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7026 - Assignment of Contract Executed
Procurement
215 E. McKinney St., Denton, TX 76201 (940) 349-7100
OUR CORE VALUES
Integrity Fiscal Responsibility Transparency Outstanding Customer Service
Assignment of Contract #7026
FOR VALUE RECEIVED, Supreme Food Services, dba Vend Pro Refreshment Services (“Assignor”)
hereby assigns and otherwise transfers to Compass Group USA, Inc. dba Canteen (“Assignee”) all rights,
title and interest held by Assignor in and to the “Contract” described as follows (this “Assignment”):
Contract approved October 15, 2019, by and between the City of Denton, Supreme Food Services, dba
Vend Pro Refreshment Services for vending machine services for the City. Amendment 1 was approved
on May 12, 2020 to remove coffee services and related products from two City locations. Amendment 2
was approved on November 5, 2020 to add a micro market to the Denton Development Center.
Amendment 3 was approved on January 10, 2022, to add a snack machine at the Solid Waste break room.
Assignor warrants and represents that said Contract is in full force and effect and is fully assignable.
Assignor further warrants that it has the full right and authority to transfer said Contract and that Contract
rights herein transferred are free of liens, encumbrances and adverse claims. Said Contract has not been
modified and remains on the terms and conditions originally contained therein. If said Contract has been
modified, then all modifications to said Contract are attached hereto and made a part hereof.
Assignor grants, bargains, sells, conveys, transfers, assigns and delivers all of its rights, interests,
obligations and duties under the Contract to Assignee. Assignee fully assumes and agrees to perform all
remaining covenants, duties, and obligations of Assignor under the Contract in strict accordance with the
terms and conditions of the Contract and agrees to indemnify and hold Assignor harmless from any claim
or demand resulting from non-performance by Assignee. Assignor agrees that Assignee shall be entitled
to all monies remaining to be paid under the Contract, which rights are also assigned hereunder. The City
of Denton’s obligations to make payment to Assignee shall only be effective following the date this
Assignment becomes effective. In the event that a dispute arises between Assignor and Assignee as to the
allocation or division of any payments payable or paid to Assignor of Assignee, such dispute shall be
resolved strictly between Assignor and Assignee.
This Assignment shall become effective as of the date the Consent to Assignment is executed by the City
of Denton after this Assignment is executed by the Assignor and Assignee and shall be binding upon and
inure to the benefit of the Assignor and Assignee, their heirs, administrators, successors and assigns.
IN WITNESS WHEREOF the Assignor and Assignee execute and affix their respective approval and
signature on this Assignment on the dates herein set forth.
DocuSign Envelope ID: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
Procurement
215 E. McKinney St., Denton, TX 76201 (940) 349-7100
OUR CORE VALUES
Integrity Fiscal Responsibility Transparency Outstanding Customer Service
Dated: _________________
___________________________
Assignor
Dated: _________________
___________________________
Assignee
Consent to Assignment of Contract
In accordance with the provisions of the Contract, the City of Denton hereby consents to the Assignment
of Contract affirming that no modification of the Contract is made or intended, except as noted
hereinabove, and that Assignee is now and hereafter substituted for Assignor. The Assignee shall provide
to the City of Denton the following documentation before the Assignment of Contract shall become
effective: (1) a certificate of insurance which meets or exceeds the insurance requirements of the Contract.
Attached: Contract 7026
Conflict of Interest Questionnaire
Amendments 1-3
Dated: _________________
Approved by:
_____________________________
Lori Hewell
Purchasing Manager
City of Denton
901B Texas Street
Denton, Texas
940-349-7100
lori.hewell@cityofdenton.com
DocuSign Envelope ID: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
6/30/2022
7/18/2022
Tabitha Millsop, on behalf of Lori
Hewell
7/18/2022
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
Describe each employment or other business relationship with the local government officer, or a family member of the officer, as described by Section
176.003(a)(2)(A). Also describe any family relations hip with the local government 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 176.00 1(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: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
Cheyenne Defee
X
X
X
SUPREME FOOD SERVICES
X
N/A
7/18/2022
CONFLICT OF INTEREST QUESTIONNAIRE
For vendor doing business with local governmental entity
A complete copy of Chapter 176 of the Local Government Code may be found at http://www.statutes.legis.state.tx.us/ Docs/LG/htm/LG.176.htm. For easy
reference, below are some of the sections cited on this form.
Local Government Code § 176.001(1-a): "Business relationship" means a connection between two or more parties based on commercial activity of one of the
parties. The term does not include a connection based on:
(A) a transaction that is subject to rate or fee regulation by a federal, state, or local governmental entity or an agency of a federal, state, or local
governmental entity;
(B) a transaction conducted at a price and subject to terms available to the public; or
(C) a purchase or lease of goods or services from a person that is chartered by a state or federal agency and that is subject to regular examination by,
and reporting to, that agency.
Local Government Code § 176.003(a)(2)(A) and (B):
(A) A local government officer shall file a conflicts disclosure statement with respect to a vendor if:
(2) the vendor:
(A) has an employment or other business relationship with the local government officer or a family member of the officer that
results in the officer or family member receiving taxable income, other than investment income, that exceeds $2,500 during
the 12-month period preceding the date that the officer becomes aware that
(i) a contract between the local governmental entity and vendor has been executed; or
(ii) the local governmental entity is considering entering into a contract with the vendor;
(B) has given to the local government officer or a family member of the officer one or more gifts that have an aggregate value of
more than $100 in the 12-month period preceding the date the officer becomes aware that:
(i) a contract between the local governmental entity and vendor has been executed; or
(ii) the local governmental entity is considering entering into a contract with the vendor.
Local Government Code § 176.006(a) and (a-1)
(a) A vendor shall file a completed conflict of interest questionnaire if the vendor has a business relationship with a local governmental entity and:
(1) has an employment or other business relationship with a local government officer of that local governmental entity, or a family
member of the officer, described by Section 176.003(a)(2)(A);
(2) has given a local government officer of that local governmental entity, or a family member of the officer, one or more gifts with the
aggregate value specified by Section 176.003(a)(2)(B), excluding any gift described by Section 176.003(a-1); or
(3) has a family relationship with a local government officer of that local governmental entity.
(a-1) The completed conflict of interest questionnaire must be filed with the appropriate records administrator not later than the seventh business day
after the later of:
(1) the date that the vendor:
(A) begins discussions or negotiations to enter into a contract with the local governmental entity; or
(B) submits to the local governmental entity an application, response to a request for proposals or bids, correspondence, or another
writing related to a potential contract with the local governmental entity; or
(2) the date the vendor becomes aware:
(A) of an employment or other business relationship with a local government officer, or a family member of the officer,
described by Subsection (a);
(B) that the vendor has given one or more gifts described by Subsection (a); or
(C) of a family relationship with a local government officer.
City of Denton Ethics Code Ordinance Number 18-757
Definitions:
Relative: a family member related to a City Official within the third 3rd degree of affinity (marriage) or consanguinity (blood or adoption)
City Official: for purpose of this article, the term consists of the Council Members, Department Heads, or member of the Board of Ethics, Planning
and zoning Commission Members, Board of Adjustment, Historic Landmark Commission, or Public Utilities Board
Vendor: a person who provides or seeks to provide goods, services, and/or real property to the City in exchange for compensation. This definition
does not include those property owners from whom the City acquires public right-of-way or other real property interests for public use.
