Required hardware and software. The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: xxxxx://xxxxxxx.xxxxxxxx.xxx/guides/signer-guide- signing-system-requirements. Acknowledging your access and consent to receive and sign documents electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm that: • You can access and read this Electronic Record and Signature Disclosure; and • You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and • Until or unless you notify Zones OBO City of Xxxxxx as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by Zones OBO City of Xxxxxx during the course of your relationship with Zones OBO City of Xxxxxx. DocuSign Envelope ID: CF646127-61F0-45BA-9586-5A0660ACD05D Amendment Name of Contractor: Law Office of Xxxxxx Xxxxxxxx (“Attorney”) Contract Name: Contract for Indigent Defense Services (“Contract”) Original Agreement Date: Signed by Contractor on December 5, 2018 Signed by City on November 19, 2018 This Amendment is made between the City of Xxxxxx and the Law Office of Xxxxxx Xxxxxxxx (Attorney), collectively, “the Parties,” and amends the original Contract. All other provisions of the original Contract not inconsistent with this Amendment shall remain in full force and effect. For valuable consideration and by mutual consent of the Parties, the Agreement is modified as followed:
Appears in 1 contract
Samples: sumner.civicweb.net
Required hardware and software. The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: xxxxx://xxxxxxx.xxxxxxxx.xxx/guides/signer-guide- signing-system-requirements. Acknowledging your access and consent to receive and sign documents electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm that: • You can access and read this Electronic Record and Signature Disclosure; and • You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and • Until or unless you notify Zones OBO City of Xxxxxx Ocala - Procurement & Contracting as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by Zones OBO City of Xxxxxx Ocala - Procurement & Contracting during the course of your relationship with Zones OBO City of XxxxxxOcala - Procurement & Contracting. Certificate Of Completion Envelope Id: BF45C8AD58D544FDB66A346310CD2303 Status: Completed Subject: SIGNATURE - Agreement for Janitorial Services at Ocala International Airport (AIR/240384) Source Envelope: Document Pages: 33 Signatures: 2 Envelope Originator: Certificate Pages: 5 Initials: 0 Xxxxxx Xxxxxxx AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-05:00) Eastern Time (US & Canada) 000 XX Xxxxxx Xxxxxx Xxxx Xxxx, Xxxxx Xxxxx Xxxxx, XX 00000 xxxxxxxx@xxxxxxx.xxx IP Address: 216.255.240.104 Record Tracking Status: Original 3/21/2024 4:00:08 PM Holder: Xxxxxx Xxxxxxx xxxxxxxx@xxxxxxx.xxx Location: DocuSign Envelope Security Appliance Status: Connected Pool: StateLocal Storage Appliance Status: Connected Pool: City of Ocala - Procurement & Contracting Location: DocuSign Signer Events Signature Timestamp Xxxxx Xxxxxxxxx xxxxxxxxxx@xxxxxxx.xxx Council President Pro Tem City of Ocala Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Signature Adoption: Pre-selected Style Using IP Address: 67.231.55.34 Signed using mobile Sent: 3/21/2024 4:01:29 PM Viewed: 3/21/2024 5:24:53 PM Signed: 3/21/2024 5:25:26 PM Xxxxx X. Xxxxxx xxxxxxx@xxxxxxx.xxx City Clerk Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 216.255.240.104 Sent: 3/21/2024 5:25:28 PM Viewed: 3/22/2024 9:20:41 AM Signed: 3/22/2024 9:21:01 AM Electronic Record and Signature Disclosure: Accepted: 3/22/2024 9:20:41 AM ID: CF6461277747a3aa-633c-4bd6-61F0b416-45BA-9586-5A0660ACD05D Amendment Name of Contractor065ae8ba3123 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 Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 3/21/2024 4:01:29 PM Certified Delivered Security Checked 3/22/2024 9:20:41 AM Signing Complete Security Checked 3/22/2024 9:21:01 AM Completed Security Checked 3/22/2024 9:21:01 AM Payment Events Status Timestamps Electronic Record and Signature Disclosure Electronic Record and Signature Disclosure created on: Law Office of 2/22/2023 11:31:05 AM Parties agreed to: Xxxxx X. Xxxxxx Xxxxxxxx (“Attorney”) Contract Name: Contract for Indigent Defense Services (“Contract”) Original Agreement Date: Signed by Contractor on December 5ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, 2018 Signed by City on November 19, 2018 This Amendment is made between the City of Xxxxxx Ocala - Procurement & Contracting (we, us or Company) 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 through the Law Office of Xxxxxx Xxxxxxxx DocuSign system. Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature Disclosure (AttorneyERSD), collectivelyplease confirm your agreement by selecting the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. Getting paper copies At any time, “you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the Parties,” ability to download and amends print documents we send to you through the original ContractDocuSign system during and immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents 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 copies of any such documents from our office to you, you will be charged a $0.00 per-page fee. You may request delivery of such paper copies from us by following the procedure described below. Withdrawing your consent If you 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. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below. 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. Further, you will no longer be able to use the DocuSign system 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 the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other provisions 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 original Contract 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 inconsistent agree with this Amendment shall remain in full force and effectprocess, please let us know as described below. For valuable consideration and by mutual consent Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the Partiesnotices and disclosures electronically from us. How to contact City of Ocala - Procurement & Contracting: 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: xxxxxxxxx@xxxxxxx.xxx To advise City of Ocala - Procurement & Contracting of your new email address To let us know of a change in your email address where we should send notices and disclosures electronically to you, you must send an email message to us at xxxxxxxxx@xxxxxxx.xxx and in the Agreement is modified as followedbody of such request you must state: your previous email address, your new email address. We do not require any other information from you to change your email address. If you created a DocuSign account, you may update it with your new email address through your account preferences. To request paper copies from City of Ocala - Procurement & Contracting To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an email to xxxxxxxxx@xxxxxxx.xxx and in the body of such request you must state your email address, full name, mailing address, and telephone number. We will bill you for any fees at that time, if any. To withdraw your consent with City of Ocala - Procurement & Contracting To inform us that you no longer wish to receive future notices and disclosures in electronic format you may:
