The URL can be used to link to this page

18-2121, � , � �� : c • �� • � �; � � �� . � •'' • •' � • ' •' ' ' '` • ' � � ' . � . • . #� � �. # ■. � • •� '... � . .. . .. � � �' �� . � R.. ., .., ! ... .1 � � . �� ... ., '.. R �* !'... � � ! �.. � � ,,, �.. 1 � � �. : � � � ... 1 l �� ' �. �., I. � � l � '. . ► � � .,.... � A .. � L M � R � �� ..... �� . , .� � / . �, .. . � �'' � � . ♦ �� ... � � I '.. ... l �:, . � ...... �� .. � ' �' • +� • �� c �� •� " '� -�� . � - , �#�� ' . '� '� •�'�#�� !��';� . ! *" � r � � �� '�� ' �•' * � ' �' • �' ! • �:�� . . • � .# ' # • ` • � • � � • . • �; � �� " . ��' � � w � �� ' f� ' �� ' ' 1 ' ��' � ' � s � • - . : . ' �' � �` • _ �, _. #�� _ . . A;` ��'w • !'#� � � � ' " � �� • . ��'� � " �# •'"` � . . � •�, . .'! • � �' . � . . . • � . • �'� ' '� ^ w � �:� .' ! � � ' • . ! •"• " i �=" � ' •�• •'• � # � � ; � l,' �� '• " • . ' • " ��' � '• •� - ., # � .,� .• �# •� ��# . `� '[ � � � � � � � �' � � , � # � 1 � * . . . �, � T �. .# .� " ! ��•';. 1, . - ;� '� � ' �• ��;� • • ��#� • l,�• ' � �� . � �� -, #� ., �R • � � �' • - . . � • 'f' '• • '1 ••'! "� . •' � - � �k � ��'� � . � �' � ' " � " •+, . . �, � ., • � ' ! " ' � � # • !' •.� . .� � I � •' • � . RFP NUMBER CONT CTOR AMOUNT • , . 1� 11�� -• -. . ' . ' • .' � � i - .� ' • . �� - . •� . �� w� . ♦ . . �� # _ • _ _ � . • -�� - �� • �f`� . ' . '• - � .. � . �• .� � ! . � ��1:. #' - . � � � . .� � # � � : - " • ' �' • ' �� "` � • " � � � � � � � � � ., • ' ' � , !' � � • • ; • ' �', • �" � . ., ! • � . � . � 1 � � . ' � ; ♦ � � �'# . � � " • ' � • # � ! • ' � • •,' ! ' � � � � '• � � • . .,* ' � � �' . � '( � ��•� � � ' ' ! � ��# �' -'� �� .. . • �" �'� ' .i� '• �' � approval, and awarding of the proposals, the City Manager or his designated representative is hereby authorized to execute the written contract; provided that the written contract is in accordance with the terms, conditions, specifications, standards, quantities and specified sums contained in the Proposal and related documents herein approved and accepted. SECTION 4. The City Council of the City of Denton, hereby expressly delegates the authority to take any actions that may be required or permitted to be performed by the City of Denton under RFP 6922 to the City Manager of the City of Denton, or his designee. SECTION 5, By the acceptance and approval of the above enumerated bids, the City Council hereby authorizes the expenditure of funds therefor in the amount and in accordance with the approved proposals. SECTION 6. This ordinance shall become effective immediately upon its passage and The rr��li�a approval. I � � ll�� a��N�� r�� i��ta�l� �Y ..r � �_�� "�"� ��:..�. and seconded bY ...`�� "'�� ` � � �;�.w::�.' � ...,� m -----. `� l�e� ��°�9 i ��•�� w+��`� �,��:��c4 and approved by i�l�c� �'e�l��n��r�� rr��i�,� � "��... ` �� Mayor Chris Watts: Gerard Hudspeth, District 1; Keely G. Briggs, District 2: Don Duff, District 3: John Ryan, District 4: Deb Armintor, At Large Place 5 Paul Meltzer, At Large Place 6: Aye Nay Abstain Absent PASSED AND APPROVED this the ��'��',_ day of �;�,��'"��°��m��,�, __� 2018� � � ��,� , �,�-- i ,� �� .�..., � �� CHRI�,.��' � ... .._ — ------------. "� �,�TTS, MAYOR ATTEST: JENNIFER WALTERS, CITY SECRETARY BY: � �, � � � �� d �� °� W�` �� " y"�, . -- �� :_ �'� �....P..��,_� �� ' ��...� � � M.,.� APPROVED AS TO LEGAL FORM: AARON LEAL, CITY ATTORNEY � IT_.A�" � �`�� ro BY; .. ..��..�..�"' �..��.,�� DocuSign Envelope ID: AD27347B-6F35-4FA3-AA43-E7A8FCAE1A3D 5ƚĭǒƭźŭƓ /źƷǤ /ƚǒƓĭźƌ ƩğƓƭƒźƷƷğƌ /ƚǝĻƩƭŷĻĻƷ CźƌĻ bğƒĻ tǒƩĭŷğƭźƓŭ /ƚƓƷğĭƷ /źƷǤ /ƚǒƓĭźƌ ğƩŭĻƷ 5ğƷĻ tźŭŭǤ .