7840 - Formal Amendment 1 Executed
Docusign Transmittal Coversheet
File Name
Purchasing Contact
Contract Expiration
Docusign Envelope ID: ED07DCD2-1B3E-495C-A74D-E50D6F7A4158
Christina Dormady
N/A
7840 Debt Management Software
1
THE STATE OF TEXAS §
§
COUNTY OF DENTON §
FIRST AMENDMENT TO CONTRACT
BY AND BETWEEN THE CITY OF DENTON, TEXAS
AND FIFTH ASSET, INC. 7840
THIS FIRST AMENDMENT TO CONTRACT 7840 (this “Amendment”) by and
between the City of Denton, Texas (“City”) and FIFTH ASSET, INC. (“Contractor”) to
that certain contract executed on March 22, 2022, in the original not-to-exceed amount of
$100,000 (the “Agreement”); for services related to the Debt Management Software.
WHEREAS, the City deems it necessary to further expand the services provided by
Contractor to the City pursuant to the terms of the Agreement, and to provide additional
services.
WHEREAS, this amendment incorporates any previously executed documents
between the parties including but not limited to pricing adjustments.
WHEREAS, the City deems it necessary to further expand the goods/services
provided by Contractor to the City; and
WHEREAS, the original not-to-exceed amount may not be increased by more than
25.0% as provided in Texas Local Government Code Sec. 252.048; 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 First Amendment,
which amends the following terms and conditions of the said Agreement, to wit:
1. The additional goods/services described in Exhibit “A” of this Amendment,
attached hereto and incorporated herein for all purposes, for goods/services related
to the Debt Management Software, are hereby authorized to be performed by
Contractor. For and in consideration of the additional goods/services to be
performed by Contractor, the City agrees to pay, based on the cost estimate detail
attached as 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: ED07DCD2-1B3E-495C-A74D-E50D6F7A4158
8/22/2024
2
THIS AGREEMENT HAS BEEN
BOTH REVIEWED AND APPROVED
as to financial and operational
obligations and business terms.
_______________ ________________
SIGNATURE PRINTED NAME
__________________________________
TITLE
__________________________________
DEPARTMENT
APPROVED AS TO FORM:
MACK REINWAND, CITY ATTORNEY
BY:
_______________________________
“CONTRACTOR”
FIFTH ASSET, INC.
By: _____________________________
AUTHORIZED SIGNATURE, TITLE
“BUYER”
CITY OF DENTON
By: _____________________________
AUTHORIZED SIGNATURE, TITLE
Docusign Envelope ID: ED07DCD2-1B3E-495C-A74D-E50D6F7A4158
Randee Klingele
Finance
Treasury Manager
ORDER FORM
I. General Informa2on
Customer Informa/on
Customer Name: City of Denton, TX (“Customer”)
Address: 215 E. McKinney St., Ste 100
Denton, TX 76201
Contact Name: Rebecca Depuy
Email: rebecca.depuy@cityofdenton.com
Customer Billing Informa/on
Address: 215 E. McKinney St., Ste 100
Denton, TX 76201
Billing Email: rebecca.depuy@cityofdenton.com
Order Form Informa/on
Order Form Effec/ve Date: Date of last signature
Agreement Effec/ve Date: March 22, 2022
II. Products & Services
Item & Description Quantity Unit Price Total
Premium Support
Annual recurring fee for Premium Support Services
provided in units of up to 25 agreements per 12 month
term
1 $1,250.00 $1,250.00
Total $1,250.00
III. Order Form Terms
1. Services. This Order Form sets forth the Services to be provided to Customer, including the specific Products to be
provided to Customer through its access to the Applica/ons Services.
2. Term. The Ini/al Term of this Order Form begins on the Effec/ve Date and ends on March 21, 2027. ThereaWer, this
Order Form will renew in accordance with the Agreement (as defined below).
3. Fees. DebtBook will invoice Customer upon signature of this Order Form. DebtBook will charge Customer a prorated
amount for any annual Fees due and payable for the period beginning on the Effec/ve Date of this Order Form and
ending on March 21, 2025. All Fees thereaWer will be due and payable annually and subject to the payment terms of
the Agreement. Each invoice will be emailed to Customer’s billing contacts indicated above.
