Pellegrin Hart Benefits - Order Form (signed)
Documentexecuted Pellegrin Hart Benefits · order form · executed · 12 May 2026
Executed order form signed 12 May 2026 for the Growth tier: £50k annual subscription plus £12k one-off implementation. Availability 99.5%, P1 first response 1 business hour. Subscription runs 26 May 2026 to 25 May 2027.
What it says
What this says
As at Fri 9 Oct 2026Executed order form signed 12 May 2026 for the Growth tier: £50k annual subscription plus £12k one-off implementation. Availability 99.5%, P1 first response 1 business hour. Subscription runs 26 May 2026 to 25 May 2027.
What it is: an executed order form under the Master Services Agreement, signed on 12 May 2026 by Jordan Pike for BG-Demo and an authorised signatory for the customer. It states "this executed Order Form decides price and commercial terms".
Commits: Growth subscription at £50k annual recurring, billed "annual, in advance" with payment 30 days from the invoice date. Implementation is £12k one-off, and total contract value is £62k including that fee.
Unusual: nothing off the standard Growth terms. The price matches the v2 list and no discount is applied. Data freshness is expressly "not a credit basis under the Growth tier".
Not settled: the customer signatory is not named, only "Authorised signatory". Renewal terms are not stated beyond discussion led by the customer success manager ahead of the end date, and no connector go-live dates are given.
As found in this document
As at Fri 9 Oct 2026- Date end25 May 2027Source: the AI read of this record
- Date signed12 May 2026Source: the AI read of this record
- Date start26 May 2026Source: the AI read of this record
- Price£50,000Source: the AI read of this record
- Annual subscription (recurring)£50,000Source: the AI read of this record
- Implementation (one-off, fixed fee)£12,000Source: the AI read of this record
- Total contract value£62,000Source: the AI read of this record
- Billing frequencyannual, in advanceSource: the AI read of this record
- Payment terms30 days from the invoice dateSource: the AI read of this record
- Availability99.5%Source: the AI read of this record
- P1 first response1 business hourSource: the AI read of this record
- Service credit10% of one month's fee, for availability onlySource: the AI read of this record
- Nightly refreshComplete by 07:00 customer local time on business daysSource: the AI read of this record
Body
Order Form
Status: Executed. Signed on 12 May 2026.
This Order Form is placed under the Master Services Agreement between the parties and sets out the commercial terms for B-Glass.
1. Parties
| Customer | Supplier | |
|---|---|---|
| Organisation | Pellegrin Hart Benefits | BG-Demo |
| Location | Hartford | London |
| Account owner | Jordan Pike, Account Executive, US | |
| Customer success manager | Hollie Grieve |
The Customer is a third-party administrator of health and retirement benefits for mid-sized employers across New England. The subscription is taken so that client-service teams see each employer client's tickets, calls and renewals together.
2. Order lines
| SKU | Description | Qty | Unit price | Discount | Net | Type |
|---|---|---|---|---|---|---|
| SUB-GROWTH | B-Glass – Growth | 1 | £50k | 0% | £50k | Annual recurring |
| IMP-GROWTH | Implementation – Growth (8 weeks, up to 8 connectors) | 1 | £12k | 0% | £12k | One-off |
3. Commercial summary
| Item | Amount |
|---|---|
| Annual subscription (recurring) | £50k |
| Implementation (one-off, fixed fee) | £12k |
| Total contract value | £62k |
Read the whole document (3,003 characters)
The total contract value includes the one-off implementation fee. The annual recurring amount is £50k.
4. Term
| Date | |
|---|---|
| Order Form signed | 12 May 2026 |
| Subscription start | 26 May 2026 |
| Subscription end | 25 May 2027 |
Renewal is discussed with the Customer's team ahead of the end date, led by the customer success manager.
5. Billing and payment
- Billing frequency: annual, in advance.
- The implementation fee is invoiced as a one-off charge.
- Payment terms: 30 days from the invoice date.
- All amounts are in GBP.
6. Service levels
| Measure | Commitment |
|---|---|
| Availability | 99.5% |
| P1 first response | 1 business hour |
| Service credit | 10% of one month's fee, for availability only |
| Nightly refresh | Complete by 07:00 customer local time on business days |
Service credits under this Order Form are calculated on availability. Data freshness is not a credit basis under the Growth tier.
7. Scope
The subscription covers the Growth tier of B-Glass, including pages, chat and search, the dashboards builder and quarterly business reviews. Connectors named in the implementation line are connected during the implementation period and run inside the Customer's own Snowflake account.
8. General
This Order Form, together with the Master Services Agreement and the Data Processing Agreement, forms the entire agreement for the services described. In case of conflict, this executed Order Form decides price and commercial terms.
Signatures
Signed by the duly authorised representatives of the parties on 12 May 2026.
| For Pellegrin Hart Benefits | For BG-Demo | |
|---|---|---|
| Name | Authorised signatory | Jordan Pike |
| Title | Authorised officer of Pellegrin Hart Benefits | Account Executive, US |
| Date | 12 May 2026 | 12 May 2026 |