8203 Executed Contract
Docusign City Council Transmittal Coversheet
File Name
Purchasing Contact
City Council Target Date
Piggy Back Option
Contract Expiration
Ordinance
DocuSign Envelope ID: 9F224E8F-F614-4C73-953E-67ED4B305DB0
8203
No
Christa Christian
RFP
Insurance Broker of Record
6/6/2028
6/6/2023
23-1011
1
Renewal Amendment to Contract (Contract 8203)
This Renewal Amendment to Contract (Contract 8203) (this Amendment) is entered into between City of Denton, Texas (Subscriber) and Texas Series of Lockton Companies, LLC (Lockton).
Background
Subscriber and Lockton have previously entered into Contract (7365), as amended (the Agreement). Initially capitalized terms used but not otherwise defined in this Amendment will have the meanings set forth in the Agreement. The parties desire to amend the Agreement as follows:
1 Effective Date
The terms of this Amendment are effective as of _________________________.
2 Extension
Section 2 of Exhibit A will be deleted and replaced in its entirety with the following:
The contract term will be three (3) years, effective from date of award. The City and the Supplier shall have the option to renew this contract for an additional two (2) one-year periods. The Contract shall commence upon the Effective Date and shall automatically renew each year, in accordance with the procedures set forth in the Agreement. At the mutual agreement of both parties, the Contract may be further extended as needed, not to exceed a total of six (6) months.
3 Scope of Work
The CONSULTANT shall perform all those services as necessary and as described in the OWNER’s RFP 8203 – Insurance Broker of Record, which is on file at the purchasing office and made a part hereof as Exhibit B as if written word for word herein.
4 Contract Amount
The contract total for the continued services shall not exceed $980,000. In the event scope
of services provided to the City of Denton by Lockton exceeds $980,000 annually, an
amendment to this contract as well as the Fee Schedule will be required.
5 Insurance
Insurance requirements in Exhibit D will be deleted and replaced with the attached Exhibit D Insurance requirements.
6 Contractor’s Proposal
Exhibit F will be deleted and replaced in its entirety with the following:
Contractor agrees to do all services listed in scope of work and proposal per Exhibit F attached.
7 Updated Notices Addresses.
The agreement is amended to reflect the following updated notice address for City of Denton:
City of Denton, Attn: Diane Presley 215 E. McKinney St., Denton, TX 76201, with an
DocuSign Envelope ID: 9F224E8F-F614-4C73-953E-67ED4B305DB0
6/6/2023
2
additional copy to: City of Denton Attn: Legal Counsel 215 E. McKinney St., Denton, TX 76201, with additional copy emailed to city of Denton at: purchasing@cityofdenton.com
Texas Series of Lockton Companies, LLC Attn: ________________2100 Ross Avenue, Suite 1400 Dallas, TX 75201, with additional copy emailed to _______________________________________.
8 Updated contract number
This Amendment constitutes a new agreement beginning on the Effective Date between the parties incorporating, except as amended herein, all the terms and conditions in the Agreement for all intents and purposes Such Agreement will have contract number 8203.
Confirmation of Agreement
This Amendment (together with all exhibits attached hereto) constitutes the entire agreement between the parties regarding the matters of this Amendment and supersedes all prior and contemporaneous agreements and understandings regarding the matters of this Amendment. In the event of a conflict between this Amendment and the Agreement as it relates to the matters of this Amendment, the terms of this Amendment will control. Otherwise, all terms and conditions of the Agreement will remain in full force and effect and likewise apply to this Amendment.
