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Exhibit 3 - Ordinance and Change Order 1ORDINANCE NO. 19-2121 AN ORDINANCE OF THE CITY OF DENTON, A TEXAS HOME-RULE MUNICIPAL CORPORATION, AUTHORIZING THE APPROVAL OF CHANGE ORDER NO. 1 TO THE CONTRACT BETWEEN THE CITY OF DENTON AND DDM CONSTRUCTION CORPORATION, FOR THE BONNIE BRAE ROUNDABOUT; PROVIDING FOR THE EXPENDITURE OF FUNDS THEREFOR; AND PROVIDING AN EFFECTNE DATE (IFB 7027 CHANGE ORDER NO. 1 IN THE NOT-TO-EXCEED AMOUNT OF $585,310.35 FOR A TOTAL CONTR.ACT AWARD AGGREGATED TO $3,490,847.05). WHEREAS, on May 21, 2019 by Ordinance No. 19-1054, the Council awarded a contract to DDM Construction Corporation, in the amount of $2,905,536.70 for the Bonnie Brae Roundabout; and WHEREAS, the Staff having recommended, and the City Manager having recommended to the Council that a change order be authorized to amend such contract agreement with respect to the scope of work and a decrease in the payment amount; NOW, THEREFORE, THE COUNCIL OF THE CITY OF DENTON HEREBY ORDAINS:. SECTION 1. Change Order No. 1, increasing the amount of the contract between the City and DDM Construction Corporation, which is on file in the office of the Purchasing Agent, in the amount of Five Hundred Eighty Five Thousand Three Hundred Ten and 35/100 ($585,310.35) dollars, is hereby approved and the expenditure of funds therefore is hereby authorized in accordance with said change order. The total purchase order amount increases to $3,490,847.05. SECTION 2. That this ordinance shall become effective immediately upon its passage and approval. The ro at a to approve this ordinance was made by _' m " __ m and seconded by a r,„','_ ,,. m""_ „ the ordinance was r LLw and approved by the following vote ^._. ' Mayor Chris Watts: Gerard Hudspeth, District 1: Keely G. Briggs, District 2: Jesse Davis, District 3: John Ryan, District 4: Deb Armintor, At Large Place 5: Paul Meltzer, At Large Place 6: Abstain Absent PASSED AND APPROVED this the , ATTEST: ROSA RIOS, CITY SECRETARY day of ....... ^ . .w....r---- 2019. CHRIS WATTS, :P^1 i YOR r.: , _" r r. . ..m ._ E . .:.;. .. __ APPROVED AS TO LEGAL FORM: AARON LEAL, CITY ATTORNEY r w . , ° . w BY. ,„W m.........._.........m ...... _. f ,1 4 1rr r=,n. n„ + oM H , „,; 4 , r i ,; r , „ ' i - , ' '' „ W 45 N ; I uf iryJ h, !l. W r , m q"` r „ e r,,. a - y fo I` , i Y ,y ,.aaR;, a ° r4 w Docusign City Council Transmittal Coversheet File Name Purchasing Contact City Council Target Date Piggy Back Option Contract Expiration Ordinance DocuSign Envelope ID: 3039791B-4F1C-410F-904C-7D52587225B6 ! #!& !&% ## !% "" &##!$! "%# 10. Contract Changes Unit Contract Unit Price Revised Estimated Cost 8" C900 DR-14 PVC Water Line LF $9,696.00 6" C900 DR-14 PVC Water Line LF $2,890.00 12" C900 DR-14 PVC Water Line LF $36,790.00 16" Ductile Iron CL52 Water Line LF $12,600.00 20" Ductile Iron CL52 Water Line LF $124,435.00 Trench Safety LF $7,441.00 30" x 1/2" Thick Steel Casing by Open Cut LF $20,250.00 6" Gate Valve Ea $4,400.00 8" Gate Valve Ea $2,400.00 12" Gate Valve Ea $17,200.00 20" Gate Valve Ea $6,000.00 20"x16" Tapping Sleeve Ea $6,300.00 Capital Projects 189746 1 4. Name of Project 5. Project Acct No.6. Date Prepared CITY OF DENTON CHANGE ORDER 1. Division (Department)2. Purchase Order No.3. Change Order No. DDM Construction Corporation 4004 Belt Line Rd. STE 112, Addison, TX 75001 8. Description of Work Included in Contract Construction of a four (4) lane divided roadway, included associated storm drain improvements and bicycle and pedestrian accommodations. 