Appears in 1 contract
Samples: www.prorfx.com
Required hardware and software. The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: xxxxx://xxxxxxx.xxxxxxxx.xxx/guides/signer-guide- signing-system-requirements. Acknowledging your access and consent to receive and sign documents electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm that: • You can access and read this Electronic Record and Signature Disclosure; and • You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and • Until or unless you notify Zones OBO City County of Xxxxxx Santa Xxxx as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by Zones OBO City County of Xxxxxx Santa Xxxx during the course of your relationship with Zones OBO County of Santa Xxxx. Certificate Of Completion Envelope Id: 750D5EE0C4AF44298DB8A96C8CB145E3 Status: Completed Subject: Complete with DocuSign: Scotts_Valley_Sublease_Final.pdf Source Envelope: Document Pages: 27 Signatures: 1 Envelope Originator: Certificate Pages: 4 Initials: 0 Xxxxxxxx Xxxxxx AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-08:00) Pacific Time (US & Canada) 000 Xxxxx Xxxxxx Xxxxx Xxxx, XX 00000 Xxxxxxxx.Xxxxxx@xxxxxxxxxxxxxxxxx.xxx IP Address: 63.194.190.100 Record Tracking Status: Original 11/2/2023 11:12:32 AM Holder: Xxxxxxxx Xxxxxx Xxxxxxxx.Xxxxxx@xxxxxxxxxxxxxxxxx.xxx Location: DocuSign Security Appliance Status: Connected Pool: FedRamp Storage Appliance Status: Connected Pool: County of Santa Xxxx Location: DocuSign Signer Events Signature Timestamp Mali XxXxx xxxxxx@xxxxxxxxxxxx.xxx City of Xxxxxx. DocuSign Envelope Manager Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 172.58.89.57 Sent: 11/2/2023 11:13:24 AM Viewed: 11/2/2023 5:21:08 PM Signed: 11/2/2023 5:21:42 PM Electronic Record and Signature Disclosure: Accepted: 11/2/2023 5:21:08 PM ID: CF6461278a847bc9-61F0e144-45BA-958646db-5A0660ACD05D Amendment Name beab-3c4468eac949 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 Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 11/2/2023 11:13:24 AM Certified Delivered Security Checked 11/2/2023 5:21:08 PM Signing Complete Security Checked 11/2/2023 5:21:42 PM Completed Security Checked 11/2/2023 5:21:42 PM Payment Events Status Timestamps Electronic Record and Signature Disclosure Electronic Record and Signature Disclosure created on: 2/28/2022 5:23:37 PM Parties agreed to: Mali XxXxx ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, County of Contractor: Law Office of Xxxxxx Xxxxxxxx Santa Xxxx (“Attorney”we, us or Company) Contract Name: Contract may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for Indigent Defense Services providing to you such notices and disclosures electronically through the DocuSign system. Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature Disclosure (“Contract”) Original Agreement Date: Signed by Contractor on December 5, 2018 Signed by City on November 19, 2018 This Amendment is made between the City of Xxxxxx and the Law Office of Xxxxxx Xxxxxxxx (AttorneyERSD), collectivelyplease confirm your agreement by selecting the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. Getting paper copies At any time, “you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the Parties,” ability to download and amends print documents we send to you through the original ContractDocuSign system during and immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents 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 copies of any such documents from our office to you, you will be charged a $0.00 per-page fee. You may request delivery of such paper copies from us by following the procedure described below. Withdrawing your consent If you 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. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below. 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. Further, you will no longer be able to use the DocuSign system 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 the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other provisions 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 original Contract 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 inconsistent agree with this Amendment shall remain in full force and effectprocess, please let us know as described below. For valuable consideration and by mutual consent Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the Partiesnotices and disclosures electronically from us. How to contact County of Santa Xxxx: 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: xxxx.xxxxxxxx@xxxxxxxxxxxxxxx.xx To advise County of Santa Xxxx of your new email address To let us know of a change in your email address where we should send notices and disclosures electronically to you, you must send an email message to us at xxxx.xxxxxxxx@xxxxxxxxxxxxxxx.xx and in the Agreement is modified as followedbody of such request you must state: your previous email address, your new email address. We do not require any other information from you to change your email address. If you created a DocuSign account, you may update it with your new email address through your account preferences. To request paper copies from County of Santa Xxxx To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an email to xxxx.xxxxxxxx@xxxxxxxxxxxxxxx.xx and in the body of such request you must state your email address, full name, mailing address, and telephone number. We will bill you for any fees at that time, if any. To withdraw your consent with County of Santa Xxxx To inform us that you no longer wish to receive future notices and disclosures in electronic format you may:
Appears in 1 contract
Samples: Subsublease Agreement
