HomeMy WebLinkAboutbocc.con.amended.230.19 C2019-12-17 CDD
Contract Information
Contract Number
Project Name
Contractor
Budget Line Item 12541150.574000
41056150.574000
Procurement Method:
Type:
Contract Start Date
Contract End Date
Contract Type
Retainage
If this is a new contractor, please enter the New Vendor information into Munis for workflow approval.
Contact Information:
Department
County Representative Jeff Krueger County Representative
Phone (970) 429-6114
Provide a brief description of the contract:
Contract Value Summary:
$ 331,078.13
$ 65,797.94
$ 165,802.71
$ 562,678.78
230.19 C
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
Phase I - 5 Hops v7
Nokia of America
$ -
Additional Budget Line
Item(s)
(Please fully allocate New Contract Total)
$ -
$ -
$ -
$ -
Sole Source
Goods, Equipment, Supplies
7/25/2019
12/31/2020
Change Order/Contract Amendment
Translator/Radio
Increase in contract value to reflect addition of 2 microwave hops.
Original Contract Amount
Previous Change Order/Amendment Amount
This Change order/Amendment amount
New Contract Total
Contract #: 230.19 Rev. 2018.06.13 btf
Budget Line Item #: 12541150.574000
410561150.574000
*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: 230.19 C
OWNER:
Pitkin County, Colorado
530 E. Main St., Suite #302
Aspen, CO 81611
CONTRACTOR:
Nokia of America Corporation
601 Data Drive, Mail Stop 032
Plano, TX 75075
The Provision of Phase I - 5 Hops v7 (the “Contract”) dated May 1, 2019 between the Board of
County Commissioners of Pitkin County, Colorado (the “County”) and Nokia of America
Corporation (the “Contractor”), is hereby amended as follows:
Description of Change: Increase in contract value to reflect the addition of two microwave hops.
Please see the attached backup for full details.
Reason for Change: Addition of scope.
Original Contract Amount $ 331,078.13
Previous Change Order/Amendment Amount $ 65,797.94
This Change Order/Amendment Amount $ 165,802.71
New Contract Total $ 562,678.78
Contract #: 230.19 Rev. 2018.06.13 btf
Budget Line Item #: 12541150.574000
410561150.574000
In all other respects, the Contract is in full force and effect and remains unchanged by this
Amendment.
NOKIA OF AMERICA CORPORATION
________________________________________________
Date
NOKIA OF AMERICA CORPORATION
________________________________________________
Date
PITKIN COUNTY, COLORADO
RECOMMENDED FOR APPROVAL:
_________________________________________________
!#DEPARTMENT REPRESENTATIVE#! Date
MANAGER APPROVAL:
________________________________________________
!#COUNTY MANAGER#! Date
*Increases over $25,000 and/or 10% (single increase or accumulative) of original contract
must have County Manager signature. 2
Communications Manager
Apr-22-2020
Jeff Krueger
Desiree Obleton
Commercial Contracts Manager
May-06-2020
Contrant manager
May-06-2020
Shawna Culver
Rich Englehart
Deputy County Manager
May-06-2020
April 8, 2020
Pitkin County, CO
Sunlight/Williams Jail/Hunter Creek
HGAC # RA05-18
Proposal #
20.US.902606.08
Prepared by:Al Alexander
Email:Alphonso.Alexander@nokia.com
Account Executive:Randy Duncan
Email:Randy.Duncan@nokia.com
Sales Engineer:Armando Acosta
Email:Armando.Acosta@nokia.com
E-Mail PO to nokia.order_now_12587@nokia.com and reference the Proposal # on cover sheet.
This Proposal is submitted pursuant to the terms and conditions of the existing general purchase agreement between Nokia of America
Corporation and Pitkin County, CO. Should no general purchase agreement exist, this Proposal is submitted pursuant to Nokia of America
Corporation standard terms and conditions for such items and/or services as proposed herein.
