HomeMy WebLinkAbout26-0887
Docusign City Council Transmittal Coversheet
File Name
Purchasing Contact
City Council Target Date
Piggy Back Option
Contract Expiration
Ordinance
Docusign Envelope ID: 18AA147C-9A3C-418F-AAE1-8E926D174B4D
Not Applicable
RFP
Bonnie Brae 3 Widening & Relocation - CO#5
8775
Cori Power
8094-1
JUNE 16, 2026
N/A
26-0887
Contractor:Sundt Construction, Inc.
8445 Freeport Pkwy Suite 240
Irving, TX 75063
Holly Horsak
Proj:Bonnie Brae Phase 3 Widening & Reconstruction CHANGE ORDER NO.5
IFB#8094-1 ENG/PMO#PO#205669
38,398,900.45$ Prior Approved Other Funded CO's:2,388,362.16$
1,919,945.02$ Current Contract Amount:42,557,678.18$
40,318,845.47$ This CO Other Funding Request:1,048,785.81$
1,770,415.57$ Total Change Request:1,048,785.81$
149,529.45$
-$ 0
149,529.45$ 1122
Item No.Spec. Section No.UOM BID QTY +/- QTY Unit Price Extended Price
9 31 23 16 EXCAVATION CY 42,773 1,788 20.00$ 35,760.00$
10 02 41 15 REMOVE EXISTING CONCRETE PAVING SY 5,759 1,569 20.00$ 31,380.00$
11 02 41 15 REMOVE EXISTING ASPHALT PAVING SY 19,834 -1,529 6.00$ (9,174.00)$
14 32 11 29 12" LIME SLURRY (54LBS/SY)TON 1,976 -94 325.00$ (30,452.50)$
15 32 11 29 12" LIME TREATED SUBGRADE SY 73,180 48 5.00$ 240.00$
16 32 11 23 ROADBED BASE SY 195 -168 40.00$ (6,720.00)$
17 32 13 13 CONCRETE PAVEMENT 6-INCH SY 890 127 95.00$ 12,065.00$
18 32 13 13 CONCRETE PAVEMENT 8-INCH SY 3,224 -73 105.00$ (7,665.00)$
19 32 13 13 CONCRETE PAVEMENT 10-INCH SY 2,825 -53 115.00$ (6,095.00)$
20 32 13 13 CONCRETE PAVEMENT 11-INCH SY 59,272 215 130.00$ 27,950.00$
21 32 12 16 ASPHALT PAVEMENT, TY C, SAC-A, PG64-22, 2"SY 3,548 387 30.00$ 11,610.00$
22 32 12 16 ASPHALT PAVEMENT, TY B, PG64-22, 4"SY 145 -21 40.00$ (840.00)$
23 32 12 16 ASPHALT PAVEMENT, TY B, PG64-22, 7"SY 1,704 53 70.00$ 3,710.00$
24 32 12 16 ASPHALT PAVEMENT, TY B, PG64-22, 10"SY 1,699 355 85.00$ 30,175.00$
25 32 16 00 CONCRETE CURB & GUTTER 30-INCH LF 1,492 333 45.00$ 14,985.00$
26 32 16 00 CONCRETE RIBBON CURB LF 662 -662 50.00$ (33,100.00)$
27 32 16 00 MONOLITHIC CURB LF 29,790 -93 7.50$ (697.50)$
Robin Davis, Project Manager
CITY OF DENTON CHANGE ORDER FORM
City of Denton - Capital Projects
401 N. Elm Street
Denton, TX 76201
880006-3
Notice To Proceed Issued:Current Completion Date:New Completion Date:
10/16/2023 11/11/2026 11/11/2026
Contract BID Amount:
5% Contingency Amount:
Total NTE Amount :
Prior Approved CUA's:
Available Contingency:
Orig Contract Days:912 This CO Days Request:
Contingency Remaining: Approved CO Days:210 New Contract Days:
This CUA Request:
PROJECT SCOPE AND REASON FOR CHANGE
SCOPE OF WORK included
in Contract:
Widen and reconstruct Bonnie Brae Phase 3 from FM1515/Airport Road to Roselawn Drive from a 2-lane rural roadway to a 4-lane
divided urban street section. Includes drainage, water & wastewater improvements as well as street lighting and sidewalks/sidepaths.
