8807 - Contract Executed
DocuSign Transmittal Coversheet
File Name
Purchasing Contact
Docusign Envelope ID: 7058D469-04A7-414C-A383-A58A10BBF9AF
Kayla Clark
8807- Fire Investigation Case Management Software
Blazestack Inc.
3201 Bee Caves Road,
Suite 120 #160266, Austin, Texas 78746
hello@blazestack.com
(866) 303-4344
Last updated: October 10, 2024
SOFTWARE SERVICES ORDER FORM AND SAAS SERVICES AGREEMENT
This Software Services Order Form and SaaS Services Agreement (this “Agreement”) is between Blazestack Inc.,
(“Blazestack”) a Texas corporation with mailing address of 3201 Bee Caves Road, Suite 120 #160266, Austin, Texas
78746, and (“Customer”) identified immediately below.
CUSTOMER INFORMATION
CITY OF DENTON
332 E. Hickory St., Denton, TX 76201
SERVICE, SERVICE LEVEL,
USER-SEATS & CASE
VOLUME
ANNUAL SERVICE FEES
FOR MULTI-YEAR
TERM
EFFECTIVE DATE &
DUE DATE TERMINATION DATE
Fire Investigation
Case Management Software
Platinum Plan
User-Seats: 7
Annual Case Volume: 75
Annual Consults Volume: 75
$7,700 for first 12-month
contract-period, (4/1/25 to
3/31/26)
$8,085 for second 12-month
contract-period, (4/1/26 to
3/31/27)
$8,489 for third 12-month
contract-period, (4/1/27 to
3/31/28)
4/1/25 3/31/28
STANDARD SUPPORT
Blazestack will provide Technical Support to Customer via telephone, electronic mail and online chat Monday through Friday
during the hours of 9:00AM through 5:00PM Central Time, with the exclusion of federal holidays (“Support Hours”).
Customer may initiate a helpdesk ticket during Support Hours by calling (866) 303-4344 or any time by emailing
support@blazestack.com or initiating an online chat session. Blazestack will use commercially reasonable efforts to respond to
all helpdesk tickets within one (1) business day.
STANDARD INFORMATION
Service Fee includes implementation, support, ongoing software patches, and 75 GB of case media storage. (Additional case
media storage capacity can be added at a cost of $250/year per each additional 250 GB. Blazestack will provide notice when
storage capacity reaches 50%.)
This Agreement shall supersede and replace all prior agreements and understandings, oral or written, between the
Blazestack and Customer, and is entered into on the “Effective Date” listed above, between Blazestack and
Customer. This Agreement consists of the above Order Form, as well as the attached Terms and Conditions and
contains, among other things, warranty disclaimers, liability limitations and use limitations. There shall be no force
or effect to any different terms of any related purchase order or similar form provided by Customer.
BLAZESTACK: CUSTOMER:
________________________________ ________________________________
Name: Patrick Vlaskovits Name: Kayla Clark
Title: COO Title: Buyer
Email: pv@blazestack.com Email: kayla.clark@cityofdenton.com
Docusign Envelope ID: 474372B2-0735-4C3B-ADC5-8A267CBEFDC9Docusign Envelope ID: 7058D469-04A7-414C-A383-A58A10BBF9AF
Blazestack Inc.
3201 Bee Caves Road,
Suite 120 #160266,
Austin, Texas 78746
hello@blazestack.com
(866) 303-4344
Last updated: October 10, 2024
TERMS OF SERVICE
These Terms of Service is between Blazestack Inc., a Texas corporation (collectively, “Blazestack”), and the entity
identified on the applicable Order Form (“Customer”). The Agreement is effective as of the date in the applicable
Order Form (“Effective Date”).
1. DEFINITIONS
Capitalized terms have the meanings described in this
section or in the body of the Agreement.
“Agreement” means these Terms of Service and the
relevant Order Form.
“Annual Case Volume” means maximum number of
Cases entered into the system by Customer’s Users
per year.
“Case” means one individual incident at a specific
location.
“Customer Data” means all electronic data or
information that Customer submits to the Service or
is submitted on behalf of Customer as well as all
Generated Data, as defined in Section 2.2, except to
the extent of any data, information, or intellectual
property owned by Blazestack or third-party.
