8766 - Contract Executed
DocuSign Transmittal Coversheet
File Name
Purchasing Contact
Docusign Envelope ID: 882EFBFC-4001-4018-9D0A-D25199E7F9EF
8766 Actuarial Audit of the Fund
Christina Dormady
City of Denton, Texas Contract 8766
Standard Agreement for Professional Services
Revised Date: 12/5/18
Page 1 of 16
PROFESSIONAL SERVICES AGREEMENT
FOR CONSULTING SERVICES
FILE 8766
STATE OF TEXAS §
COUNTY OF DENTON §
THIS AGREEMENT (the “Agreement”) is made and entered into on
________________________, by and between the City of Denton, Texas, a Texas municipal
corporation, with its principal office at 215 East McKinney Street, Denton, Denton County,
Texas 76201, hereinafter called “OWNER” and Gabriel, Roeder, Smith & Company, with its
corporate office at One Towne Square, Suite 800, Southfield, MI 48076, hereinafter called
“CONSULTANT,” acting herein, by and through their duly authorized representatives.
WITNESSETH, that in consideration of the covenants and agreements herein contained,
the parties hereto do mutually agree as follows:
ARTICLE I
CONSULTANT AS INDEPENDENT CONTRACTOR
The OWNER has selected CONSULTANT on the basis of demonstrated competence and
qualifications to perform the services herein described for a fair and reasonable price pursuant to
Chapter 2254 of the Texas Government Code. The OWNER hereby contracts with the
CONSULTANT as an independent contractor and not as an employee, and as such, the OWNER
will not assert control over the day-to-day operations of the CONSULTANT. The
CONSULTANT is customarily engaged to provide services as described herein independently
and on a nonexclusive basis in the course of its business. This Agreement does not in any way
constitute a joint venture between OWNER and CONSULTANT. The CONSULTANT hereby
agrees to perform the services described herein based on the skills required for the scope of work
in connection with the Project as stated in the sections to follow, with diligence and in
accordance with the highest professional standards customarily obtained for such services in the
State of Texas. The professional services set out herein are in connection with the following
described project:
The Project shall include, without limitation, Actuarial Audit of the Fund, as described in
Exhibit A, which is attached hereto and incorporated herein (the “Project”).
ARTICLE II
SCOPE OF BASIC SERVICES
The CONSULTANT shall perform the following services in a professional manner:
A. To perform all those services set forth in CONSULTANT’s proposal, which proposal is
attached hereto and made a part hereof as Exhibit A as if written word for word herein.
Docusign Envelope ID: 882EFBFC-4001-4018-9D0A-D25199E7F9EF
1/31/2025
City of Denton, Texas Contract 8766
Standard Agreement for Professional Services
Revised Date: 12/5/18
Page 2 of 16
B. CONSULTANT shall perform all those services set forth in individual task orders, as
described in Exhibit A, which shall be attached to this Agreement and made a part
hereof.
C. If there is any conflict between the terms of this Agreement and the exhibits attached to
this Agreement, the terms and conditions of this Agreement will control over the terms
and conditions of the attached exhibits or task orders.
ARTICLE III
ADDITIONAL SERVICES
Additional services to be performed by the CONSULTANT, if authorized by the
OWNER, which are not included in the above-described Basic Services, may be negotiated as
needed, per rates included in Exhibit A.
A. Preparing applications and supporting documents for government grants, loans, or
planning advances and providing data for detailed applications.
B. Preparing data and reports for assistance to OWNER in preparation for hearings before
regulatory agencies, courts, arbitration panels or mediator, giving testimony, personally or
by deposition, and preparations therefore before any regulatory agency, court, arbitration
panel or mediator.
C. Assisting OWNER in preparing for, or appearing at litigation, mediation, arbitration,
dispute review boards, or other legal and/or administrative proceedings in the defense or
prosecution of claims disputes with Contractor(s).
D. Assisting OWNER in the defense or prosecution of litigation in connection with or in
addition to those services contemplated by this AGREEMENT. Such services, if any, shall
be furnished by CONSULTANT on a fee basis negotiated by the respective parties outside
of and in addition to this AGREEMENT.
E. Visits to the site in excess of the number of trips included in Exhibit A.
F. Preparing statements for invoicing or other documentation for billing other than for the
standard invoice for services attached to this professional services agreement.
Docusign Envelope ID: 882EFBFC-4001-4018-9D0A-D25199E7F9EF
City of Denton, Texas Contract 8766
Standard Agreement for Professional Services
Revised Date: 12/5/18
Page 3 of 16
ARTICLE IV
TIME OF COMPLETION
CONSULTANT is authorized to commence work under this contract upon execution of this
AGREEMENT. CONSULTANT shall perform and complete its obligations herein in a prompt
and continuous manner, so as to not delay the completion of the Project in accordance with the
schedules as described in Exhibit A. The contract shall remain effective for a period which may
reasonably be required for the completion of the Project, acceptance by an authorized
representative of the OWNER, exhaustion of authorized funds, or termination as provided in this
Agreement, whichever occurs first.
ARTICLE V
COMPENSATION
A. COMPENSATION TERMS:
1. “Subcontract Expense” is defined as expenses incurred by the CONSULTANT in
employment of others in outside firms for services related to this agreement.
2. “Direct Non-Labor Expense” is defined as that expense for any assignment
incurred by the CONSULTANT for supplies, transportation and equipment,
travel, communications, subsistence, and lodging away from home, and similar
incidental expenses in connection with that assignment.
B. BILLING AND PAYMENT: For and in consideration of the professional services to be
performed by the CONSULTANT herein, the OWNER agrees to pay, based on the cost
estimate detail at an hourly rate shown in Exhibit A which is attached hereto and made a
part of this Agreement as if written word for word herein, a total fee, including
reimbursement for direct non-labor expenses not to exceed $22,500.
Partial payments to the CONSULTANT will be made on the basis of detailed monthly
statements rendered to and approved by the OWNER through its City Manager or his
designee; however, under no circumstances shall any monthly statement for services
exceed the value of the work performed at the time a statement is rendered.
Nothing contained in this Article shall require the OWNER to pay for any work which is
unsatisfactory, as reasonably determined by the City Manager or his designee, or which is
not submitted in compliance with the terms of this Agreement. The OWNER shall not be
required to make any payments to the CONSULTANT when the CONSULTANT is in
default under this Agreement.