Required hardware and software. The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: xxxxx://xxxxxxx.xxxxxxxx.xxx/guides/signer-guide- signing-system-requirements. Acknowledging your access and consent to receive and sign documents electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm that: • You can access and read this Electronic Record and Signature Disclosure; and • You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and • Until or unless you notify Zones OBO City County of Xxxxxx Santa Xxxx as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by Zones OBO City County of Xxxxxx Santa Xxxx during the course of your relationship with Zones OBO City County of XxxxxxSanta Xxxx. Certificate Of Completion Envelope Id: CEB9A6DECA7449EA8440F091448E360A Status: Completed Subject: Complete with DocuSign: Scotts_Valley_Sublease_Final.pdf Source Envelope: Document Pages: 27 Signatures: 3 Envelope Originator: Certificate Pages: 5 Initials: 0 Xxxxxxxx Xxxxxx AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-08:00) Pacific Time (US & Canada) 000 Xxxxx Xxxxxx Xxxxx Xxxx, XX 00000 Xxxxxxxx.Xxxxxx@xxxxxxxxxxxxxxxxx.xxx IP Address: 63.194.190.100 Record Tracking Status: Original 10/10/2023 9:30:15 AM Holder: Xxxxxxxx Xxxxxx Xxxxxxxx.Xxxxxx@xxxxxxxxxxxxxxxxx.xxx Location: DocuSign Envelope Security Appliance Status: Connected Pool: FedRamp Storage Appliance Status: Connected Pool: County of Santa Xxxx Location: DocuSign Signer Events Signature Timestamp Xxxxxxx Xxxx xxxxx@xxx-xxx.xxx X Security Level: Email, Account Authentication (None) Signature Adoption: Drawn on Device Using IP Address: 12.39.145.2 Sent: 10/10/2023 9:31:27 AM Viewed: 10/10/2023 9:42:19 AM Signed: 10/10/2023 9:42:34 AM Electronic Record and Signature Disclosure: Accepted: 5/25/2022 2:00:27 PM ID: CF64612743a42096-61F05645-45BA-95864cda-868d-53e48da5cdf0 Xxxxxxx Xxxxxxx xxxxxxxx@xxxxxxxxxxx.xxx Security Level: Email, Account Authentication (None) Signature Adoption: Pre-5A0660ACD05D Amendment Name selected Style Using IP Address: 205.155.237.34 Sent: 10/10/2023 9:42:35 AM Viewed: 10/10/2023 10:08:38 AM Signed: 10/10/2023 10:08:49 AM Electronic Record and Signature Disclosure: Accepted: 10/10/2023 10:08:38 AM ID: b24c8689-b5f0-4588-bbe0-527cf91999e5 Xxxx Xxxxxxx Xxxx.Xxxxxxx@xxxxxxxxxxxxxxx.xx Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 63.194.190.100 Sent: 10/10/2023 10:08:51 AM Viewed: 10/10/2023 2:44:02 PM Signed: 10/10/2023 2:44:37 PM Electronic Record and Signature Disclosure: Accepted: 10/10/2023 2:44:02 PM ID: 4447b9d7-262e-45db-93a6-faf5cb650f84 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 Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 10/10/2023 9:31:27 AM Certified Delivered Security Checked 10/10/2023 2:44:02 PM Signing Complete Security Checked 10/10/2023 2:44:37 PM Completed Security Checked 10/10/2023 2:44:37 PM Payment Events Status Timestamps Electronic Record and Signature Disclosure Electronic Record and Signature Disclosure created on: 2/28/2022 5:23:37 PM Parties agreed to: Xxxxxxx Xxxx, Xxxxxxx Xxxxxxx, Xxxx Xxxxxxx ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, County of Contractor: Law Office of Xxxxxx Xxxxxxxx Santa Xxxx (“Attorney”we, us or Company) Contract Name: Contract may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for Indigent Defense Services providing to you such notices and disclosures electronically through the DocuSign system. Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature Disclosure (“Contract”) Original Agreement Date: Signed by Contractor on December 5, 2018 Signed by City on November 19, 2018 This Amendment is made between the City of Xxxxxx and the Law Office of Xxxxxx Xxxxxxxx (AttorneyERSD), collectivelyplease confirm your agreement by selecting the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. Getting paper copies At any time, “you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the Parties,” ability to download and amends print documents we send to you through the original ContractDocuSign system during and immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents 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 copies of any such documents from our office to you, you will be charged a $0.00 per-page fee. You may request delivery of such paper copies from us by following the procedure described below. Withdrawing your consent If you 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. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below. 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. Further, you will no longer be able to use the DocuSign system 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 the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other provisions 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 original Contract 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 inconsistent agree with this Amendment shall remain in full force and effectprocess, please let us know as described below. For valuable consideration and by mutual consent Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the Partiesnotices and disclosures electronically from us. How to contact County of Santa Xxxx: 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: xxxx.xxxxxxxx@xxxxxxxxxxxxxxx.xx To advise County of Santa Xxxx of your new email address To let us know of a change in your email address where we should send notices and disclosures electronically to you, you must send an email message to us at xxxx.xxxxxxxx@xxxxxxxxxxxxxxx.xx and in the Agreement is modified as followedbody of such request you must state: your previous email address, your new email address. We do not require any other information from you to change your email address. If you created a DocuSign account, you may update it with your new email address through your account preferences. To request paper copies from County of Santa Xxxx To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an email to xxxx.xxxxxxxx@xxxxxxxxxxxxxxx.xx and in the body of such request you must state your email address, full name, mailing address, and telephone number. We will bill you for any fees at that time, if any. To withdraw your consent with County of Santa Xxxx To inform us that you no longer wish to receive future notices and disclosures in electronic format you may:
Appears in 1 contract
Samples: Subsublease Agreement
Required hardware and software. The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: xxxxx://xxxxxxx.xxxxxxxx.xxx/guides/signer-guide- signing-system-requirements. Acknowledging your access and consent to receive and sign documents electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm that: • You can access and read this Electronic Record and Signature Disclosure; and • You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and • Until or unless you notify Zones OBO City of Xxxxxx DocuSign-Information Technology as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by Zones OBO City of Xxxxxx DocuSign-Information Technology during the course of your relationship with Zones OBO DocuSign-Information Technology. PROCESS #53 Contract Review (3.0) Started Mar 30, 2023 at 4:48pm PDT Status Active By Xxxxxxxxx Xxxxxxxxxxx Downloaded Mar 31, 2023 at 8:19am PDT Submitted Information Enter Basic Contract Information ADMINISTRATIVE INFORMATION UNISSUED Contract Manager Name (City Staff) Xxxxx Xxxxx Contract Manager Email ( @xxxx.xxx) xxxxxx@xxxx.xxx Administrator completing this workflow, if different (City staff) Xxxxxxxxx Xxxxxxxxxxx Administrator email ( @xxxx.xxx) xxxxxxxxxxxx@xxxx.xxx Department 04 - CSD Division 04 - Public Safety BASIC CONTRACT DETAILS Vendor Name Flock Group Inc DBA/ Flock Safety Vendor Number (3 for AP and 00 for AR) 330293 Vendor Contact Name Xxxxx Xxxx Vendor Contact Email xxxxx.xxxx@xxxxxxxxxxx.xxx Vendor Contact Telephone +00000000000 Contract / Amendment Title Flock Safety ALPR Cameras Contract / Amendment Amount $501,150.00 Is this a new agreement or an amendment to an existing agreement? New Agreement Supplemental Insurance (for Risk team only) Yes VENDOR / CONTRACTOR SIGNATORY INFORMATION Contract Signatory Name Xxxx Xxxxx Contract Signatory Title Flock Group Inc. General Counsel Contract Signatory Email Address xxxx.xxxxx@xxxxxxxxxxx.xxx FUNDING INFORMATION Proposed Funding Source - Account Name (To be checked by Finance) Field Services Equipment Proposed Funding Source - Account Balance on date of submittal (To be checked by Finance) $297,000.00 Proposed Funding Source - Account # (To be checked by Finance) 100-4-04-04-701006 Upload Contract Documents UPLOAD DOCUMENTS Upload Contract or Amendment Authorization Form Flock_Safety_EdenContractAuthorizationForm_04.03.2023.pdf Upload Agreement or Amendment Flock Safety - Sole Source Letter 2022 (1).pdf , Flock Licensing Agreement_3-30-2023 - Final.docx, City of XxxxxxWest Hollywood Professional Services Agreement - 3-30-2023 - Final.docx Upload Docusign "Certificate(s) of Completion" Summary.pdf Upload Insurance Documents (COI, Endorsements, WOS, etc.) COI Flock - City of W Hollywood.pdf Describe changes to Insurance Requirements, if any (if no insurance is required, type "None required") none Describe changes to Contract Template, if any (If none, type "None required") none Add any notes you may have for Finance and Risk Review teams. DocuSign Envelope ID: CF646127-61F0-45BA-9586-5A0660ACD05D Amendment Name none Add name of Contractor: Law Office of Xxxxxx Xxxxxxxx RFP / RFQ / RFB, if issued none Reviewers Finance Review Finance Review (“Attorney”Incomplete) Contract Name: & SOW Review Contract for Indigent Defense Services & SOW Review (“Contract”Incomplete) Original Agreement Date: Signed by Contractor on December 5, 2018 Signed by Risk & Insurance Review Risk & Insurance Review (Incomplete) City on November 19, 2018 This Amendment is made between the City Clerk Pick Up Confirm Pick Up of Xxxxxx and the Law Office of Xxxxxx Xxxxxxxx Contract Files (AttorneyIncomplete), collectively, “the Parties,” and amends the original Contract. All other provisions of the original Contract not inconsistent with this Amendment shall remain in full force and effect. For valuable consideration and by mutual consent of the Parties, the Agreement is modified as followed:
Appears in 1 contract
Samples: weho.granicus.com
Required hardware and software. The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: xxxxx://xxxxxxx.xxxxxxxx.xxx/guides/signer-guide- signing-system-requirements. Acknowledging your access and consent to receive and sign documents electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm that: • You can access and read this Electronic Record and Signature Disclosure; and • You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and • Until or unless you notify Zones OBO City of Xxxxxx Issaquah as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by Zones OBO City of Xxxxxx Issaquah during the course of your relationship with Zones OBO City of XxxxxxIssaquah. Certificate Of Completion Envelope Id: C43C9E36703D466590B755376F4644FB Status: Completed Subject: Complete with Docusign: City of Issaquah Agreement with PSERN Source Envelope: Document Pages: 32 Signatures: 1 Envelope Originator: Certificate Pages: 4 Initials: 0 Xxxxx Xxxxxxx AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-08:00) Pacific Time (US & Canada) 000 X. Xxxxxx Xxx Xxxxxxxx, XX 00000 xxxxxx@xxxxxxxxxx.xxx IP Address: 24.16.42.151 Record Tracking Status: Original 11/22/2023 8:33:02 AM Holder: Xxxxx Xxxxxxx xxxxxx@xxxxxxxxxx.xxx Location: DocuSign Envelope Signer Events Signature Timestamp Xxxx Xxxx Xxxx.Xxxx@xxxxx.xxx Executive Director Security Level: Email, Account Authentication (None) Signature Adoption: Uploaded Signature Image Using IP Address: 172.218.161.175 Sent: 11/22/2023 8:38:33 AM Viewed: 11/22/2023 8:49:33 AM Signed: 11/22/2023 8:50:14 AM Electronic Record and Signature Disclosure: Accepted: 11/22/2023 8:49:33 AM ID: CF6461270a086900-61F04a00-45BA-958640ae-828c-5A0660ACD05D Amendment Name of Contractorca45082fa6b4 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 Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 11/22/2023 8:38:33 AM Certified Delivered Security Checked 11/22/2023 8:49:33 AM Signing Complete Security Checked 11/22/2023 8:50:14 AM Completed Security Checked 11/22/2023 8:50:14 AM Payment Events Status Timestamps Electronic Record and Signature Disclosure Electronic Record and Signature Disclosure created on: Law Office of Xxxxxx Xxxxxxxx (“Attorney”) Contract Name3/23/2020 3:57:52 PM Parties agreed to: Contract for Indigent Defense Services (“Contract”) Original Agreement Date: Signed by Contractor on December 5Xxxx Xxxx ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, 2018 Signed by City on November 19, 2018 This Amendment is made between the City of Xxxxxx Issaquah (we, us or Company) 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 through the Law Office of Xxxxxx Xxxxxxxx DocuSign system. Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature Disclosure (AttorneyERSD), collectivelyplease confirm your agreement by selecting the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. Getting paper copies At any time, “you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the Parties,” ability to download and amends print documents we send to you through the original ContractDocuSign system during and immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents 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 copies of any such documents from our office to you, you will be charged a $0.00 per-page fee. You may request delivery of such paper copies from us by following the procedure described below. Withdrawing your consent If you 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. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below. 