“Order Form” means a Blazestack ordering document
that references these Terms of Service, whether
online or via a separate form.
“Report” means any report, analysis, content, survey,
opinion, photo, technique, hypothesis, finding, study
relating to any fire investigation prepared by
Customer and/or User.
“Service” means Blazestack’s proprietary fire
investigation software accessible through the internet,
that is intended for use in the investigation of fire.
“Term” means the period of Customer’s subscription
to the Service as specified in an Order Form, unless
terminated earlier under Section 7 (Term and
Termination).
“Third-Party Products” means any products or
services not developed by Blazestack.
“User” means a single, unique authorized individual
of the Customer that uses the Service on Customer’s
behalf.
“User-Seat” is a license for one User to use the
Service.
2. SERVICE AND SUPPORT
2.1. Provision of Service. Blazestack shall provide
Customer with access to the Service for the number
of User-Seats specified on the Order Form during the
Term, or if not specified a reasonable number of
Users in the sole discretion of Blazestack.
2.2. Use of Service. Customer shall use the Service
and the data generated by the Service (“Generated
Data”) only for fire investigation purposes.
2.3. System Requirements. Customer shall meet the
minimum system requirements for access to the
Service, currently set forth at the end of this
Agreement but subject to change by Blazestack on a
reasonable basis. Blazestack shall provide written
notification to Customer for any changes to the
minimum system requirements.
2.4. Intentionally Omitted.
3. RESPONSIBILITES AND RESTRICTIONS
3.1. Blazestack Responsibilities. Blazestack shall: (i)
provide Customer with access to the Service in
accordance with this Agreement and all applicable
laws; and (ii) provide the Service with a minimum of
99.0% Uptime during any calendar month, except
Blazestack shall have 2 business days to restore
availability after any downtime. “Uptime” means the
availability of the Service, excluding lack of
availability due to Customer or third-party causes,
downtime for maintenance, or a Force Majeure
Event; (iii) take all reasonable protective efforts
related to Customer Data when in the care of
Blazestack including encryption when possible; and
(iv) provide notice within one business day of any
breach that could directly or indirectly affect
Customer Data.
Docusign Envelope ID: 474372B2-0735-4C3B-ADC5-8A267CBEFDC9Docusign Envelope ID: 7058D469-04A7-414C-A383-A58A10BBF9AF
Blazestack Inc.
3201 Bee Caves Road,
Suite 120 #160266,
Austin, Texas 78746
hello@blazestack.com
(866) 303-4344
Last updated: October 10, 2024
3.2. Customer Responsibilities. Customer shall: (i)
use the Service in accordance with this Agreement
and applicable laws; (ii) cooperate with Blazestack so
that Blazestack can provide the Service; (iii) ensure
Users to comply with this Agreement; (iv) prevent
unauthorized access or use of the Service and
promptly notify Blazestack if Customer discovers or
reasonably believes any unauthorized access or use
has occurred; (v) be responsible for the Customer
Data including the accuracy, completeness, and
legality of the Customer Data; (vi) create Reports in
accordance with industry standards; (vii) ensure that
any firewalls or other security measures are properly
configured to allow Blazestack internet traffic on the
necessary IP addresses and ports and; (viii) facilitate
Users’ access to *.blazestack.com domains and
ability to receive emails from *@blazestack.com
email addresses, and calibrate any ad blockers, pop-
up blockers, content filters, or any other technologies
that may interfere with Blazestack security or User
usability, in order to enable proper functioning and
delivery of the Service. Furthermore, the Customer is
responsible for the results of the use of the Service,
including any and all Reports, and hereby
acknowledges to the Blazestack that (a) Customer is
solely responsible for any such use of Report and (b)
the Blazestack is not certifying or validating any
portion of the Report.