ğĭƉ hƦƷźƚƓ /ƚƓƷƩğĭƷ 9ǣƦźƩğƷźƚƓ hƩķźƓğƓĭĻ DocuSign Envelope ID: AD27347B-6F35-4FA3-AA43-E7A8FCAE1A3D CONTRACT BY AND BETWEEN CITY OF DENTON, TEXAS AND UNITEDHEALTHCARE INSURANCE COMPANY, INC. (CONTRACT 6922) THIS CONTRACT is made and entered into this date ______________________, by and between UnitedHealthcare Insurance Company a Connecticut corporation, whose address is450 Columbus Blvd., Hartford, CT 06103, hereinafter referred to as "Contractor," and the CITY OF DENTON, TEXAS, a home rule municipal corporation, hereinafter referred to as "City," to be effective upon approval of the Denton City Council and subsequent execution of this Contract by the Denton City Manager or his duly authorized designee. For and in consideration of the covenants and agreements contained herein, and for the mutual benefits to be obtained hereby, the parties agree as follows: SCOPE OF SERVICES Supplier shall provide products and/or services in accordance with the City’s document RFP 6922 - Aggregate Stop Loss Insurance, a copy of which is on file at the office of Purchasing Agent and incorporated herein for all purposes.The Contract consists of this written agreement and the following items which are attached hereto and incorporated herein by reference: (a)Special Terms and Conditions (Exhibit “A”); (b)City of Denton’s RFP 6922 and Contractor Proposal(Exhibit “B” on File at the Office of the Purchasing Agent); (c)Amendment to Group Policy No. GA-715130AL (Exhibit “C”); (d)Certificate of Interested Parties Electronic Filing (Exhibit "D"); (e)House Bill 89 Verification (Exhibit “E”) (f)Senate Bill 252 Certification (Exhibit “F”) These documents make up the Contract documents and what is called for by one shall be as binding as if called for by all. In the event of an inconsistency or conflict in any of the provisions of the Contract documents, the inconsistency or conflict shall be resolved by giving precedence first to the written agreement then to the contract documents in the order in which they are listed above. These documents shall be referred to collectively as “Contract Documents.” The parties agree to transact business electronically. Any statutory requirements that certain terms be in writing will be satisfied using electronic documents and signing. Electronic signing of this document will be deemed an original for all legal purposes. Contract # 6922 DocuSign Envelope ID: AD27347B-6F35-4FA3-AA43-E7A8FCAE1A3D IN WITNESS WHEREOF, the parties of these presents have executed this agreement in the year and day first above written. CONTRACTOR BY: ______________________________ AUTHORIZED SIGNATURE THIS AGREEMENT HAS BEEN BOTH REVIEWED AND APPROVED Date: _______________________________ as to financial and operational obligations and business terms. Printed Name:________________________ Title: _______________________________ _______________ ________________ SIGNATURE PRINTED NAME ___________________________________ PHONE NUMBER __________________________________ TITLE ___________________________________ EMAIL ADDRESS __________________________________ DEPARTMENT _________________________ TEXAS ETHICS COMMISSION CERTIFICATE NUMBER CITY OF DENTON, TEXAS ATTEST: JENNIFER WALTERS, CITY SECRETARY BY: TODD HILEMAN CITY MANAGER BY: __________________________________ Date: APPROVED AS TO LEGAL FORM: AARON LEAL, CITY ATTORNEY BY: __________________________________ Contract # 6922 DocuSign Envelope ID: AD27347B-6F35-4FA3-AA43-E7A8FCAE1A3D Exhibit A Special Terms and Conditions 1.Total Contract Amount The contract total for services shall not exceed $11,393,000. Pricing shall be per Exhibit C attached. 2.Contract Terms The contract term will be three (3) years with the option to renew for two (2) additional years, effective from date of award or notice to proceed as determined by the City of Denton Purchasing Department 3.Price Escalation and De-escalation The City will implement an escalation/de-escalation price adjustment yearly. The escalation/de- escalation will be based upon manufacturer published pricing sheets to the vendor. The price will be increased or decreased based upon the yearly percentage change in the manufacturer’s price list. The price adjustment will be determined yearly from the award date. Should the