2017-012FILE REFERENCE FORM 2017-012
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First Amendment to Ordinance - Ordinance No. 20-247 01/28/20 JR
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WHEREAS, The professional services provider (the "Provider) mentioned in this ordinance
is being selected as the most highly qualified on the basis of its demonstrated competence and
qualifications to perform the proposed professional services; and
WHEREAS, The fees under the proposed contract are fair and reasonable and are consistent
with and not higher than the recommended practices and fees published by the professional
associations applicable to the Provider's profession and such fees do not exceed the maximum
provided by law; NOW, THEREFORE,
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SECTION 1. That the City Manager is hereby authorized to enter into a professional service
contract with Lloyd Gosselink Rochelle & Townsend, P.C., to pravide professional legal services for
the proposed expansion of the City's landfill, a copy of which is attached hereto and incarporated by
reference herein.
SECTION 2, The City Manager is authorized to expend funds as required by the attached
contract.
SECTION�„3. The City Council of the City of Denton, Texas hereby expressly delegates the
authority to take any actions that may be required or permitted to be performed by the City of Denton
under File 6288 to the City Manager af the City of Denton, Texas, or his designee.
ASECTION 4, The findings in the preamble of this ordinance are incorporated herein by
reference.��� �
SECTION 5. This ordinance shall became effective immediately upon its passage and
approval.
PASSED AND APPROVED this the � day of � __„�_„ __�, 2017.
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ATTEST:
JENNIFER WALTERS, CTTY SECRETARY
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DocuSign Envelope ID: A883263E-A50D-42E6-A2CE-65E448821 D72
CONTRACT FOR PROFESSIONAL LEGAL SERVICES
FILE 6288
STATE OF TEXAS §
COUNTY OF DENTON §
7anuary 10, 2017
This AGREEMENT, made and entered into this the date , by
and between Llovd Gosselink Rochelle & Townsend, P.C., 816 Con�ress Avenue, Suite 1900,
Austin, Texas 78701, hereinafter referred to as "Consultant", and the City of Denton, a Texas
municipal corporation, 215 East McKinney, Denton, Texas 76201, hereinafter referred to as
"City".
WITNESSETH
WHEREAS, City finds it necessary to employ outside legal counsel to perform
professional legal services regarding permitting of the proposed expansion of the City of Denton
Landfill and General Environmental Legal Services; and
WHEREAS, Consultant is willing to perform such services in a professional manner as
an independent contractor; and
WHEREAS, City desires to engage Consultant to render the professional services in
connection therewith, and Consultant is willing to provide such services;
NOW, THEREFORE, in consideration of the promises and mutual obligations herein, the
parties hereto do hereby mutually AGREE as follows:
l. SCOPE OF SERVICES
Consultant shall perform the following services in a professional manner working as an
independent contractor not under the direct supervision and control of City:
Services to be provided:
l. Consultant shall evaluate the relevant facts and circumstances and shall advise City, by
written opinion, with respect to its options and the legality of such options, regarding
researching and responding to requests for legal services.
2. Consultant shall also consult, as requested, with the City Manager, the City Attorney, and
any other designated City staff respecting any and all aspects of the services to be
performed under this Contract.
3. Consultant shall perform all the professional services required in a timely fashion, and
shall complete same in compliance with schedules established by City through its City
DocuSign Envelope ID: A883263E-A50D-42E6-A2CE-65E448821 D72
Attorney, through discussions with Consultant, as appropriate to carry out the terms and
conditions of this Contract.
2. TERM
This Contract shall be for a term of 36 months, be_i� nnin� effective on this date
. This Contract may be sooner terminated in accordance
with the provisions hereof. Time is of the essence, and Consultant shall make all reasonable
efforts to complete the services set forth herein as expeditiously as possible during the term of
this Contract, and to meet the schedules established by City, through its City Attorney, or as the
progress of this matter may require.
3. COMPENSATION AND METHOD OF PAYMENT
A. Consultant shall charge the following fees for its professional services hereunder, based on
rates described in Exhibit A of this agreement.
B. Consultant will try to reduce costs whenever feasible by utilizing qualified principals,
associates, paralegals, and law clerks. Consultant shall bill City through the submission of
itemized invoices, statements, and other documentation, together with supporting data
indicating the progress of the work and the services performed on the basis of monthly
statements showing hourly rates indicating who performed the work, what type of work was
done, and descriptions and/or details of all services rendered, along with specific description
and supporting documentation, if available, respecting any reasonable and necessary out-of-
pocket expenses incurred.