3.3 Restrictions. Only Users may use the Service and
only with the account credentials issued to that User
by the Customer. Users may not share their account
credentials. Customer shall not knowingly, and shall
not knowingly permit any third party to: (i) use the
Service except as expressly authorized under this
Agreement; (ii) interfere with or disrupt the integrity
or performance of the Service; (iii) rent, lease, lend,
sell, sublicense, assign, distribute, publish, transfer or
otherwise make the Service available; (iv) remove
any title, trademark, copyright, or restricted rights
notices or labels from the Service; (v) modify or
create a derivative work of the Service or any portion
of the Service; (vi) reverse engineer, disassemble,
decompile, decode, adapt or otherwise attempt to
derive or gain access to the source code, object code
or underlying structure or algorithms of the Service;
(vii) access or attempt to access or use the Services
for purposes of competitive analysis of the Services
or the development, provision, or use of a competing
software service or product; or (viii) copy, record,
screenshot, or otherwise capture any aspect of the
Service in any medium without the prior written
consent of Blazestack.
4. FEES
4.1. Fees. Customer shall pay all fees specified in all
Order Forms (“Fees”). Fees are quoted and payable
in United States dollars and are non-refundable,
except as described in Section 7 (Term and
Termination). Acceptable forms of payment are
limited to credit card, ACH, wire transfers and
physical check, provided that Blazestack may change
acceptable forms of payment upon thirty (30) days’
notice to the Customer. User-Seats purchased but not
utilized during the Term are not eligible for refunds.
4.2. Taxes. Fees are exclusive of all taxes, including
any applicable sales, excise, or use taxes (“Taxes”).
If Customer is exempt from paying Taxes, Customer
shall provide Blazestack with a valid tax exemption
certificate.
4.3. Invoicing and Payment. Blazestack shall invoice
Customer according to the terms on the Order Form.
Unless the Order Form states otherwise, Fees are due
within 30 days receipt of invoice (the “Due Date”).
Customer shall provide Blazestack with complete and
accurate billing and contact information and
promptly notify Blazestack of any changes
throughout the Term.
4.4. Overdue Fees. If Blazestack does not receive all
Fees by the applicable Due Date, Blazestack may
charge a late fee on the unpaid balance at the lesser of
1.5% per month or the maximum lawful rate, starting
from the date the payment was due until the date
paid. Customer shall also reimburse Blazestack for
all reasonable costs incurred in collecting any
amounts not paid when due, including any attorneys’
fees. Blazestack reserves all rights and available
remedies to collect overdue Fees from Customer,
including but not limited to suspending Customer’s
access to the Service until all Fees are paid.
5. CONFIDENTIALITY
Docusign Envelope ID: 474372B2-0735-4C3B-ADC5-8A267CBEFDC9Docusign Envelope ID: 7058D469-04A7-414C-A383-A58A10BBF9AF
Blazestack Inc.
3201 Bee Caves Road,
Suite 120 #160266,
Austin, Texas 78746
hello@blazestack.com
(866) 303-4344
Last updated: October 10, 2024
5.1. Definition. “Confidential Information” means
written information that is clearly marked as
Confidential
Blazestack Confidential Information includes, but is
not limited to, information pertaining to the features,
functionality, any testing, and performance of the
Service, pricing, and Feedback, provided such
information is clearly marked as confidential.
Confidential Information does not include
information that: (i) is now or becomes generally
known or available to the public without breach of
this Agreement by the receiving party (the
“Recipient”); (ii) was acquired by the Recipient
without restriction on its use or disclosure before the
information was received from the disclosing party
(the “Discloser”); (iii) is obtained by the Recipient
without restriction on its use or disclosure from a
third party authorized to make the disclosure; or (iv)
is independently developed by the Recipient without
using or referring to the Discloser’s Confidential
Information.
5.2. Protection of Confidential Information. The
Recipient may only use the Discloser’s Confidential
Information in relation to this Agreement. The
Recipient shall maintain the confidentiality of the
Discloser’s Confidential Information with at least the
same degree of care that it uses to protect its own
confidential and proprietary information (including
but not limited to maintaining reasonable
administrative, physical, and technical safeguards)
and no less than a reasonable degree of care. Each
party has the right to seek an injunction (without
having to post a bond) to prevent any breach or
continued breach of this section.
5.3. Compelled Disclosure. If the Recipient is
required by law or a valid court or government order
to disclose any of the Discloser’s Confidential
Information, then (to the extent permitted under law)
the Recipient shall promptly notify the Discloser in
writing of the required disclosure so that the
Discloser may seek to protect its Confidential
Information. The Recipient shall cooperate with the
Discloser in seeking such protection. Blazestack
acknowledges that the Customer must strictly comply
with the Public Information Act, Chapter 552, Texas
Government Code in responding to any request for
public information related to this Agreement. This
obligation supersedes any conflicting provisions of
this Agreement. Any portions of such material
claimed by Blazestack to be proprietary must be
clearly marked as such. Determination of the public
nature of the material is subject to the Texas Public
Information Act, chapter 552, and Texas Government
Code.
