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20-233oxDnv�vvcE No. 20-233 AN ORDINANCE OF THE CITY OF DENTON, A TEXAS HOME-RULE MUNICIl'AL CORPORATION, AUTHORIZING THE CITY MANAGER, OR HIS DESIGNEE, TO EXECUTE A CONTRACT WITH PATTERSON EQUIl'MENT COMPANY, LLC, WHICH IS THE AUTHORIZED DISTRIBUTOR FOR SUBSITE, LLC, THROUGH THE BUY BOARD COOPERATIVE PURCHASING NETWORK CONTRACT # 593-19, FOR PARTS AND LABOR COST, MAINTENANCE AND SPARE COMPONENTS FOR THE CCTV VIDEO INSPECTION LTNITS FOR THE WATER UTILITIES DEPARTMENT; PROVIDING FOR TI� EXPENDITURE OF FUNDS THEREFOR; AND PROVIDING AN EFFECTIVE DATE (FILE 7276 - AWARDED TO PATTERSON EQITIPMENT COMPANY, LLC, IN THE THREE (3) YEAR NOT-TO-EXCEED AMOUNT OF $150,000). WI�REAS, pursuant to Ordinance 2005-034, the Buy Baard Cooperative Purchasing Network has solicited, received, and tabulated competitive bids for the purchase of necessary materials, equipment, supplies, or services in accordance with the procedures of state law on behalf af the City of Denton; and WI-�REAS, the City Manager, or a designated employee, has reviewed and recommended that the herein described materials, equipment, supplies, or services can be purchased by the City through the Buy Board Cooperative Purchasing Network programs at less cost than the City would expend if bidding these items individually; and WHEREAS, the City Council has provided in the City Budget for the appropriation of funds to be used for the purchase of the materials, equipment, supplies, or services approved and accepted herein; NOW, THEREFORE, THE COUNCII, OF THE CITY OF DENTON HEREBY ORDAINS: SECTION 1. The items shown in the "File Number" referenced herein and on file in office of the Purchasing Agent, are hereby accepted and approved as being the lowest responsible bids for such items: FILE NUMBER VENDOR AMOUNT 7276 Patterson Equipment Company, LLC $150,000 SECTION 2. By the acceptance and approval of the items set forth in the referenced file number, the C'��y accepts the offer of the persons submitting the bids to the Buy Board Cooperative Purchasing Network for such items and agrees to purchase the materials, equipment, supplies, or services in accordance with the t�rrr��, conditions, specifications, standards, quantities, and for the specified sums contained in the bid documents and related documents filed with the Buy Board Cooperative Purchasing Network and the purchase orders issued by the City. SECTION 3. Should the City and persons submitting approved and accepted items set forth in the re£erenced file number wish to enter into a formal written agreement as a result of the City's ratification of bids awarded by the Buy Board Cooperative Purchasing Network, the City Manager, or his designated representative, is hereby authorized to execute the written contract which shall be attached hereto, provided that the written contract is in accordance with the terms, conditions, specifications and standards contained in the Proposal submitted to the Buy Board Cooperative Purchasing Network, 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 this ordinance to the City Manager of the City of Denton, or his designee. SECTION 5. By the acceptance and approval of the items set forth in the referenced file number, the City Council hereby authorizes the expenditure of funds therefor in the amount and in accordance with the approval purchase orders or pursuant to a written contract made pursuant thereto as authorized herein. SE�TION 6. This ordinance shall become effective immediately upon its passage and approval. The motion to �pp�r��r� this ordinance was made by y�f�Gt,� �'°�"��"L,�",�`� and seconded by �� wwww �� the ordinance was passed and appr � oved 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 Absent PASSED AND APPROVED this the day of , 2020. �� , �. �� r �� CHRI ' ATTS, MAYOR ATTEST: ROSA RIOS, CITY SECRETARY BY:.� � �C-�' APPROVED AS TO LEGAL FORM: AARON LEAL, CITY ATTORNEY `��I I INti��i �� F" � �i 4.. � , `��,��,�`4�•��,�.,.:.*,Mw�ti�. �,'� .