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7274 - Contract Executed
Docusign City Council Transmittal Coversheet
File Name
Purchasing Contact
City Council Target Date
Piggy Back Option
Contract Expiration
Ordinance
DocuSign Envelope ID: F6A6611D-89E0-4019-91CF-DAA6D7DF7318
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File 7274
CONTRACT BY AND BETWEEN
CITY OF DENTON, TEXAS AND GREEN EQUIPMENT COMPANY
(File # 7274)
THIS CONTRACT is made and entered into this date _______________________, by and
between Green Equipment Company, a Texas corporation, whose address is 2563 Gravel Drive, Fort
Worth, Texas, 76118, hereinafter referred to as "Supplier," and the CITY OF DENTON, TEXAS, a home
rule municipal corporation, hereinafter referred to as "City," to be effective upon approval of the Denton
City Council and subsequent execution of this Contract by the Denton City Manager or his duly authorized
designee.
For and in consideration of the covenants and agreements contained herein, and for the mutual
benefits to be obtained hereby, the parties agree as follows:
SCOPE OF SERVICES
Supplier shall provide products in accordance with the Supplier’s quote, a copy of which is attached
hereto and incorporated herein for all purposes as Exhibit “C”. The Contract consists of this written
agreement and the following items which are attached hereto, or on file, and incorporated herein by
reference:
(a) Special Terms and Conditions (Exhibit “A”);
(b) Buyboard Cooperative Purchasing Contract #577-18 with Green Equipment Company
which is an authorized distributor for Envirosight, Radiodetection and Pearpoint Sewer
Inspection Equipment and Repair (Exhibit “B” on file at the office of the Purchasing
Agent);
(c) Green Equipment Company, quote (Exhibit “C”);
(d) Certificate of Interested Parties Electronic Filing (Exhibit “D”);
(e) Form CIQ – Conflict of Interest Questionnaire (Exhibit "E")
These documents make up the Contract documents and what is called for by one shall be as binding
as if called for by all. In the event of an inconsistency or conflict in any of the provisions of the Contract
documents, the inconsistency or conflict shall be resolved by giving precedence first to the written
agreement then to the contract documents in the order in which they are listed above. These documents
shall be referred to collectively as “Contract Documents.”
Prohibition on Contracts with Companies Boycotting Israel
Supplier acknowledges that in accordance with Chapter 2270 of the Texas Government Code, City is
prohibited from entering into a contract with a company for goods or services unless the contract contains
a written verification from the company that it: (1) does not boycott Israel; and (2) will not boycott Israel
during the term of the contract. The terms “boycott Israel” and “company” shall have the meanings ascribed
to those terms in Section 808.001 of the Texas Government Code. By signing this agreement, Supplier
certifies that Supplier’s signature provides written verification to the City that Supplier: (1) does not
boycott Israel; and (2) will not boycott Israel during the term of the agreement. Failure to meet or
maintain the requirements under this provision will be considered a material breach.
Prohibition On Contracts With Companies Doing Business with Iran, Sudan, or a Foreign
Terrorist Organization
Section 2252 of the Texas Government Code restricts CITY from contracting with companies that do
business with Iran, Sudan, or a foreign terrorist organization. By signing this agreement, Supplier certifies
that Supplier’s signature provides written verification to the City that Supplier, pursuant to Chapter
2252, is not ineligible to enter into this agreement and will not become ineligible to receive payments
DocuSign Envelope ID: F6A6611D-89E0-4019-91CF-DAA6D7DF7318
File 7274
under this agreement by doing business with Iran, Sudan, or a foreign terrorist organization. Failure to
meet or maintain the requirements under this provision will be considered a material breach.
The parties agree to transact business electronically. Any statutory requirements that certain terms be in
writing will be satisfied using electronic documents and signing. Electronic signing of this document will
be deemed an original for all legal purposes.
IN WITNESS WHEREOF, the parties of these presents have executed this agreement in the year
and day first above written.
SUPPLIER
BY: ______________________________
AUTHORIZED SIGNATURE
Printed Name:_____________________
Title:____________________________
__________________________________
PHONE NUMBER
_________________________________
EMAIL ADDRESS
___________________________________
TEXAS ETHICS COMMISSION
1295 CERTIFICATE NUMBER
CITY OF DENTON, TEXAS
BY: _____________________________
TODD HILEMAN
CITY MANAGER
ATTEST:
ROSA RIOS, CITY SECRETARY
BY: _______________________________
APPROVED AS TO LEGAL FORM:
AARON LEAL, CITY ATTORNEY
BY: _______________________________
THIS AGREEMENT HAS BEEN
BOTH REVIEWED AND APPROVED
as to financial and operational obligations
and business terms.
_______________ ________________
SIGNATURE PRINTED NAME
__________________________________
TITLE
__________________________________
DEPARTMENT
DocuSign Envelope ID: F6A6611D-89E0-4019-91CF-DAA6D7DF7318
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File 7274
Exhibit A
Special Terms and Conditions
1. Contract Term
The contract term will be two (2) years, effective from date of award or notice to proceed as
determined by the City of Denton Purchasing Department. BuyBoard Contract #577-18 expires
November 30, 2021.