6. PROPRIETARY RIGHTS
6.1. Customer Ownership and Licenses. Customer
owns all rights, title and interest in and to Customer
Data and Reports. During the Term, Customer grants
Blazestack a worldwide, non-exclusive, royalty-free,
non-sublicensable (except as needed to provide the
Service), non-transferable (except as described in
Section 11.5 (Assignment) right to access and use the
Customer Data to provide the Service to Customer
and to monitor and improve the Service. Customer
shall back up Customer Data during the Term and
may not have access to the Customer Data via the
Service after the Term.
6.2. De-Identified Data. Blazestack may collect,
develop, create, extract, compile, synthesize, analyze
and commercialize statistics, benchmarks, measures
and other information based on Aggregated Data
(collectively, “De-Identified Data”). De-Identified
Data will be owned solely by Blazestack and may be
used for any lawful business purpose. “Aggregated
Data” means Customer Data that is: (i) anonymized
and not identifiable to any person or entity; (ii)
combined with the data of other customers or
additional data sources; and (iii) presented in a way
which does not reveal Customer’s identity.
6.3. Feedback. If Customer provides Feedback,
Customer grants to Blazestack sole and exclusive
ownership of all intellectual property rights to any
Feedback and results of the implementation or any
such Feedback. “Feedback” means recommendations,
suggestions, enhancement requests or any ideas,
technology, developments, derivative works, or other
intellectual property related to the Service or
Blazestack.
6.4. Reservation of Rights. Blazestack and its
licensors reserve all right, title and interest in and to
the Service, including all related intellectual property
Docusign Envelope ID: 474372B2-0735-4C3B-ADC5-8A267CBEFDC9Docusign Envelope ID: 7058D469-04A7-414C-A383-A58A10BBF9AF
Blazestack Inc.
3201 Bee Caves Road,
Suite 120 #160266,
Austin, Texas 78746
hello@blazestack.com
(866) 303-4344
Last updated: October 10, 2024
rights, subject to the limited rights expressly granted
in this Agreement. No other rights are granted to
Customer by this Agreement.
7. TERM AND TERMINATION
7.1. Term. The Term begins on the Effective Date
and ends on the Termination Date. “Termination
Date” means the earlier date of: (i) the expiration or
termination of all Order Forms under this Agreement;
or (ii) termination of this Agreement under this
section.
7.2. DELETED INTENTIONALLY
7.3. Termination for Cause. A party may terminate
this Agreement or any applicable Order Form: (i) if
the other party is in material breach of this
Agreement and fails to cure the breach within 30
days of receiving written notice from the non-
breaching party; or (ii) if the other party becomes the
subject of a petition in bankruptcy or any proceeding
relating to insolvency, receivership, liquidation or
assignment for the benefit of creditors. If Customer
terminates due to Blazestack’s breach, Customer’s
exclusive remedy is a pro-rata reimbursement of
prepaid Fees covering the remainder of the Term
after the Termination Date. If Blazestack terminates
due to Customer’s breach, Customer will pay any
unpaid Fees covering the remainder of the Term after
the Termination Date. Termination under this section
will not relieve Customer of its obligation to pay any
Fees owed for the period prior to the Termination
Date.
8. WARRANTIES AND DISCLAIMERS;
8.1. Mutual Warranties. Each party represents that it:
(i) has the legal power to enter into this Agreement;
(ii) will comply with all applicable laws in
relationship to the provision and use of the Service
during the Term; and (iii) will use reasonable efforts
to avoid transmitting to the other party any harmful
or malicious code, files, scripts, agents or programs.
8.2. Warranty Disclaimer. Blazestack does not make
any representations that the functions performed by
the Service will meet all of Customer’s requirements,
that the operation of the Service will be uninterrupted
or error free, that all defects in the Service will be
corrected, or that the Service will be available in all
languages or all countries.