C. Consultant estimates and City agrees that all charges for the legal services hereunder,
including reasonable out-of-pocket expenses, shall not exceed seven hundred fifteen
thousand dollars ($715,000), and Consultant agrees to notify City and seek a modification of
the Contract should the total fees exceed such amount.
D. City shall either pay directly or reimburse Consultant, as the case may be, for reasonable and
necessary actual out-of-pocket expenses, including but not limited to, long-distance
telephone, telecopier, reproduction, overnight courier, on-line research, and travel. All
copies will be charged at the rate of ten cents ($0.10) per copy for copies made within
Consultant's offices, with as much photocopying as possible being done by outside vendors
at bulk rates or by the city to reduce costs if bulk copying is necessary. The parties agree that
there will be no charges for outgoing telecopies or incoming telecopies. Whenever feasible,
City encourages cost savings by the use of computer files in Microsoft Word or Adobe
Acrobat formats, attached to e-mail transmissions.
E. The parties anticipate invoices or statements for services will be generated on a monthly
basis and that said invoices or statements will be sent on or about the lst day of each month.
City shall make payment to Consultant within 30 days of the satisfactory completion of
services and receipt of an itemized invoice or statement. All reimbursable expenses,
including, but not necessarily limited to travel, lodging, and meals shall be paid at the actual
Contract For Professional Legal Services — Page 2
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cost, pursuant to the terms, conditions, and limitations hereinabove set forth. All invoices
and bills shall be approved for payment by the City Attorney.
F. It is understood that Consultant shall work with the coordination and general supervision of
the City Attorney or the Deputy City Attorney.
G. All notices, billing statements and invoices shall be made in writing and may be given by
personal delivery or by mail. Notices and invoices sent by mail shall be addressed to:
Accounts Pavable, 215 East McKinney, Denton, Texas 7620L When so addressed, the
notice, invoice, and/or payment shall be deemed given upon deposit in the United States
Mail, postage prepaid. In all other instances, notices, invoices, and/or payments shall be
deemed given at the time of actual delivery. Changes may be made in the names and
addresses of the responsible person or office to whom notices, invoices, and/or payments are
to be sent, provided reasonable written notice is given.
H. Consultant is generally authorized to engage the services of qualified local counsel, service
vendors, consulting experts, and testifying experts, as reasonably necessary to accomplish the
services herein, reduce costs, or increase efficiency. Consultant shall obtain City's prior
written approval before engaging local counsel, licensed investigators, consulting experts, or
testifying experts. Consultant may select and engage service providers such as court
reporters, videographers, document reproduction services, and the like at Consultant's
professional discretion without specific approval. All such services shall be paid by
Consultant, and invoiced back to City as a line item in Consultant's next monthly invoice, to
be reimbursed by City at actual cost. Unless otherwise stated, such expenses shall be a
component of the budget set forth in paragraph 3.C. of this Contract.
4. PROFESSIONAL COMPETENCY
A. Consultant agrees that in the performance of these professional services, Consultant shall be
responsible for the level of competency and shall use the same degree of skill and care
presently maintained by other practicing professionals performing the same or similar types
of work For the purpose of this Contract, the key persons who will be performing most of
the work hereunder shall be Paul Gosselink However, nothing herein shall limit Consultant
from using other qualified and competent members of its firm to perform the services
required herein.
B. All legal opinions and other legal documents prepared or obtained under the terms of this
Contract are instruments of service and City shall retain ownership and a property interest
therein. If this Contract is terminated at any time for any reason prior to payment to
Consultant for work under this Contract, all such documents prepared or obtained under the
terms of the Contract shall upon termination be delivered to and become the property of City
upon request and without restriction on their use or further compensation to Consultant.
Contract For Professional Legal Services — Page 3
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5. ESTABLISHMENT AND MAINTENANCE OF RECORDS
Full and accurate records shall be maintained by Consultant at its place of business with
respect to all matters covered by this Contract. Such records shall be maintained for a period of
at least three years after receipt of final payment under this Contract.