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. Further, you will no longer be able to use the DocuSign system 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 the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other provisions 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 original Contract 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 inconsistent agree with this Amendment shall remain in full force and effectprocess, please let us know as described below. For valuable consideration and by mutual consent Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the Partiesnotices and disclosures electronically from us. How to contact City of Issaquah: 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: xxxx@xxxxxxxxxx.xxx To advise City of Issaquah of your new email address To let us know of a change in your email address where we should send notices and disclosures electronically to you, you must send an email message to us at xxxx@xxxxxxxxxx.xxx and in the Agreement is modified as followedbody of such request you must state: your previous email address, your new email address. We do not require any other information from you to change your email address. If you created a DocuSign account, you may update it with your new email address through your account preferences. To request paper copies from City of Issaquah To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an email to xxxx@xxxxxxxxxx.xxx and in the body of such request you must state your email address, full name, mailing address, and telephone number. We will bill you for any fees at that time, if any. To withdraw your consent with City of Issaquah To inform us that you no longer wish to receive future notices and disclosures in electronic format you may:
Appears in 1 contract
Samples: Service Level Agreement
Required hardware and software. The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: xxxxx://xxxxxxx.xxxxxxxx.xxx/guides/signer-guide- signing-system-requirements. Acknowledging your access and consent to receive and sign documents electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm that: • You can access and read this Electronic Record and Signature Disclosure; and • You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and • Until or unless you notify Zones OBO City County of Xxxxxx Santa Xxxx as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by Zones OBO City County of Xxxxxx Santa Xxxx during the course of your relationship with Zones OBO City County of XxxxxxSanta Xxxx. Certificate Of Completion Envelope Id: 2565E9D148B74396997D638BFB135EE5 Status: Completed Subject: Complete with DocuSign: Scotts_Valley_Library_Lease_Final.pdf Source Envelope: Document Pages: 26 Signatures: 5 Envelope Originator: Certificate Pages: 5 Initials: 0 Xxxxxxxx Xxxxxx AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-08:00) Pacific Time (US & Canada) 000 Xxxxx Xxxxxx Xxxxx Xxxx, XX 00000 Xxxxxxxx.Xxxxxx@xxxxxxxxxxxxxxxxx.xxx IP Address: 63.194.190.100 Record Tracking Status: Original 10/10/2023 9:31:49 AM Holder: Xxxxxxxx Xxxxxx Xxxxxxxx.Xxxxxx@xxxxxxxxxxxxxxxxx.xxx Location: DocuSign Envelope Security Appliance Status: Connected Pool: FedRamp Storage Appliance Status: Connected Pool: County of Santa Xxxx Location: DocuSign Signer Events Signature Timestamp Xxxxxxx Xxxx xxxxx@xxx-xxx.xxx X Security Level: Email, Account Authentication (None) Signature Adoption: Drawn on Device Using IP Address: 12.39.145.2 Sent: 10/10/2023 9:42:13 AM Viewed: 10/10/2023 9:42:57 AM Signed: 10/10/2023 9:43:16 AM Electronic Record and Signature Disclosure: Accepted: 5/25/2022 2:00:27 PM ID: CF64612743a42096-61F05645-45BA-95864cda-868d-53e48da5cdf0 Xxxxxxx Xxxxxxx xxxxxxxx@xxxxxxxxxxx.xxx Security Level: Email, Account Authentication (None) Signature Adoption: Pre-5A0660ACD05D Amendment Name selected Style Using IP Address: 205.155.237.34 Sent: 10/10/2023 9:43:18 AM Viewed: 10/10/2023 10:07:41 AM Signed: 10/10/2023 10:08:08 AM Electronic Record and Signature Disclosure: Accepted: 10/10/2023 10:07:41 AM ID: c49806ee-71eb-4920-9851-c722d7abb44a Xxxxxxx Xxxxxx xxxxxxx@xxxxxxxxxxxx.xxx Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 12.189.244.153 Signed using mobile Sent: 10/10/2023 10:08:09 AM Resent: 10/24/2023 8:46:05 AM Viewed: 10/25/2023 9:22:46 AM Signed: 10/27/2023 5:39:33 AM Electronic Record and Signature Disclosure: Accepted: 10/11/2023 9:33:14 AM ID: ea65c15f-c4b6-454a-9805-61bfbe719bad Mali XxXxx xxxxxx@xxxxxxxxxxxx.xxx City Manager Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 50.175.157.138 Sent: 10/27/2023 5:39:34 AM Viewed: 10/27/2023 8:34:24 AM Signed: 10/27/2023 8:34:57 AM Electronic Record and Signature Disclosure: Signer Events Signature Timestamp Accepted: 10/27/2023 8:34:24 AM ID: 81d5e071-872e-45af-a9ac-07aa1ada8691 Xxxx Xxxxxxx Xxxx.Xxxxxxx@xxxxxxxxxxxxxxx.xx Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 63.194.190.100 Sent: 10/27/2023 8:34:58 AM Viewed: 10/27/2023 12:37:26 PM Signed: 10/27/2023 12:37:44 PM Electronic Record and Signature Disclosure: Accepted: 10/27/2023 12:37:26 PM ID: 61220961-49f1-4089-840a-cd8532cbb8f4 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 Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 10/10/2023 9:42:13 AM Certified Delivered Security Checked 10/27/2023 12:37:26 PM Signing Complete Security Checked 10/27/2023 12:37:44 PM Completed Security Checked 10/27/2023 12:37:44 PM Payment Events Status Timestamps Electronic Record and Signature Disclosure Electronic Record and Signature Disclosure created on: 2/28/2022 5:23:37 PM Parties agreed to: Xxxxxxx Xxxx, Xxxxxxx Xxxxxxx, Xxxxxxx Xxxxxx, Xxxx XxXxx, Xxxx Xxxxxxx ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, County of Contractor: Law Office of Xxxxxx Xxxxxxxx Santa Xxxx (“Attorney”we, us or Company) Contract Name: Contract may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for Indigent Defense Services providing to you such notices and disclosures electronically through the DocuSign system. Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature Disclosure (“Contract”) Original Agreement Date: Signed by Contractor on December 5, 2018 Signed by City on November 19, 2018 This Amendment is made between the City of Xxxxxx and the Law Office of Xxxxxx Xxxxxxxx (AttorneyERSD), collectivelyplease confirm your agreement by selecting the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. Getting paper copies At any time, “you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the Parties,” ability to download and amends print documents we send to you through the original ContractDocuSign system during and immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents 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 copies of any such documents from our office to you, you will be charged a $0.00 per-page fee. You may request delivery of such paper copies from us by following the procedure described below. Withdrawing your consent If you 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. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below. 