It is specifically understood and agreed that the CONSULTANT shall not be authorized
to undertake any work pursuant to this Agreement which would require additional
payments by the OWNER for any charge, expense, or reimbursement above the
maximum not to exceed fee as stated, without first having obtained written authorization
from the OWNER. The CONSULTANT shall not proceed to perform the services listed
in Article III “Additional Services,” without obtaining prior written authorization from
the OWNER.
Docusign Envelope ID: 882EFBFC-4001-4018-9D0A-D25199E7F9EF
City of Denton, Texas Contract 8766
Standard Agreement for Professional Services
Revised Date: 12/5/18
Page 4 of 16
C. ADDITIONAL SERVICES: For additional services authorized in writing by the
OWNER in Article III, the CONSULTANT shall be paid based on the Schedule of
Charges at an hourly rate shown in Exhibit A. Payments for additional services shall be
due and payable upon submission by the CONSULTANT and approval by the City staff,
and shall be in accordance with subsection B hereof. Statements shall not be submitted
more frequently than monthly.
D. PAYMENT: If the OWNER fails to make payments due the CONSULTANT for
services and expenses within thirty (30) days after receipt of the CONSULTANT’s
undisputed statement thereof, the amounts due the CONSULTANT will be paid interest
in accordance with the Texas Government Code 2251.025. Additionally, the
CONSULTANT may, after giving seven (7) days’ written notice to the OWNER,
suspend services under this Agreement until the CONSULTANT has been paid in full all
amounts due for services, expenses, and charges. Nothing herein shall require the
OWNER to pay the late charge if the OWNER reasonably determines that the work is
unsatisfactory, in accordance with this Article V, “Compensation,” there is a bona fide
dispute concerning the amount due, or the invoice was not mailed to the address or in the
form as described in this Agreement. The OWNER will notify CONSULTANT of any
disputes within twenty-one (21) days of receipt of the invoice.
E. Invoices shall be sent directly to the City of Denton Accounts Payable Department, 215
E McKinney St, Denton, TX, 76201-4299. A pro-forma invoice shall be sent to the
contract administrator. It is the intention of the City of Denton to make payment on
completed orders within thirty days after receipt of invoice or items; whichever is later,
unless unusual circumstances arise. Invoices must be fully documented as to labor,
materials, and equipment provided, if applicable, and must reference the City of
Denton Purchase Order Number in order to be processed. No payments shall be
made on invoices not listing a Purchase Order Number.
ARTICLE VI
OBSERVATION AND REVIEW OF THE WORK
The CONSULTANT will exercise reasonable care and due diligence in discovering and
promptly reporting to the OWNER any defects or deficiencies in the work of the
CONSULTANT or any subcontractors or subconsultants.
ARTICLE VII
OWNERSHIP OF DOCUMENTS
All documents prepared or furnished by the CONSULTANT (and CONSULTANT’s
subcontractors or subconsultants) pursuant to this Agreement are instruments of service, and
shall become the property of the OWNER upon the termination of this Agreement. The
CONSULTANT is entitled to retain copies of all such documents. The documents prepared and
furnished by the CONSULTANT are intended only to be applicable to this Project, and
OWNER’s use of these documents in other projects shall be at OWNER’s sole risk and expense.
In the event the OWNER uses any of the information or materials developed pursuant to this
Docusign Envelope ID: 882EFBFC-4001-4018-9D0A-D25199E7F9EF
City of Denton, Texas Contract 8766
Standard Agreement for Professional Services
Revised Date: 12/5/18
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Agreement in another project or for other purposes than specified herein, CONSULTANT is
released from any and all liability relating to their use in that project.
ARTICLE VIII
INDEMNITY AGREEMENT
THE CONSULTANT SHALL INDEMNIFY AND SAVE AND HOLD HARMLESS
THE OWNER AND ITS OFFICERS, OFFICIALS, AGENTS, AND EMPLOYEES FROM
AND AGAINST ANY AND ALL LIABILITY, CLAIMS, DEMANDS, DAMAGES,
LOSSES, AND EXPENSES, INCLUDING, BUT NOT LIMITED TO COURT COSTS
AND REASONABLE ATTORNEY FEES ASSERTED AGAINST OR INCURRED BY
THE OWNER, AND INCLUDING, WITHOUT LIMITATION, DAMAGES FOR
BODILY AND PERSONAL INJURY, DEATH AND PROPERTY DAMAGE,
RESULTING FROM THE NEGLIGENT ACTS OR OMISSIONS OF THE
CONSULTANT OR ITS OFFICERS, SHAREHOLDERS, AGENTS, OR EMPLOYEES
INCIDENTAL TO, RELATED TO, AND IN THE EXECUTION, OPERATION, OR
PERFORMANCE OF THIS AGREEMENT.
Nothing in this Agreement shall be construed to create a liability to any person who is not
a party to this Agreement, and nothing herein shall waive any of the parties’ defenses, both at
law or equity, to any claim, cause of action, or litigation filed by anyone not a party to this
Agreement, including the defense of governmental immunity, which defenses are hereby
expressly reserved.
ARTICLE IX
INSURANCE
During the performance of the services under this Agreement, CONSULTANT
shall maintain insurance in compliance with the requirements of Exhibit B which is
attached hereto and made a part of this Agreement as if written word for word herein.
ARTICLE X
ALTERNATIVE DISPUTE RESOLUTION
The parties may agree to settle any disputes under this Agreement by submitting the
dispute to mediation with each party bearing its own costs of mediation. No mediation arising
out of or relating to this Agreement, involving one party’s disagreement may include the other
party to the disagreement without the other’s approval. Mediation will not be a condition
precedent to suit.
ARTICLE XI
TERMINATION OF AGREEMENT
A. Notwithstanding any other provision of this Agreement, either party may terminate by
giving thirty (30) days’ advance written notice to the other party.
B. This Agreement may be terminated in whole or in part in the event of either party
substantially failing to fulfill its obligations under this Agreement. No such termination
Docusign Envelope ID: 882EFBFC-4001-4018-9D0A-D25199E7F9EF
City of Denton, Texas Contract 8766
Standard Agreement for Professional Services
Revised Date: 12/5/18
Page 6 of 16
will be affected unless the other party is given (1) written notice (delivered by certified
mail, return receipt requested) of intent to terminate and setting forth the reasons
specifying the non-performance, and not less than fifteen (15) calendar days to cure the
failure; and (2) an opportunity for consultation with the terminating party prior to
termination.