change exceed or decrease a minimum threshold value of +/-1%, then the stated eligible bid prices shall be adjusted in accordance with the published price change. It is the supplier or the Cities responsibility to request a price adjustment yearly in writing. If no request is made, then it will be assumed that the bid price will be in effect. The supplier must submit or make available the manufacturers pricing sheet used to calculate the bid proposal, to participate in the escalation/de-escalation clause. Contract # 6922 DocuSign Envelope ID: AD27347B-6F35-4FA3-AA43-E7A8FCAE1A3D Exhibit B City of Denton’s RFP 6922(on File at the Office of the Purchasing Agent) Contract # 6922 DocuSign Envelope ID: AD27347B-6F35-4FA3-AA43-E7A8FCAE1A3D UnitedHealthcare Insurance Company A Stock Company 185 Asylum Street, Hartford, Connecticut Phone: 1-860-702-5000 AMENDMENT NO. 5 Amendment to be attached to and made a part of Group Policy No. GA-715130AL, issued by UnitedHealthcare Insurance Company (herein called "Company") to City of Denton (herein called "Policyholder"). It is agreed by and between the Company and the Policyholder that 1. The page entitled "Schedule Of Benefits" as contained in the Policy is hereby replaced with the attached page entitled "Schedule Of Benefits". 2.This Amendment will hereby be effective as ofJanuary 1, 2019. UnitedHealthcare Insurance Company William J Golden, PresidentThomas J. McGuire, Secretary ACCEPTED BY: Title: Date: UHIC AMEND (07/06) DocuSign Envelope ID: AD27347B-6F35-4FA3-AA43-E7A8FCAE1A3D UnitedHealthcare Insurance Company A Stock Company 185 Asylum Street, Hartford, Connecticut Phone: 1-860-702-5000 SCHEDULE OF BENEFITS This Schedule of Benefits is only applicable to Excess Loss Insurance provided by the Company during the Policy Period shown below. Policyholder:City of Denton Policy Number:GA-715130AL Effective Date:January 1, 2019 Administrator:United HealthCare Services, Inc. Coverage specified herein is applicable only during the Policy Period from January 1, 2019through December 31, 2019, and is further subject to all terms and conditions of this Policy. SPECIFIC EXCESS LOSS INSURANCE Benefit Period: Covered Expenses Incurred from January 1, 2013 through December 31, 2019 and Paid from January 1, 2019 through December 31, 2019. Specific Deductible per Covered Person: $185,000 Specific Percentage Reimbursable: 100% Maximum Specific Benefit per Covered Person: Unlimited Specific Excess Loss Insurance includes: Medical Stand Alone Prescription Drug Program Specific Excess Loss Premium: $116.85 per subscriber per month AGGREGATE EXCESS LOSS INSURANCE Benefit Period: Covered Expenses Incurred from January 1, 2014 through December 31, 2019 and Paid from January 1, 2019 through December 31, 2019. Aggregate Excess Loss Insurance includes: Medical Stand Alone Prescription Drug Program Aggregate Percentage Reimbursable: 100% Maximum Aggregate Benefit: $1,000,000 per Policy Year Minimum Annual Aggregate Deductible: $28,896,340or 95% of the first Monthly Aggregate Deductible amount times 12, whichever is greater UHIELIP (07/06)1SCHED DocuSign Envelope ID: AD27347B-6F35-4FA3-AA43-E7A8FCAE1A3D Maximum Covered Expenses per Covered Person accumulating toward the Maximum Aggregate Benefit: $185,000 Monthly Aggregate Factors: $1,800.26per subscriber Aggregate Excess Loss Premium: $5.18per subscriberper month The premium amount reflected above includes the following: Aggregate Accommodation Endorsement UHIELIP (07/06)2SCHED DocuSign Envelope ID: AD27347B-6F35-4FA3-AA43-E7A8FCAE1A3D Exhibit D Certificate of Interested Parties Electronic Filing In 2015, the Texas Legislature adopted House Bill 1295, which added section 2252.908 of the Government Code. The law states that the City may not enter into this contract unless the Contractor submits a disclosure of interested parties (Form 1295) to the City at the time the Contractor submits the signed contract. The Texas Ethics Commission has adopted rules requiring the business entity to file Form 1295 electronically with the Commission. Contractor will be required to furnish a Certificate of Interest Parties before the contract is awarded, in accordance with Government Code 2252.908. The contractor shall: 1.Log onto the State Ethics Commission Website at : https://www.ethics.state.tx.us/whatsnew/elf_info_form1295.htm 2.Register utilizing the tutorial provided by the State 3.Print a copy of the completed Form 1295 4.Enter the Certificate Number on page 2 of this contract. 