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HomeMy WebLinkAboutbocc.con.189.2019 A2017-11-13 btf Contract Information Contract Number Project Name Contractor Budget Line Item Original - 003.77.92759.86000 - Ruedi Original - 003.77.92751.86000 - Jack Rabbit Procurement Method: Type: Contract Start Date Contract End Date Contract Type Retainage If this is a new contractor, please request they complete and submit to Finance a New Vendor Request Form. Contact Information: Department County Representative Jeff Krueger County Representative Phone (970) 429-6114 Provide a brief description of the contract: Contract Value Summary: $ 173,845.00 $ - $68,984.00 $ 242,829.00 189.2019 A Pitkin County Procurement Cover Sheet Please complete the Contract Cover Sheet when the contract/task order is complete and fully executed. Return all Contract Cover Sheets and Contracts/Change Orders/Amendments/Task Orders to Procurement No TLU9 100W UHF ATSC Transmitters Rohde & Schwarz USA, Inc. $86,922.50 Additional Budget Line Item(s) (Please fully allocate New Contract Total) $86,922.50 $68,984.00 $- $242,829.00 Sole Source Goods, Equipment, Supplies 5/20/2019 12/31/2019 Change Order/Contract Amendment NOTE: Clerks Office will keep original documents in compliance with Colorado State Archives retainage Translator/Radio Additional funding for required products, extension of delivery date, and update to budget coding for transition to Munis. Original Contract Amount Previous Change Order/Amendment Amount This Change order/Amendment amount New Contract Total Updated - 12541150.572000 Contract #: 189.2019 Rev. 2018.06.13 btf Budget Line Item #: 12541150.572000 *Increases over $25,000 and/or 10% (single increase or accumulative) of original contract must have County Manager signature. 1 CHANGE ORDER / CONTRACT AMENDMENT Change Order Number: 189.2019 A OWNER: Pitkin County, Colorado 530 E. Main St., Suite #302 Aspen, CO 81611 CONTRACTOR: Rohde & Schwarz USA, Inc. 6821 Benjamin Franklin Drive Columbia, MD 21046 The Provision of TLU9 100W UHF ATSC Transmitters (the “Contract”) dated July 18, 2018 between the Board of County Commissioners of Pitkin County, Colorado (the “County”) and Rohde & Schwarz USA, Inc. (the “Contractor”), is hereby amended as follows: Description of Change: 1.Increase funds by $68,984.00 for additional products as detailed in the attached quotation # 208282.1. 2.Extension of delivery date through December 31, 2019. 3.Update budget coding for conversion to Munis ERP: a.Original: 003.77.92759.86000 (Ruedi) & 003.77.92751.86000 (Jack Rabbit) b.Updated: 12541150.572000 Reason for Change: Additional funding, extension of contract term for delivery, and update to project budget coding. Original Contract Amount $ 173,845.00 Previous Change Order/Amendment Amount $ 0.00 This Change Order/Amendment Amount $ 68,984.00 New Contract Total $ 242,829.00 Contract #: 189.2019 Rev. 2018.06.13 btf Budget Line Item #: 12541150.572000 *Increases over $25,000 and/or 10% (single increase or accumulative) of original contract must have County Manager signature. 2 In all other respects, the Contract is in full force and effect and remains unchanged by this Amendment. ROHDE & SCHWARZ USA, INC. ________________________________________________ !#VENDOR SIGNATURE#! Date PITKIN COUNTY, COLORADO RECOMMENDED FOR APPROVAL: _________________________________________________ !#DEPARTMENT REPRESENTATIVE#! Date MANAGER APPROVAL: ________________________________________________ !#COUNTY MANAGER#! Date Jeff Krueger Communications Manager Aug-13-2019 Aug-14-2019 Scott Bausback President and CEO Jon Peacock Aug-14-2019 County Manager Page 1 of 9 Rohde & Schwarz USA, Inc. Quotation Contact: +1 410-910-8048Phone rsaquotes@rsa.rohde-schwarz.com Account Manager: Graziano Casale +1 201-590-5752Phone graziano.casale@rsa.rohde-schwarz. com August 6, 2019 +1 888-837-8772Main Number www.rsa.rohde-schwarz.com Rohde & Schwarz USA, Inc. 6821 Benjamin Franklin Dr. / Columbia MD 21046 / US Mr. Jeff Krueger PITKIN COUNTY 485 Rio Grande Pl Aspen CO 81611 TLU9 100W UHF ATSCSubject: 208282.1Quote Number: 210431Customer Number: Thank you for your interest in Rohde & Schwarz USA, Inc. Attached is the requested quote. To place an order, e-mail purchase order to: rsaorders@rsa.rohde-schwarz.com, or