Nokia of America Corporation
Contract
No.:RA05-18 Date
Prepared:6-Apr-20
Buying
Agency:Contractor:
Contact
Person:
Prepared
By:
Phone:Phone:
Fax:Fax:
Email:Email:
Product
Code:Description:
Cost Cost
109,823.02$
1,094.80$
8,820.00$
32,597.48$
1,183.44$
5,243.97$
7,040.00$
Subtotal B: $165,802.71
Cost Cost
Subtotal C: -$
15%
D. Total Cost before any other applicable Charges, Trade-Ins, Allowances, Discounts, Etc. (A+B+C)
1 $165,802.71 =Subtotal D: $165,802.71
Cost Cost
-$2,487.04
$2,487.04 Subtotal E: $0.00
$165,802.71
CONTRACT PRICING WORKSHEET
For Standard Equipment Purchases
This Worksheet is prepared by Contractor and given to End User. If a PO is issued, both documents
MUST be faxed to H-GAC @ 713-993-4548. Therefore please type or print legibly.
Pitkin County, CO Nokia
Jeff Krueger Armando Acosta
9500MPR Radio
970-429-6114 214-912-1986
Jeff.Krueger@pitkincounty.com Armando.Acosta@nokia.com
Telecommunication Gear
A. Product Item Base Unit Price Per Contractor's H-GAC Contract:
B. Published Options - Itemize below - Attach additional sheet if necessary - Include Option Code in description if applicable
(Note: Published Options are options which were submitted and priced in Contractor's bid.)
Description Description
NSP Licenses
7705 SAR-8
Antenna Materials
HLD for Radio Configuration
ADDITIONAL SERVICES
Warranty - Tech Support, RFR, SSP
Subtotal From Additional Sheet(s):
Subtotal From Additional Sheet(s):
C. Unpublished Options - Itemize below - Attach additional sheet if necessary
(Note: Unpublished options are items which were not submitted and priced in Contractor's bid.)
Description Description
Estimated Taxes
Check: Total cost of Unpublished Options (C) cannot exceed 25% of the total of the Base Unit
Price plus Published Options (A+B).For this transaction the percentage is:
Quantity Ordered: X Subtotal of A + B + C:
E. Trade-Ins / Special Discounts / Other Allowances / Freight / Installation / Miscellaneous Charges
Description Description
Management Adjustment
Estimates Freight
HGAC Fee
Delivery Date: F. Total Purchase Price (D+E):
Nokia Proprietary/Confidential Information 3 of 6
Detailed Pricing Summary
Pitkin County, CO Nokia of America Corporation
Sunlight/Williams Jail/Hunter Creek
Proposal #20.US.902606.08 April 8, 2020
Item Category Item Description Extended Price
1.00
1.01 9500MPR Radio Microwave Packet Radio $109,823.02
1.02 NSP Licenses $1,094.80
1.03 7705 SAR-8 10G ETH CARD $8,820.00
1.04 Antenna Materials Antenna Materials $32,597.48
$152,335.30
3.00
3.01 HLD for Radio Configuration $1,183.44
$1,183.44
4.00
4.01 Application & Configuration Release Microwave Products $1,200.00
4.02 PROGRAM MANAGEMENT PMO $4,043.97
$5,243.97
5.00
5.01 MICROWAVE
5.02 TECH SUPPORT - Gold (Per Path, Per Year)Year 1 &2 $3,520.00
5.03 Standard Repair (45 days US; Per Path, Per Year)Year 1 &2 $0.00
5.04 SSP - Software Service (Per 8 shelves)Year 1 &2 $3,520.00
5.05 HGAC Fee $2,487.04
5.06 Management Adjustment -$2,487.04
$165,802.71
Pricing Notes:
3. Prices are valid for 60 days.
6. Taxes, transportation, ancillary material, travel and living expenses are excluded.
8. Please note that limiting the transmit power to High Power Transceiver instead of High Power Plus Transciever will adversely impact path performance. RSL values will be less
than what initial feasibility studies show.
HARDWARE/SOFTWARE
HARDWARE/SOFTWARE SubTotal:
ADDITIONAL SERVICES
INSTALLATION SERVICES
INSTALLATION SERVICES SubTotal:
Project Total:
ADDITIONAL SERVICES SubTotal:
7. Typical equipment lead time is approximately 8 weeks or sooner After Receipt of Purchase Order with valid frequencies based on equipment availability. Lead time can be
confirmed After Receipt of Purchase Order and order scheduling.
E-Mail PO to nokia.order_now_12587@nokia.com and reference the Proposal # on cover sheet.
2. The terms and conditions, including planning pricing, of the items provided under this Proposal or subsequent agreements are subject to future negotiations and future
agreement on the terms and conditions which would any sale. There are no penalties, liquidated damages or other remedies associated with changes to the pricing.