C. If the Agreement is terminated prior to completion of the services to be provided
hereunder, CONSULTANT shall immediately cease all services and shall render a final
bill for services to the OWNER within thirty (30) days after the date of termination. The
OWNER shall pay CONSULTANT for all services properly rendered and satisfactorily
performed and for reimbursable expenses to termination incurred prior to the date of
termination, in accordance with Article V “Compensation.” Should the OWNER
subsequently contract with a new consultant for the continuation of services on the
Project, CONSULTANT shall cooperate in providing information. The CONSULTANT
shall turn over all documents prepared or furnished by CONSULTANT pursuant to this
Agreement to the OWNER on or before the date of termination, but may maintain copies
of such documents for its use.
ARTICLE XII
RESPONSIBILITY FOR CLAIMS AND LIABILITIES
Approval by the OWNER shall not constitute, nor be deemed a release of the
responsibility and liability of the CONSULTANT, its employees, associates, agents,
subcontractors, and subconsultants for the accuracy and competency of their designs or other
work; nor shall such approval be deemed to be an assumption of such responsibility by the
OWNER for any defect in the design or other work prepared by the CONSULTANT, its
employees, subcontractors, agents, and consultants.
ARTICLE XIII
NOTICES
All notices, communications, and reports required or permitted under this Agreement
shall be personally delivered or mailed to the respective parties by depositing same in the United
States mail to the address shown below, certified mail, return receipt requested, unless otherwise
specified herein. Mailed notices shall be deemed communicated as of three (3) days’ mailing:
To CONSULTANT: To OWNER:
Gabriel, Roeder, Smith & Company City of Denton
Tom Bevins Purchasing Manager –File 8766
One Towne Square, Suite 800 901B Texas Street
Southfield, MI 48076 Denton, Texas 76201
All notices shall be deemed effective upon receipt by the party to whom such notice is
given, or within three (3) days’ mailing.
ARTICLE XIV
ENTIRE AGREEMENT
Docusign Envelope ID: 882EFBFC-4001-4018-9D0A-D25199E7F9EF
City of Denton, Texas Contract 8766
Standard Agreement for Professional Services
Revised Date: 12/5/18
Page 7 of 16
This Agreement and related exhibits constitute the complete and final expression of this
Agreement of the parties, and is intended as a complete and exclusive statement of the terms of
their agreements, and supersedes all prior contemporaneous offers, promises, representations,
negotiations, discussions, communications, and agreements which may have been made in
connection with the subject matter hereof.
ARTICLE XV
SEVERABILITY
If any provision of this Agreement is found or deemed by a court of competent
jurisdiction to be invalid or unenforceable, it shall be considered severable from the remainder of
this Agreement and shall not cause the remainder to be invalid or unenforceable. In such event,
the parties shall reform this Agreement to replace such stricken provision with a valid and
enforceable provision which comes as close as possible to expressing the intention of the stricken
provision.
ARTICLE XVI
COMPLIANCE WITH LAWS
The CONSULTANT shall comply with all federal, state, and local laws, rules,
regulations, and ordinances applicable to the work covered hereunder as those laws may now
read or hereinafter be amended.
ARTICLE XVII
DISCRIMINATION PROHIBITED
In performing the services required hereunder, the CONSULTANT shall not discriminate
against any person on the basis of race, color, religion, sex, sexual orientation, national origin or
ancestry, age, or physical handicap.
ARTICLE XVIII
PERSONNEL
A. The CONSULTANT represents that it has or will secure, at its own expense, all
personnel required to perform all the services required under this Agreement. Such
personnel shall not be employees or officers of, or have any contractual relations with the
OWNER. CONSULTANT shall inform the OWNER of any conflict of interest or
potential conflict of interest that may arise during the term of this Agreement.
B. All services required hereunder will be performed by the CONSULTANT or under its
supervision. All personnel engaged in work shall be qualified, and shall be authorized
and permitted under state and local laws to perform such services.
ARTICLE XIX
ASSIGNABILITY
The CONSULTANT acknowledges that this Agreement is based on the demonstrated
competence and specific qualifications of the CONSULTANT and is therefore personal as to the
Docusign Envelope ID: 882EFBFC-4001-4018-9D0A-D25199E7F9EF
City of Denton, Texas Contract 8766
Standard Agreement for Professional Services
Revised Date: 12/5/18
Page 8 of 16
CONSULTANT. Therefore, the CONSULTANT shall not assign any interest in this Agreement,
and shall not transfer any interest in this Agreement (whether by assignment, novation, or
otherwise) without the prior written consent of the OWNER.
ARTICLE XX
MODIFICATION
No waiver or modification of this Agreement or of any covenant, condition, or limitation
herein contained shall be valid unless in writing and duly executed by the party to be charged
therewith, and no evidence of any waiver or modification shall be offered or received in evidence
in any proceeding arising between the parties hereto out of or affecting this Agreement, or the
rights or obligations of the parties hereunder, and unless such waiver or modification is in
writing and duly executed; and the parties further agree that the provisions of this section will not
be waived unless as set forth herein.
ARTICLE XXI
MISCELLANEOUS
A. The following exhibits are attached to and made a part of this Agreement:
Exhibit A – Consultant’s Scope of Services Offer, Project Schedule, Compensation Rate
Sheet
Exhibit B – Consultant’s Insurance Requirements
What is called for by one exhibit shall be as binding as if called for by all. In the event of
an inconsistency or conflict in this Agreement and any of the provisions of the exhibits,
the inconsistency or conflict shall be resolved by giving precedence first to this
Agreement then to the exhibits in the order in which they are listed above.
B. This Agreement shall be governed by, construed, and enforced in accordance with, and
subject to, the laws of the State of Texas or federal law, where applicable, without regard
to the conflict of law principles of any jurisdiction. In the event there shall be any dispute
arising out of the terms and conditions of, or in connection with, this Agreement, the
party seeking relief shall submit such dispute to the District Courts of Denton County or
if federal diversity or subject matter jurisdiction exists, to the United States District Court
for the Eastern District of Texas-Sherman Division.
C. For the purpose of this Agreement, the key persons who will perform most of the work
hereunder shall be Thomas J. Bevins, ASA, MAAA. However, nothing herein shall limit
CONSULTANT from using other equally qualified and competent members of its firm to
perform the services required herein.
D. CONSULTANT shall commence, carry on, and complete any and all projects with all
applicable dispatch, in a sound, economical, and efficient manner and in accordance with
the provisions hereof. In accomplishing the projects, CONSULTANT shall take such
steps as are appropriate to ensure that the work involved is properly coordinated with
related work being carried on by the OWNER.
