Loading...
23-1729ORDINANCE NO. 23-1729 AN ORDINANCE OF THE CITY OF DENTON, A TEXAS HOME-RULE MUNICIPAL CORPORATION, AUTHORIZING THE CITY MANAGER TO EXECUTE A CONTRACT WITH UNITED HEALTHCARE SERVICES, INC., FOR THE ADMINISTRATION OF FLEXIBLE SPENDING ACCOUNTS (FSA) FOR MEDICAL CARE AND DEPENDENT CARE FOR CITY EMPLOYEES FOR THE HUMAN RESOURCES DEPARTMENT; PROVIDING FOR THE EXPENDITURE OF FUNDS THEREFOR; AND PROVIDING AN EFFECTIVE DATE (RFP 8241 – AWARDED TO UNITED HEALTHCARE SERVICES, INC., FOR THREE (3) YEARS, WITH THE OPTION FOR TWO (2) ADDITIONAL ONE (1) YEAR EXTENSIONS, IN THE TOTAL FIVE (5) YEAR NOT-TO-EXCEED AMOUNT OF $123,237.47). WHEREAS, the City has solicited, received, and evaluated competitive proposals for the administration of Flexible Spending Accounts (FSA) for medical care and dependent care for City employees for the Human Resources Department; and WHEREAS, the City Manager, or a designated employee, has received, reviewed, and recommended that the herein described proposals are the most advantageous to the City considering the relative importance of price and the other evaluation factors included in the request for proposals; and WHEREAS, this procurement was undertaken as part of the City’s governmental function; and WHEREAS, the City Council has provided in the City Budget for the appropriation of funds to be used for the purchase of the materials, equipment, supplies, or services approved and accepted herein; NOW, THEREFORE, THE COUNCIL OF THE CITY OF DENTON HEREBY ORDAINS: SECTION 1. The items in the following numbered request for proposal for materials, equipment, supplies, or services shown in the “Request Proposals” on file in the office of the Purchasing Agent, are hereby accepted and approved as being the most advantageous to the City considering the relative importance of price and the other evaluation factors included in the request for proposals. RFP NUMBER CONTRACTOR AMOUNT 824 1 United Healthcare Services, Inc.$ 123,237.47 SECTION 2. That by the acceptance and approval of the above numbered items of the submitted proposals, the City accepts the offer of the persons submitting the proposals for such items and agrees to purchase the materials, equipment, supplies, or services in accordance with the terms, specifications, standards, quantities, and for the specified sums contained in the Proposal Invitations, H I b b qU q + •+ R • Proposals, and related documents. SECTION 3. That should the City and person submitting approved and accepted items wish to enter into a formal written agreement as a result of the acceptance, approval, and awarding of the proposals, the City Manager, or their 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, 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 this ordinance to the City Manager of the City of Denton, or their 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 bids. SECTION 6 approval. This ordinance shall become effective immediately upon its passage and "'& IT.”K::t“-The seconded by following vote la - JL] ' d i n a n C e \V a S T:: :s :: i n a n \bIV PISb:tI d aP P r0 V ed bye 0r Aye J J J J -L ,/ Nay Abstain Absent Mayor Gerard Hudspeth: Vicki Byrd, District 1 : Brian Beck, District 2: Paul Meltzer, District 3 : Joe Holland, District 4: Brandon Chase McGee, At Large Place 5 : Chris Watts, At Large Place 6:JL , 2023.PASSED AND APPROVED thi, th, (I th day of SqN,n),,, aiR–m:MIt–oR I • BB - I # [ I I • r‘ 'll . \\ \ t •n ATTEST: JESUS SALAZAR, CITY SECRETARY L\\t 11111111 APPROVED AS TO LEGAL FORM: MACK REINWAND, CITY ATTORNEY Digitally signed by MaKella Lunn n , , DN: cn=Marcella Lunn, o, al fdenton.com, c=US Date: 2023.09.05 16:42:15 -05'OO‘ \XfLV AILMMe=iI:marcettaJuXn@cityo /- DocuSign Envelope ID: 5A4D432C-5D5EJ+852-AC24-16171C776ADD DENTON Docusign City Council Transmittal Coversheet 8241RFP File Name F1,,ib1, sp,,dl,g A ,,,,,t ( FSA) P,r,h„i.g C,nt„t c h':;t; c h':;t:’- CIty C,,„IIT,rg,tD,t, SEPTE"BE- 19’ 2023 Piggy Back Option Contract Expiration Ordinance NO DECEMBER 31, 2028 23-1729 DocuSign Envelope ID: 5A4D432C-5D5E4852-AC24-16171C776ADD CONTRACT BY AND BETWEEN CITY OF DENTON, TEXAS AND UNITED HEALTHCARE SERVICES, INC (CONTRACT 8241) THIS CONTRACT is made and entered into this date January 1, 2024, (the “Effective Date”) by and between United Healthcare Services, Inc a Minnesota corporation, whose address is 9900 Bren Road East Minnetonka. MN 55343. 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 Contractor shall provide products and/or services in accordance with the City’s document RFP 8241 – Flexible Spending Account, 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) (b) (C) (d) (e) (f) Special Terms and Conditions (Exhibit “A”); City of Denton Standard Terms and Conditions (Exhibit “B”); Insurance Requirements and Workers’ Compensation Requirements (Exhibit “C”) Supplier Terms and Conditions (Exhibit "D"); Form CIQ – Conflict of Interest Questionnaire (Exhibit "E”) City of Denton’s RFP 8241 (Exhibit “F” on File at the Office of the Purchasing Agent) including United’s response; These documents make up the Contract 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 base agreement then to the exhibits 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 Israel Contractor acknowledges that in accordance with Chapter 2271 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, Contractor certifres that Contractor’s signature provides written verifIcation to the City that Contractor: (1) does not boycott Israel; and (2) will not boycott Israel during the term of the agreement Failure to meet at maintain the requirements under this provision will be considered a material breach. Prohibition on Contracts with Companies Boycotting Certain Energy Companies Contractor acknowledges that in accordance with Chapter 2274 of the Texas Government Code, City is Contract # 8241 DocuSign Envelope ID: 5A4D432C-5D5E21852-AC24-16171C776ADD prohibited from entering into a contract with a company for goods or services unless the contract contains written verification from the company that it ( 1) does not boycott energy companies; and (2) will not boycott energy companies during the term of the contract. The terms “boycott energy company” and “company’ shall have the meanings ascribed to those terms in Section 809.001 of the Texas Government Code. By signing this agreement, Contractor certifres that Contractor’s signature provides written veripcation to the City that Contractor: (1) does not boycott energy companies; and (2) will not boycott energy companies 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 Boycotting Certain Firearm Entities and Firearm Trade Associations Contractor acknowledges that in accordance with Chapter 2274 of the Texas Government Code, City is prohibited from entering into a contract with a company for goods or services unless the contract contains written verification from the company that it (1) does not have a practice, policy, gwidance, or directive that discriminates against a firearm entity or firearm trade association; and (2) will not discriminate during the term of the contract against a firearm entity or firearm trade association. The terms “discriminate against a firearm entity or firearm trade association,” “firearm entity” and “firearm trade association” shall have the meanings ascribed to those terms in Chapter 2274 of the Texas Government Code. By signing this agreement, Contractor certifies that Contractor’s signature provides written yeHPcation to the City that Contractor: (1) does not have a practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade association; and (2) will not discriminate during the term of the contract against a firearm entity or fIrearm trade association. 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 Sections 2252 and 2270 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, Contractor certifies that Contractor’s signature provides written verification to the City that Contractor, pursuant to Chapters 2252 and 2270, is not ineligible to enter into this agreement and will not become ineligible to receive payments 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. Termination Right for Contracts with Companies Doing Business with Certain Foreign-Owned Companies The City of Denton may terminate this Contract immediately without any further liability if the City of Denton determines, in its sole judgment, that this Contract meets the requirements under Chapter 2274, and Contractor is, or will be in the future, (i) owned by or the majority of stock or other ownership interest of the company is held or controlled by individuals who are citizens of China, Iran, North Korea, Russia, or other designated country (ii) directly controlled by the Government of China, Iran, North Korea, Russia, or other designated country, or (iii) is headquartered in China, Iran, North Korea, Russia, or other designated country 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 # 8241 DocuSign Envelope ID: 5A4D432C-5D5E4852-AC24-16171C776ADD IN WITNESS WHEREOF, the parties of these presents have executed this agreement in the year and day first above written. UNITED HEALTHCARE SERVICES, Jl:MAr has AUTHORIZED SIGNATURE Printed Name: ienn1 fer Dumas Title: Regiona1 Contract Manager 763-957-6766 PHONE NUMBER Certificate of Interested Parties Electronic Filing jennifer_dumas@uhc . com EMAIL ADDRESS In 2015 , the Texas Leglslature adopted House Bi11 1295 . wh1 ch added sectlon 2252.908 of the Government Code. The law states that the City maynot enter lnto this contract unless the Contractor submits a dlsclosure of interested parties (Form 1295) to the city at the time the Contractor submits the signed contract . The Texas EthIcs Commlssion has adopted rules requ1 rIng the businessentity to f11e Form 1295 electronlca11y with the Commi ssi on . 2023_ 1067701 TEXAS ETHICS COMMISSION 1295 CERTIFICATE NUMBER CITY prOW,PN, TEXAS SNbA Hoq££?BY: L - _____:_____ I_ SARAF{ENSL-EY, CITY MANAGER Contractor wi 11 be required to furnish aCertlflcate of Interest Parties before the contract is awarded, in accordance with Government Code2252 . 908 . The contractor sha11 : ATTEST: JESUS SALAZAR, CITY SECRETARY 1. Log onto the State Ethics Commission webslte at https : //www . ethi cs . state . tx . us/H 1 i ng1 nfc/1295/ 2 . Reglster utl11zlng the tutorla1 provlded bythe State 3 . Print a copy of the completed Form 12954. Enter the Certiflcate Number on page 2 of this contract . 5 . Complete and sign the Form 12956. Emai 1 the form to purchasing@cityofdenton . com with the contract number in the subject line. (EX: Contract 1234 – Form 1295) APPROVED AS TO LEGAL FORM: MACK REINWAND, CITY ATTORNEY The city must acknow1 edge the receipt of the f11ed Form 1295 not later than the 30th day after Counc11 award . Once a Form 1295 is acknowledged, it wi 11 be posted to the Texas Ethics Commission’s website within seven business days . Contract # 8241 DocuSign Envelope ID: 5A4D432C-5D5E-1852-AC24-16171C776ADD THIS AGREEMENT HAS BEEN BOTH REVIEWED AND APPROVED as to financial and operational obligations and business terms. Megan Gi lbreath PRiNTED NAME Deputy HR D1 rector TITLE Human Resources DEPARTMENT Page 1 4 DocuSign Envelope ID: 5A4D432C-5D5EJ1852-AC24-16171C776ADD Exhibit A Special Terms and Conditions 1. Total Contract Amount The contract total for services shall not exceed $123,237.47. Pricing shall be per Attachment D, Attachment D-3 – Fees. 2. Intentionally Deleted 3. Contract Terms This contract shall be effective for three (3) years hom the Effective Date (“Initial Term”). City and the Supplier shall have the option to renew this contract for an additional two (2) one-year periods. Each service period under this contract will begin January 1 and end December 31. The contract shall commence on the effective date and shall automatically renew each year, from the effective date. 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. 