Loading...
HomeMy WebLinkAbout7915 - Informal Amendment Executed DocuSign Transmittal Coversheet File Name Purchasing Contact Docusign Envelope ID: CFA77DCA-8589-8792-80F1-47626338F600 Gabby Leeper 7915 Pcard Expense Software RENEWALORDER FORM Emburse, Inc.1701 N Market St Suite 330 Dallas, TX 75202 United States Client Information Client Name:City of Denton Billing Contact:Stephanie Padgett, Shipping Address:215 E Mckinney StDenton, Texas 76201-4229United States Billing Address:PO Box 1713Denton, Texas 76202United States Business Contact:Gabby Leeper Billing Email:stephanie.padgett@cityofdenton.com Business Contact Email:gabby.leeper@cityofdenton.com Billing Phone #:(940) 349-8200 Business Contact Phone #:(940) 349-8200 Tax Exempt: Order Information Offer expiration Date:9/30/2026 Product Suite:Emburse, Inc. Order Form Effective Date:Upon Last Signature Date Below Payment Terms:Net 30 Term Start Date:per Services Ordered table Prepared By:Digital CSM Term End Date:per Services Ordered table Prepared By Email:sfdcdigitalcsm@emburse.com Renewal Term (months):12 Payment method:Customer Portal Auto Renewal: No Currency:USD Billing Frequency:Annually Quote Number:Q-43177 P.O. No. (if applicable)* Terms ofPO that modify this Agreementare rejected \pocheck1\P.O. Number \ponum1\ Services Ordered (subscription-based services) Service Product Metering Period Quantity (Per Metering Period) Unit Rate (Per Metering Period) Subscription Fees (Per Billing Period) Overage Rate Start Date End Date Expense Emburse Expense Professional - Transactional - Metered Annually Annually 4,800 USD 4.33 USD 20,784.00 USD 5.41/ Transaction 9/1/2026 8/31/2027 Travel Travel - Amtrav - Metered Annually Annually 252 USD 11.00 USD 2,772.00 USD 13.75/ Transaction 9/1/2026 8/31/2027 Total USD 23,556.00 Page 1 of 3 Docusign Envelope ID: CFA77DCA-8589-8792-80F1-47626338F600 *Quantity is considered a minimum commitment and unless otherwise indicated on this Order Form are metered monthlyand will be calculated based on a calendar month. **Overages Fees will be calculated based on a calendar month unlessotherwise indicated on this Order Form. Order Form General Terms This Order Form Amendment (the “Amendment”) is entered into as of the effective date set forth above by and between Emburse, Inc. (or one of its wholly owned subsidiaries, if such subsidiary is the named contracting party on this Order Form) and its successors and assigns (“Emburse”), and the Client identified forth above (“Client”) (each a “Party” and collectively “Parties). This Amendment is effective upon the Order Form Effective Date defined above and is governed by the agreement currently in effect between the Parties governing Client's access to and use of the SaaS Services (the "Existing Agreement"). Any capitalized term used in this Amendment and not expressly defined in this Amendment or the initial Order Form will have the meaning specified in the Existing Agreement. Except as expressly modified by this Amendment, the Existing Agreement and applicable Order Forms shall remain in full force and effect. In the event of a conflict between this Amendment and the Existing Agreement or the initial Order Form, including any exhibits thereto, then the terms of this Amendment shall control. Any changes, modifications, revisions or amendments to this Amendment including to its appendices, if any, must be signed by both Parties. The specified Quantity Per Metering Period of SaaS Services is the minimum quantity that the Client is ordering and agrees to pay for through the duration of the Initial Term specified above. Such quantity may not be reduced during the Term of this Order Form except pursuant to a written amendment to this Order Form signed by the Parties. Emburse’s offer and pricing terms are