Docusign Envelope ID: 882EFBFC-4001-4018-9D0A-D25199E7F9EF
City of Denton, Texas Contract 8766
Standard Agreement for Professional Services
Revised Date: 12/5/18
Page 9 of 16
E. The OWNER shall assist the CONSULTANT by placing at the CONSULTANT’s
disposal all available information pertinent to the Project, including previous reports, any
other data relative to the Project, and arranging for the access thereto, and make all
provisions for the CONSULTANT to enter in or upon public and private property as
required for the CONSULTANT to perform services under this Agreement.
F. The captions of this Agreement are for informational purposes only, and shall not in any
way affect the substantive terms or conditions of this Agreement.
G. The parties agree to transact business electronically. Any statutory requirements that
certain terms be in writing will be satisfied using electronic documents and signing.
Electronic signing of this document will be deemed an original for all legal purposes.
ARTICLE XXII
INDEPENDENT CONTRACTOR
CONSULTANT shall provide services to OWNER as an independent contractor, not as
an employee of the OWNER. CONSULTANT shall not have or claim any right arising from
employee status.
ARTICLE XXIII
RIGHT TO AUDIT
The OWNER shall have the right to audit and make copies of the books, records and
computations pertaining to this agreement. The CONTRACTOR shall retain such books,
records, documents and other evidence pertaining to this agreement during the contract period
and five years thereafter, except if an audit is in progress or audit findings are yet unresolved, in
which case records shall be kept until all audit tasks are completed and resolved. These books,
records, documents and other evidence shall be available, within 10 business days of written
request. Further, the CONTRACTOR shall also require all Subcontractors, material suppliers,
and other payees to retain all books, records, documents and other evidence pertaining to this
agreement, and to allow the OWNER similar access to those documents. All books and records
will be made available within a 50 mile radius of the City of Denton. The cost of the audit will
be borne by the OWNER unless the audit reveals an overpayment of 1% or greater. If an
overpayment of 1% or greater occurs, the reasonable cost of the audit, including any travel costs,
must be borne by the CONTRACTOR which must be payable within five business days of
receipt of an invoice.
Failure to comply with the provisions of this section shall be a material breach of this contract
and shall constitute, in the OWNER’S sole discretion, grounds for termination thereof. Each of
the terms "books", "records", "documents" and "other evidence", as used above, shall be
construed to include drafts and electronic files, even if such drafts or electronic files are
subsequently used to generate or prepare a final printed document.
Docusign Envelope ID: 882EFBFC-4001-4018-9D0A-D25199E7F9EF
City of Denton, Texas Contract 8766
Standard Agreement for Professional Services
Revised Date: 12/5/18
Page 10 of 16
ARTICLE XXIV
Prohibition on Contracts with Companies Boycotting Israel
Contractor acknowledges that in accordance with Chapter 2271 of the Texas Government Code,
City is prohibited from entering into a contract with a company for goods or services unless the
contract contains a written verification from the company that it: (1) does not boycott Israel; and
(2) will not boycott Israel during the term of the contract. The terms “boycott Israel” and
“company” shall have the meanings ascribed to those terms in Section 808.001 of the Texas
Government Code. By signing this agreement, Contractor certifies that Contractor’s signature
provides written verification to the City that Contractor: (1) does not boycott Israel; and (2)
will not boycott Israel during the term of the agreement. Failure to meet or maintain the
requirements under this provision will be considered a material breach.
ARTICLE XXV
Prohibition On Contracts With Companies Doing Business with Iran, Sudan, or a
Foreign Terrorist Organization
Sections 2252 and 2270 of the Texas Government Code restricts CITY from contracting with
companies that do business with Iran, Sudan, or a foreign terrorist organization. By signing this
agreement, Contractor certifies that Contractor’s signature provides written verification to the
City that Contractor, pursuant to Chapters 2252 and 2270, is not ineligible to enter into this
agreement and will not become ineligible to receive payments under this agreement by doing
business with Iran, Sudan, or a foreign terrorist organization. Failure to meet or maintain the
requirements under this provision will be considered a material breach.
ARTICLE XXVI
Prohibition on Contracts with Companies Boycotting Certain Energy Companies
Contractor acknowledges that in accordance with Chapter 2274 of the Texas Government Code,
City is prohibited from entering into a contract with a company for goods or services unless the
contract contains written verification from the company that it (1) does not boycott energy
companies; and (2) will not boycott energy companies during the term of the contract. The terms
“boycott energy company” and “company” shall have the meanings ascribed to those terms in
Section 809.001 of the Texas Government Code. By signing this agreement, Contractor
certifies that Contractor’s signature provides written verification to the City that Contractor:
(1) does not boycott energy companies; and (2) will not boycott energy companies during the
term of the agreement. Failure to meet or maintain the requirements under this provision will be
considered a material breach.
ARTICLE XXVII
Prohibition on Contracts with Companies Boycotting Certain Firearm Entities and
Firearm Trade Associations
Contractor acknowledges that in accordance with Chapter 2274 of the Texas Government Code,
City is prohibited from entering into a contract with a company for goods or services unless the
contract contains written verification from the company that it (1) does not have a practice,
policy, guidance, or directive that discriminates against a firearm entity or firearm trade
association; and (2) will not discriminate during the term of the contract against a firearm entity
Docusign Envelope ID: 882EFBFC-4001-4018-9D0A-D25199E7F9EF
City of Denton, Texas Contract 8766
Standard Agreement for Professional Services
Revised Date: 12/5/18
Page 11 of 16
or firearm trade association. The terms “discriminate against a firearm entity or firearm trade
association,” “firearm entity” and “firearm trade association” shall have the meanings ascribed to
those terms in Chapter 2274 of the Texas Government Code. By signing this agreement,
Contractor certifies that Contractor’s signature provides written verification to the City that
Contractor: (1) does not have a practice, policy, guidance, or directive that discriminates
against a firearm entity or firearm trade association; and (2) will not discriminate during the
term of the contract against a firearm entity or firearm trade association. Failure to meet or
maintain the requirements under this provision will be considered a material breach.