Reason for Change:
Airport Road/FM 1515:
$ (47,055.77)
TxDOT requested change from concrete to asphalt since TxDOT will be replacing this section with the future FM 1515 reconstruction/widening
project.
Parvin Street Changes:
$ 1,750.00 Extended Asphalt section and changed from ribbon curb to curb & gutter to avoid DME conflict.
Willowwood St. Changes:
$ 6,345.00 Changed 331 LF of Concrete Ribbon Curb to Concrete Curb & Gutter to improve protection at edge of roadway.
Driveway Revisions:
$ (4,765.00)
The driveway for Natl' Wholesale was changed from a future street section to a commercial driveway. Eliminated one (1) driveway,
added a new drive not included in plans, widened two (2) gas well entrances to accommodate large trucks, slope improvements needed
at various drives and changed lime stabilization to flexbase in approach area to cross existing 8-inch water line.
QUANTITY CHANGES TO EXISTING ITEMS
CPKCS RR ROW Ashpalt:
$ 19,550.00
The asphalt transistion within the CPKCS RR ROW was not included in the project plans. Once CPCKS completed their Rail widening work,
the asphalt section was completed by Sundt.
Street Revisons:
$ (107,452.75)
Added 2 left turn lanes at both gas well entrances south of the RR to ensure proper radius for large trucks. Credit for detour TCP not
needed as multiple phases were paved during full closure of Bonnie Brae. Concrete Panel replacement required due to Porta Potty being
set on fire overnight.
Drainage Revisons:
$ (10,040.00)
Deletion of L7 due to conflict with SS and N12 due to conflict with TXDOT Project. Deletion of 2 manholes once lateral was ran straight to
inlets, extension of Inlet I-4 to accommodate gas well driveway widening and extension of 30" RCP (K-1) due to conflict with Sidewalk
crossing PCKCS RR Tracks.
Water Revisons:
$ 1,190,454.33
Water utilities request to upgrade existing 8inch to 12inch under PCKCS RR tracks (Bore). Adjustment of existing 42" water line Manholes
to match elevation of new street grade as well as the relocation of existing water flush point STA 193+85 (not shown on plans) in conflict
with 10ft Shared Use Path as well as other misc work-arounds due to conflicts.
CONTINGENCY USE ALLOWANCE (CUA) CONTRACT CHANGES
Contingency is not being used for this Change OrderOTHER FUNDED CONTRACT CHANGES (CO)
Description of work
Docusign Envelope ID: 18AA147C-9A3C-418F-AAE1-8E926D174B4D
29 32 16 00 10-FOOT SHARED USE PATH 5-INCH SY 12,946 -24 85.00$ (2,040.00)$
35 32 12 16 TEMPORARY ASPHALT PAVEMENT, TY B, PG64-22, 6"SY 4,910 -2,160 58.50$ (126,360.00)$
41 32 13 16 4-INCH STAMPED & STAINED CONCRETE SY 2,755 -82 170.00$ (13,940.00)$
50 33 42 11 18" RCP (CL III)LF 3,025 24 120.00$ 2,880.00$
55 33 42 11 30" RCP (CL III)LF 784 65 160.00$ 10,400.00$
57 33 42 11 36" RCP (CL III)LF 526 -57 260.00$ (14,820.00)$
71 33 42 33 4' x 4' "Y" Inlet EA 2 -1 8,500.00$ (8,500.00)$
72 33 42 33 Drop Inlet Type 1 EA 1 -1 7,000.00$ (7,000.00)$
73 TxDOT 465 Type M Manhole EA 21 -1 13,000.00$ (13,000.00)$
210 681.6001 TEMP TRAF SIGNALS EA 1 -1 120,000.00$ (120,000.00)$
233 32 17 23 TYPE IB EDGELINE LF 493 1,289 1.25$ 1,611.25$
244 32 17 23 TYPE VB DIAGONAL MARKING LF 65 38 12.00$ 456.00$
-$217,181.75
355 RFI 69 Airport Road & Ph 8 Flex Base TON 0 2149 20.45$ 43,947.05$
356 RFI 69 Airport Road & Ph 8 Filter Fabric SY 0 4000 1.72$ 6,872.00$
357 RFI 69 Airport Road & Ph 8 TCP reconstruction LS 0 1 4,694.18$ 4,694.18$
358 RFI 48 Relocate water Flush Point LS 0 1 21,695.25$ 21,695.25$
359 RFI 50 Water Utilities Conflicts Work-arounds LS 0 1 25,380.22$ 25,380.22$
360 RFI 90 LS 0 1 26,335.00$ 26,335.00$
361 RFI 91 LS 0 1 19,874.00$ 19,874.00$
362 RFI 72 LS 0 1 1,117,169.86$ 1,117,169.86$
$1,265,967.56
$1,048,785.81
38,398,900.45$