9. Changes ordered and reason ordered Changes associated with: 1) new items; 2)quantity changes; and 3) the removal of some bid items from the contract. North Bonnie Brae Street at Scripture Street Roundabout 250023467.1360.40100 Monday, August 26, 2019 7. Name and Address of Contractor Bid Item No Original Estimated Quantity Revised Estimate Quantity Negotiated C.O. Unit Price Original Estimated Cost 103 96 $101.00 $0.00 CHANGES ASSOCIATED WITH NEW ITEMS 104 17 $170.00 $0.00 114 1 $6,300.00 $0.00 $0.00 107 607 $205.00 $0.00 108 1,063 $7.00 $0.00 109 90 105 283 $130.00 $0.00 112 4 $4,300.00 $0.00 111 1 $2,400.00 $0.00 110 2 $2,200.00 $0.00 106 60 $210.00 $225.00 $0.00 113 1 $6,000.00 $0.00 Page 1 of 7 DocuSign Envelope ID: 3039791B-4F1C-410F-904C-7D52587225B6 10. Contract Changes (cont.) Unit Contract Unit Price Revised Estimated Cost 24"x20" Tapping Sleeve Ea $6,300.00 Connect to Existing 8" Water Line Ea $3,200.00 Connect to Existing 10" Water Line Ea $4,500.00 Connect to Existing 16" Water Line Ea $12,000.00 Connect to Existing 20" Water Line Ea $14,000.00 Connect to Existing 24" Water Line Ea $7,200.00 Remove Existing 16" Water Line LF $15,520.00 Abandon Existing 20" Water Line LF $7,350.00 Asphalt Pavement Repair LF $8,000.00 Ductile Iron Fittings Ton $4,200.00 20" Line Stop Ea $23,500.00 16" Line Stop Ea $20,000.00 Meter Connection Ea $1,200.00 Fire Hydrant Assembly Ea $2,800.00 Remove Existing Fire Hydrant Assembly Ea $1,100.00 16" Blind Flange Ea $4,200.00 12" Flexbase SY $198,597.50 Excavation - Extra Hours CY $109,617.60 Concrete Pavement 6" - Extra Hours SY $2,350.0019A 188 $12.50 $0.00 131 10,735 $18.50 $0.00 8A 22,837 $4.80 $0.00 129 1 $1,100.00 $0.00 130 1 $4,200.00 $0.00 127 1 $1,200.00 $0.00 128 1 $2,800.00 $0.00 125 1 $23,500.00 $0.00 126 1 $20,000.00 $0.00 123 40 $200.00 $0.00 124 1.05 $4,000.00 $0.00 $7,200.00 $0.00 121 485 $32.00 $0.00 122 490 $15.00 $0.00 117 1 $4,500.00 $0.00 118 2 $6,000.00 $0.00 119 2 $7,000.00 $0.00 120 1 116 1 $3,200.00 $0.00 115 1 $6,300.00 $0.00 Bid Item No Original Estimated Quantity Revised Estimate Quantity Negotiated C.O. Unit Price Original Estimated Cost Page 2 of 7 DocuSign Envelope ID: 3039791B-4F1C-410F-904C-7D52587225B6 10. Contract Changes (cont.) Unit Contract Unit Price Revised Estimated Cost Concrete Pavement 8" - Extra Hours SY $4,628.00 Concrete Pavement 11" - High Early Strength, Extra Hours SY $305,298.00 Concrete Street Header - High Early Strength, Extra Hours LF $1,496.00 Monolithic Curb - High Early Strength, Extra Hours LF $4,954.00 24" Concrete Curb & Gutter - Extra Hours LF $7,938.00 10' Shared Use Path (5")SY $3,255.00 Asbestos Removal from Building - Extra Hours Ea $40,524.08 18" Reinforced Concrete