ARTICLE XXVIII
Termination Right for Contracts with Companies Doing Business with Certain Foreign-
Owned Companies
The City of Denton may terminate this Contract immediately without any further liability if the
City of Denton determines, in its sole judgment, that this Contract meets the requirements under
Chapter 2274, and Contractor is, or will be in the future, (i) owned by or the majority of stock or
other ownership interest of the company is held or controlled by individuals who are citizens of
China, Iran, North Korea, Russia, or other designated country (ii) directly controlled by the
Government of China, Iran, North Korea, Russia, or other designated country, or (iii) is
headquartered in China, Iran, North Korea, Russia, or other designated country.
ARTICLE XXIX
PROHIBITION AGAINST PERSONAL INTEREST IN CONTRACTS
No officer, employee, independent consultant, or elected official of the City who is involved in
the development, evaluation, or decision-making process of the performance of any solicitation
shall have a financial interest, direct or indirect, in the Contract resulting from that solicitation as
defined in the City’s Ethic Ordinance 23-1165 and in the City Charter chapter 2 article
XI(Ethics). Any willful violation of this section shall constitute impropriety in office, and any
officer or employee guilty thereof shall be subject to disciplinary action up to and including
dismissal. Any violation of this provision, with the knowledge, expressed or implied, of the
Contractor shall render the Contract voidable by the City. The Consultant shall complete and
submit the City’s Conflict of Interest Questionnaire.
The parties agree to transact business electronically. Any statutory requirements that certain
terms be in writing will be satisfied using electronic documents and signing. Electronic signing
of this document will be deemed an original for all legal purposes.
IN WITNESS HEREOF, the City of Denton, Texas has caused this Agreement to be
executed by its duly authorized City Manager, and CONSULTANT has executed this Agreement
through its duly authorized undersigned officer on this date______________________.
Docusign Envelope ID: 882EFBFC-4001-4018-9D0A-D25199E7F9EF
1/31/2025
City of Denton, Texas Contract 8766
Standard Agreement for Professional Services
Revised Date: 12/5/18
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CONSULTANT
BY:______________________________
AUTHORIZED SIGNATURE
Printed Name:_____________________
Title:____________________________
__________________________________
PHONE NUMBER
_________________________________
EMAIL ADDRESS
CITY OF DENTON, TEXAS
BY: _____________________________
BY: _______________________________
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 LEGAL FORM:
MACK REINWAND, CITY ATTORNEY
BY: _______________________________
Docusign Envelope ID: 882EFBFC-4001-4018-9D0A-D25199E7F9EF
469-524-1801
Vice President
Daniel J White
Danny.white@grsconsulting.com
Finance
Chief Financial Officer
Jessica J Williams
Christina Dormady
Buyer
January 20, 2025
Mr. Vis Bouaphanthavong
Assistant Director of Finance
City of Denton
601 E. Hickory Street
Denton, TX 76205
Re: Actuarial Audit Services in Compliance with Section 802.1012 of the Texas Government Code
Dear Mr. Bouaphanthavong:
As you are aware, Section 802.1012 of the Texas Government Code requires an actuarial audit of public
retirement systems every five years for plans with total assets the book value of which, as of the last day
of the preceding fiscal year, is at least $100 million. Gabriel, Roeder, Smith & Company (GRS) would be
pleased to assist the City of Denton with this requirement for the Denton Firemen’s Relief and
Retirement Fund (the Fund). If this engagement is accepted by the City of Denton, we will review the
December 31, 2023 actuarial valuation, as it is the most recent valuation completed for the Fund. This
letter outlines our capabilities and credentials to, not only assist you with this requirement, but to also
ensure that the actuarial condition of your retirement system is being measured as accurately and
appropriately as possible.
Our proposed actuarial audit team of Tom Bevins, Lewis Ward, Lindsay Bechtel, and Alex Thiel will
provide you with access to consultants with experience working with public retirement systems of all
sizes in the State of Texas and we would welcome the opportunity to apply that experience and
perspective to the actuarial audit of the Fund. Danny White will serve as the Peer Review actuary, as
well as the GRS Executive Management representative.
TLFFRA Plan Experience
Tom Bevins is the lead actuarial consultant for the Beaumont Firemen’s Relief and Retirement Fund
(BFRRF). Tom has participated as a member of the actuary panel, moderated by a representative of the
Texas Pension Review Board, at the annual TLFFRA Conferences in 2023 and 2024. This structured “Q &
A” session has been utilized to provide TLFFRA conference attendees broader perspectives regarding
funding strategies, challenges that face plan board members and trustees, and other PRB related
compliance.
Lewis Ward has extensive experience working with retirement plans in Texas that are subject to PRB
oversight, as both a consultant for the plan and through actuarial audits. Lewis and Tom are currently
preparing an audit of the Irving Firemen’s Relief and Retirement Fund. Lindsay Bechtel and Alex Thiel
work with Tom as analysts for BFRRF projects.
Exhibit A
Docusign Envelope ID: 882EFBFC-4001-4018-9D0A-D25199E7F9EF
Mr. Vis Bouaphanthavong
January 20, 2025
Page 2
Actuarial Audit Experience in the State of Texas
Since the inception of the actuarial audit requirement in the State of Texas, the members of your Irving-
based team at GRS have assisted the following notable governmental entities and public retirement
systems with their compliance with this State law:
Public Retirement System Governmental Entity
Austin Fire Fighters Relief and Retirement Fund City of Austin
Austin Police Retirement System City of Austin
City of Corpus Christi Fire Fighters' Retirement System City of Corpus Christi
Irving Firemen's Relief & Retirement Fund City of Irving
City of Lubbock Fire Pension Fund City of Lubbock
Fire and Police Pension Fund, San Antonio City of San Antonio
DART Defined Benefit Retirement Plan Dallas Area Rapid Transit
Lower Colorado River Authority Retirement Plan LCRA
Port of Houston Authority Retirement Plan Port of Houston Authority
JPS Pension Plan Tarrant County Hospital District
Dallas County Hospital District Retirement Income Plan Parkland Health and Hospital System
Broad Consulting Experience within the State of Texas
In addition to their experience providing actuarial audits in conjunction with Section 802.1012, the
proposed actuarial audit team has significant experience working with public retirement systems of all
sizes across the State of Texas. This experience will ensure that your actuarial audit will be completed
by consultants that understand the legislative and governance culture in the State of Texas.
