8359 - Informal Amendment 4 Executed
DocuSign Transmittal Coversheet
File Name
Purchasing Contact
Docusign Envelope ID: 449FCADA-E538-4EF0-97A0-D67BBA03CBEC
Ginny Brummett
8359-25KV Insulated Rubber Goods, Connectors,
Hardware and Accessories (Amendment 4)
Procurement
901 B Texas St., Denton, TX 76209 (940) 349-7100
OUR CORE VALUES
Inclusion Collaboration Quality Service Strategic Focus Fiscal Responsibility
January 6, 2025
Techline, Inc.
Nathan Chan
5401 Martin Street
Ft. Worth, TX 76119
Nathan.Chan@Techline-Inc.com
Re: File 8359 25KV Insulated Rubber Goods, Connectors, Hardware and Accessories
Amendment 4
Dear Mr. Chan:
Thank you for being such a valued partner. By signing this Amendment below, COD and
Techline, Inc. 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,
____________________________ ___________________________
Ginny Brummett, Buyer Nathan Chan
Procurement Techline, Inc.
______________________________
Keith Kading
Warehouse Manager
Docusign Envelope ID: 449FCADA-E538-4EF0-97A0-D67BBA03CBEC
Line # COD# Description Mfgr Mfgno UOM
Unit Amendment 1 2025
Pricing % Markup Alternate Manufacturer Alternate Part# Unit 2025 Price % Markup
12 28595045 ADAPTER SEALING & GROUNDING 1000 MCM + 3M 8454 EA $24.83 $26.57 7.01%
3 28772370 CONN,PRI SPLICE, 1000 MCM, 25KV + 3M 10024 EA $31.65 $33.87 7.01%
4 28772375 CONN,PRI SPLICE, 1/0, 25KV + 3M 10005 EA $6.46 $6.92 7.12%
5 28595215 SPLICE KIT URD 1000MCM, 25KV + 3M 5458A-1000-AL EA $545.00 $583.15 7.00%
6 28595220 SPLICE KIT URD 1/0. 25KV + 3M 5456A-1/0-AL EA $414.00 $442.98 7.00%
7 28775360 TERMINATION KIT, 1000MCM, 25KV + 3M 7666S8 EA $567.82 $607.57 7.00%
8 28775370 TERMINATION KIT, 1/0, 25KV + 3M 7653S4 EA $155.00 $165.85 7.00%
9 Percent off Special Order Items Not Listed Above Percent 7.0% 7.0%
1011 28595026 ADAPTER CABLE 1000MCM T-ELBOW, 25KV + ELASTIMOLD 655CA-N EA $26.30 $28.14 7.00%Hubbell 625CAN 22.45$ 24.02$ 6.99%12 28595028 ADAPTER, CABLE 1/0, T-ELBOW, 25KV + ELASTIMOLD 655CA-J EA $26.30 $28.14 7.00%Hubbell 625CAJ 22.45$ 24.02$ 6.99%13 28595032 ADAPTER,SHIELD SEALING 1000MCM, 25KV + ELASTIMOLD 200ECS EA $17.94 $19.20 7.02%3M 8454 24.83$ 26.57$ 7.01%14 28595034 ADAPTER,SHIELD SEALING 1/0, 25KV + ELASTIMOLD 200ECS EA $17.94 $19.20 7.02%3M 8452 11.30$ 12.09$ 6.99%15 28732090 ARREST. PARK. STAND 25KV + ELASTIMOLD 273PSA18 ONLY EA $375.00 $395.00 5.33%Hubbell 225PLA18 270.00$ 288.90$ 7.00%
16 28732010 ARRESTER ELBOW, 25KV, 200 AMP + ELASTIMOLD/HUBBELL 273ESA18 / 225ELA18 EA $225.00 $240.75 7.00%Hubbell 225ELA18 154.00$ 164.78$ 7.00%
17 28732020 ARRESTER. BUSH. 25KV + ELASTIMOLD 273BSA-18 EA $485.00 $510.00 5.15%