6. AUDITS AND 1NSPECTION
City shall have the right to audit and make copies of the books, records and computations
pertaining to this agreement. Consultant shall retain such books, records, documents and other
evidence pertaining to this agreement during the contract period and five years thereafter, except
if an audit is in progress or audit findings are yet unresolved, in which case records shall be kept
until all audit tasks are completed and resolved. These books, records, documents and other
evidence shall be available, within 10 business days of written request. Further, Consultant shall
also require all subconsultants, material suppliers, and other payees to retain all books, records,
documents and other evidence pertaining to this agreement, and to allow City similar access to
those documents. All books and records will be made available within a 50 mile radius of the
City of Denton. The cost of the audit will be borne by City unless the audit reveals an
overpayment of 1% or greater. If an overpayment of 1% or greater occurs, the reasonable cost of
the audit, including any travel costs, must be borne by Consultant which must be payable within
five business days of receipt of an invoice.
Failure to comply with the provisions of this section shall be a material breach of this
Contract and shall constitute, in City's sole discretion, grounds for termination thereof. Each of
the terms "books", "records", "documents" and "other evidence", as used above, shall be
construed to include drafts and electronic files, even if such drafts or electronic files are
subsequently used to generate or prepare a final printed document.
7. ACCOMPLISHMENT OF PROJECT
Consultant shall commence, carry on, and complete any and all projects with all
practicable dispatch, in a sound, economical and efficient manner, and, in accordance with the
provisions hereof and all applicable laws. In accomplishing the projects, Consultant shall take
such steps as are appropriate to ensure that the work involved is properly coordinated with
related work being carried on by City.
8. INDEMNITY AND INDEPENDENT CONTRACTOR RELATIONSHIl'
A. Consultant shall perform all services as an independent contractor not under the direct
supervision and control of City. Nothing herein shall be construed as creating a relationship
of employer and employee between the parties. City and Consultant agree to cooperate in the
defense of any claims, actions, suits, or proceedings of any kind brought by a third party
which may result from or directly or indirectly arise from any negligence and/or errors or
omissions on the part of Consultant, or from any breach of Consultant's obligations under this
Contract. In the event any litigation or claim is brought under this Contract in which City is
joined as a party, Consultant shall provide suitable counsel to defend City and Consultant
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against such claim; provided however, that City shall have the right to proceed with
competent counsel of its own choosing. Consultant agrees to defend, indemnify and hold
harmless City and all of its officers, attorneys, agents, servants, and employees against any
and all such claims to the extent not otherwise covered by Consultant's professional liability
policy. Consultant agrees to pay all expenses, including but not limited to attorney fees, and
satisfy all judgments that arise under such third party claims, but are not otherwise satisfied
by Consultant's professional liability insurance policy. Nothing herein constitutes a waiver
of any rights or remedies City may have to pursue under either law or equity, including,
without limitation, a cause of action for specific performance or for damages, a loss to City
resulting from Consultant's negligent errors or omissions, or breach of contract, and all such
rights and remedies are expressly reserved.
B. Consultant shall maintain and shall be caused to be in force at all times during the term of
this Contract, a legally binding policy of professional liability insurance, issued by an
insurance carrier approved to do business in the State of Texas by the State Insurance
Commission, which carrier must be rated by Best Rated Carriers, with a rating of "A-" or
higher. Such coverage shall cover any claim hereunder occasioned by Consultant's negligent
professional act and/or error or omission, in an amount not less than $500,000 combined
single limit coverage occurrence. In the event of change or cancellation of the policy by the
insurer, Consultant hereby covenants to immediately advise City thereof; and in such event,
Consultant shall, prior to the effective date of change or cancellation, serve a substitute
policy furnishing the same coverage to City. Consultant shall provide a copy of such policy
and the declarations page of the existing policy to City through its City Attorney,
simultaneously with the execution of this Contract.
9. TERMINATION OF AGREEMENT
A. In connection with the work outlined in this Contract, it is agreed and fully understood by
Consultant that City may cancel or indefinitely suspend further work hereunder or terminate
this Contract at any time upon written notice to Consultant, Consultant shall cease all work
and labor being performed under this Contract. Consultant may terminate this Contract by
giving City 30 days written notice that Consultant is no longer in a position to continue
representing City. Consultant shall invoice City for all work satisfactorily completed and
shall be compensated in accordance with the terms of this Contract. All reports and other
documents, or data, or work related to the project shall become the property of City upon
termination of this Contract.
B. This Contract may be terminated in whole or in part, in writing, by either party in the event
of substantial failure by the other party to fulfill its obligations under this Contract through
no fault of the terminating party. Provided, however, that no such termination may be
effected, unless the other party is given [1] written notice (delivered by certified mail, return
receipt requested) of intent to terminate, and not less than 30 calendar days to cure the
failure; and [2] an opportunity for consultation with the terminating party prior to
termination.