The contract shall commence upon the issuance of a Notice of Award by the City of Denton
Council. At the sole option of the City of Denton, the contract may be further extended as needed,
not to exceed a total of six (6) months.
2. Total Contract Amount
The contract total shall not exceed $200,000. Pricing shall be per Exhibit C attached.
DocuSign Envelope ID: F6A6611D-89E0-4019-91CF-DAA6D7DF7318
DocuSign Envelope ID: F6A6611D-89E0-4019-91CF-DAA6D7DF7318
File 7274
Exhibit D
Certificate of Interested Parties Electronic Filing
In 2015, the Texas Legislature adopted House Bill 1295, which added section 2252.908 of the Government
Code. The law states that the City may not enter into this contract unless the Contractor submits a disclosure
of interested parties (Form 1295) to the City at the time the Contractor submits the signed contract. The
Texas Ethics Commission has adopted rules requiring the business entity to file Form 1295 electronically
with the Commission.
Contractor will be required to furnish a Certificate of Interest Parties before the contract is awarded,
in accordance with Government Code 2252.908.
The contractor shall:
1. Log onto the State Ethics Commission Website at :
https://www.ethics.state.tx.us/whatsnew/elf_info_form1295.htm
2. Register utilizing the tutorial provided by the State
3. Print a copy of the completed Form 1295
4. Enter the Certificate Number on page 2 of this contract.
5. Complete and sign the Form 1295
6. Email the form to purchasing@cityofdenton.com with the contract number in the subject line. (EX:
Contract 1234 – Form 1295)
The City must acknowledge the receipt of the filed Form 1295 not later than the 30th day after Council
award. Once a Form 1295 is acknowledged, it will be posted to the Texas Ethics Commission’s website
within seven business days.
DocuSign Envelope ID: F6A6611D-89E0-4019-91CF-DAA6D7DF7318
Exhibit
CONFLICT OF INTEREST QUESTIONNAIRE - FORM CIQ
For vendor or other person doing business with local governmental entity
This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session.
This questionnaire is being filed in accordance with Chapter 176, Local Government Code, by a vendor who has a business relationship as
defined by Section 176.001(1-a) with a local governmental entity and the vendor meets requirements under Section 176.006(a).
By law this questionnaire must be filed with the records administrator of the local government entity not later than the 7th business day after
the date the vendor becomes aware of facts that require the statement to be filed. See Section 176.006(a-1), Local Government Code.
A vendor commits an offense if the vendor knowingly violates Section 176.006, Local Government Code. An offense under this section is a
misdemeanor.
1 Name of vendor who has a business relationship with local governmental entity.
2
Check this box if you are filing an update to a previously filed questionnaire.
(The law requires that you file an updated completed questionnaire with the appropriate filing authority not later than the 7th business
day after the date on which you became aware that the originally filed questionnaire was incomplete or inaccurate.)
3 Name of local government officer about whom the information in this section is being disclosed.
Name of Officer
This section, (item 3 including subparts A, B, C & D), must be completed for each officer with whom the vendor has an employment or other business relationship
as defined by Section 176.001(1-a), Local Government Code. Attach additional pages to this Form CIQ as necessary.
A. Is the local government officer named in this section receiving or likely to receive taxable income, other than investment income, from the vendor?
Yes No
B. Is the vendor receiving or likely to receive taxable income, other than investment income, from or at the direction of the local government officer
named in this section AND the taxable income is not received from the local governmental entity?
Yes No
C. Is the filer of this questionnaire employed by a corporation or other business entity with respect to which the local government officer serves as an
officer or director, or holds an ownership of one percent or more?
Yes No
D. Describe each employment or business and family relationship with the local government officer named in this section.
4
I have no Conflict of Interest to disclose.
