7700 - Amendment 1 Executed
Docusign Transmittal Coversheet
File Name
Purchasing Contact
Contract Expiration
DocuSign Envelope ID: 6CA6CF88-B4DD-4A29-BD9D-E37158A85EE4
04/04/27
Christa Christian
7700 - Risk and Safety Management Information System
- Amendment 1
Procurement & Compliance
901 B Texas St., Denton, TX 76209 (940) 349-7100
OUR CORE VALUES
Integrity Fiscal Responsibility Inclusion Transparency Outstanding Customer Service
February 28, 2023
Mr. Earnest Bentley
Origami Risk, LLC
222 N. Lassalle St, Suite 2100
Chicago, Illinois 60601
legal@origamirisk.com
Re: Letter Agreement to Amend (this “Amendment”) File 7700 – Risk and Safety Management
Information System between the City of Denton (“COD”) and Origami Risk LLC dated
April 4, 2022 (the “Contract”) – Amendment #1
Dear Mr. Bentley,
Thank you for being such a valued partner. By signing this Amendment below, COD and Origami
Risk, LLC., agree that the Contract is hereby deemed amended to the updated Schedule of Charges,
as shown in Attachment A.
Except as amended by this Amendment, the Contract is not otherwise amended and all other terms
and conditions of the Contract remain in full force and effect, as amended hereby. This Amendment
may be executed in any number of counterparts, each of which shall be deemed an original and all of
which together shall constitute one and the same instrument. Signatures transmitted electronically
shall have the same effect as the delivery of original signatures.
The City of Denton reserves the right to re-evaluate pricing as the market conditions change and can
ask your firm to provide updated proposed pricing, including, but not limited to, a decrease in
pricing, as a result of any such change.
We look forward to future business with your firm.
Regards,
____________________________ ___________________________
Christa Christian, CPPB Earnest Bentley
Procurement or Authorized Representative
City of Denton Origami Risk, LLC
DocuSign Envelope ID: 6CA6CF88-B4DD-4A29-BD9D-E37158A85EE4
CONFIDENTIAL
ORDER FORM #20230301
CONTACT INFORMATION
Client: City of Denton (TX) Bill To Contact: Deby Skawinski
Address: 601 E. Hickory, Suite A
Denton, TX 76208-6301
Bill To Email: deby.skawinski@cityofdenton.com
Primary Contact: Deby Skawinski Is purchase order (PO) required?
Primary Contact Email:
deby.skawinski@cityofdenton.com
Upon entering into this Order Form, please send any Pos,
vendor registration links or tax exemption certificates to
finance@origamirisk.com
SUBSCRIPTION DETAILS
Effective Date: 2023-03-01
End Date: 2025-04-04
RECURRING SUBSCRIPTIONS – HOSTING
Subscription Quantity / Functionality Purchased
Hosting, Network & Storage Up to 4 GBs of Database Size
Current Period Total: $1,250.00
Annual Total: $7,500.00
Total Current Period Fees: $1,250.00
Total Annual Fees: $7,500.00
ONE-TIME PURCHASES
Product Quantity / Functionality Purchased
Client Support Hours 18 Hour(s)
Total One-Time Fees: $4,050.00
BILLING DETAILS AND ADDITIONAL TERMS
This Order Form is effective as the Effective Date (as identified above) for the purchase of the subscription services
listed above from Origami Risk LLC (“Origami”). This Order Form is subject to all the terms and conditions of the
underlying agreement between Client and Origami (the “Agreement”). To the extent the Agreement does not
contemplate order forms, this Order Form will be deemed a Statement of Work for purposes of the Agreement. This
Order Form will be deemed a part of the Agreement. Origami and Client agree that the term of the Agreement shall be
extended through the duration of the term of this Order Form.
Fees for the current year of recurring subscription fees and all one-time fees under this Order Form will be invoiced and
due upon execution of this Order Form. Fees for ongoing contract years are due annually upfront on each anniversary
date thereafter. All fees are subject to applicable sales tax, which will appear separately on each invoice. All travel costs
and expenses will be pre-approved by Client in writing and billed to Client as incurred.
Service descriptions and service-specific terms and conditions are set forth at origamirisk.com/servicedescriptions,
which are hereby incorporated by reference in the form available at such link as of the Effective Date. Additional
professional services may be set forth in other Statements of Work as agreed between the parties.
DocuSign Envelope ID: 6CA6CF88-B4DD-4A29-BD9D-E37158A85EE4
ATTACHMENT A
CONFIDENTIAL
ORDER FORM APPROVAL
The undersigned agree to this Order Form.
ORIGAMI RISK LLC CITY OF DENTON (TX)
By: __________________________________ By: __________________________________
Name: _______________________________ Name: _______________________________
(Print Name) (Print Name)
Title: ________________________________
Date: ________________________________
Title: _________________________________
Date: ________________________________
DocuSign Envelope ID: 6CA6CF88-B4DD-4A29-BD9D-E37158A85EE4
Senior Buyer
2/28/2023
Christa ChristianEarnest Bentley
President, Risk Solutions
2/28/2023
Certificate Of Completion
Envelope Id: 6CA6CF88B4DD4A29BD9DE37158A85EE4 Status: Completed
Subject: ***Purchasing Approval*** 7700 - Risk and Safety Management Information System, Amendment 1
Source Envelope:
Document Pages: 4 Signatures: 4 Envelope Originator:
Certificate Pages: 5 Initials: 1 Christa Christian
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-06:00) Central Time (US & Canada)
901B Texas Street
Denton, TX 76209
Christa.Christian@cityofdenton.com
IP Address: 198.49.140.10
Record Tracking
Status: Original
2/28/2023 8:29:35 AM
Holder: Christa Christian
Christa.Christian@cityofdenton.com
Location: DocuSign
Signer Events Signature Timestamp
Christa Christian
christa.christian@cityofdenton.com
Senior Buyer
City of Denton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 198.49.140.10
Sent: 2/28/2023 8:38:06 AM
Viewed: 2/28/2023 8:40:14 AM
Signed: 2/28/2023 8:40:42 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Earnest Bentley
legal@origamirisk.com
President, Risk Solutions
Origami Risk LLC
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 162.255.57.158
Sent: 2/28/2023 8:40:44 AM
Viewed: 2/28/2023 8:41:50 AM
Signed: 2/28/2023 11:38:12 AM
Electronic Record and Signature Disclosure:
Accepted: 3/14/2022 10:28:02 AM
ID: b9a39397-3c3d-429a-a3c7-55b85ad7f349
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: 2/28/2023 11:38:16 AM
Viewed: 2/28/2023 12:12:47 PM
Signed: 2/28/2023 12:13:15 PM
Electronic Record and Signature Disclosure:
Accepted: 2/28/2023 12:12:47 PM
ID: 6a7c3bb9-a8c1-47b0-94d9-778bc9c533ae
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
Procurement Administration Supervisor
City of Denton
Security Level: Email, Account Authentication
(None)
Sent: 2/28/2023 12:13:18 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Teri L. Constantian, CPCU
tconstantian@origamirisk.com
Security Level: Email, Account Authentication
(None)
Sent: 2/28/2023 12:13:20 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 2/28/2023 8:38:06 AM
Envelope Updated Security Checked 2/28/2023 8:42:37 AM
Certified Delivered Security Checked 2/28/2023 12:12:47 PM
Signing Complete Security Checked 2/28/2023 12:13:15 PM
Completed Security Checked 2/28/2023 12:13:20 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: Earnest Bentley, Deby Skawinski
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