HomeMy WebLinkAboutAdden 1DocuSign, Inc.
221 Main Street, Suite 1000
San Francisco, CA 94105
Offer Valid Through: Dec 4, 2018
Prepared By: Joseph Burley
Quote Number: Q-00299390
ORDER FORM
Address Information
Bill To:
City of Renton
1055 S Grady Way
Renton, WA, 98057
United States
Ship To:
City of Renton
1055 S Grady Way
Renton, WA, 98057
United States
Billing Contact Name:
Christine Seese
Shipping Contact Name:
Akutagawa Tien
Billing Email Address:
cseese@rentonwa.gov
Shipping Email Address:
takutagawa@rentonwa.gov
Billing Phone:
(425) 430-6887
Shipping Phone:
425.430.6884
Order Details
Order Start Date: Dec 5, 2018 Payment Method: Check
Order End Date: Dec 4, 2020 Payment Terms: Net 30
Billing Frequency: Annual Currency: USD
Products
Product Name Start Date End Date Quantity Net Price
Advanced Workflows Addon for Business Pro - Seat Subs. Dec 5, 2018 Dec 4, 2020 6 $2,646.00
Premier Support Dec 5, 2018 Dec 4, 2020 1 $1,190.70
DocuSign Business Pro Edition - Seat Subscription Dec 5, 2018 Dec 4, 2020 6 $5,292.00
Grand Total: $9,128.70
Product Details
Seat Allowance: 6
Envelope Allowance: 1,200
DocuSign Envelope ID: 492FA325-EB6E-499C-88C9-E4D044C79898 CAG-21-283, Adden #1-21
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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: \por1\
If yes, please complete the following:
PO Number: \po1\
PO Amount: $\pa1\
DocuSign Envelope ID: 492FA325-EB6E-499C-88C9-E4D044C79898
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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: 492FA325-EB6E-499C-88C9-E4D044C79898