5
Signature of vendor doing business with the governmental entity Date
DocuSign Envelope ID: F6A6611D-89E0-4019-91CF-DAA6D7DF7318
Certificate Of Completion
Envelope Id: F6A6611D89E0401991CFDAA6D7DF7318 Status: Completed
Subject: Please DocuSign: City Council Contract 7274 Sewer Inspection Equipment - Green Equipment
Source Envelope:
Document Pages: 7 Signatures: 6 Envelope Originator:
Certificate Pages: 7 Initials: 1 Monisa Rogers
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-06:00) Central Time (US & Canada)
901B Texas Street
Denton, TX 76209
Monisa.Rogers@cityofdenton.com
IP Address: 129.120.6.150
Record Tracking
Status: Original
1/22/2020 9:35:09 AM
Holder: Monisa Rogers
Monisa.Rogers@cityofdenton.com
Location: DocuSign
Signer Events Signature Timestamp
Monisa Rogers
monisa.rogers@cityofdenton.com
Senior Buyer
City Of Denton
Security Level: Email, Account Authentication
(None)
Completed
Using IP Address: 129.120.6.150
Sent: 1/22/2020 9:37:53 AM
Viewed: 1/22/2020 9:38:01 AM
Signed: 1/22/2020 9:39:14 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Lori Hewell
lori.hewell@cityofdenton.com
Purchasing Manager
City of Denton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 129.120.6.150
Sent: 1/22/2020 9:39:16 AM
Viewed: 1/22/2020 1:42:42 PM
Signed: 1/22/2020 1:42:57 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Mack Reinwand
mack.reinwand@cityofdenton.com
City of Denton
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 129.120.6.150
Sent: 1/22/2020 1:42:59 PM
Viewed: 1/22/2020 1:56:00 PM
Signed: 1/22/2020 1:56:50 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Zane Smith
zanesmith@greenequipco.com
Vice President
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 68.187.42.214
Sent: 1/22/2020 1:56:51 PM
Viewed: 1/22/2020 2:07:18 PM
Signed: 1/22/2020 2:32:06 PM
Electronic Record and Signature Disclosure:
Accepted: 1/22/2020 2:07:18 PM
ID: e0cc15cb-1e06-4d61-8bd1-88d2f9ec3e02
Signer Events Signature Timestamp
Kenneth Banks
kenneth.banks@cityofdenton.com
General Manager
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 129.120.6.150
Sent: 1/22/2020 2:32:08 PM
Viewed: 1/22/2020 2:48:39 PM
Signed: 1/22/2020 2:49:37 PM
Electronic Record and Signature Disclosure:
Accepted: 1/22/2020 2:48:39 PM
ID: 118b5c35-7efe-40f0-8c17-3dfa031c60e6
Cheyenne Defee
cheyenne.defee@cityofdenton.com
Contract Administrator
City of Denton
Security Level: Email, Account Authentication
(None)
Completed
Using IP Address: 129.120.6.150
Sent: 1/22/2020 2:49:40 PM
Viewed: 2/19/2020 8:20:56 AM
Signed: 2/19/2020 8:21:17 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Todd Hileman
Todd.Hileman@cityofdenton.com
City Manager
City of Denton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 174.192.80.28
Signed using mobile
Sent: 2/19/2020 8:21:20 AM
Viewed: 2/19/2020 8:51:08 AM
Signed: 2/19/2020 8:51:13 AM
Electronic Record and Signature Disclosure:
Accepted: 7/25/2017 11:02:14 AM
ID: 57619fbf-2aec-4b1f-805d-6bd7d9966f21
Rosa Rios
rosa.rios@cityofdenton.com
City Secretary
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 129.120.6.150
Sent: 2/19/2020 8:51:15 AM
Viewed: 2/19/2020 9:28:19 AM
Signed: 2/19/2020 9:28:54 AM
Electronic Record and Signature Disclosure:
Accepted: 2/19/2020 9:28:19 AM
ID: 8192a481-36a3-49f3-98d6-5703e7c6b89a
In Ierson Signer Events Signature Timestamp
Editor DeliverI Events Status Timestamp
Igent DeliverI Events Status Timestamp
IntermediarI DeliverI Events Status Timestamp
CertiIied DeliverI Events Status Timestamp
CarIon CopI Events Status Timestamp
Cheyenne Defee
cheyenne.defee@cityofdenton.com
Contract Administrator
City of Denton
Security Level: Email, Account Authentication
(None)
Sent: 1/22/2020 9:39:16 AM
Viewed: 2/19/2020 9:31:09 AM
Electronic Record and Signature Disclosure:
CarIon CopI Events Status Timestamp
Not Offered via DocuSign
Sherri Thurman
sherri.thurman@cityofdenton.com
City of Denton
Security Level: Email, Account Authentication
(None)
Sent: 1/22/2020 2:49:40 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Jane Richardson
jane.richardson@cityofdenton.com
Assistant City Secretary
City of Denton
Security Level: Email, Account Authentication
(None)
Sent: 2/19/2020 8:21:19 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Zolaina Parker
Zolaina.Parker@cityofdenton.com
City of Denton
Security Level: Email, Account Authentication
(None)
Sent: 2/19/2020 8:21:20 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
David Brown
david.brown@cityofdenton.com
Security Level: Email, Account Authentication
(None)
Sent: 2/19/2020 9:28:56 AM
Viewed: 2/19/2020 9:31:27 AM
Electronic Record and Signature Disclosure:
Accepted: 4/10/2019 2:54:36 PM
ID: 20238ddf-ccd6-4d52-988f-8c9f3436055e
Becky Stahl
beckystahl@greenequipco.com
Security Level: Email, Account Authentication
(None)
Sent: 2/19/2020 9:28:57 AM
Viewed: 2/19/2020 9:33:11 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Jimmy Fougerousse
jimmyfougerousse@greenequipco.com
Security Level: Email, Account Authentication
(None)
Sent: 2/19/2020 9:28:58 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Iitness Events Signature Timestamp
IotarI Events Signature Timestamp
Envelope SummarI Events Status Timestamps
Envelope Sent Hashed/Encrypted 2/19/2020 9:28:58 AM
Certified Delivered Security Checked 2/19/2020 9:28:58 AM
Signing Complete Security Checked 2/19/2020 9:28:58 AM
Completed Security Checked 2/19/2020 9:28:58 AM
IaIment Events Status Timestamps
Electronic Record and Signature Disclosure
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