�f �' / • ,�� W f � sp i —• �� _— "—=Mk � ' : s*� � , — . �///�Oiiiii�/////////////////ii � � Docusign City Council Transmittal Coversheet COOP 727( File Name Subsite CCTV Video Equipment Purchasing Contact �ane Rogers City Council Target Date February 4, zozo Piggy Back Option Not Appl i cabl e Contract Expiration February 4, 2023 Ordinance 20-233 D3 V� CONTRACT BY AND BETWEEN CITY OF DENTON, TEXAS AND PATTERSON EQUIPMENT COMPANY, LLC (File # 7276) 02/04/2020 THIS CONTRACT is made and entered into this date , by and between Patterson Equipment Company, LLC, a Texas Limited Liability Company, whose address is 14481 Day Road, Suite 400, Roanoke, Texas 76262, hereinafter referred to as"Supplier," 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 in accordance with the Supplier's quote, a copy of which is attached hereto and incorporated herein for all purposes as Exhibit "C". The Contract consists of this written agreement and the following items which are attached hereto, or on �le, and incorporated herein by reference: (a) �) (c) (d) (e) �fl Spacial Tarms and Conditions (�xhibit "A"); Buyboard Cooperative Purchasing Contract #593-19 with Subsite, LLC in which Patterson Equipment Company, LLC is an authorized distributor for Subsite CCTV Video Equipment and Repair (Exhibit `B" on file at the office of the Purchasing Agent); Patterson Equipment Company, LLC, quote (Exhibit "C"); Certificate of Interested Parties Electronic Filing (Exhibit "D"); Insurance Requirements (Exhibit "E"); Form CIQ — Conflict of Interest Questionnaire (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." Prohibition on Contracts with Companies Boycotting Israei Supplier acknowledges that in accordance with Chapter 2270 of the Texas Government Code, City is prohibited from entering into a contract with a company for goods or services unless the contract contains a written verification from the company that it: (1) does not boycott Israel; and (2) will not boycott Israel during the term of the contract. The terms "boycott Israel" and "company" shall have the meanings ascribed to those terms in Section 808.001 of the Texas Government Code. By signing this agreement, Supplier certifies that Supplier's signature provides written verification to the City that Supplier: (1) does not boycott Israel; and (2) will not boycott Israel during the term of the agreement. Failure to meet or maintain the requirements under this provision will be considered a material breach. Prohibition On Contracts With Companies Doing Business with Iran, Sudan, or a Foreign Terrorist Organization Section 2252 of the Texas Government Code restricts CITY from contracting with companies that do business with Iran, Sudan, or a foreign terrorist organization. By signing this agreement, Supplier certifies that Supplier's signaiure provides written verification to the City that Supplier, pursuant to Chapter 2252, is not ineligible to enter into this agreement and will not become ineligible to receive payments File 7276 under this agreement by doing business with Iran, Sudan, or a foreign terrorist organization. Failure to meet or maintain the requirements under this provision will be considered a material breach. 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. IN WITNESS WHEREOF, the parties of these presents ha�e executed this agreement in the year and day first above written. SiTPPLIER ; �oo��s�g�a ev: BY: � ��-(( ��ta, 651774A149FD44B_. AUTHORIZED SIGNATURE Printed Name: �eff Patterson President Title: 281-770-6714 PHONE NUMBER jeff@pattersonequipment.net CITY OF DENTON, TEXAS —DocuSigned by: BY: fiar�.� k�iG�a�.�n, TODD H '�'E�s�1�jnljeAooaSa.. CITY MANAGER ATTEST: ROSA RIOS, CITY SECRETARY --DocuSigned by: BY: �'+� �'� 1G5CA8G�E175493... APPROVED AS TO LEGAL FORM: AARON LEAL, CITY ATTORNEY EMAIL ��I�F��o4 DocuSigned by: TEXAS ETHICS COMMISSION BY: .,c,� 'nw..,,�, 1295 CERTIFICATE NUMBER 7Fso�2aBFozo4Es... THIS AGREEMENT HAS BEEN BOTH REVIEWED AND APPROVED as to financial and operational obligations and business terms. DocuSigned by: Kenneth Banks .�aa.� I��r�.�S SI a��4�4gF... PRINTED NAME General Manager TITLE utilities DEPARTMENT File 7276 Exhibit A Speciai Terms and Conditions 1. Contract Term The contract term will be three (3) years, effective from date of award or notice to proceed as determined by the City of Denton Purchasing Department. BuyBoard Contract #593-19 expires September 30, 2022. The contract shall commence upon the issuance of a Notice of Award by the City of Denton and shall automatically renew each year, from the date of award by City Council. At the sole option of the City of Denton, the contract may be further extended as needed, not to exceed a total of six (6) months. 