confidential. Client acknowledges that the pricing and other commercial terms set forth in this Order Form are valid through the Expiration Date specified above. If this Order Form is not executed by Client on or before the Expiration Date, Emburse reserves the right to revise such pricing and commercial terms. Travel: Client acknowledges that each travel booking made through a live-agent may be subject to additional fees charged to Client by the applicable travel management company. Any such fees are separate from the fees payable to Emburse under this Agreement and shall be Client's sole responsibility. Page 2 of 3 Docusign Envelope ID: CFA77DCA-8589-8792-80F1-47626338F600 The Parties acknowledge that they have read the Agreement, there is due consideration and that they agree to be boundby its terms.  Each Party has full power and authority to enter into and perform its obligations under the Agreement andthe person signing this Order Form on behalf of each Party has been properly authorized and empowered to enter into thisAgreement. Emburse, Inc.City of Denton Signed: \sig2\ Signed: \sig1\ Name: \name2\ Name: \name1\ Title: \title2\ Title: \title1\ Date: \date2\ Date: \date1\ Legal Notices Contact Emburse, Inc.Client: City of Denton Contact: Emburse Legal Contact: Gabby Leeper Address: 1701 North Market Street, Suite 330, Dallas, TX 75202 USA Address: 215 E Mckinney St Denton, Texas 76201-4229 United States Phone: 323 857 5800 ext. 4705 Phone: (940) 349-8200 Email: legal@emburse.com Email: gabby.leeper@cityofdenton.com Page 3 of 3 Docusign Envelope ID: CFA77DCA-8589-8792-80F1-47626338F600 Senior Buyer Gabby Leeper 9/17/20269/18/2026 VP Gabe Weiss 1 THE STATE OF TEXAS §§COUNTY OF DENTON § FIRST AMENDMENT TO CONTRACTBY AND BETWEEN THE CITY OF DENTON, TEXASAND EMBURSE INC. THIS FIRST AMENDMENT TO CONTRACT 7915 (this “Amendment”) by andbetween the City of Denton, Texas (“City”) and Emburse, Inc. (“Contractor”) to thatcertain contract executed on September 20, 2022, in the original not-to-exceed amount of$120,000 (the “Agreement”); for services related to the PCard Expense Software. WHEREAS, the City deems it necessary to further expand the services providedby Contractor to the City pursuant to the terms of the Agreement, and to provide anadditional not-to-exceed amount $120,000 with this First Amendment for an aggregatenot-to-exceed amount of $30,000; and WHEREAS, this amendment incorporates any previously executed documentsbetween the parties including but not limited to pricing adjustments. WHEREAS, the City deems it necessary to further expand the goods/servicesprovided by Contractor to the City; and WHEREAS, the original not-to-exceed amount may not be increased by more than25.0% as provided in Texas Local Government Code Sec. 252.048; and NOW THEREFORE, the City and Contractor (hereafter collectively referred to as the“Parties”), in consideration of their mutual promises and covenants, as well as for othergood and valuable considerations, do hereby AGREE to the following First Amendment,which amends the following terms and conditions of the said Agreement, to wit: 1. This Amendment modifies the Agreement amount to provide an additional $30,000for additional services and materials to be provided in accordance with the termsof the Agreement with a revised aggregate not-to-exceed total of $150,000. The Parties hereto agree, that except as specifically provided for by this Amendment, thatall of the terms, covenants, conditions, agreements, rights, responsibilities, and obligationsof the Parties, set forth in the Agreement remain in full force and effect. IN WITNESS WHEREOF, the City and the Contractor, have each executed thisAmendment, by and through their respective duly authorized representatives and officerson this