4. Price Escalation and De-escalation Contractor may change the fees on the latter of the expiration of: • A Renewal Term. or • Any applicable multi-year fee term as set forth in Attachment D-3 - Fees. Contractor will provide City with 30 days prior written notice of the revised Fees for each Renewal Term, and such Fees will be effective the first day of such Renewal Term. Contractor will provide City with a new Attachment D-3 – Fees that will replace the existing Attachment D-3 – Fees. Contractor may also change the Fees: • • • any time there are changes made to this Agreement or the Plan which affect the Fees, any time there are changes in Law which affect the Services Contractor is providing, or will be required to provide, under this Agreement, if the number of Employees covered by the Plan or any Plan option changes (i) by 10% or more, or (ii) the enrollment band, or • (4)if the total number of enrolled Participants divided by the total number of enrolled Employees (“Average Contract Size“), varies by 10% or more from the assumed average contract size. Any new Fee will be effective as of the date the change is applicable, even if that date is retroactive. If City does not agree to any change in Fees, City may terminate this Agreement after City receives written notice of the new Fees. City must still pay any amounts due for the periods during which the Agreement is in effect. Page 1 5 DocuSign Envelope ID: 5A4D432C-5D5E4852-AC24-16171C776ADD Exhibit B City of Denton Standard Purchase Terms and Conditions These standard Terms and Conditions are applicable to contracts/purchase orders issued by the City of Denton hereinafter referred to as the City or Buyer and the Seller or respondent herein after referred to as Contractor or Supplier. Any deviations must be in writing and signed by a representative of the City’s Procurement Department and the Supplier. No Terms and Conditions contained in the seller’s proposal response, invoice or statement shall serve to modify the terms set forth herein. If there is a conflict between the provisions on the face of the contract/purchase order these written provisions will take precedence. The Contractor agrees that the contract shall be governed by the following terms and conditions, unless exceptions are duly noted and fully negotiated. 1. CONTRACTOR’S OBLIGATIONS. The Contractor shall fully and timely provide all services/deliverables described in this Contract and the Solicitation in the Contractor’s Offer in strict accordance with the terms, covenants, and conditions of the Contract and all applicable Federal, State, and local laws, rules, and regulations. 2. EFFECTIVE DATE/TERM. This Contract shall be effective as of the date services begin, and shall continue in effect until the is terminated pursuant to the terms herein. 3. INTENTIONALLY DELETED 4. WORKFORCE A. The Contractor shall employ only orderly and competent workers, skilled in the performance of the services which they will perform under the Contract. B. The Contractor, its employees, subcontractors, and subcontractor's employees may not while engaged in participating or responding to a solicitation or while in the course and scope of delivering goods or services under a City contract or on the City’s property. i. use or possess a firearm, including a concealed handgun that is licensed under state law, except as required by the terms of the contract; or ii. use or possess alcoholic or other intoxicating beverages, illegal drugs or controlled substances, nor may such workers be intoxicated, or under the influence of alcohol or drugs, on the job. C. If the City or the City's representative notifies the Contractor that any worker is incompetent, disorderly or disobedient, has knowingly or repeatedly violated safety regulations, has possessed any fIrearms, or has possessed or was under the influence of alcohol or drugs on the job, the Contractor shall immediately remove such worker from Contract services, and may not employ such worker again on Contract services without the City's prior written consent. Page 1 6 DocuSign Envelope ID: 5A4D432C-5D5E4852-AC24-16171C776ADD Immigration: The Contractor represents and warrants that it shall comply with the requirements of the Immigration Reform and Control Act of 1986 and 1990 regarding employment verification and retention of verification forms for any individuals hired on or after November 6, 1986, who will perform any labor or services under the Contract and the Illegal IInmigration Reform and Immigrant Responsibility Act of 1996 (“IIRIRA) enacted on September 30, 1996. 5. COMPLIANCE WITH HEALTH, SAFETY, AND ENVIRONMENTAL REGULATIONS: The Contractor, shall comply with all applicable federal, state, and local health, safety, and environmental laws, ordinances, rules and regulations in the performance of the services, including but not limited to those promulgated by the City and by the Occupational Safety and Health Administration (OSHA). In case of conflict, the most stringent safety requirement shall govern. The Contractor shall indemnify and hold the City harmless from and against all claims, demands, suits, actions, judgments, fines, penalties and liability of every kind arising from the breach of the Contractor’s obligations under this paragraph. Environmental Protection: Supplier shall comply with all applicable standards, orders, or regulations issued pursuant to the mandates of the Clean Air Act (42 U.S.C. §7401 ef seq) and the Federal Water Pollution Control Act, as amended, (33 U.S.C. §125 1 el seq ). 6. INVOICES: A. The Contractor shall submit an on-line invoice in advance of the first of each month. The due date for payment of the invoiced amounts is on the first day of the next calendar month (“Due Date”). Invoices are generated using monthly enrollment provided by Customer. If City has elected to self-bill, monthly enrollment shall be measured based off the sold proration method for the month to which the fee applies (e.g., 1 st day of the month, mid-month). B. Proper Invoices must include a unique invoice number, the purchase order or delivery order number and the master agreement number if applicable, the Department’s Name, and the name of the point of contact for the Department. Invoices shall be itemized and transportation charges, if any, shall be listed separately. A copy of the bill of lading and the freight waybill, when applicable, shall be attached to the invoice. The Contractor’s name, remittance address and, if applicable, the tax identification number on the invoice must exactly match the information in the Vendor’s registration with the City. Unless otherwise instructed in writing, the City may rely on the remittance address specified on the Contractor’s invoice. Federal excise taxes, State taxes, or City sales taxes must not be included in the invoiced amount. The City will furnish a tax exemption certificate upon request. 7 . PAYMENT: Fee Disputes. If City disputes any Fee due Contractor, City will promptly notify Contractor. City agrees to meet with Contractor in good faith to resolve any Fee discrepancies. No interest will be assessed to the extent Contractor’s bill was incorrect. City will pay the undisputed part of the Fee by the applicable Due Date. Late Payment. If amounts owed are not paid within 30 days after their Due Date (“Grace Period”), City will pay Contractor interest on these amounts at the interest rate set forth in Attachment D-5 – Fees (“Interest Rate”). City shall reimburse Contractor for any costs that Page 1 7 DocuSign Envelope ID: 5A4D432C-5D5E-+852-AC24-16171C776ADD Contractor incurs to collect these amounts. The Grace Period is based on Contractor’s assessment of Customer’s financial condition. If Contractor reasonably determines that Customer’s financial condition has deteriorated, or City fails to comply with the funding and financial obligations specified in this Agreement, Contractor may: (a) remove the Grace Period upon notice to Customer, and (b) either charge interest on payments not received after the Due Date or terminate the Agreement if payments are not received by the Due Date. A. If payment is not timely made, (per the above); interest shall accrue on the unpaid balance at the lesser of the rate specified in Texas Government Code Section 2251.025 or the maximum lawful rate; except, if payment is not timely made for a reason for which the City may withhold payment hereunder, interest shall not accrue until ten (10) calendar days after the grounds for withholding payment have been resolved. B. Payment will be made by check unless the parties mutually agree to payment by credit card or electronic transfer of funds. C. The awarding or continuation of this contract is dependent upon the availability of funding. The City’s payment obligations are payable only and solely from funds Appropriated and available for this contract. The absence of Appropriated or other lawfully available funds shall render the Contract null and void to the extent funds are not Appropriated or available. The City shall provide the Contractor written notice of the failure of the City to make an adequate Appropriation for any fiscal year to pay the amounts due under the Contract, or the reduction of any Appropriation to an amount insufficient to permit the City to pay its obligations under the Contract. In the event of none or inadequate appropriation of funds, there will be no penalty nor removal fees charged to the City 14. INTENTIONALLY DELETED 15. FINAL PAYMENT AND CLOSE-OUT: A. If a DBE/MBE/WBE Program Plan is agreed to and the Contractor has identified Subcontractors, the Contractor is required to submit a Contract Close-Out MBE/WBE Compliance Report to the Purchasing Manager no later than the 15th calendar day after completion of all work under the contract. Final payment, retainage, or both may be withheld if the Contractor is not in compliance with the requirements as accepted by the City. 16. INTENTIONALLY DELETED 17. INTENTIONALLY DELETED 18. SUBCONTRACTORS: A. Work performed for the Contractor by a Subcontractor shall be pursuant to a written contract between the Contractor and Subcontractor. The terms of the subcontract may not conflict with the terms of the Contract, and shall contain provisions that: i. require that all deliverables to be provided by the Subcontractor be provided in Page 1 8 DocuSign Envelope ID: 5A4D432C-5D5Ez1852-AC24-16171C776ADD accordance with the provisions, specifications and terms of the Contract; ii. require that all Subcontractors obtain and maintain, throughout the term of their contract, insurance in the type and amounts specified for the Contractor, with the City being a named insured as its interest shall appear; and B. The Contractor shall be fully responsible to the City for all acts and omissions of the Subcontractors just as the Contractor is responsible for the Contractor’s own acts and omissions. Nothing in the Contract shall create for the benefit of any such Subcontractor any contractual relationship between the City and any such Subcontractor, nor shall it create any obligation on the part of the City to pay or to see to the payment of any moneys due any such Subcontractor except as may otherwise be required by law. 19. INTENTIONALLY DELETED 20. WARRANTY – TITLE: The Contractor warrants that it has good and indefeasible title to all deliverables furnished under the Contract, and that the deliverables are free and clear of all liens, claims, security interests and encumbrances. The Contractor shall indemnify and hold the City harmless from and against all adverse title claims to the deliverables. 21. INTENTIONALLY DELETED 22. WARRANTY – SERVICES: The Contractor warrants and represents that all services to be provided the City under the Contract will be performed in a good and workmanlike manner in accordance with generally accepted industry standards and practices, the terms, conditions, and covenants of the Contract, and all applicable Federal, State and local laws, rules or regulations. 23. INTENTIONALL DELETED 24. RIGHT TO ASSURANCE: Whenever one party to the Contract in good faith has reason to question the other party’s intent to perform, demand may be made to the other party for written assurance of the intent to perform. In the event that no assurance is given within the time specified after demand is made, the demanding party may terminate this Contract with thirty (30) days wrrtten notrce. . 