Per the City of Denton Ethics Code, Section 2-273. – Prohibitions
(3) It shall be a violation of this Article for a Vendor to offer or give a Gift to City Official exceeding fifty dollars ($50.00) per gift, or multiple gifts
cumulatively valued at more than two hundred dollars ($200.00) per a single fiscal year.
Per the City of Denton Ethics Code, Section 2-282. – Disposition (b), (5) Ineligibility
If the Board of Ethics finds that a Vendor has violated this Article, the Board may recommend to the City Manager that the Vendor be deemed
ineligible to enter into a City contract or other arrangement for goods, services, or real property, for a period of one (1) year.
Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/30/2015
DocuSign Envelope ID: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
Docusign City Council Transmittal Coversheet
File Name
Purchasing Contact
City Council Target Date
Piggy Back Option
Contract Expiration
Ordinance
DocuSign Envelope ID: 3E3B2B70-4F2C-4B46-B17D-022B2B3C19EA
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DocuSign Envelope ID: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
Vending & Office Coffee Services Agreement
This VENDING AGREEMENT, which consists of this Vending & Coffee Service Agreement and Request for
Proposals #7026 which is incorporated herein by reference, (collectively, Agreement), is entered into between
the undersigned Client (City of Denton), and Supreme Food Services, dba Vend Pro Refreshment Services
(Vend Pro), who, in consideration of the promises contained herein, agree as follows:
1) Vend-Pro Responsibilities:
Client grants to Vend Pro, as an independent contractor, the exclusive right to provide and install Vending,
Water, and Coffee related equipment (Equipment) to dispense food, beverages, snacks, ice cream, water,
coffee or other related products supplied by Vend Pro (Products) at the sites and facilities described on the
exhibit C (Locations). Vend Pro will install, maintain and service the Equipment in a sanitary manner in
accordance with industry standards and all federal, state and local laws. As Client needs evolve during the
Agreement, or in the event that a piece of Equipment is not generating an appropriate volume of Net Sales
Vend Pro may, change or remove Equipment types or styles, with the written approval of the client.
2) Client Responsibilities:
The Client will furnish Vend Pro with the necessary space, trash removal, extermination services, water,
electrical, drain as may be required to permit the sanitary operation of the services. Client will maintain
and service the areas around the Equipment in a sanitary manner in accordance with industry standards
and all federal, state and local laws. Vend Pro will make all final connection to the Equipment. Client will
provide Vend Pro employees and/or contractors the necessary access and sufficient time to properly
service and maintain the Equipment. Client has no right, title or interest in the Equipment or Products,
and shall not assert or disturb rights, title or interest to any Equipment, Inventory or other property
furnished or installed by Vend Pro on the premises. Client shall not operate, remove or tamper with such
Equipment, Products or other property. To the extent authorized by the laws of the State of Texas, Client
shall be responsible for any damage to the Equipment caused by willful or negligent acts or omissions on
Client, its agents or employees.
3) Minimum Purchase:
Client has selected a (glass and airpot) brewer which has a coffee and related products minimum purchase
amount of ($100) per month. Should Client fall short of the specified monthly minimum, Client agrees to
subsidize the difference and make equal to ($100) for the term of this agreement. Additionally, Client has
selected a (water cooler) which is free with purchase of 5-gallon units.
4) Payment Terms:
Any products or services purchased by Client shall be invoiced by Vend-Pro. Client terms are Net Due upon
invoice receipt via Client’s option of check, credit card or electronic funds transfer into an account
designated by Vend-Pro. Invoices not paid within (30) days of invoice date are subject to a service charge
calculated at the lower of 1.5% per month, or the maximum rate permitted by state jurisdiction.
DocuSign Envelope ID: 3E3B2B70-4F2C-4B46-B17D-022B2B3C19EADocuSign Envelope ID: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
5) INDEMNIFICATION: TO THE EXTENT AUTHORIZED BY THE LAWS OF THE STATE OF TEXAS, EACH PARTY
SHALL INDEMNIFY, DEFEND AND HOLD HARMLESS THE OTHER FROM ANY AND ALL LOSSES, DAMAGES
OR EXPENSES, INCLUDING REASONABLE ATTORNEY FEES ARISING OUT OF OR RESULTING FROM CLAIMS
OR ACTIONS FOR BODILY INJURY, DEATH, SICKNESS, PROPERTY DAMAGE, ANY BREACH OR DEFAULT
HEREUNDER, OR OTHER INJURY OR DAMAGE IF CAUSED BY ANY NEGLIGENT ACT OR OMISSION OF SUCH
PARTY (EXCEPT TO THE EXTENT CAUSED BY THE NEGLIGENT ACT OR OMISSION OF THE OTHER PARTY,
ITS EMPLOYEES OR AGENTS). NOTIFICATION OF AN EVENT GIVING RISE TO AN INDEMNIFICATION CLAIM
MUST (A) BE RECEIVED BY THE INDEMNIFYING PARTY NO LATER THAN (10) DAYS AFTER THE PARTY TO
BE INDEMNIFIED RECEIVES NOTICE OF THE CLAIM OR LAWSUIT ACCOMPANIED BY COPIES OF THE
SUMMONS, COMPLAINT OR OTHER RELEVANT DOCUMENTS RELATING TO THE CLAIM OR LAWSUIT; AND
(B) INCLUDE A BRIEF FACTUAL SUMMARY OF THE DAMAGE AND CAUSE THEREOF. INDEMNIFICATION
HEREUNDER IS EXPRESSLY SUBJECT TO, AND CONDITIONED UPON, COMPLIANCE WITH THE FOREGOING
NOTICE PROVISIONS.
6) Insurance:
Vend Pro shall obtain and maintain insurance for the following risks in such amounts under such policies as
appropriate: General Liability, Business Automobile and Workers Compensation (as prescribed by state
laws). Client shall obtain and maintain insurance for the Premises against risks covered by standard forms
of fire, theft and extended coverage in such amounts under such policies as appropriate.
7) Term:
The term of this Agreement shall be for three (3) years beginning on the Effective Date, which is the date
upon which Vend-Pro begins Services set forth on the signature page and thereafter shall automatically
renew for two (1) year periods, unless sooner terminated as provided herein.
8) Non-Appropriation Clause
The terms of this Contract and any purchase order issued for multiple years under this Contract are
contingent upon sufficient appropriations being made by the applicable government entity.
Notwithstanding any language to the contrary in this Contract, or any other Contract Document, the
City of Denton may terminate its obligations under this Contract if sufficient appropriations are not
made by the appropriate governing entity to pay amounts due for multiple year agreements. The
decision as to whether sufficient appropriations are available shall be accepted by, and be final and
binding on, the Vendor.
9) Default and Termination:
If either party shall refuse, fail or be unable to perform or observe any of the terms or conditions of this
Agreement for any reason, then the party claiming such failure shall give the other party a written notice
citing the specifics of such breach. Such notice shall include copies of any and all documented failures
prior to such notice date. If, within sixty (60) days from such notice, the failure has not been corrected, the
non-breaching party may terminate this Agreement effective thirty (30) days after the end of such sixty
(60) day period.
