HomeMy WebLinkAboutAdden 2DocuSign, Inc.
221 Main Street, Suite 1000
San Francisco, CA 94105
Offer Valid Through: Dec 5,
2020
Prepared By: Weston Miller
Quote Number: Q-00519733
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:
Hannah Miller Hannah Miller
Billing Email Address:
hlmiller@rentonwa.gov
Shipping Email Address:
hlmiller@rentonwa.gov
Billing Phone:
425-430-6850
Shipping Phone:
425-430-6850
Order Details
Order Start Date: Dec 5, 2020 Payment Method: Check
Order End Date: Dec 4, 2022 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, 2020 Dec 4, 2022 1,200 $5,292.00
Premier Support Dec 5, 2020 Dec 4, 2022 1 $1,190.70
eSignature Advanced Workflows Addon - Envelope Subs. Dec 5, 2020 Dec 4, 2022 1,200 $2,646.00
Grand Total: $9,128.70
Product Details
eSignature Envelope Allowance: 1,200
CAG-21-283, Adden #2-21
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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/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\
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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\