6180 - Electronics Recycling Contract - Executed
Docusign City Council Transmittal Coversheet
File Name
Purchasing Contact
City Council Target Date
Contract Value
Piggy Back Option
Contract Expiration
DocuSign Envelope ID: 645DA47D-548A-4D1D-A431-905F3E37DB8D
1/10/2017
Electronics Recycling
RFP
120,000
Rebecca Hunter
yes
6180
January 10, 2020
File # 6180
CONTRACT BY AND BETWEEN
CITY OF DENTON, TEXAS AND UNIVERSAL RECYCLING TECHNOLOGIES, LLC
(FILE 6180)
THIS CONTRACT is made and entered into this date ______________________, by
and between Universal Recycling Technologies, LLC, a corporation, whose address is
2301 Franklin Dr., Fort Worth, TX 76101, hereinafter referred to as "Contractor," and the CITY
OF DENTON, TEXAS, a home rule municipal corporation, hereinafter referred to as "City," to
be effective upon approval of the Denton City Council and subsequent execution of this Contract
by the Denton City Manager or his duly authorized designee.
For and in consideration of the covenants and agreements contained herein, and for the
mutual benefits to be obtained hereby, the parties agree as follows:
SCOPE OF SERVICES
Supplier shall provide products and/or services in accordance with the City’s document
RFP 6180- Electronics Recycling, a copy of which is on file at the office of Purchasing Agent
and incorporated herein for all purposes. The Contract consists of this written agreement and the
following items which are attached hereto and incorporated herein by reference:
(a) Special Terms and Conditions (Exhibit “A”);
(b) Request for Proposal (Exhibit “B” on File at the Office of the Purchasing
Agent);
(c) City of Denton Standard Terms and Conditions (Exhibit “C”);
(d) Insurance Requirements (Exhibit “D”);
(e) Certificate of Interested Parties Electronic Filing (Exhibit "E");
(f) Form CIQ – Conflict of Interest Questionnaire (Exhibit "F");
(g) Contractor’s Proposal. (Exhibit "G");
These documents make up the Contract documents and what is called for by one shall be
as binding as if called for by all. In the event of an inconsistency or conflict in any of the
provisions of the Contract documents, the inconsistency or conflict shall be resolved by giving
precedence first to the written agreement then to the contract documents in the order in which
they are listed above. These documents shall be referred to collectively as “Contract
Documents.”
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1/10/2017
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817-201-7929
2016-149116
12/28/2016
lbaileys@urtsolutions.com
Regional Account Manager
Roy Gordon
1/17/2017
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et seq et
seq
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WORKERS’ COMPENSATION REQUIREMENTS
Upon contract execution, all insurance requirements shall become contractual obligations,
which the successful contractor shall have a duty to maintain throughout the course of this
contract.
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.
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, 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:
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’
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Exhibit
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
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F
NA
X
NA
X
12/28/2016
NA
X
X
EXHIBIT G
RFP 6180 - Pricing Sheet for Electronic Recycling Services
Universal Recycling
Technologies, LLC
FortWorth, TX
Line #UOM Product Description
Unit Price
1 Tons Various electronics (price per ton)$250.00
2 Minimum Tons Required per pickup 5
3 Onsite arrival After request for pickup
(Business Days)2
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Certificate Of Completion
Envelope Id: 645DA47D548A4D1DA431905F3E37DB8D Status: Completed
Subject: Please DocuSign: City Council Contract 6180 Electronics Recycling - URT
Source Envelope:
Document Pages: 35 Signatures: 5 Envelope Originator:
Supplemental Document Pages: 0 Initials: 0 Rebecca Hunter
Certificate Pages: 6
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US &
Canada)
Payments: 0 rebecca.hunter@cityofdenton.com
IP Address: 129.120.6.150
Record Tracking
Status: Original
12/27/2016 9:22:00 AM
Holder: Rebecca Hunter
rebecca.hunter@cityofdenton.com
Location: DocuSign
Signer Events Signature Timestamp
Rebecca Hunter
rebecca.hunter@cityofdenton.com
Senior Buyer
City of Denton
Security Level: Email, Account Authentication
(Optional)
Completed
Using IP Address: 129.120.6.150
