7362-Signed Contract
Docusign Transmittal Coversheet
File Name
Purchasing Contact
Contract Expiration
DocuSign Envelope ID: FCD87D63-8B4F-4DFD-9B88-5B319C9D1C56
NA
BODY TEMPERATURE SCREENING DEVICE-WELLO, INC.
FILE
Crystal Westbrook
7362
3939 Belt Line Road, Suite 540 Addison, TX 75001 Phone: 469.522.5200
Company
Address 3939 Belt Line Rd
Suite #540
Addison, Texas 75001
United States
Created Date
Expiration Date
Quote Number
4/13/2020
5/13/2020
00000297
Prepared By
Email
Matt Minyard
matt.minyard@welloinc.com
Contact Name
Phone
Crystal Westbrook
(940) 349-7172
Email crystal.westbrook@cityofdenton.com
Bill To Name
Bill To
City of Denton, TX
215 E Mckinney
Street
Denton, TX 76201
United States
Ship To Name
Ship To
City of Denton, TX
215 E Mckinney
Street
Denton, TX 76201
United States
Product Code Product Sales Price Quantity Total Price
90-0001-001 welloStationX Kiosk Bundle USD 7,500.00 1.00 USD 7,500.00
90-2000-010 Annual Monitoring USD 600.00 1.00 USD 600.00
90-3000-003 welloStationX Kiosk Extended Warranty USD 995.00 1.00 USD 995.00
Payment Terms
Grand Total contains Shipping and Handling charges, $53.25. All
prices are confidential. Payment is due prior to shipping.
Subtotal
Discount
Total Price
USD 9,095.00
0.00%
USD 9,095.00
Grand Total USD 9,143.28
By signing and approving this quotation the customer hereby acknowledges they have received and agree to Wello Purchase Agreement.
Use of this data shall not be disclosed, duplicated, used in whole or in part, by the "Proposed To" party to any person not employed or under
contract by the "Proposed To" company or organization.
Wello Inc.
By: _______________________________
Name: ____________________________
Date:______________________________
City of Denton, TX
By: ________________________________
Name: _____________________________
Date: ______________________________
DocuSign Envelope ID: FCD87D63-8B4F-4DFD-9B88-5B319C9D1C56
Matt MInyard
5/1/2020 05/01/2020
Crystal Westbrook
3939 Belt Line Road, Suite 540 Addison, TX 75001 Phone: 469.522.5200
PURCHASE AGREEMENT
Effective Date: May 1, 2020
This Purchase Agreement (this “Agreement”) is made and entered into as of the Effective
Date
(“Effective Date”) above by and between Wello, Inc. (Wello®) having its principal offices at
3939 Belt Line Road, Ste 540, Addison, TX 75001 (“Seller”), and City of Denton
(“Customer”) located at 215 E. McKinney Street Denton, TX 76201.
1. Purchase of Products and Services:
The Customer agrees to (a) purchase the Equipment more fully described in the attached Sales
Quote (the “Equipment”) and pay the other costs included in the Purchase – Total Charges
designated as such above (the “Purchase Price”), and (b) subscribe to the monitoring services
(“Annual Monitoring”) available at the Wello® Customer Portal (www.welloinc.net) and pay
the Total Annual Monitoring Fees designated as such (“Monitoring Fees”) during the term of
its subscription. The “Annual Monitoring” shall continue for a term of one (1) year from the
date of delivery, after which it shall continue for a succeeding one (1) year period unless
Customer shall send written notice to Wello on or before the date that is two (2) months prior
to the end of the term (or renewal term) of this Agreement. Such renewal shall be upon the
same terms and conditions.
2. Pricing and Payment:
a. Sales Quote prices are expressed in U.S. Dollars, are not subject to offsets or price
credits and are based on delivery of the Products F.O.B. point of shipment. Sales
Quote is valid through listed expiration date. 50% of the Purchase Price, together
with the first installment of the Monitoring Fees may be due upon execution and
acceptance of the Sales Quote. The balance of the delivery and Setup Costs and
the Purchase Price is due within thirty (30) days of the date of installation.
b. Wello will invoice Customer annually in advance for Monitoring Fees. Payments
for such amounts are due within thirty (30) days of the receipt of invoice.