date_______________________________________. Docusign Envelope ID: CFA77DCA-8589-8792-80F1-47626338F600 9/17/2026 2 “CONTRACTOR”Emburse Inc. By: _____________________________AUTHORIZED SIGNATURE, TITLE “CITY”CITY OF DENTON, TEXASA Texas Municipal Corporation By: _____________________________ THIS AGREEMENT HAS BEENBOTH REVIEWED AND APPROVEDas to financial and operationalobligations and business terms. _______________ ________________SIGNATURE PRINTED NAME __________________________________TITLE __________________________________DEPARTMENT Docusign Envelope ID: CFA77DCA-8589-8792-80F1-47626338F600 Chief Technology Officer Technology Services Michael Deegan Vp Certificate Of Completion Envelope Id: CFA77DCA-8589-8792-80F1-47626338F600 Status: Completed Subject: ***Purchasing Approval***7915 Pcard Expense Informal Amendment 3 Renewal Source Envelope: Document Pages: 6 Signatures: 5 Envelope Originator: Certificate Pages: 5 Initials: 1 Gabby Leeper AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-06:00) Central Time (US & Canada) 901B Texas Street Denton, TX 76209 Gabby.Leeper@cityofdenton.com IP Address: 198.49.140.10 Record Tracking Status: Original 9/3/2026 9:35:54 AM Holder: Gabby Leeper Gabby.Leeper@cityofdenton.com Location: DocuSign Signer Events Signature Timestamp Gabby Leeper Gabby.Leeper@cityofdenton.com Senior Buyer City of Denton Security Level: Email, Account Authentication (None) Completed Using IP Address: 198.49.140.10 Sent: 9/3/2026 9:44:11 AM Viewed: 9/3/2026 9:45:09 AM Signed: 9/3/2026 9:45:14 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: 9/3/2026 9:45:16 AM Viewed: 9/3/2026 9:50:47 AM Signed: 9/3/2026 9:51:32 AM Electronic Record and Signature Disclosure: Not Offered via Docusign Michael Deegan Michael.Deegan@cityofdenton.com Chief Technology Officer Security Level: Email, Account Authentication (None)Signature Adoption: Pre-selected Style Using IP Address: 198.49.140.10 Sent: 9/16/2026 9:01:51 AM Viewed: 9/16/2026 12:49:36 PM Signed: 9/16/2026 12:50:13 PM Electronic Record and Signature Disclosure: Accepted: 9/16/2026 12:49:36 PM ID: 12f9bb8f-95f1-4fdc-9d46-228d3a60070f Gabby Leeper Gabby.Leeper@cityofdenton.com Senior Buyer City of Denton Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 198.49.140.10 Sent: 9/16/2026 12:50:15 PM Viewed: 9/17/2026 9:20:13 AM Signed: 9/17/2026 9:20:32 AM Electronic Record and Signature Disclosure: Not Offered via Docusign Signer Events Signature Timestamp Gabe Weiss gabe.weiss@emburse.com VP, General Counsel Emburse, Inc. Security Level: Email, Account Authentication (None) Signature Adoption: Drawn on Device Using IP Address: 12.104.110.9 Signed using mobile Sent: 9/3/2026 9:51:33 AM Resent: 9/4/2026 1:30:33 PM Resent: 9/10/2026 9:45:32 AM Resent: 9/15/2026 1:42:13 PM Resent: 9/17/2026 9:20:33 AM Viewed: 9/18/2026 11:34:37 AM Signed: 9/18/2026 11:35:26 AM Electronic Record and Signature Disclosure: Accepted: 9/18/2026 11:34:37 AM ID: d4298f0d-1292-4e2a-92f6-347b636953fb 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: 9/18/2026 11:35:28 AM Electronic Record and Signature Disclosure: Not Offered via Docusign Alvin Moreno Alvin.Moreno@emburse.com Security Level: Email, Account Authentication (None) Sent: 9/18/2026 11:35:28 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 9/3/2026 9:44:11 AM Envelope Updated Security Checked 9/16/2026 9:01:50 AM Envelope Updated Security Checked 9/16/2026 9:01:50 AM Envelope Updated Security Checked 9/16/2026 9:01:50 AM Certified Delivered Security Checked 9/18/2026 11:34:37 AM Signing Complete Security Checked 9/18/2026 11:35:26 AM Completed Security Checked 9/18/2026 11:35:28 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: Michael Deegan, Gabe Weiss 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.