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8940 - Contract Executed Docusign City Council Transmittal Coversheet File Name Purchasing Contact City Council Target Date Piggy Back Option Contract Expiration Ordinance Docusign Envelope ID: 2AB1D473-18F7-43F8-AEA6-482A2E0E99DC PSA No 8940 Christina Dormady Recovery Services - Vehicle DECEMBER 16, 2025 DECEMBER 16, 2026 25-2235 Pilot Program - Terms of Service (“TOS”) Partfes: This Agreement is between Alternatfve Claims Management, LLC (“ACM”) and the undersigned client (“Client”). Effectfve Date: _______________ 1. Services and Recovery Share: ACM will provide damage recovery services for vehicle-related losses, including loss of use, revenue, and value, in accordance with this Agreement. For services rendered, ACM will receive a performance-based Recovery Share as outlined in Exhibit A. 2. Notfce of Representatfon: Exhibit B authorizes ACM to act on Client’s behalf on claims submitted to ACM for damage recovery, with Client’s approval required for settlements below original estfmate costs. 3. Claims Processing: Partfes agree to cooperate, provide necessary informatfon, and facilitate tfmely access to decision-makers. Client submits eligible claims with supportfng documents. Client certffies all informatfon is accurate and complete to its knowledge. ACM reserves the right to reject claims for any reason, including conflictfng submissions or legal disputes. ACM may close claims due to Client fault, legal proceedings, or disputes by the at-fault party. 4. Debt Collectfon: ACM is not a debt collector but can refer claims to licensed collectors upon Client’s request. 5. Term and Terminatfon: This is a Pilot Program TOS effectfve for 364 days, at the end of which it may be renewed only upon request by Client, unless it is terminated. ACM may complete processing untfl closed for any claims received from Client. Either party may terminate with written notice at any time, and for the avoidance of doubt, Client is not obligated to continue to send claims and may stop sending claims at any time. 6. Data Security and Compliance: ACM will maintain security measures to protect Client’s informatfon and notffy Client of any data breaches. ACM will comply with applicable laws. 7. Relatfonship: The Partfes are independent contractors. This Agreement does not create an agency or joint venture. 8. Indemnificatfon and Limitatfon of Liability: To the extent permitted by law ACM will indemnify the Client for losses resultfng from ACM’s actfons under this Agreement, except where caused by the Client. Neither Party is liable for indirect, incidental, or consequentfal damages. 9. Insurance: ACM shall provide proof of the following insurance coverages upon Client's request and shall notffy Client of any material changes, cancellatfons, or renewals during the term of the Agreement. ACM will maintain insurance coverages as specified with per claim/occurrence and in aggregate limits of: a. Professional Liability: $2,000,000. b. Workers’ Compensatfon: $1,000,000. c. Commercial General Liability: $1,000,000. d. Cyber Liability: $1,000,000. e. Automobile Liability (Any Auto): $2,000,000 and $10,000 for Personal Injury Protectfon (PIP). 10. Entfre Agreement: This Agreement supersedes all prior agreements and may only be modified in writfng by both Partfes. 11. Assignment: Neither Party may assign this Agreement without the other’s consent. 12. Dispute Resolutfon: Partfes agree to resolve disputes informally before pursuing formal legal actfon. 13. Governing Law: This Agreement is governed by the laws of Denton County, TX (County, State). 14. Antf-Discriminatfon: ACM does not discriminate based on any legally protected characteristfcs. 15. Waiver of Jury Trial: Both Partfes waive the right to a jury trial for disputes related to this Agreement. ALTERNATIVE CLAIMS MANAGEMENT, LLC 8610 N New Braunfels Ave #210, San Antonio, TX 78217 Steve Battista VP of Sales Signature: ______________________________________ Client: __________________________________________ Address: ________________________________________ Name: _________________________________________ Title: ___________________________________________ Signature: ______________________________________ IN WITNESS THEREOF, the partfes have caused this Agreement to be executed by their duly authorized representatfves as of the day and year first written