4. This pricing is valid only for the equipment, equipment features, and services explicitly described within this proposal. Any equipment item, equipment feature, installation
item, or service not explicitly described in this bid is not included in this pricing, and any addition of such will require a revised proposal with modified pricing. Additional information
obtained by, but not limited to, Path and Site Surveys could require changes to the scope and content of this proposal. Please review all sections of this bid carefully for details as to
what this proposal includes, and what assumptions have been made.
5. Pricing is based on attached Scope Of Work, Assumptions, Detailed Equipment List and/or Design Configurations.
1. The budgetary planning pricing included above provided by Nokia of America Corporation is indicative only, solely to inform Pitkin County, CO of Nokia of America Corporation's
current estimate of prices for the relevant item(s) to enable Pitkin County, CO to evaluate its potential interest.
OPTIONS
Nokia Confidential
Nokia Confidential
Number of Paths:2
Contract #:Number of Sites:4
Nokia of America Corporation Customer:Pitkin County, CO Frequency Pairs:4
Project:Sunlight/Williams Jail/Hunter C FCC License Type:Government
3201 Olympus Blvd Proposal #:20.US.902606.08
Dallas, TX 75019 Date:April 8, 2020
Prepared by:Al Alexander
Email:Alphonso.Alexander@nokia.com Sunlight Williams
Part Number Description
Customer
Specific
Price Unit Sell Price
System Quantity
Extended System Line Item Extended Hu
n
t
e
r
C
r
e
e
k
Ja
i
l
Su
n
l
i
g
h
t
Wi
l
l
i
a
m
s
Un
d
i
s
t
r
i
b
u
t
e
d
Radio Information
WVCE18-U-4096A80S-
717-15-NS
TX 18700V / RX 18700V
T/F Jail - CH 1
WVCE18-U-4096A80S-
717-15-NS
TX 18700V / RX 18700V
T/F Hunter Creek - CH 1
WVCE11-L-1024A60S-435-
32.5-NS
TX 11485V / RX 10995V
T/F Williams - CH 1
WVCE11-L-1024A60S-435-32.5-
NS
TX 10995H / RX 11485H
T/F Sunlight - CH 1
WVCE18-U-4096A80S-
717-15-NS
TX 18700H / RX 18700H
T/F Jail - CH 2
WVCE18-U-4096A80S-
717-15-NS
TX 18700H / RX 18700H
T/F Hunter Creek - CH 2
WVCE11-L-1024A60S-435-
32.5-NS
TX 11485H / RX 10995H
T/F Williams - CH 2
WVCE11-L-1024A60S-435-32.5-
NS
TX 11155H / RX 11645H
T/F Sunlight - CH 2
WVCE11-L-1024A60S-435-
32.5-NS
TX 11645H / RX 11155H
T/F Williams - CH 3
WVCE11-L-1024A60S-435-32.5-
NS
TX 10995V / RX 11485V
T/F Sunlight - CH 3
WVCE11-L-1024A60S-435-
32.5-NS
TX 11325H / RX 10835H
T/F Williams - CH 4
WVCE11-L-1024A60S-435-32.5-
NS
TX 10835H / RX 11325H
T/F Sunlight - CH 4
9500 MPR Microwave Switching Shelf (MSS)$109,823.02
3DB18206AC Ethernet Access Module w 8 GbE port 715.75 $715.75 6 $4,294.50 0 2 2 2
9500 MPR Microwave Packet Transceiver (MPT)
3EM24238AB MPT-HL Shelf Kit Dual T-R $627.00 $627.00 4 $2,508.00 2 2
3DB76050CB MPT-HLC XCVR 11 GHz HP W/OUT COMBINER (10700 - 11700)$6,125.00 $6,125.00 6 $36,750.00 2 4
3DB29218AB UBT-T 18 GHz $3,412.50 $3,412.50 2 $6,825.00 1 1
3DB28072AA AIM-T-O 18GHz 1560MHz SB1 $700.00 $700.00 2 $1,400.00 1 1
9500 MPR RTUs - per ODU/RF Transceiver/ Upgrade
3EM23073AAAA 9500 MPR Adaptive Modulation RTU $525.00 $525.00 8 $4,200.00 4 4
3MU00122AAAA 9500 MPR XPIC RTU (HLC/HQAM Tranceivers)$420.00 $420.00 4 $1,680.00 2 2