Pipe (Cl III) - Extra Hours) LF $18,320.00 21" Reinforced Concrete Pipe (Cl III) - Extra Depth LF $4,420.00 24" Reinforced Concrete Pipe (Cl III) - Extra Depth LF $16,965.00 27" Reinforced Concrete Pipe (Cl III) - Extra Depth LF $11,388.00 30" Reinforced Concrete Pipe (Cl III) - Extra Depth LF $31,488.00 33" Reinforced Concrete Pipe (Cl III) - Extra Depth LF $32,580.00 36" Reinforced Concrete Pipe (Cl III) - Extra Depth LF $13,364.00 4'x3' Reinforced Concrete Box - Extra Hours LF $3,975.00 10' Standard Curb Inlet - Extra Hours Ea $940.00 15' Standard Curb Inlet - Extra Hours Ea $4,600.00 21A 7,269 $42.00 $0.00 25A 187 $8.00 $0.00 26A 4,954 $1.00 $0.00 27A 567 $14.00 $0.00 29A 93 $35.00 $0.00 37CA 5 $8,104.82 20A 89 $52.00 $0.00 Bid Item No Original Estimated Quantity Revised Estimate Quantity Negotiated C.O. Unit Price Original Estimated Cost $0.00 41A 229 $80.00 $0.00 42A 68 $65.00 $0.00 43A 195 $87.00 $0.00 44A 156 $73.00 $0.00 45A 384 $82.00 $0.00 46A 362 $90.00 $0.00 47A 257 $52.00 $0.00 48A 159 $25.00 $0.00 49A 1 $940.00 $0.00 50A 4 $1,150.00 $0.00 Page 3 of 7 DocuSign Envelope ID: 3039791B-4F1C-410F-904C-7D52587225B6 10. Contract Changes (cont.) Unit Contract Unit Price Revised Estimated Cost 10' Recessed Curb Inlet - Extra Hours Ea $3,200.00 4'x4' "Y" Inlet - Extra Hours Ea $3,600.00 Type M Manhole - Extra Depth Ea $14,700.00 Trench Safety - Extra Depth LF $2,353.00 Remove Existing Storm Pipe - Extra Hours LF $3,983.05 Remove Existing Inlet - Extra Hours Ea $2,286.00 Remove Existing Manhole - Extra Hours Ea $1,450.00 Asphalt Pavement Repair - Extra Hours LF $3,636.00 Remove Existing Manhole - Extra Hours Ea $1,400.00 8" SDR-26 PVC Sewer Line - Extra Depth LF $33,696.00 4" Sewer Service - Extra Depth Ea $1,400.00 4' Diameter Standard Manhole - Extra Hours Ea $30,000.00 5' Diameter Drop Manhole - Extra Hours Ea $5,500.00 Extra Dept for 4' Diameter Manhole - Extra Hours VF $800.00 Extra Dept for 5' Diameter Manhole - Extra Hours VF $750.00 Trench Safety (Depth 0-10 FT) - Extra Hours LF $688.50 Trench Safety (Depth 10-20 FT) - Extra Hours LF $495.00 Temporary Asphalt Pavement Repair - Extra Hours LF $13,580.00 Asphalt Pavement Repair - Extra Hours LF $1,400.00 Additional Milling for Additional Asphalt Depth LS $11,254.64 51A 4 $800.00 $0.00 52A 2 $1,800.00 $0.00 Bid Item No Original Estimated Quantity Revised Estimate Quantity Negotiated C.O. Unit Price Original Estimated Cost 53A 7 $2,100.00 $0.00 55A 1,810 $1.30 $0.00 57A 2,153 $1.85 $0.00 58A 9 $254.00 $0.00 59A 5 $290.00 $0.00 61A 404 $9.00 $0.00 92A 2 $700.00 $0.00 93A 624 $54.00 $0.00 94A 2 $700.00 $0.00 95A 6 $5,000.00 $0.00 96A 1 $5,500.00 $0.00 97A 4 $200.00 $0.00 98A 3 $250.00 $0.00 99A 459 $1.50 $0.00 100A 165 $3.00 $0.00 101A 388 $35.00 $0.00 102A 70 $20.00 $0.00 CO-1 1 $11,254.64 $0.00 Page 4 of 7 DocuSign Envelope ID: 3039791B-4F1C-410F-904C-7D52587225B6 10. Contract Changes (cont.) Unit Contract Unit Price Revised Estimated Cost Private Driveway Signs LS $1,012.67 Standby Time LS $12,929.91 Preparing ROW Sta -$4,200.00 Excavation CY -$61,965.00 Remove Existing Paving (Concrete)SY -$1,362.00 Remove Existing Sidewalk (Concrete) SY -$520.00 Remove Existing Asphalt Paving SY -$5,450.00 Remove Existing Building Ea -$26,000.00 Embankment CY $518.00 Backfill Sta -$840.00 Lime Slurry (63 LB/SY)Ton -$80,369.20 12" Lime Treated Subgrade SY -$84,245.00 Concrete Pavement 8"SY -$13,930.00 Concrete Pavement 11"SY -$84,675.00 3" Type "C" ACP SY $720.00 5" Type "B" ACP SY $1,612.00 8" Type "C" ACP SY $814.00 Curb Ramps Ea -$2,900.00 Asbestos Removal from Building Ea -$100,000.00 Cement Stabilized Backfill CY $2,583.00 Silt Fence LF -$156.80 2" Sch 40 PVC Conduit LF -$3,835.00 Installation of 250 Watt Cobrahead Fixture (Provided by DME) Ea -$300.00 #8 Bare Street Light Conductor LF -$520.20 #8 Insulated Street Light Conductor LF -$1,040.40 Type IB Double Line LF $148.00 Type IA Barrier Line LF $80.00 Type IA Broken Line LF -$469.00 CHANGES ASSOCIATED WITH QUANTITY CHANGES 81 80 $1.00 $0.00 82 -469 $1.00 $0.00 74 -612 $1.70 $0.00 80 74 $2.00 $0.00 72 -1 $300.00 $0.00 73 -306 $1.70 $0.00 63 -98 $1.60 $0.00 71 -295 $13.00 $0.00 37C -5 $20,000.00 $0.00 56 6.3 $410.00 $0.00 24 22 $37.00 $0.00 31 -2 $1,450.00 $0.00 22 48 $15.00 $0.00 23 26 $62.00 $0.00 20 -199 $70.00 $0.00 21 -1,129 $75.00 $0.00 $400.00 $0.00 17 -379.1 $212.00 $0.00 18 -12,035 $7.00 $0.00 14 -5 $5,200.00 $0.00 CO-2 1 $1,012.67 $0.00 CO-3 1 $12,929.91 $0.00 Bid Item No Original Estimated Quantity Revised Estimate Quantity Negotiated C.O. Unit Price Original Estimated Cost 7 -2.1 $2,000.00 $0.00 8 -6,885 $9.00 $0.00 11 -1,090 $5.00 $0.00 9 -227 $6.00 $0.00 10 -130 $4.00 $0.00 15 74 $7.00 $0.00 16 -2.1 Page 5 of 7 DocuSign Envelope ID: 3039791B-4F1C-410F-904C-7D52587225B6 10. Contract Changes (cont.) Unit Contract Unit Price Revised Estimated Cost Type IB Dotted Line LF -$260.00 Type IA Broken Line C/R RPM Ea -$7.00 Type IB Double Line A/A RPM Ea $16.00 Pedestrain Crosswalk, Type VA LF -$390.00 8" SDR-26 PVC Sewer Line LF -$12,716.00 4" Sewer Service Ea -$2,800.00 4' Dia. Standard Manhole Ea -$7,000.00 Trench Safety (Depth 0-10 FT)LF -$286.00 Trench Safety (Depth 10-20 FT)LF -$3.00 Temporary Asphalt Pavement Repair LF -$500.00 Topsoil Imported (Landscape Mixed Soil) SY -$34,342.00 Block Sodding SY -$8,928.00 Seeding SY -$8,650.00 10' Shared Use Path (5")SY -$16,656.00 Concrete Sidewalk (4")SY -$45,360.00 4" Stamped and Stained Concrete SY -$46,980.00 11" Stamped and Stained Concrete SY -$41,760.00 Small Sign Assembly Ea -$22,570.00 Sidewalk Retaining Wall LF -$23,800.00 Water Line Lowering Ea -$27,000.00 Stone Outlet Sediment Trap Ea -$680.00 $585,310.35 $585,310.35 New contract time: 210 days CHANGES ASSOCIATED WITH THE REMOVAL OF BID ITEMS FROM THE CONTRACT 68 -2 $340.00 $0.00 38 -140 $170.00 $0.00 62A -3 $9,000.00 $0.00 33 -348 $120.00 $0.00 91 -61 $370.00 $0.00 30 -1,008 $45.00 $0.00 32 -522 $90.00 $0.00 6 -8,650 $1.00 $0.00 29 -347 $48.00 $0.00 4 -4,906 $7.00 $0.00 5 -2,232 $4.00 $0.00 100 -3 $1.00 $0.00 101 -20 $25.00 $0.00 95 -1 $7,000.00 $0.00 99 -286 $1.00 $0.00 93 -289 $44.00 $0.00 94 -2 $1,400.00 $0.00 86 4 $4.00 $0.00 90 -60 $6.50 $0.00 84 -130 $2.00 $0.00 85 -7 $1.00 $0.00 Bid Item No Original Estimated Quantity Revised Estimate Quantity Negotiated C.O. Unit Price Original Estimated Cost TOTAL $0.00 11. Current Contract Price $2,905,536.70 Increase in contract price 12. Contract time increased/decreased by:60 day(s) New Contract Price $3,490,847.05 Decrease in contract price Page 6 of 7 DocuSign Envelope ID: 3039791B-4F1C-410F-904C-7D52587225B6 THE AFOREMENTIONED CHANGE, AND WORK AFFECTED THEREBY, IS SUBJECT TO ALL CONTRACT STIPULATIONS AND COVENANTS. 