7383 - Amendment 1 Executed
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7383 PSA – Amendment #1 Page 1 of 2
FIRST AMENDMENT TO CONTRACT
BY AND BETWEEN THE CITY OF DENTON, TEXAS
AND RIZIKON, INC.
PSA 7383
THE STATE OF TEXAS §
COUNTY OF DENTON §
THIS FIRST AMENDMENT TO CONTRACT 7383 (“Amendment”) by and
between the City of Denton, Texas (“City”) and Rizikon, Inc. (“Consultant”); to that certain
contract executed on May 20, 2020, in the original not-to-exceed amount of $90,000 (the
“Agreement”); for services related to on-site safety services;
WHEREAS, the City deems it necessary to further expand the services provided by
Consultant to the City pursuant to the terms of the Agreement, and to provide an additional
not-to-exceed amount $50,000 with this Amendment for an aggregate not-to-exceed of
$140,000.
FURTHERMORE, the City deems it necessary to further expand the goods/services
provided by Consultant to the City;
NOW THEREFORE, the City and Consultant (hereafter collectively referred to as the
“Parties”), in consideration of their mutual promises and covenants, as well as for other
good and valuable considerations, do hereby AGREE to the following Amendment, which
amends the following terms and conditions of the said Agreement, to wit:
1. This Amendment for professional services related to the on-site safety services, are
hereby authorized to be performed by Consultant . For and in consideration of the
additional services to be performed by Consultant, the Owner agrees to pay, in
accordance with the terms of the Agreement a total fee, including reimbursement
for non-labor expenses an amount not to exceed $50,000.
2. This Amendment modifies the Agreement amount to provide an additional $50,000
for the additional services with a revised aggregate not to exceed total of $140,000.
The Parties hereto agree, that except as specifically provided for by this Amendment, that
all of the terms, covenants, conditions, agreements, rights, responsibilities, and obligations
of the Parties, set forth in the Agreement remain in full force and effect.
IN WITNESS WHEREOF, the City and the Consultant, have each executed this
Amendment electronically, by and through their respective duly authorized representatives
and officers on this date _________________________.
7383 PSA – Amendment #1 Page 2 of 2
“
CITY”
CITY OF DENTON, TEXAS
A Texas Municipal Corporation
By:
_________________________________
TODD HILEMAN, CITY MANAGER
ATTEST:
ROSA RIOS, CITY SECRETARY
By:
_________________________________
“CONSULTANT”
RIZIKON, INC.
By:
_________________________________
AUTHORIZED SIGNATURE, TITLE
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
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
Certificate Of Completion
Envelope Id: 5DB57AC336C34329A1723C24410636C4 Status: Completed
Subject: Please DocuSign: 1st Amendment to PSA 7383 On-Site Safety Services
Source Envelope:
Document Pages: 4 Signatures: 6 Envelope Originator:
Certificate Pages: 6 Initials: 1 Cori Power
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-06:00) Central Time (US & Canada)
901B Texas Street
Denton, TX 76209
cori.power@cityofdenton.com
IP Address: 198.49.140.104
Record Tracking
Status: Original
6/9/2020 12:56:55 PM
Holder: Cori Power
cori.power@cityofdenton.com
Location: DocuSign
Signer Events Signature Timestamp
Cori Power
cori.power@cityofdenton.com
Buyer
City of Denton
Security Level: Email, Account Authentication
(None)
Completed
Using IP Address: 198.49.140.104
Sent: 6/9/2020 1:27:08 PM
Viewed: 6/9/2020 1:27:16 PM
Signed: 6/9/2020 1:28:17 PM
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: 6/9/2020 1:28:19 PM
Viewed: 6/9/2020 2:53:53 PM
Signed: 6/9/2020 2:54:08 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: 6/9/2020 2:54:10 PM
Viewed: 6/11/2020 8:47:10 AM
Signed: 6/11/2020 8:48:23 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Ryan Churella
rchurella@compone.net
Vice President of Operations
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 12.156.218.162
Sent: 6/11/2020 8:48:25 AM
Viewed: 6/11/2020 8:48:47 AM
Signed: 6/11/2020 12:49:57 PM
Electronic Record and Signature Disclosure:
Accepted: 1/15/2020 10:15:13 PM
ID: ce16b63f-9f39-4c43-ac9d-30eaf43fe82d
Signer Events Signature Timestamp
Sara Hensley
sara.hensley@cityofdenton.com
Sara Hensley
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 129.120.6.150
Sent: 6/11/2020 12:49:59 PM
Viewed: 6/11/2020 12:55:10 PM
Signed: 6/11/2020 12:55:42 PM
Electronic Record and Signature Disclosure:
Accepted: 6/11/2020 12:55:10 PM
ID: b403d1af-311f-44d6-ae00-02bcb0a220fb
Cheyenne Defee
cheyenne.defee@cityofdenton.com
Contract Administrator
City of Denton
Security Level: Email, Account Authentication
(None)
Completed
Using IP Address: 198.49.140.104
Sent: 6/11/2020 12:55:45 PM
Viewed: 6/24/2020 8:45:59 AM
Signed: 6/24/2020 8:46:14 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: 47.186.196.49
Sent: 6/24/2020 8:46:17 AM
Viewed: 6/24/2020 10:43:16 AM
Signed: 6/24/2020 10:43:22 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: 198.49.140.104
Sent: 6/24/2020 10:43:25 AM
Viewed: 6/24/2020 11:20:37 AM
Signed: 6/24/2020 11:22:08 AM
Electronic Record and Signature Disclosure:
Accepted: 6/24/2020 11:20:37 AM
ID: 9c472b28-fbcc-4209-b638-c1c5e3ed5bc0
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: 6/9/2020 1:28:19 PM
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: 6/11/2020 12:55:45 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Tolaina Parker
Tolaina.Parker@cityofdenton.com
City of Denton
Security Level: Email, Account Authentication
(None)
Sent: 6/24/2020 11:22:11 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Sara Hensley
sara.hensley@cityofdenton.com
Sara Hensley
Security Level: Email, Account Authentication
(None)
Sent: 6/24/2020 11:22:12 AM
Electronic Record and Signature Disclosure:
Accepted: 6/11/2020 12:55:10 PM
ID: b403d1af-311f-44d6-ae00-02bcb0a220fb
Cheyenne Defee
cheyenne.defee@cityofdenton.com
Contract Administrator
City of Denton
Security Level: Email, Account Authentication
(None)
Sent: 6/24/2020 11:22:12 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 6/24/2020 11:22:13 AM
Certified Delivered Security Checked 6/24/2020 11:22:13 AM
Signing Complete Security Checked 6/24/2020 11:22:13 AM
Completed Security Checked 6/24/2020 11:22:13 AM
IaIment Events Status Timestamps
Electronic Record and Signature Disclosure
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