19-2878ORDINANCE NO. 19-2$%$
AN ORDINANCE OF THE CITY OF DENTON, A TEXAS HOME-RULE MUNICIPAL
CORPORATION, AUTHORIZING THE APPROVAL OF A FIRST AMENDMENT TO A
PROFESSIONAL SERVICES AGREEMENT BETWEEN THE CITY OF DENTON AND
BURGESS AND NIPLE, INC., AMENDING THE CONTRACT APPROVED BY CITY COUNCIL
ON JIJNE 19, 2018, IN THE NOT-TO-EXCEED AMOUNT OF $255,000; SAID FIRST
AMENDMENT TO PROVIDE ADDI"I,IONAL ENGINEERING SERVICES FOR THE MORSE
STREET PROJECT; PROVIDING FOR THE EXPENDITURE OF FUNDS THEREFOR; AND
PROVIDING AN EFFECTIVE DATE (RFQ 6590-009 — PROVIDING FOR AN ADDITIONAL
FIRST AMENDMENT EXPENDITURE AMOUNT NOT-TO-EXCEED $88,000, WITH THE
"I,O"1'AL CONTRACT AMOUNT NO-Tn-EXCEED $343,000).
WHEREAS, on June 19, 2018, the City Council awarded a contract to Burgess and Niple,
Inc., in the amount of $255,000 for engineering services for the Morse Street Project for the City of
Denton; and
WHEREAS, the Staff having recommended, and the City Manager having recommended to
the Council that an amendment be authorized to amend such contract agreement with respect to the
term of the agreement and an increase in the payment amount; NOW, THEREFORE,
THE COUNCIL OF THE CITY OF DENTON HEREBY ORDAINS:
SECTION 1. The First Amendment, increasing the amount of the contract between the City
and I3urgess and Niple, Inc., which is on file in the oftice of the Purchasing Agent, in the amount of
Eighty-Eight Thousand and 0/100 ($88,000) Dollars, is hereby approved and the expenditure of
funds therefor is hereby authorized in accordance with said amendment. The total contract amount
increases to $343,000.
SECTION 2. This ordinance shall become effective immediately upon its passage and
approval. w
The mot� to approve this ordinance was made by � and
seconded by �SQ�,, V�S , the ordinance was assed proved by the
following vote [� - �:
Mayor Chris Watts:
Gerard Hudspeth, District 1:
Keely G. Briggs, District 2:
Jesse Davis, District 3:
John Ryan, District 4:
Deb Armintor, At Large Place 5:
Paul Meltzer, At Large Place 6:
Aye Nay Abstain
✓
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✓
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✓
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Absent
PASSED AND �1PPROVF;n this the �C��"day of �,,�•,•�:�� 2019.
,
A"l�"I�ES"I�:
ROSA RIOS, CITY SECRETARY
� -
BY:
APPROVED AS TO LEGAL FORM:
AARON LEAL, CITY ATTORNEY
B Y : �t,Ci G �
.,o
rr
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�'�I IRIS WATTS, MAYOR
DocuSign Envelope ID: 5E5D6CAD-0453-42E9-94F4-E3B5B9CF21B3
.
�////////O///O////i0//i//////////////%%%%///////////%
� �
Docusign City Council Transmittal Coversheet
FILE 6590-009
File Name Morse Street Expansion
Purchasing Contact �aura Hermosillo
City Council Target Date December lo, zol9
Piggy Back Option Not Appl i cabl e
Contract Expiration "�A
Ordinance 19-28�8
D3
V�
DocuSign Envelope ID: 5E5D6CAD-0453-42E9-94F4-E3B5B9CF21B3
FIRST AMENDMENT TO CONTRACT
BY AND BETWEEN THE CITY OF DENTON, TEXAS
AND BURGESS & NIPLE, INC.
FILE 6590-009
THE STATE OF TEXAS
COUNTY OF DENTON
THIS FIRST AMENDMENT TO CONTRACT 6590-009 ("Amendment") by and
between the City of Denton, Texas ("City") and Bur�ess & Ni�le, Inc. ("Consultant"); to
that certain contract executed on June 19, 2018, in the original not-to-exceed amount of
$255,000 (the "Agreement"); for services related to the design of the Morse Street
Expansion Project;
WHEREAS, the City deems it necessary to further expand the services provided by
Consultant to the City pursuant to the terms of the Agreement, and to provide an additional
not-to-exceed amount $88,000 with this Amendment for an aggregate not-to-exceed of
$343,000.
