.45 Delivered 55 WATER ST 27-Sep-18 27-Sep-18 NA NA $99,540.45 $3,071.88 $9,106.84 $5,585.96 $0.00 $117,305.13 Yes

EUC accessories Projector lamp BENQ 26-Sep-18 1-Oct-18 PO159391 $259.79

Monitors DELL OptiPlex 3050 SFF desktop for EH DELL EMC PO160176 $1,170.00

Monitors Lenovo Monitor and keyboard mouse Combo for CCI LENOVO PO161822 $20,580.00

Monitors Lenovo Monitor and Keyboard Mouse Combo for EH Albany LENOVO PO161821 $22,295.00

Monitors Lenovo Desktop and Acc for EH HQ LENOVO PO161889 $108,325.00

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

PO150959 HW Freight Sales T Total Location


Invoice NND9265 $ 11,666.40 $ 497.30 $ 1,079.53 $ 13,243.23 55 Water St
Total $ 11,666.40 $ 497.30 $ 1,079.53 $ 13,243.23

PO146103 HW Freight Sales T Total Location


Invoice 913778985 $ 4,040.40 $ 52.52 $ 363.25 $ 4,456.17 55 Water St
Total $ 4,040.40 $ 52.52 $ 363.25 $ 4,456.17

PO157925 HW Freight Sales T Total Location


Invoice 914213513 $ 99,540.45 $ 3,071.88 $ 9,106.84 $ 111,719.17 55 Water St
$ 99,540.45 $ 3,071.88 $ 9,106.84 $ 111,719.17
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

PO150956 HW Freight Sales T Total Location


NQZ4858A $ 31,275.00 $ 322.31 $ 2,804.27 $ 34,401.58 55 Water St
Invoice
NSG9135 $ 675.00 $ 7.49 $ 60.58 $ 743.07 55 Water St
Total $ 31,950.00 $ 329.80 $ 2,864.85 $ 35,144.65

PO155291 HW Freight Sales T Total Location


Invoice 914118029 $ 817.00 $ 93.16 $ 80.78 $ 990.94 55 Water St
$ 817.00 $ 93.16 $ 80.78 $ 990.94
PO Invoice Serial
PO143704 913677015 PR217043
-
PO146103 913778985
-
-
-
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

PO150959 NND9265

NQZ4858A
PO150956
Serial No: SCO2X42FYJG5H
NQZ4858A Serial No: SCO2X43JQJG5H
PO150956
Serial No: SCO2X43MLJG5H
Serial No: SCO2X43M5JG5H
Serial No: SCO2X43N8JG5H
Serial No: SCO2X436ZJG5H
Serial No: SCO2X4379JG5H
Serial No: SCO2X44PTJG5H
Serial No: SCO2X44TAJG5H
Serial No: SCO2X45CDJG5H
Serial No: SCO2X45LTJG5H
Serial No: SCO2X45MOJG5H
NSG9135

PO157925 914213513

PO155291 914118029
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

LGE 27MU58-B 27IN 4K UHD LED MON 40


APPLE MAGIC KEYBOARD-USA 15
APPLE MAGIC MOUSE 2-USA 15
STARTECH THUNDERBOLT 3 DOCK MACBOOK 15
APPLE 85W MAGSAFE 2 POWER ADAPTER 15
APPLE MBP TB 15.4 SG 2.2 16GB 256GB 12

COMPULOCKS LEDGE SEC LOCK SLOT ADAPT 15

Microsoft Surface Pro Type Cover (M1725) - keyboard - with trackpad, accelerometer - English - North
75
America
UAG Rugged Case for Surface Pro, Surface Pro 4, & Surface 75 33.23 2,492.25
75
Pro LTE - Black
Microsoft Surface Pro - 12.3' - Core i57300U - 8 GB RAM - 256 75
Microsoft Surface Pen - stylus - Bluetooth 4.0 - black 30

Lenovo ThinkPad 65W Slim AC Adapter (Slim Tip) - power adapter - 65 Watt 50
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

27MU58-B

MLA22LL/A
MLAO2LL/A
TB3DKDPMAW
MD506LL/A
MR932LL/A

MBPRLDGTBOIKL

FMN-00001
UAG-SFPF104-BLK-VP
GWP-00001
EYV-00001
0B4755
EUC accessories Yes
Laptop No
Monitors
Serial No 804NTABE1264
Serial No 804NTABE1480
Serial No 804NTBKE1461
Serial No 804NTCZE1467
Serial No 804NTCZE1491
Serial No 804NTDVE1474
Serial No 804NTEPAX148
Serial No 804NTEPE1476
Serial No 804NTFAE1267
Serial No 804NTFAE1459
Serial No 804NTFAE1483
Serial No 804NTGYE1471
Serial No 804NTHME1465
Serial No 804NTHME1489
Serial No 804NTJJE1460
Serial No 804NTKFE1477
Serial No 804NTLEE1472
Serial No 804NTMXE1475
Serial No 804NTNHE1263
Serial No 804NTNHE1479
Serial No 804NTPCE1464
Serial No 804NTPCE1488
Serial No 804NTQDE1468
Serial No 804NTRLE1462
Serial No 804NTSUE1470
Serial No 804NTTQE1473
Serial No 804NTUWE1262
Serial No 804NTUWE1478
Serial No 804NTVSE1463
Serial No 804NTVVGE1265
Serial No 804NTVVGE1457
Serial No 804NTVVGE1481
Serial No 804NTXRE1266
Serial No 804NTXRE1458
Serial No 804NTXRE1482
Serial No 804NTYTE1226
Serial No 804NTYTE1466
Serial No 804NTYTE1490
Serial No 804NTZNE1469
Serial No 805NTVSF1399
804NTABE 804NTABE 804NTBKE 804NTCZE 804NTCZE 804NTDVE 804NTEPA 804NTEPE 804NTFAE 804NTFAE

804NTABE 804NTABE 804NTBKE 804NTCZE 804NTCZE 804NTDVE 804NTEPA 804NTEPE 804NTFAE 804NTFAE
804NTFAE 804NTGYE 804NTHM 804NTHM 804NTJJE1 804NTKFE 804NTLEE 804NTMXE804NTNHE804NTNHE

804NTFAE 804NTGYE 804NTHM 804NTHM 804NTJJE1 804NTKFE 804NTLEE 804NTMXE804NTNHE804NTNHE


804NTPCE 804NTPCE 804NTQDE804NTRLE 804NTSUE 804NTTQE 804NTUW 804NTUW 804NTVSE 804NTVVG

804NTPCE 804NTPCE 804NTQDE804NTRLE 804NTSUE 804NTTQE 804NTUW 804NTUW 804NTVSE 804NTVVG


804NTVVG804NTVVG804NTXRE 804NTXRE 804NTXRE 804NTYTE 804NTYTE 804NTYTE 804NTZNE 805NTVSF1399

804NTVVG804NTVVG804NTXRE 804NTXRE 804NTXRE 804NTYTE 804NTYTE 804NTYTE 804NTZNE 805NTVSF1399


805NTVSF1399

805NTVSF1399

You might also like