HomeMy WebLinkAboutAddendum - 7Executive Services Department
Memorandum
DATE: November 14, 2024
TO: Kristi Rowland, Deputy Chief Administrative Officer
CC: Young Yoon, Information Technology Director
FROM: Lacey Pires, Administrative Secretary
SUBJECT: Annual Renewal of DocuSign
This memo is in lieu of our standard contract template which allows for signature by
both parties.
Attached for your review and signature is Amendment No. 7 to CAG-21-283 with
DocuSign. This Amendment authorizes Quote # Q-01625054, in the amount of
$22,832.10 ($20,700.00 plus tax), for the annual renewal of DocuSign. This renewal
includes 2500 envelopes with a renewal term of 12/05/2024 – 12/04/2026.
Attached are the following documents:
1.DocuSign Quote # Q-01625054
Approved By: ____________ _________________
Kristi Rowland, Deputy
Chief Administrative Officer
_____________________________
Date
Docusign Envelope ID: 359811DF-BE6A-4C15-985F-8CDA19D3403A
11/19/2024 | 11:11 AM PST
"ŨĐďŨĐĖđŘŔÁŔţĕŨĐĒ
Docusign, Inc.
221 Main Street, Suite 1550
San Francisco, CA 94105
Offer Valid Through:Dec 4,
2024
Prepared By:Jennifer
Drouillard
Quote Number:Q-01625054
DocuSign O rder Form FX 2 1
ORDER FORM
Address Information
Bill To:Ship To:
City of Renton City of Renton
1055 S Grady Way,
Renton, WA, 98057
United States
1055 S Grady Way,
Renton, WA, 98057
United States
Billing Contact Name:Shipping Contact Name:
IT Billing Lacey Pires
Billing Email Address:
itbilling@rentonwa.gov
Shipping Email Address:
lpires@rentonwa.gov
Billing Phone:
+1.425.430.6887
Shipping Phone:
+1 206-584-1175
Order Details
Order Start Date: Dec 5, 2024 Payment Method: Check
Order End Date:Dec 4, 2026 Payment Terms:Net 30
Billing Frequency:Annual Currency:USD
Products
Product Name Subscription No.Start Date End Date Quantity Net Price
eSignature Business Pro Edition - Envelope
Subs.
SUB-2055547-1 Dec 5, 2024 Dec 4, 2026 2,500 $12,000.00
eSignature Advanced Workflows Addon -
Envelope Subs.
SUB-2055547-1 Dec 5, 2024 Dec 4, 2026 2,500 $6,000.00
Premier Support - eSign SUB-2055547-1 Dec 5, 2024 Dec 4, 2026 1 $2,700.00
Grand Total: $20,700.00
Annualized Total
Year 1 Total: $10,350.00
Year 2 Total: $10,350.00
Page 2 of 4
The annualized totals above are displayed for general guidance only and may differ from the
total amounts displayed on an invoice. Please refer to the Order Details and Products sections
above for complete and accurate totals.
Product Details
eSignature Envelope Allowance: 2,500
Overage/Usage Fees
eSignature Business Pro Edition - Envelope Subs. (Per Transaction): $5.80
Order Special Terms
Terms & Conditions
This Order Form is governed by the terms Master Services Agreement available online at:
https://www.docusign.com/legal/terms-and-conditions/msa/pub-sec and the applicable Service
Schedule(s) and Attachments for the Docusign Services described herein available online at
https://www.docusign.com/legal/terms-and-conditions/msa-service-schedules.
Billing Information
Prices shown above do not include any sales, use, value added (VAT), goods and services
(GST), and/or any other similar taxes, duties, levies and or charges of any nature that might
Any such taxes are
the responsibility of the Customer and will appear on the final invoice(s), as applicable. Taxes
are calculated based on the ship-to location listed on your order form.
Invoice(s) for this order will be emailed automatically from invoicing@erp.docusign.com.
Please make sure this email address is on an approved setting or safe senders list, so
notifications do not go to a junk folder or get caught in a spam filter.
For U.S. Customers
Page 3 of 4
Is the contracting entity exempt from sales tax?
Please select Yes or No: \tax1\
If yes, please send the required tax exemption documents immediately to
taxexempt@docusign.com.
For Non U.S. Customers
Verify that the VAT, GST, TIN, or similar tax identification number below is correct, or provide
the correct number to your Docusign contact. If the VAT, GST, or TIN identification number is
not populated below, it will be assumed that you are not a VAT/GST registered taxpayer.
VAT, GST, TIN or similar tax identification number: \vt1\
For other tax exemption requests, please email the applicable tax exemption
documentation to taxexempt@docusign.com.
Purchase Order Information
Form?
Please select: \poryes1\Yes \porno1\No
s
Order Form without a PO Number.