FURTHERMORE, the City deems it necessary to further expand the goods/services
provided by Consultant to the City;
NOW THEREFORE, the City and Consultant (hereafter collectively referred to as the
"Parties"), in consideration of their mutual promises and covenants, as well as for other
good and valuable considerations, do hereby AGREE to the following Amendment, which
amends the following terms and conditions of the said Agreement, to wit:
The additional services described in Exhibit "A" of this Amendment, attached
hereto and incorporated herein for all purposes, for professional services related to
the Morse Street Expansion, are hereby authorized to be performed by Consultant.
For and in consideration of the additional services to be performed by Consultant,
the Owner agrees to pay, based on the cost estimate detail attached as Exhibit "A"
to this Amendment, a total fee, including reimbursement for non-labor expenses an
amount not to exceed $88,000.
2. This Amendment modifies the Agreement amount to provide an additional $88,000
for the additional services with a revised aggregate not to exceed total of $343,000.
The Parties hereto agree, that except as specifically provided for by this Amendment, that
all of the terms, covenants, conditions, agreements, rights, responsibilities, and obligations
of the Parties, set forth in the Agreement remain in full force and effect.
6590-009 — Amendment #1 Page 1 of 2
DocuSign Envelope ID: 5E5D6CAD-0453-42E9-94F4-E3B5B9CF21B3
IN WITNESS WHEREOF, the City and the Consultant, have each executed this
Amendment electronically���,���ugh their respective duly authorized representatives
and officers on this date .
�
CITY"
CITY OF DENTON, TEXAS
A Texas Municipal Corporation
DocuSigned by:
By� fiar�.� k�iG�a.�n,
B776C711BA�D454_
TODD HILEMAN, CITY MANAGER
ATTEST:
ROSA RIOS, CITY SECRETARY
DocuSigned by:
BY� �'+� R�
1GSCA8G�E175493...
"CONSULTANT"
BURGESS & NII'LE, INC.
DocuSigned by:
By: M.aV� �.�,a.V'r�
A7378AE39SBB4ED...
STEVEN D. SANDERS, P.E., VICE
PRESIDENT
APPROVED AS TO LEGAL FORM:
AARON LEAL, CITY ATTORNEY
DocuSigned by:
BJ • Mw� �Q.tAWwnal,
7F9G328BF0204E5...
THIS AGREEMENT HAS BEEN
BOTH REVIEWED AND APPROVED
as to financial and operational
obligations and business terms.
DocuSigned by;
� ���� Todd Estes
RF.�iRFfl_�a7$Q]�y.
SIGNATURE PRINTED NAME
City Engineer
TITLE
Capital projects
DEPARTMENT
6590-009 — Amendment #1 Page 2 of 2
DocuSign Envelope ID: 5E5D6CAD-0453-42E9-94F4-E3B5B9CF21B3 �"TT���� �
XH
= �.�:�� �.`�`�:�' 11 � �
395o Fossil Creek Blvd. � Suite �io � Fort Worth, TX 76i37 I$17�3o6�i444
July 11, 2019
City of Denton, Texas
215 E McKinney St
Denton TX 76201-4299
Attn: Giancarlo G. Patino, P.E., CFM
RE: Scope of Services Revision Request, Rev #1
Morse Street Expansion
Engineering Services: Design, Advertisement, Bidding, Award & Construction Admin.
Purchase Order # 186323
Contract 6590-009
Contract Date 6/19/2018
B&N PROJECT NO. 56672
Mr. Patino:
This letter is our formal request for a Scope of Services Revision for Professional Engineering
Design Services.
Justification
After we made the preliminary design submittal, the City stopped the project because of issues
with the property owner at the southeast corner of Morse Street and Kimberly Drive. The
project has changed such that we will expend additional effort on the design plans as described
in the attached amendment.
Based upon the attached scope of work, the cost proposed for this amendment is $88,000.00.
Please let me know if you have any questions or need additional information concerning this
request.