above. Docusign Envelope ID: 2AB1D473-18F7-43F8-AEA6-482A2E0E99DC 12/16/2025 215 E. McKinney St. Denton, TX 76201 Sara Hensley City of Denton City Manager ACM AE: __________________ Alternatfve Claims Management, LLC Page 1 of 3 EXHIBIT A: RECOVERY SHARE ACM operates on a performance-based model, with no set-up, monthly, annual, or per-file fees. ACM deducts a “Recovery Share” from proceeds, contfngent on successful recovery. Recovery may vary due to factors beyond ACM's control, such as policy limits, liability, or missing documents. As pay for performance, Client agrees to share recovery proceeds with ACM for both new and dormant claims. “New claims” have not been processed before. “Dormant claims” are past claims (older than 12 months) and may or may not have been processed for physical damage before. Recovery line items may include the following. Recovery share to ACM is denoted below. Item New Claims to ACM Dormant Claims to ACM Physical Damage: Recovery based on the final repair invoice or body shop estfmate, less direct claim expenses (e.g., appraisals, vehicle reports, police reports). 0% 25% Physical Damage (Photoscopes Only): Recovery from third-party appraiser estfmates based on photographs, reducing downtfme and labor. 25% 25% Loss of Use: Rental value for a replacement vehicle during repairs. 50% 50% Loss of Revenue: Lost income while the vehicle is out of service, based on the prior 90 days of income. Inherent Diminution of Value: Difference in the vehicle's Actual Cash Value (ACV) before and after repairs. Repair Related Diminution of Value: Difference between the actual repair invoice and an OEM-compliant estfmate. Recovered Fees (Charged to Carrier): Administratfon or sanitatfon fees paid by the atiault party's insurer. Total Loss (Amount Over Valuation): Difference between the ACV and valuatfon method (e.g., loan value, wholesale, or depreciated value). Other Property Damage: Recovery for non-vehicle property damages related to the event, such as signs, buildings, towing, storage. 10% 10% Docusign Envelope ID: 2AB1D473-18F7-43F8-AEA6-482A2E0E99DC Alternatfve Claims Management, LLC Page 2 of 3 NOTICE OF REPRESENTATION To Whom It May Concern: Alternatfve Claims Management, LLC ("ACM") has been engaged by the undersigned ("Client") as Client’s agent to process and recover claims for damages caused by an at-fault third-party. This includes, but is not limited to, vehicle physical damage, loss of use, loss of revenue, repair downtfme, diminutfon of value, administratfve fees, and related property damage. Client authorizes ACM to contact responsible partfes, their agents, or insurers on their behalf to gather necessary informatfon and pursue recoverable damages. ACM is authorized to represent, negotfate, and settle claims as directed by Client. ACM may sign and/or endorse related documents, drafts, or settlement checks when related to the claim. This Notfce of Representatfon applies to claims with dates of loss both prior to and after the date below. Sincerely, Client: __________________________________________ Name: _________________________________________ Title: ___________________________________________ Signature: ______________________________________ Date: __________________________________________ Docusign Envelope ID: 2AB1D473-18F7-43F8-AEA6-482A2E0E99DC City of Denton City Manager 12/17/2025 Sara Hensley IN WITNESS WHEREOF, the parties of these presents have executed this agreement in the year and ay first above written. THIS AGREEMENT HAS BEEN BOTH REVIEWED AND APPROVED as to financial and operational obligations and business terms. _______________ ________________ SIGNATURE PRINTED NAME __________________________________ TITLE __________________________________ DEPARTMENT ATTEST: INGRID REX, CITY SECRETARY BY: _______________________________ APPROVED AS TO LEGAL FORM: MACK REINWAND, CITY ATTORNEY BY: _______________________________ Docusign Envelope ID: 2AB1D473-18F7-43F8-AEA6-482A2E0E99DC Human Resources Megan Gilbreath HR Director 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: 2AB1D473-18F7-43F8-AEA6-482A2E0E99DC Alternative Claims Management, LLC X X X X 11/21/2025 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: 2AB1D473-18F7-43F8-AEA6-482A2E0E99DC Certificate Of Completion Envelope Id: 2AB1D473-18F7-43F8-AEA6-482A2E0E99DC Status: Completed Subject: Please DocuSign: City Council