If yes, please complete the following information, and attach your PO (if available), and the
invoice will be issued referencing such PO Number:
PO Number: \po1\
Please attach PO Attachment here: \poatt1\
rked, but a PO Number is not provided or a PO document is not attached, then
Customer agrees to provide the PO information or PO document to Docusign at its earliest
convenience by sending to POSubmission@docusign.com referencing this Quote Number, but
agrees to still process payment per the agreed upon terms.
If Customer has attached a PO (or other document) to this Order Form, Customer
acknowledges and agrees that any additional or conflicting terms appearing in such PO (or any
other document) are invalid.
Page 4 of 4
By signing this Agreement, I certify that I am authorized to sign on behalf of the
Customer and agree to the Terms and Conditions of this Order Form and any
documents incorporated herein.
Customer
Docusign,
Inc.
Signature: \si1\
Signature: \si3\
Name: \na1\ Name: \na3\
Job Title: \ti1\ Job Title: \ti3\
Date: \ds1\ Date: \ds3\
\
\in2\
Certificate Of Completion
Envelope Id: EE3973DAE68B456FBEB700BA002FC796 Status: Completed
Subject: [Docusign] Request for eSignatures:City of Renton - Renewal
fcorgid: 00D300000000bS4EAI
Source Envelope:
Document Pages: 4 Signatures: 1 Envelope Originator:
Certificate Pages: 5 Initials: 1 Jennifer Drouillard
AutoNav: Disabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
221 Main Street
Suite 1000
San Francisco, CA 94105
jennifer.drouillard@docusign.com
IP Address: 13.110.78.8
Record Tracking
Status: Original
11/19/2024 12:29:15 PM
Holder: Jennifer Drouillard
jennifer.drouillard@docusign.com
Location: DocuSign
Signer Events Signature Timestamp
Matt Felch
Matt.Felch@docusign.com
Contract Specialist
Signing Group: AOR
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 24.15.64.173
Sent: 11/19/2024 12:30:21 PM
Viewed: 11/19/2024 2:05:11 PM
Signed: 11/19/2024 2:05:46 PM
Electronic Record and Signature Disclosure:
Accepted: 10/30/2024 11:27:42 AM
ID: 955a5fdb-8dca-430b-a811-d305e0c8c4b0
Beatriz Benjamin
Beatriz.Benjamin@docusign.com
Senior Manager, Revenue Operations
DocuSign, Inc.
Signing Group: AOA
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 24.7.1.188
Sent: 11/19/2024 2:05:49 PM
Viewed: 11/19/2024 2:17:17 PM
Signed: 11/19/2024 2:17:32 PM
Electronic Record and Signature Disclosure:
Accepted: 7/15/2024 9:12:33 AM
ID: c79117ad-1982-492c-8c80-ac0218a03484
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 11/19/2024 12:30:32 PM
Certified Delivered Security Checked 11/19/2024 2:17:17 PM
Signing Complete Security Checked 11/19/2024 2:17:32 PM
Completed Security Checked 11/19/2024 2:17:32 PM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
ELECTRONIC RECORD AND SIGNATURE DISCLOSURE
From time to time, DocuSign, Inc. (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 the DocuSign, Inc.
(DocuSign) electronic signing system. 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 agreem
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. You will have the ability to download and print documents we send
to you through the DocuSign system during and immediately after signing session and, if you
elect to create a DocuSign signer account, you may access them 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
page of a
DocuSign envelope instead of signing it. 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 the DocuSign system 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 the DocuSign system 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 DocuSign, Inc.:
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 paper mail, please send correspondence to:
DocuSign, Inc.
221 Main St.,
Suite 1000
San Francisco, CA 94105
To advise DocuSign, Inc. 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 and in the body of such request
you must state: your previous e-mail address, your new e-mail address. Please reach out to the
sender of the envelope if you want 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 the DocuSign system.
To request paper copies from DocuSign, Inc.
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 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. Please reach out to the sender of the envelope if you want to
request paper copies.
To withdraw your consent with DocuSign, Inc.
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 session, 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 and in the body of such request you must state your e-mail, full
name, US Postal Address, and telephone number. Please reach out to the sender of the
envelope if you want to withdraw your consent.. The consequences of your withdrawing
consent for online documents will be that transactions may take a longer time to process..
Required hardware and software
Operating
Systems: Windows® 2000, Windows® XP, Windows Vista®; Mac OS® X
Browsers:
Final release versions of Internet Explorer® 6.0 or above (Windows only);
(Mac only)
PDF Reader: Acrobat® or similar software may be required to view and print PDF files
Screen
Resolution: 800 x 600 minimum
Enabled Security
Settings: Allow per session cookies
** These minimum requirements are subject to change. If these requirements change, you will be
asked to re-accept the disclosure. Pre-release (e.g. beta) versions of operating systems and
browsers are not supported.
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
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 DocuSign, Inc. 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 DocuSign, Inc. during the course of my relationship with you.