Authorized Signatures
City of Denton, Texas Texas Series of Lockton Companies, LLC
By: By:
Name: Name:
Title: Title:
Date: Date:
ATTEST:
JESUS SALAZAR, INTERIM CITY SECRETARY
BY: _______________________________
APPROVED AS TO LEGAL FORM:
MACK REINWAND, CITY ATTORNEY
BY: _______________________________
DocuSign Envelope ID: 9F224E8F-F614-4C73-953E-67ED4B305DB0
EVP - Chief Operating Officer
Robert F. Bobo Jr
Bbobo@lockton.com
Robert Bobo
5/6/2023
City Manager
Sara Hensley
6/7/2023
3
THIS AGREEMENT HAS BEEN BOTH REVIEWED AND APPROVED as to financial and operational obligations and business terms. _______________ ______________ SIGNATURE PRINTED NAME
_______________ _______________ TITLE DEPARTMENT
DocuSign Envelope ID: 9F224E8F-F614-4C73-953E-67ED4B305DB0
Human Resources
Sara Kuechler
Director of Human Resources
Insurance Requirements
1/31/2023
Insurance Broker - Risk Page 1 of 3
SECTION A.
CONSULTANT shall procure, pay for and maintain the following insurance written by
companies approved by the State of Texas and acceptable to CITY. The insurance shall
be evidenced by delivery to the CITY, at the address shown in SECTION C (a), certificates
of insurance executed by the insurer or its authorized agent stating coverages, limits,
expiration dates and compliance with all applicable required provisions. The CITY shall
be named as an additional insured by endorsement to the policy and thus will be entitled
to notice of cancellation of the policy in accordance with Section 1811 of the Texas
Insurance Code. Upon request, the CITY shall be entitled to receive without expense,
copies of the policies and all endorsements.
SECTION B.
The CITY reserves the right to review the insurance requirements of this section during
the effective period of the services or work performed by CONSULTANT and to modify
insurance coverages and their limits when deemed necessary and prudent by City's Risk
Management based upon changes in statutory law, court decisions or other relevant
factors. The CONSULTANT shall acquire and ensure execution of requests for deletions,
revisions or modifications of particular policy terms, conditions, limitations, or exclusions
(except where policy provisions are established by law or regulation binding upon either
CITY or CONSULTANT).
SECTION C. REQUIRED PROVISIONS
The CONSULTANT agrees, with respect to the required insurance as documented below,
all certificate(s) of insurance will contain and state, in writing, the following required
provisions:
a) The certificate of insurance or policy and endorsements shall be evidenced
by delivery to:
(i) Purchasing 901-B Texas Street, Denton, TX 76209.
b) All certificates of insurance shall identify the service or product being
provided, by including the bid number and contract or solicitation name.
c) All certificates of insurance shall name the City of Denton as the Certificate
Holder.
SECTION D. INSURANCE COVERAGE REQUIRED
Subject to CONSULTANT'S right to maintain reasonable deductibles, CONSULTANT
shall obtain and maintain in full force and effect for the duration of its engagement with
the CITY and any extension hereof, at CONSULTANT'S sole expense, insurance
coverage in the following type(s) and amounts:
1. COMMERCIAL GENERAL LIABILITY INSURANCE
DocuSign Envelope ID: 9F224E8F-F614-4C73-953E-67ED4B305DB0 EXHIBIT D
Insurance Requirements
1/31/2023
Insurance Broker - Risk Page 2 of 3
Commercial General Liability Insurance including, but not limited to,
Premises/Operations, Personal & Advertising Injury, Products/Completed
Operations, Independent Consultants and Contractual Liability with minimum
combined bodily injury (including death) and property damage limits of
$500,000.00 per occurrence, $1,000,000.00 products/completed operations
aggregate, $1,000,000.00 general aggregate.
The policy shall include:
a) An endorsement naming the City of Denton and its officers, employees and
elected representatives as additional insureds.
b) An endorsement to waive of subrogation in favor of the City of Denton, its
officers and employees, for bodily injury (including death), property damage
or any other loss.
c) An endorsement to provide thirty (30) days prior written notice in the event of
cancellation to the address as shown in Section C, a (i) and (ii), or in
accordance with Section 1811.155 of the Texas Insurance Code, Notice of
Cancellation in accordance with the Notice of Insured in the policy for
cancellation due to non-payment of premium.
d) Provide that CONSULTANT’S insurance is primary insurance as respects the
CITY, its officers, employees and elected representatives.
e) If this insurance is written on a claims-made form, coverage shall be
continuous (by renewal or extended reporting period) for not less than twenty-
four (24) months following completion of the contract and acceptance by the
City. Coverage, including any renewals, shall have the same retroactive date
as the original policy applicable to this contract.