Contract For Professional Legal Services — Page 5
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C. Nothing contained herein or elsewhere in this Contract shall require City to pay for any work
which is unsatisfactory or which is not submitted in compliance with the terms of this
Contract.
10. ALTERNATE DISPUTE RESOLUTION
Consultant agrees that, if necessary, it will use its best efforts to resolve any disputes
regarding the Contract through the use of inediation or other forms of alternate dispute resolution
set forth in Chapter 154 of the Texas Civil Practice and Remedies Code.
1 l. ENTIIZE AGREEMENT
This Contract represents the entire agreement and understanding between the parties, and
any negotiations, proposals, or oral agreements are intended to be integrated herein and to be
superseded by this written Contract. Any supplement or amendment to this Contract to be
effective shall be in writing and signed by City and Consultant.
12. COMPLIANCE WITH LAWS
Consultant shall comply with all federal, state, and local laws, rules, regulations, and
ordinances applicable to the work covered hereunder as they may now read or hereafter be
amended, including but not limited to the Texas Disciplinary Rules of Professional Conduct.
13. GOVERNING LAW
For the purpose of determining place of agreement and law governing same, this Contract
is entered into in the City and County of Denton, State of Texas, and shall be governed by the
laws of the State of Texas. Venue and jurisdiction of any suit or cause of action arising under or
in connection with this Contract shall be exclusively in a court of competent jurisdiction sitting
in Denton County.
14. DISCRIMINATION PROHIBITED
In performing the services required hereunder, Consultant shall not discriminate against
any person on the basis of race, color, religion, sex, national origin or ancestry, age, or physical
handicap.
15. PERSONNEL
A. Consultant represents that it has or will secure at its own expense all personnel required to
perform all the services required under this Contract. Such personnel shall not be employees
or have any contractual relations with City. Consultant shall inform City of any conflict of
interest or potential conflict of interest that may arise during the term of this Contract, in
accordance with Consultant's responsibilities under the Texas Disciplinary Rules of
Professional Conduct.
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B. All services required hereunder will be performed by Consultant or under its direct
supervision. All personnel engaged in work shall be qualified and shall be authorized or
permitted under state and local laws to perform such services.
16. ASSIGNABILITY
Consultant shall not assign any interest in this Contract and shall not transfer any interest
in this Contract (whether by assignment, novation, or otherwise) without the prior written
consent of City thereto.
17. SEVERABILITY
All agreements and covenants contained herein are severable, and in the event any of
them, with the exception of those contained in sections headed "Scope of Services",
"Independent Contractor Relationship," and "Compensation and Method of Payment" hereof,
shall be held to be invalid by any court of competent jurisdiction, this Contract shall be
interpreted as though such invalid agreements or covenants were not contained herein.
18. RESPONSIBII,ITIES FOR CLAIMS AND LIABILITY
Approval by City shall not constitute nor be deemed a release of the responsibility and
liability of Consultant for the accuracy and competency of its work; nor shall such approval be
deemed to be an assumption of such responsibility of City for any defect in any report or other
documents prepared by Consultant, its employees, officers, agents and consultants.
19. MODIFICATION OF AGREEMENT
No waiver or modification of this Contract or of any covenant, condition, or limitation
herein contained shall be valid unless in writing and duly executed by the party to be charged
therewith, and no evidence of any waiver or modification shall be offered or received in evidence
in any proceeding arising between the parties hereto out of or affecting this Contract, or the
rights or obligations of the parties hereunder, unless such waiver or modification is in writing,
duly executed as aforesaid; and, the parties further agree that the provisions of this section will
not be waived as herein set forth.
20. CAPTIONS
The captions of this Contract are for informational purposes only and shall not in any
way affect the substantive terms or conditions of this Contract.
Contract For Professional Legal Services — Page 7
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21. BINDING EFFECT
This Contract shall be binding upon and inure to the benefit of the parties hereto and their
respective heirs, executors, administrators, legal representatives, successors, and assigns where
permitted by this Contract.
IN WITNESS HEREOF, the City of Denton, Texas, has caused this Contract to be
executed by its duly authorized City Manager, and Consultant has executed this Contract through
its duly authorized undersigned partner, dated this day �anuary Zo, 2ov
CITY OF DENTON
DocuSigned by:
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BY:
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Howard Martin,
Interim CITY MANAGER
ATTEST:
JENNIFER WALTERS, CITY SECRETARY
DocuSigned by:
,�un,�,iFt,V' �1a.�e,t�S
B 1 • C5BFAFC1821946D...