18 28510070 BUSHING EXTENDER 600A, 25KV + ELASTIMOLD K655BE EA $146.25 $156.49 7.00%Hubbell 625BE + Stud 108.00$ 115.56$ 7.00%
19 28510020 BUSHING FEED THRU, 200A, 25KV + ELASTIMOLD/HUBBELL 274FT / 228FT EA $222.83 $238.43 7.00%Hubbell 228FT 220.00$ 235.40$ 7.00%
20 28510120 BUSHING,INSUL PARKING,200A, 25KV + ELASTIMOLD/HUBBELL 272SOP / 228SB EA $118.48 $126.77 7.00%Hubbell 228SB 110.00$ 117.70$ 7.00%
21 28510170 BUSHING,INSERT,LDBRK,200A, 25KV + ELASTIMOLD/HUBBELL 2701A4 / 225BI EA $60.05 $64.25 6.99%Hubbell 225BI 59.00$ 63.13$ 7.00%
22 28510002 BUSHING,FEED-THRU INSERT,200A, 25KV + ELASTIMOLD/HUBBELL 2702A1 / 225FTI EA $454.08 $485.87 7.00%Hubbell 228FTI 262.00$ 280.34$ 7.00%
23 28510010 BUSHING,FEED-THRU,ADJ,200A, 25KV + ELASTIMOLD 274FT2-AB EA $331.52 $354.73 7.00%
24 28510115 BUSHING,INSUL CAP,W/GRND,200A, 25KV + ELASTIMOLD/HUBBELL 273DRG / 228IC EA $54.89 $58.73 7.00%Hubbell 228IC 48.00$ 51.36$ 7.00%
25 28772355 CONE STRESS 1000MCM, 25KV + ELASTIMOLD R2T28J4-N0410 EA $78.26 $83.74 7.00%3M 7666S8 567.82$ 607.57$ 7.00%
26 28772365 CONE, STRESS 1/0 25KV + ELASTIMOLD R2T28M2-H0240 EA $86.96 $93.05 7.00%3M 7653S4 155.00$ 165.85$ 7.00%27 28732250 ELBOW "T" HOUSING, 600 AMP + ELASTIMOLD K655BLR EA $122.72 $131.31 7.00%Hubbell 625TB 88.50$ 94.70$ 7.01%28 28732260 T-BODY,DEADBREAK, 1000MCM, 25KV + ELASTIMOLD K655DLR-N0410 EA $418.50 $439.43 5.00%Hubbell 625BTM40 195.50$ 209.19$ 7.00%29 28732240 ELBOW,LOADBREAK,1/0, 25KV + ELASTIMOLD 262LRJS-C5240 EA $69.57 $74.44 7.00%Hubbell 228LE45T 57.85$ 61.90$ 7.00%30 28510115 BUSHING,INSUL CAP,W/GRND,200A, 25KV + ELASTIMOLD/HUBBELL 273DRG / 228IC EA $54.89 $58.73 7.00%Hubbell 228IC 52.00$ 55.64$ 7.00%31 28732180 JUNCTION,4PT,200A, 25KV + ELASTIMOLD/HUBBELL 274J45 / 228J4U EA $388.04 $415.20 7.00%Hubbell 228J4U 355.00$ 379.85$ 7.00%32 28775710 JUNCTION,3PT,200A, 25KV + ELASTIMOLD/HUBBELL 274J35 / 228J3U EA $320.65 $343.10 7.00%Hubbell 228J3U 305.00$ 326.35$ 7.00%33 28775720 JUNCTION,3PT,600A, 25KV + ELASTIMOLD K650J3-5 EA $449.57 $481.04 7.00%Hubbell 625J3U 322.00$ 344.54$ 7.00%34 28773695 LUG FOR T-BODY 1000MCM, 25KV + ELASTIMOLD 3700410 EA $34.24 $36.64 7.01%Hubbell 625LUG41 35.05$ 37.50$ 6.99%
35 28773760 LUG CONNECTOR 1/0 ELBOW, 25KV + ELASTIMOLD 2500240 EA $8.66 $9.27 7.04%Hubbell 200LUGB5 8.15$ 8.72$ 6.99%
36 28773695 LUG FOR T-BODY 1000MCM, 25KV + ELASTIMOLD 3700410 EA $34.24 $36.64 7.01%Hubbell 625LUG41 35.05$ 37.50$ 6.99%
37 28773625 LUG FOR T-BODY 4/0, 25KV + ELASTIMOLD 3700270 EA $25.11 $26.87 7.01%Hubbell 625LUG27 33.50$ 35.85$ 7.01%
38 28773690 LUG FOR T-BODY 1/0, 25KV + ELASTIMOLD 3700240 EA $26.63 $28.49 6.98%Hubbell 625LUG24 33.50$ 35.85$ 7.01%