THE SERVICE IS PROVIDED “AS IS.” EXCEPT
AS EXPRESSLY PROVIDED HEREIN,
BLAZESTACK MAKES NO WARRANTIES OF
ANY KIND, WHETHER EXPRESS, IMPLIED,
STATUTORY OR OTHERWISE, AND
SPECIFICALLY DISCLAIMS ALL IMPLIED
WARRANTIES, INCLUDING BUT NOT LIMITED
TO ANY WARRANTIES OF
MERCHANTABILITY, NON-INFRINGEMENT
OR FITNESS FOR A PARTICULAR PURPOSE,
TO THE MAXIMUM EXTENT PERMITTED BY
APPLICABLE LAW. SPECIFICALLY, THIRD
PARTY CONTENT AND TEST FEATURES ARE
PROVIDED “AS IS,” EXCLUSIVE OF ANY
WARRANTY. EACH PARTY DISCLAIMS ALL
LIABILITY AND INDEMNIFICATION
OBLIGATIONS FOR ANY HARM OR DAMAGES
CAUSED BY ANY THIRD-PARTY
NETWORKING OR HOSTING PROVIDERS OR
THIRD-PARTY PRODUCTS.
8.3 Indemnification Intentionally Omitted
9. LIMITATION OF LIABILITY
9.1 Limitation of Liability. IN NO EVENT WILL
EITHER PARTY’S AGGREGATE LIABILITY
ARISING OUT OF OR RELATED TO THIS
AGREEMENT, WHETHER IN CONTRACT,
TORT OR UNDER ANY OTHER THEORY OF
LIABILITY, EXCEED THE TOTAL AMOUNT
PAID BY CUSTOMER HEREUNDER IN THE 12
MONTHS PRECEDING THE INCIDENT GIVING
RISE TO THE LIABILITY. THE FOREGOING
LIMITATIONS WILL NOT APPLY TO
CUSTOMER’S PAYMENT OBLIGATIONS OR
CUSTOMER’S WILLFUL MISCONDUCT,
FRAUD, NEGLIGENCE, OR INDEMNIFICATION
OBLIGATIONS.
9.2. Exclusion of Consequential and Related
Damages. IN NO EVENT WILL EITHER PARTY
HAVE ANY LIABILITY TO THE OTHER PARTY
FOR ANY LOST PROFITS OR REVENUES OR
FOR ANY OTHER CONSEQUENTIAL,
INCIDENTAL, INDIRECT, SPECIAL, COVER OR
PUNITIVE DAMAGES, HOWEVER CAUSED,
Docusign Envelope ID: 474372B2-0735-4C3B-ADC5-8A267CBEFDC9Docusign Envelope ID: 7058D469-04A7-414C-A383-A58A10BBF9AF
Blazestack Inc.
3201 Bee Caves Road,
Suite 120 #160266,
Austin, Texas 78746
hello@blazestack.com
(866) 303-4344
Last updated: October 10, 2024
WHETHER IN CONTRACT, TORT OR UNDER
ANY OTHER THEORY OF LIABILITY, AND
WHETHER THE PARTY HAS BEEN ADVISED
OF THE POSSIBILITY OF SUCH DAMAGES.
THE FOREGOING WILL NOT APPLY TO THE
EXTENT PROHIBITED BY APPLICABLE LAW.
10. US. GOVERNMENT MATTERS
10.1. Terms for U.S. Government Customers. This
section applies only to Customers that are U.S.
government entities subject to the cited regulations
(“U.S. Government Customers”). The Service is a
“commercial item” (as defined in 48 C.F.R. 2.101)
and involves the use of “commercial computer
software” and “commercial computer software
documentation” (as used in 48 C.F.R. 12.212). All
U.S. Government Customers acquire subscriptions to
the Service only as a “commercial item” and only
with those rights that are granted to all other end-
users pursuant to the terms and conditions of this
Agreement, consistent with 48 C.F.R. 12.212 and 48
C.F.R. 227.72021 through 227.72024.
