8092 - Change Order 1 Executed
Docusign Transmittal Coversheet
File Name
Purchasing Contact
Contract Expiration
DocuSign Envelope ID: 712DB2D8-F0DA-4243-9B1E-622F33E1683D
Erica Garcia
NA
8092 Construction of Mayhill Rd Phase 2
City of Denton - Capital Projects Contractor:McCarthy Bldg Companies, Inc.
401 N. Elm Street 12001 N. Central Exp, Ste 400
Denton, TX 76201 Dallas, Texas 75243
Tracy L. Beck, P.E., Project Manager Courtney Kelly, MBA, P.E.
Proj:Mayhill Road Phase 2 (DCTA)CHANGE ORDER NO.1
IFB#8092 ENG/PMO#PO#202723
Contract BID Amount:19,494,698.62$ Prior Approved Other Funded CO's:-$
5% Contingency Amount:974,734.93$ Current Contract Amount w CO's:19,494,698.62$
Total NTE Amount : 20,469,433.55$ This CO Non-Contingency Fund Request:-$
Prior Approved CAA's:-$ Total Change Request:128,651.81$
Available Contingency:974,734.93$
This CAA Request:$128,651.81 Orig Contract Days:This CO Days Request:0
Contingency Remaining:846,083.12$ Approved CO Days:New Contract Days:600
59-60
162-164
161
Item No.Spec. Section No.UOM BID QTY +/- QTY Unit Price Extended Price
59 TxDOT 416 LF 1,184 45 290.30$ 13,063.50$
60 TxDOT 416 LF 1328 115 382.27$ 43,961.05$
$57,024.55
161 Tree Removal/Gas Line Prot. (Explorer Gas)LS 0 1 36,141.00$ 36,141.00$
162 Expedite Drl Shft Steel (Abtmnt 1 & Bent 2)LS 0 1 1,937.00$ 1,937.00$
163 DRILL SHAFT (36") Extra Depth (5-15')LF 0 7 333.85$ 2,336.95$
164 DRILL SHAFT (42") Extra Depth (5-15')LF 0 71 439.61$ 31,212.31$
$71,627.26
Item No.Spec. Section No.UOM BID QTY +/- QTY Unit Price Extended Price
N/A -$
$0.00
$128,651.81
19,494,698.62$
20,469,433.55$
128,651.81$
-$
19,623,350.43$
13.20%
0.66%
CITY OF DENTON CHANGE ORDER FORM
880018
Notice To Proceed Issued:Current Completion Date:New Completion Date:
CONTINGENCY ALLOWANCE AUTHORIZED (CAA) CONTRACT CHANGES
2/17/2023 10/9/2024 10/9/2024
600
0
PROJECT SCOPE AND REASON FOR CHANGE
Description of work
included in Contract:
Extend Mayhill Road on new location as a 4-lane road with bridge over DCTA Rail (w/option
to widen to 6-lane), add Sidepaths & Trails (5-10 feet), 2 traffic signals, and regional flood-control.
Reason for change:
Length of Drilled Shafts need to be extended from original design to compensate for no shale per soil borings.
Drilled Shafts were bid per TxDOT Specifications which include a cost escalation when drilled shafts exceed
bid quantities greater than 5-feet. Expedited additinal steel order to addressed increased drilled shaft lengths
to mitigate 2-week delay.
Tree Removal over Explorer gas line requires flex base-grid structure to cap & protect gas line.
QUANTITY CHANGES TO EXISTING ITEMS
Description of work
DRILL SHAFT (36")
DRILL SHAFT (42")
TOTAL CAA EXISTING ITEMS:
Total CAA's:
NEW ITEMS OF WORK
Contingency funds are used at City's discretion per contract spec language TOTAL CAA NEW ITEMS:
PROJECT (NON-CONTIGENCTY) FUNDED CONTRACT CHANGES (CO)
QUANTITY CHANGES TO EXISTING ITEMS
Description of work
TOTAL PROJECT (NON-CONTIGENCTY) FUNDED EXISTING QTY CHANGES:
TOTAL CO AMOUNT:
Original BID/Contract Amount:
Original Not To Exceed Amount:
Mayhill Road Phase 2 (DCTA)Total CO's:
Revised Contract Amount:
% of CAA Approved To-Date:
Total Changes over Original Bid:
DocuSign Envelope ID: 712DB2D8-F0DA-4243-9B1E-622F33E1683D
0%
SUBMITTED BY:_______________________________
Tracy L. Beck, P.E., Project Manager
ACCEPTED BY CITY ENGINEER/DIRECTOR OF CAPITAL PROJECTS _______________________________
Signature
ACCEPTED BY CONTRACTOR: ____________________________________________________________
Name, Title Signature
PURCHASING:_______________________________
Signature
Mayhill Road Phase 2 (DCTA)
CHANGE ORDER NO.1
Total Change Request:128,651.81$
THE AFOREMENTIONED CHANGE, AND WORK AFFECTED THEREBY,
IS SUBJECT TO ALL CONTRACT STIPULATIONS AND COVENANTS.
