HomeMy WebLinkAboutAddendum - 4Executive Services Department
Memorandum
DATE:November 30, 2022
TO:Kristi Rowland, Deputy Chief Administrative Officer
CC:Young Yoon, Information Technology Director
FROM:Megan Bermudez, Senior Business Systems Analyst
SUBJECT:Renewal of DocuSign Signature Contract
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. 4 to CAG-21-283 with
DocuSign. This Amendment approves payment of Quote # Q-00958386, in the amount
of $13,674.42 ($12,420.00 plus taxes) for renewal of our DocuSign contract.
This is a two-year renewal from 12/05/2022 – 12/04/2024.
Attached are the following documents:
1. Amendment No. 4 to CAG-21-283 for Quote # Q00958386
Approved By: _____________________________
Kristi Rowland, Deputy
Chief Administrative Officer
_____________________________
Date
CAG-21-283, Adden #4-22
DocuSign, Inc.
221 Main Street, Suite 1000
San Francisco, CA 94105
Offer Valid Through: Dec 4,
2022
Prepared By: Nicole Ruiz
Quote Number: Q-00958386
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:
Lacey Pires Lacey Pires
Billing Email Address:
lpires@rentonwa.gov
Shipping Email Address:
lpires@rentonwa.gov
Billing Phone:
425-430-6868
Shipping Phone:
425-430-6868
Order Details
Order Start Date: Dec 5, 2022 Payment Method: Check
Order End Date: Dec 4, 2024 Payment Terms: Net 30
Billing Frequency: Annual Currency: USD
Products
Product Name Start Date End Date Quantity Net Price
eSignature Business Pro Edition - Envelope Subs. Dec 5, 2022 Dec 4, 2024 1,500 $7,200.00
eSignature Advanced Workflows Addon - Envelope Subs. Dec 5, 2022 Dec 4, 2024 1,500 $3,600.00
Premier Support Dec 5, 2022 Dec 4, 2024 1 $1,620.00
Grand Total: $12,420.00
Product Details
eSignature Envelope Allowance: 1,500
Overage/Usage Fees
DocuSign Envelope ID: D04C73C6-67E0-4829-9868-E10956791489
Page 2 of 3
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/company/terms-and-conditions/msa and the applicable Service
Schedule(s) and Attachments for the DocuSign Services described herein available online at
https://www.docusign.com/company/terms-and-conditions/msa-service-schedules.
Billing Information
Prices shown above do not include any state and local taxes that may apply. Any such taxes
are the responsibility of the Customer and will appear on the final Invoice.
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.
Invoices for this order will be emailed automatically from invoicing@docusign.com. Please
make sure this email is on an approved setting or safe senders list so notifications do not go to
a junk folder or caught in a spam filter.
Purchase Order Information
Is a Purchase Order (PO) required for the purchase or payment of the products on this Order
Form?
Please select Yes or No: \121\
If yes, please complete the following:
PO Number: \po1\
PO Amount: $\pa1\
12
DocuSign Envelope ID: D04C73C6-67E0-4829-9868-E10956791489
Page 3 of 3
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\
!
DocuSign Envelope ID: D04C73C6-67E0-4829-9868-E10956791489
Revenue Operations Manager
12/8/2022 | 1:02 PM PST
Beatriz Benjamin