SUPPLEMENTAL AGREEMENT TO EXPRESS PRODUCTS LIST (EPL)

This Agreement is entered into between <enter full name of Customer, such as XXXX County School District> (hereinafter referred to as “Customer”) and <enter full company name of EPL vendor> (hereinafter referred to as “Seller”) in order to set forth mutual understandings in regards to the purchase of certain products and/or services from one or more Express Products Lists that are established by the Mississippi Department of Information Technology Services in full compliance with Mississippi purchasing laws.  This Agreement shall serve as a supplement to the terms and conditions previously agreed to by Seller and the Mississippi Department of Information Technology Services.

1.	Seller asserts that it is an approved Seller under the following Express Products List or Lists that are to be used as procurement authority for this purchase.
a.	<example:  Software Curriculum EPL 3620>
b.	<example:  Two Way Radio EPL 3657>

2.	Customer agrees to purchase from Seller certain products and/or services from the referenced Express Products List(s) as described on the attached purchase order.

3.	Seller understands and agrees that some or all of this Agreement is funded by the American Recovery and Reinvestment Act of 2009 and, as such, represents and warrants that it will comply with the requirements of the American Recovery and Reinvestment Act of 2009, as set forth in Exhibit _____, which is attached hereto and incorporated herein by reference, and will maintain adequate records to verify its full compliance with those requirements.

Seller Company Name

______________________________________________________________________________
Representative Name & Title (Please print.)

Signature								Date

Customer Name

______________________________________________________________________________
Representative Name & Title (Please print.)

Signature								Date