7261 - Amendment 4 Executed
Docusign City Council Transmittal Coversheet
File Name
Purchasing Contact
City Council Target Date
Piggy Back Option
Contract Expiration
Ordinance
DocuSign Envelope ID: 384ABADD-65B3-4C74-AA83-AE506AAD63D8
Not Applicable
FILE
Claims Handling for Risk Management
Software
Gabby Leeper
7261
JANUARY 8, 2023
DECEMBER 7, 2021
21-2564
P. O. Box 21097, St. John's, NL, A1A 5B2 phone: 709.727.6424 email: mbowman@clearrisk.com
ClearRisk/City of Denton, TX
Renewal Agreement
THIS ADDENDUM made at the City of St. John’s, Province of Newfoundland and Labrador
this __________ day of __________ 2021.
BETWEEN:
CLEAR RISK INC., a body corporate, organized and existing under the laws of the Province of
Newfoundland and Labrador (“ClearRisk”)
AND: City of Denton, TX
WHEREAS ClearRisk and Client entered into the ClearRisk Claims Services Agreement dated
the 9th day of January 2014 and the 1st Addendum to the ClearRisk Claims Services Agreement
dated the 13th of December 2016 (the “Services Agreement”) and the 2nd Addendum to the
ClearRisk Claims Services Agreement dated the 19th of December 2019 (the “Services
Agreement”)
AND WHEREAS the parties wish to amend the Services Agreement as more particularly set out
herein;
NOW THIS ADDENDUM AGREEMENT WITNESSES that, for and in consideration of the
mutual covenants and agreements contained herein, and for other good and valuable
consideration (the receipt and sufficiency of which is hereby acknowledged), the parties hereto,
being all of the parties to the Services Agreement, agree that the Services Agreement shall be
amended as follows:
Article 2.1 to be updated from its original form in the original ClearRisk Claims Services
Agreement dated the 9th day of January 2014 to the following:
This agreement comes into force as of the date hereof and has a term of one year from
the date on which this agreement comes into force unless it is renewed in accordance
with the provisions of Section 2.2 hereto.
DocuSign Envelope ID: 384ABADD-65B3-4C74-AA83-AE506AAD63D8
DECEMBER7TH
P. O. Box 21097, St. John's, NL, A1A 5B2 phone: 709.727.6424 email: mbowman@clearrisk.com
Article 8.3 to be added as per the following:
8.3 Data Provided Upon Termination. Upon the termination of this Agreement for any reason,
ClearRisk shall, if requested by Client within 30 days of the effective termination date, backup
Client’s Client Data and provide electronic copies of such Client Data through a ClearRisk
provided FTP folder to Client. All data will be uniquely identified for efficient processing. Client
Data will be provided as follows:
Text data in CSV format with appropriate titles and column headers
Notes and file attachments in their native format provided in .zip folder
Once data is accepted by Client, ClearRisk will delete all data from existing servers
and provide confirmation to Client.
After such 30-day period, ClearRisk will have no obligation to maintain or provide any Client
Data, and will thereafter delete or destroy all copies of Client Data in its systems or otherwise in
its possession or control, unless legally prohibited. Once Client Data has been provided to Client
as described above, ClearRisk will have no further responsibility to Client.
Pricing Breakdown (Schedule “B” update)
Pricing of ClearRisk Claims will not increase for 2022:
1-year term:
2022: $24,500
*All pricing in USD
DocuSign Envelope ID: 384ABADD-65B3-4C74-AA83-AE506AAD63D8
P. O. Box 21097, St. John's, NL, A1A 5B2 phone: 709.727.6424 email: mbowman@clearrisk.com
This Addendum is supplementary to the Services Agreement and all other provisions of the
Services Agreement shall remain in force, unless inconsistent with this present Addendum.
Defined terms in this Services Amendment have the same meaning as the meaning given to them
in the Services Agreement, unless otherwise expressly set forth in this Addendum.
IN WITNESS WHEREOF the parties have caused to be hereto affixed their respective
corporate seals attested by the signatures of their duly authorized signing officers as of the
date indicated first herein:
City of Denton, TX
Per: _____________________________________________
Name: ___________________________________________
Title: ____________________________________________
Date: ____________________________________________
ClearRisk Inc.
Per: _____________________________________________
Name: Mike Bowman
Title: VP, Sales & Customer Success
Date: ____________________________________________
DocuSign Envelope ID: 384ABADD-65B3-4C74-AA83-AE506AAD63D8
Gabby Leeper
11/3/2021
Buyer
11/9/2021
THIS AGREEMENT HAS BEEN
BOTH REVIEWED AND APPROVED
as to financial and operational obligations
and business terms.