Percent Changes over NTE:
DocuSign Envelope ID: 712DB2D8-F0DA-4243-9B1E-622F33E1683D
Dave Wallace Project Director
DocuSign Envelope ID: 712DB2D8-F0DA-4243-9B1E-622F33E1683D
DocuSign Envelope ID: 712DB2D8-F0DA-4243-9B1E-622F33E1683D
585
583
590
590605595 595595
600 595 WV
utility
box
S
T
MMHF
L
=
5
78.20
Rim
=
5
91.60
S
S
MHRi
m=
59
0.0
5
FL=583.15
F
L=
5
83.05
F
L=
58
6.68
to
p of silt
F
L
=
586.7
6
top
of silt
T.O.P.=
588.51
T.O.P.=
58
8.64
F
L
=
5
86.20
F
L=
58
6.2
3
F
L=
5
86.16
(3)-
3
0"
C
MP's
594 593593
592
592
591 591591591589588589
590
590
8
8
8-
8
7
6-
0
0
3
6
E
XP
L
ORE
R
PIP
E
LI
N
E
SI
G
N
SI
GNBG 10.75" NON HVL LIQUID PRODUCTS10.75" GA
S GAT
H
E
RI
N
G
8
8
8-
8
7
6-
0
0
3
6
E
XP
L
ORE
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S GAT
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N
GMail BoxWMMail
B
ox
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WS
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Mail Box
NOT TO SCALE
EXPLORER GAS LINE PROTECTION
FULL SECTION
FIELD VERIFY)
(CONTRACTOR TO
APPROX. TOP = ± 584.90'
PER POTHOLE DATA
2.5' EXISTING COVER
EXISTING 12" GAS
FIELD VERIFY)
(CONTRACTOR TO
TOP = ± 581.37'
APPROX.
EXISTING 10" GAS
@ Ô MAYHILL ROAD
EXISTING GRADE
@ 67.5' LEFT
EXISTING GRADE
@ 67.5' RIGHT
EXISTING GRADE
& RIGHT TOP OF CURB
PROPOSED GRADE @ LEFT 80.00'80.00'160.00'5.00'13.00'25.00'25.00'13.00'5.00'PROPOSED ROW
ROW
PROPOSED
LIMITS OF CONSTRUCTION
ESMT
PROPOSED DRAINAGE
CONSTRUCTION
LIMITS OF
ROAD
Ô MAYHILL
LIMITS OF PROTECTION
EXPLORER GAS LINE
119+00
120+00
123+00
124+00
12
5+00
12
6+00
(LT) +1.38%
(RT) +1.36%ELEV 592.60STA 125+43.45LOW POINT (LT)ELEV 592.54STA 125+45.35LOW POINT (RT)(RT) 840.00' V.C.