Tom Bevins, ASA, MAAA, will serve as the Lead Consultant for the actuarial audit of the Fund. Tom is a
Consultant and Actuary with over 14 years of benefits consulting experience and currently serves clients
in Texas, South Carolina, and Arkansas. Tom serves as the Lead Consultant for several pension valuations
of various sizes, including Beaumont Firemen’s Relief and Retirement Fund, the City of Plano Retirement
Security Plan, and Texarkana Arkansas Public Employees Retirement System. Tom is also a Support
Consultant for the statewide Employees Retirement System of Texas and the City of Irving Supplemental
Benefit Plan. He also currently serves as the Lead Consultant for nearly 40 retiree medical valuations for
governmental clients in South Carolina and Texas.
Lewis Ward will serve as Support Consultant for the actuarial audit of the Fund. Lewis has been
providing pension consulting services to public sector clients for more than 35 years. Lewis is our Texas
market expert having served as the Support Consultant for the Teacher Retirement System of Texas and
the Employee Funds for the cities of Houston and Dallas. He also serves as the Lead Consultant for the
City of Austin Employees Retirement System, Austin Police Retirement System, the City of Irving
Supplemental Benefit Plan, and DFW International Airport. Lewis will be responsible for the overall
delivery of actuarial services and communications with the Fund.
Docusign Envelope ID: 882EFBFC-4001-4018-9D0A-D25199E7F9EF
Mr. Vis Bouaphanthavong
January 20, 2025
Page 3
Danny White, FSA, EA, MAAA, will serve in the role of Peer Review Actuary for the Denton Firemen’s
Relief and Retirement Fund. Danny will peer review the final audit report to ensure compliance with the
Actuarial Standards of Practice and Texas Pension Review Board requirements.
Danny has more than 25 years of experience consulting with public and private sector employers
regarding their retirement programs. His expertise includes performing actuarial valuations for pension
and retiree medical plans, cost studies, assumption reviews, and consulting regarding benefit
administration. Danny currently works with state-wide retirement systems in Arizona, Kentucky, South
Carolina, and Utah, as well as with municipal plans in Texas and Arkansas.
Lindsay Bechtel is a Senior Analyst in the Dallas, Texas office of GRS. Lindsay will serve primarily in the
“checker” role as it relates to reviewing census data, assumptions, and preparing individual test cases
for our review of liability calculations, and also provide technical support to other analysts in the initial
analysis prior to review by Tom and Lewis. She has worked with both municipal and large statewide
retirement systems in Texas, South Carolina, Arizona, New Mexico, and Utah as well as OPEB plans
throughout Texas and South Carolina. Additionally, she has experience working on firefighter plans. She
has worked with Tom in this role for several years for the Beaumont Firemen’s Relief and Retirement
Fund, the City of Plano Retirement Security Plan, and the Texarkana Arkansas Public Employees
Retirement System.
Alex Thiel is an Analyst in the Denver, Colorado office of GRS, which works cohesively with our Dallas
office as the other branch of our Southwest Region team. Alex will serve primarily in the “doer” role as it
relates to reviewing census data, assumptions, and preparing individual test cases for our review of
liability calculations. Alex joined GRS in 2022 and has demonstrated an aptitude for performing actuarial
valuations for pension and OPEB plans, including working with Tom and Lindsay on Beaumont Firemen’s
Relief and Retirement Fund projects, and with Tom on the Employees Retirement System of Texas. He has
continued to make progress toward the completion of exams and other requirements to attain his
actuarial credentials with the Society of Actuaries.
Company Approach
GRS offers you an actuarial and benefits consulting firm that specializes in public sector retirement
systems, has a nationally recognized reputation, and a clear understanding of the national and state
political and legislative environments. GRS has been specializing in providing services to public sector
clients for over 80 years. Our long association with our clients (our very first client is still a client) and
the far-ranging locations of our clients (from Florida to Alaska and from New Hampshire to Hawaii)
attest to the quality of our work and the dedication of our consultants.
We believe there are three key areas that differentiate GRS from other consulting firms with regard to
this project.
• DEPTH OF EXPERIENCE – We serve more public sector retirement systems than any other firm.
We provide actuarial and consulting services to 36 statewide retirement systems and, as a firm,
have performed over 20 actuarial audits for major retirement systems over the last five years.
Because we are the nation’s largest provider of actuarial services to the public sector, we are
Docusign Envelope ID: 882EFBFC-4001-4018-9D0A-D25199E7F9EF
Mr. Vis Bouaphanthavong
January 20, 2025
Page 4
often also the actuary being audited. As a result, you will get a consulting team that is familiar
with the auditing process and understands what is required to perform a thorough review.
• APPROACH TO THE WORK – We, like you, want to ensure that the actuarial condition of your
retirement system is being measured as accurately as possible. Over the years, we have
performed audits for retirement systems that confirmed their current processes are accurate and
sound. In other situations, we have identified issues of concern and further investigation. We
also understand the importance of paying attention to the big picture of the system as well as the
calculation details.
• COMMUNICATION – From our experience performing audits as well as having our work audited,
we understand that communication throughout the project is essential for success. Also, the
dialog generated by the actuarial audit process usually has value in the sharing of ideas and
experiences.
Furthermore, we understand there are many stakeholders involved within your retirement Fund.
Constituents pay attention to the activities and decisions made within your organization.
Therefore, you can be confident that our work will include clear explanations and disclosures, in
layperson terms. To the extent that terms common to the industry must be used, we provide
concise explanations of these terms. To reinforce understanding of the results and the impact of
policy options, our reports include graphic representations of the information, such as charts and
tables. In presentations we use the same approach, and endeavor to explain technical concepts
and to respond to questions in a clear and concise manner rather than presenting page after page
of numbers.
Scope of Work
The requirements of Section 802.1012 are not specific about the specific type of actuarial audit that
must be completed every five years. It is our understanding that you would like the engagement to be
for a Level Two Actuarial Audit (replication of a sample). Should you decide that you would prefer a
Level One Actuarial Audit (full replication) please let us know and we will provide you a fee quote for
that service. We believe that both a Level One Audit and a Level Two Audit meet the requirement of
Section 802.1012.
The actuarial audit will entail reviewing and commenting on the reasonableness and appropriateness of
the valuation methods, assumptions, certifications, and conclusions of the retained actuary.
GRS will deliver an actuarial audit report for the Fund based on the most selected actuarial valuation
and experience study as prepared by the retained actuary. The purpose of a Level Two Actuarial Audit
is to confirm the liability calculations of a representative sample of the current Fund participants and is
the most common type of actuarial audit conducted in response to Section 802.1012 (it does not
provide replication of the valuation results). However, both a Level One Audit and a Level Two audit will
include the same level of review of the actuarial assumption and valuation reports. A detailed report
and presentation of the findings will be provided, in either case, to meet the requirements of Section
802.1012.