Sent: 12/27/2016 9:36:59 AM
Viewed: 12/27/2016 9:37:20 AM
Signed: 12/28/2016 6:58:09 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
ID:
Roy Gordon
lbaileys@urtsolutions.com
Regional Account Manager
Security Level: Email, Account Authentication
(Optional)Using IP Address: 216.170.228.242
Sent: 12/28/2016 6:58:11 AM
Viewed: 12/28/2016 2:11:35 PM
Signed: 12/28/2016 2:19:28 PM
Electronic Record and Signature Disclosure:
Accepted: 12/28/2016 2:11:35 PM
ID: e80e825f-3d5e-4692-a414-52abc3cf37b5
John Knight
john.knight@cityofdenton.com
Deputy City Attorney
City of Denton
Security Level: Email, Account Authentication
(Optional)
Using IP Address: 129.120.6.150
Sent: 12/28/2016 2:19:33 PM
Viewed: 12/28/2016 2:32:15 PM
Signed: 12/28/2016 2:32:31 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
ID:
Julia Winkley
julia.winkley@cityofdenton.com
Contracts Administration Supervisor
City of Denton
Security Level: Email, Account Authentication
(Optional)
Completed
Using IP Address: 129.120.6.150
Sent: 12/28/2016 2:32:34 PM
Viewed: 12/28/2016 2:42:33 PM
Signed: 1/11/2017 7:58:17 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
ID:
Signer Events Signature Timestamp
Howard Martin
howard.martin@cityofdenton.com
Interim City Manager
City of Denton
Security Level: Email, Account Authentication
(Optional)
Using IP Address: 129.120.6.150
Sent: 1/11/2017 7:58:22 AM
Viewed: 1/17/2017 9:16:25 AM
Signed: 1/17/2017 9:16:52 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
ID:
Jennifer Walters
jennifer.walters@cityofdenton.com
City Secretary
City of Denton
Security Level: Email, Account Authentication
(Optional)
Using IP Address: 129.120.6.150
Sent: 1/17/2017 9:16:55 AM
Viewed: 1/17/2017 2:14:10 PM
Signed: 1/18/2017 6:02:18 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
ID:
Rebecca Hunter
rebecca.hunter@cityofdenton.com
Senior Buyer
City of Denton
Security Level: Email, Account Authentication
(Optional)
Completed
Using IP Address: 129.120.6.150
Sent: 1/17/2017 2:56:34 PM
Viewed: 1/17/2017 2:56:49 PM
Signed: 1/17/2017 2:57:11 PM
Freeform Signing
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
ID:
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
Sherri Thurman
sherri.thurman@cityofdenton.com
Security Level: Email, Account Authentication
(Optional)
Sent: 12/28/2016 2:19:31 PM
Viewed: 12/29/2016 6:02:20 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
ID:
Julia Winkley
julia.winkley@cityofdenton.com
Contracts Administration Supervisor
City of Denton
Security Level: Email, Account Authentication
(Optional)
Sent: 12/28/2016 2:19:32 PM
Viewed: 12/28/2016 2:28:58 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
ID:
Carbon Copy Events Status Timestamp
Jane Richardson
jane.richardson@cityofdenton.com
Security Level: Email, Account Authentication
(Optional)
Sent: 1/11/2017 7:58:20 AM
Viewed: 1/11/2017 8:25:04 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
ID:
Robin Fox
Robin.fox@cityofdenton.com
Security Level: Email, Account Authentication
(Optional)
Sent: 1/11/2017 7:58:21 AM
Viewed: 1/17/2017 9:00:56 AM
Electronic Record and Signature Disclosure:
Accepted: 10/9/2015 11:39:51 AM
ID: 04463961-03db-4c4d-9228-d660d6146ed6
Jennifer Bridges
jennifer.bridges@cityofdenton.com
Procurement Assistant
City of Denton
Security Level: Email, Account Authentication
(Optional)
Sent: 1/18/2017 6:02:19 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
ID:
Jane Richardson
jane.richardson@cityofdenton.com
Security Level: Email, Account Authentication
(Optional)
Sent: 1/18/2017 6:02:20 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
ID:
Craig Waggoner
Craig.Waggoner@cityofdenton.com
Security Level: Email, Account Authentication
(Optional)
Sent: 1/18/2017 6:02:22 AM
Viewed: 1/18/2017 6:25:22 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
ID:
Scott Lebsack
scott.lebsack@cityofdenton.com
Security Level: Email, Account Authentication
(Optional)
Sent: 1/18/2017 6:02:23 AM
Viewed: 1/18/2017 6:02:58 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
ID:
Notary Events Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 1/18/2017 6:02:23 AM
Certified Delivered Security Checked 1/18/2017 6:02:23 AM
Signing Complete Security Checked 1/18/2017 6:02:23 AM
Completed Security Checked 1/18/2017 6:02:23 AM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
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Electronic Record and Signature Disclosure created on: 4/20/2015 7:25:38 AM
Parties agreed to: Roy Gordon, Robin Fox