2. Totai Contract Amount The contract total shall not exceed $150,000. Pricing shall be per Exhibit C attached. File 7276 Exhibit C /��,, � ii Pat�ers�r� �q�rpar��nt �a�rapar��r P.O. BOX 130367 THE WOODLANDS, TX 77393 WWW.PATTERSONEQUIPMENT.NET TO: CITY OF DENTON December 10, 2019 RE: SUBSITE ELECTRONICS CCTV INSPECTION PRODUCTS To Whom It May Concern: Patterson Equipment Company in Fort Worth, Texas will offer a 5% discount to the City of Denton on all Subsite Products. Our Labor Rate to Repair all Components is $ 135.00 HR We are the only authorized dealer for Subsite Electronics in Texas. We appreciate the opportunity of working with you for all your CCTV Inspection Equipment Needs. Please feel free to contact me with any questions. Sincerely, J e�'f Pa�t�rso-w Jeff Patterson President Patterson Equipment Company 281-770-6714 ieff(�pattersonequipment.net File 7276 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 wili 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 burchasin�(a�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. File 7276 Exhibit E 1NSURANCE REQUIREMENTS AND WORKERS' COMPENSATION REQUIREMENTS Upon cont�^act execution, all insurance require�nents shall beco�ne cont�^actual obligations, which the successful cont�^actor shall have a duty to �naintain throughout the course of this cont�^act. STANDARD PROVISIONS: Without limiting any of the other obligations or liabilities of the Contractor, the Contractor shall provide and maintain until the contracted work has been completed and accepted by the City of Denton, Owner, the minimum insurance coverage as indicated hereinafter. Contractor shall file with the Purchasing Department satisfactory certificates of insurance including any applicable addendum or endorsements, containing the contract number and title of the project. Contractor may, upon written request to the Purchasing Department, ask for clarification of any insurance requirements at any time; however, Contractor shall not commence any work or deliver any material until he or she receives notification that the contract has been accepted, approved, and signed by the Ciry of Denton. All insurance policies proposed or obtained in satisfaction of these requirements shall comply with the following general specifications, andshall be maintained in compliance with these general specifications throughout the duration of the Contract, or longer, if so noted: • Each policy shall be issued by a company authorized to do business in the State of Texas with an A.M. Best Company rating of at least A or better. Any deductibles or self-insured retentions shall be declared in the proposaL If requested by the City, the insurer shall reduce or eliminate such deductibles or self-insured retentions with respect to the City, its of�cials, agents, employees and volunteers; or, the contractor shall procure a bond guaranteeing payment of losses and related investigations, claim administration and defense expenses. Liability policies shall be endorsed to provide the following: Name as Additional Insured the City of Denton, its Officials, Agents, Employees and volunteers. ■ That such insurance is primary to any other insurance a�ailable to the Additional Insured with respect to claims covered under the policy and that this insurance applies separately to each insured against whom claim is made or suit is brought. The inclusion of more than one insured shall not operate to increase the insurer's limit of liability. ■ Provide a Waiver of Subrogation in fa�or of the City of Denton, its of�cials, agents, employees, and volunteers. • Cancellation: City requires 30 day written notice should any of the policies described on the certificate be cancelled or materially changed before the expiration date. Should any of the required insurance be provided under a claims made form, Contractor shall maintain such coverage continuously throughout the term of this contract and, without lapse, for a period of three years beyond the contract expiration, such that occurrences arising during the File 7276 contract term which give rise to claims made after expiration of the contract shall be covered. • Should any of the required insurance be provided under a form of coverage that includes a general annual aggregate limit providing for claims investigation or legal defense costs to be included in the general annual aggregate limit, the Contractor shall either double the occurrence limits or obtain Owners and Contractors Protective Liability Insurance. • Should any required insurance lapse during the contract term, requests for payments originating after such lapse shall not be processed until the City receives satisfactory evidence of reinstated