3EM23068AGAA RTU 450Mbps TRX Capacity $2,275.00 $2,275.00 8 $18,200.00 4 4
3MU00180AQAA RTU 1.5Gbps UBT-T Capacity $2,450.00 $2,450.00 2 $4,900.00 1 1
3MU00180BAAA RTU UBT-T 2nd TxRx activation $1,225.00 $1,225.00 2 $2,450.00 1 1
3MU00180BEAA RTU UBT-T Adp Mod $525.00 $525.00 2 $1,050.00 1 1
3MU00180BHAA RTU UBT-T HQAM 2k/4k $525.00 $525.00 4 $2,100.00 2 2
3MU00180VBAA RTU UBT-T Stand Alone $1,750.00 $1,750.00 2 $3,500.00 1 1
9500 MPR Microwave Packet Transceiver Accessories
1AB235300005 OCTIS connector housing for fibers $20.65 $20.65 2 $41.30 1 1
3CC52159BA DC pigtail N to 2 wires outdoor $16.10 $16.10 2 $32.20 1 1
1AB235300007 OCTIS connector housing for powering $36.40 $36.40 2 $72.80 1 1
3CC50302AA SFP 1000Base-SX 2,5Gbps $52.50 $52.50 8 $420.00 4 4
3CC50030AA Lightning arrestor for coax 1AC041350002 at building entry $213.11 $213.11 2 $426.22 1 1
3EM24166EA Stacking Filter W/G Kit 1st MPT Shelf 11 GHz HSB $913.00 $913.00 8 $7,304.00 4 4
3EM24166JF RF Stacking Filter Kit, 11.2 - 11.7, 48 MHz BW $542.00 $542.00 8 $4,336.00 4 4
3EM24166JE RF Stacking Filter Kit, 10.7 - 11.2, 48 MHz BW $542.00 $542.00 8 $4,336.00 4 4
3EM23523AM Stacking Cable Assy 1+0 Non-Standby Circulators Right-Rear $70.00 $70.00 8 $560.00 4 4
3EM24189AC Isolator Assy 11 GHz 1+0 (Non-Standby)$90.00 $90.00 8 $720.00 4 4
3MU00179CE Flange Adapter CPR-90 Kit, 1 Port, 11Ghz $88.00 $88.00 4 $352.00 2 2
Racks and Accessories
694-9000-006 Standard Rack, 7ft tall, 19in wide $315.00 $315.00 1 $315.00 1
3EM13317AB Power Distribution Panel with Fuse Alarm Card included $318.50 $318.50
Manuals and Documentation
3EM24226AA Microwave Factory Test Certificate $525.00 $525.00 2 $1,050.00 1 1
7705 SAR-8
3HE07943AA (2P 10GE+4P GE )10G ETH CARD (-48/+24VDC)$4,410.00 $4,410.00 2 $8,820.00 1 1
Antenna Materials $32,597.48
10046878 Ant UBT Int 2ft 18 GHz SP (17.7-19.7) (SC2-190CUBTR)$961.00 $961.00 2 $1,922.00 1 1
1AB095530046 PPC Connector (compression) - straight female (1 per LMR run) (T $34.00 $34.00 4 $136.00 2 2
409085388 Load Termination / CPR-90 (39099-90)$70.00 $70.00 4 $280.00 2 2
1AF31774AAAA Microwave Antenna, 11GHz USX6-11W-6GR $10,871.70 $10,871.70 2 $21,743.40 1 1
815487-001 Standard Elliptical Waveguide, E105 (10.0 - 11.7 GHz)$9.00 $9.00 400 $3,600.00 230 170
399503-101 Connector, Tunable / CPR90G (bottom) (C90-105TG)$219.00 $219.00 4 $876.00 2 2
399503-103 Connector, Non-Tunable / CPR90G (top) (C90-105FG)$219.00 $219.00 4 $876.00 2 2
400130 Pressure Window (WPW-090EP) - mates to CPR90G $26.00 $26.00 4 $104.00 2 2
400124 2ft Twistflex - CPR90G/CPR90G (TF090-CC1-024I)$291.00 $291.00 4 $1,164.00 2 2
D&I Project Management (NOT PMO/CFPM)$1.00 $1.00 1896.084 $1,896.08 $474.02 $474.02 $474.02 $474.02
SVC-QHIE-INST HLD for Radio Configuration $295.86 $295.86 4 $1,183.44 1 1 1 1
NSP LICENSE POINT
3HE11801CA NSP 17: NFM-P STANDARD LP $32.20 $32.20 34 $1,094.80 8 6 10 10
HARDWARE TOTAL $153,518.74 $18,075.24 $19,442.34 $51,988.08 $64,013.08
Customer:Pitkin County, CO
Project:Sunlight/Williams Jail/Hunter Creek
Nokia of America Corporation Proposal #20.US.902606.08
Date:April 8, 2020
3201 Olympus Blvd
Dallas, TX 75019
Part Number Description Unit Sell Price
System Quantity