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. Further, you will no longer be able to use the DocuSign system 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 the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other provisions 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 original Contract 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 inconsistent agree with this Amendment shall remain in full force and effectprocess, please let us know as described below. For valuable consideration and by mutual consent Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the Partiesnotices and disclosures electronically from us. How to contact County of Santa Xxxx: 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: xxxx.xxxxxxxx@xxxxxxxxxxxxxxx.xx To advise County of Santa Xxxx of your new email address To let us know of a change in your email address where we should send notices and disclosures electronically to you, you must send an email message to us at xxxx.xxxxxxxx@xxxxxxxxxxxxxxx.xx and in the Agreement is modified as followedbody of such request you must state: your previous email address, your new email address. We do not require any other information from you to change your email address. If you created a DocuSign account, you may update it with your new email address through your account preferences. To request paper copies from County of Santa Xxxx To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an email to xxxx.xxxxxxxx@xxxxxxxxxxxxxxx.xx and in the body of such request you must state your email address, full name, mailing address, and telephone number. We will bill you for any fees at that time, if any. To withdraw your consent with County of Santa Xxxx To inform us that you no longer wish to receive future notices and disclosures in electronic format you may:
Appears in 1 contract
Samples: Lease Agreement
Required hardware and software. The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: xxxxx://xxxxxxx.xxxxxxxx.xxx/guides/signer-guide- signing-system-requirements. Acknowledging your access and consent to receive and sign documents electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm that: • You can access and read this Electronic Record and Signature Disclosure; and • You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and • Until or unless you notify Zones OBO City of Xxxxxx CliftonLarsonAllen LLP as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by Zones OBO City of Xxxxxx CliftonLarsonAllen LLP during the course of your relationship with Zones OBO City of XxxxxxCliftonLarsonAllen LLP. Certificate Of Completion Envelope Id: 275F16F6BCC94ABBB1042098640E4531 Status: Completed Subject: Please DocuSign: Xxxxxx Agreement re: Sidewalk Repair Client Name: Spring Mesa Metro District Client Number: 000-000000-00 Source Envelope: Document Pages: 13 Signatures: 1 Envelope Originator: Certificate Pages: 4 Initials: 0 Xxxxxxx Xxxxxxxxxx AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-06:00) Central Time (US & Canada) 000 Xxxxx 0xx Xxxxxx Xxxxx 000 Xxxxxxxxxxx, XX 00000 Xxxxxxx.Xxxxxxxxxx@xxxxxxxxxx.xxx IP Address: 73.217.105.187 Record Tracking Status: Original 5/29/2020 9:19:11 AM Holder: Xxxxxxx Xxxxxxxxxx Xxxxxxx.Xxxxxxxxxx@xxxxxxxxxx.xxx Location: DocuSign Envelope Signer Events Signature Timestamp Xxxx Xxxxxx xxxx.xxxxxx@xxxxx.xxx Security Level: Email, Account Authentication (None) Signature Adoption: Drawn on Device Using IP Address: 24.56.171.196 Sent: 5/29/2020 9:28:19 AM Viewed: 5/29/2020 11:33:35 PM Signed: 5/29/2020 11:34:54 PM Electronic Record and Signature Disclosure: Accepted: 5/29/2020 11:33:35 PM ID: CF646127a04aa489-61F0adc2-45BA-95864b35-5A0660ACD05D Amendment Name of Contractor833c-6cf8ea347b25 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 Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 5/29/2020 9:28:19 AM Certified Delivered Security Checked 5/29/2020 11:33:35 PM Signing Complete Security Checked 5/29/2020 11:34:54 PM Completed Security Checked 5/29/2020 11:34:54 PM Payment Events Status Timestamps Electronic Record and Signature Disclosure Electronic Record and Signature Disclosure created on: Law Office of 2/12/2019 8:04:21 AM Parties agreed to: Xxxx Xxxxxx Xxxxxxxx ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, CliftonLarsonAllen LLP (“Attorney”we, us or Company) Contract Name: Contract may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for Indigent Defense Services providing to you such notices and disclosures electronically through the DocuSign system. Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature Disclosure (“Contract”) Original Agreement Date: Signed by Contractor on December 5, 2018 Signed by City on November 19, 2018 This Amendment is made between the City of Xxxxxx and the Law Office of Xxxxxx Xxxxxxxx (AttorneyERSD), collectivelyplease confirm your agreement by selecting the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. Getting paper copies At any time, “you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the Parties,” ability to download and amends print documents we send to you through the original ContractDocuSign system during and immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents 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 copies of any such documents from our office to you, you will be charged a $0.00 per-page fee. You may request delivery of such paper copies from us by following the procedure described below. Withdrawing your consent If you 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. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below. 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. Further, you will no longer be able to use the DocuSign system 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 the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other provisions 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 original Contract 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 inconsistent agree with this Amendment shall remain in full force and effectprocess, please let us know as described below. For valuable consideration and by mutual consent Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the Partiesnotices and disclosures electronically from us. How to contact CliftonLarsonAllen LLP: 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: XxxxxxxxXxxxxxxxxx@XXXxxxxxxx.xxx To advise CliftonLarsonAllen LLP of your new email address To let us know of a change in your email address where we should send notices and disclosures electronically to you, you must send an email message to us at XxxxxxxxXxxxxxxxxx@XXXxxxxxxx.xxx and in the Agreement is modified as followedbody of such request you must state: your previous email address, your new email address. We do not require any other information from you to change your email address. If you created a DocuSign account, you may update it with your new email address through your account preferences. To request paper copies from CliftonLarsonAllen LLP To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an email to XxxxxxxxXxxxxxxxxx@XXXxxxxxxx.xxx and in the body of such request you must state your email address, full name, mailing address, and telephone number. We will xxxx you for any fees at that time, if any. To withdraw your consent with CliftonLarsonAllen LLP To inform us that you no longer wish to receive future notices and disclosures in electronic format you may:
Appears in 1 contract
Samples: springmesa.org
Required hardware and software. The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: xxxxx://xxxxxxx.xxxxxxxx.xxx/guides/signer-guide- signing-system-requirements. Acknowledging your access and consent to receive and sign documents electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm that: • You can access and read this Electronic Record and Signature Disclosure; and • You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and • Until or unless you notify Zones OBO City of Xxxxxx National Purchasing Partners as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by Zones OBO City of Xxxxxx National Purchasing Partners during the course of your relationship with Zones OBO City National Purchasing Partners. Fourth Amendment to Master Price Agreement for LAW ENFORCEMENT EQUIPMENT Product Addition, Product Subtraction and Supplier Name Change This Amendment to the Master Price Agreement is entered into this 14th day of Xxxxxx. DocuSign Envelope ID: CF646127-61F0-45BA-9586-5A0660ACD05D Amendment Name of Contractor: Law Office of Xxxxxx Xxxxxxxx December, 2021 by LEAGUE OF OREGON CITIES LOC (“AttorneyPurchaser”) Contract Name: Contract for Indigent Defense Services and XXXXXX BLUE LINE (“ContractVendor”) Original Agreement Date: Signed by Contractor on December 5, 2018 Signed by City on November 19, 2018 This Amendment is made between based upon the City sales and/or service of Xxxxxx and the Law Office of Xxxxxx Xxxxxxxx (Attorney), collectively, “the Parties,” and amends the original Contract. All other provisions of the original Contract not inconsistent with this Amendment shall remain in full force and effect. For valuable consideration and by mutual consent of the Parties, the Agreement is modified as followed:LAW ENFORCEMENT EQUIPMENT.
Appears in 1 contract
Samples: Master Price Agreement
Required hardware and software. The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: xxxxx://xxxxxxx.xxxxxxxx.xxx/guides/signer-guide- signing-system-requirements. Acknowledging your access and consent to receive and sign documents electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm that: • You can access and read this Electronic Record and Signature Disclosure; and • You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and • Until or unless you notify Zones OBO City of Xxxxxx Simi Valley Unified School District as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by Zones OBO City of Xxxxxx Simi Valley Unified School District during the course of your relationship with Zones OBO City of XxxxxxSimi Valley Unified School District. DocuSign Envelope ID: CF6461275AEE45E9-61F006F9-45BA-9586441E-5A0660ACD05D Amendment Name of Contractor: Law Office of Xxxxxx Xxxxxxxx (“Attorney”) Contract AE21-E73935C5EF8B CHANGE ORDER 000 X. Xxxxxxx Street, Simi Valley, CA 93065 805.306.4500 ext. 4461 Project Name: Contract for Indigent Defense Services (“Contract”) Original Agreement Portable Relocation RSRPD Pool Change Order #: 1 Site: Royal HS Board Date: Signed by Contractor on December 55/16/2023 To (Contractor): Balfour Xxxxxx Construction LLC Bid #: B22LS371 Address: 00000 Xxxxxxx Xxxxx Xxxxx Xxxxx Xxxxx 000, 2018 Signed by City on November 19Xxx Xxxxx, 2018 This Amendment is made between XX 00000 Project #: P.O. #: THE CONTRACT IS CHANGED AS FOLLOWS: Back Charge for damage to the City of Xxxxxx and the Law Office of Xxxxxx Xxxxxxxx (Attorney), collectively, “the Parties,” and amends the original Contract. All other provisions grass areas of the original pool where utilities were installed. District hired landscaping contractor to finish grade, amend soils, and install Sod. Irrigation repaired by BBC subcontractors. Time extension due to materials. COP-07 SVUSD Issued Field Contract Venco Western: $27,690.00 Xxxxxxx Xxxxxx requested COP-04: $3,416.72Sub Total: $31,106.72 District and BBC agree to split this total 50/50. BBC will be back charged ($15,553.36). Contractors contingency usage by BBC: $3,995.25 Total Back Charge Applied: 15,553.36 - 3,995.25 = ($11,558.11) Contractor Contingency returned to District: ($6,658.75) Owner Contingency not inconsistent used: ($19,497.96)Final amount. ($37,714.82) DocuSign Envelope ID: 5AEE45E9-06F9-441E-AE21-E73935C5EF8B 000 X. Xxxxxxx Street, Simi Valley, CA 93065 805.306.4500 ext. 4461 Adjustment to Contract Amount Adjustment to Contract Schedule Original Contract Amount: $ 505,821.00 Original Contract Duration: 85 Days Total Prior Change Orders: Original Completion Date: Sept. 6, 2022 Contract Sum Prior to this Change Order: $ 505,821.00 Total Approved Time Extension to Date: 0 Days Amount of this Change Order: $ (37,714.82) Adjustment per this Change Order: 206 Revised Contract Amount: $ 468,106.18 New Completion Date: March 31, 2023 % for this Change Order -7.46% % Total Cumulative Change Orders -7.46% The undersigned Contractor agrees with this Amendment shall remain in full force the foregoing changes to the Contract price and effect. For valuable consideration and by mutual consent time allowed for completion of the PartiesWork, and agrees to furnish all labor, materials, service, and perform all work necessary to complete any additional work specified herein. Changes to the Agreement Contract shall only be effective when approved by the governing board of the District. It is modified expressly understood that the value of the extra Work or changes expressly includes any and all of the Contractor’s costs and expenses, direct and indirect, resulting from additional time required on the Project or resulting from delay to the Project. Any costs, expenses, damages, or time extensions not included are deemed waived. Xxxxxx Xxxxxxxxxx Contractor 5/10/2023 Signature [SimiPCC20118] Date XXXX XXXXXX 5/17/2023 Architect Signature Date XXXXX XXXX Project Coordinator Signature Date XXXX XXXXXXXXXX Construction Project Manager Signature Date XXXX XXXXXXXXXX Bond Program Manager Signature Date XXX XXXX Associate Superintendent, Business & Facilities Signature Date DocuSign Envelope ID: 5AEE45E9-06F9-441E-AE21-E73935C5EF8B POTENTIAL CHANGE ORDER Project: SVUSD ROYAL HS PORTABLE RELOC Date: Project No.: 17230001 To: 101 W Xxxxxxx Simi Valley, California 93065 Attn: Xxxxx Xxxx Subject: CE #POR 004 - Grade Out Jobsite Entrance - ProCraft PCO No.: 004 Change Event No.: POR 004 This proposal serves as followed:a Change Order Request for the above referenced project. Revisions to the scope of work, contract price, and contract time are as described & summarized below, and supported by the attached documentation (as applicable).