10) Proprietary Marks:
Client acknowledges that the names, logos, service marks, trademarks, trade dress, trade names and
patents, whether registered or not, now or hereafter owned by or licensed to Vend-Pro or its affiliated and
DocuSign Envelope ID: 3E3B2B70-4F2C-4B46-B17D-022B2B3C19EADocuSign Envelope ID: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
parent companies are proprietary Marks of Vend Pro, and Client will not use the Marks for any purpose
except as expressly permitted in writing by Vend Pro. Upon termination of this Agreement, Client shall (a)
immediately and permanently discontinue the use and display of any Marks, and (b) immediately remove
and deliver at Vendor’s sole expense to Vend Pro all goods bearing any Marks.
11) Assignment:
Either party may assign or sub-contract this Agreement to an affiliated business entity without the prior
written consent of the other party. This Agreement shall be binding upon the parties’ successors and
assigns.
12) Entire Agreement:
This Agreement, Request for Proposals #7026, and the exhibit(s) attached hereto constitutes the entire
Agreement and understanding between the parties relating to the subject matter herein, and supersedes
all other arrangements between the parties with respect thereto. Except as otherwise noted, this
Agreement may not be changed without a written amendment signed by an authorized representative of
each party.
13) Notices:
Unless otherwise stated, the parties shall be noticed at the addresses listed below, or to any other address
as designated by one party upon notice to the other party. All notices to be given under this Agreement
shall be in writing and shall be served either personally by deposit with an overnight courier with charges
prepaid, or by deposit in the United States mail, first-class postage prepaid by registered or certified mail.
Any such notices shall be deemed to have been given (a) upon delivery in the case of personal delivery; (b)
upon the first business day following facsimile receipt; (c) one (1) business day after deposit with an
overnight courier; or (d) three (3) business days after deposit in the United States mail.
Effective Date: 9/ /2019
Client: _City of Denton ____________ Vend-Pro Refreshment Services
A Texas Municipal Corporation
By: ____________________________ Karla Price
Printed Name Printed Name
____________________________ _____________________________
Signature Signature
____________________________ Sr. Business Development Manager
Title Title
DocuSign Envelope ID: 3E3B2B70-4F2C-4B46-B17D-022B2B3C19EA
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DocuSign Envelope ID: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
Client Address – Notices To: Vend-Pro Address – Notices To:
____________________________ VendPro
____________________________ 2030 Century Center Blvd. Suite “A”
____________________________ Irving, Texas 75062
ATTEST:
ROSA RIOS, CITY SECRETARY
By: __________________________________
APPROVED AS TO LEGAL FORM:
AARON LEAL, CITY ATTORNEY
By: ___________________________________
DocuSign Envelope ID: 3E3B2B70-4F2C-4B46-B17D-022B2B3C19EA
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DocuSign Envelope ID: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
Exhibit “A”
Commissions & Equipment
1) Commission Arrangements:
Commissions shall be computed quarterly based upon Net Vending Sales on Client Premises. The Report
detailing Commissions due Client will accompany payment which shall be forwarded within ten (10) days
of quarter end. Net Vending Sales are defined as the collected retail sales - less sales taxes, returns and
spoilage. No Commission is paid on Cold Food Machines. Payment of Commissions will be made to the
Client at the Notice Address on the signature page of this Agreement. The Commission Rates and prices
are based in part, on population, hours of operation, other conditions such as projected usage, labor costs,
product costs, fuel costs, federal, state and local tax structure, and any other levy or tax that impacts Vend
Pro’s services and costs (Factors). If there are changes in the Factors, Vend Pro may modify the
Commission Rates and/or Retail Prices, which shall be noted on the Commission Statements. All damages
caused by City of Denton, it’s employees and agents, to vending machines and equipment will be deducted
from Clients commissions after providing an invoice for the repair of the damage to the City of Denton and
providing 30 days for City of Denton to contest the cause of damage or cost of repair.
Commission 10%
Reference RFP #7026 details Exhibit 1
2) Equipment Arrangements:
Vend Pro will Deliver and Install the following Equipment.
Snack Vending 21
Drink Vending 24
Water Cooler or Machine 3
Coffee Service 1 (3 burners)
Ice Cream 1
Fresh Food 1
DocuSign Envelope ID: 3E3B2B70-4F2C-4B46-B17D-022B2B3C19EADocuSign Envelope ID: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
Exhibit “B”
Pricing – Drinks & Snacks
Reference RFP #7026 Document:
Product Prices in machines may be adjusted by Vend Pro Quarterly, as needed to reflect manufacturer
price changes, fuel costs, tax changes or labor cost changes. Vend Pro will inform and work closely with
the Client regarding implementation of Price Changes subject to terms of RFP.
Product Selection will periodically change based on seasonal changes, new items available, special
requests and/or sales pattern evolution.
Reference RFP #7026 Document – copy below:
Reference RFP #7026 document:
Our pricing will remain firm for 1 year per the RFP request.
Pricing will be subject to increases after that, but within requirements of RFP. e.g., increases in
Producer Price Index, Department of Labor and/or Bureau of Labor Statistics, not to exceed 8%
for any individual year, etc.
Product Description UOM
Item # BEVERAGES (Lower Pricing preferred by City.) Price in $ Ext Total
Percentage Commission to be
paid to City for Beverages Ext Total
1 20 oz Soft Drinks (All Major brands accepted) EA 1.75 10%
2 20 oz Bottled Water EA 1.75 10%
3 20 oz Gatorade EA 2.00 10%
4 Cold Coffee Beverages EA 3.00 10%
5 16 oz Monster EA 3.00 10%
6 8 OZ Red Bull EA 3.00 10%
7 100% Juice EA 2.50 10%
Item #
SNACKS (Lower pricing prefered by City)
UOM Price in $ Ext Total
Percentage Commission to be
paid to City for snacks
Ext Total
8 Chips (Large bags of all Major Brands) EA 1.25 10%
9 Candy Items EA 1.25 10%
10 Cookies EA 1.25 10%
11 Pastry EA 1.25 10%
12 Nuts EA 1.25 10%
13 Gum & Mints EA 0.80 10%
Prices & commission based upon 27 current locations and
16 proposed location.