fax to +1 410-910-7825. Should you require assistance with your order, please call +1 410-910-7989. To expedite processing of your order, please provide your Rohde & Schwarz quotation number on your submitted purchase order. Sincerely, Rohde & Schwarz USA, Inc. 8/6/19 Page 2 of 9208282.1 Item Model Description / Estimated Delivery (Weeks) Part Number Qty. pc. Unit Price USD Ext. Price USD 1 TLU9 50W UHF ATSC with TDU 1 11,789.00 11,789.00 1.1 R&S®TLX9 configured as: Analog/Digital: Single Transmitter / GapFiller DTV Standard: ATSC Mains supply: 90 V...265 V AC 50/60 Hz Nominal output power: 50 W Frequency band: UHF Band 4/5 Customer settings: Country of Delivery:USA Station: Output power set to: Channel No: fc(centerfrequency): 0.00 MHz offset: 0.00000 kHz Bandwidth: 6 MHz Software freeze:00.0.0 1 7,770.00 7,770.00 1.1.1 R&S®TLX9 Broadcast Transmitter TLx9 1 1.1.1.1 R&S®TLX9 TLx9 low-power transmitter 2506.5001K02 1 R&S®TLX9 TLx9 Transmitter/GapFiller Base Unit 2U 2506.5001.20 1 R&S®TLX9-B02 TLX9 Advanced Transmitter Exciter Board DTV 2506.8023.02 1 R&S®TLX9-B43 TLU9 Amplifier Module 50W 2506.8430.02 1 8/6/19 Page 3 of 9208282.1 Item Model Description / Estimated Delivery (Weeks) Part Number Qty. pc. Unit Price USD Ext. Price USD R&S®TLX9-B22 TLU9 Air Filter Kit for 2U 2506.8223.02 1 R&S®TLX9K41 SOFTWARE OPTION ATSC 2506.9413.02 1 R&S®TLX9K31 Software option IP input 2506.9313.02 1 R&S®TLX9-K43 Software option for signal Analysis Displays MER value 2506.9436.02 1 R&S®TLX9-K85 Software option 50W 2506.9859.02 1 R&S®TLX9-K65 Software option HTML5 GUI (software license) 2506.9659.02 1 R&S®TLX9 Final test protocol TLx9 printed 2506.5160.02 1 R&S®ERST.2 CD manual TLU9 english 2506.5101.04 1 R&S®TLX9 TLX9 Packing 2HU 2506.5218.20 1 1.1.1.2 Accessories R&S®TX9-T23 Cable for ADE measurements after bandpass filter 2600.0821.05 1 R&S®TDU901 Transmitter Display Unit with Touchscreen for TLx9 without LAN Interface 2510.2703.12 1 326.64 326.64 8/6/19 Page 4 of 9208282.1 Item Model Description / Estimated Delivery (Weeks) Part Number Qty. pc. Unit Price USD Ext. Price USD R&S®BWTLX9 Warranty PLUS: Service level BASIC (12 months) for R&S TLx9. Includes repairs, SW updates, access to online ticketing system and technical support. 2505.5120.76 1 1.2 R&S®TMU9-T57 Harmonic filter broadband 7/16 input/output for 3rd party racks incl. Installationmaterial with RF-Cable 2600.0850.13 1 969.00 969.00 1.3 R&S®PROJ.-T COSTS FOR TRANSPORT 2065.6712.03 1 250.00 250.00 1.4 K-Tech 8VSB Demodulator 1 2,800.00 2,800.00 2 TLU9 50W UHF ATSC 5 11,439.00 57,195.00 2.1 R&S®TLX9 configured as: Analog/Digital: Single Transmitter / GapFiller DTV Standard: ATSC Mains supply: 90 V...265 V AC 50/60 Hz Nominal output power: 50 W Frequency band: UHF Band 4/5 Customer settings: Country of Delivery:USA Station: Output power set to: Channel No: fc(centerfrequency): 0.00 MHz offset: 0.00000 kHz Bandwidth: 6 MHz Software freeze:00.0.0 5 7,420.00 37,100.00 8/6/19 Page 5 of 9208282.1 Item Model Description / Estimated Delivery (Weeks) Part Number Qty. pc. Unit Price USD Ext. Price USD 2.1.1 R&S®TLX9 Broadcast Transmitter TLx9 5 2.1.1.1 R&S®TLX9 TLx9 low-power transmitter 2506.5001K02 5 R&S®TLX9 TLx9 Transmitter/GapFiller Base Unit 2U 2506.5001.20 5 R&S®TLX9-B02 TLX9 Advanced Transmitter Exciter Board DTV 2506.8023.02 5 R&S®TLX9-B43 TLU9 Amplifier Module 50W 2506.8430.02 5 R&S®TLX9-B22 TLU9 Air Filter Kit for 2U 2506.8223.02 5 R&S®TLX9K41 SOFTWARE OPTION ATSC 2506.9413.02 5 R&S®TLX9K31 Software option IP input 2506.9313.02 5 R&S®TLX9-K43 Software option for signal Analysis Displays MER value 2506.9436.02 5 R&S®TLX9-K85 Software option 50W 2506.9859.02 5 R&S®TLX9-K65 Software option HTML5 GUI (software license) 2506.9659.02 5 R&S®TLX9 Final test protocol TLx9 printed 2506.5160.02 5 8/6/19 Page 6 of 9208282.1 Item Model Description / Estimated Delivery (Weeks) Part Number Qty. pc. Unit Price USD Ext. Price USD R&S®ERST.2 CD manual TLU9 english 2506.5101.04 5 R&S®TLX9 TLX9 Packing 2HU 2506.5218.20 5 2.1.1.2 Accessories R&S®TX9-T23 Cable for ADE measurements after bandpass filter 2600.0821.05 5 R&S®BWTLX9 Warranty PLUS: Service level BASIC (12 months) for R&S TLx9. Includes repairs, SW updates, access to online ticketing system and technical support. 