14. ACCEPTED BY CITY ENGINEER/DIRECTOR OF CAPITAL PROJECTS:_________________________________ Signature Date 13. SUBMITTED BY:________________________________ Project Manager Date 15. ACCEPTED BY CONTRACTOR: _________________________________________________ Title Signature Date ATTEST: CITY SECRETARY _________________________________ Signature Date 16. CITY MANAGER:_________________________________ Signature Date 18. PURCHASING/FINANCE:_________________________________ Signature Date 19. APPROVED AS TO LEGAL FORM:_________________________________ Signature Date Page 7 of 7 DocuSign Envelope ID: 3039791B-4F1C-410F-904C-7D52587225B6 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 DocuSign Envelope ID: 3039791B-4F1C-410F-904C-7D52587225B6 Certificate Of Completion Envelope Id: 3039791B4F1C410F904C7D52587225B6 Status: Completed Subject: Please DocuSign: City Council Contract 7027 - Bonnie Brae Roundabout Change Order 1 Source Envelope: Document Pages: 9 Signatures: 8 Envelope Originator: Certificate Pages: 6 Initials: 1 Laura Hermosillo AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-06:00) Central Time (US & Canada) 901B Texas Street Denton, TX 76209 laura.hermosillo@cityofdenton.com IP Address: 129.120.6.150 Record Tracking Status: Original 8/27/2019 2:15:34 PM Holder: Laura Hermosillo laura.hermosillo@cityofdenton.com Location: DocuSign Signer Events Signature Timestamp Laura Hermosillo laura.hermosillo@cityofdenton.com Senior Buyer City of Denton Security Level: Email, Account Authentication (None) Completed Using IP Address: 129.120.6.150 Sent: 8/27/2019 2:33:12 PM Viewed: 8/27/2019 2:33:29 PM Signed: 8/27/2019 2:33:36 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: 174.206.23.82 Signed using mobile Sent: 8/27/2019 2:33:38 PM Viewed: 8/27/2019 2:35:13 PM Signed: 8/27/2019 2:37:30 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Alex Bernard Abernard@ddmcc.net Project Manager Security Level: Email, Account Authentication (None)Signature Adoption: Pre-selected Style Using IP Address: 174.206.26.195 Sent: 8/28/2019 10:07:34 AM Viewed: 8/28/2019 3:02:24 PM Signed: 8/28/2019 3:28:21 PM Electronic Record and Signature Disclosure: Accepted: 8/28/2019 3:02:24 PM ID: 34e636f8-8d0d-42e3-8f63-354359421f8b Todd Estes Todd.Estes@cityofdenton.com City Engineer Capital Projects Security Level: Email, Account Authentication (None) Signature Adoption: Drawn on Device Using IP Address: 174.206.33.140 Signed using mobile Sent: 8/28/2019 10:07:34 AM Viewed: 8/28/2019 3:26:56 PM Signed: 8/28/2019 3:27:12 PM Electronic Record and Signature Disclosure: Accepted: 9/12/2019 4:33:00 PM ID: 9fd69afe-359a-4e8c-a06a-5124ffd34c35 Signer Events Signature Timestamp Jim Jenks