DocuSign Envelope ID: 3E3B2B70-4F2C-4B46-B17D-022B2B3C19EADocuSign Envelope ID: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
Exhibit “C”
Locations
Total Machines 24 21 1 3 1 1
Prime Location Public Access Staff Bev Snack Coffee
Water
Station
or
Machine Ice Cream Fresh Food Vending
City Hall Main High YES 250 1 1
City Hall Accounting Floor High NO 35 1 1
City Hall East Tech Center High YES 250 1 1 w/ 3 burners
City Hall East Customer Serv/HR High YES 250 1 1
City Hall East Police & Courts High YES 250 1 1
DME Systems Operations Bldg Break room NO 75+ 1 1
DME Engineering Bldg Break room NO 35 1 1
Facilities Mgmt Break room Semi Public 20 1 1
Fleet Mgmt Break room Semi Public 20 1 1
Fleet Services Kitchen area Semi Public 20 1 1
Library - North Branch Break room NO 25 1 1
Parks Civic Center Downstairs YES
Must confirm staff
#s, but all high
volume publc
access locations 12 1
Parks- Waterpart/Natatorium Vending area YES
Must confirm staff
#s, but all high
volume publc
access locations 11 1
Parks - Denia Rec Center Front Lobby YES
Must confirm staff
#s, but all high
volume publc
access locations 11 1
Parks - MLK Rec Center Front Lobby YES
Must confirm staff
#s, but all high
volume publc
access locations 11 1
Parks-North Lakes Rec Center Front Lobby YES
Must confirm staff
#s, but all high
volume publc
access locations 11
Parks Senior Center Vending area YES
Must confirm staff
#s, but all high
volume publc
access locations 11
Police Dept Break room NO 150 1 1
Police Training Facility Break room/High Semi Public 300 1 1
Service Center Main Entrance YES 250 1 1 1
Service Center Warehouse YES 250 1
Solid Waste Under Patio Cover YES Not known yet 1
Solid Waste Scale House Outside YES Not known yet 1
Water Reclamation Vending area NO 25 1 1
The below are TBD:
Airport
DME Admin
Fire Central Museum
Fire Startion #2
Fire Startion #4
Fire Station #5
Fire Station #7
Keep Denton Beautiful
Library - Emily Fowler
Parks Civic Center POOL
Parks- Goldfield Tennis Center
Police Animal Control
Traffic Ops
Water Production
Water Production - Lake Ray Roberts Water Facility
Water/Waste Water
DocuSign Envelope ID: 3E3B2B70-4F2C-4B46-B17D-022B2B3C19EADocuSign Envelope ID: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
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: 3E3B2B70-4F2C-4B46-B17D-022B2B3C19EA
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DocuSign Envelope ID: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
Certificate Of Completion
Envelope Id: 3E3B2B704F2C4B46B17D022B2B3C19EA Status: Completed
Subject: Please DocuSign: City Council Contract 7026 Vending Machines
Source Envelope:
Document Pages: 9 Signatures: 6 Envelope Originator:
Certificate Pages: 6 Initials: 1 Lori Hewell
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-06:00) Central Time (US & Canada)
901B Texas Street
Denton, TX 76209
lori.hewell@cityofdenton.com
IP Address: 129.120.6.150
Record Tracking
Status: Original
9/13/2019 1:46:00 PM
Holder: Lori Hewell
lori.hewell@cityofdenton.com
Location: DocuSign
Signer Events Signature Timestamp
Lori Hewell
lori.hewell@cityofdenton.com
Purchasing Manager
City of Denton
Security Level: Email, Account Authentication
(None)
Completed
Using IP Address: 129.120.6.150
Sent: 9/13/2019 1:50:46 PM
Viewed: 9/13/2019 1:51:02 PM
Signed: 9/13/2019 1:53:30 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: 9/13/2019 1:53:32 PM
Viewed: 9/13/2019 1:53:47 PM
Signed: 9/13/2019 1:54:37 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: 9/13/2019 1:54:39 PM
Viewed: 9/13/2019 2:46:14 PM
Signed: 9/13/2019 2:47:54 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Karla Price
kprice@trustvending.com
President/CEO
Price Covered Holdings,Inc,dba Trust Vendin
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 65.36.91.1
Sent: 9/13/2019 2:47:56 PM
Resent: 9/19/2019 7:40:43 PM
Resent: 9/25/2019 7:57:56 AM
Viewed: 9/25/2019 8:40:53 AM
Signed: 9/25/2019 8:42:39 AM
Electronic Record and Signature Disclosure:
Accepted: 9/25/2019 8:40:53 AM
ID: a10f0119-f172-463b-839a-b3bbbb93f4c5
DocuSign Envelope ID: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
Signer Events Signature vimestamp
Cassandra Ogden
Cassandra.Ogden@cityofdenton.com
Director of Procurement and Compliance
City of Denton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 129.120.6.150
Sent: 9/25/2019 8:42:41 AM
Viewed: 9/26/2019 10:16:53 AM
Signed: 9/26/2019 10:17:52 AM
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)
Completed
Using IP Address: 129.120.6.150
Sent: 9/26/2019 10:17:55 AM
Viewed: 10/17/2019 7:52:31 AM
Signed: 10/17/2019 7:52:52 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: 129.120.6.150
Sent: 10/17/2019 7:52:55 AM
Viewed: 10/17/2019 2:22:50 PM
Signed: 10/17/2019 2:22:59 PM
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: 10/17/2019 2:23:02 PM
Viewed: 10/21/2019 11:39:24 AM
Signed: 10/21/2019 11:39:57 AM
Electronic Record and Signature Disclosure:
Accepted: 10/21/2019 11:39:24 AM
ID: 93a50ab1-50ca-4498-8081-34f6c2ac363a
vn verson Signer Events Signature vimestamp
Editor Deliverv Events Status vimestamp
vgent Deliverv Events Status vimestamp
vntermediarv Deliverv Events Status vimestamp
Certivied Deliverv Events Status vimestamp
Carvon Copv Events Status vimestamp
Cheyenne Defee
cheyenne.defee@cityofdenton.com
Contract Administrator
City of Denton
Security Level: Email, Account Authentication
(None)
Sent: 9/13/2019 1:53:31 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
DocuSign Envelope ID: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
Carvon Copv Events Status vimestamp
Sherri Thurman
sherri.thurman@cityofdenton.com
City of Denton
Security Level: Email, Account Authentication
(None)
Sent: 9/13/2019 1:53:31 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: 10/17/2019 2:23:02 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
vitness Events Signature vimestamp
votarv Events Signature vimestamp
Envelope Summarv Events Status vimestamps
Envelope Sent Hashed/Encrypted 10/17/2019 2:23:02 PM
Certified Delivered Security Checked 10/21/2019 11:39:24 AM
Signing Complete Security Checked 10/21/2019 11:39:57 AM
Completed Security Checked 10/21/2019 11:39:57 AM
vavment Events Status vimestamps
Electronic Record and Signature Disclosure
DocuSign Envelope ID: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
ELECTRONIC RECORD AND SIGNATURE DISCLOSURE
From time to time, City of Denton (we, us or Company) may be required by law to provide to
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DocuSign Envelope ID: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
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DocuSign Envelope ID: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
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available to me by City of Denton during the course of my relationship with you.