2505.5120.76 5 2.2 R&S®TMU9-T57 Harmonic filter broadband 7/16 input/output for 3rd party racks incl. Installationmaterial with RF-Cable 2600.0850.13 5 969.00 4,845.00 2.3 R&S®PROJ.-T COSTS FOR TRANSPORT 2065.6712.03 5 250.00 1,250.00 2.4 K-Tech 8VSB Demodulator 5 2,800.00 14,000.00 Total Net Price USD 68,984.00 Essential technical modifications may make it necessary to replace certain items ordered by the customer with new successor items. In this case, the customer agrees to the modification of the subject matter of the contract even after placement of the order, provided that the agreed terms and conditions are retained and that the successor item complies with the technical specifications of the item ordered by the customer. The customer has to make all payments from a bank account under their name. The customer is liable for all payments from the contractual relationship and must ensure compliance with all applicable legislation, in particular on the prevention of money laundering. 8/6/19 Page 7 of 9208282.1 **MODEL IS SUBJECT TO EXPORT CONTROL REGULATIONS OF THE FEDERAL REPUBLIC OF GERMANY WHERE THIS PRODUCT WILL ORIGINATE. Delivery:FOB (Free on board) Destination: US Ship via: Rohde & Schwarz Preferred Carrier Delivery Time:The delivery period stated reflects the situation at the time the offer is made. The planned delivery date will be confirmed in the order acknowledgment. Payment:25% downpayment, 75% 30 days after date of invoice Validity: This offer shall be valid until October 05, 2019. Quote Number: Please include the quote reference number on your purchase order. Sales Tax: Quotation does not include sales tax, or value added tax. Please provide any applicable sales tax exemption certificates, or direct pay information with your order. First Time Customers: Please include your Dunn & Bradstreet number and standard credit reference sheet. Terms & Conditions: This offer is subject to and limited to the terms and conditions contained on the face hereof and the terms and conditions of the agreement identified above or, if no such agreement is so identified, the Rohde & Schwarz Terms and Conditions of Sale, following on a separate page. In case of conflict, the order of precedence will be 1) terms appearing on the face of this document and 2) the terms and conditions of the agreement identified above or the Rohde & Schwarz Terms and Conditions of Sale, whichever is applicable. No additional or different terms listed or referenced on your purchase order will apply. Page 8 of 9 TERMS AND CONDITIONS OF SALE 04/2012 1. THE TERMS CONTROL THE AGREEMENT: The Buyer's purchase order confirms acceptance of the Rohde & Schwarz USA, Inc. (R&S) offer to deliver products and/or services (“Products”) according to these terms, and such additional or different terms as stated in the R&S quotation. Any terms or conditions of the Buyer's order, or contained in any other communication from the Buyer, which are inconsistent with or in addition to the terms and conditions contained herein shall not be binding on either party unless expressly accepted in writing by R&S. R&S's failure to object to any provisions contained in verbal or written communications from the Buyer shall not be the acceptance thereof or a waiver of these terms and conditions. 2. DELIVERY, TITLE AND RISK OF LOSS: Delivery shall be FOB Buyer’s designated ship to location in the United States (“Destination”), unless otherwise stated in the quotation. Orders for Products must specify delivery within 180 days from purchase order date unless otherwise stated in the quotation. Title and risk of loss will pass to Buyer in accordance with the stated Shipment Terms in the quotation. Acceptance by Buyer is presumed unless Buyer notifies R&S in writing within 10 days after delivery that the Products are non-conforming (“Acceptance”). R&S will make a reasonable effort to meet the Buyer’s requirements as to time of delivery and volume of Products. Partial deliveries are permitted. If R&S is unable to meet the Buyer’s delivery requirements, including the firm delivery date, alternative arrangements may be agreed. In the absence of such agreement, the Buyer’s sole remedy is the right to cancel its order. 