25. INTENTIONALLY DELETED 26. DEFAULT: The Contractor shall be in default under the Contract if the Contractor (a) fails to fully, timely and faithfully perform any of its material obligations under the Contract, (b) fails to provide adequate assurance of performance under Paragraph 24, (c) becomes insolvent or seeks relief under the bankruptcy laws of the United States or (d) makes a material misrepresentation in Contractor’s Offer, or in any report or deliverable required to be submitted by the Contractor to the City 27. TERMINATION FOR CAUSE: in the event of a default by the Contractor, the City shall have the right to terminate the Contract for cause, by written notice effective thirty (30) calendar days, unless otherwise specified, after the date of such notice, unless the Contractor, within such ten (10) day period, cures such default, or provides evidence sufficient to prove to the City’s reasonable satisfaction that such default does not, in fact, exist. In addition to any other remedy Page 1 9 DocuSign Envelope ID: 5A4D432C-5D5E4852-AC24-16171C776ADD available under law or in equity, the City shall be entitled to recover all actual damages, costs, losses and expenses, incurred by the City as a result of the Contractor’s default, including, without limitation, cost of cover, reasonable attorneys’ fees, court costs, and prejudgment and post- judgment interest at the maximum lawful rate as outlined in Section 15, Indemnification. Additionally, in the event of a default by the Contractor, the City may remove the Contractor from the City’s vendor list for three (3) years and any Offer submitted by the Contractor may be disqualified for up to three (3) years. All rights and remedies under the Contract are cumulative and are not exclusive of any other right or remedy provided by law. 28. TERMINATION WITHOUT CAUSE: Either party shall have the right to terminate the Contract, in whole or in part, without cause any time upon thirty (30) calendar days’ prior written notice following the Initial Term. This Contract may also terminate under the following circumstances: ( 1) The Plan terminates, (2) Both Parties agree in writing to terminate this Agreement, (4) Contractor gives City notice of termination because City did not pay the fees or other amounts City owed Contractor when due under the terms of this Agreement, (5) Contractor gives City notice of termination because City failed to provide the required funds for payment of benefits under the terms of this Agreement, (6) Either Party is in material breach of this Agreement, other than by non-payment or late payment of fees owed by City or the funding of Plan benefits, and does not correct the breach within 30 days after being notified in writing by the other Party, (7) Contractor gives City notice of termination in the event of a filing by or against the City of a petition for relief under the Federal Bankruptcy Code, or (8) As otherwise specified in this Agreement. Upon receipt of a notice of termination, the Contractor shall promptly cease all further work pursuant to the Contract, with such runout exceptions. The City shall pay the Contractor, to the extent of funds Appropriated or otherwise legally available for such purposes, for all services performed and obligations incurred prior to the date of termination in accordance with the terms hereof, 29. FRAUD: Fraudulent statements by the Contractor in any report required to be submitted by the Contractor to the City shall be grounds for the termination of the Contract for cause by the City and may result in legal action. 30. INTENTIONALLY DELETED 31. INDEMNITY: Indemnification of Contractor. To the extent allowed by Texas law, City shall indemnify Contractor for any and all claims, losses, liabilities, penalties, fines, costs, damages, judgments, Page 1 10 DocuSign Envelope ID: 5A4D432C-5D5E4852-AC24-16171C776ADD and expenses Contractor incurs, including reasonable attorneys’ fees and costs, to the extent arising out of one of more of the following: (i) Customer’s breach of this Agreement; and (ii) Customer’s design and operation of the Plan and claims brought against Contractor as the claims administrator. The provisions of this paragraph do not constitute a waiver of any applicable local, State and federal rules and laws, including Sovereign Immunity, Chapter 101 of the Texas Civil Practice and Remedies Code, and Article XI, Section 7 of the Texas Constitution. Indemnification of Customer. Contractor shall indemnify City for any and all claims, losses, liabilities, penalties, fines, costs, damages, judgments, and expenses City incurs, including reasonable attorneys' fees and costs, to the extent arising out of one or both of the following: (i) Contractor’s breach of this Agreement; and (ii) a breach by a third party of any agreements Contractor enters into with third parties to perform Services under this Agreement. City remains responsible for payment of all benefits and Contractor does not indemnify City or the Plan for any claims, losses, liabilities, penalties, fines, costs, damages, judgments, or expenses that constitute payment of Plan benefits or other Plan expenses and fees. 32. INSURANCE: Contractor shall procure and maintain insurance of the types and in the minimum amounts acceptable to the City A. General Requirements: i. The Contractor shall at a minimum carry insurance in the types and amounts indicated in Exhibit C – Insurance Requirements and Workers’ Compensation Requirements, for the duration of the Contract, including extension options and hold over periods, and during any warranty period. ii. The Contractor shall provide Certificates of Insurance with the coverage’s and endorsements required to the City as verification of coverage prior to contract execution and within fourteen (14) calendar days after written request from the City. The Contractor must also forward a Certificate of Insurance to the City upon request. iii. The Contractor shall not cause any insurance to be canceled nor permit any insurance to lapse during the term of the Contract or as required in the Contract. iii. The Contractor shall be responsible for premiums, deductibles and self-insured retentions, if any, stated in policies. All deductibles or self-insured retentions shall be disclosed on the Certificate of Insurance iv. The Contractor shall endeavor to provide the City thirty (30) calendar days’ written notice of erosion of the aggregate limits below occurrence limits for all applicable coverage’s indicated within the Contract. \ B. Specific Coverage Requirements: Specific insurance requirements are contained in the solicitation instrument. 33. INTENTIONALLY DELETED 34. NOTICES: Unless otherwise specified, all notices, requests, or other communications required or appropriate to be given under the Contract shall be in writing and shall be deemed delivered three (3) business days after postmarked if sent by U.S. Postal Service Certified or Registered Mail, Return Receipt Requested. Notices delivered by other means shall be deemed delivered upon receipt by the addressee. Routine communications may be made by first class mail, telefax, or other commercially accepted means. Notices to the Contractor shall be sent to the address specified Page 1 11 DocuSign Envelope ID: 5A4D432C-5D5EJ+852-AC24-16171C776ADD in the Contractor’s Offer, or at such other address as a party may notify the other in writing. Notices to the City shall be addressed to the City at 901B Texas Street, Denton, Texas 76209 and marked to the attention of the Purchasing Manager. 35. RIGHTS TO BID, PROPOSAL AND CONTRACTUAL MATERIAL: All material submitted by the Contractor to the City shall become property of the City upon receipt. Any portions of such material claimed by the Contractor to be proprietary must be clearly marked as such. Determination of the public nature of the material is subject to the Texas Public Information Act, Chapter 552, and Texas Government Code. 36. INTENTIONALLY DELETED 37. CONFIDENTIALITY: Definition : Confidential Information: Information disclosed or made available by a Party in connection with this Agreement, including without limitation the following, regardless of form or the manner in which it is furnished: (a) pricing, discounts, reimbursement terms, payment methodologies and payment processes, compensation arrangements, and any similar commercial information, (b) data, information, statistics, trade secrets, and any information about business, costs, operations, techniques, know-how, or intellectual property. (c) inventions, employee information, trade secrets, confidential know-how, confidential business information, and other information which the City or its licensors consider confidential. Any material that is derived from or developed from Confidential Information will be deemed Confidential Information for purposes of this Agreement, regardless of the person creating, disclosing, or making available such material. Any Confidential Information included in preparations, proposals, scope documents, discussions, findings, summaries, reports, and conclusions remain Confidential Information. Confidential Information does not include: (a) information that is or becomes generally available to the public other than as a result of a disclosure by a receiving Party in violation of this Agreement or other agreement between the Parties, (b) information either obtained from a third party or already in a receiving Party’s possession before receipt from the other Party, if the receiving Party can demonstrate such information was lawfully obtained and not subject to another obligation of confidentiality, and (c) information independently developed without reference to Confidential Information, if the receiving Party can demonstrate such independence through contemporaneous written records. Use of Confidential Information. Neither Party will disclose the other's Confidential Information to any person or entity other than to the receiving Party's employees and Business Associates needing access to such information to administer the Plan, to perform under this Agreement, or as otherwise permitted under this Agreement. Notwithstanding the foregoing, (i) Contractor may disclose City Confidential Information to its affiliates and subcontractors as needed for those entities to provide Services under this Agreement, (ii) City will not be prohibited from providing provider-specific cost or quality of care information or data, through a consumer engagement tool or any other means, to referring providers, the Plan Sponsor, Participants, or individuals eligible to become Participants of the Plan, to the extent required by Law, (iii) City may only use Contractor’s Confidential Information for Plan Page 1 12 DocuSign Envelope ID: 5A4D432C-5D5EJt852-AC24-16171C776ADD administration purposes, and (iv) before Contractor’s Confidential Information can be disclosed, Contractor may require a mutually agreed upon confidentiality agreement consistent with Law. Neither party may sell, license, or grant any other rights to the other Party’s Confidential Information. If a Party is requested or required to disclose Confidential Information by subpoena, legal process, or Law, including public records acts, such Party shall (to the extent permitted by Law) provide the other Party with immediate written notice of that request or requirement. Such Party shall reasonably cooperate in any efforts by the other Party to seek an appropriate protective order or other remedy or otherwise challenge or narrow the scope of that disclosure request or requirement. If a protective order or other remedy is not obtained, such Party shall nrrnish only that portion of the Confidential Information that is legally required. If City requests that Contractor provide information about the Plan that is in Contractor’s possession after the Agreement terminates and any applicable run out period has expired, then Contractor may, in its discretion, provide such information subject to a fee. Each party acknowledges and agrees that the Confidential Information is the valuable property of each party and/or its licensors and any unauthorized use, disclosure, dissemination, or other release of the Confidential Information will substantially injure the other party and/or its licensors. The parties (including its employees, subcontractors, agents, or representatives) agree that it will maintain the Confidential Information in strict confidence and shall not disclose, disseminate. copy, divulge, recreate, or otherwise use the Confidential Information of the other party without the prior written consent of the other party, unless otherwise authorized herein, unless the Confidential Information is required to be disclosed by law or an order of any court or other governmental authority with proper jurisdiction, provided the disclosing party promptly notifies the other party before disclosing such information so as to permit the other party reasonable time to seek an appropriate protective order. Each party agrees to use protective measures no less stringent than that party Contractor uses within its own business to protect its own most valuable information, which protective measures shall under all circumstances be at least reasonable measures to ensure the continued confidentiality of the Confidential Information. 