2. PROFESSIONAL LIABILITY INSURANCE
If CONSULTANT is a licensed or certified person who renders professional
services, then Professional Liability Insurance to provide coverage against any
claim which the CONSULTANT becomes legally obligated to pay as damages
arising out of the performance of professional services caused by any negligent
error, omission or act with minimum limits of $2,000,000.00 per claim,
$4,000,000.00 annual aggregate.
The policy shall include:
a) An endorsement to provide thirty (30) days prior written notice in the event of
cancellation to the address as shown in Section C, a (i) and (ii), or in
accordance with Section 1811.155 of the Texas Insurance Code, Notice of
Cancellation in accordance with the Notice of Insured in the policy for
cancellation due to non-payment of premium.
b) Provide that CONSULTANT’S insurance is primary insurance as respects the
CITY, its officers, employees and elected representatives.
c) If this insurance is written on a claims-made form, coverage shall be
continuous (by renewal or extended reporting period) for not less than twenty-
four (24) months following completion of the contract and acceptance by the
City. Coverage, including any renewals, shall have the same retroactive date
DocuSign Envelope ID: 9F224E8F-F614-4C73-953E-67ED4B305DB0
Insurance Requirements
1/31/2023
Insurance Broker - Risk Page 3 of 3
as the original policy
SECTION E. SUBCONTRACTING LIABILITY
(1) Without limiting any of the other obligations or liabilities of the CONSULTANT, the
CONSULTANT shall require each Subcontractor performing work under the contract, at
the Subcontractor's own expense, to maintain during the engagement with the CITY,
types and limits of insurance that are appropriate for the services/work being performed,
comply with all applicable laws and are consistent with industry standards. The
Subcontractor’s liability insurance shall name CONSULTANT as an additional insured.
(2) CONSULTANT shall obtain and monitor the certificates of insurance from each
Subcontractor. CONSULTANT must retain the certificates of insurance for the duration
of the contract and shall have the responsibility of enforcing insurance requirements
among its subcontractors. The CITY shall be entitled, upon request and without expense,
to receive copies of these certificates.
SECTION F. CONSULTANT LIABILITY
Approval, disapproval or failure to act by the CITY regarding any insurance supplied by
CONSULTANT or its subcontractors shall not relieve CONSULTANT of full responsibility
or liability for damages and accidents as set forth in the contract documents. Neither shall
the bankruptcy, insolvency nor denial of liability by the insurance company exonerate
CONSULTANT from liability.
DocuSign Envelope ID: 9F224E8F-F614-4C73-953E-67ED4B305DB0
Bid Lines
1 Flat Yearly Fee
Quantity:1 UOM:YR Price:$200,000.00 Total:$200,000.00
Item Notes:Professional Liability
General Liability
Property Insurance (City & DEC)
Property Inspection
Workers Compensation
Automobile Insurance
Boiler and Machinery insurance
Airport Operations Insurance
2 Hourly Rate
Quantity:1 UOM:HR Price:$0.00 Total:$0.00
Response Total: $200,000.00
Vendor: Houston Series of Lockton
Companies, LLC
8203Page 22 of 22 pages
Exhibit F Contractors ProposalDocuSign Envelope ID: 9F224E8F-F614-4C73-953E-67ED4B305DB0
Total Price $960,000.00
Line #Description QTY UOM Year 1 Year 2 Year 3 Year 4 Year 5
1 Flat Yearly Fee 1 YR $200,000.00 190,000.00$ 190,000.00$ 190,000.00$ 190,000.00$
Summary of PricingHouston Series of Lockton
Companies, LLC (Lockton
Companies, LLC)
8203 - Page 1
DocuSign Envelope ID: 9F224E8F-F614-4C73-953E-67ED4B305DB0
EXHIBIT F
CONFLICT OF INTEREST QUESTIONNAIRE - FORM CIQ
For vendor or other person doing business with local governmental entity
This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session.