40,318,845.47$
1,770,415.57$
3,437,147.97$
43,606,463.99$
92.21%
13.56%
8.15%
SUBMITTED BY:_______________________________
Robin Davis, Project Manager
ACCEPTED BY CITY ENGINEER/DIRECTOR OF CAPITAL PROJECTS _______________________________
Seth Garcia, Director-Capital Projects
ACCEPTED BY CONTRACTOR: ____________________________________________________________
Name, Title Signature
CITY MANAGER:_______________________________
Signature
ATTEST: CITY SECRETERY _______________________________
Signature
APPROVED AS TO LEGAL FORM:_______________________________
Signature
Total CUA's:
TOTAL OTHER FUNDED EXISTING QTY CHANGES:
NEW ITEMS OF WORK
Flowfill Subgrade replacement due to 42-Inch water
transmission line trench
42-inch Water line Manhole Adjustments
Water requested Upgrade from 8inch to 12 inch under RR
Tracks TOTAL OTHER FUNDED NEW ITEMS:
TOTAL CHANGE AMOUNT:
Original BID/Contract Amount:
Original Not To Exceed Amount:
Percent Changes over NTE:
THE AFOREMENTIONED CHANGE, AND WORK AFFECTED THEREBY,
IS SUBJECT TO ALL CONTRACT STIPULATIONS AND COVENANTS.
Bonnie Brae Phase 3 Total CO's:
Widening & Reconstruction Revised Contract Amount:
% of CUA Approved To-Date:
Total Changes over Original Bid:
Docusign Envelope ID: 18AA147C-9A3C-418F-AAE1-8E926D174B4D
Sr. Project ManagerHolly Horsak
KRISTI FOGLE, INTERIM CITY SECRETARY
Certificate Of Completion
Envelope Id: 18AA147C-9A3C-418F-AAE1-8E926D174B4D Status: Completed
Subject: Please DocuSign: City Council Contract 8094-1 - Bonnie Brae 3 Widening & Relocation - CO#5
Source Envelope:
Document Pages: 3 Signatures: 6 Envelope Originator:
Certificate Pages: 7 Initials: 1 Cori Power
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-06:00) Central Time (US & Canada)
901B Texas Street
Denton, TX 76209
cori.power@cityofdenton.com
IP Address: 198.49.140.10
Record Tracking
Status: Original
5/5/2026 9:16:12 AM
Holder: Cori Power
cori.power@cityofdenton.com
Location: DocuSign
Signer Events Signature Timestamp
Cori Power
cori.power@cityofdenton.com
Purchasing Supervisor
City of Denton
Security Level: Email, Account Authentication
(None)
Completed
Using IP Address: 198.49.140.10
Sent: 5/5/2026 9:33:32 AM
Viewed: 5/5/2026 9:33:41 AM
Signed: 5/5/2026 9:34:18 AM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Cori Power
cori.power@cityofdenton.com
Purchasing Supervisor
City of Denton
Security Level: Email, Account Authentication
(None)
Completed
Using IP Address: 198.49.140.10
Sent: 5/5/2026 3:25:52 PM
Viewed: 5/5/2026 3:26:08 PM
Signed: 5/5/2026 3:27:01 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: 198.49.140.10
Sent: 5/5/2026 9:34:19 AM
Resent: 5/5/2026 3:27:03 PM
Viewed: 5/5/2026 9:44:21 AM
Signed: 5/5/2026 4:46:15 PM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Robin Davis
Robin.Davis@cityofdenton.com
Project Manager- Capital Projects
Security Level: Email, Account Authentication
(None)Signature Adoption: Uploaded Signature Image
Using IP Address: 198.49.140.10
Sent: 5/5/2026 4:46:17 PM
Resent: 5/6/2026 8:47:37 AM
Viewed: 5/6/2026 8:53:57 AM
Signed: 5/6/2026 8:57:21 AM
Electronic Record and Signature Disclosure:
Accepted: 5/6/2026 8:21:09 AM
ID: 83aeba02-f059-4a04-8f0f-266817d7e300
Signer Events Signature Timestamp
Leah Bush
leah.bush@cityofdenton.com
Assistant City Attorney
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 198.49.140.10
Sent: 5/6/2026 8:57:23 AM
Viewed: 5/6/2026 9:33:30 AM
Signed: 5/7/2026 11:35:32 AM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Holly Horsak
hkhorsak@sundt.com
Sr. Project Manager
Sundt Construction
Security Level: Email, Account Authentication
(None), Login with SSO
Signature Adoption: Pre-selected Style
Using IP Address: 155.190.9.6