38. INTENTIONALLY DELETED 39. INTENTIONALLY DELETED 40. ADVERTISING: The Contractor shall not advertise or publish, without the City’s prior consent, the fact that the City has entered into the Contract, except to the extent required by law. 41. NO CONTINGENT FEES: The Contractor warrants that no person or selling agency has been employed or retained to solicit or secure the Contract upon any agreement or understanding for commission, percentage, brokerage, or contingent fee, excepting bona fide employees of bona fide established commercial or selling agencies maintained by the Contractor for the purpose of securing business. For breach or violation of this warranty, the City shall have the right, in addition to any other remedy available, to cancel the Contract without liability and to deduct from any amounts owed to the Contractor, or otherwise recover, the full amount of such commission, percentage, brokerage or contingent fee. Page 1 13 DocuSign Envelope ID: 5A4D432C-5D5EJ+852-AC24-16171C776ADD 42. GRATUITIES: The City may, by written notice to the Contractor, cancel the Contract without liability if it is determined by the City that gratuities were offered or given by the Contractor or any agent or representative of the Contractor to any officer or employee of the City of Denton with a view toward securing the Contract or securing favorable treatment with respect to the awarding or amending or the making of any determinations with respect to the performing of such contract. In the event the Contract is canceled by the City pursuant to this provision, the City shall be entitled, in addition to any other rights and remedies, to recover or withhold the amount of the cost incurred by the Contractor in providing such gratuities. 43. PROHIBITION AGAINST PERSONAL INTEREST IN CONTRACTS: No officer, employee, independent consultant, or elected official of the City who is involved in the development, evaluation, or decision-making process of the performance of any solicitation shall have a financial interest, direct or indirect, in the Contract resulting from that solicitation as defined in the City’s Ethic Ordinance 18-757 and in the City Charter chapter 2 article XI(Ethics). Any willful violation of this section shall constitute impropriety in office, and any officer or employee guilty thereof shall be subject to disciplinary action up to and including dismissal. Any violation of this provision, with the knowledge, expressed or implied, of the Contractor shall render the Contract voidable by the City. The Contractor shall complete and submit the City’s Conflict of Interest Questionnaire. 44. INDEPENDENT CONTRACTOR: The Contract shall not be construed as creating an employer/employee relationship, a partnership, or a joint venture. The Contractor’s services shall be those of an independent contractor. The Contractor agrees and understands that the Contract does not grant any rights or privileges established for employees of the City of Denton, Texas for the purposes of income tax, withholding, social security taxes, vacation or sick leave benefits, worker’s compensation, or any other City employee benefit. The City shall not have supervision and control of the Contractor or any employee of the Contractor, and it is expressly understood that Contractor shall perform the services hereunder according to the attached specifications at the general direction of the City Manager of the City of Denton, Texas, or his designee under this Contract. The Contractor is expressly free to advertise and perform services for other parties while performing services for the City. 45. ASSIGNMENT-DELEGATION: The Contract shall be binding upon and ensure to the benefit of the City and the Contractor and their respective successors and assigns, provided however, that no right or interest in the Contract shall be assigned and no obligation shall be delegated by the Contractor without the prior written consent of the City. Any attempted assignment or delegation by the Contractor shall be void unless made in conformity with this paragraph. Notwithstanding the foregoing, Contractor may assign this Agreement to Contractor’s affiliates, or a purchaser of all or substantially all of Contractor’s assets, and Contractor will provide notice to City of the assignment. The Vendor shall notify the City’s Purchasing Manager, in writing, of a company name, ownership, or address change for the purpose of maintaining updated City records. An authorized representative of Contractor must sign the letter. A letter indicating changes in a company name or ownership must be accompanied with supporting legal documentation such as an updated W-9, documents filed with the state indicating such Page 1 14 DocuSign Envelope ID: 5A4D432C-5D5E4852-AC24-16171C776ADD change, copy of the board of director’s resolution approving the action, or an executed merger or acquisition agreement. Failure to do so may adversely impact future invoice payments. 46. THIRD PARTY BENEFICIARIES. The Contract is not intended to confer rjghts or benefits on any person, firm or entity not a party hereto; it being the intention of the parties that there are no third party beneficiaries to the Contract. 47. WAIVER: No claim or right arising out of a breach of the Contract can be discharged in whole or in part by a waiver or renunciation of the claim or right unless the waiver or renunciation is supported by consideration and is in writing signed by the aggrieved party. No waiver by either the Contractor or the City of any one or more events of default by the other party shall operate as, or be construed to be, a permanent waiver of any rights or obligations under the Contract, or an express or implied acceptance of any other existing or fbture default or defaults, whether of a similar or different character. 48. MODIFICATIONS: The Contract can be modified or amended only by a writing signed by both parties. No pre-printed or similar terms on any the Contractor invoice, order or other document shall have any force or effect to change the terms, covenants, and conditions of the Contract. 49. INTERPRETATION: The Contract is intended by the parties as a final, complete and exclusive statement of the terms of their agreement. No course of prior dealing between the parties or course of performance or usage of the trade shall be relevant to supplement or explain any term used in the Contract. Although the Contract may have been substantially drafted by one party, it is the intent of the parties that all provisions be construed in a manner to be fair to both parties, reading no provisions more strictly against one party or the other. Whenever a term defined by the Uniform Commercial Code, as enacted by the State of Texas, is used in the Contract, the UCC definition shall control, unless otherwise defined in the Contract. 50. DISPUTE RESOLUTION: In the event of any dispute, claim, or controversy of any kind or nature between the Parties arising out of this Agreement or the Services (“Dispute”), a Party may provide written notification of the Dispute to the other Party. After such notice, a representative from each Party shall meet in person or telephonically and make a good faith effort to resolve the Dispute. If the Dispute is not resolved within 30 days after the Parties first meet to discuss it, and either Party wishes to pursue the Dispute fUrther, that Party will refer the Dispute to arbitration. Any Dispute that has not been resolved pursuant to the above may be submitted to arbitration. Either Party may initiate arbitration by filing a claim with the American Arbitration Association (“AAA”) in accordance with the then-current Commercial Arbitration Rules of the AAA (“Arbitration Rules”). The arbitration will be conducted in accordance with the Arbitration Rules. In no event may the arbitration be initiated more than one year after the date a Party first gave written notification of the Dispute to the other Party. The Parties will treat the Dispute, the existence of the arbitration, and the outcome of the arbitration as confidential. Each Party hereby waives any right to a class action arbitration. Page 1 15 DocuSign Envelope ID: 5A4D432C-5D5Edt852-AC24-16171C776ADD Any arbitration proceeding will be conducted at a mutually agreeable location. Any arbitrator may construe or interpret but must not vary or ignore the terms of this Agreement and will be bound by controlling law. No arbitrator has the authority to award punitive, exemplary, indirect, or special damages. Nothing in this Section 50 will be interpreted to limit, waive, or nullify any other rights under this Agreement. 51. JURISDICTION AND VENUE: The Contract is made under and shall be governed by the laws of the State of Texas, including, when applicable, the Uniform Commercial Code as adopted in Texas, V. T.C. A., Bus. & Comm. Code, Chapter 1, excluding any rule or principle that would refer to and apply the substantive law of another state or jurisdiction. All issues arising from this Contract shall be resolved in the courts of Denton County, Texas and the parties agree to submit to the exclusive personal jurisdiction of such courts. The foregoing, however, shall not be construed or interpreted to limit or restrict the right or ability of the City to seek and secure injunctive relief from any competent authority as contemplated herein. 52. INVALIDITY: The invalidity, illegality, or unenforceability of any provision of the Contract shall in no way affect the validity or enforceability of any other portion or provision of the Contract. Any void provision shall be deemed severed from the Contract and the balance of the Contract shall be construed and enforced as if the Contract did not contain the particular portion or provision held to be void. The parties further agree to reform the Contract to replace any stricken provision with a valid provision that comes as close as possible to the intent of the stricken provision. The provisions of this section shall not prevent this entire Contract from being void should a provision which is the essence of the Contract be determined to be void. 53. HOLIDAYS: The following holidays are observed by the City: New Year’s Day (observed) Martin Luther King, Jr. Day Memorial Day Juneteenth Independence Day Labor Day Veterans Day Thanksgiving Friday After Thanksgiving Christmas Eve (observed) Christmas Day (observed) If a Legal Holiday falls on Saturday, it will be observed on the preceding Friday. If a Legal Holiday falls on Sunday, it will be observed on the following Monday. Normal hours of operation shall be between 8:00 am and 4:00 pm, Monday through Friday, excluding City of Denton Holidays. Any scheduled deliveries or work performance not within the normal hours of operation must be approved by the City Manager of Denton, Texas or his authorized designee. 54. SURVIVABILITY OF OBLIGATIONS: All provisions of the Contract that impose continuing obligations on the parties, including but not limited to the warranty, indemnity, and Page 1 16 DocuSign Envelope ID: 5A4D432C-5D5E4852-AC24-16171C776ADD confidentiality obligations of the parties, shall survive the expiration or termination of the Contract. 55. NON-SUSPENSION OR DEBARMENT CERTIFICATION: The City is prohibited from contracting with or making prime or sub-awards to parties that are suspended or debarred or whose principals are suspended or debarred from Federal, State, or City Contracts. By accepting a Contract with the City, the Contractor certifies, to its reasonable knowledge and belief , that its firm and its principals are not currently suspended or debarred from doing business with the Federal Government, as indicated by the General Services Administration List of Parties Excluded from Federal Procurement and Non-Procurement Programs, the State of Texas, or the City of Denton. 56. EQUAL OPPORTUNITY A. Equal Employment Opportunity: No Offeror, or Offeror’s agent, shall engage in any discriminatory employment practice. No person shall, on the grounds of race, sex, sexual orientation, age, disability, creed, color, genetic testing, or national origin, be refused the benefits of, or be otherwise subjected to discrimination under any activities resulting eOIn this RFQ. B. Americans with Disabilities Act (ADA) Compliance: No Offeror, or Offeror’s agent, shall engage in any discriminatory employment practice against individuals with disabilities as defIned in the ADA. 57. BUY AMERICAN ACT-SUPPLIES (Applicable to certain federally funded requirements) The following federally funded requirements are applicable. A. Definitions. As used in this paragraph – i. "Component" means an article, material, or supply incorporated directly into an end product. ii. "Cost of components" means – (1) For components purchased by the Contractor, the acquisition cost, including transportation costs to the place of incorporation into the end product (whether or not such costs are paid to a domestic firm), and any applicable duty (whether or not a duty-free entry certificate is issued); or (2) For components manufactured by the Contractor, all costs associated with the manufacture of the component, including transportation costs as described in paragraph (1) of this definition, plus allocable overhead costs, but excluding profit. Cost of components does not include any costs associated with the manufacture of the end product. iii. "Domestic end product" means- ( 1) An unmanufactured end product mined or produced in the United States; or (2) An end product manufactured in the United States, if the cost of its components mined, produced, or manufactured in the United States exceeds 50 percent of the cost of all its components. Components of foreign origin of the same class or kind as those that the agency determines are not mined, produced, or manufactured in sufficient and reasonably available commercial quantities of a satisfactory quality are treated as domestic. Scrap generated, collected, and prepared for processing in the United States is considered domestic. iv. "End product" means those articles, materials, and supplies to be acquired under the contract Page 1 17 DocuSign Envelope ID: 5A4D432C-5D5E-+852-AC24-16171C776ADD for public use. v. "Foreign end product" means an end product other than a domestic end product. vi. "United States" means the 50 States, the District of Columbia, and outlying areas. B. The Buy American Act (41 U.S.C. 10a - 10d) provides a preference for domestic end products for supplies acquired for use in the United States. C. The City does not maintain a list of foreign articles that will be treated as domestic for this Contract; but will consider for approval foreign articles as domestic for this product if the articles are on a list approved by another Governmental Agency. The Offeror shall submit documentation with their Offer demonstrating that the article is on an approved Governmental list. D. The Contractor shall deliver only domestic end products except to the extent that it specified delivery of foreign end products in the provision of the Solicitation entitled "Buy American Act Certificate" . 