K = 128
ex = 6.86'
LEFT TOC = RIGHT TOC
(LT=RT) VPI STA. 123+00.00(LT=RT) EL.588.03(LT=RT
) -5.17%EGL = 592.23EGL = 593.01EGL = 592.97EGL = 591.40EGL = 592.04EGL = 591.85EGL = 592.78EGL = 592.51EGL = 591.01EGL = 589.57EGL = 591.20EGL = 591.34EGL = 589.65EGL = 589.16EGL = 589.13TOC LT = 608.73TOC LT = 606.32TOC LT = 604.11TOC LT = 602.09TOC LT = 600.26TOC LT = 598.63TOC LT = 597.20TOC LT = 595.95TOC LT = 594.91TOC LT = 594.06TOC LT = 593.40TOC LT = 592.94TOC LT = 592.67TOC LT = 592.60TOC LT = 592.72TOC RT = 608.73TOC RT = 606.32TOC RT = 604.11TOC RT = 602.08TOC RT = 600.25TOC RT = 598.62TOC RT = 597.18TOC RT = 595.94TOC RT = 594.88TOC RT = 594.03TOC RT = 593.37TOC RT = 592.90TOC RT = 592.62TOC RT = 592.54TOC RT = 592.66F&N JOB NO.DATEDESIGNEDDRAWNREVISEDCHECKEDDATEBY1NO.VERIFY SCALE0SHEET
SEQ.this sheet, adjust scale.drawing. If not one inch onBar is one inch on originalFILE NAMEMayhill Rd DCTA - Explorer Gas Line Protection.shtISSUESDTN10304CITY OF DENTONDate:Plotter:$ACCOUNT$May. 15, 2023 - 09:30:33 AMJ:\Plotdrv_V8.11\PDF_File\PDF-Mono.pltcfg02447N:\if\Exhibits\Mayhill Rd DCTA - Explorer Gas Line Protection.sht59.9999 ' / in.Plot Scale:MicroStation V8 User:Date: May. 15, 2023 - 09:30:33 AM User:02447File:$ACCOUNT$On SiteOffice:On SiteOffice:N:\if\Exhibits\Mayhill Rd DCTA - Explorer Gas Line Protection.shtProject:Mayhill NorthDefaultModel:DATE:THIS DOCUMENT IS RELEASED FOR THEPURPOSE OF INTERIM REVIEW UNDER THEIT IS NOT TO BE USED FOR CONSTRUCTION,BIDDING OR PERMIT PURPOSES.AUTHORITY OF SPENCER B. MAXWELL, P.E.TEXAS NO: 99316NOT FOR CONSTRUCTIONAND IMPROVEMENTS DCTAMAYHILL ROAD WIDENINGMAY 2023MAY 2023MATCHLI
NE STA.
1
1
9
+00MATCHLINE STA. 126+00119+00 119+50 120+00 120+50 121+00 121+50 122+00 122+50 123+00 123+50 124+00 124+50 125+00 125+50 126+00
615
570
575
580
585
590
595
600
605
610
615
570
575
580
585
590
595
600
605
610
LEGEND
CONCRETE PAVEMENT
MATCHLINE STA 126+00TBDSBMCIVILPV-4
60'30'0 10'20'
HORIZONTAL SCALE
10'0 2.5'
VERTICAL SCALE
5' MATCHLINE STA 119+00RICHARD A. GREB &
WIFE, NANCY A. GREB
INSTRUMENT NO. 2006-100770ROADC
R
E
E
KQUAIL
MEDIAN PAVEMENT
CITY OF DENTON
DRIVEWAYS AND RIPRAP
CONCRETE SIDEWALK,
CITY OF DENTON
IN
F
U
T
U
R
E)
A
B
AN
DO
N
E
D(
R
OA
D
T
O
B
E
MAYHILL
ROAD
EXPLORER GAS LINE PROTECTION 1
5.
4.
3.
2.
1.
NOTES:
3.
2.
1.
NOTES:
WITHIN 4' OF TOP OF PIPE.
NO EXCAVATION TO BE PERFORMED
ONLY.
LIGHT WEIGHT COMPACTION EQUIPMENT
ANY CONSTRUCTION.