coverage as required by this contract, effective as of the lapse date. If insurance is not reinstated, City may, at its sole option, terminate this agreement effective on the date of the lapse. SPECIFIC ADDITIONAL INSURANCE REQUIREMENTS: All insurance policies proposed or obtained in satisfaction of this Contract shall additionally comply with the following marked specifications, and shall be maintained in compliance with these additional specifications throughout the duration of the Contract, or longer, if so noted: [X] A. Generai Liability Insurance: General Liability insurance with combined single limits of not less than $1,000,000.00 shall be provided and maintained by the Contractor. The policy shall be written on an occurrence basis either in a single policy or in a combination of underlying and umbrella or excess policies. If the Commercial General Liability form (ISO Form CG 0001 current edition) is used: • Coverage A shall include premises, operations, products, and completed operations, independent contractors, contractual liability covering this contract and broad form property damage coverage. • Coverage B shall include personal injury. • Coverage C, medical payments, is not required. If the Comprehensive General Liability form (ISO Form GL 0002 Current Edition and ISO Form GL 0404) is used, it shall include at least: • Bodily injury and Property Damage Liability for premises, operations, products and completed operations, independent contractors and properiy damage resulting from explosion, collapse or underground (XCU) exposures. • Broad form contractual liability (preferably by endorsement) covering this contract, personal injury liability and broad form property damage liability. [X] Automobile Liability Insurance: Contractor shall provide Commercial Automobile Liability insurance with Combined Single Limits (CSL) of not less than $500,000 either in a single policy or in a combination of basic and umbrella or excess policies. The policy will include bodily injury and property damage liability arising out of the operation, maintenance and use of all automobiles and mobile equipment used in conjunction File 7276 with this contract. Satisfaction of the above requirement shall be in the form of a policy endorsement for: • any auto, or • all owned hired and non-owned autos. [ ] Workers' Compensation Insurance Contractor shall purchase and maintain Workers' Compensation insurance which, in addition to meeting the minimum statutory requirements for issuance of such insurance, has Employer's Liability limits of at least $100,000 for each accident, $100,000 per each employee, and a$500,000 policy limit for occupational disease. The City need not be named as an "Additional Insured" but the insurer shall agree to waive all rights of subrogation against the City, its officials, agents, employees and volunteers for any work performed for the City by the Named Insured. For building or construction projects, the Contractor shall comply with the provisions of Attachment 1 in accordance with §406.096 ofthe Texas Labor Code and rule 28TAC 110.110 ofthe Texas Workers' Compensation Commission (TWCC). [] Owner's and Contractor's Protective Liability Insurance The Contractor shall obtain, pay for and maintain at all times during the prosecution of the wark under this contract, an Owner's and Contractor's Protective Liability insurance policy naming the City as insured for property damage and bodily injury which may arise in the prosecution of the work or Contractor's operations under this contract. Coverage shall be on an"occurrence" basis and the policy shall be issued by the same insurance company that carries the Contractor's liability insurance. Policy limits will be at least $500,000.00 combined bodily injury and property damage per occurrence with a$1,000,000.00 aggregate. [] Fire Damage Legai Liability Insurance Coverage is required if Broad form General Liability is not provided or is unavailable to the contractor or if a contractor leases or rents a portion of a City building. Limits of not less than _ each occurrence are required. [ ] Professionai Liability Insurance Professional liability insurance with limits not less than $1,000,000.00 per claim with respect to negligent acts, errors or omissions in connection with professional services is required under this Agreement. [ ] Buiiders' Risk Insurance Builders' Risk Insurance, on an All-Risk form for 100% of the completed value shall be provided. Such policy