58.INTENTIONALLY DELETED 59.INTENTIONALL DELETED 60. PREVAILING WAGE RATES: The contractor shall comply with prevailing wage rates as defined by the United States Department of Labor Davis-Bacon Wage Determination at http://www.doI. gov/whd/contracts/dbra.htm and at the Wage Determinations website www.wdol. gov for Denton County, Texas (WD-2509). 61. COMPLIANCE WITH ALL STATE, FEDERAL, AND LOCAL LAWS: The contractor or supplier shall comply with all State, Federal, and Local laws and requirements. The Contractor must comply with all applicable laws at all times, including, without limitation, the following: (i) §36.02 of the Texas Penal Code, which prohibits bribery; (ii) §36.09 of the Texas Penal Code, which prohibits the offering or conferring of benefits to public servants. The Contractor shall give all notices and comply with all laws and regulations applicable to furnishing and performance of the Contract. 62. FEDERAI,, STATE, AND LOCAL REQUIREMENTS: Contractor shall comply with the Federal Tax Reform Act of 1986, Section 1706, amending Section 530 of the Revenue Act of 1978, dealing with issuance of Form W-2's to common law employees. Contractor is responsible for both federal and State unemployment insurance coverage and standard Workers’ Compensation insurance coverage. Contractor shall ensure compliance with all federal and State tax laws and withholding requirements. The City of Denton shall not be liable to Contractor or its employees for any Unemployment or Workers' Compensation coverage, or federal or State withholding requirements. Contractor shall indemnify the City of Denton and shall pay all costs, penalties, or losses resulting from Contractor's omission or breach of this Section. 63. DRUG FREE WORKPLACE: The contractor shall comply with the applicable provisions of the Drug-Free Work Place Act of 1988 (Public Law 100-690, Title V, Subtitle D; 41 U.S.C. 701 Page 1 18 DocuSign Envelope ID: 5A4D432C-5D5E4852-AC24-16171C776ADD ET SEQ.) and maintain a drug-free work environment; and the final rule, government-wide requirements for drug-free work place (grants), issued by the Office of Management and Budget and the Department of Defense (32 CFR Part 280, Subpart F) to implement the provisions of the Drug-Free Work Place Act of 1988 is incorporated by reference and the contractor shall comply with the relevant provisions thereof, including any amendments to the final rule that may hereafter be issued. 64. INTENTIONALLY DELETED 65. FORCE MAJEURE: The City of Denton, any Customer, and the Contractor shall not be responsible for performance under the Contract should it be prevented from performance by an act of war, order of legal authority, act of God, or other unavoidable cause not attributable to the fault or negligence of the City of Denton. In the event of an occurrence under this Section, the Contractor will be excused from any further performance or observance of the requirements so affected for as long as such circumstances prevail and the Contractor continues to use commercially reasonable efforts to recommence performance or observance whenever and to whatever extent possible without delay. The Contractor shall immediately notify the City of Denton Procurement Manager by telephone (to be confirmed in writing within five (5) calendar days of the inception of such occurrence) and describe at a reasonable level of detail the circumstances causing the non-performance or delay in performance. 66. NON-WAIVER OF RIGHTS: Failure of a Party to require performance by another Party under the Contract will not affect the right of such Party to require performance in the future. No delay, failure, or waiver of either Party’s exercise or partial exercise of any right or remedy under the Contract shall operate to limit, impair, preclude, cancel, waive or otherwise affect such right or remedy. A waiver by a Party of any breach of any term of the Contract will not be construed as a waiver of any continuing or succeeding breach. 67. NO WAIVER OF SOVEREIGN IMMUNITY: The Parties expressly agree that no provision of the Contract is in any way intended to constitute a waiver by the City of Denton of any immunities from suit or from liability that the City of Denton may have by operation of law. 68. RECORDS RETENTION: The Contractor shall retain all financial records, supporting documents, statistical records, and any other records or books relating to the performances called for in the Contract. The Contractor shall retain all such records for a period requested by law.. The Contractor shall grant access to all books, records and documents pertinent to the Contract to the CPA, the State Auditor of Texas, and any federal governmental entity that has authority to review records due to federal funds being spent under the Contract. Page 1 19 DocuSign Envelope ID: 5A4D432C-5D5Edj852-AC24-16171C776ADD Exhibit C Insurance Requirements and Workers’ Compensation Requirements Upon contract execution, all insurance requirements shall become contractual obligations, which the successful contractor shall have a duty to maintain throughout the course of this contract. STANDARD PROVISIONS: Without limiting any of the other obligations or liabilities of the Contractor, the Contractor shall provide and maintain until this Contract terminates, the minimum insurance coverage as indicated hereinafter. Contractor shall provide 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 City of Denton. All insurance policies proposed or obtained in satisfaction of these requirements shall comply with the following general specifications, and shall 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- VII. • Commercial General Liability and Automobile 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 available 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 ofSubrogation in favor of the City of Denton, its officials, 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 Page 1 20 DocuSign Envelope ID: 5A4D432C-5D5E4852-AC24-16171C776ADD arising during the 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.Cyber Insurance Cyber coverage provides protection for business liability for a data breach, cyber extortion, business interruption due to malicious cyber-attacks or malware infections. A Cyber policy will be required any time a system interfaces with the City of Denton’s servers or houses sensitive information such as customer or employee data. When Cyber coverage is required commercial crime is also required. Limits of not less than $10,000,000 are required unless other limits are individually approved by the City. []General 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 Page 1 21 DocuSign Envelope ID: 5A4D432C-5D5E4852-AC24-16171C776ADD 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 property 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. [ ] 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 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 8500,000 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 C-1 in accordance with §406.096 of the Texas Labor Code and rule 28TAC 110.110 of the Texas Workers’ Compensation Commission (TWCC). []Ownerts and Contractor's Protective Liability Insurance The Contractor shall obtain, pay for and maintain at all times during the prosecution of the work 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 Legal 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. Page 1 22 DocuSign Envelope ID: 5A4D432C-5D5E21852-AC24-16171C776ADD []Professional 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. []Builders' 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 interests may appear. []Environmental Liability Insurance Environmental liability insurance for $1,000,000 to cover all hazards contemplated by this contract. []Riggers Insurance 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 []Commercial 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. []Additional 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 specific contract, that requirement will be described in the "Specific Conditions" of the contract specifications. Page 1 23 DocuSign Envelope ID: 5A4D432C-5D5E-:1852-AC24-16171C776ADD ATTACHMENT C-1 []Workers’ Compensation Coverage for Building or Construction Projects for Governmental Entities A. Definitions: Certificate 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 (TWCC- 81, TWCC-82, TWCC-83, or TWCC-84), showing statutory workers' compensation insurance coverage for the person's or entity's employees providing services on a project, 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, or 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 classification 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. 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 certificate of coverage with the governmental entity showing that coverage has been extended. D 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 have 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 certificate of coverage ends during the duration of the project. The contractor shall retain all required certificates of coverage for the duration of the project and for one year thereafter. F 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 Page 1 24 DocuSign Envelope ID: 5A4D432C-5D5E4852-AC24-16171C776ADD any change that materially affects the provision of coverage of any person providing services on the project. The contractor shall post on each project 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. The contractor shall contractually require each person with whom it contracts to provide services on a project, 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 of its 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 certificate 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 project; and H. 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; retain all required certificates of coverage on file for the duration of the project and for one year thereafter; notify the governmental entity in writing by certified mail or personal delivery, within 10 days after the person knew or should have known, of any change that materially affects the provision of coverage of any person providing services on the project; and 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. 