Amounts outstanding past their due dates may be assessed a late fee at Wello’s
DocuSign Envelope ID: FCD87D63-8B4F-4DFD-9B88-5B319C9D1C56
3939 Belt Line Road, Suite 540 Addison, TX 75001 Phone: 469.522.5200
sole discretion in the amount of one percent (1.5%) per month or the maximum
amount provided by applicable law, whichever is greater. Wello shall not be
obligated to accept or deliver orders from Customer if Customer does not or later
cannot meet Wello’s credit requirements. If, in Wello’s judgment, the Customer's
financial condition at any time does not justify continuing production or delivery
on the above payment terms, Wello may require full or partial payment in
advance.
c. Wello product prices do not include any taxes, fees, duties, licenses, tariffs or
3939 Belt Line Road, Suite 540 Addison,
levies, however designated, now or hereafter enacted that are imposed on the
items listed in this Sales Quote or to any transactions contemplated hereby or to
the purchase, sale, transportation, delivery or use of the same, all of which shall
be paid by the Customer. Taxes will be added to the invoice where Wello is
required by law to collect them and will be paid by Customer unless Customer
provides Wello with the proper tax exemption certificate.
3. Title & Security Interest:
Title in the Equipment will pass to the Customer on the date of shipment and, for installed
Equipment to be converted to purchase, on the date the lease or rental Agreement covering
the conversion to purchase, on the date the lease or rental Agreement covering the installed
Equipment is terminated. Wello reserves a purchase money security interest in the
Equipment until payment in full under the terms stated here. A copy of this Agreement may
be filed in order to protect Wello’s security interest. At Wello’s request, the Customer will
provide reasonable financial information to Wello for purposes of establishing credit.
4. Delivery:
All Equipment will be delivered F.O.B. Addison, TX. The method of Shipment is UPS.
Deliver to the Customer at the address listed on the Sales Quote.
5. Installation of Equipment:
Wello will provide guidance as to the placement of the Equipment. The Customer will
prepare the installation site according to Wello’s instruction and cooperate with Wello
installing the Equipment as necessary. Equipment can be installed by the Customer
following the guidelines set forth in the User Manual. If itemized in the Sales Quote, Wello
or a designated installer can install the Equipment. Any installation charges, per diem and
travel costs listed in Sales Quote are estimates only and shall be adjusted at the time of
DocuSign Envelope ID: FCD87D63-8B4F-4DFD-9B88-5B319C9D1C56
3939 Belt Line Road, Suite 540 Addison, TX 75001 Phone: 469.522.5200
installation. Unless Customer otherwise indicates, upon signing of the Ownership Transfer
Form, it shall be conclusively presumed that said Equipment was in good condition when
received and that Customer has accepted and approved the same.
6. Service Term and Termination:
The subscription to the Annual Monitoring and the obligation to pay Monitoring Fees will
continue for a term of one (1) year from the date of delivery, after which it shall continue
for a succeeding one (1) year period unless Customer shall send written notice to Wello on
or before the date that is two (2) months prior to the end of the term (or renewal term) of
this Agreement. Such renewal shall be upon the same terms and conditions. Except as
otherwise set forth herein this Agreement may be terminated earlier only by the mutual
written consent of Wello and Customer.
7. Website Access:
Wello shall make commercially reasonable efforts to make the services subscribed to by the
Customer and referenced herein available at the Wello Customer Portal (www.welloinc.net) 24
hours a day, 365 days each calendar year for the number of users determined upon sale. There is to
be at least one Customer representative listed as having administrative access.
8. Support:
Wello shall provide telephonic support to Customer at no charge to Customer. Wello shall have
the right to change the terms of its technical support, including without limitation, the right to limit
the amount of technical support and/or charge for the same. Wello on-site support is available on a
time and materials basis with a minimum of two hours per incident plus actual travel expenses.
9. Training:
Wello will train the individuals designated by Customer during the installation process and
thereafter will provide either online or on-site training at its then current rates (if applicable).
10. Customer responsibilities:
a. Customer agrees to provide an available on-site responsible person to help us
with any issues related to installation or maintenance.
b. Customer agrees to provide any and all LAN connections and Wireless Lan
connections prior to onsite installation.
c. Customer agrees to provide offsite data access in the event it is needed.
d. Customer agrees to make Wello aware of any issues it is experiencing with the
Equipment or Services.
DocuSign Envelope ID: FCD87D63-8B4F-4DFD-9B88-5B319C9D1C56
3939 Belt Line Road, Suite 540 Addison, TX 75001 Phone: 469.522.5200
e. Customer agrees that the efficacy of the Equipment requires enforcement and
will make every attempt to follow guidelines recommended by Wello.
11. Payment:
Unless otherwise documented on the Sales Quote under Payment Terms, all payments are due
upon receipt of Equipment. Payments should be made directly to Wello or Wello’s Assigns.