3. PAYMENT AND SECURITY INTEREST: R&S payment terms, conditional on approved credit, are net 30 days from date of invoice unless otherwise stated in writing by R&S. An order for a System, that includes Products configured to Buyer requirements, with a price of more than $100,000 must be accompanied by a non-interest bearing down payment equal to 30% of the purchase price plus applicable taxes. R&S has the right to modify the payment terms after an order has been accepted if, in R&S's opinion, the payment record or financial condition of the Buyer so warrants, or if R&S otherwise has grounds to feel insecure about receiving payment. Any dispute about the quality or condition, performance or functioning of Products supplied, or otherwise in connection with the terms and conditions set out herein, shall not entitle the Buyer to refuse to pay for the Products. Late payments shall be subject to an interest charge of 1.5% per month on the unpaid balance. R&S reserves a security interest in the Products, and any products or proceeds thereof until payment in full has been received by R&S. R&S may perfect its security interest by any necessary filings in public registers, and Buyer shall cooperate therewith as required by law until payment in full, for the Products sold and any other amounts owed by Buyer to R&S, has been received. 4. PRICES AND TAXES: Prices are quoted FOB Destination, unless otherwise stated in the quotation. Any sales or use tax shall be borne by the Buyer and unless collected by R&S, shall be paid by the Buyer directly to the relevant government authorities. Unless otherwise stated on the quotation, all R&S quotations are valid for thirty (30) days from issuance. 5. RESCHEDULING, CANCELLATION & RESTOCKING: A request to reschedule or cancel an order must be made in writing to R&S and received no later than 45 days before the scheduled ship date. R&S may refuse or accept the request, with or without charging the rescheduling/cancellation fee of 5% of the order value for the affected Product. A request to reschedule a shipment cannot exceed 180 days from the original purchase order date. A request to return a Product must be made in writing to R&S and received no later than 30 days after receipt of Product. R&S may refuse or accept the request, with or without charging the restocking fee of 15% of the net order value for the Product being returned. The original packaging must be unopened, and Buyer must follow R&S return instructions. The return of spare parts are subject to a $100 restocking charge per order. Freight pre-paid or service completed by R&S is not refundable. 6. EXCUSABLE DELAYS: R&S shall not be liable for nondelivery or delay if directly or indirectly caused by fires, floods, accidents, riots, war, governmental interference or embargoes, strikes or shortage of labor, or other difficulties (whether or not similar in nature to any of those specified) beyond its reasonable control, or if performance would cause R&S to incur unreasonable expense. Delivery shall be suspended so long as any such causes delay performance. R&S agrees to make, and the Buyer agrees to accept, deliveries whenever such causes no longer exists. If such cause continues for more than 180 Days the order may be cancelled. 7. INDEMNITY: At its expense, R&S will settle or defend and pay all damages and costs finally awarded in any action brought against Buyer to the extent that it is based on a claim that the Product infringes any patent, copyright, or other intellectual property right of a third party in the country of delivery, provided Buyer promptly gives R&S the notice, authority and assistance necessary to defend or settle the claim and the infringement does not arise out of compliance with the Buyer's specifications, or a combination with or an addition to products not supplied by R&S, or from a modification after delivery. If any Product is in R&S's opinion likely to cause a claim of infringement, R&S at its option and expense may procure for Buyer the right to continue using the Product, or modify it to make it noninfringing, or replace it with a substantially equivalent noninfringing Product, or recall it and grant Buyer a credit for the depreciated value of the Product after it is returned to R&S. Upon such recall, R&S shall have no further obligation or liability relating to the infringing Product other than the obligation to defend or settle the infringement claim as set forth above. 