5 6 7 J. By signing this contract or providing or causing to be provided a certificate 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 project, that the coverage will be based on proper reporting of classification codes and payroll amounts, and that all coverage agreements will be filed with the appropriate 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. Page 1 25 DocuSign Envelope ID: 5A4D432C-5D5E4852-AC24-16171C776ADD Exhibit D Supplier Terms and Conditions Section 1 – Definitions When these terms are capitalized in the Agreement they have the meanings set forth below. The words may be singular or plural. Bank: The United relationship bank elected in Customer’s executed banking letter Bank Account: Benefits Demand Deposit Bank Account maintained for the payment of FSA Plan benefits, expenses, and fees Employee: A current or former employee of Customer or its affiliated employer. IRC: The United States Internal Revenue Code of 1 986, as amended from time to time Participant: Employee or dependent who is covered by the Plan. Plan: The FSA Plan to which this Agreement applies. Summary Plan Description or SPD: The document(s) ERISA requires Customer to provide to Plan Participants describing the terms and conditions of coverage offered under the Plan Section 2 – Customer Responsibilities Section 2.1 Responsibility for the Plan. United is not the Plan Administrator of the Plan. Any references in this Agreement to United “administering the Plan” are descriptive only and do not confer upon United anything beyond certain agreed upon claim administration duties. Except to the extent this Agreement specifically requires United to have the fiduciary responsibility for a Plan administrative function, Customer accepts total responsibility for the Plan for purposes of this Agreement, including its benefit design, the legal sufficiency and distrIbution of SPDs, and compliance with any laws that apply to Customer or the Plan, whether or not Customer or someone Customer designates is the Plan Administrator. The Customer represents and warrants that the Plan has the authority to pay fees due under this Agreement from Plan assets. Section 2.2 Plan Consistent with the Agreement. Customer represents that Plan documents, including the Summary Plan Description are consistent with this Agreement. Nevertheless, before distributing any communications describing Plan benefits or provisions to Participants or third parties, Customer will provide United with such communications which refer to United or United’s services. Customer will amend them if United reasonably determines that references to United are not accurate, or any Plan provision is not consistent with this Agreement or the services that United is providing Section 2.3 Plan Changes. Customer must provide United with notice of any changes to the Plan and/or Summary Plan Description within a reasonable period of time prior to the effective date of the change to allow United to determine if such change will alter the services United provides under this Agreement and the fees for said services. United will notify Customer if (i) the change increases United’s cost of providing services under this Agreement, or (ii) United is reasonably unable to implement or administer the change. If the parties cannot agree to a new fee within (30) thirty days of the notice of the new fee, or if United notifies Customer under Section 2.3(ii) that United is unable to reasonably implement or administer the change, then (a) United shall have no obligation to implement or administer the change, and (b) Customer may terminate this Agreement upon (60) sixty days written notice. Section 2.4 Information Customer Provides to United. Customer will tell United which of Customer’s Employees, their dependents, any other persons, or any combination of these, are Participants. This information must be accurate and provided to United in a timely manner. United will accept eligibility data from Customer in a format acceptable to United. Customer will notify United of any change to this information as soon as reasonably possible United will be entitled to rely on the most current information in United’s possession regarding eligibility of Participants in paying Plan benefits and providing other services under this Agreement. United will not be required to Page 1 26 DocuSign Envelope ID: 5A4D432C-5D5E4852-AC24-16171C776ADD make retroactive eligibility changes, process or reprocess claims, but if United ajees to do so, additional fees may apply Section 2.5 Notices to Participants. Customer will give Participants the information and documents they need to obtain benefits under the Plan within a reasonable period of time before coverage begins. In the event this Agreement is discontinued, Customer will notify all Participants that the services United is providing under this Agreement are discontinued. Section 2.6 Escheat. Customer is solely responsible for complying with all applicable abandoned property or escheat laws, making any required payments, and filing any required reports. Section 3 – Fees Section 3.1 Service Fees. Customer will pay fees to United as compensation for the services outlined in Exhibit A - Fees Section 3.2 Reconciliation. For each Renewal Term, United will reconcile the total amounts Customer paid with the total amounts Customer owed. If the reconciliation indicates that United owes Customer money, Customer’s next fee invoice will be credited. If the reconciliation indicates that Customer owes United money, United will invoice Customer for the amount due. The due date for these amounts is the fIrst day of the next calendar month. Customer will pay United within thirty (30) days of the due date the amounts that Customer owes United. For payments made after this thirty (30) day period, Customer will pay United interest on these amounts at the interest rate that United charges to its other self-funded customers. If the Agreement is terninated, United will pay Customer the amount owed within thirty (30) days after United performs a final reconciliation. If the final reconciliation indicates that Customer owes United money, Customer will pay United within thirty (30) days after receiving notice of the amount owed. For payments Customer makes after thirty (30) days of receiving notice of the amounts that Customer owes United, United will charge interest at the interest rate that United charges its other self-funded customers. Section 4 – Banking Section 4.1 Banking. United, on Customer’s behalf, will open and maintain a bank account at the Bank to provide United the means to access Customer’s funds for the sole purpose of payment of reimbursement of Plan benefits, expenses and service fees (“FSA Bank Account”). The funds in the FSA Bank Account are Customer’s and will not be comingled with any other customer funds. Customer will maintain a minimum balance in the FSA Bank Account as determined by United based upon Participant enrollment and projected benefit reimbursement requests. United will determine if circumstances warrant increasing this minimum balance, and will notify Customer if and when the required balance or the amount identified changes. Customer will fund the FSA Bank Account per the Benefits Account Establishment Authorization Letter executed by the parties. If Customer does not provide the required amounts in the FSA Bank Account: (1) United will provide Customer notice, so that Customer can correct the problem; (2) United may suspend any services under this Agreement for the period of time Customer does not provide the required payment; (3) United can also elect to terminate this Agreement effective as of any date after three (3) business days after United has given Customer notice of the payment deficiency, if Customer does not provide the required payment within that period. Customer will pay interest on the amount of underfunding at the standard rate that United charges its customers for underfunding. Funding After Termination. When this Agreement terminates, the funding method will remain in place to fund all outstanding checks and Customer’s other funding obligations, including credit refunds due to the Customer, for the length of the run-out period. Following the run-out period, to ensure a minimally sufficient balance is maintained to cover the Customer’s funding obligations the required minimum balance may be adjusted through mutual agreement of the parties. United will stop payment on all checks that remain uncashed at the end of this period and Customer will request in writing to close the Bank Account and recover any funds remaining in it. United will provide bank statements and Bank Account reconciliation reports, including reports Customer needs for the purposes ofperfonrHng escheat Page 1 27 DocuSign Envelope ID: 5A4D432C-5D5E4852-AC24-16171C776ADD Section 5 – Records and Information Section 5.1 Records. United shall keep records relating to the services it provides under this Agreement for as long as United is required to do so by law. Section 6 – Benefit Determination and Appeals Section 6.1 Benefit Claim Determination and Appeals. Customer appoints United a named, ERISA fiduciary under the Plan with respect to (i) performing initial benefit determinations and payment, (ii) performing the fair and impartial review of first level internal appeals, and (iii) performing the fair and impartial review of second level internal appeals. A benefit means any treatment amount, service or supply paid or incurred by a Participant which is eligible for reimbursement under the Plan and pursuant to applicable sections of the IRC. As such, Customer delegates to United the discretionary authority to (i) construe and interpret the terms of the Plan, (ii) to determine the validity of charges submitted to United under the Plan, and (iii) make final, binding determinations concerning the availability of Plan benefits under the Plan’s internal appeal process. If it is determined that a benefit is payable, United will issue a check for, or otherwise credit the benefit payment to the appropriate payee. If United denies a Plan benefit claim, the claimant shall have the appeal rights set forth in the Summary Plan Description, and/or which are required under applicable law. If United determines that all or a part of the benefit is not payable under the Plan, United will notify the claimant of the adverse benefit determination and of the claimant's right to appeal the adverse benefit determination. This notification will be designed to comply with applicable requirements for adverse benefit determination notices. If, after the exhaustion of the two levels of internal appeal with United, United determines that the Plan benefit is still not available, United will notify the claimant that the adverse benefit determination has been upheld. This notice will be designed to comply with the applicable requirements for adverse benefit determination notices. This determination will be final and binding on the claimant, and all other interested parties. Section 7 – Miscellaneous Section 7.1 Use of Name. The parties agree not to use each other's name, logo, service marks, trademarks, or other identifying information without the written perndssion of the other, except that Customer grants United permission to use Customer’s name, logo, service marks, trademarks or other identifying information to the extent necessary for United to carry out its obligations under this Agreement (e.g. on SPDs and ID cards). Section 7.2 Compliance with Laws and Regulations. The parties agree to comply with all applicable federal, state and other laws and regulations with respect to this Agreement. Page 1 28 DocuSign Envelope ID: 5A4D432C-5D5E-+852-AC24-16171C776ADD Schedule of Services The following are the administrative services United has agreed to provide to Customer. Customer must have United as their medical carrier. Customer may request that United provide additional services; Customer will pay an additional fee, determined by United, for these additional services. The services described in this section will be made available to Customer’s eligible Participants consistent with the Summary Plan Description under which the Participant is covered. Service Comments United will process claims for eligible Expenses (any treatment amount, service or supply paid or incurred by a Participant and eligible for reimbursement under the FSA Plan and pursuant to applicable sections of IRC). Claims for reimbursement of FSA Plan benefits must be submitted in a form that is satisfactory to United. United will determine whether a benefit claim is reimbursable under the FSA Plan provisions including an initial determination as to whether a claim is considered an Expense. Customer delegates to United the discretion and authority to use United’s claim procedures and standards for benefit claim determination, reimbursement and recovew services. Standard FSA services includin -_;iii;i---;:;;;iT{;---iF; i;;;a;;ii-gI;;pfi{;;it; iihf; a _i;Ei;---;'I;i-;If--;;it;;;i;;ii;;'-- Gi;if-;If{bl;aTi;---;;lf=8;g';from established feeds • Check minimum $25 Dail•layment cycle el;iiib;;;---j;iB-;;iam---;;j;;iT;;ialia–ali;i;;g normal business hours. Eligibility information processed via electronic file submission (FTP or EDT) Standard FSA banking arrangements using a separate bank account for FSA plan til;;;'Jai;;;iI– iF--B> };;;;;;iT- i_;;I;T&;---M;E accounts including online administration. iii;iii;;---; i-a8{;;iii;;fi;;;;-;ii;;; • •Two files per month • •Includes dire it ci:j;b&t -admiii;fIaii;"'-MaTaITi; a election. For Participants enrolled in health plans administered by United. • Standard FSA reports includin _fa;;ii;I;--gi;iiI;'-figig;i; _fa;iI;l+--Ci;;;gg-+&ji;R • Utilization Reports Detailed account siatis for each P'articibinl TiTGTi;-ii;iTil;iii;;-18-i;;8-£;;;;fi;;4idi;;-iii;;: lifi;;;Kai--d;;-i;;b£;;;;;;HiiHfi8;---fi;-Fi;iii;-;aiGI iFf change in status till;;'-in_BFa-;;;ii;;-a--gt;thEig;;ii}-- i;;-';al;;;;--if