The Customer agrees to pay all freight, insurance, handling, shipping, and delinquent
payments at the maximum lawful rate and agrees to pay for collection costs and any attorney
fees incurred by Wello in collecting payment.
12. Taxes:
The Customer agrees to pay amounts equal to any applicable tax resulting from this
Agreement or any activities under the terms stated here exclusive of taxes based on net
income. The Customer bears any personal property tax levied on the Equipment to the
carrier.
13. Warranty:
13.1 Equipment. Wello warrants for a period of one (1) year after the date of delivery that
the Equipment, excluding consumable supplies, will be free from the defects in material
and workmanship. Wello’s sole obligation under this warranty is to repair or replace
the defective parts at no charge to the Customer. All replaced parts shall become the
property of Wello. Extended Warranty options are available but must be purchased at
the time of the initial Equipment sale and listed on attached Sales Quote to be valid.
13.2 Excluded Claims. Wello will have no obligation under this Agreement if: (1) repair or
replacement of the Equipment or parts is required as a result of normal wear and tear or
necessitated in whole or in part by catastrophe or causes external to the Equipment; (2)
the Equipment has been maintained, repaired, relocated, or reconfigured other than by
an authorized representative or has been modified or adapted in any manner; (3) the
Equipment has not been properly used or maintained in accordance with then applicable
operating and maintenance manuals; (4) the Customer does not notify Wello in writing
during the warranty period with detail on any defect or error in the Equipment; and (5)
the Equipment has been previously installed under a rental or lease Agreement with the
Customer or is sold to the Customer as used Equipment.
13.3 Exclusive Warranty. The Foregoing warranties are exclusive of and are in lieu of all
other warranties, express or implied, including without limitation any warranty of
merchantability or fitness for a particular purpose.
DocuSign Envelope ID: FCD87D63-8B4F-4DFD-9B88-5B319C9D1C56
3939 Belt Line Road, Suite 540 Addison, TX 75001 Phone: 469.522.5200
14. Patents:
14.1 Indemnification. Wello will defend the Customer against a claim that the Equipment
furnished under the terms stated here infringes on a United States patent or copyright.
Wello will pay resulting costs, damages, and attorney’s fees finally awarded, provided
that the Customer gives Wello immediate written notice of any such claim and sole
control of the defense and all related settlement negotiations.
14.2 Exclusions. However, Wello will have no liability for any claim based upon or arising
out of (1) combination, operation, or use of any Equipment in a manner for which it was
neither designed nor contemplated; or (2) any modification of any Equipment by the
customer or any third party that causes the Equipment to become infringing. This
Section 13 states the entire obligation of Wello with respect to infringements.
15. Limitation of Liability:
a. Wello is not liable for failure to fulfill its obligations due to causes beyond its
control;
b. In no event will Wello be liable for any lost savings, lost profits, lost data, or
other consequential or incidental damages, even if Wello has been advised of the
possibility of such potential damages or for any claim against the Customer by
any other Party; and
c. Wello’s total liability to the Customer for damages from any cause whatsoever,
and regardless of the form of action, whether in contract or in tort, including
negligence, is limited to actual damages up to the purchase price or license fee
paid for the specific Equipment under the Agreement that caused the damages or
that is the subject matter of the Agreement or is directly related to the cause of
action. This limitation of liability will not apply to personal injury caused by
Wello.
16. Statutes of Limitation:
No action, regardless of form, arising out of this Agreement may be brought by either party
more than Eighteen (18) months after the cause of action has arisen or, in the case for
nonpayment, more than Eighteen (18) months from the date the last payment was due.
17. General Provisions:
17.1 Independent Contractors. The relationship between both parties established by this
Agreement is that of independent contractors, and nothing contained in this Agreement
shall be construed to give either party the power to direct and control the day-to-day
activities of the other. Neither party is an agent, representative or partner of the other
DocuSign Envelope ID: FCD87D63-8B4F-4DFD-9B88-5B319C9D1C56
3939 Belt Line Road, Suite 540 Addison, TX 75001 Phone: 469.522.5200
party. Neither party shall have any right, power or authority to enter into any
agreement for, or on behalf of, or incur any obligation or liability of, or to otherwise
bind, the other party. This Agreement shall not be interpreted or construed to create an
association, agency, joint venture, or partnership between the parties or to impose any
liability attributable to such relationship upon either party.
17.2 Publicity. Neither party will make any public announcement or issue any press release
concerning the terms of this Agreement without the prior approval of both parties. If
the parties mutually agree to issue a press release concerning the issues described in this
Agreement, the parties shall cooperate to mutually agree on a press release describing
the relationship based on this Agreement, and to issue such press release in the normal
course of business.