Respectfully submitted,
BURGESS & NIPLE, INC.
TBPE FIRM REGISTRATION NO. F-10834
�� � •
•
William D. Wendland, P.E.
Associate
Director, Fort Worth Public Sector
Attachments
P:\PR56672\PM\Contract\CO\CO 1\Morse Street Road Diet C01 R1 -1 Contract Amendment Cover Letter 20190711.docx
�71.1YC��55'1�I���2.CC}r7ti
DocuSign Envelope ID: 5E5D6CAD-0453-42E9-94F4-E3B5B9CF21B3
AGREEMENT AMENDMENT NO. 1
Professional Engineering Design Services for Morse Street Expansion
Objective
The objective of this Task Order is to authorize and direct ENGINEER to proceed with the
work specified in the Scope of Services of this Task Order, in accordance with the
provisions of Article I(A) of the Standard Agreement for Engineering Related Design
Services between the parties hereto dated the 19th day of June, 2018 (FILE 6590-009),
hereinafter referred to as the AGREEMENT.
2. Scope of Services
After the ENGINEER made the preliminary design submittal, the CITY stopped the project
because of issues with the property owner at the southeast corner of Morse Street and
Kimberly Drive. ENGINEER is now directed to revise the design of Morse Street from
Loop 288 to South Mayhill Road. This requires a traffic analysis and a re-design of the
project. Previously, the ENGINEER had designed an asphalt overlay on Morse Street
from Loop 288 to Kimberly Drive and half of the street from Kimberly Drive to South Mayhill
Road. Now ENGINEER is to design full street and water line replacement from Loop 288
to Kimberly Drive. The project has changed such that ENGINEER will expend additional
effort on the design plans as further described below:
Rev #1
a. ENGINEER shall evaluate reducing the number of lanes on Morse Street from
Loop 288 to South Mayhill Road. This effort will be accomplished entirely within
the existing Agreement's Task 11.0, Miscellaneous Design Services.
Traffic Counts
24-hour turning movement counts will be conducted at the intersections of
Morse Street & SR 288 and Morse Street and South Mayhill Road. Counts
will be conducted using video recording and processed through Miovision.
24-hour, AM peak and PM peak exhibits will be created for the corridor.
Traffic Analysis
Existing traffic counts will be expanded to a 20-year design using annual
growth factors. If possible, the growth factors will be developed using
historic traffic counts. If counts are not available, growth factors will be
estimated. Traffic analysis will be conducted to determine if the number of
lanes on Morse Street can be reduced. AM and PM capacity analysis will
be conducted at the two study intersections for two alternatives to
determine the required lane use at the intersections and best way reduce
lanes in the corridor.
iii. Alternative Exhibits
Exhibits will be prepared for two alternatives for the lane reduction and
adjustment to the left turn lanes at the Morse and SR 288 intersection. The
exhibits will be created on the existing aerial. Two iterations of each
alternative are assumed.
iv. Memo
A brief inemo will be prepared to summarize the traffic counts, capacity
analysis and corridor geometry for Morse Street.
b. ENGINEER shall perform the following design tasks, starting over with the project's
Preliminary Design phase:
Page 1 of 3
DocuSign Envelope ID: 5E5D6CAD-0453-42E9-94F4-E3B5B9CF21B3
Rev #1
AGREEMENT AMENDMENT NO. 1
Professional Engineering Design Services for Morse Street Expansion
i. The eastern portion of Morse Street at the intersection of Loop 288 & Morse
Street shall be redesigned. The southernmost westbound lane is to be
removed and the southernmost eastbound left-turn lane is to be removed
and replaced with a wider median. Pedestrian crosswalks will be
redesigned to fit the new intersection.
ii. Morse Street shall taper down to the new standard 3 lanes across the
Denton County business driveway.
iii. A dedicated right-turn lane shall be added to eastbound Morse Street at
the Kimberly Drive intersection.
iv. The entire Morse Street between Loop 288 and South Mayhill Road shall
be redesigned such that it will removed and replaced with new asphalt
pavement. Additional Subsurface Utility Engineering is anticipated for this
task.
v. The water line and services that are under Morse Street between Loop 288
and Kimberly Drive will be designed to be replaced.
vi. Sidewalks will be designed to be reconstructed adjacent to Morse Street
where possible. Where there will not be a new sidewalk, a mid-block
crossing will be added. New handicap ramps at all intersections will be
required.
vii. Morse Street between Kimberly Drive & South Mayhill Road shall be
redesigned as a 3-lane roadway (one lane in each direction with a
continuous left-turn lane).
viii. A right-turn only lane and corresponding right-of-way acquisition shall be
added on the eastbound Morse Street & South Mayhill Road intersection.
ix. New signage shall be added to reflect right turn lane on eastbound Morse
Street approaching Loop 288. The traffic signal will need to be studied and
possibly adjusted.
