7295 - Contract Executed - United Rentals
Docusign City Council Transmittal Coversheet
File Name
Purchasing Contact
City Council Target Date
Piggy Back Option
Contract Expiration
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Upon contract execution, all insurance requirements shall become contractual obligations, which
the successful contractor shall have a duty to maintain throughout the course of this contract.
67$1'$5'3529,6,216
Without limiting any of the other obligations or liabilities of the Contractor, the Contractor
shall provide and maintain until the contracted work has been completed and accepted by
the City of Denton, Owner, the minimum insurance coverage as indicated hereinafter.
Contractor shall file with the Purchasing Department satisfactory certificates of insurance
including any applicable addendum or endorsements, containing the contract number and
title of the project. Contractor may, upon written request to the Purchasing Department,
ask for clarification of any insurance requirements at any time; however, Contractor shall
not commence any work or deliver any material until he or she receives notification that
the contract has been accepted, approved, and signed by the City of Denton.
All insurance policies proposed or obtained in satisfaction of these requirements shall
comply with the following general specifications, and shall be maintained in compliance
with these general specifications throughout the duration of the Contract, or longer, if so
noted:
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described on the certificate be cancelled or materially changed before the
expiration date.
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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: DD568C662150426797E0065F0F5A3F25 Status: Completed
Subject: Please DocuSign: City Council Contract United Rentals 7295 Heavy Equipment Rental
Source Envelope:
Document Pages: 35 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
6/11/2020 1:49:36 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: 6/11/2020 2:24:07 PM
Viewed: 6/11/2020 2:24:20 PM
Signed: 6/11/2020 2:25:52 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: 6/11/2020 2:25:55 PM
Viewed: 6/11/2020 4:05:32 PM
Signed: 6/11/2020 4:10:26 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: 6/11/2020 4:10:28 PM
Viewed: 6/16/2020 11:37:24 AM
Signed: 6/16/2020 12:01:05 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Sean Emerson
Govrents@ur.com
Strategic Account Manager
United Rentals (North America), Inc
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 63.241.166.10
Sent: 6/16/2020 12:01:08 PM
Viewed: 6/16/2020 2:58:08 PM
Signed: 6/17/2020 4:53:20 PM
Electronic Record and Signature Disclosure:
Accepted: 6/16/2020 2:58:08 PM
ID: 5343733d-ec92-4d99-938f-c56be5cc66d3
Signer Events Signature vivestavv
ethan cox
ethan.cox@cityofdenton.com
Director of Public xorks
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 129.120.6.150
Sent: 6/17/2020 4:53:23 PM
Viewed: 6/18/2020 1:29:14 PM
Signed: 6/18/2020 1:29:35 PM
Electronic Record and Signature Disclosure:
Accepted: 8/7/2018 4:24:18 PM
ID: feebacc3-151e-47bb-af6d-be8889ffcb35
Cheyenne Defee
cheyenne.defee@cityofdenton.com
Contract Administrator
City of Denton
Security Level: Email, Account Authentication
(None)
vovvleted
Using IP Address: 198.49.140.104
Sent: 6/18/2020 1:29:38 PM
Viewed: 7/22/2020 9:04:46 AM
Signed: 7/22/2020 9:04:56 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
xodd xileman
xodd.xileman@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: 7/22/2020 9:04:59 AM
Viewed: 7/22/2020 10:07:39 AM
Signed: 7/22/2020 10:07:53 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: 7/22/2020 10:07:57 AM
Viewed: 7/22/2020 12:21:46 PM
Signed: 7/22/2020 12:22:35 PM
Electronic Record and Signature Disclosure:
Accepted: 7/22/2020 12:21:46 PM
ID: a92e1851-5adc-4aca-9501-e1dbe439bcbe
vn verson Signer Events Signature vivestavv
Editor Deliverv Events Status vivestavv
vgent Deliverv Events Status vivestavv
vntervediarv Deliverv Events Status vivestavv
vertivied Deliverv Events Status vivestavv
varvon vovv Events Status vivestavv
Cheyenne Defee
cheyenne.defee@cityofdenton.com
Contract Administrator
City of Denton
Security Level: Email, Account Authentication
(None)
Sent: 6/11/2020 2:25:54 PM
Electronic Record and Signature Disclosure:
varvon vovv Events Status vivestavv
Not Offered via DocuSign
Sherri xhurman
sherri.thurman@cityofdenton.com
City of Denton
Security Level: Email, Account Authentication
(None)
Sent: 6/18/2020 1:29:38 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
xane Richardson
xane.richardson@cityofdenton.com
Assistant City Secretary
City of Denton
Security Level: Email, Account Authentication
(None)
Sent: 6/18/2020 1:29:38 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
xolaina Parker
xolaina.Parker@cityofdenton.com
City of Denton
Security Level: Email, Account Authentication
(None)
Sent: 7/22/2020 9:04:59 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
xerry xader
terry.kader@cityofdenton.com
xleet Services Superintendent
City of Denton
Security Level: Email, Account Authentication
(None)
Sent: 7/22/2020 12:22:38 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Cheyenne Defee
cheyenne.defee@cityofdenton.com
Contract Administrator
City of Denton
Security Level: Email, Account Authentication
(None)
Sent: 7/22/2020 12:22:39 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
vitness Events Signature vivestavv
votarv Events Signature vivestavv
Envelove Suvvarv Events Status vivestavvs
Envelope Sent xashed/Encrypted 7/22/2020 12:22:39 PM
Certified Delivered Security Checked 7/22/2020 12:22:39 PM
Signing Complete Security Checked 7/22/2020 12:22:39 PM
Completed Security Checked 7/22/2020 12:22:39 PM
vavvent Events Status vivestavvs
Electronic Record and Signature Disclosure
ELECTRONIC RECORD AND SIGNATURE DISCLOSURE
From time to time, City of Denton (we, us or Company) may be required by law to provide to
you certain written notices or disclosures. Described below are the terms and conditions for
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At any time, you may request from us a paper copy of any record provided or made available
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If you decide to receive notices and disclosures from us electronically, you may at any time
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Consequences of changing your mind
If you elect to receive required notices and disclosures only in paper format, it will slow the
speed at which we can complete certain steps in transactions with you and delivering services to
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Unless you tell us otherwise in accordance with the procedures described herein, we will provide
electronically to you through your DocuSign user account all required notices, disclosures,
authorizations, acknowledgements, and other documents that are required to be provided or
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! !" " !
! !
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How to contact City of Denton:
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to request paper copies of certain information from us, and to withdraw your prior consent to
receive notices and disclosures electronically as follows:
To contact us by email send messages to: purchasing@cityofdenton.com
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To let us know of a change in your e-mail address where we should send notices and disclosures
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NetScape 7.2 (or above)
Email: Access to a valid email account
Screen Resolution: 800 x 600 minimum
Enabled Security Settings:
•Allow per session cookies
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Server must enable HTTP 1.1 settings via
proxy connection
** These minimum requirements are subject to change. If these requirements change, we will
provide you with an email message at the email address we have on file for you at that time
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