39 Percent off Special Order Items Not Listed Above Percent 7.0% 7.0%
40
41 28773755 LUG,COMP,CU,2-HOLE, 1000MCM, 25KV + BURNDY YA442N EA $48.34 DO NOT USE-see Amendment 3 (replacement parts)
42 28773745 LUG,COMP,CU,2-HOLE, 1/0, 25KV + BURNDY YA252N EA $5.67 DO NOT USE-see Amendment 3 (replacement parts)
43 28773695 LUG FOR T-BODY 1000MCM, 25KV + ELASTIMOLD 3700410 EA $34.24 $36.64 7.01%Hubbell 625LUG41 35.05$ 37.50$ 6.99%
44 28773690 LUG FOR T-BODY 1/0, 25KV + ELASTIMOLD 3700240 EA $26.63 $28.49 6.98%Hubbell 625LUG24 33.50$ 35.85$ 7.01%
45 28773625 LUG FOR T-BODY 4/0, 25KV + ELASTIMOLD 3700270 EA $25.11 $26.87 7.01%Hubbell 625LUG27 33.50$ 35.85$ 7.01%
46 28773705 LUG,TAP, 1000MCM SINGLE, 25KV + BURNDY YA44N EA $57.45 DO NOT USE-see Amendment 3 (replacement parts)
47 28773715 LUG,TAP, 1/0 SINGLE, 25KV + BURNDY YA25N EA $3.67 DO NOT USE-see Amendment 3 (replacement parts)
48 28773725 LUG,TAP, 4/0 SINGLE, 25KV + BURNDY YA28N EA $5.72 DO NOT USE-see Amendment 3 (replacement parts)49 Percent off Special Order Items Not Listed Above Percent 7.0% 7.0%5051 28573080 INSULATOR,PIN,F-NECK, 25KV +PREFORMED LINE PRODUCTS IP-25-F1 EA $8.50 $9.10 7.06%52 28573160 INSULATOR,DE,POLYMER,25KV + HUBBELL 4010250215 EA $19.06 $20.40 7.03%53 28528120 CUTOUT DOOR,100A, 25KV + HUBBELL T710-211T EA $54.75 $58.58 7.00%54 28528130 CUTOUT DOOR,200A, 25KV + HUBBELL T710-242T EA $114.00 $121.98 7.00%55 28528140 CUTOUT,100A, POLY, 25KV + HUBBELL CP710-211PB EA $140.00 $149.80 7.00%56 28528190 CUTOUT,200A, POLY, 25KV + HUBBELL CP710-242PB EA $205.50 $219.89 7.00%57 28528350 DISCONNECT, RISER 600 AMP 25KV + SIEMENS LER364Y-02 EA $350.00 $374.50 7.00%58 Percent off Special Order Items Not Listed Above Percent 7.0% 7.0%
AMENDMENTS5928503050ARRESTER, PVR 18KV MOV W/CAP & BASE ONLY HUBBELL 2216157314 EA $123.92 $132.59 7.00%60 28732200 PLUG, ELBOW TAP 600AMP 25KV + ELASTIMOLD 28732200 EA $176.83 $189.21 7.00%
61 28773755 Lug, Comp, 2-hole 1000MCM 25kV BURNDY YA44A3 EA $43.62 $36.64 7.01%
62 28773745 Lug, Comp, 2-hole 1/0 25kV BURNDY YA25A7 EA $8.78 $28.49 6.98%
63 28773765 Lug, Comp, 2-hole 4/0 25kV BURNDY YA28A5 EA $16.42 $17.57 7.00%
64 28773705 Lug, Tap, 1000MCM Single, 25kV BURNDY YA44A1 EA $39.32 $42.07 6.99%
65 28773715 Lug, Tap, 1/0 Single, 25kV BURNDY YA25A9 EA $7.56 $8.09 7.01%
66 28773725 Lug, Tap, 4/0 Single, 25kV BURNDY YA28A3 EA $9.46 $10.12 6.98%
SECTION B: ELASTIMOLD RUBBER GOODS & ACCESSORIES
SECTION C: CONNECTORS & ACCESSORIES
SECTION D: FUSING AND PROTECTION DEVICES
RFP 8359 - Contract Items & Pricing Log-2025Attachment A
Techline, Inc.