Extended System Line Item Extended
ADDITIONAL SERVICES
SVC-QHIE-INST-P01 Application & Configuration Release $300.00 4 $1,200.00
300702487 Program Management (PMO)$1.00 4043.9685 $4,043.97
ADDITIONAL SERVICES TOTAL:$5,243.97
Nokia Confidential
Nokia Confidential
Customer:
Project:
Nokia of America Corporation Proposal #
Date:
3201 Olympus Blvd
Dallas, TX 75019
Part Number Description
System Line Item
Extended Ye
a
r
1
Ye
a
r
2
MICROWAVE RADIO MAINTENANCE
301090767 TECH SUPPORT - Gold (Per Path, Per Year)$3,520.00 $1,760.00 $1,760.00
301090791 Standard Repair (45 days US; Per Path, Per Year)Warranty Warranty
3EM24592AAAB SSP - Software Service (Per 8 shelves)$3,520.00 $1,760.00 $1,760.00
TOTAL $7,040.00 $3,520.00 $3,520.00
Pitkin County, CO
Sunlight/Williams Jail/Hunter Creek
20.US.902606.08
April 8, 2020
Certificate Of Completion
Envelope Id: C1DA3F58F035406E836359AFDEB6B9F5 Status: Completed
Subject: Nokia | Pitkin County Contract 230.19 C for Review and Signature
Source Envelope:
Document Pages: 9 Signatures: 4 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: 24.9.118.68
Record Tracking
Status: Original
4/22/2020 11:16:57 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: 75.70.181.31
Sent: 4/22/2020 11:20:44 AM
Viewed: 4/22/2020 11:56:46 AM
Signed: 4/22/2020 4:42:55 PM
Electronic Record and Signature Disclosure:
Accepted: 4/14/2021 5:09:16 PM
ID: 14e6bb34-baa1-4a06-a4b0-d7bc9faa4bc8
Company Name: Pitkin County, Colorado
Desiree Obleton
desiree.obleton@nokia.com
Commercial Contracts Manager
Commercial Contracts Manager
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 131.228.48.68
Sent: 5/6/2020 8:54:07 AM
Viewed: 5/6/2020 8:58:56 AM
Signed: 5/6/2020 8:59:17 AM
Electronic Record and Signature Disclosure:
Accepted: 5/6/2020 8:58:56 AM
ID: 4327713a-9788-4cac-8cdc-4af632e7dee0
Company Name: Pitkin County, Colorado
Shawna Culver
Shawna.Culver@nokia.com
Contrant manager
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 75.34.224.45
Sent: 4/22/2020 4:42:59 PM
Resent: 5/4/2020 3:48:20 PM
Resent: 5/6/2020 8:59:21 AM
Viewed: 4/23/2020 7:04:10 AM
Signed: 5/6/2020 9:04:21 AM
Electronic Record and Signature Disclosure:
Accepted: 4/23/2020 7:04:10 AM
ID: 7975e1de-bb27-41e1-b53e-30d36074e276
Company Name: Pitkin County, Colorado
Signer Events Signature Timestamp
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: 73.34.180.169
Sent: 5/6/2020 9:04:24 AM
Viewed: 5/6/2020 9:14:55 AM
Signed: 5/6/2020 9:15:30 AM
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
Pitkin County Procurement
procurement@pitkincounty.com
Procurement
Pitkin County
Security Level: Email, Account Authentication
(None)
Sent: 5/6/2020 9:15:32 AM
Resent: 5/6/2020 9:15:40 AM
Viewed: 5/5/2021 10:31:00 AM
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: 5/6/2020 9:15:34 AM
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 4/22/2020 11:20:44 AM
Certified Delivered Security Checked 5/6/2020 9:14:55 AM
Signing Complete Security Checked 5/6/2020 9:15:30 AM
Completed Security Checked 5/6/2020 9:15:34 AM
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: Jeff Krueger, Desiree Obleton, Shawna Culver
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.