IV. General Terms
This Order Form and the Services are governed by the wri^en Contract (the “Agreement”) executed between the Par/es, as
amended. The Agreement supersedes any prior discussion or representa/ons regarding Customer’s purchase and use of the
Products and Services described in this Order Form. Each of the undersigned represents that (1) they are authorized to execute
and deliver this Order Form on behalf of their respec/ve party, (2) they are authorized to bind their respec/ve party to the
terms of the Agreement, and (3) if Customer is a Government En/ty, sufficient funds have been appropriated and are available
to pay any Fees due under the Agreement in Customer’s current fiscal year. Capitalized terms not defined in this Order Form will
have the same meaning ascribed to them as set forth in the Agreement. This Order Form and any other documents executed
and delivered in connec/on with the Agreement may be executed in counterparts, each of which is deemed an original, but all
of which together are deemed to be one and the same agreement. If permi^ed by applicable law, electronic signatures may be
Exhibit A
Docusign Envelope ID: ED07DCD2-1B3E-495C-A74D-E50D6F7A4158
used for the purpose of execu/ng this Order Form by email or other electronic means. Any document delivered electronically
and accepted is deemed to be “in wri/ng” to the same extent and with the same effect as if the document had been signed
manually.
Fi>h Asset, Inc. d/b/a DebtBook
By:
Name:
Title:
Date:
City of Denton, TX
By:
Name:
Title:
Date:
Docusign Envelope ID: ED07DCD2-1B3E-495C-A74D-E50D6F7A4158
8/21/2024
Michael Juby
Chief Operating Officer and Secretary Buyer
Christina Dormady
8/22/2024
Certificate Of Completion
Envelope Id: ED07DCD21B3E495CA74DE50D6F7A4158 Status: Completed
Subject: ***Purchasing Approval*** 7840 Debt Management Software - Amendment 1
Source Envelope:
Document Pages: 5 Signatures: 6 Envelope Originator:
Certificate Pages: 5 Initials: 1 Christina Dormady
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-06:00) Central Time (US & Canada)
901B Texas Street
Denton, TX 76209
christina.dormady@cityofdenton.com
IP Address: 198.49.140.104
Record Tracking
Status: Original
8/15/2024 12:33:31 PM
Holder: Christina Dormady
christina.dormady@cityofdenton.com
Location: DocuSign
Signer Events Signature Timestamp
Christina Dormady
christina.dormady@cityofdenton.com
Buyer
City of Denton
Security Level: Email, Account Authentication
(None)
Completed
Using IP Address: 198.49.140.104
Sent: 8/15/2024 12:37:07 PM
Viewed: 8/15/2024 12:37:17 PM
Signed: 8/15/2024 12:37:43 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Lori Hewell
lori.hewell@cityofdenton.com
Purchasing Manager
City of Denton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 198.49.140.104
Sent: 8/15/2024 12:37:45 PM
Viewed: 8/16/2024 9:08:16 AM
Signed: 8/16/2024 9:10:03 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Marcella Lunn
marcella.lunn@cityofdenton.com
Senior Deputy City Attorney
City of Denton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 198.49.140.10
Sent: 8/16/2024 9:10:04 AM
Viewed: 8/20/2024 6:10:09 PM
Signed: 8/20/2024 6:13:38 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Michael Juby
michael.juby@debtbook.com
Chief Operating Officer and Secretary
Security Level: Email, Account Authentication
(None)Signature Adoption: Uploaded Signature Image
Using IP Address: 98.101.11.90
Sent: 8/20/2024 6:13:39 PM
Viewed: 8/21/2024 8:29:51 AM
Signed: 8/21/2024 12:42:15 PM
Electronic Record and Signature Disclosure:
Accepted: 8/21/2024 8:29:51 AM
ID: 777f13ea-99f5-4d25-a729-dd0405b974c9
Signer Events Signature Timestamp
Randee Klingele
Randee.klingele@cityofdenton.com
Treasury Manager
City of Denton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Uploaded Signature Image
Using IP Address: 198.49.140.104
Sent: 8/21/2024 12:42:17 PM
Viewed: 8/21/2024 1:33:30 PM
Signed: 8/21/2024 1:35:30 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Christina Dormady
christina.dormady@cityofdenton.com
Buyer
City of Denton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 198.49.140.10
Sent: 8/21/2024 1:35:32 PM
Viewed: 8/22/2024 8:06:35 AM
Signed: 8/22/2024 8:06:41 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: 8/22/2024 8:06:43 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 8/15/2024 12:37:07 PM
Certified Delivered Security Checked 8/22/2024 8:06:35 AM
Signing Complete Security Checked 8/22/2024 8:06:41 AM
Completed Security Checked 8/22/2024 8:06:43 AM
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: Michael Juby
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