shall include as "Named Insured" the City of Denton and all subcontractors as their mterests may appear. [ ] Environmentai Liability Insurance Environmental liability insurance for $1,000,000 to cover all hazards contemplated by this contract. File 7276 [] RiggersInsurance The Contractor shall provide coverage for Rigger's Liability. Said coverage may be provided by a Rigger's Liability endorsement on the existing CGL coverage; through and Installation Floater covering rigging contractors; or through ISO form IH 00 91 12 11, Rigger's Liability Coverage form. Said coverage shall mirror the limits provided by the CGL coverage [ ] Commerciai Crime Provides coverage for the theft or disappearance of cash or checks, robbery inside/outside the premises, burglary of the premises, and employee fidelity. The employee fidelity portion of this coverage should be written on a"blanket" basis to cover all employees, including new hires. This type insurance should be required if the contractor has access to City funds. Limits of not less than $ each occurrence are required. [ ] Additionai Insurance Other insurance may be required on an individual basis for extra hazardous contracts and specific service agreements. If such additional insurance is required for a speci�c contract, that requirement will be described in the "Specific Conditions" of the contract specifications. File 7276 ATTACHMENT 1 [] Workers' Compensation Coverage for Building or Construction Projects for Governmental Entities A. De�nitions: Certi�cate of coverage ("certificate")-A copy of a certificate of insurance, a certificate of authority to self-insure issued by the commission, or a coverage agreement (TWCG81, TWCG82, TWCG83, or TWCG84), showing statutory workers' compensation insurance coverage for the person's or entity's employees providing services on aproject, for the duration of the project. Duration of the project - includes the time from the beginning of the work on the project until the contractor's/person's work on the project has been completed and accepted by the governmental entity. Persons providing services on the project ("subcontractor" in §406.096) - includes all persons or entities performing all or part of the services the contractor has undertaken to perform on the project, regardless of whether that person contracted directly with the contractor and regardless of whether that person has employees. This includes, without limitation, independent contractors, subcontractors, leasing companies, motor carriers, owner-operators, employees of any such entity, or employees of any entity which furnishes persons to provide services on the project. "Services" include, without limitation, providing, hauling, ox delivering equipment or materials, or providing labor, transportation, or other service related to a project. "Services" does not include activities unrelated to the project, such as food/beverage vendors, office supply deliveries, and delivery of portable toilets. B. The contractor shall provide coverage, based on proper reporting of classi�cation codes and payroll amounts and filing of any overage agreements, which meets the statutory requirements of Texas Labor Code, Section 401.011(44) for all employees of the Contractor providing services on the project, for the duration of the project. C. The Contractor must provide a certificate of coverage to the governmental entity prior to being awarded the contract. D. If the coverage period shown on the contractor's current certificate of coverage ends during the duration of the project, the contractor must, prior to the end of the coverage period, file a new certi�cate of coverage with the governmental entity showing that coverage has been extended. E. The contractor shall obtain from each person providing services on a project, and provide to the governmental entity: 1. a certificate of coverage, prior to that person beginning work on the project, so the governmental entity will ha�e on file certificates of coverage showing coverage for all persons providing services on the project; and 2. no later than seven days after receipt by the contractor, a new certificate of coverage showing extension of coverage, if the coverage period shown on the current certi�cate of coverage ends during the duration of the project. File 7276 F. The contractor shall retain all required certificates of coverage for the duration of the project and for one year thereafter. G. The contractor shall notify the