5.Complete and sign the Form 1295 6.Email the form to purchasing@cityofdenton.com with the contract number in the subject line. (EX: Contract 1234 – Form 1295) The City must acknowledge the receipt of the filed Form 1295 not later than the 30th day after Council award. Once a Form 1295 is acknowledged, it will be posted to the Texas Ethics Commission’s website within seven business days. Contract # 6922 DocuSign Envelope ID: AD27347B-6F35-4FA3-AA43-E7A8FCAE1A3D Exhibit House Bill 89 - Government Code 2270 VERIFICATION I, _______________________________________________, the undersigned representative of ______________________________Company or Business name (hereafter referred to as company), being an adult over the age of eighteen (18) years of age, verify that the company named-above, under the provisions of Subtitle F, Title 10, Government Code Chapter 2270: 1. Does not boycott Israel currently; and 2. Will not boycott Israel during the term of the contract the above-named Company, business or individual with City of Denton. Pursuant to Section 2270.001, Texas Government Code: 1. with, or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or with a person or entity doing business in Israel or in an Israeli-controlled territory, but does not include an action made for ordinary business purposes; and 2. -profit sole proprietorship, organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, or any limited liability company, including a wholly owned subsidiary, majority-owned subsidiary, parent company or affiliate of those entities or business associations that exist to make a profit. ___________________________________ Name of Company Representative (Print) ________________________________ Signature of Company Representative _________________________________ Date DocuSign Envelope ID: AD27347B-6F35-4FA3-AA43-E7A8FCAE1A3D Exhibit Senate Bill 252 -Government Code 2252 CERTIFICATION I, ______________________________________________, the undersigned representative of ________________________________________________ (Company or business name) being an adult over the age of eighteen (18) years of age, pursuant to Texas Government Code, Chapter 2252, Section 2252.152 and Section 2252.153, certify that the company named above is not listed on the website of the Comptroller of the State of Texas concerning the listing of companies that are identified under Section 806.051, Section 807.051 or Section 2253.153. I further certify that should the above-named company enter into a contract that is on said listing of companies on the website of the Comptroller of the State of Texas which do business with Iran, Sudan or any Foreign Terrorist Management Department. ___________________________________ Name of Company Representative (Print) ________________________________ Signature of Company Representative _________________________________ Date Certificate Of Completion Envelope Id: AD27347B6F354FA3AA43E7A8FCAE1A3DStatus: Completed Subject: Please DocuSign: City Council Contract 6922 Aggregate Stop Loss Insurance Source Envelope: Document Pages: 11Signatures: 8Envelope Originator: Certificate Pages: 6Initials: 0Suzzen Stroman AutoNav: Enabled901B Texas Street EnvelopeId Stamping: EnabledDenton, TX 76209 Time Zone: (UTC-06:00) Central Time (US & Canada)suzzen.stroman@cityofdenton.com IP Address: 129.120.6.150 