Jim.Jenks@cityofdenton.com Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 129.120.6.150 Sent: 8/28/2019 10:07:34 AM Resent: 8/28/2019 1:24:26 PM Viewed: 8/28/2019 2:43:26 PM Signed: 8/28/2019 2:44:43 PM Electronic Record and Signature Disclosure: Accepted: 8/28/2019 2:43:26 PM ID: 78f5a686-59d0-4b25-bc6c-603952fef106 Mack Reinwand mack.reinwand@cityofdenton.com City of Denton Security Level: Email, Account Authentication (None)Signature Adoption: Pre-selected Style Using IP Address: 129.120.6.150 Sent: 8/27/2019 2:37:32 PM Viewed: 8/28/2019 2:30:10 PM Signed: 8/28/2019 2:31:22 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Cheyenne Defee cheyenne.defee@cityofdenton.com Contract Administrator City of Denton Security Level: Email, Account Authentication (None) Completed Using IP Address: 129.120.6.150 Sent: 8/28/2019 3:28:24 PM Viewed: 9/11/2019 11:18:00 AM Signed: 9/11/2019 11:18:22 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign Todd Hileman Todd.Hileman@cityofdenton.com City Manager City of Denton Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 129.120.6.150 Sent: 9/11/2019 11:18:24 AM Viewed: 9/11/2019 11:18:46 AM Signed: 9/11/2019 11:18:51 AM Electronic Record and Signature Disclosure: Accepted: 7/25/2017 11:02:14 AM ID: 57619fbf-2aec-4b1f-805d-6bd7d9966f21 Rosa Rios rosa.rios@cityofdenton.com City Secretary Security Level: Email, Account Authentication (None)Signature Adoption: Pre-selected Style Using IP Address: 129.120.6.150 Sent: 9/11/2019 11:18:55 AM Viewed: 9/11/2019 1:38:16 PM Signed: 9/11/2019 1:39:02 PM Electronic Record and Signature Disclosure: Accepted: 9/11/2019 1:38:16 PM ID: ef7ef6c8-706b-44a5-810b-d4a210d59110 In Ierson Signer Events Signature Timestamp Editor DeliverI Events Status Timestamp Igent DeliverI Events Status Timestamp IntermediarI DeliverI Events Status Timestamp Certified DeliverI Events Status Timestamp CarIon CopI Events Status Timestamp Cheyenne Defee cheyenne.defee@cityofdenton.com Contract Administrator City of Denton Security Level: Email, Account Authentication (None) Sent: 8/27/2019 2:33:38 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Sherri Thurman sherri.thurman@cityofdenton.com City of Denton Security Level: Email, Account Authentication (None) Sent: 8/27/2019 2:33:38 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Jane Richardson jane.richardson@cityofdenton.com Assistant City Secretary City of Denton Security Level: Email, Account Authentication (None) Sent: 9/11/2019 11:18:54 AM Viewed: 9/17/2019 4:30:32 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Iitness Events Signature Timestamp IotarI Events Signature Timestamp Envelope SummarI Events Status Timestamps Envelope Sent Hashed/Encrypted 9/11/2019 11:18:55 AM Certified Delivered Security Checked 9/11/2019 1:38:16 PM Signing Complete Security Checked 9/11/2019 1:39:02 PM Completed Security Checked 9/11/2019 1:39:02 PM IaIment 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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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. $"! !" $%"#!#%""$! "$#"$!& " "!#$# #! !#!# 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.