DocuSign Envelope ID: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
DocuSign Envelope ID: C1B3C0C4-9F77-494C-87A1-E575EAD71028
5/12/2020
DocuSign Envelope ID: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
DocuSign Envelope ID: C1B3C0C4-9F77-494C-87A1-E575EAD71028
Procurement & Compliance
Director of Procurement and ComplianceCassandra Ogden
DocuSign Envelope ID: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
Certificate Of Completion
Envelope Id: C1B3C0C49F77494C87A1E575EAD71028 Status: Completed
Subject: Please DocuSign: 7026 Amendment 1
Source Envelope:
Document Pages: 2 Signatures: 2 Envelope Originator:
Certificate Pages: 2 Initials: 0 Lori Hewell
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-06:00) Central Time (US & Canada)
901B Texas Street
Denton, TX 76209
lori.hewell@cityofdenton.com
IP Address: 129.120.6.150
Record Tracking
Status: Original
5/12/2020 5:30:45 PM
Holder: Lori Hewell
lori.hewell@cityofdenton.com
Location: DocuSign
Signer Events Signature Timestamp
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: 5/12/2020 5:31:57 PM
Viewed: 5/12/2020 5:32:08 PM
Signed: 5/12/2020 5:32:20 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Cassandra Ogden
Cassandra.Ogden@cityofdenton.com
Director of Procurement and Compliance
City of Denton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 129.120.6.150
Sent: 5/12/2020 5:32:21 PM
Viewed: 5/12/2020 5:34:53 PM
Signed: 5/12/2020 5:35:09 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
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
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 5/12/2020 5:32:21 PM
Certified Delivered Security Checked 5/12/2020 5:34:53 PM
Signing Complete Security Checked 5/12/2020 5:35:09 PM
DocuSign Envelope ID: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
Envelope Summary Events Status Timestamps
Completed Security Checked 5/12/2020 5:35:09 PM
Payment Events Status Timestamps
DocuSign Envelope ID: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
Docusign Transmittal Coversheet
File Name
Purchasing Contact
Contract Expiration
DocuSign Envelope ID: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
1
THE STATE OF TEXAS §
§
COUNTY OF DENTON §
SECOND AMENDMENT TO CONTRACT
BY AND BETWEEN THE CITY OF DENTON, TEXAS
AND SUPREME FOOD SERVICES, DBA VEND PRO REFRESHMENT SERVICES
7026
THIS SECOND AMENDMENT TO CONTRACT 7026 (this “Amendment”) by
and between the City of Denton, Texas (“City”) and Supreme Food Services, dba Vend pro
Refreshment Services (“Contractor”) to that certain contract executed on October 15, 2019,
(the “Original Agreement”); amended on May 12, 2020 to remove office coffee services
and related products and any minimum purchase requirement related to the coffee services
and related products (the “First Amendment”); (collectively, the Original Agreement and
the First Amendment are the “Agreement”) for services related to vending machine
services;
WHEREAS, the City deems it necessary to further expand the services provided by
Contractor to the City pursuant to the terms of the Agreement with this Second
Amendment.
WHEREAS, the City deems it necessary to further expand the goods/services
provided by Contractor to the City; and
NOW THEREFORE, the City and Contractor (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 Second Amendment,
which amends the following terms and conditions of the said Agreement, to wit:
1. This Amendment modifies the Agreement amount to provide for additional micro
market services and related products, as shown in Exhibit A attached, to be
provided in accordance with the terms of the Agreement. The minimum purchase
requirements and term of micro market services and related products are as
described in Exhibit A.
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 Contractor, have each executed this
Amendment, by and through their respective duly authorized representatives and officers
on this date_______________________________________.
DocuSign Envelope ID: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
2
“CONTRACTOR”
Supreme Food Services, dba Vend Pro
Refreshment Services
By: _____________________________
AUTHORIZED SIGNATURE
TITLE: __________________________
“CITY”
CITY OF DENTON, TEXAS
A Texas Municipal Corporation
By: _____________________________
PURCHASING AGENT
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: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
3
Exhibit A
Minimum Purchase:
Client has selected a micro market which has a coffee and all related products minimum
purchase amount of $2,400 per month. Should Client fall short of the specified monthly
minimum, Client agrees to subsidize the difference and make equal to $2,400 per month
for the term of this agreement.
Term of Micro Market:
Client agrees to an initial one (1) year term on the micro market with the option to renew
until contract expires.
Payment Terms:
Any products or services purchased by Client shall be invoiced by Vend-Pro. Client terms
are Net Due upon invoice receipt via Client’s option of check, credit card or electronic
funds transfer into an account designated by Vend-Pro. Invoices not paid within (30) days
of invoice date are subject to a service charge calculated at the lower of 1.5% per month,
or the maximum rate permitted by state jurisdiction.
Product Shrinkage (theft):
Client is liable for all product shrinkage shortages greater than 2.5%. Client must agree to
no product limitations throughout the term of this agreement.
Force Majeure:
Neither party will be liable or responsible to the other for any loss or damage or for any
delays or failure to perform due to causes beyond its reasonable control including acts of
God, strikes, epidemics, war, riots, flood, fire, sabotage, or any other circumstances of like
character. In the event of such unforeseen incident, Vend Pro shall have five (5) days from
the onset of the unforeseen incident to remove its personal property from any location
where it may be found. Upon the reopening of any locations where Vend Pro removed its
personal property, Vend Pro shall replace any personal property within fourteen (14) days.
In the event the Client does not allow Vend Pro to remove its personal property and the
product expires, Client shall indemnify Vend Pro for its lost or expired product.
DocuSign Envelope ID: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
4
Equipment
1) Equipment Arrangements:
Vend Pro will deliver and install the following Equipment.
Breakroom #1
Market Fixtures ___1____
Beverage Cooler ___1____
Food Cooler ___1____
Camera System ___1____
Coffee Service ________
Market Kiosk ___ 1___
DocuSign Envelope ID: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
5
Exhibit B
Pricing – Drinks & Snacks
Product Prices in machines may be adjusted by Vend Pro Quarterly, as needed to reflect
manufacturer price changes, fuel costs, tax changes or labor cost changes. Vend Pro will inform and
work closely with the Client regarding implementation of Price Changes.
Product Selection will periodically change based on seasonal changes, new items available, special
requests and/or sales pattern evolution.
DocuSign Envelope ID: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
Certificate Of Completion
Envelope Id: C624933327744045986AC59683024363 Status: Completed
Subject: ***Purchasing Approval*** Contract 7026 - 2nd Amendment
Source Envelope:
Document Pages: 6 Signatures: 3 Envelope Originator:
Certificate Pages: 5 Initials: 0 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
11/5/2020 11:16:15 AM
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: 11/5/2020 11:31:18 AM
Viewed: 11/5/2020 11:32:27 AM
Signed: 11/5/2020 11:33:08 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Karla Price
karla@vendpro.us
Sales Manager
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 69.170.113.156
Sent: 11/5/2020 11:33:09 AM
Viewed: 11/5/2020 12:00:10 PM
Signed: 11/5/2020 3:12:18 PM
Electronic Record and Signature Disclosure:
Accepted: 11/5/2020 12:00:10 PM
ID: 80e7f170-fbb7-4ae4-8532-4a042e4fd79a
Christine Taylor
Christine.Taylor@cityofdenton.com
Director of Procurement and Compliance
City of Denton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 198.49.140.10
Sent: 11/5/2020 3:12:20 PM
Viewed: 11/5/2020 3:41:11 PM
Signed: 11/5/2020 3:42:33 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Cori Power
cori.power@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: 11/5/2020 3:42:35 PM
Viewed: 11/5/2020 4:50:04 PM
Signed: 11/5/2020 4:50:21 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
In Person Signer Events Signature Timestamp
DocuSign Envelope ID: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
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
Gabby Leeper
Gabby.Leeper@cityofdenton.com
Administrative Assistant III
City of Denton
Security Level: Email, Account Authentication
(None)
Sent: 11/5/2020 4:50:22 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Scott McDonald
Scott.McDonald@cityofdenton.com
Director
Security Level: Email, Account Authentication
(None)
Sent: 11/5/2020 4:50:22 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: 11/5/2020 4:50:23 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 11/5/2020 11:31:18 AM
Certified Delivered Security Checked 11/5/2020 4:50:04 PM
Signing Complete Security Checked 11/5/2020 4:50:21 PM
Completed Security Checked 11/5/2020 4:50:23 PM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
DocuSign Envelope ID: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
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
providing to you such notices and disclosures electronically through your DocuSign, Inc.
(DocuSign) Express user account. Please read the information below carefully and thoroughly,
and if you can access this information electronically to your satisfaction and agree to these terms
and conditions, please confirm your agreement by clicking the 'I agree' button at the bottom of
this document.