governmental entity in writing by certified mail or personal delivery, within 10 days after the contractor knew or should have known, of any change that materially affects the provision of coverage of any person providing services on the proj ect. H. The contractor shall post on each proj ect site a notice, in the text, form and manner prescribed by the Texas Workers' Compensation Commission, informing all persons providing services on the project that they are required to be covered, and stating how a person may verify coverage and report lack of coverage. L The contractor shall contractually require each person with whom it contracts to provide services on aproject, to: 1. provide coverage, based on proper reporting of classification codes and payroll amounts and filing of any coverage agreements, which meets the statutory requirements of Texas Labor Code, Section 401.011(44) for all ofits employees providing services on the project, for the duration of the project; 2. provide to the contractor, prior to that person beginning work on the project, a certificate of coverage showing that coverage is being provided for all employees of the person providing services on the project, for the duration of the project; 3. provide the contractor, prior to the end of the coverage period, a new certi�cate of coverage showing extension of coverage, if the coverage period shown on the current certificate of coverage ends during the duration of the project; 4. obtain from each other person with whom it contracts, and provide to the contractor: a. a certificate of coverage, prior to the other person beginning work on the proj ect; and b. a new certificate of coverage showing extension of coverage, prior to the end of the coverage period, if the coverage period shown on the current certificate of coverage ends during the duration of the project; 5. retain all required certi�cates of coverage on file for the duration of the project and for one year thereafter; 6. notify the governmental entity in writing by certified mail or personal delivery, within 10 days after the person knew or should ha�e known, of any change that materially affects the provision of coverage of any person providing services on the project; and 7. Contractually require each person with whom it contracts, to perform as required by paragraphs (1) -(7), with the certificates of coverage to be provided to the person for whom they are providing services. J. By signing this contract or providing or causing to be provided a certi�cate of coverage, the contractor is representing to the governmental entity that all employees of the contractor who will provide services on the project will be covered by workers' compensation coverage for the duration of the proj ect, that the coverage will be based on proper reporting of classi�cation codes and payroll amounts, and that all coverage agreements will be filed with the appropriate File 7276 insurance carrier or, in the case of a self-insured, with the commission's Division of Self- Insurance Regulation. Providing false or misleading information may subject the contractor to administrative penalties, criminal penalties, civil penalties, or other civil actions. K. The contractor's failure to comply with any of these provisions is a breach of contract by the contractor which entitles the governmental entity to declare the contract void if the contractor does not remedy the breach within ten days after receipt of notice of breach from the governmental entity. File 7276 Exhibit F 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. Patterson Equi pment Company, LLC � 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. City of Denton 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. NONE X❑ I have no Conflict of Interest to disclose. �ocuSigned 6y: J ��i�,lu K/�Il. ��N�i -doing business with the governnlental entity 1�10�2020 Date � �> � �,� � Certificate Of Completion Envelope Id: E38F8360595D4303A386A5E3CB4300F2 Status: Completed Subject: Please DocuSign: City Council Contract 7276 Subsite CCTV Video Equipment and Repair - Patterson Source Envelope: Document Pages: 14 Signatures: 6 Envelope Originator: Certificate Pages: 6 Initials: 1 Monisa Rogers AutoNav: Enabled 901 B Texas Street Envelopeld Stamping: Disabled Denton, TX 76209 Time Zone: (UTC-06:00) Central Time (US & Canada) Monisa.Rogers@cityofdenton.com IP Address: 129.120.6.150 Record Tracking Status: Original 1/6/2020 1:46:33 PM Signer Events M.Jane Rogers