17.3 Governing Law & Jurisdiction. This agreement and the parties’ actions under this
Agreement shall be governed by and construed under the laws of the state of Texas,
without reference to conflict of law principles. The parties hereby expressly consent to
the jurisdiction and venue of the federal and state courts within the state of Texas. Each
party hereby irrevocably consents to the service of process in any such action or
proceeding by the mailing of copies thereof by registered or certified mail, postage
prepaid, to such party at its address set forth in the preamble of this Agreement, such
service to become effective thirty (30) days after such mailing.
17.4 Entire Agreement. This Agreement, including the attached exhibits, constitutes the
entire Agreement between both parties concerning this transaction, and replaces all
previous communications, representations, understandings, and Agreements, whether
verbal or written between the parties to this Agreement or their representatives. No
representations or statements of any kind made by either party. That are not expressly
stated in this Agreement, shall be binding on such parties.
17.5 All Amendments in Writing. No waiver, amendment or modification of any
provisions of this Agreement shall be effective unless in writing and signed by a duly
authorized representative of the party against whom such waiver, amendment or
modification is sought to be enforced. Furthermore, no provisions in either party’s
purchase orders, or in any other business forms employed by either party will supersede
the terms and conditions of this Agreement.
17.6 Notices. Any notice required or permitted by this Agreement shall be deemed given if
sent by registered mail, postage prepaid with return receipt requested, addressed to the
other party at the address set forth in the preamble of this Agreement or at such other
address for which such party gives notice hereunder. Delivery shall be deemed
effective three (3) days after deposit with postal authorities.
DocuSign Envelope ID: FCD87D63-8B4F-4DFD-9B88-5B319C9D1C56
3939 Belt Line Road, Suite 540 Addison, TX 75001 Phone: 469.522.5200
17.7 Costs of Legal Action. In the event any action is brought to enforce this Agreement,
the prevailing party shall be entitled to recover its costs of enforcement including,
without limitation, attorneys’ fees and court costs.
17.8 Inadequate Legal Remedy. Both parties understand and acknowledge that violation of
their respective covenants and Agreements may cause the other irreparable harm and
damage, that may not be recovered at law, and each agrees that the other’s remedies for
breach may be in equity by way of injunctive relief, as well as for damages and any
other relief available to the non-breaching party, whether in law or in equity.
17.9 Arbitration. Any dispute relating to the interpretation or performance of this
Agreement shall be resolved at the request of either party through binding arbitration.
Arbitration shall be conducted in Dallas County, Texas in accordance with the then-
existing rules of the American Arbitration Association. Judgement upon any award by
the arbitrators may be entered by any state or federal court having jurisdiction. Both
parties intend that this Agreement to arbitrate be irrevocable.
17.10 Delay is Not a Waiver. No failure or delay by either party in exercising any right,
power or remedy under this Agreement, except as specifically provided in this
Agreement, shall operate as a waiver of any such right, power or remedy.
17.11 Force Majeure. In the event that either party is unable to perform any of its
obligations under this Agreement or to enjoy any of its benefits because of any Act of
God, strike, fire, flood, governmental acts, orders or restrictions, Internet system
unavailability, system malfunctions or any other reason where failure to perform is
beyond the reasonable control and not caused by the negligence of the non-performing
party (a “Force Majeure Event”), the party who has been so affected shall give notice
immediately to the other party and shall use its reasonable best efforts to resume
performance. Failure to meet due dates resulting from a Force Majeure Event shall
extend such due dates for a reasonable period. However, if the period of
nonperformance exceeds sixty (60) days from the receipt of notice of the Force Majeure
Event, the party whose ability to perform has not been affected may, by giving written
notice, terminate this Agreement effective immediately upon such notice or at such later
date as is therein specified.
17.12 Non-Assignability & Binding Effect. Without prior written consent of Wello, the
Customer may not assign the Agreement. Any attempt by the Customer to assign any
of the rights or obligation of the Agreement without such consent is void.
17.13 Severability. If any provisions of this Agreement are held by a court of competent
jurisdiction to be invalid under any applicable statute or rule of law, they are to the
extent to be deemed omitted and the remaining provisions of this Agreement shall
remain in full force and effect.
DocuSign Envelope ID: FCD87D63-8B4F-4DFD-9B88-5B319C9D1C56
3939 Belt Line Road, Suite 540 Addison, TX 75001 Phone: 469.522.5200
17.14 Cumulative Rights. Any specific right or remedy provided in this Agreement will not
be exclusive but will be cumulative upon all other rights and remedies described in this
section and allowed under applicable law.