Getting paper copies
At any time, you may request from us a paper copy of any record provided or made available
electronically to you by us. For such copies, as long as you are an authorized user of the
DocuSign system you will have the ability to download and print any documents we send to you
through your DocuSign user account for a limited period of time (usually 30 days) after such
documents are first sent to you. After such time, if you wish for us to send you paper copies of
any such documents from our office to you, you will be charged a $0.00 per-page fee. You may
request delivery of such paper copies from us by following the procedure described below.
Withdrawing your consent
If you decide to receive notices and disclosures from us electronically, you may at any time
change your mind and tell us that thereafter you want to receive required notices and disclosures
only in paper format. How you must inform us of your decision to receive future notices and
disclosure in paper format and withdraw your consent to receive notices and disclosures
electronically is described below.
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
you because we will need first to send the required notices or disclosures to you in paper format,
and then wait until we receive back from you your acknowledgment of your receipt of such
paper notices or disclosures. To indicate to us that you are changing your mind, you must
withdraw your consent using the DocuSign 'Withdraw Consent' form on the signing page of your
DocuSign account. This will indicate to us that you have withdrawn your consent to receive
required notices and disclosures electronically from us and you will no longer be able to use your
DocuSign Express user account to receive required notices and consents electronically from us
or to sign electronically documents from us.
All notices and disclosures will be sent to you electronically
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
made available to you during the course of our relationship with you. To reduce the chance of
you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required
notices and disclosures to you by the same method and to the same address that you have given
us. Thus, you can receive all the disclosures and notices electronically or in paper format through
the paper mail delivery system. If you do not agree with this process, please let us know as
described below. Please also see the paragraph immediately above that describes the
consequences of your electing not to receive delivery of the notices and disclosures
electronically from us.
DocuSign Envelope ID: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
How to contact City of Denton:
You may contact us to let us know of your changes as to how we may contact you electronically,
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
To advise City of Denton of your new e-mail address
To let us know of a change in your e-mail address where we should send notices and disclosures
electronically to you, you must send an email message to us at melissa.kraft@cityofdenton.com
and in the body of such request you must state: your previous e-mail address, your new e-mail
address. We do not require any other information from you to change your email address..
In addition, you must notify DocuSign, Inc to arrange for your new email address to be reflected
in your DocuSign account by following the process for changing e-mail in DocuSign.
To request paper copies from City of Denton
To request delivery from us of paper copies of the notices and disclosures previously provided
by us to you electronically, you must send us an e-mail to purchasing@cityofdenton.com and in
the body of such request you must state your e-mail address, full name, US Postal address, and
telephone number. We will bill you for any fees at that time, if any.
To withdraw your consent with City of Denton
To inform us that you no longer want to receive future notices and disclosures in electronic
format you may:
i. decline to sign a document from within your DocuSign account, and on the subsequent
page, select the check-box indicating you wish to withdraw your consent, or you may;
ii. send us an e-mail to purchasing@cityofdenton.com and in the body of such request you
must state your e-mail, full name, IS Postal Address, telephone number, and account
number. We do not need any other information from you to withdraw consent.. The
consequences of your withdrawing consent for online documents will be that transactions
may take a longer time to process..
Required hardware and software
Operating Systems: Windows2000? or WindowsXP?
Browsers (for SENDERS): Internet Explorer 6.0? or above
Browsers (for SIGNERS): Internet Explorer 6.0?, Mozilla FireFox 1.0,
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
•Users accessing the internet behind a Proxy
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
providing you with the revised hardware and software requirements, at which time you will
have the right to withdraw your consent.
DocuSign Envelope ID: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
Acknowledging your access and consent to receive materials electronically
To confirm to us that you can access this information electronically, which will be similar to
other electronic notices and disclosures that we will provide to you, please verify that you
were able to read this electronic disclosure and that you also were able to print on paper or
electronically save this page for your future reference and access or that you were able to
e-mail this disclosure and consent to an address where you will be able to print on paper or
save it for your future reference and access. Further, if you consent to receiving notices and
disclosures exclusively in electronic format on the terms and conditions described above,
please let us know by clicking the 'I agree' button below.
By checking the 'I Agree' box, I confirm that:
• I can access and read this Electronic CONSENT TO ELECTRONIC RECEIPT OF
ELECTRONIC RECORD AND SIGNATURE DISCLOSURES document; and
• I can print on paper the disclosure or save or send the disclosure to a place where I can
print it, for future reference and access; and
• Until or unless I notify City of Denton as described above, I consent to receive from
exclusively through electronic means all notices, disclosures, authorizations,
acknowledgements, and other documents that are required to be provided or made
available to me by City of Denton during the course of my relationship with you.
DocuSign Envelope ID: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
Docusign Transmittal Coversheet
File Name
Purchasing Contact
Contract Expiration
DocuSign Envelope ID: F636FE7D-59DB-48F5-AD34-3E21BBFF5D78
OCTOBER 15, 2024
RFP
Crystal Westbrook
VENDING MACHINES-AMENDMENT 3
7026
DocuSign Envelope ID: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
Procurement & Compliance
215 E. McKinney St., Denton, TX 76201 (940) 349-7100
OUR CORE VALUES
Integrity Fiscal Responsibility Transparency Outstanding Customer Service
December 21, 2021
Supreme Food Services dba
Vend Pro Refreshment Services
Karla Price
2030 Century Center Blvd., Ste A
Irving, TX 75062
Ref: RFP 7026 – Vending Machines (Amendment 3)
Karla Price:
The City of Denton (COD) has reviewed and accepts the location and addition of the following new item(s)
to contract 7026 with your firm as outlined below.
Department Location Public Access Staff # QTY Machine Type
Solid Waste Break Room Semi Public 128 1 Snack
All terms and conditions of the contract shall apply. If your firm is in agreement, please sign and return this
letter to my attention. We look forward to future business with your firm.
