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HomeMy WebLinkAboutbocc.con.amended.395.2016 EUpdated renewal. 2017-11-13 btf 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 Contract Information Contract Number 395.2016 E Project Name Signature and Workflow Technology Contractor Carahsoft Budget Line Item 10022100.576500 $ - Additional Budget Line Item(s) (Please fully allocate New Contract Total) $ - $ - $ - $ - Procurement Method: None Type: Services/Maintenance Contract Start Date 12/21/2016 Contract End Date 08/12/2021 Contract Type Change Order/Contract Amendment Retainage No If this is a new contractor, please request they complete and submit to Finance a New Vendor Request Form. Contact Information: Department BITS County Representative Carrie Fleischman County Representative Phone (970) 319-2513 Contract Value Summary: Original Contract Amount $ 11,445.00 Previous Change Order/Amendment Amount $ 115,455.94 This Change order/Amendment amount $ 33,652.22 New Contract Total $ 160,553.16 NOTE: Clerks Office will keep original documents in compliance with Colorado State Archives retainage Provide a brief description of the contract: Contract #: 395.2016 Budget Line Item #: 10022100.576500 CHANGE ORDER / CONTRACT AMENDMENT Change Order Number: 395.2016 E Rev. 2018.06.13 btf OWNER: Pitkin County, Colorado 530 E. Main St., Suite #302 Aspen, CO 81611 CONTRACTOR: Carahsoft 11492 Sunset Hills Road, Suite 100 Reston, VA 20190 The Provision of Signature and Workflow Technology (the “Contract”) dated December 20, 2016 between the Board of County Commissioners of Pitkin County, Colorado (the “County”) and Carahsoft (the “Contractor”), is hereby amended as follows: Description of Change: Update Scope of Services to reflect: 1.Modification of software licensing to include 7,500 envelopes; quoted at $29,262.75 for the term ending August 12, 2021 2.Downgrade to Enterprise Support through August 12, 2021, from Premier support; quoted at $4,389.47 Reason for Change: 1.Renewal/extension of contract term through August 12, 2021 per the attached quote 2.Downgrade of support for savings. Original Contract Amount $ 11,445.00 Previous Change Order/Amendment Amount $ 115,455.94 This Change Order/Amendment Amount $ 33,652.22 New Contract Total $ 160,553.16 *Increases over $25,000 and/or 10% (single increase or accumulative) of original contract must have County Manager signature. 1 Contract #: 395.2016 Budget Line Item #: 10022100.576500 Rev. 2018.06.13 btf In all other respects, the Contract is in full force and effect and remains unchanged by this Amendment. CARAHSOFT ____________________________________________________________________________ Date PITKIN COUNTY, COLORADO RECOMMENDED FOR APPROVAL: ____________________________________________________________________________ Date MANAGER APPROVAL: ____________________________________________________________________________ Date Interim IT Director Carrie Fleischman Aug-24-2020 Renewal specialist Aug-24-2020 Kimberly Barrera Aug-31-2020 Deputy County Manager Rich Englehart Date *Increases over $25,000 and/or 10% (single increase or accumulative) of original contract must have County Manager signature. 3 Government - Price Quotation DocuSign Government at Carahsoft 11493 SUNSET HILLS ROAD | Suite 100 | Reston, Virginia 20190 Phone (703) 871-8500 | Fax (703) 871-8505 | Toll Free (888) 662-2724 www.carahsoft.com | sales@carahsoft.com Cage Code: 1P3C5 Credit Cards: VISA/MasterCard/AMEX Sales Tax May Apply TOTAL PRICE: $35,685.00 TOTAL QUOTE: $35,685.00 LINE NO. PART NO. DESCRIPTION - QUOTE PRICE QTY EXTENDED PRICE 1 APT-0463 DocuSign Enterprise Pro Edition - Envelope Subs. DocuSign, Inc. - APT-0463 Start Date: 10/23/2019 End Date: 10/22/2020 $3.90 OM 7500 $29,250.00 2 APT-0148 Enterprise Premier Support DocuSign, Inc. - APT-0148 Start Date: 10/23/2019 End Date: 10/22/2020 $6,435.00 OM 1 $6,435.00 SUBTOTAL: $35,685.00 TOTAL PRICE: $35,685.00 TOTAL QUOTE: $35,685.00 Product Details eSignature Envelope Allowance: 7,500 Overage/Usage Fees DocuSign Enterprise Pro Edition - Envelope Subs. (Per Transaction): $8.80 Terms & Conditions This Order Form covers the DocuSign Products and Services described herein and is governed by DocuSign's Corporate Subscriber Terms and Conditions available online at: http://www.carahsoft.com/application/files/1214/7516/7222/DocuSign_CSA.pdf CONFIDENTIAL QUOTE DATE: 10/23/2019 PAGE 1 of 1 QUOTE NO: 17414879 TO: Susan Sullivan CRM - Information Governance Administrator – BITS Pitkin County Government FROM: Kimberly Barrera DocuSignGovernment at Carahsoft 11493 Sunset Hills Road 530 E. Main St. Suite 100 Suite #203 Reston, Virginia 20190 Aspen, CO 81611 USA EMAIL: susan.sullivan@pitkincounty.com EMAIL: Kimberly.Barrera@carahsoft.com PHONE: (970) 920-5845 PHONE: (571) 662-3450 FAX: (703) 871-8505 TERMS: FTIN: 52-2189693 QUOTE NO: 17414879 Shipping Point: FOB Destination QUOTE DATE: 10/23/2019 Remit To: Same as Above QUOTE EXPIRES: 10/23/2019 Payment Terms: Net 30 (On Approved Credit) RFQ NO: DUNS No: 088365767 SHIPPING: ESD Certificate Of Completion Envelope Id: CD46DAB03F464E0CBDD5575F32117F7D Status: Completed Subject: Carahsoft | Pitkin County Change Order 395.2016 D for Review and Signature Source Envelope: Document Pages: 5 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 10/28/2019 4:35:33 PM Holder: Pitkin County Procurement Procurement@PitkinCounty.com Location: DocuSign Susan Sullivan Susan.Sullivan@PitkinCounty.com IG Administrator Pitkin County Colorado Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 65.38.144.66 Sent: 10/28/2019 4:41:27 PM Viewed: 10/29/2019 9:02:36 AM Signed: 10/29/2019 9:02:51 AM Electronic Record and Signature Disclosure: Accepted: 7/2/2019 9:08:21 AM ID: bad90a98-3b18-4bd0-af59-041d01cca178 Company Name: Pitkin County, Colorado Kimberly Barrera kimberly.barrera@carahsoft.com Renewal specialist Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 38.135.93.12 Sent: 10/29/2019 9:02:56 AM Viewed: 10/29/2019 9:04:05 AM Signed: 10/29/2019 12:54:05 PM Electronic Record and Signature Disclosure: Accepted: 10/29/2019 9:04:05 AM ID: 18e9fac1-d0e8-4862-8ce8-fbe519160996 Company Name: Pitkin County, Colorado Jon Peacock Jon.Peacock@PitkinCounty.com County Manager Pitkin County Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Accepted: 6/12/2019 9:29:00 AM ID: 917e30ed-8186-40bf-b2f9-0336f129484c Company Name: Pitkin County, Colorado Signature Adoption: Drawn on Device Using IP Address: 75.71.107.170 Signed using mobile Sent: 10/29/2019 12:54:07 PM Resent: 11/5/2019 3:35:46 PM Viewed: 11/9/2019 9:29:33 AM Signed: 11/9/2019 9:29:48 AM In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Signer Events Signature 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) 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) Electronic Record and Signature Disclosure: Not Offered via DocuSign Sent: 11/9/2019 9:29:52 AM Resent: 11/9/2019 9:30:00 AM Viewed: 11/15/2019 10:22:23 AM Sent: 11/9/2019 9:29:55 AM Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 11/9/2019 9:29:55 AM Certified Delivered Security Checked 11/9/2019 9:29:55 AM Signing Complete Security Checked 11/9/2019 9:29:55 AM Completed Security Checked 11/9/2019 9:29:55 AM Payment Events Status Timestamps Electronic Record and Signature Disclosure Intermediary Delivery Events Status Timestamp Electronic Record and Signature Disclosure created on: 6/11/2019 12:14:06 PM Parties agreed to: Susan Sullivan, Kimberly Barrera, Jon Peacock, Pitkin County Procurement 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. Described below are the terms and conditions for providing to you such notices and disclosures electronically when we send you documents for electronic signature. Acknowledging your Access, Intent, and Consent to Receive and Sign Materials Electronically To confirm 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 receive notices and disclosures exclusively in electronic format on the terms and conditions described above, please let us know by clicking the 'I agree' button below. By checking the 'I Agree' box, I confirm that:  I am establishing my intent to be bound to the transaction, and indicating that I am fully aware of the purpose for which the signature is being provided.  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 for future reference and access; and  Until or unless I notify Pitkin County 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 Pitkin County during the course of my relationship with you. Signing Documents without a Pitkin County DocuSign Account: Pitkin County may not require all document signers to be authorized users of the Pitkin County DocuSign Account. 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 agreement by clicking the 'I agree' button at the bottom of this document. When you don't have a DocuSign Account, you will be provided the opportunity to agree to the Legal Disclosure each time you open an "envelope" for signing, at this time, you can download and retain this disclosure. Pitkin County will forward completed documents that you've reviewed, processed or signed via email. Should you require copies of these signed documents (e.g., if they get deleted from your email account) 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. Signing Documents with a Pitkin County DocuSign Account: 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 agreement by clicking the 'I agree' button at the bottom of this document. Getting paper or electronic copies At any time, you may request from us a paper or electronic copy of any record provided or made available electronically to you by us. For such copies, as long as you are an authorized user of the DocuSign system you will have the ability to download and print any documents we send to you through your DocuSign user account 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 or electronic copies of any such documents from our office to you, you may be charged a per-page fee. You may request delivery of such paper or electronic copies from us by following the procedure described below. Withdrawing your consent If you are an authorized DocuSign Account holder, you can 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. Described below is the process for informing us of your decision to receive future notices and disclosure in paper format and also how to withdraw your consent to receive notices and disclosures electronically. 