monisa. rogers@cityofdenton.com Senior Buyer City Of Denton Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Lori Hewell lori. hewell@cityofdenton.com Purchasing Manager City of Denton Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Mack Reinwand mack.reinwand@cityofdenton.com City of Denton Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Jeff Patterson jeff@pattersonequipment.net President Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 1/10/2020 12:47:56 PM ID:db5646b9-650c-49c6-947f-d8f3df467320 Holder: Monisa Rogers Monisa.Rogers@cityofdenton.com Signature COmpleted Using IPAddress: 129.120.6.150 �� Signature Adoption: Pre-selected Style Using IPAddress: 129.120.6.150 CDocuSigned by: �n4�k- ��w.,�� 7F9D328BF0204E5... Signature Adoption: Pre-selected Style Using IPAddress: 129.120.6.150 CDocuSigned by: �(f �A}{LV'Sbin, 651774A149FD44B... Signature Adoption: Pre-selected Style Using IPAddress: 104.63.236.55 Location: DocuSign Timestamp Sent: 1/6/2020 1:49:34 PM Viewed: 1/6/2020 1:49:56 PM Signed: 1/6/20201:51:51 PM Sent: 1/6/2020 1:51:54 PM Viewed: 1/6/2020 2:36:21 PM Signed: 1/6/2020 2:55:18 PM Sent: 1/6/2020 2:55:23 PM Viewed: 1/10/2020 10:28:17 AM Signed: 1/10/2020 10:30:52 AM Sent: 1/10/2020 10:30:55 AM Viewed: 1/10/2020 12:47:56 PM Signed: 1/10/2020 1:02:18 PM Signer Events Kenneth Banks kenneth.banks@cityofdenton.com General Manager Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Cheyenne Defee cheyenne.defee@cityofdenton.com Contract Administrator City of Denton Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Todd Hileman Todd.Hileman@cityofdenton.com City Manager City of Denton Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 7/25/2017 11:02:14 AM ID:57619fbf-2aec-4b1f-805d-6bd7d9966f21 Rosa Rios rosa.rios@cityofdenton.com City Secretary Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 2/6/2020 9:19:33 AM ID:b07a2936-7325-4931-8c24-32da592ba676 In Person Signer Events Editor Delivery Events Agent Delivery Events Intermediary Delivery Events Certified Delivery Events Carbon Copy Events Cheyenne Defee cheyenne.defee@cityofdenton.com Contract Administrator City of Denton Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Signature CDocuSigned by: ��,tn.�n�,fl�, �cun.IcS 7826B6AE74654BF... Signature Adoption: Pre-selected Style Using IPAddress: 129.120.6.150 � a ' �►�� - - �� Using IPAddress: 129.120.6.150 �DocuSigned by: ��.�. i�t�t,w�tUn. 8776C7118AOD454... Signature Adoption: Pre-selected Style Using IPAddress: 107.77.200.150 Signed using mobile CDocuSigned by: � �:,a� 1C5CASCSE175493... Signature Adoption: Pre-selected Style Using IPAddress: 129.120.6.150 Signature Status Status Status Status Status Timestamp Sent: 1/10/20201:02:21 PM Viewed: 1/10/2020 1:15:18 PM Signed: 1/10/2020 1:32:04 PM Sent: 1/10/2020 1:32:08 PM Viewed: 2/5/2020 9:04:25 AM Signed: 2/5/2020 9:04:59 AM Sent: 2/5/2020 9:05:02 AM Viewed: 2/5/2020 9:06:45 AM Signed: 2/5/2020 9:06:51 AM Sent: 2/5/2020 9:06:53 AM Viewed: 2/6/2020 9:19:33 AM Signed: 2/6/2020 9:20:15 AM Timestamp Timestamp Timestamp Timestamp Timestamp Timestamp Sent: 1/6/2020 1:51:54 PM Carbon Copy Events Sherri Thurman sherri.thurman@cityofdenton.com City of Denton Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Jane Richardson jane.richardson@cityofdenton.com Assistant City Secretary City of Denton Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Zolaina Parker Zolaina. Parker@cityofdenton.com City of Denton Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign David Brown david.brown@cityofdenton.com Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 4/10/2019 2:54:36 PM ID:20238ddf-ccd6-4d52-988f-8c9f3436055e Witness Events Notary Events Envelope Summary Events Envelope Sent Certified Delivered Signing Complete Completed Status � ■ '' � ` Signature Signature Status Hashed/Encrypted Security Checked Security Checked Security Checked Timestamp Sent: 1/10/2020 1:32:08 PM Sent: 2/5/2020 9:05:01 AM Viewed: 2/7/2020 1:28:09 PM �Ya'ii i f�ab' 7f ��Y��7 N�.' i NY� 1 Ji l Sent: 2/6/2020 9:20:17 AM Timestamp Timestamp Timestamps 2/6/2020 9:20:17 AM 2/6/2020 9:20:17 AM 2/6/2020 9:20:17 AM 2/6/2020 9:20:17 AM Payment Events Status Timestamps Electronic Record and Signature Disclosure Electronic Record and Signature Disclosure created on: 7/21/2017 3:59:03 PM Parties agreed to: Jeff Patterson, Todd Hileman, Rosa Rios, David Brown 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: 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.