Sent: 5/7/2026 11:35:35 AM
Viewed: 5/8/2026 9:38:36 AM
Signed: 5/8/2026 9:53:40 AM
Electronic Record and Signature Disclosure:
Accepted: 5/8/2026 9:38:36 AM
ID: c48b33e4-c5aa-40cb-81f6-d0265640ebf6
Seth Garcia
Seth.Garcia@cityofdenton.com
Director of Capital Projects
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 198.49.140.10
Sent: 5/8/2026 9:53:42 AM
Viewed: 5/8/2026 10:27:50 AM
Signed: 5/8/2026 10:28:15 AM
Electronic Record and Signature Disclosure:
Accepted: 5/8/2026 10:27:50 AM
ID: c81e8dd4-4afa-4d30-bb12-eade9cd6871c
Cori Power
cori.power@cityofdenton.com
Purchasing Supervisor
City of Denton
Security Level: Email, Account Authentication
(None)
Completed
Using IP Address: 75.226.212.31
Signed using mobile
Sent: 5/8/2026 10:28:21 AM
Viewed: 5/8/2026 10:38:15 AM
Signed: 5/8/2026 10:38:47 AM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
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: 5/8/2026 10:38:50 AM
Viewed: 6/17/2026 10:04:24 AM
Signed: 6/17/2026 10:04:42 AM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Cassey Ogden
Cassey.Ogden@cityofdenton.com
Interim City Manager
City of Denton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 198.49.140.10
Sent: 6/17/2026 10:04:44 AM
Viewed: 6/17/2026 11:21:24 AM
Signed: 6/17/2026 11:21:28 AM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Signer Events Signature Timestamp
Kristi Fogle
Kristi.Fogle@cityofdenton.com
Chief of Staff
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 198.49.140.104
Sent: 6/17/2026 11:21:30 AM
Viewed: 6/18/2026 6:10:35 PM
Signed: 6/18/2026 6:11:03 PM
Electronic Record and Signature Disclosure:
Accepted: 6/18/2026 6:10:35 PM
ID: 8fa5930f-1798-40ed-8384-f613d60192e4
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: 5/5/2026 9:34:20 AM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Gretna Jones
gretna.jones@cityofdenton.com
Legal Secretary
City of Denton
Security Level: Email, Account Authentication
(None)
Sent: 5/8/2026 10:28:19 AM
Viewed: 5/11/2026 11:00:37 AM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
City Secretary Office
citysecretary@cityofdenton.com
Security Level: Email, Account Authentication
(None)
Sent: 6/18/2026 6:11:05 PM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 5/5/2026 9:33:32 AM
Envelope Updated Security Checked 5/5/2026 1:41:10 PM
Envelope Updated Security Checked 5/5/2026 1:41:10 PM
Envelope Updated Security Checked 5/5/2026 1:41:10 PM
Envelope Updated Security Checked 5/5/2026 1:41:10 PM
Envelope Updated Security Checked 5/5/2026 1:41:10 PM
Envelope Summary Events Status Timestamps
Envelope Updated Security Checked 5/5/2026 1:41:10 PM
Envelope Updated Security Checked 5/5/2026 3:25:51 PM
Envelope Updated Security Checked 5/5/2026 3:25:51 PM
Envelope Updated Security Checked 5/5/2026 3:25:52 PM
Envelope Updated Security Checked 5/5/2026 3:25:52 PM
Envelope Updated Security Checked 5/5/2026 3:25:52 PM
Envelope Updated Security Checked 5/5/2026 3:25:52 PM
Envelope Updated Security Checked 5/5/2026 3:25:52 PM
Envelope Updated Security Checked 5/5/2026 3:25:52 PM
Envelope Updated Security Checked 5/5/2026 3:25:52 PM
Envelope Updated Security Checked 5/5/2026 3:25:52 PM
Envelope Updated Security Checked 5/5/2026 3:25:52 PM
Envelope Updated Security Checked 5/5/2026 3:25:52 PM
Envelope Updated Security Checked 5/11/2026 10:24:10 AM
Envelope Updated Security Checked 5/11/2026 10:24:10 AM
Certified Delivered Security Checked 6/18/2026 6:10:35 PM
Signing Complete Security Checked 6/18/2026 6:11:03 PM
Completed Security Checked 6/18/2026 6:11:05 PM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
ELECTRONIC RECORD AND SIGNATURE DISCLOSURE
From time to time, City of Denton (we, us or Company) may be required by law to provide to