This questionnaire is being filed in accordance with Chapter 176, Local Government Code, by a vendor who has a business relationship as defined
by Section 176.001(1-a) with a local governmental entity and the vendor meets requirements under Section 176.006(a) and by City of Denton
Ethics Code, Ordinance 18-757.
By law this questionnaire must be filed with the records administrator of the local government entity not later than the 7th business day after the
date the vendor becomes aware of facts that require the statement to be filed. See Section 176.006(a-1), Local Government Code.
A vendor commits an offense if the vendor knowingly violates Section 176.006, Local Government Code. An offense under this section is a
misdemeanor.
1 Name of vendor who has a business relationship with local governmental entity.
2
Check this box if you are filing an update to a previously filed questionnaire.
(The law requires that you file an updated completed questionnaire with the appropriate filing authority not later than the 7th business day
after the date on which you became aware that the originally filed questionnaire was incomplete or inaccurate.)
3 Name of local government officer about whom the information in this section is being disclosed.
Name of Officer
Describe each employment or other business relationship with the local government officer, or a family member of the officer, as described by Section
176.003(a)(2)(A). Also describe any family relations hip with the local government officer. This section, (item 3 including subparts A, B, C & D), must be
completed for each officer with whom the vendor has an employment or other business relationship as defined by Section 176.00 1(1-a), Local Government Code.
Attach additional pages to this Form CIQ as necessary.
A. Is the local government officer named in this section receiving or likely to receive taxable income, other than investment income, from the vendor?
Yes No
B. Is the vendor receiving or likely to receive taxable income, other than investment income, from or at the direction of the local government officer named in
this section AND the taxable income is not received from the local governmental entity?
Yes No
C. Is the filer of this questionnaire employed by a corporation or other business entity with respect to which the local government officer serves as an officer
or director, or holds an ownership of one percent or more?
Yes No
D. Describe each employment or business and family relationship with the local government officer named in this section.
4
I have no Conflict of Interest to disclose.
5
Signature of vendor doing business with the governmental entity Date
DocuSign Envelope ID: 9F224E8F-F614-4C73-953E-67ED4B305DB0
Texas Series of Lockton Companies, LLC (Lockton Companies, LLC)
EXHIBT G
X
5/6/2023
X
X
X
X
CONFLICT OF INTEREST QUESTIONNAIRE
For vendor doing business with local governmental entity
A complete copy of Chapter 176 of the Local Government Code may be found at http://www.statutes.legis.state.tx.us/ Docs/LG/htm/LG.176.htm. For easy
reference, below are some of the sections cited on this form.
Local Government Code § 176.001(1-a): "Business relationship" means a connection between two or more parties based on commercial activity of one of the
parties. The term does not include a connection based on:
(A) a transaction that is subject to rate or fee regulation by a federal, state, or local governmental entity or an agency of a federal, state, or local
governmental entity;
(B) a transaction conducted at a price and subject to terms available to the public; or
(C) a purchase or lease of goods or services from a person that is chartered by a state or federal agency and that is subject to regular examination by,
and reporting to, that agency.
Local Government Code § 176.003(a)(2)(A) and (B):
(A) A local government officer shall file a conflicts disclosure statement with respect to a vendor if:
(2) the vendor:
(A) has an employment or other business relationship with the local government officer or a family member of the officer that
results in the officer or family member receiving taxable income, other than investment income, that exceeds $2,500 during
the 12-month period preceding the date that the officer becomes aware that
(i) a contract between the local governmental entity and vendor has been executed; or
(ii) the local governmental entity is considering entering into a contract with the vendor;
(B) has given to the local government officer or a family member of the officer one or more gifts that have an aggregate value of more
than $100 in the 12-month period preceding the date the officer becomes aware that:
(i) a contract between the local governmental entity and vendor has been executed; or
(ii) the local governmental entity is considering entering into a contract with the vendor.