Page 2 of 3
DocuSign Envelope ID: 5E5D6CAD-0453-42E9-94F4-E3B5B9CF21B3
AGREEMENT AMENDMENT NO. 1
Professional Engineering Design Services for Morse Street Expansion
3. Compensation
�
$88,000.00 is added to the contract amount by individual tasks as shown:
Task Additional Proposed
No. Task Description Current Fee Fee Fee
1.0 Pro�ect Mana ement $ 27,500 $ 9,300 $ 36,800
2.0 Conce tual Desi n $ 25,450 $ 0 $ 25,450
3.0 Preliminar Desi n $ 36,800 $ 31,000 $ 67,800
4.0 Final Design $ 31,650 $ 15,700 $ 47,350
5.0 Bid Phase $ 13,400 $ 0 $ 13,400
6.0 Construction Phase Services $ 36,300 $ 1,500 $ 37,800
7.0 ROW/Easement Services $ 13,800 $ 0 $ 13,800
8.0 Survey and SUE $ 26,250 $ 12,125 $ 38,375
9.0 Permitting $ 3,400 $ 1,225 $ 4,625
10.0 Water Desi n, Biddin & Const. Admin. $ 24,350 $ 17,150 $ 41,500
11.0 Miscellaneous Desi n Services $ 11,100 $ 0 $ 11,100
Totals: $ 250,000 $ 88,000 $338,000
See Attachment A for detailed breakdown of the above tasks.
Notice to Proceed
This Task Order shall become effective immediately upon its execution by both parties
and shall constitute a NOTICE TO PROCEED.
5. Terms and Conditions
All Terms and Conditions contained in the AGREEMENT are incorporated herein by
reference.
Executed this day of Julv, 2019.
City of Denton:
William Todd Estes, P.E.
Director of Capital Projects
Rev #1
Attachments
Burgess & Niple, Inc.
� �
, f_,- �� -
Steven D. Sanders, P.E.
Vice President
P:\PR56672\PM\CONTRACT\CO\CO 1\MORSE STREET ROAD DIET C01 R1 - 2CONTRACT AMENDMENT SCOPE OF WORK.DOCX
Page3of3
DocuSign Envelope ID: 5E5D6CAD-0453-42E9-94F4-E3B5B9CF21B3
�I�RG�S� � 1\I1�'LE
Er��ineers ■ Plann�rs
Attachment A
Level of Effort Spreadsheet
TASK/HOUR BREAKDOWN
Contract Amendment for Professional Services for
Design and Construction of Morse Street Road Diet
City of Denton, Texas
Attachment A- Level of Effort
Project Summary
Total Hours 459
Total Labor $74,509
Total Trevel & Re ro Ex ense $676
SubconsWtant $12,815
Total Project Added Cost * $SS,000
* Project Summary totals exclude Task 77.0,
which is in the original Agreement
1 of 1
DocuSign Envelope ID: 5E5D6CAD-0453-42E9-94F4-E3B5B9CF21B3
Exhibit B
CONFLICT OF INTEREST QUESTIONNAIRE -
For vendor or other person doina business with local aovernmental enti
This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session.
FORM CIQ
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. Bu rgess & Ni pl e, Inc .
� 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 oripinally filed questionnaire was incomplete or inaccurate.)
Name of local government officer about whom the information in this section is being disclosed.
N/A
Name of Officer
This section, (itenl3 including subparts A, B, C& D), nlust be conlpleted far each oiticer with whonl the vendor has an enlploynlent or other business relationship
as detined by Section 176.001(1-a), Local Governnlent Code. Attach additional pages to this Forn1 CIQ as necessary.