_______________ ________________
SIGNATURE PRINTED NAME
__________________________________
TITLE
__________________________________
DEPARTMENT
CITY OF DENTON, TEXAS
BY: _____________________________
SARA HENSLEY
INTERIM CITY MANAGER
ATTEST:
ROSA RIOS, CITY SECRETARY
BY: _______________________________
APPROVED AS TO LEGAL FORM:
MACK REINWAND, CITY ATTORNEY
BY: _______________________________
DocuSign Envelope ID: 384ABADD-65B3-4C74-AA83-AE506AAD63D8
Deby Skawinski
Deputy Director, Risk & Compliance
HR/Risk Management
Certificate Of Completion
Envelope Id: 384ABADD65B34C74AA83AE506AAD63D8 Status: Completed
Subject: Please DocuSign: City Council Contract 7261 Claims Handling for Risk Management Software
Source Envelope:
Document Pages: 5 Signatures: 6 Envelope Originator:
Certificate Pages: 6 Initials: 1 Gabby Leeper
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-06:00) Central Time (US & Canada)
901B Texas Street
Denton, TX 76209
Gabby.Leeper@cityofdenton.com
IP Address: 198.49.140.104
Record Tracking
Status: Original
11/3/2021 4:05:01 PM
Holder: Gabby Leeper
Gabby.Leeper@cityofdenton.com
Location: DocuSign
Signer Events Signature Timestamp
Gabby Leeper
gabby.leeper@cityofdenton.com
Buyer
City of Denton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 198.49.140.104
Sent: 11/3/2021 4:14:54 PM
Viewed: 11/3/2021 4:15:32 PM
Signed: 11/3/2021 4:16:00 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: 198.49.140.104
Sent: 11/3/2021 4:16:02 PM
Viewed: 11/4/2021 8:20:50 AM
Signed: 11/4/2021 8:21:20 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Marcella Lunn
marcella.lunn@cityofdenton.com
Catherine Clifton, Interim City Attorney
City of Denton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 198.49.140.10
Sent: 11/4/2021 8:21:23 AM
Viewed: 11/8/2021 5:02:20 PM
Signed: 11/8/2021 5:04:02 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Mike Bowman
mbowman@clearrisk.com
VP Sales & Customer Success
Clear Risk Inc.
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 142.166.52.15
Sent: 11/8/2021 5:04:05 PM
Viewed: 11/9/2021 7:09:45 AM
Signed: 11/9/2021 7:10:45 AM
Electronic Record and Signature Disclosure:
Accepted: 12/13/2019 7:53:08 AM
ID: d17ed7c6-fd4c-4358-8d7e-f35d80cdc8aa
Signer Events Signature Timestamp
Deby Skawinski
Deby.Skawinski@cityofdenton.com
Deputy Director, Risk & Compliance
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 198.49.140.10
Sent: 11/9/2021 7:10:47 AM
Viewed: 11/9/2021 7:11:31 AM
Signed: 11/9/2021 7:12:07 AM
Electronic Record and Signature Disclosure:
Accepted: 11/9/2021 7:11:31 AM
ID: 9cc77f29-aea9-4531-9db5-a27f4800e979
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: 11/9/2021 7:12:09 AM
Viewed: 12/8/2021 8:11:00 AM
Signed: 12/8/2021 8:11:50 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Sara Hensley
sara.hensley@cityofdenton.com
Interim City Manager
City of Denton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 198.49.140.10
Sent: 12/8/2021 8:11:52 AM
Viewed: 12/8/2021 8:12:35 AM
Signed: 12/8/2021 8:12:41 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Rosa Rios
rosa.rios@cityofdenton.com
City Secretary
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 198.49.140.10
Sent: 12/8/2021 8:12:43 AM
Viewed: 12/8/2021 12:48:50 PM
Signed: 12/8/2021 12:49:13 PM
Electronic Record and Signature Disclosure:
Accepted: 12/8/2021 12:48:50 PM
ID: 79f60d03-809e-4ed6-bd63-53ac86b8d7d4
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Cheyenne Defee
cheyenne.defee@cityofdenton.com
Contract Administrator
City of Denton
Security Level: Email, Account Authentication
(None)
Sent: 11/3/2021 4:16:02 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Carbon Copy Events Status Timestamp
Gretna Jones
gretna.jones@cityofdenton.com
Legal Secretary
City of Denton
Security Level: Email, Account Authentication
(None)
Sent: 11/9/2021 7:12:08 AM
Viewed: 11/9/2021 8:26:11 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
City Secretary Office
citysecretary@cityofdenton.com
Security Level: Email, Account Authentication
(None)
Sent: 12/8/2021 12:49:18 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Eric Koenig
Eric.Koenig@cityofdenton.com
City of Denton
Security Level: Email, Account Authentication
(None)
Sent: 12/8/2021 12:49:20 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 11/3/2021 4:14:54 PM
Certified Delivered Security Checked 12/8/2021 12:48:50 PM
Signing Complete Security Checked 12/8/2021 12:49:13 PM
Completed Security Checked 12/8/2021 12:49:20 PM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
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Electronic Record and Signature Disclosure created on: 7/21/2017 3:59:03 PM
Parties agreed to: Mike Bowman, Deby Skawinski, Rosa Rios
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