Docusign Envelope ID: 882EFBFC-4001-4018-9D0A-D25199E7F9EF
Mr. Vis Bouaphanthavong
January 20, 2025
Page 5
Fees
Our fixed fee for the services described will be $22,500 for the Level Two Actuarial Audit of the Fund.
The above fees assume that we will receive clean and complete information (demographic data,
financial information, test lives, etc.) in an acceptable format to GRS. Additional consulting services are
available, but will be priced separately upon request.
GRS will perform supplemental services beyond the actuarial audit as requested by the City or the Fund.
The additional services will be billed based on hourly rates and GRS will confirm the request with the
City prior to commencing any supplemental services.
GRS Resource Classification Hourly Rates
Senior Consultant $550
Consultant $400 – $450
Senior Actuarial Analyst $300 – $325
Actuarial Analyst $225 – $275
Administrative Support Staff $185
This proposed pricing will be valid through June 30, 2025.
Timing and Communication
GRS will complete its work by May 30, 2025, as long as GRS receives all requested documents and data
at least eight weeks prior (i.e. by April 4, 2025). A draft of our findings will be communicated as it is
available.
In conducting either the full replication audit or limited scope audit, GRS will need to communicate as
necessary and appropriate with the Fund’s staff as well as the retained actuary and its staff that
routinely assist in the preparation of the actuarial valuations.
The process described above will result in a final signed, written report containing the findings and
conclusions of GRS as the auditing actuary. The City of Denton, the Denton Firemen’s Relief and
Retirement Fund, and the retained actuary will be given an opportunity to prepare a written response, if
they so desire. One day of on-site formal presentations of our findings will be given to the appropriate
governing body and is included in our fees.
We appreciate your consideration of GRS for this assignment and would be delighted to serve you. We
are confident that you will be pleased with our responsiveness and quality. A detailed work plan and
timeline is available upon request.
Docusign Envelope ID: 882EFBFC-4001-4018-9D0A-D25199E7F9EF
Mr. Vis Bouaphanthavong
January 20, 2025
Page 6
Next Steps
As noted previously, our proposed actuarial audit team will be led by Tom Bevins, as he meets all of the
professional requirements stipulated in Section 802.1012. Tom will have overall responsibility for the
project and will be the point man for contact between the City and GRS (as well as the Fund’s actuary).
Lewis Ward will serve as the secondary consultant. As the Southwest Regional Director and Vice
President of GRS, Danny White will represent the Executive Management team of GRS for the execution
of this engagement, as well as be the Peer Reviewer of the audit report. Danny also meets all of the
professional requirements stipulated in Section 802.1012. Tom, Lewis and Danny are all located in our
Dallas (Irving) Office. Tom’s contact information is as follows:
Tom Bevins, ASA, MAAA
Gabriel, Roeder, Smith & Company
5605 N. MacArthur Blvd, Suite 870
Irving, Texas 75038-2631
469-524-1808 (office direct line)
tom.bevins@grsconsulting.com
If you would like to speak further about an actuarial audit of the Fund, or you have questions about the
proposal outlined above, please feel free to contact Tom directly. If you are prepared to move forward
with the actuarial audit, a signature below will indicate your acceptance of this engagement and allow
us to get started immediately.
Respectfully submitted,
Gabriel, Roeder, Smith & Company
Thomas J. Bevins, ASA, MAAA Daniel J. White, FSA, EA, MAAA
Consultant & Actuary Vice President & Actuary
Approved for the City of Denton
By ________________________________
Title ________________________________
Date ________________________________
Docusign Envelope ID: 882EFBFC-4001-4018-9D0A-D25199E7F9EF
1/31/2025
Buyer
Christina Dormady
City of Denton, Texas Contract 8766
Standard Agreement for Professional Services
Revised Date: 12/5/18
Page 14 of 16
Exhibit B
INSURANCE REQUIREMENTS
Respondent’s attention is directed to the insurance requirements below. It is highly
recommended that respondents confer with their respective insurance carriers or
brokers to determine in advance of Proposal/Bid submission the availability of
insurance certificates and endorsements as prescribed and provided herein. If an
apparent low respondent fails to comply strictly with the insurance requirements, that
respondent may be disqualified from award of the contract. Upon c o n t r a c t
a w a r d , a l l i n s u r a n c e r e q u i r e m e n t s shall become contractual
obligations, which the successful contractor shall have a duty to maintain throughout
the course of this contract.
STANDARD PROVISIONS:
Without limiting any of the other obligations or liabilities of the
Contractor, the Contractor shall provide and maintain until the contracted work
has been completed and accepted by the City of Denton, Owner, the minimum
insurance coverage as indicated hereinafter.
As soon as practicable after notification of contract award, Contractor shall file
with the Purchasing Department satisfactory certificates of insurance including
any applicable addendum or endorsements, containing the contract number and
title of the project. Contractor may, upon written request to the Purchasing
Department, ask for clarification of any insurance requirements at any time;
however, Contractors are strongly advised to make such requests prior to
proposal/bid opening, since the insurance requirements may not be modified
or waived after proposal/bid opening unless a written exception has been
submitted with the proposal/bid. Contractor shall not commence any work
or deliver any material until he or she receives notification that the contract has
been accepted, approved, and signed by the City of Denton.
All insurance policies proposed or obtained in satisfaction of these
requirements shall comply with the following general specifications, and shall
be maintained in compliance with these general specifications throughout the
duration of the Contract, or longer, if so noted:
• Each policy shall be issued by a company authorized to do business in the
State of Texas with an A.M. Best Company rating of at least A- or better.
• Any deductibles or self-insured retentions shall be declared in the proposal. If
requested by the City, the insurer shall reduce or eliminate such deductibles or
self-insured retentions with respect to the City, its officials, agents, employees,
and volunteers; or, the contractor shall procure a bond guaranteeing payment of
losses and related investigations, claim administration and defense expenses.
• Liability policies shall be endorsed to provide the following:
Docusign Envelope ID: 882EFBFC-4001-4018-9D0A-D25199E7F9EF
City of Denton, Texas Contract 8766
Standard Agreement for Professional Services
Revised Date: 12/5/18
Page 15 of 16
o Name as Additional Insured the City of Denton, its Officials, Agents,
Employees, and volunteers.
o That such insurance is primary to any other insurance available to the
Additional Insured with respect to claims covered under the policy and
that this insurance applies separately to each insured against whom
claim is made or suit is brought. The inclusion of more than one insured
shall not operate to increase the insurer's limit of liability.
o Provide a Waiver of Subrogation in favor of the City of Denton, its
officials, agents, employees, and volunteers.