11. GENERAL TERMS
11.1. Dispute Resolution; Governing Law; Forum.
The parties shall first attempt to resolve any dispute
through mediation. The parties shall jointly select a
mediator and shall participate in good faith in the
mediation process. The costs of the mediation
process shall be shared equally by the parties. The
mediation shall take place through virtual/online
mediation if agreed upon by both parties. If the
dispute is not resolved through mediation within 90
days from receipt by one party of the initial notice of
the dispute from the other party, either party may
proceed to court to seek resolution. Each party
waives its right to a jury trial. The laws of the State of
Texas govern this Agreement excluding that State’s
choice-of-law provisions. Venue for any disputes that
proceed to legal action shall take place in Denton
County, Texas.
11.2. Notices. Notices under this Agreement must be
in writing and will be considered given upon: (i)
delivery by traceable courier or mail (delivery
confirmation/ return receipt requested); or (ii) the
second business day after sending by email. Notices
to Blazestack should be sent to
notice@blazestack.com. Billing notices and notices
relating to this Agreement will be sent to the contacts
designated by Customer on the Order Form.
11.3. Customer References. During the Term,
Blazestack may include Customer’s name, logo and
success stories in Blazestack’s website, press
releases, promotional and sales literature, and lists of
customers.
11.4. Force Majeure. Neither party will be
responsible for failure or delay of performance if
caused by an event outside the reasonable control of
the obligated party, including but not limited to an
electrical, internet, or telecommunication change or
outage not caused by the obligated party; government
restrictions; or illegal acts of third parties (“Force
Majeure Event”). Each party will use reasonable
efforts to mitigate the effect of a Force Majeure
Event. Blazestack shall notify the City of Denton
Procurement Manager by telephone (to be confirmed
in writing within five (5) calendar days of the
inception of such occurrence) and describe at a
reasonable level of detail the circumstances causing
the non-performance or delay in performance.
11.5. Assignment. Neither party may assign any of its
rights or obligations under this Agreement without
the other party’s prior written consent (not to be
unreasonably withheld), except either party may
assign this Agreement in its entirety without the other
party’s consent to its affiliate or as part of a merger,
acquisition, corporate reorganization, or sale of all or
substantially of all its assets. Blazestack shall
promptly provide written notification of assignment
to Customer.
11.6. Relationship of the Parties. The parties are
independent contractors. This Agreement does not
create a partnership, franchise, joint venture, agency,
fiduciary or employment relationship between the
parties.
11.7. Waiver. No failure or delay by either party to
exercise any right under this Agreement will
constitute a waiver of that right, unless expressly
stated in this Agreement.
11.8. Severability. If any provision of this Agreement
is held by a court of competent jurisdiction to be
Docusign Envelope ID: 474372B2-0735-4C3B-ADC5-8A267CBEFDC9Docusign Envelope ID: 7058D469-04A7-414C-A383-A58A10BBF9AF
Blazestack Inc.
3201 Bee Caves Road,
Suite 120 #160266,
Austin, Texas 78746
hello@blazestack.com
(866) 303-4344
Last updated: October 10, 2024
invalid or unenforceable, the provision will be
modified to the minimum extent necessary to make it
enforceable. The provision will be disregarded only if
such modification is not possible or is prohibited by
law. The remaining provisions of this Agreement will
remain in effect.
11.9. Order of Precedence. If there is a conflict or
inconsistency between any Order Form, Statement of
Work, Exhibit, and this Agreement, the order of
precedence shall be: (i) Order Form, (ii) Statement of
Work, (iii) an Exhibit, and (iv) this Agreement.
11.10 Entire Agreement; Amendment. This
Agreement, including the Software Services Order
Form, constitutes the entire agreement between the
parties with respect to the subject matter set forth
herein, and supersedes all prior and contemporaneous
agreements, proposals, or representations, written or
oral, concerning its subject matter. No terms,
provisions, or conditions of any purchase order,
acknowledgement, addendum, rider, check, or other
business form that Customer may use in connection
with the acquisition or licensing of the Service or
Software will have any effect on the rights, duties, or
obligations of the parties under this Agreement,
regardless of any failure of Blazestack to object to
such terms, provisions, or conditions.
As used in this Agreement, the terms “including,”
“include,” and “includes” are not limiting and shall
be deemed to be followed by the phrase “without
limitation.” Use of the terms “hereunder,” “herein,”
“hereby,” and similar terms refer to this Agreement.
No modification, amendment, or waiver of any
provision of this Agreement shall be effective unless
in writing and signed by both parties hereto.