A. Is the local governnlent oiticer nanled in this section receiving ar likely to receive taxable inconle, other than investnlent inconle, fionl the vendor?
� Yes � No
B. Is the vendor receiving or likely to receive taxable inconle, other than investnlent inconle, fionl or at the direction of the local governnlent oiticer
nanled in this section AND the taxable inconle is not received fionl the local governnlental entity?
� Yes � No
C. Is the tiler of this questionnaire enlployed by a corparation ar other business entity with respect to which the local governnlent oiticer serves as an
oi�icer ar director, or holds an ownership of one percent or nlare?
� Yes � No
D. Describe each enlploynlent or business and fanlily relationship with the local governnlent oiticer nanled in this section.
N/A
X❑ I have no Conflict of Interest to disclose.
DocuSigned by: (
Y V �(�1` � j,� �AA.�{A�► �
��t������Pdoing business with the governnlental entity
11/27/2019
Date
Certificate Of Completion
Envelope Id: 5E5D6CAD045342E994F4E3B5B9CF21 B3
Subject: Please DocuSign: City Council Contract 6590-009 Amendment #1 - Morse Street Expansion
Source Envelope:
Document Pages: 9 Signatures: 6
Certificate Pages: 6 Initials: 1
AutoNav: Enabled
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Time Zone: (UTC-06:00) Central Time (US & Canada)
Record Tracking
Status: Original
1 1/26/201 9 6:38:56 PM
Signer Events
Laura Hermosillo
laura.hermosillo@cityofdenton.com
Senior Buyer
City of Denton
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Mark Bernhardt
mark.bernhardt@burgessniple.com
Chairman
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Accepted: 11/27/2019 2:32:02 PM
ID:4ebb3f6a-4c43-4f08-88a6-fc8b27f7e1ab
Todd Estes
Todd. Estes@cityofdenton.com
City Engineer
Capital Projects
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Accepted: 11/27/2019 1:41:48 PM
ID:22f2573b-c3e8-45de-9844-cccb52be456d
Lori Hewell
lori. hewell@cityofdenton.com
Purchasing Manager
City of Denton
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Holder: Laura Hermosillo
laura.hermosillo@cityofdenton.com
Signature
COmpleted
Using IPAddress: 129.120.6.150
DocuSigned by:
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A7378AE398BB4E0...
Signature Adoption: Pre-selected Style
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0658E4FSFB78476...
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Signed using mobile
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Signature Adoption: Pre-selected Style
Using IPAddress: 47.184.81.15
� �> � �,�
�
Status: Completed
Envelope Originator:
Laura Hermosillo
901 B Texas Street
Denton, TX 76209
laura.hermosillo@cityofdenton.com
IP Address: 129.120.6.150
Location: DocuSign
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Mack Reinwand
mack.reinwand@cityofdenton.com
City of Denton
Security Level: Email, Account Authentication
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Electronic Record and Signature Disclosure:
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Cheyenne Defee
cheyenne.defee@cityofdenton.com
Contract Administrator
City of Denton
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Todd Hileman
Todd.Hileman@cityofdenton.com
City Manager
City of Denton
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ID:57619fbf-2aec-4b1f-805d-6bd7d9966f21
Rosa Rios
rosa.rios@cityofdenton.com
City Secretary
Security Level: Email, Account Authentication
(None)
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Cheyenne Defee
cheyenne.defee@cityofdenton.com
Contract Administrator
City of Denton
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(None)
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CDocuSigned by:
�n4�k- ��w.,��
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Sherri Thurman
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City of Denton
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Jane Richardson
jane.richardson@cityofdenton.com
Assistant City Secretary
City of Denton
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Annie Bunger
Annie. Bunger@cityofdenton.com
Contract Control Specialist
City of Denton
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Wendland, Billy
&It;Billy.Wendland@burgessniple.com>
Billy.Wendland@burgessniple.com
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Electronic Record and Signature Disclosure
Electronic Record and Signature Disclosure created on: 7/21/2017 3:59:03 PM
Parties agreed to: Mark Bernhardt, Todd Estes, Todd Hileman, Rosa Rios
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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: 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 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 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 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 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..
Re uired hardware and software
Operating Systems: 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 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.