VERIFIED BY CONTRACTOR PRIOR TO
ALL EXISTING UTILITIES SHALL BE FIELD
ZONE
LIMITS OF TRANSITION
EXPLORER GAS LINE
MAYHILL
ROAD
FULL SECTION
LIMITS OF PROTECTION
EXPLORER GAS LINE
SBMSBM20.00'53.00'
10.00'10.00'
4.00'
(SEE NOTES 2 & 3)
ROADWAY EMBANKMENT
ROADWAY EMBANKMENT
EXISTING EXPLORER GAS LINE
GROUND
EXISTING
10" FL BS TY A GR-1 (APPROX. 35 CY)
10" FL BS TY A GR-1 (APPROX. 35 CY)
120 SY EACH)
(2 LAYERS AT
INTERAX LAYER
TENSAR NX 750
60A
DocuSign Envelope ID: 712DB2D8-F0DA-4243-9B1E-622F33E1683D
Job:Mayhill Road Phase II
Date: 06/14/23
Item Description Quantity UOM Total Labor Supervision Mtrl Equip Sub Labor Mtrl Equip Sub Line
MH $$$$ $$$$$Total
1 Materials
Tensar NX 750 Interax 2.00 EA 2,969$ -$ 5,939$ -$ -$ 5,939$
Flexbase 140.00 TN 21$ -$ 2,940$ -$ -$ 2,940$
2 Equipment
D6 Dozer 2.00 DAY 1,633$ -$ -$ 3,267$ -$ 3,267$
Padfoot Roller 2.00 DAY 550$ -$ -$ 1,100$ -$ 1,100$
Smooth Drum Roller 1.00 DAY 550$ -$ -$ 550$ -$ 550$
Lightweight Roller 1.00 DAY 550$ -$ -$ 550$ -$ 550$
-$ -$ -$ -$ -$
3 Labor
Operator Foreman 1.00 EA 20.00 31$ 620$ -$ -$ -$ 620$
Dozer Operator 1.00 EA 20.00 28$ 560$ -$ -$ -$ 560$
Roller Operator 2.00 EA 40.00 26$ 1,040$ -$ -$ -$ 1,040$
Operator Helpers 4.00 EA 80.00 24$ 1,920$ -$ -$ -$ 1,920$
Surveyor 1.00 EA 12.00 30$ 360$ -$ -$ -$ 360$
3 Subcontractor
Organic Recycler 1.00 LS 4,320.00$ -$ -$ -$ 4,320$ 4,320$
-$ -$ -$ -$ -$
-$ -$ -$ -$ -$
-$ -$ -$ -$ -$
Total HRS 172.00 SUBTOTAL 4,500$ 8,879$ 5,467$ 4,320$ 23,165$
Schedule 50.00%OF $OF $5,466.67$ OF EQM 2,733$ 2,733$
10.00% OF $ OF $ 4,500.00$ OF LBR 450$ 450$
46.00%OF $OF $4,950.00$ OF LBR 2,277$ 2,277$
10.00%OF $OF $8,878.57$ OF MAT 888$ 888$
$0.69 PER HOUR PER HOUR 172.00 OF LBR 119$ 119$
10.00%OF $OF $7,227.00$ OF LBR 723$ 723$
8.25%OF $OF $8,200.00$ OF TOOLS/FUEL -$ 809$ 809$
SUBTOTAL 7,227$ 10,608$ 9,009$ 4,320$ 31,164$
1.2300%53.14$ 53$
0.8540% 266.60$ 267$
0.7400% 232.98$ 233$
1.0000% 317.17$ 317$
SUBTOTAL 7,227$ 11,425$ 9,009$ 4,373$ 32,034$
Subcontractor Markup 5%219$
Self-Perform Markup 15%3,888$
TOTAL 36,141$
Additional Bond Premium
Cost of Risk
FUEL, OIL, & PARTS:
LABOR BURDEN:
OVERTIME FACTOR:
CONSUMABLES:
TAX:
SMALL TOOLS:
SAFETY:
Day 1:
Stakeout, import soil for first 4' lift, push to fill, start
compacting subgrade and install 1st layer of geogrid
Day 2:
Place 35 CY of flexbase, compact, pass densities, install
geogrid, place 35 CY of flexbase, compact and pass
densities
Gas Line Protection and Tree Removal - With Tensar
Hours Unit Costs Total Costs
Description:
Subcontractor Bond
Builders Risk
DocuSign Envelope ID: 712DB2D8-F0DA-4243-9B1E-622F33E1683D
4825 Forest Hill Circle
Forest Hill, Texas 76140
817-437-2277
PROJECT QUOTE
Alex Rodriguez Date:5/5/2023
McCarthy Building Co.
12001 N Central Expressway Suite 400
Dallas, TX 75243
Job Loc.: Mayhill Rd Ph 2 Hand Work - Denton
Thank you for the opportunity to provide a proposal that includes the following services at your project:
ITEM NO.Description Quantity Unit Price Sub Total
1 Clear trees on gas line and trees on east side of Mayhill 1 LS 4,920.00$ $4,920.00
2 Discount 1 LS (600.00)$ $600.00
Project site shown on next sheet
Sub Total $4,320.00
Sales Tax $0.00
TOTAL $4,320.00
Sales Tax is not included. If required, additional fee will be assessed
Dry weather required for progress of construction.