Regards,
____________________________ ___________________________
Crystal Westbrook Karla Price
Procurement and Compliance or Authorized Representative
City of Denton Vend Pro Refreshment
Services
DocuSign Envelope ID: F636FE7D-59DB-48F5-AD34-3E21BBFF5D78DocuSign Envelope ID: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
Certificate Of Completion
Envelope Id: F636FE7D59DB48F5AD343E21BBFF5D78 Status: Completed
Subject: ***Purchasing Approval*** 7026--Amendment 3
Source Envelope:
Document Pages: 2 Signatures: 2 Envelope Originator:
Certificate Pages: 5 Initials: 0 Crystal Westbrook
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-06:00) Central Time (US & Canada)
901B Texas Street
Denton, TX 76209
crystal.westbrook@cityofdenton.com
IP Address: 198.49.140.104
Record Tracking
Status: Original
12/21/2021 8:59:35 AM
Holder: Crystal Westbrook
crystal.westbrook@cityofdenton.com
Location: DocuSign
Signer Events Signature Timestamp
Crystal Westbrook
crystal.westbrook@cityofdenton.com
Senior Buyer
City of Denton
Security Level: Email, Account Authentication
(None)
Completed
Using IP Address: 198.49.140.104
Sent: 12/21/2021 9:02:40 AM
Viewed: 12/21/2021 9:03:01 AM
Signed: 12/21/2021 9:03:24 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Karla Kennard (formerly Price)
kprice@trustvending.com
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 99.36.3.145
Sent: 12/21/2021 9:03:25 AM
Resent: 12/29/2021 8:50:37 AM
Resent: 1/10/2022 10:39:20 AM
Viewed: 1/10/2022 3:22:09 PM
Signed: 1/10/2022 3:23:10 PM
Electronic Record and Signature Disclosure:
Accepted: 12/29/2021 9:08:32 AM
ID: 94ec74a9-b92c-480b-b092-fbb4082cf0e4
Crystal Westbrook
crystal.westbrook@cityofdenton.com
Senior Buyer
City of Denton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 198.49.140.104
Sent: 1/10/2022 3:23:11 PM
Viewed: 1/10/2022 4:13:15 PM
Signed: 1/10/2022 4:13:26 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
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
DocuSign Envelope ID: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
Carbon Copy Events Status Timestamp
Cheyenne Defee
cheyenne.defee@cityofdenton.com
Contract Administrator
City of Denton
Security Level: Email, Account Authentication
(None)
Sent: 1/10/2022 4:13:27 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
James Tips
james.tips@cityofdenton.com
Security Level: Email, Account Authentication
(None)
Sent: 1/10/2022 4:13:27 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 12/21/2021 9:02:40 AM
Certified Delivered Security Checked 1/10/2022 4:13:15 PM
Signing Complete Security Checked 1/10/2022 4:13:26 PM
Completed Security Checked 1/10/2022 4:13:27 PM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
DocuSign Envelope ID: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
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
providing to you such notices and disclosures electronically through your DocuSign, Inc.
(DocuSign) Express user account. Please read the information below carefully and thoroughly,
and if you can access this information electronically to your satisfaction and agree to these terms
and conditions, please confirm your agreement by clicking the 'I agree' button at the bottom of
this document.
Getting paper copies
At any time, you may request from us a paper copy of any record provided or made available
electronically to you by us. For such copies, as long as you are an authorized user of the
DocuSign system you will have the ability to download and print any documents we send to you
through your DocuSign user account for a limited period of time (usually 30 days) after such
documents are first sent to you. After such time, if you wish for us to send you paper copies of
any such documents from our office to you, you will be charged a $0.00 per-page fee. You may
request delivery of such paper copies from us by following the procedure described below.
Withdrawing your consent
If you decide to receive notices and disclosures from us electronically, you may at any time
change your mind and tell us that thereafter you want to receive required notices and disclosures
only in paper format. How you must inform us of your decision to receive future notices and
disclosure in paper format and withdraw your consent to receive notices and disclosures
electronically is described below.
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
you because we will need first to send the required notices or disclosures to you in paper format,
and then wait until we receive back from you your acknowledgment of your receipt of such
paper notices or disclosures. To indicate to us that you are changing your mind, you must
withdraw your consent using the DocuSign 'Withdraw Consent' form on the signing page of your
DocuSign account. This will indicate to us that you have withdrawn your consent to receive
required notices and disclosures electronically from us and you will no longer be able to use your
DocuSign Express user account to receive required notices and consents electronically from us
or to sign electronically documents from us.
All notices and disclosures will be sent to you electronically
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
made available to you during the course of our relationship with you. To reduce the chance of
you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required
notices and disclosures to you by the same method and to the same address that you have given
us. Thus, you can receive all the disclosures and notices electronically or in paper format through
the paper mail delivery system. If you do not agree with this process, please let us know as
described below. Please also see the paragraph immediately above that describes the
consequences of your electing not to receive delivery of the notices and disclosures
electronically from us.
Electronic Record and Signature Disclosure created on: 7/21/2017 3:59:03 PM
Parties agreed to: Karla Kennard (formerly Price)
DocuSign Envelope ID: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
How to contact City of Denton:
You may contact us to let us know of your changes as to how we may contact you electronically,
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
To advise City of Denton of your new e-mail address
To let us know of a change in your e-mail address where we should send notices and disclosures
electronically to you, you must send an email message to us at melissa.kraft@cityofdenton.com
and in the body of such request you must state: your previous e-mail address, your new e-mail
address. We do not require any other information from you to change your email address..
In addition, you must notify DocuSign, Inc to arrange for your new email address to be reflected
in your DocuSign account by following the process for changing e-mail in DocuSign.
To request paper copies from City of Denton
To request delivery from us of paper copies of the notices and disclosures previously provided
by us to you electronically, you must send us an e-mail to purchasing@cityofdenton.com and in
the body of such request you must state your e-mail address, full name, US Postal address, and
telephone number. We will bill you for any fees at that time, if any.
To withdraw your consent with City of Denton
To inform us that you no longer want to receive future notices and disclosures in electronic
format you may:
i. decline to sign a document from within your DocuSign account, and on the subsequent
page, select the check-box indicating you wish to withdraw your consent, or you may;
ii. send us an e-mail to purchasing@cityofdenton.com and in the body of such request you
must state your e-mail, full name, IS Postal Address, telephone number, and account
number. We do not need any other information from you to withdraw consent.. The
consequences of your withdrawing consent for online documents will be that transactions
may take a longer time to process..
Required hardware and software
Operating Systems: Windows2000? or WindowsXP?
Browsers (for SENDERS): Internet Explorer 6.0? or above
Browsers (for SIGNERS): Internet Explorer 6.0?, Mozilla FireFox 1.0,
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
•Users accessing the internet behind a Proxy
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
providing you with the revised hardware and software requirements, at which time you will
have the right to withdraw your consent.
DocuSign Envelope ID: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
Acknowledging your access and consent to receive materials electronically
To confirm to us that you can access this information electronically, which will be similar to
other electronic notices and disclosures that we will provide to you, please verify that you
were able to read this electronic disclosure and that you also were able to print on paper or
electronically save this page for your future reference and access or that you were able to
e-mail this disclosure and consent to an address where you will be able to print on paper or
save it for your future reference and access. Further, if you consent to receiving notices and
disclosures exclusively in electronic format on the terms and conditions described above,
please let us know by clicking the 'I agree' button below.
By checking the 'I Agree' box, I confirm that:
• I can access and read this Electronic CONSENT TO ELECTRONIC RECEIPT OF
ELECTRONIC RECORD AND SIGNATURE DISCLOSURES document; and
• I can print on paper the disclosure or save or send the disclosure to a place where I can
print it, for future reference and access; and
• Until or unless I notify City of Denton as described above, I consent to receive from
exclusively through electronic means all notices, disclosures, authorizations,
acknowledgements, and other documents that are required to be provided or made
available to me by City of Denton during the course of my relationship with you.