• Cancellation: City requires 30 day written notice should any of the
policies described on the certificate be cancelled or materially changed
before the expiration date.
• Should any of the required insurance be provided under a claims made form,
Contractor shall maintain such coverage continuously throughout the term of this
contract and, without lapse, for a period of three years beyond the contract
expiration, such that occurrences arising during the contract term which give rise
to claims made after expiration of the contract shall be covered.
• Should any of the required insurance be provided under a form of coverage that
includes a general annual aggregate limit providing for claims investigation or
legal defense costs to be included in the general annual aggregate limit, the
Contractor shall either double the occurrence limits or obtain Owners and
Contractors Protective Liability Insurance.
• Should any required insurance lapse during the contract term, requests for
payments originating after such lapse shall not be processed until the City
receives satisfactory evidence of reinstated coverage as required by this
contract, effective as of the lapse date. If insurance is not reinstated, City may,
at its sole option, terminate this agreement effective on the date of the lapse.
SPECIFIC ADDITIONAL INSURANCE REQUIREMENTS:
All insurance policies proposed or obtained in satisfaction of this Contract shall
additionally comply with the following specifications, and shall be maintained in
compliance with these additional specifications throughout the duration of the
Contract, or longer, if so noted:
A. COMMERCIAL GENERAL LIABILITY INSURANCE
Commercial General Liability Insurance including, but not limited to,
Premises/Operations, Personal & Advertising Injury, Products/Completed
Operations, Independent Contractors, and Contractual Liability with minimum
combined bodily injury (including death) and property damage limits of
$1,000,000.00 per occurrence and $2,000,000.00 general aggregate.
Docusign Envelope ID: 882EFBFC-4001-4018-9D0A-D25199E7F9EF
City of Denton, Texas Contract 8766
Standard Agreement for Professional Services
Revised Date: 12/5/18
Page 16 of 16
B. PROFESSIONAL LIABILITY INSURANCE
If CONTRACTOR is a licensed or certified person who renders professional
services, then Professional Liability Insurance to provide coverage against
any claim which the CONTRACTOR becomes legally obligated to pay as
damages arising out of the performance of professional services caused by
any negligent error, omission or act with minimum limits of $1,000,000.00
per claim, $2,000,000.00 annual aggregate.
SUBCONTRACTING LIABILITY
(1) Without limiting any of the other obligations or liabilities of the CONTRACTOR,
the CONTRACTOR shall require each Subcontractor performing work under the
contract, at the Subcontractor's own expense, to maintain during the engagement
with the CITY, types and limits of insurance that are appropriate for the
services/work being performed, comply with all applicable laws and are consistent
with industry standards. The Subcontractor’s liability insurance shall name
CONTRACTOR as an additional insured.
(2) CONTRACTOR shall obtain and monitor the certificates of insurance from each
Subcontractor. CONTRACTOR must retain the certificates of insurance for the
duration of the contract and shall have the responsibility of enforcing insurance
requirements among its subcontractors. The CITY shall be entitled, upon request
and without expense, to receive copies of these certificates.
Docusign Envelope ID: 882EFBFC-4001-4018-9D0A-D25199E7F9EF
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: 882EFBFC-4001-4018-9D0A-D25199E7F9EF
1/30/2025
Gabriel, Roeder, Smith & Company
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: 882EFBFC-4001-4018-9D0A-D25199E7F9EF
Certificate Of Completion
Envelope Id: 882EFBFC-4001-4018-9D0A-D25199E7F9EF Status: Completed
Subject: ***Purchasing Approval***8766 - Actuarial Audit of the Fund PSA
Source Envelope:
Document Pages: 24 Signatures: 6 Envelope Originator:
Certificate Pages: 6 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
1/30/2025 11:27:53 AM
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: 1/30/2025 11:45:42 AM
Viewed: 1/30/2025 11:45:55 AM
Signed: 1/30/2025 11:46:08 AM
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: 1/30/2025 11:46:09 AM
Viewed: 1/30/2025 1:47:01 PM
Signed: 1/30/2025 1:47:13 PM
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: 1/30/2025 1:47:15 PM
Viewed: 1/30/2025 1:53:55 PM
Signed: 1/30/2025 1:56:44 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Daniel J White
Danny.white@grsconsulting.com
Vice President
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 96.46.246.66
Sent: 1/30/2025 1:56:47 PM
Viewed: 1/30/2025 5:14:11 PM
Signed: 1/30/2025 5:16:18 PM
Electronic Record and Signature Disclosure:
Accepted: 1/30/2025 5:14:11 PM
ID: 276d300d-1e86-4a35-8514-f445764800f4
Signer Events Signature Timestamp
Jessica J Williams
jessica.jwilliams@cityofdenton.com
Chief Financial Officer
City of Denton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 104.28.79.147
Signed using mobile
Sent: 1/30/2025 5:16:21 PM
Viewed: 1/30/2025 8:11:48 PM
Signed: 1/30/2025 8:12:25 PM
Electronic Record and Signature Disclosure:
Accepted: 1/30/2025 8:11:48 PM
ID: 1f7e9459-1f23-4f72-b1e2-4127db709f12
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: 1/30/2025 8:12:28 PM
Viewed: 1/31/2025 7:53:11 AM
Signed: 1/31/2025 7:53:21 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: 1/31/2025 7:53:24 AM
Viewed: 1/31/2025 7:53:59 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Vis Bouaphanthavong
vis.bouaphanthavong@cityofdenton.com
Assistant Director of Finance
Security Level: Email, Account Authentication
(None)
Sent: 1/31/2025 7:53:25 AM
Viewed: 1/31/2025 7:53:56 AM
Electronic Record and Signature Disclosure:
Accepted: 1/22/2025 3:15:18 PM
ID: d79c9146-b454-4a62-9580-f75ad8d06a1a
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 1/30/2025 11:45:42 AM
Certified Delivered Security Checked 1/31/2025 7:53:11 AM
Signing Complete Security Checked 1/31/2025 7:53:21 AM
Completed Security Checked 1/31/2025 7:53:25 AM
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: Daniel J White, Jessica J Williams, Vis Bouaphanthavong
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.