8. SOFTWARE: Page 9 of 9 The Buyer will not acquire title to any software incorporated in, accompanying, or delivered for use with the Products. R&S grants a perpetual nonexclusive license to use such software on one unit of Product. R&S may terminate the license if licensee (Buyer) discloses the software to others who are using the Product without R&S's written consent. Back-up copies of the software may be made for archiving purposes or for purposes expressly authorized by R&S, and licensee may sublicense the software in the event of transfer of said one unit of Product. All copies must bear the copyright notes as the original. Disassembly, recompilation and reverse engineering of any software is strictly prohibited. The above provisions shall also apply to any modifications or supplements made to the software or associated documentation. The Buyer undertakes, in the event of a resale of Product and/or software, to impose the above obligations on its customer. R&S reserves any other rights to the software and the documentation. 9. WARRANTY: R&S warrants each Product manufactured by Rohde & Schwarz to be free from defects in material and workmanship under normal use and service. Software is warranted to operate in accordance with its programmed instructions on appropriate Products. It is not warranted to be error free. The warranty period shall be one year from the date of Acceptance. R&S's obligation under this warranty is limited to repairing or replacing a Product that is returned to an authorized Service Center within the applicable warranty period and that upon examination, R&S determines to be defective. Products that have been repaired or replaced may include remanufactured materials which are equivalent to new in performance and functionality. If R&S determines the failure has been caused by misuse, neglect, accident or abnormal condition of operation, repairs will be made and Buyer shall be billed for the reasonable costs of repair. R&S shall not be responsible for any malfunctioning or defect of the Products in the event that the Buyer shall have made modifications thereto unauthorized by R&S. Additional terms applicable for Repair and Calibration Services are available upon request. THE FOREGOING WARRANTY IS EXCLUSIVE AND IS IN LIEU OF ALL OTHERS, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR ANY PARTICULAR PURPOSE OR USE. 10. LIMITATION OF REMEDIES AND LIABILITY: THE REMEDIES OF THE BUYER WITH RESPECT TO THE PRODUCTS SOLD, ANY WARRANTY, ANY INDEMNITY OR ANYTHING TO BE DONE BY R&S IN CONNECTION HEREWITH, SHALL BE EXCLUSIVELY AS SET FORTH HEREIN, AND THE LIABILITY OF R&S SHALL NOT, EXCEPT AS OTHERWISE PROVIDED IN SECTION 7 , EXCEED THE PRICE OF THE PRODUCTS WITH RESPECT TO WHICH SUCH LIABILITY ARISES. IN NO EVENT SHALL R&S BE LIABLE FOR ANY LOSS OF PROFIT OR USE, INDIRECT, SPECIAL, CONSEQUENTIAL OR PUNITIVE DAMAGES, WHETHER IN CONTRACT, WARRANTY, INDEMNITY, TORT OR OTHERWISE. 11. EXPORT RESTRICTIONS: Products may be subject to export restrictions and end user certification. Buyer shall not export, re-export, or transfer, directly or indirectly, any Product or technical data received hereunder, to any country or user to which such actions are restricted by United States or local country law or regulation without first obtaining any required governmental license, authorization, certification or approval. Buyer shall be responsible for United States export duties, fees, licenses and such, in addition to any import duties imposed by the country of destination. 12. GENERAL: This agreement is not assignable without approval of R&S, which approval shall not be unreasonably withheld. If any of the terms or provisions of this agreement shall be declared in violation of law, the remaining terms and provisions shall remain in full force and effect. The laws of the State of Maryland shall govern this agreement. Any dispute relating to this order shall be submitted to the courts in that State, and the Buyer accepts the exclusive jurisdiction of such courts for any action by or against R&S. ROHDE & SCHWARZ USA, INC., 6821 Benjamin Franklin Drive, Columbia, MD 21046 Tel. (410) 910-7800 Fax. (410) 910-7801 v.04-2012_RSA Certificate Of Completion Envelope Id: 