APPROVED AS TO LEGAL FORM:
ANITA BURGESS, CITY ATTORNEY
DocuSigned by:
,�b�t,ln, �,i�{-
BY: �A„��2��
Lloyd Gosselink Rochelle & Townsend, P.C.
DocuSigned by:
�aU�, �bSSt.Ciln,Ic
B 1 • 7AF168BC9F444CE...
AUTHORIZED SIGNATURE
Paul Gosselink
PRINTED NAME
Contract For Professional Legal Services — Page 8
DocuSign Envelope ID: A883263E-A50D-42E6-A2CE-65E448821 D72
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FILE 6288
DocuSign Envelope ID: A883263E-A50D-42E6-A2CE-65E448821 D72
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FILE 6288
DocuSign Envelope ID: A883263E-A50D-42E6-A2CE-65E448821D72
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will he <zppr-ap�-i�itG. 'T"1�is c-e�sul�� iz� a ca���b��le� t���l estit�����.ci be�ci�€:t c�f�715,�4�.
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C'a�il Casselin�:
FILE 6288
DocuSign Envelope ID: A883263E-A50D-42E6-A2CE-65E448821 D72
Exhibit
B
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.
Name of vendor who has a business relationship with local governmental entity. L1 oyd Gossel i nk Rochel l e& Townsend, P. C.
� 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 oriqinally filed questionnaire was incomplete or inaccurate.)
Name of local government officer about whom the information in this section is being disclosed.
Vance Kemler
Name of Officer
This section, (item 3 including subparts A, B, C& D), must be completed for each o�cer with whom the vendor has an employment or other business relationship
as defined by Section 176.001(1-a), Local Goveinment Code. Attach additional pages to this Form CIQ as necessasy.
A. Is the local goveinment o�cer 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 goveinment o�cer
named in this section AND the taxable income is not received from the local goveinmental entity?
� Yes � No
C. Is the filer of this questionnaire employed by a crnporation or other business entity with respect to which the local govemment o�cer seives 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 goveinment o�cer named in this section.
None
QI have no Conflict of Interest to disclose.
DocuSigned by:
�A.U�, �bSSt.�,lln,�c 11/29/2016
'��i��&�9€�&��doing business with the goveinmental entity Date
Certificate Of Completion
Envelopeld:A883263EA50D42EBA2CE65E448821D72
Subject: City Council Docusign Item - 6288 Lloyd Gosselink Rochelle & Townsend, P.C.
Source Envelope:
Document Pages: 14 Signatures: 5
Supplemental Document Pages: 0 Initials: 0
Certificate Pages: 6
AutoNav: Enabled Payments: 0
Envelopeld Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US &
Canada)
Record Tracking
Status: Original
11 /28/2016 3:12:20 PM
Signer Events
Rebecca Hunter
rebecca.hunter@cityofdenton.com
Senior Buyer
City of Denton
Security Level: Email, Account Authentication
(Optional)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
ID:
Paul Gosselink
pgosselink@Iglawfirm.com
Security Level: Email, Account Authentication
(Optional)
Electronic Record and Signature Disclosure:
Accepted: 11/29/2016 7:18:35 AM
ID:e4a0d607-cc30-43b9-a3e2-7c11cO8d73b3
John Knight
john.knight@cityofdenton.com
Deputy City Attorney
City of Denton
Security Level: Email, Account Authentication
(Optional)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
ID:
Julia Winkley
julia.winkley@cityofdenton.com
Contracts Administration Supervisor
City of Denton
Security Level: Email, Account Authentication
(Optional)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
ID:
Holder: Rebecca Hunter
rebecca.hunter@cityofdenton.com
Signature
Using IPAddress: 129.120.6.150
(� DocuSignetl by:
't �'a,U�, �bSSc,�,tln,�C
`�---7AF168BC9F444CE...
Using IPAddress: 206.126.39.98
�oo��s�yoea ny:
a�. ��-
C821996C2A2B439...