Record Tracking Status: OriginalHolder: Suzzen StromanLocation: DocuSign 11/29/2018 2:32:29 PM suzzen.stroman@cityofdenton.com Signer EventsSignatureTimestamp Suzzen StromanSent: 11/30/2018 10:01:11 AM Completed suzzen.stroman@cityofdenton.comViewed: 11/30/2018 10:01:18 AM BuyerSigned: 11/30/2018 10:01:29 AM Using IP Address: 129.120.6.150 City of Denton Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Mack ReinwandSent: 11/30/2018 10:01:31 AM mack.reinwand@cityofdenton.comViewed: 11/30/2018 10:02:44 AM City of DentonSigned: 11/30/2018 10:04:36 AM Security Level: Email, Account Authentication Signature Adoption: Pre-selected Style (None) Using IP Address: 129.120.6.150 Electronic Record and Signature Disclosure: Not Offered via DocuSign Scott FlannerySent: 11/30/2018 10:04:38 AM scott_flannery@uhc.comViewed: 11/30/2018 10:21:14 AM CEO, UnitedHealthcare pf North TexasSigned: 11/30/2018 10:23:54 AM UnitedHealthCare of North Texas Signature Adoption: Pre-selected Style Security Level: Email, Account Authentication Using IP Address: 198.203.181.181 (None) Electronic Record and Signature Disclosure: Accepted: 11/30/2018 10:21:14 AM ID: 82ee8f63-7a46-45f3-b60b-a3b58edff27d Carla RomineSent: 11/30/2018 10:23:56 AM Carla.Romine@cityofdenton.comViewed: 11/30/2018 11:32:03 AM Human Resources DirectorSigned: 11/30/2018 11:32:21 AM Security Level: Email, Account Authentication Signature Adoption: Pre-selected Style (None) Using IP Address: 129.120.6.150 Electronic Record and Signature Disclosure: Accepted: 11/30/2018 11:32:03 AM ID: 9ee60a11-cbca-47ef-b542-c97fcd701858 Signer EventsSignatureTimestamp Tabitha MillsopSent: 11/30/2018 11:32:23 AM Completed tabitha.millsop@cityofdenton.comViewed: 12/19/2018 9:55:16 AM City of DentonSigned: 12/19/2018 9:56:44 AM Using IP Address: 129.120.6.150 Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Todd HilemanSent: 12/19/2018 9:56:47 AM Todd.Hileman@cityofdenton.comViewed: 12/19/2018 10:09:04 AM City ManagerSigned: 12/19/2018 10:09:13 AM City of Denton Signature Adoption: Pre-selected Style Security Level: Email, Account Authentication Using IP Address: 47.190.47.120 (None) Electronic Record and Signature Disclosure: Accepted: 7/25/2017 11:02:14 AM ID: 57619fbf-2aec-4b1f-805d-6bd7d9966f21 Jane RichardsonSent: 12/19/2018 2:01:20 PM jane.richardson@cityofdenton.comViewed: 12/19/2018 2:08:15 PM Assistant City SecretarySigned: 12/19/2018 2:16:05 PM City of Denton Signature Adoption: Pre-selected Style Security Level: Email, Account Authentication Using IP Address: 129.120.6.150 (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer EventsSignatureTimestamp Editor Delivery EventsStatusTimestamp Agent Delivery EventsStatusTimestamp Intermediary Delivery EventsStatusTimestamp Certified Delivery EventsStatusTimestamp Carbon Copy EventsStatusTimestamp Sherri ThurmanSent: 11/30/2018 10:01:30 AM sherri.thurman@cityofdenton.com City of Denton Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Jane RichardsonSent: 12/19/2018 9:56:46 AM jane.richardson@cityofdenton.comViewed: 12/19/2018 10:21:45 AM Assistant City Secretary City of Denton Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Carbon Copy EventsStatusTimestamp Jennifer WaltersSent: 12/19/2018 10:09:16 AM jennifer.walters@cityofdenton.comResent: 12/19/2018 2:01:19 PM City Secretary City of Denton Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Scott PayneSent: 12/19/2018 2:16:07 PM Scott.Payne@cityofdenton.com Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Notary EventsSignatureTimestamp Envelope Summary EventsStatusTimestamps Envelope SentHashed/Encrypted12/19/2018 2:16:07 PM Certified DeliveredSecurity Checked12/19/2018 2:16:07 PM Signing CompleteSecurity Checked12/19/2018 2:16:07 PM CompletedSecurity Checked12/19/2018 2:16:07 PM Payment EventsStatusTimestamps 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. 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.