DocuSign Envelope ID: 647C6C4F-32A1-4A83-93B3-F5624CC73CCD
Certificate Of Completion
Envelope Id: 647C6C4F32A14A8393B3F5624CC73CCD Status: Completed
Subject: Please DocuSign: 7026 - Assignment of Contract
Source Envelope:
Document Pages: 41 Signatures: 4 Envelope Originator:
Certificate Pages: 5 Initials: 0 Cheyenne Defee
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-06:00) Central Time (US & Canada)
901B Texas Street
Denton, TX 76209
cheyenne.defee@cityofdenton.com
IP Address: 198.49.140.104
Record Tracking
Status: Original
6/30/2022 11:08:27 AM
Holder: Cheyenne Defee
cheyenne.defee@cityofdenton.com
Location: DocuSign
Signer Events Signature Timestamp
Murray Rose
murray@vendpro.us
CFO
SUPREME FOOD SERVICES
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 174.203.22.211
Signed using mobile
Sent: 6/30/2022 11:12:39 AM
Viewed: 6/30/2022 11:32:57 AM
Signed: 6/30/2022 12:11:46 PM
Electronic Record and Signature Disclosure:
Accepted: 6/30/2022 11:32:57 AM
ID: 12bd649a-1716-445b-967f-907dae3daf73
Murray Rose
murray@vendpro.us
CFO
SUPREME FOOD SERVICES
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 50.226.84.162
Sent: 6/30/2022 12:11:48 PM
Resent: 7/7/2022 8:06:13 AM
Resent: 7/12/2022 8:28:21 AM
Viewed: 7/18/2022 4:01:56 PM
Signed: 7/18/2022 4:04:08 PM
Electronic Record and Signature Disclosure:
Accepted: 6/30/2022 11:32:57 AM
ID: 12bd649a-1716-445b-967f-907dae3daf73
Cheyenne Defee
cheyenne.defee@cityofdenton.com
Procurement Administration Supervisor
City of Denton
Security Level: Email, Account Authentication
(None)
Completed
Using IP Address: 198.49.140.104
Sent: 7/18/2022 4:12:44 PM
Viewed: 7/18/2022 4:13:06 PM
Signed: 7/18/2022 4:13:20 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Tabitha Millsop
tabitha.millsop@cityofdenton.com
Assistant Purchasing Manager
City of Denton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 198.49.140.104
Sent: 7/18/2022 4:04:12 PM
Resent: 7/18/2022 4:13:24 PM
Viewed: 7/18/2022 4:40:27 PM
Signed: 7/18/2022 4:40:41 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
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
Murray Rose
murray@vendpro.us
CFO
SUPREME FOOD SERVICES
Security Level: Email, Account Authentication
(None)
Sent: 7/18/2022 4:40:45 PM
Electronic Record and Signature Disclosure:
Accepted: 6/30/2022 11:32:57 AM
ID: 12bd649a-1716-445b-967f-907dae3daf73
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 6/30/2022 11:12:40 AM
Certified Delivered Security Checked 7/18/2022 4:40:27 PM
Signing Complete Security Checked 7/18/2022 4:40:41 PM
Completed Security Checked 7/18/2022 4:40:45 PM
Payment Events Status Timestamps
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
providing to you such notices and disclosures electronically through your DocuSign, Inc.
(DocuSign) Express user account. Please read the information below carefully and thoroughly,
and if you can access this information electronically to your satisfaction and agree to these terms
and conditions, please confirm your agreement by clicking the 'I agree' button at the bottom of
this document.
Getting paper copies
At any time, you may request from us a paper copy of any record provided or made available
electronically to you by us. For such copies, as long as you are an authorized user of the
DocuSign system you will have the ability to download and print any documents we send to you
through your DocuSign user account for a limited period of time (usually 30 days) after such
documents are first sent to you. After such time, if you wish for us to send you paper copies of
any such documents from our office to you, you will be charged a $0.00 per-page fee. You may
request delivery of such paper copies from us by following the procedure described below.
Withdrawing your consent
If you decide to receive notices and disclosures from us electronically, you may at any time
change your mind and tell us that thereafter you want to receive required notices and disclosures
only in paper format. How you must inform us of your decision to receive future notices and
disclosure in paper format and withdraw your consent to receive notices and disclosures
electronically is described below.
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
you because we will need first to send the required notices or disclosures to you in paper format,
and then wait until we receive back from you your acknowledgment of your receipt of such
paper notices or disclosures. To indicate to us that you are changing your mind, you must
withdraw your consent using the DocuSign 'Withdraw Consent' form on the signing page of your
DocuSign account. This will indicate to us that you have withdrawn your consent to receive
required notices and disclosures electronically from us and you will no longer be able to use your
DocuSign Express user account to receive required notices and consents electronically from us
or to sign electronically documents from us.
All notices and disclosures will be sent to you electronically
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
made available to you during the course of our relationship with you. To reduce the chance of
you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required
notices and disclosures to you by the same method and to the same address that you have given
us. Thus, you can receive all the disclosures and notices electronically or in paper format through
the paper mail delivery system. If you do not agree with this process, please let us know as
described below. Please also see the paragraph immediately above that describes the
consequences of your electing not to receive delivery of the notices and disclosures
electronically from us.
Electronic Record and Signature Disclosure created on: 7/21/2017 3:59:03 PM
Parties agreed to: Murray Rose, Murray Rose, Murray Rose
How to contact City of Denton:
You may contact us to let us know of your changes as to how we may contact you electronically,
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
To advise City of Denton of your new e-mail address
To let us know of a change in your e-mail address where we should send notices and disclosures
electronically to you, you must send an email message to us at melissa.kraft@cityofdenton.com
and in the body of such request you must state: your previous e-mail address, your new e-mail
address. We do not require any other information from you to change your email address..
In addition, you must notify DocuSign, Inc to arrange for your new email address to be reflected
in your DocuSign account by following the process for changing e-mail in DocuSign.
To request paper copies from City of Denton
To request delivery from us of paper copies of the notices and disclosures previously provided
by us to you electronically, you must send us an e-mail to purchasing@cityofdenton.com and in
the body of such request you must state your e-mail address, full name, US Postal address, and
telephone number. We will bill you for any fees at that time, if any.
To withdraw your consent with City of Denton
To inform us that you no longer want to receive future notices and disclosures in electronic
format you may:
i. decline to sign a document from within your DocuSign account, and on the subsequent
page, select the check-box indicating you wish to withdraw your consent, or you may;
ii. send us an e-mail to purchasing@cityofdenton.com and in the body of such request you
must state your e-mail, full name, IS Postal Address, telephone number, and account
number. We do not need any other information from you to withdraw consent.. The
consequences of your withdrawing consent for online documents will be that transactions
may take a longer time to process..
Required hardware and software
Operating Systems: Windows2000? or WindowsXP?
Browsers (for SENDERS): Internet Explorer 6.0? or above
Browsers (for SIGNERS): Internet Explorer 6.0?, Mozilla FireFox 1.0,
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
•Users accessing the internet behind a Proxy
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
providing you with the revised hardware and software requirements, at which time you will
have the right to withdraw your consent.
Acknowledging your access and consent to receive materials electronically
To confirm to us that you can access this information electronically, which will be similar to
other electronic notices and disclosures that we will provide to you, please verify that you
were able to read this electronic disclosure and that you also were able to print on paper or
electronically save this page for your future reference and access or that you were able to
e-mail this disclosure and consent to an address where you will be able to print on paper or
save it for your future reference and access. Further, if you consent to receiving notices and
disclosures exclusively in electronic format on the terms and conditions described above,
please let us know by clicking the 'I agree' button below.
By checking the 'I Agree' box, I confirm that:
• I can access and read this Electronic CONSENT TO ELECTRONIC RECEIPT OF
ELECTRONIC RECORD AND SIGNATURE DISCLOSURES document; and
• I can print on paper the disclosure or save or send the disclosure to a place where I can
print it, for future reference and access; and
• Until or unless I notify City of Denton as described above, I consent to receive from
exclusively through electronic means all notices, disclosures, authorizations,
acknowledgements, and other documents that are required to be provided or made
available to me by City of Denton during the course of my relationship with you.