Local Government Code § 176.006(a) and (a-1)
(a) A vendor shall file a completed conflict of interest questionnaire if the vendor has a business relationship with a local governmental entity and:
(1) has an employment or other business relationship with a local government officer of that local governmental entity, or a family member
of the officer, described by Section 176.003(a)(2)(A);
(2) has given a local government officer of that local governmental entity, or a family member of the officer, one or more gifts with the
aggregate value specified by Section 176.003(a)(2)(B), excluding any gift described by Section 176.003(a-1); or
(3) has a family relationship with a local government officer of that local governmental entity.
(a-1) The completed conflict of interest questionnaire must be filed with the appropriate records administrator not later than the seventh business day
after the later of:
(1) the date that the vendor:
(A) begins discussions or negotiations to enter into a contract with the local governmental entity; or
(B) submits to the local governmental entity an application, response to a request for proposals or bids, correspondence, or another
writing related to a potential contract with the local governmental entity; or
(2) the date the vendor becomes aware:
(A) of an employment or other business relationship with a local government officer, or a family member of the officer,
described by Subsection (a);
(B) that the vendor has given one or more gifts described by Subsection (a); or
(C) of a family relationship with a local government officer.
City of Denton Ethics Code Ordinance Number 18-757
Definitions:
Relative: a family member related to a City Official within the third 3rd degree of affinity (marriage) or consanguinity (blood or adoption)
City Official: for purpose of this article, the term consists of the Council Members, Department Heads, or member of the Board of Ethics, Planning
and zoning Commission Members, Board of Adjustment, Historic Landmark Commission, or Public Utilities Board
Vendor: a person who provides or seeks to provide goods, services, and/or real property to the City in exchange for compensation. This definition
does not include those property owners from whom the City acquires public right-of-way or other real property interests for public use.
Per the City of Denton Ethics Code, Section 2-273. – Prohibitions
(3) It shall be a violation of this Article for a Vendor to offer or give a Gift to City Official exceeding fifty dollars ($50.00) per gift, or multiple gifts
cumulatively valued at more than two hundred dollars ($200.00) per a single fiscal year.
Per the City of Denton Ethics Code, Section 2-282. – Disposition (b), (5) Ineligibility
If the Board of Ethics finds that a Vendor has violated this Article, the Board may recommend to the City Manager that the Vendor be deemed
ineligible to enter into a City contract or other arrangement for goods, services, or real property, for a period of one (1) year.
Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/30/2015
DocuSign Envelope ID: 9F224E8F-F614-4C73-953E-67ED4B305DB0
Certificate Of Completion
Envelope Id: 9F224E8FF6144C73953E67ED4B305DB0 Status: Completed
Subject: Please DocuSign: City Council Contract 8203 Insurance Broker of Record
Source Envelope:
Document Pages: 11 Signatures: 6 Envelope Originator:
Certificate Pages: 6 Initials: 1 Christa Christian
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-06:00) Central Time (US & Canada)
901B Texas Street
Denton, TX 76209
Christa.Christian@cityofdenton.com
IP Address: 198.49.140.10
Record Tracking
Status: Original
5/3/2023 10:42:06 AM
Holder: Christa Christian
Christa.Christian@cityofdenton.com
Location: DocuSign
Signer Events Signature Timestamp
Christa Christian
christa.christian@cityofdenton.com
Senior Buyer
City of Denton
Security Level: Email, Account Authentication
(None)
Completed
Using IP Address: 198.49.140.10
Sent: 5/3/2023 10:47:25 AM
Viewed: 5/3/2023 10:50:56 AM
Signed: 5/3/2023 10:51:17 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: 5/3/2023 10:51:22 AM
Viewed: 5/3/2023 1:48:49 PM
Signed: 5/3/2023 1:49:32 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Marcella Lunn
marcella.lunn@cityofdenton.com
Mack Reinwand City Attorney
City of Denton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 198.49.140.10
Sent: 5/3/2023 1:49:35 PM
Viewed: 5/5/2023 5:42:01 PM
Signed: 5/5/2023 5:42:47 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Robert F. Bobo Jr
bbobo@lockton.com
EVP - Chief Operating Officer
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 107.115.5.126
Sent: 5/5/2023 5:42:52 PM
Viewed: 5/6/2023 7:29:49 AM
Signed: 5/6/2023 7:31:51 AM
Electronic Record and Signature Disclosure:
Accepted: 5/6/2023 7:29:49 AM
ID: b245541f-d5ff-4338-bd86-01b2b4abcee4
Signer Events Signature Timestamp
Sara Kuechler
Sarah.Kuechler@cityofdenton.com
Director of Human Resources
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 198.49.140.10
Sent: 5/6/2023 7:31:54 AM
Viewed: 5/8/2023 8:38:43 AM
Signed: 5/8/2023 8:39:15 AM
Electronic Record and Signature Disclosure:
Accepted: 5/8/2023 8:38:43 AM
ID: 23e8ec54-35f8-4461-95cf-64870024fa9d
Cheyenne Defee
cheyenne.defee@cityofdenton.com
Procurement Administration Supervisor
City of Denton
Security Level: Email, Account Authentication
(None)
Completed
Using IP Address: 198.49.140.10
Sent: 5/8/2023 8:39:19 AM
Viewed: 6/7/2023 7:46:53 AM
Signed: 6/7/2023 7:47:24 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Sara Hensley
sara.hensley@cityofdenton.com
City Manager
City of Denton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 198.49.140.10
Sent: 6/7/2023 7:47:28 AM
Viewed: 6/7/2023 7:48:41 AM
Signed: 6/7/2023 7:48:46 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Jesus Salazar
jesus.salazar@cityofdenton.com
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 198.49.140.10
Sent: 6/7/2023 7:48:49 AM
Viewed: 6/7/2023 9:00:15 AM
Signed: 6/7/2023 9:01:05 AM
Electronic Record and Signature Disclosure:
Accepted: 6/7/2023 9:00:15 AM
ID: f6ad891d-6f38-4574-a20c-2abffb7dab37
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: 5/3/2023 10:51:21 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Carbon Copy Events Status Timestamp
Gretna Jones
gretna.jones@cityofdenton.com
Legal Secretary
City of Denton
Security Level: Email, Account Authentication
(None)
Sent: 5/8/2023 8:39:18 AM
Viewed: 5/8/2023 2:02:14 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
City Secretary Office
citysecretary@cityofdenton.com
Security Level: Email, Account Authentication
(None)
Sent: 6/7/2023 9:01:08 AM
Viewed: 6/7/2023 9:06:57 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Deby Skawinski
Deby.Skawinski@cityofdenton.com
Deputy Director, Risk & Compliance
Security Level: Email, Account Authentication
(None)
Sent: 6/7/2023 9:01:09 AM
Electronic Record and Signature Disclosure:
Accepted: 6/6/2023 7:44:50 AM
ID: 1d4a5494-37c5-4847-8a2c-a5d3b10c641f
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 5/3/2023 10:47:25 AM
Certified Delivered Security Checked 6/7/2023 9:00:15 AM
Signing Complete Security Checked 6/7/2023 9:01:05 AM
Completed Security Checked 6/7/2023 9:01:09 AM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
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Electronic Record and Signature Disclosure created on: 7/21/2017 3:59:03 PM
Parties agreed to: Robert F. Bobo Jr, Sara Kuechler, Jesus Salazar, Deby Skawinski
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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.