8058090541EA478AB4636993A5EA1D63 Status: Completed Subject: Rohde & Schwarz USA, Inc. | Pitkin County Change Order 189.2019 A for Review and Signature Source Envelope: Document Pages: 12 Signatures: 3 Envelope Originator: Certificate Pages: 5 Initials: 0 Pitkin County Procurement AutoNav: Enabled EnvelopeId Stamping: Disabled Time Zone: (UTC-07:00) Mountain Time (US & Canada) 530 East Main Street Suite 203 Aspen, CO 81611 Procurement@PitkinCounty.com IP Address: 65.38.144.66 Record Tracking Status: Original 8/6/2019 9:52:21 AM Holder: Pitkin County Procurement Procurement@PitkinCounty.com Location: DocuSign Signer Events Signature Timestamp Jeff Krueger jeff.krueger@pitkincounty.com Communications Manager Security Level: Email, Account Authentication (None)Signature Adoption: Pre-selected Style Using IP Address: 65.38.144.66 Sent: 8/6/2019 10:07:30 AM Viewed: 8/13/2019 8:44:06 AM Signed: 8/13/2019 8:44:41 AM Electronic Record and Signature Disclosure: Accepted: 8/13/2019 8:44:06 AM ID: 1cd41850-ba68-4a25-ac59-a07df9dcb93f Company Name: Pitkin County, Colorado Scott Bausback Scott.Bausback@rsa.rohde-schwarz.com President and CEO Security Level: Email, Account Authentication (None)Signature Adoption: Pre-selected Style Using IP Address: 66.192.42.2 Sent: 8/13/2019 8:44:44 AM Viewed: 8/13/2019 12:41:47 PM Signed: 8/14/2019 1:40:34 PM Electronic Record and Signature Disclosure: Accepted: 8/13/2019 12:41:47 PM ID: 0b963eea-aa1b-4109-9b05-2b8b959b427f Company Name: Pitkin County, Colorado Jon Peacock Jon.Peacock@PitkinCounty.com County Manager Pitkin County Security Level: Email, Account Authentication (None) Signature Adoption: Drawn on Device Using IP Address: 65.38.144.66 Signed using mobile Sent: 8/14/2019 1:40:37 PM Viewed: 8/14/2019 1:46:56 PM Signed: 8/14/2019 1:49:12 PM Electronic Record and Signature Disclosure: Accepted: 6/12/2019 9:29:00 AM ID: 917e30ed-8186-40bf-b2f9-0336f129484c Company Name: Pitkin County, Colorado 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 Pitkin County Procurement procurement@pitkincounty.com Procurement Pitkin County Security Level: Email, Account Authentication (None) Sent: 8/14/2019 1:49:15 PM Resent: 8/14/2019 1:49:24 PM Viewed: 8/15/2019 3:37:11 PM Electronic Record and Signature Disclosure: Accepted: 6/21/2019 11:35:47 AM ID: f4b0c7d5-e378-4bad-8806-08d16f6ff44c Company Name: Pitkin County, Colorado Accounts Payable AP@pitkincounty.com Accounts Payable Pitkin County Security Level: Email, Account Authentication (None) Sent: 8/14/2019 1:49:16 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Michele McClinton michele.mcclinton@pitkincounty.com Security Level: Email, Account Authentication (None) Sent: 8/14/2019 1:49:19 PM Viewed: 8/14/2019 4:48:08 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 8/14/2019 1:49:19 PM Certified Delivered Security Checked 8/14/2019 1:49:19 PM Signing Complete Security Checked 8/14/2019 1:49:19 PM Completed Security Checked 8/14/2019 1:49:19 PM Payment Events Status Timestamps Electronic Record and Signature Disclosure ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, Pitkin County (we, us or Pitkin County) may be required by law to provide to you certain written notices or disclosures. 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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 Pitkin County: 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: susan.sullivan@pitkincounty.com To advise Pitkin County 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 susan.sullivan@pitkincounty.com and in the body of such request you must state: your previous e-mail address, your new e-mail 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 or electronic copies from Pitkin County To request delivery from us of paper or electronic copies of the notices and disclosures previously provided by us to you electronically, you should request those documents from Pitkin County under the Colorado Open Records Act by contacting the Pitkin County custodian who sent you the document for signature. . To withdraw your consent with Pitkin County 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 susan.sullivan@pitkincounty.com and in the body of such request you must state your e-mail, full name, Postal Address, telephone number, and account number.