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 KB MICE BO Essential Wired Combo LENOVO 18-Apr-19 22-Apr-19 PO185139 $4,000.00 Delivered 55 Water Street 10-May-19 10-May-19 NA NA $4,000.00 $0.00 $355.01 $217.75 $0.00 $4,572.76 No
CASE BO Essential Top load
EUC accessories APPLE LIGHTNING DIGITAL AV ADAPT-AME APPLE 17-Mar-19 18-Mar-19 PO182546 $840.00 Delivered 55 Water Street 12-Apr-19 12-Apr-19 NA NA $840.00 $0.00 $74.55 $45.73 $0.00 $960.28 Yes
EUC accessories Acer projector lamp(200) ACER 18-Mar-19 18-Mar-19 PO181844 $232.68 Delivered Albany 9-Apr-19 9-Apr-19 NA NA $232.68 $27.08 $20.78 $14.03 $0.00 $294.57 Yes
Laptop LT1913p - 19'Monitor( VGA+DVI) LENOVO 15-Apr-19 18-Apr-19 PO184364 $695.00 Delivered Albany 29-Apr-19 29-Apr-19 NA NA $695.00 $0.00 $55.60 $37.53 $0.00 $788.13 Yes

EmblemHealth/Supplier Confidential
Page 1
 PO185139 HW Freight Sales T Total Location
6451677063 $ 1,900.00 $ - $ 168.63 $ 2,068.63 55 Water Street
Invoice
6451729117 $ 2,100.00 $ - $ 186.38 $ 2,286.38 55 Water Street
Total $ 4,000.00 $ - $ 355.01 $ 4,355.01

PO184364 HW Freight Sales T Total Location

Invoice 6451609557 $695.00 $0.00 $55.60 $ 750.60 Albany
$ 695.00 $ - $ 55.60 $ 750.60
 PO182546 HW Freight Sales T Total Location
Invoice RTX3444 $840.00 $0.00 $74.55 $ 914.55 55 Water Street
$ 840.00 $ - $ 74.55 $ 914.55

PO181844 HW Freight Sales T Total Location

Invoice 915071662 $232.68 $27.08 $20.78 $ 280.54 Albany
$ 232.68 $ 27.08 $ 20.78 $ 280.54
 PO Invoice Serial
6451677063
PO185139
6451729117
PO182546 RTX3444 MD826AM/A
PO181844 915071662
6451609557
PO184364
V301WX3R V301WX38 V301WX37 V301WX42 V301WX3T
 Item Name Quantity

KB MICE BO Essential Wired Combo 100

CASE BO Essential Top load 100

APPLE LIGHTNING DIGITAL AV ADAPT-AME 20

Acer projector lamp 2

5
LT1913p - 19'Monitor( VGA+DVI)
Model

4X30L79883
4X40E77328
3688163
T MC.JL811.001

60FBHAR1US
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