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 withdraw your consent using the DocuSign 'Withdraw Consent' form on the signing page of your DocuSign account. 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 your DocuSign user account 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 your DocuSign user account all required notices, disclosures, authorizations, acknowledgments, 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 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. DocuSign Government at Carahsoft 11493 SUNSET HILLS ROAD |Suite 100 |Reston,Virginia 20190 Phone (703)871-8500 |Fax (703)871-8505 |Toll Free (888)662-2724 www.carahsoft.com |sales@carahsoft.com Government -Price Quotation PAGE 1 of 2 QUOTE DATE: QUOTE NO: 07/22/2020 23173746CONFIDENTIAL TO:Schuyler Clay Business Process Analyst Pitkin County 530 E.Main St Aspen,CO 81611 schuyler.clay@pitkincounty.com (970)429-6118 EMAIL: PHONE: FROM:Kimberly Barrera DocuSignGovernment at Carahsoft 11493 Sunset Hills Road Suite 100 Reston,Virginia 20190 EMAIL:Kimberly.Barrera@carahsoft.com PHONE:(571)662-3450 FAX:(703)871-8505 TERMS:FTIN:52-2189693 Shipping Point:FOB Destination Remit To:Same as Above Payment Terms:Net 30 (On Approved Credit) Cage Code:1P3C5 DUNS No:088365767 Credit Cards:VISA/MasterCard/AMEX Sales Tax May Apply QUOTE NO:23173746 $33,652.22TOTALQUOTE: QUOTE DATE:07/22/2020 QUOTE EXPIRES: RFQ NO: SHIPPING: TOTAL PRICE: ESD $33,652.22 08/13/2020 LINE NO.PART NO.DESCRIPTION -QUOTE PRICE QTY EXTENDED PRICE APT-0463 DocuSign Enterprise Pro Edition -Envelope Subs. DocuSign,Inc.-APT-0463 Start Date:08/11/2020 End Date:08/12/2021 $3.9017 7500 $29,262.751OM APT-0075 Premier Support DocuSign,Inc.-APT-0075 Start Date:08/11/2020 End Date:08/12/2021 $4,389.47 1 $4,389.472OM $33,652.22SUBTOTAL: TOTAL PRICE: TOTAL QUOTE:$33,652.22 $33,652.22 Government -Price Quotation LINE NO.PART NO.DESCRIPTION -QUOTE PRICE QTY EXTENDED PRICE 11493 SUNSET HILLS ROAD |Suite 100 |Reston,Virginia 20190 Phone (703)871-8500 |Fax (703)871-8505 |Toll Free (888)662-2724 www.carahsoft.com |sales@carahsoft.com DocuSign Government at Carahsoft PAGE 2 of 2 QUOTE DATE: QUOTE NO: 07/22/2020 23173746CONFIDENTIAL Product Details eSignature Envelope Allowance:7,500 ---------------------------------------- Overage/Usage Fees DocuSign Enterprise Pro Edition -Envelope Subs.(Per Transaction):$9.26 -------------------------------------------- Order Special Terms: Both parties hereby agree that:a)the Order Form with an Order Start Date of Oct 23,2019 (Quote 17414879 /Customer PO 395.2016 D) will be terminated upon the Order Start Date of this Order Form,and b)a prorated credit for the prepaid portion of the remaining Term of the terminated Order Form will be applied toward payment for this Order Form. ---------------------------------------- Terms &Conditions This Order Form covers the DocuSign Products and Services described herein and is governed by DocuSign's Corporate Subscriber Terms and Conditions available online at:http://www.carahsoft.com/application/files/1214/7516/7222/DocuSign_CSA.pdf Certificate Of Completion Envelope Id: 8B59ECFBC6284FCE840AE518CD42ED4C Status: Completed Subject: Carahsoft | Pitkin County Change Order 395.2016 E 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: 107.77.196.117 Record Tracking Status: Original 8/24/2020 3:11:55 PM Holder: Pitkin County Procurement Procurement@PitkinCounty.com Location: DocuSign Signer Events Signature Timestamp Carrie Fleischman Carrie.Fleischman@PitkinCounty.com Interim IT Director Pitkin County Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 65.38.144.66 Sent: 8/24/2020 3:22:54 PM Viewed: 8/24/2020 3:23:17 PM Signed: 8/24/2020 3:24:00 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Kimberly Barrera kimberly.barrera@carahsoft.com Renewal specialist Carahsoft Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 38.135.93.12 Sent: 8/24/2020 3:25:01 PM Viewed: 8/24/2020 3:26:32 PM Signed: 8/24/2020 3:27:40 PM Electronic Record and Signature Disclosure: Accepted: 8/24/2020 3:26:32 PM ID: 89adc9ee-c1c6-48aa-9cbc-55409f5c9359 Company Name: Pitkin County, Colorado Rich Englehart Rich.Englehart@PitkinCounty.com Deputy County Manager Pitkin County Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 174.198.160.196 Signed using mobile Sent: 8/24/2020 3:27:43 PM Resent: 8/31/2020 12:34:11 PM Viewed: 8/31/2020 1:14:24 PM Signed: 8/31/2020 1:14:54 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign 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 Carrington Taylor carrington.taylor@docusign.com HR Manager Security Level: Email, Account Authentication (None) Sent: 8/24/2020 3:25:03 PM Electronic Record and Signature Disclosure: Accepted: 8/24/2020 3:24:30 PM ID: aca0904f-4788-4e2a-add7-f13aada22702 Company Name: Pitkin County, Colorado Pitkin County Procurement procurement@pitkincounty.com Procurement Pitkin County Security Level: Email, Account Authentication (None) Sent: 8/31/2020 1:14:57 PM Resent: 8/31/2020 1:15:05 PM Viewed: 8/31/2020 1:44:26 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Accounts Payable AP@pitkincounty.com Accounts Payable Pitkin County Security Level: Email, Account Authentication (None) Sent: 8/31/2020 1:15:00 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Jeanette Jones Jeanette.jones@pitkincounty.com BOCC Clerk Pitkin County Security Level: Email, Account Authentication (None) Sent: 8/31/2020 1:15:02 PM Viewed: 8/31/2020 1:16:48 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 8/31/2020 1:15:02 PM Certified Delivered Security Checked 8/31/2020 1:15:02 PM Signing Complete Security Checked 8/31/2020 1:15:02 PM Completed Security Checked 8/31/2020 1:15:02 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 you with certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically when we send you documents for electronic signature. Acknowledging your Access, Intent, and Consent to Receive and Sign Materials Electronically To confirm 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 receive notices and disclosures exclusively in electronic format on the terms and conditions described above, please let us know by clicking the 'I agree' button below. By checking the 'I Agree' box, I confirm that:  I am establishing my intent to be bound to the transaction, and indicating that I am fully aware of the purpose for which the signature is being provided.  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 Pitkin County as described above, I consent to receive from exclusively through electronic means all notices, disclosures, authorizations, acknowledgments, and other documents that are required to be provided or made available to me by Pitkin County during the course of my relationship with you. Signing Documents without a Pitkin County DocuSign Account: Pitkin County may not require all document signers to be authorized users of the Pitkin County DocuSign Account. 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 agreement by clicking the 'I agree' button at the bottom of this document. When you don't have a DocuSign account, you will be provided the opportunity to agree to the Legal Disclosure each time you open an "envelope" for signing, at this time, you can download and retain this disclosure. Pitkin County will forward completed documents that you've reviewed, processed or signed via email. Should you require copies of these signed documents (e.g., if they get deleted from your email account) 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. Signing Documents with a Pitkin County DocuSign Account: Electronic Record and Signature Disclosure created on: 3/20/2020 3:28:13 PM Parties agreed to: Kimberly Barrera, Carrington Taylor 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 agreement by clicking the 'I agree' button at the bottom of this document. Getting paper or electronic copies At any time, you may request from us a paper or electronic copy of any record provided or made available electronically to you by us. For such copies, as long as you are an authorized user of the DocuSign system you will have the ability to download and print any documents we send to you through your DocuSign user account 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 or electronic copies of any such documents from our office to you, you may be charged a per-page fee. You may request delivery of such paper or electronic copies from us by following the procedure described below. Withdrawing your consent If you are an authorized DocuSign Account holder, you can 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. Described below is the process for informing us of your decision to receive future notices and disclosure in paper format and also how to withdraw your consent to receive notices and disclosures electronically. 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 withdraw your consent using the DocuSign 'Withdraw Consent' form on the signing page of your DocuSign account. 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 your DocuSign user account 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 your DocuSign user account all required notices, disclosures, authorizations, acknowledgments, 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 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 Helpdesk@provelocity.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 Helpdesk@provelocity.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 Helpdesk@provelocity.com and in the body of such a request, you must state your e-mail, full name, Postal Address, telephone number, and account number.