it;; Effective Date of United’s services, United will either (i) utilize the summary of Plan benefits and exclusions that United has created based on its understanding of Customer’s Plan design or (ii) create, at United’s discretion, an operational SPD which will be based upon the summary of Plan benefits that Customer has reviewed and approved. United will administer claims and otherwise provide United’s services in accordance with this summary of Plan benefits and exclusions or operational SPD, as the case may be, and it will govern and remain in full force and effect until a final SPD is lrovided to United. Summary Plan Description (SPD) Assistance. United will prepare a customized draft of an SPD, either for each plan or multiple plans, as mutually agreed upon with one additional draft, in response to Customer’s comments, and a final draft SPD. “Plan”, for purposes of this paragraph, means each individual plan design administered by United. The SPD will be in English. United will provide Customer with the final draft SPD. Printing of SPDs will be at an additional cost. Annual statement (paper Iii;iiI;"a-;};'"g:;-i;;iii;;;-a-iFa-Iiiiif-M;';ii;a;;;i'&;--------"FJ;;igat;-f-iT;-g-G;;;;;;"-;adi:ig;;;fF#--;;;;f;;;;;i: aiR;li"Gilf Fil;iiil;i;n-HIi;ii;;I-r–g;i;'iT;;igiRl}--f8Fii;'ff;I;ii;at;-}" it;-;G;;a;--;aaia8;;ff;IIi;}-a;1;if: ;iii;iIi;hE- IiiI:iIi;--iFi-ii- g;Ii-;;i-;i- i;-;;ii;;:----------"--’--------- i--iFgigHail;}- iT;iii;;;;:'- aaa:Kai;ff;;--i;;}- ii;i;iI FSA wlan Page 1 29 DocuSign Envelope ID: 5A4D432C-5D5EJ+852-AC24-16171C776ADD Attachment D-1 – Business Associate Agreement This Business Associate Agreement (“BAA”) is incorporated into and made part of the Administrative Services Agreement (“Agreement“) between United HealthCare Services, Inc. (“United”) on behalf of itself and its affiliates (“Business Associate”) and City of Denton (“Covered Entity”) and is effective on January 1, 2024. Covered Entity and Business Associate may both be referred to herein individually as a “Party” or collectively as the “Parties”. The Parties hereby agree as follows: Section 1 Definitions Unless otherwise specified in this BAA, all capitalized terms used in this BAA not otherwise defined have the meanings established for purposes of the Health Insurance Portability and Accountability Act of 1996 and its implementing regulations as amended from time to time (collectively, “HIPAA”). Privacy Rule: The federal privacy regulations, as amended from time to time, issued pursuant to HIPAA and codified at 45 C.F.R. Parts 160 and 164 (Subpans A & E). Protected Health Information (“PHI”): As defined in 45 C.F.R. 160.103, and is limited to the Protected Health Information received from, or received or created on behalf of, Covered Entity by Business Associate pursuant to the performance of the Services. Security Rule: The federal security regulations, as amended from time to time, issued pursuant to HIPAA and codified at 45 C.F.R. Parts 160 and 164 (Subparts A & C). Services: To the extent and only to the extent they involve the receipt, creation, maintenance, transmission, use or disclosure of PHI, the services provided by Business Associate to Covered Entity as set forth in the Agreement, including those set forth in this BAA in Section 4, as amended by written agreement of the Parties from time to time. Section 2 Responsibilities of the Business Associate With regard to its use and/or disclosure of PHI, Business Associate agrees to: 2.1 not use and/or disclose PHI except as necessary to provide the Services, as permitted or required by this BAA and/or the Agreement, and in compliance with each applicable requirement of 45 C.F.R. 164.504(e), or as otherwise Required by Law, except that to the extent Business Associate is to carry out Covered Entity’s obligations under the Privacy Rule, Business Associate will comply with the requirements of the Privacy Rule that apply to Covered Entity in the performance of those obligations. 2.2 implement and use appropriate administrative, physical and technical safeguards and comply with applicable Security Rule requirements with respect to Electronic Protected Health Information, to prevent use or disclosure of PHI other than as provided for by this BAA and/or the Agreement. 2.3 without unreasonable delay, report to Covered Entity (i) any use or disclosure of PHI not provided for by this BAA and/or the Agreement, of which it becomes aware in accordance with 45 C.F.R. 164.504(e)(2)(ii)(C); and/or (ii) any Security Incident of which Business Page 1 30 DocuSign Envelope ID: 5A4D432C-5D5E4852-AC24-16171C776ADD Associate becomes aware in accordance with 45 C.F.R. 164.314(a)(2)(i)(C). 2.4 with respect to any use or disclosure of Unsecured PHI not permitted by the Privacy Rule that is caused solely by Business Associate’s failure to comply with one or more of its obligations under this BAA, Covered Entity hereby delegates to Business Associate the responsibility for determining when any such incident is a Breach. In the event of a Breach, Business Associate shall (i) provide Covered Entity with written notification, and (ii) provide all legally required notifications to Individuals, HHS and/or the media, on behalf of Covered Entity, in accordance with 45 C.F.R. 164 (Subpart D) Business Associate shall pay for the reasonable and actual costs associated with those notifications. in accordance with 45 C.F.R. 164.502(e)(1)(ii) and 45 C.F.R. 164.308(b)(2), ensure that any subcontractors of Business Associate that create, receive, maintain, or transmit PHI on behalf of Business Associate agree, in writing, to the same restrictions and conditions on the use and/or disclosure, of PHI that apply to Business Associate with respect to that PHI. 2.5 2.6 make available its internal practices, books and records relating to the use and disclosure of PHI to the Secretary for purposes of determining Covered Entity’s compliance with the Privacy Rule. 2.7 after receiving a written request from Covered Entity or an Individual, make available an accounting of disclosures of PHI about the Individual, in accordance with 45 C.F.R. 164.528 2.8 2.9 2.10 after receiving a written request from Covered Entity or an Individual, provide access to PHI in a Designated Record Set about an Individual, in accordance with the requirements of 45 C.F.R. 164.524. after receiving a written request from Covered Entity or an Individual, make PHI in a Designated Record Set about an Individual available for amendment and incorporate any amendments to the PHI, all in accordance with 45 C.F.R. 164.526. comply with the applicable requirements of 42 CFR Part 2 to the extent Covered Entity, a Part 2 program or another lawful holder provides Part 2 Records to Business Associate in accordance with 42 CFR 6 2.32 or Subpart D. Section 3 Responsibilities of the Covered Entity In addition to any other obligations set forth in the Agreement, including in this BAA, Covered Entity: 3.1 shall provide to Business Associate only the minimum PHI necessary to accomplish the Services. 3.2 3.3 3.4 shall notify Business Associate of any limitations in the notice of privacy practices of Covered Entity under 45 C.F.R. 164.520, to the extent that such limitation may affect Business Associate’s use or disclosure of PHI. shall notify Business Associate of any changes in, or revocation of, the permission by an Individual to use or disclose his or her PHI, to the extent that such changes may affect Business Associate’s use or disclosure of PHI. shall notify Business Associate of any restriction on the use or disclosure of PHI that Page 1 31 DocuSign Envelope ID: 5A4D432C-5D5E-+852-AC24-16171C776ADD Covered Entity has agreed to or is required to abide by under 45 C.F.R. 164.522, to the extent that such restriction may affect Business Associate’s use or disclosure of PHI. In the event Covered Entity takes action as described in this Section, Business Associate shall decide which restrictions or limitations it will administer. In addition, if those limitations or revisions materially increase Business Associate’s cost of providing Services under the Agreement, including this BAA, Covered Entity shall reimburse Business Associate for such increase in cost. 3.5 Section 4 Permitted Uses and Disclosures Unless otherwise limited in this BAA, in addition to any other uses and/or disclosures, permitted or required by this BAA or the Agreement, Business Associate may: 4.1 make any and all uses and disclosures of PHI necessary to provide the Services to Covered Entity. 4.2 use and disclose PHI, if necessary, for proper management and administration of Business Associate or to carry out the legal responsibilities of Business Associate, on the condition that the disclosures are Required by Law or any third party to which Business Associate discloses PHI for those purposes provides written assurances in advance that (i) the information will be held confidentially and used or further disclosed only for the purpose for which it was disclosed to the third party or as Required by Law, and (ii) the third party promptly will notify Business Associate of any instances of which it becomes aware in which the confidentiality of the information has been breached. 4.3 de-identify PHI received or created by Business Associate under this BAA in accordance with the Privacy Rule, which de-identified information does not constitute PHI, is not subject to this BAA and may be used and disclosed on Business Associate’s own behalf. 4.4 provide Data Aggregation services relating to the Health Care Operations of the Covered Entity in accordance with the Privacy Rule. 4.5 use and disclose PHI and data as permitted in 45 C.F.R 164.512 in accordance with the Privacy Rule 4.6 use PHI to create, use and disclose a Limited Data Set in accordance with the Privacy Rule. Section 5 Termination 5.1 Termination. If Covered Entity knows of a pattern of activity or practice of the Business Associate that constitutes a material breach or violation of this BAA then the Covered Entity shall provide written notice of the breach or violation to the Business Associate that specifies the nature of the breach or violation. The Business Associate must cure the breach or end the violation on or before 30 days after receipt of the written notice. In the absence of a cure reasonably satisfactory to the Covered Entity within the specified timeframe, or in the event the breach is reasonably incapable of cure, then the Covered Entity may terminate the Agreement and/or this BAA. Effect of Termination. After the termination for any reason of the Agreement and/or this BAA, Business Associate shall return or destroy all PHI received from or created or 5.2 Page 1 32 DocuSign Envelope ID: 5A4D432C-5D5Ez1852-AC24-16171C776ADD received by Business Associate on behalf of the Covered Entity, if feasible to do so, including such PHI in possession of Business Associate’s subcontractors. In the event that Business Associate determines that return or destruction of the PHI is not feasible, Business Associate may retain the PHI and shall extend any and all protections, limitations, and restrictions contained in this BAA to Business Associate’s use and/or disclosure of any PHI retained after the expiration or termination of the Agreement and/or this BAA, and shall limit any fbrther uses or disclosures solely to the purposes that make return or destruction of the PHI infeasible. 