Not responsible for any required permitting or permitting fees.
Not responsible for grinding and sorting piles containing excessive dirt/debris.
Not responsible for any erosion control.
Not responsible for any dust suppression.
Price includes 1 mobilization. Additional moves billed at $3000 per piece of equipment.
Not responsible for non-grindables (trash, fence, debris, rock, concrete, power poles, railroad ties etc.)
Excludes repairs to damaged underground or overhead utilities caused by normal construction.
Repairs to grinding equipment due to contaminants (metal, concrete, rocks, etc..) located in organic material will be assessed at completion of project.
Not responsible for any traffic control necessary for progress of construction.
All trees to be cut at ground level by hand where underground or overhead utilities are present. (hand work is not included)
Not responsible for locating or accuracy of clearing limits.
Not responsible for removing trees/vegetation in any unstable grounds. (Swamp, Marsh)
Proposed price is valid for 30 days
Payment for services shall be due and payable upon completion of grinding.
Items not included in description are excluded from proposal.
Approved By
Company:The Organic Recycler
Date:
Sign: By:
Title:Title:
Jesse Beltramini
Project Manager
FINAL COST FOR CO-ONLY WORK TO BE PROVIDED
DocuSign Envelope ID: 712DB2D8-F0DA-4243-9B1E-622F33E1683D
Job Location Map
Cut these 2 trees
down as close the
ground as possible,
haul off the debris.
Cut these trees down
as close the ground
as possible and haul
off the debris.
DocuSign Envelope ID: 712DB2D8-F0DA-4243-9B1E-622F33E1683D
Requested By (PM):Tracy L Beck, P.E.Date:6/15/2023
Subcontractor/ Vendor:McCarthy Bldg Companies,
Inc.PO#:202723
Project Name/Phase:Mayhill Road Phase 2 (DCTA)Contract No.:8092
Original Contract :
(without contingency) $ 19,494,698.62 This Amendment
Change Order No.:1
Total Prior approved
Amendments/CO's: $ - This Change Amount: $ 128,651.81
New Contract Amount: $ 19,623,350.43 Change Board Date:6/15/2023
PUB Required: NO City Council Required:NO
Account Number:350462402.1360.40100
Account Description:Streets/Traffic CO
Brief Description:
Brief Description of prior Amendment(s)/Change Order(s):
N/A
Stakeholder/Sponsor Approval:
N/A
AMENDMENT – CHANGE ORDER MEMO
CHANGE BOARD AUTHORIZATION
Amount: $ 128,651.81
Length of Drilled Shafts need to be extended from original design to compensate for no shale
per soil borings. Drilled Shafts were bid per TxDOT Specifications which include a cost escalation
when drilled shafts exceed bid quantities greater than 5-feet. Expedited additinal steel order
to addressed increased drilled shaft lengths to mitigate 2-week delay.
Tree Removal over Explorer gas line requires flex base-grid structure to cap & protect gas line.
DocuSign Envelope ID: D9B1CE77-BA5A-4435-8E6D-895D5ADF2DA4DocuSign Envelope ID: 712DB2D8-F0DA-4243-9B1E-622F33E1683D
Project Name:Mayhill Road Phase 2 (DCTA)Phase/Section:8092
Subcontractor/ Vendor:McCarthy Bldg Companies, Inc.PO#202723
This Amendment-
Change Order No:1 Amount: $ 128,651.81
Project Manager:Tracy L Beck, P.E.Change Board Date:6/15/2023
Tracy L Beck, P.E.Date
Project Manager, Capital Projects
Trevor Crain Date
Director of Capital Projects
Signature confirms amendment/change request has been vetted through CIP & Change Board
Aimee Kaslik Date
Director of Finance
Signature confirms funding availability in listed accounts has been verified
RECORD OF APPROVAL
NOTES
AMENDMENT – CHANGE ORDER
CHANGE BOARD AUTHORIZATION MEMO
DocuSign Envelope ID: D9B1CE77-BA5A-4435-8E6D-895D5ADF2DA4
6/30/2023
6/30/2023
6/30/2023
DocuSign Envelope ID: 712DB2D8-F0DA-4243-9B1E-622F33E1683D
Certificate Of Completion
Envelope Id: 712DB2D8F0DA42439B1E622F33E1683D Status: Completed