17.15 Headings. The titles and headings of the various sections in this Agreement are
intended solely for convenience of reference and are not intended for any other purpose
whatsoever, or to explain, modify, or place any construction upon or on any of the
provisions of this Agreement.
17.16 Counterparts. This Agreement may be executed in multiple counterparts, any one of
which will be considered an original, but all of which will constitute one and the same
instrument.
17.17 Survival of Certain Provisions. The warranties and the indemnification and
confidentiality obligations set forth in the Agreement shall survive the termination of
the Agreement by either party for any reason.
18. Appropriations. Wello acknowledges and agrees that the awarding or continuation of
this Contract is dependent upon the availability of funding. The City’s payment
obligations are payable only and solely from funds appropriated and available for this
Contract. The absence of appropriated or other lawfully available funds shall render the
Contract null and void to the extent funds are not appropriated or available and any
deliverables delivered but unpaid shall be returned to the Respondent. The City will not
incur a debt or obligation to pay Respondent any amounts the City does not have the
current funds available to pay.
19. Termination.
Notwithstanding any other provision of this Agreement, either party may terminate by
giving thirty (30) days’ advance written notice to the other party.
Confidentiality. Wello acknowledges that the City of Denton 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. All material submitted by
Wello to the City of Denton shall become property of the City upon receipt. Any
portions of such material claimed by Wello to be proprietary must be conspicuously
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.
DocuSign Envelope ID: FCD87D63-8B4F-4DFD-9B88-5B319C9D1C56
3939 Belt Line Road, Suite 540 Addison, TX 75001 Phone: 469.522.5200
IN WITNESS WHEREOF, and in consideration of the mutual promises contained in this
Agreement and other good and sufficient consideration, the receipt and adequacy of which is
hereby acknowledged, each Party, intending to be legally bound, has caused this Agreement to
be executed by its authorized representative as of the date listed below (“Effective Date”). By
signing below, each Party agrees that it has read and fully understands all the terms and
conditions in the Agreement and agrees and accepts all the foregoing.
Wello, Inc City of Denton
Sign: Sign:
Print: Print:
Title: Title:
Date: Date:
DocuSign Envelope ID: FCD87D63-8B4F-4DFD-9B88-5B319C9D1C56
5/1/2020
Matt Minyard
Business Development Manager
05/01/2020
Buyer
Crystal Westbrook
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: FCD87D63-8B4F-4DFD-9B88-5B319C9D1C56
WELLO, INC.
N/A
Crystal Westbrook
5/1/2020
Certificate Of Completion
Envelope Id: FCD87D638B4F4DFD9B885B319C9D1C56 Status: Completed
Subject: ***Purchasing Approval*** 7362-Wello, Inc.
Source Envelope:
Document Pages: 12 Signatures: 5 Envelope Originator:
Certificate Pages: 5 Initials: 0 Crystal Westbrook
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-06:00) Central Time (US & Canada)
901B Texas Street
Denton, TX 76209
crystal.westbrook@cityofdenton.com
IP Address: 198.49.140.104
Record Tracking
Status: Original
5/1/2020 2:20:28 PM
Holder: Crystal Westbrook
crystal.westbrook@cityofdenton.com
Location: DocuSign
Signer Events Signature Timestamp
Crystal Westbrook
crystal.westbrook@cityofdenton.com
Buyer
City of Denton
Security Level: Email, Account Authentication
(None)
Completed
Using IP Address: 198.49.140.104
Sent: 5/1/2020 4:18:23 PM
Viewed: 5/1/2020 4:18:30 PM
Signed: 5/1/2020 4:19:16 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Matt Minyard
matt.minyard@welloinc.com
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 208.70.186.27
Sent: 5/1/2020 4:19:17 PM
Viewed: 5/1/2020 4:57:48 PM
Signed: 5/1/2020 4:58:53 PM
Electronic Record and Signature Disclosure:
Accepted: 5/1/2020 4:57:48 PM
ID: 18f113a8-b352-479d-98d1-bf630c01193e
Crystal Westbrook
crystal.westbrook@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: 5/1/2020 4:58:55 PM
Viewed: 5/1/2020 5:01:19 PM
Signed: 5/1/2020 5:01:53 PM
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
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 5/1/2020 4:58:55 PM
Certified Delivered Security Checked 5/1/2020 5:01:19 PM
Signing Complete Security Checked 5/1/2020 5:01:53 PM
Completed Security Checked 5/1/2020 5:01:53 PM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
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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: Matt Minyard
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.