5.3 Cooperation. Each Party shall cooperate in good faith in all respects with the other Party in connection with any request by a federal or state governmental authority for additional information and documents or any governmental investigation, complaint, action, or other lnqulry. Section 6 Miscellaneous 6.1 6.2 Construction of Terms. The terms of this BAA to the extent they are unclear shall be construed to allow for compliance by Covered Entity and Business Associate with HIPAA. No Third Party Beneficiaries. Nothing in this BAA shall confer upon any person other than the Parties and their respective successors or assigns, any rights, remedies, obligations, or liabilities whatsoever. Page 1 33 DocuSign Envelope ID: 5A4D432C-5D5E4852-AC24-16171C776ADD Attachment D-2 – Security These requirements of this Attachment D-4 – Security are applicable if and to the extent that United creates, has access to, or receives from or on behalf of Customer any Customer Information (as defined below). The Parties hereby agree as follows: Section 1 Definitions The following terms shall have the meanings as set forth below: Customer Information: Any Customer information in electronic format provided, collected, or created by United in the course of providing products or Services under the Agreement that includes or is comprised of any of the following: (1) Protected Health Information, as defined in 45 C.F.R. 160.103, and is limited to the Protected Health Information received from, or received or created on behalf of, Customer. (2) Non-public personal information (i.e., any information that would be termed “non-public personal information” under the Federal Gramm-Leach-Bliley Act, any related state statutes, and any related federal or state regulations); and (3) Other personal information (i.e., other personally identifiable information about individuals, or information that can be used to identify individuals, the disclosure and/or use of which is restricted by applicable federal or state law, including social security numbers). United Information Systems: Information systems resources supplied or operated by United, including network infrastructure, computer systems, workstations, laptops, hardware, software, databases, storage media, printers, proprietary applications, and Internet connectivity which are used by United in providing products or Services under the Agreement. Healthcare Industry Security Standards: The standards and framework ofHITRUST Common Security Framework (“CSF”). Section 2 General Requirements United shall maintain a comprehensive security program under which United documents, implements, and maintains the physical, administrative, and technical safeguards necessary to: (a) comply with Law; and (b) protect the confidentiality, integrity, availability, and security of United Information Systems and Customer Information. United’s security program shall be consistent with the requirements of this Attachment and shall be designed to ensure compliance with the provisions of applicable law, including, as applicable, the Health Information Portability and Accountability Act (“HIPAA”), the Health Information Technology for Economic and Clinical Health Act (“HITECH”), the Payment Card Industry Data Security Standards (“PCI DSS”), and Sarbanes-Oxley (“SOX”). In accordance with reasonable Healthcare Industry Security Standards, United’s security program is comprised of: a formal risk management program; periodic risk assessments; an adequate framework of controls that safeguard United Information Systems and information; processes for change management, code inspection, separation of development and production environments, and testing plans; at least once per year 2.1 2.2 Page 1 34 DocuSign Envelope ID: 5A4D432C-5D5EZF852-AC24-16171C776ADD perform enterprise-level penetration, perimeter vulnerability testing, internal infrastructure vulnerability testing, and application testing; facility and environmental controls to prevent unauthorized physical access to United Information Systems and areas where Customer Information is stored or processed; encrypt transmissions of information via public networks (i.e., the Internet), laptops / desktops, devices, removable storage media (e.g., thumb drive, external hard drives, writable CD drives, backup tapes), applications, and network data storage containers. United will establish and maintain written business continuity plans for the services and supporting facilities, written disaster recovery plans for critical technology and systems infrastructure, and proper risk controls to enable continued performance under the Agreement in the event of a disaster or other unexpected break in services. Business Continuity Management. United will, at its sole expense, establish and maintain (i) written business continuity plans for the Services and supporting facilities, (ii) written disaster recovery plans for critical technology and systems inhastructure, and (iii) proper risk controls (collectively, the “Contingency Plans”) to enable continued performance under the Agreement in the event of a disaster or other unexpected break in Services. United will update and test the operability of any applicable Contingency Plan at least annually and will maintain each such plan upon the occurrence of a declared disaster event. As used herein, a disaster is defined as an unanticipated incident or event, including, without limitation, force majeure events, technological accidents, or human-caused events that may cause a material service or critical application to be unavailable without any reasonable prediction for resumption, or that causes data loss, property damage, or other business interruption without any reasonable prediction for recovery within a commercially reasonable time period. 2.3 3. 4.Customer Audit. At Customer’s own cost and expense, no more than once each year, United will permit Customer and/or its duly authorized representatives, upon 30 days advance notice and subject to a mutually agreeable confidentiality agreement, reasonably necessary access to United’s data processing facilities, administrative and security procedures, and documentation in order to ascertain compliance with applicable law and the terms of this Attachment as it relates to the processing of Customer’s data. The scope, timing, nature, and approach of such reviews shall be mutually agreed to in writing by the Parties. Audits will be performed during regular business hours in a manner designed to minimize the interference with United’s operations, and will not require on-line access to United Information Systems. United shall provide reasonable access to relevant personnel, physical premises, and reasonable documentation. The duration of any on-site assessments may not exceed more than 1 business day, Service Auditor Reports. United may make its Type II service auditor report (“Report”) available to United’s self-funded customers each year for Customer’s review in connection with Plan administrative purposes only. The Report will be issued under the guidance of Statement on Standards for Attestation Engagements #18 (“SSAE18“). Should new guidelines covering service auditor reports be issued, United may make the equivalent of, or any successor to, the SSAE18 Type II Report available to United’s self-funded customers. The Report is United’s Confidential Information and shall not be shared with any third parties without United’s prior written approval, except that Customer can share the Report with: (i) Customer’s independent public accounting firm; and/or (ii) Customer’s 5 Page 1 35 DocuSign Envelope ID: 5A4D432C-5D5EJ1852-AC24-16171C776ADD consultants, on the condition that such consultants are not in any way a competitor of United’s and that Customer informs its consultants that the Report was not prepared for their use. To the extent that Customer does provide the Report to its independent public accounting firm or a consultant as permitted in this Section, Customer shall require that they retain the Report as confidential and that they not disclose such Report to any other persons or entrtres. Page 1 36 DocuSign Envelope ID: 5A4D432C-5D5E-+852-AC24-16171C776ADD Attachment D-3 – Fees This exhibit lists the service fees Customer must pay United for United’s services during the term of the Agreement. These fees apply for the period from January 1, 2024 through December 31, 2026. Customer acknowledges that the amounts paid for administrative services are reasonable. Flexible Spending Account Administrative Fees Service Description FSA Administration $2.90 Per Enrollee Per Month (PEPM) A minimum charge of $100 per month lies. Additional FSA Fees External Rollover – Set charge per customer ir vendor Eligibility feeds – Per file in excess of 52 per year Nondiscrimination tI E Proprietary Information of UnitedHealth Group [k>cuSign Certificate Of Completion Envelope Id: 5A4D432C5D5E4852AC2416171C776ADD Subject: Please DocuSign: City Council Contract 8241 FSA Status: Completed Source Envelope: Document Pages: 38 Certificate Pages: 6 AutoNav: Enabled Signatures: 5 Initials: 1 Envelope Originator: Christa Christian 901B Texas Street Envelopeld Stamping: Enabled Time Zone: (UTC-06:00) Central Time (US & Canada) Denton, TX 76209 Christa.Christian@cityofdenton.com IP Address: 198.49.140.10 Record Tracking Status: Original 9/1/2023 11 :12:11 AM Holder: Christa Christian Ch rista.Christian@cityofdenton.com Location: DocuSign Signer Events Christa Christian christa.christian@cityofdenton.com Purchasing Supervisor City of Denton Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Signature Timestamp Sent: 9/1/2023 1 1:12:36 AM Viewed: 9/1/2023 11 :12:44 AM Signed: 9/1/2023 11:12:58 AM Completed Using IP Address: 198.49.140.10 Lori Hewell lori.hewell@cityofdenton.com Purchasing Manager City of Denton Security Level: Email, Account Authentication (None) Sent: 9/1/2023 11:13:01 AM Viewed: 9/1/2023 1:11 :57 PM Signed: 9/1/2023 1 :12:11 PM Signature Adoption: Pre-selected Style Using IP Address: 198.49.140.104 Electronic Record and Signature Disclosure: Not Offered via DocuSign Marcella Lunn marcella.lunn@cityofdenton.com Mack Reinwand City Attorney City of Denton Security Level: Email, Account Authentication (None) Sent: 9/1/2023 1:12:13 PM Viewed: 9/1/2023 1 :40:38 PM Signed: 9/1/2023 1 :41 :40 PM Signature Adoption: Pre-selected Style Using IP Address: 73.206.116.235 Electronic Record and Signature Disclosure: Not Offered via DocuSign Jennifer Dumas jennifer dumas@uhc.com Regional Contract Manager Security Level: Email, Account Authentication (None) 'Doa6Wd by: I b~Mb h„s .4C983EEgA68F4A9. Sent: 9/1/2023 1 :41 :42 PM Viewed: 9/1/2023 3:15:14 PM Signed: 9/1/2023 3:15:51 PM Signature Adoption: Pre-selected Style Using IP Address: 198.203.177.177 Electronic Record and Signature Disclosure: Accepted: 9/1/2023 3:15:14 PM ID: lee7691b-ec93-4ea3-8d97-72cb318e8fbd Signer Events Megan Gilbreath megan.gilbreath@cityofdenton.com Deputy HR Director City of Denton - Human Resources Security Level: Email, Account Authentication (None) Signature Timestamp Sent: 9/1/2023 3:15:M PM Viewed: 9/1/2023 4:35:11 PM Signed: 9/1/2023 4:35:21 PM 'DoaBind br L%::atr" Signature Adoption: Pre-selected Style Using IP Address: 198.49.140.104 Electronic Record and Signature Disclosure: Not Offered via DocuSign Cheyenne Defee cheyenne.defee@cityofdenton.com Procurement Administration Supervisor City of Denton Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Completed Sent: 9/1/2023 4:35:25 PM Viewed: 9/20/2023 10:51 :20 AM Signed: 9/20/2023 10:51 :40 AM Using IP Address: 198.49.140.10 Sara Hensley sara.hensley@cityofdenton.com City Manager City of Denton Security Level: Email. Account Authentication (None) 'DoeuSbFnd br 1 SMA tIe+419 H 52%(WW7B423 = Sent: 9/20/2023 10:51 :43 AM Viewed: 9/20/2023 1 1 :35:29 AM Signed: 9/20/2023 11 :35:41 AM Signature Adoption: Pre-selected Style Using IP Address: 198.49.140.10 Electronic Record and Signature Disclosure: Not Offered via DocuSign Jesus Salazar jesus.salazar@cityofdenton.com Security Level: Email, Account Authentication (None) 'OoaBHFHd bF II,„ S„„w.2437CT7B897541D. _ Sent: 9/20/2023 11:35:44 AM Viewed: 9/20/2023 12:40:21 PM Signed: 9/20/2023 12:41 :45 PM Signature Adoption: Pre-selected Style Using IP Address: 198.49.140.10 Electronic Record and Signature Disclosure: Accepted: 9/20/2023 12:40:21 PM ID: 279799aa-24114b54-883f2le18373954a 1 In Person Signer Events Signature Status Timestamp Editor Delivery Events Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Status Timestamp Carbon Copy Events Cheyenne Defee cheyenne.defee@cityofdenton.com Procurement Administration Supervisor City of Denton Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Timestamp Sent: 9/1/2023 1 1:13:00 AM Carbon Copy Events Gretna Jones gretna.jones@cityofdenton.com Legal Secretary City of Denton Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Status Timestamp Sent: 9/1/2023 4:35:24 PM Viewed: 9/5/2023 9:18:03 AM City Secretary Office citysecretary@cityofdenton.com Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Sent: 9/20/2023 12:41 :48 PM Viewed: 9/20/2023 2:14:32 PM Linda Kile linda.kile@cityofdenton.com Benefits Supervisor Risk Management - HR Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Sent: 9/20/2023 12:41 :48 PM Witness Events Signature Signature Timestamp Notary Events Timestamp Envelope Summary Events Envelope Sent Envelope Updated Certified Delivered Signing Complete Completed Status Timestamps 9/1/2023 11:12:36 AM 9/7/2023 12:48:23 PM 9/20/2023 12:40:21 PM 9/20/2023 12:41 :45 PM 9/20/2023 12:41 :48 PM Hashed/Encrypted Security Checked Security Checked Security Checked Security Checked 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: Jennifer Dumas, Jesus Salazar 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 01 'ating Systems Browsers (for SENDERS): Browsers (for SIGNERS): r Internet Explorer 6.0? or above Mlet Explorer 6.0?, Mozilla FireFox 1.0 NetSca'7.2 (or above) .ccess to a valid email account x Email Screen Resolution Enabled Security Settings • Allow per session cookies •Users accessing the internet behind a Proxy Server must enable HTTP 1.1 settings via roxy 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.