Contract 8940 Recovery Services - Vehicle Source Envelope: Document Pages: 7 Signatures: 7 Envelope Originator: Certificate Pages: 6 Initials: 3 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: 198.49.140.10 Record Tracking Status: Original 11/20/2025 4:32:29 PM Holder: Christina Dormady christina.dormady@cityofdenton.com Location: DocuSign Signer Events Signature Timestamp Christina Dormady christina.dormady@cityofdenton.com Buyer City of Denton Security Level: Email, Account Authentication (None) Completed Using IP Address: 198.49.140.10 Sent: 11/20/2025 4:40:29 PM Viewed: 11/20/2025 4:40:38 PM Signed: 11/20/2025 4:41:22 PM Electronic Record and Signature Disclosure: Not Offered via Docusign Lori Hewell lori.hewell@cityofdenton.com Purchasing Manager City of Denton Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 47.186.215.183 Signed using mobile Sent: 11/20/2025 4:41:25 PM Viewed: 11/20/2025 6:25:05 PM Signed: 11/20/2025 6:25:35 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: 2600:6c56:7f00:dc2:6d94:2382:b3b7:27d4 Sent: 11/20/2025 6:25:37 PM Viewed: 11/20/2025 9:06:40 PM Signed: 11/20/2025 9:07:29 PM Electronic Record and Signature Disclosure: Not Offered via Docusign Steve Battista sbattista@altclaim.com Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 69.109.236.105 Sent: 11/20/2025 9:07:33 PM Resent: 11/21/2025 8:48:56 AM Viewed: 11/21/2025 9:43:32 AM Signed: 11/21/2025 9:45:26 AM Electronic Record and Signature Disclosure: Accepted: 11/21/2025 5:45:27 AM ID: 7a671fbf-865a-401b-8e9c-b969f6b96d8e Signer Events Signature Timestamp Megan Gilbreath Megan.gilbreath@cityofdenton.com HR Director City of Denton - Human Resources Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 198.49.140.104 Sent: 11/21/2025 9:45:28 AM Viewed: 11/21/2025 9:59:03 AM Signed: 11/21/2025 9:59:12 AM Electronic Record and Signature Disclosure: Not Offered via Docusign Cheyenne Defee cheyenne.defee@cityofdenton.com Procurement Administration Supervisor City of Denton Security Level: Email, Account Authentication (None) Completed Using IP Address: 198.49.140.10 Sent: 11/21/2025 9:59:15 AM Viewed: 12/17/2025 10:17:13 AM Signed: 12/17/2025 10:17:37 AM Electronic Record and Signature Disclosure: Not Offered via Docusign Sara Hensley sara.hensley@cityofdenton.com City Manager City of Denton Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 198.49.140.10 Sent: 12/17/2025 10:17:40 AM Resent: 12/17/2025 1:11:00 PM Viewed: 12/17/2025 1:25:25 PM Signed: 12/17/2025 1:25:51 PM Electronic Record and Signature Disclosure: Not Offered via Docusign Ingrid Rex Ingrid.Rex@cityofdenton.com Deputy City Secretary Security Level: Email, Account Authentication (None)Signature Adoption: Pre-selected Style Using IP Address: 198.49.140.10 Sent: 12/17/2025 1:25:54 PM Resent: 12/19/2025 8:19:54 AM Resent: 12/19/2025 8:20:14 AM Viewed: 12/19/2025 11:29:29 AM Signed: 12/19/2025 11:29:59 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: 11/20/2025 4:41:25 PM Electronic Record and Signature Disclosure: Not Offered via Docusign Carbon Copy Events Status Timestamp Gretna Jones gretna.jones@cityofdenton.com Legal Secretary City of Denton Security Level: Email, Account Authentication (None) Sent: 11/21/2025 9:59:15 AM Viewed: 11/21/2025 4:42:12 PM Electronic Record and Signature Disclosure: Not Offered via Docusign City Secretary Office citysecretary@cityofdenton.com Security Level: Email, Account Authentication (None) Sent: 12/19/2025 11:30:02 AM Electronic Record and Signature Disclosure: Not Offered via Docusign Tiffany Harris tiffany.harris@cityofdenton.com Risk Supervisor Security Level: Email, Account Authentication (None) Sent: 12/19/2025 11:30:03 AM Electronic Record and Signature Disclosure: Not Offered via Docusign Michael Childress MChildress@AltClaim.com Security Level: Email, Account Authentication (None) Sent: 12/19/2025 11:30:05 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 11/20/2025 4:40:29 PM Envelope Updated Security Checked 11/20/2025 4:43:21 PM Envelope Updated Security Checked 11/20/2025 4:43:22 PM Envelope Updated Security Checked 12/17/2025 10:43:04 AM Certified Delivered Security Checked 12/19/2025 11:29:29 AM Signing Complete Security Checked 12/19/2025 11:29:59 AM Completed Security Checked 12/19/2025 11:30:05 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. 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