you certain written notices or disclosures. Described below are the terms and conditions for
providing to you such notices and disclosures electronically through your DocuSign, Inc.
(DocuSign) Express user account. Please read the information below carefully and thoroughly,
and if you can access this information electronically to your satisfaction and agree to these terms
and conditions, please confirm your agreement by clicking the 'I agree' button at the bottom of
this document.
Getting paper copies
At any time, you may request from us a paper copy of any record provided or made available
electronically to you by us. For such copies, as long as you are an authorized user of the
DocuSign system you will have the ability to download and print any documents we send to you
through your DocuSign user account for a limited period of time (usually 30 days) after such
documents are first sent to you. After such time, if you wish for us to send you paper copies of
any such documents from our office to you, you will be charged a $0.00 per-page fee. You may
request delivery of such paper copies from us by following the procedure described below.
Withdrawing your consent
If you decide to receive notices and disclosures from us electronically, you may at any time
change your mind and tell us that thereafter you want to receive required notices and disclosures
only in paper format. How you must inform us of your decision to receive future notices and
disclosure in paper format and withdraw your consent to receive notices and disclosures
electronically is described below.
Consequences of changing your mind
If you elect to receive required notices and disclosures only in paper format, it will slow the
speed at which we can complete certain steps in transactions with you and delivering services to
you because we will need first to send the required notices or disclosures to you in paper format,
and then wait until we receive back from you your acknowledgment of your receipt of such
paper notices or disclosures. To indicate to us that you are changing your mind, you must
withdraw your consent using the DocuSign 'Withdraw Consent' form on the signing page of your
DocuSign account. This will indicate to us that you have withdrawn your consent to receive
required notices and disclosures electronically from us and you will no longer be able to use your
DocuSign Express user account to receive required notices and consents electronically from us
or to sign electronically documents from us.
All notices and disclosures will be sent to you electronically
Unless you tell us otherwise in accordance with the procedures described herein, we will provide
electronically to you through your DocuSign user account all required notices, disclosures,
authorizations, acknowledgements, and other documents that are required to be provided or
made available to you during the course of our relationship with you. To reduce the chance of
you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required
notices and disclosures to you by the same method and to the same address that you have given
us. Thus, you can receive all the disclosures and notices electronically or in paper format through
the paper mail delivery system. If you do not agree with this process, please let us know as
described below. Please also see the paragraph immediately above that describes the
consequences of your electing not to receive delivery of the notices and disclosures
electronically from us.
Electronic Record and Signature Disclosure created on: 7/21/2017 3:59:03 PM
Parties agreed to: Robin Davis, Holly Horsak, Seth Garcia, Kristi Fogle
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.