Subject: ***Purchasing Approval***8092 Construction of Mayhill Rd Phase 2 CO#1
Source Envelope:
Document Pages: 11 Signatures: 4 Envelope Originator:
Certificate Pages: 6 Initials: 1 Erica Garcia
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-06:00) Central Time (US & Canada)
901B Texas Street
Denton, TX 76209
erica.garcia@cityofdenton.com
IP Address: 198.49.140.104
Record Tracking
Status: Original
7/18/2023 3:52:28 PM
Holder: Erica Garcia
erica.garcia@cityofdenton.com
Location: DocuSign
Signer Events Signature Timestamp
Erica Garcia
erica.garcia@cityofdenton.com
Buyer
City of Denton
Security Level: Email, Account Authentication
(None)
Completed
Using IP Address: 198.49.140.104
Sent: 7/18/2023 4:13:51 PM
Viewed: 7/18/2023 4:18:26 PM
Signed: 7/18/2023 4:19:08 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: 198.49.140.10
Sent: 7/18/2023 4:19:10 PM
Viewed: 7/19/2023 8:00:29 AM
Signed: 7/19/2023 8:26:00 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Tracy L Beck
Tracy.Beck@cityofdenton.com
Project Mngr
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 198.49.140.10
Sent: 7/18/2023 4:19:10 PM
Resent: 7/19/2023 8:26:02 AM
Viewed: 7/20/2023 1:26:55 PM
Signed: 7/20/2023 1:28:01 PM
Electronic Record and Signature Disclosure:
Accepted: 7/20/2023 1:26:55 PM
ID: f59f61e5-bb09-4875-aad9-a510f4d9478a
Trevor Crain
Trevor.Crain@cityofdenton.com
Director of Capital Projects
City of Denton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 174.202.161.140
Signed using mobile
Sent: 7/20/2023 1:28:03 PM
Viewed: 7/20/2023 2:39:56 PM
Signed: 7/20/2023 2:40:21 PM
Electronic Record and Signature Disclosure:
Accepted: 7/20/2023 2:39:56 PM
ID: 604950e6-67ec-47db-9317-ce0f3edc6b06
Signer Events Signature Timestamp
Dave Wallace
drwallace@mccarthy.com
Project Director
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 165.225.216.167
Sent: 7/20/2023 2:40:23 PM
Resent: 7/24/2023 11:09:29 AM
Resent: 7/25/2023 9:21:49 AM
Viewed: 7/25/2023 10:58:20 AM
Signed: 7/25/2023 11:01:41 AM
Electronic Record and Signature Disclosure:
Accepted: 7/25/2023 10:58:20 AM
ID: 14460535-9e4e-402b-8684-902471fcaff9
Erica Garcia
erica.garcia@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: 7/25/2023 11:01:43 AM
Viewed: 7/28/2023 11:24:45 AM
Signed: 7/28/2023 11:48:13 AM
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
Cheyenne Defee
cheyenne.defee@cityofdenton.com
Procurement Administration Supervisor
City of Denton
Security Level: Email, Account Authentication
(None)
Sent: 7/28/2023 11:48:16 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Carol Roberts
Carol.Roberts@cityofdenton.com
City of Denton
Security Level: Email, Account Authentication
(None)
Sent: 7/28/2023 11:48:17 AM
Viewed: 7/28/2023 11:52:58 AM
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 7/18/2023 4:13:51 PM
Envelope Updated Security Checked 7/18/2023 4:23:41 PM
Envelope Updated Security Checked 7/18/2023 4:23:41 PM
Envelope Updated Security Checked 7/18/2023 4:23:41 PM
Envelope Summary Events Status Timestamps
Envelope Updated Security Checked 7/18/2023 4:23:41 PM
Envelope Updated Security Checked 7/18/2023 4:23:41 PM
Envelope Updated Security Checked 7/25/2023 9:21:48 AM
Envelope Updated Security Checked 7/25/2023 9:21:48 AM
Envelope Updated Security Checked 7/25/2023 9:21:48 AM
Certified Delivered Security Checked 7/28/2023 11:24:45 AM
Signing Complete Security Checked 7/28/2023 11:48:13 AM
Completed Security Checked 7/28/2023 11:48:17 AM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
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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: Tracy L Beck, Trevor Crain, Dave Wallace
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.