11.11. Headings. Headings are for reference only and
do not affect the meaning or interpretation of this
Agreement.
11.12. Counterparts. This Agreement may be
executed in one or more counterparts. Each
counterpart is an original. All counterparts together
form one document.
11.13. System Requirements. Customer shall meet
the minimum system requirements for access to the
Service
• Google Chrome™: Version 97 to most
Current
• Microsoft® Edge®: Version 96 to most
Current
• Mozilla® Firefox®: Version 96 to most
Current
• Apple® Safari®: Version 15 to most
Current
Docusign Envelope ID: 474372B2-0735-4C3B-ADC5-8A267CBEFDC9Docusign Envelope ID: 7058D469-04A7-414C-A383-A58A10BBF9AF
CONFLICT OF INTEREST QUESTIONNAIRE
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).
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
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 176.001(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: 7058D469-04A7-414C-A383-A58A10BBF9AF
Blazestack Inc.
X
5/12/2025
NA
Certificate Of Completion
Envelope Id: 7058D469-04A7-414C-A383-A58A10BBF9AF Status: Completed
Subject: ***Purchasing Approval*** 8807- Fire Investigation Case Management Software
Source Envelope:
Document Pages: 9 Signatures: 2 Envelope Originator:
Certificate Pages: 5 Initials: 3 Kayla Clark
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
901B Texas Street
Denton, TX 76209
kayla.clark@cityofdenton.com
IP Address: 198.49.140.10
Record Tracking
Status: Original
5/12/2025 11:08:48 AM
Holder: Kayla Clark
kayla.clark@cityofdenton.com
Location: DocuSign
Signer Events Signature Timestamp
Kayla Clark
kayla.clark@cityofdenton.com
Buyer
City of Denton
Security Level: Email, Account Authentication
(None)
Completed
Using IP Address: 198.49.140.10
Sent: 5/12/2025 11:10:56 AM
Viewed: 5/12/2025 11:11:25 AM
Signed: 5/12/2025 11:11:30 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: 198.49.140.104
Sent: 5/12/2025 11:11:31 AM
Viewed: 5/12/2025 11:33:54 AM
Signed: 5/12/2025 11:34:38 AM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Marcella Lunn
marcella.lunn@cityofdenton.com
Senior Deputy City Attorney
City of Denton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 198.49.140.10
Sent: 5/12/2025 11:34:39 AM
Viewed: 5/12/2025 11:55:31 AM
Signed: 5/12/2025 11:57:52 AM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Patrick Vlaskovits
pv@blazestack.com
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 72.177.89.205
Sent: 5/12/2025 11:57:53 AM
Viewed: 5/12/2025 2:00:03 PM
Signed: 5/12/2025 2:00:51 PM
Electronic Record and Signature Disclosure:
Accepted: 5/12/2025 2:00:03 PM
ID: a88d5a58-bc0f-4600-9828-4f70ebeec215
Signer Events Signature Timestamp
Kenneth Hedges
Kenneth.Hedges@cityofdenton.com
Fire Chief
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 198.49.140.10
Sent: 5/12/2025 2:00:53 PM
Viewed: 5/13/2025 5:48:12 AM
Signed: 5/13/2025 5:48:25 AM
Electronic Record and Signature Disclosure:
Accepted: 5/13/2025 5:48:12 AM
ID: 9d8ee19d-2204-4821-9b30-46765ee1941e
Kayla Clark
kayla.clark@cityofdenton.com
Buyer
City of Denton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 198.49.140.104
Sent: 5/13/2025 5:48:27 AM
Viewed: 5/13/2025 6:08:08 AM
Signed: 5/13/2025 6:08:13 AM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Cheyenne Defee
cheyenne.defee@cityofdenton.com
Procurement Administration Supervisor
City of Denton
Security Level: Email, Account Authentication
(None)
Sent: 5/13/2025 6:08:15 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 5/12/2025 11:10:56 AM
Certified Delivered Security Checked 5/13/2025 6:08:08 AM
Signing Complete Security Checked 5/13/2025 6:08:13 AM
Completed Security Checked 5/13/2025 6:08:15 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
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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 1:59:03 PM
Parties agreed to: Patrick Vlaskovits, Kenneth Hedges
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.