SECTION A: 3M CONNECTORS & ACCESSORIES
Docusign Envelope ID: 449FCADA-E538-4EF0-97A0-D67BBA03CBEC
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) and by City of Denton
Ethics Code, Ordinance 18-757.
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: 449FCADA-E538-4EF0-97A0-D67BBA03CBEC
Techline, Inc.
1/6/2025
X
X
X
X
X
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: 449FCADA-E538-4EF0-97A0-D67BBA03CBEC
Certificate Of Completion
Envelope Id: 449FCADA-E538-4EF0-97A0-D67BBA03CBEC Status: Completed
Subject: ***Purchasing Approval***8359 25KV Insulated Rubber Goods, etc.-Amendment 4
Source Envelope:
Document Pages: 5 Signatures: 4 Envelope Originator:
Certificate Pages: 5 Initials: 1 Ginny Brummett
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-06:00) Central Time (US & Canada)
901B Texas Street
Denton, TX 76209
Ginny.Brummett@cityofdenton.com
IP Address: 198.49.140.104
Record Tracking
Status: Original
1/6/2025 1:47:26 PM
Holder: Ginny Brummett
Ginny.Brummett@cityofdenton.com
Location: DocuSign
Signer Events Signature Timestamp
Ginny Brummett
ginny.brummett@cityofdenton.com
Buyer
City of Denton
Security Level: Email, Account Authentication
(None)
Completed
Using IP Address: 198.49.140.104
Sent: 1/6/2025 1:49:42 PM
Viewed: 1/6/2025 1:49:51 PM
Signed: 1/6/2025 1:50:19 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Christa Christian
christa.christian@cityofdenton.com
Purchasing Supervisor
City of Denton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 198.49.140.104
Sent: 1/6/2025 1:50:21 PM
Viewed: 1/6/2025 2:24:02 PM
Signed: 1/6/2025 2:24:57 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Nathan Chan
Nathan.Chan@Techline-Inc.com
Senior Project Manager
Techline, Inc.
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 131.226.43.237
Sent: 1/6/2025 2:24:59 PM
Viewed: 1/6/2025 4:10:01 PM
Signed: 1/6/2025 4:10:19 PM
Electronic Record and Signature Disclosure:
Accepted: 1/6/2025 4:10:01 PM
ID: 495efd36-de93-400c-b25f-8716693a0377
Keith Kading
Keith.Kading@cityofdenton.com
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 198.49.140.10
Sent: 1/6/2025 4:10:21 PM
Viewed: 1/6/2025 4:26:03 PM
Signed: 1/6/2025 4:26:25 PM
Electronic Record and Signature Disclosure:
Accepted: 1/6/2025 4:26:03 PM
ID: cfe9c5ca-b316-496f-9174-9154cd0494ac
Signer Events Signature Timestamp
Ginny Brummett
ginny.brummett@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: 1/6/2025 4:26:27 PM
Viewed: 1/7/2025 8:03:25 AM
Signed: 1/7/2025 8:03:32 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: 1/7/2025 8:03:34 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 1/6/2025 1:49:42 PM
Certified Delivered Security Checked 1/7/2025 8:03:25 AM
Signing Complete Security Checked 1/7/2025 8:03:32 AM
Completed Security Checked 1/7/2025 8:03:34 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: Nathan Chan, Keith Kading
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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.