Using IPAddress: 129.120.6.150
! � s, . . �:
Using IPAddress: 129.120.6.150
Status: Completed
Envelope Originator:
Rebecca Hunter
rebecca.hunter@cityofdenton.com
IP Address: 129.120.6.150
Location: DocuSign
Timestamp
Sent: 11/28/2016 3:17:29 PM
Viewed: 11/28/2016 3:17:42 PM
Signed: 11/28/2016 3:20:04 PM
Sent: 11/28/2016 3:20:06 PM
Viewed: 11 /29/2016 7:18:35 AM
Signed: 11/29/2016 7:21:56 AM
Sent: 11/29/2016 7:22:00 AM
Resent: 1/11/2017 9:43:06 AM
Viewed: 1/11/2017 10:34:35 AM
Signed: 1/11/2017 10:34:46 AM
Sent: 1/11/2017 10:34:49 AM
Viewed: 1/11/2017 10:52:15 AM
Signed: 1/11/2017 10:54:10 AM
� ,
�
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Signer Events
Howard Martin
howard. marti n@cityofdenton.com
Interim City Manager
City of Denton
Security Level: Email, Account Authentication
(Optional)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
ID:
Jennifer Walters
jennifer.walters@cityofdenton.com
City Secretary
City of Denton
Security Level: Email, Account Authentication
(Optional)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
ID:
In Person Signer Events
Editor Delivery Events
Agent Delivery Events
Intermediary Delivery Events
Certified Delivery Events
Carbon Copy Events
Julia Winkley
julia.winkley@cityofdenton.com
Contracts Administration Supervisor
City of Denton
Security Level: Email, Account Authentication
(Optional)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
ID:
Sherri Thurman
sherri.thurman@cityofdenton.com
Security Level: Email, Account Authentication
(Optional)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
ID:
Jane Richardson
jane.richardson@cityofdenton.com
Security Level: Email, Account Authentication
(Optional)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
ID:
Signature
�,, oo��s�yoea ny:
�bWaV'� �l.aY{tln,
742392382FE7423...
Using IPAddress: 129.120.6.150
CDocuSignetl by:
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CSBFAFC1821946D...
Using IPAddress: 129.120.6.150
Signature
Status
Status
Status
Status
Status
Timestamp
Sent: 1/11/2017 10:54:14 AM
Viewed: 1/17/2017 9:17:47 AM
Signed: 1/1 7/201 7 9:18:06 AM
Sent: 1/17/2017 9:18:09 AM
Viewed: 1/17/2017 2:22:40 PM
Signed: 1/1 7/201 7 2:22:54 PM
Timestamp
Timestamp
Timestamp
Timestamp
Timestamp
Timestamp
Sent: 11/29/2016 7:21:59 AM
Viewed: 11 /29/2016 7:39:09 AM
Sent: 11/29/2016 7:21:59 AM
Viewed: 11 /29/2016 7:27:38 AM
Sent: 1/11/2017 10:54:13 AM
Viewed: 1/11/2017 10:55:22 AM
Robin Fox Sent: 1/11/2017 10:54:13 AM
Robin.fox@cityofdenton.com
Security Level: Email, Account Authentication
(Optional)
Carbon Copy Events Status Timestamp
Electronic Record and Signature Disclosure:
Accepted: 10/9/2015 11:39:51 AM
ID:04463961-03db-4c4d-9228-d660d6146ed6
Jennifer Bridges
jennifer. bridges@cityofdenton.com
Procurement Assistant
City of Denton
Security Level: Email, Account Authentication
(Optional)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
ID:
Jane Richardson
jane.richardson@cityofdenton.com
Security Level: Email, Account Authentication
(Optional)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
ID:
Scott Lebsack
scott.lebsack@cityofdenton.com
Security Level: Email, Account Authentication
(Optional)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
ID:
Notary Events
Envelope Summary Events
Envelope Sent
Certified Delivered
Signing Complete
Completed
Status
Hashed/Encrypted
Security Checked
Security Checked
Security Checked
Sent: 1/17/2017 2:22:57 PM
6 -Yaifiilii7f��iyii����:l��Ll
Sent: 1/17/2017 2:22:59 PM
Viewed: 1/18/2017 5:55:15 AM
Timestamp
Timestamps
1/17/2017 2:22:59 PM
1/17/2017 2:22:59 PM
1/17/2017 2:22:59 PM
1/17/2017 2:22:59 PM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
Electronic Record and Signature Disclosure created on: 4/20/2015 7:25:38 AM
Parties agreed to: Paul Gosselink, Robin Fox
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 pocuSign, 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 pocuSign 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 pocuSign 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: kevin.gunn@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 kevin.gunn@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 pocuSign 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 kevin.gunn@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 pocuSign 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 kevin.gunn@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
O eratin S stems: Windows2000? or WindowsXP?
Browsers (for SENDERS): Internet Ex lorer 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
rox 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 RECEIl'T 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.