Appears in 1 contract
Samples: resources.finalsite.net
Required hardware and software. The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: xxxxx://xxxxxxx.xxxxxxxx.xxx/guides/signer-guide- signing-system-requirements. Acknowledging your access and consent to receive and sign documents electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm that: • You can access and read this Electronic Record and Signature Disclosure; and • You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and • Until or unless you notify Zones Carahsoft OBO City Maine Department of Xxxxxx Education as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by Zones Carahsoft OBO City Maine Department of Xxxxxx Education during the course of your relationship with Zones Carahsoft OBO City Maine Department of XxxxxxEducation. DocuSign Envelope ID: CF646127-61F0-45BA-9586-5A0660ACD05D Amendment Name of Contractor: Law Office of Xxxxxx Xxxxxxxx (“Attorney”) Contract Name: Contract for Indigent Defense Services (“Contract”) Original Agreement Date: Signed by Contractor on December 5, 2018 Signed by City on November 19, 2018 This Amendment is made between the City of Xxxxxx and the Law Office of Xxxxxx Xxxxxxxx (Attorney), collectively, “the Parties,” and amends the original Contract. All other provisions of the original Contract not inconsistent with this Amendment shall remain in full force and effect. EXHIBIT D Monitoring Plan EXHIBIT D Maine Charter School Commission Public Charter School Monitoring Plan For valuable consideration and by mutual consent of the Parties, the Agreement is modified as followed:Third Charter Term Maine Connections Academy
Appears in 1 contract
Samples: www.maine.gov
Required hardware and software. The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: xxxxx://xxxxxxx.xxxxxxxx.xxx/guides/signer-guide- signing-system-requirements. Acknowledging your access and consent to receive and sign documents electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm that: • You can access and read this Electronic Record and Signature Disclosure; and • You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and • Until or unless you notify Zones OBO City of Xxxxxx Simi Valley Unified School District as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by Zones OBO City of Xxxxxx Simi Valley Unified School District during the course of your relationship with Zones OBO City of XxxxxxSimi Valley Unified School District. EXHIBIT “A” LIST OF SELECTED FIRMS FOR ON-CALL CONSULTING SERVICES FOR MATERIALS TESTING AND INSPECTIONS FOR PROJECTS THROUGHOUT THE DISTRICT RFQ #B23RM409 • Converse Consultants • Earth Systems • Fenagh Engineering and Testing • Xxxxx Engineering & Testing, Inc • NV5 West, Inc. • RMA Group • Xxxxxxx, Inc. Business & Facilities, Consent #16 DocuSign Envelope ID: CF6461274C6B8DFD-61F0FA81-45BA-9586492B-5A0660ACD05D Amendment Name of Contractor: Law Office of Xxxxxx Xxxxxxxx (“Attorney”) Contract BBFB-85977DFAB4F6 000 Xxxx Xxxxxxx Xxxxxx, Simi Valley, CA 93065 805.306.4500 ext.4461 CHANGE ORDER Project Name: Contract for Indigent Defense Services (“Contract”) Original Agreement Sycamore ES Security Fencing Change Order #: 1 Site: Sycamore Elementary School Board Date: Signed by Contractor on December 5May. 16, 2018 Signed by City on November 192023 To (Contractor): Xxxxxx General Engineering, 2018 This Amendment is made between Inc. DSA Application #: N/A Address: PO Box 2293 Camarillo CA 93011 Contract #: B23FS388 Contract Date: 12/22/22 PO #: PO Date: THE CONTRACT IS CHANGED AS FOLLOWS: COP #4 Concrete Pad at Play Yard Original Contract: $676,775.00 Change Order #1 $22,000.00 04/28/23 $698,775.00 Total Revised Contract, funded with Measure X funds. P a g e 1 | 2 DocuSign Envelope ID: 4C6B8DFD-FA81-492B-BBFB-85977DFAB4F6 000 Xxxx Xxxxxxx Xxxxxx, Simi Valley, CA 93065 805.306.4500 ext.4461 Adjustment to Contract Amount Adjustment to Contract Schedule Original Contract Amount: $ 676,775.00 Original Contract Duration: Days 122 calendar days. Prior Contract Adjustments: $ 0 Original Completion Date: April 28, 2023 Contract Sum Prior to thisAmendment: $ 676,775.00 Total Approved Time Extension to Date: 56 calendar days Adjustment per this Amendment: $ 22,000 Adjustments per this Amendment: 178 calendar days Revised Contract Amount: $ 698,775.00 Completion Date Including June 23,2023 The amounts and/or time listed in this change order are full, complete and final mutual account and satisfaction from all direct, indirect, impact, delay cost and time for the City of Xxxxxx and the Law Office of Xxxxxx Xxxxxxxx (Attorney), collectively, “the Parties,” and amends the original Contractwork defined in this Amendment. All other provisions terms and conditions of the original Contract not inconsistent with this Amendment shall contract are to remain in full force and effectthe same. For valuable consideration and by mutual consent of the PartiesXXXX XXXXXX Xxxxxx General Engineering, the Agreement is modified as followedInc. (Signature) [SimiPCC20118] (Date) N/A N/A Architect (Signature) (Date) XXXXXXX XXXX Project Coordinator (Signature) (Date) 5/17/2023 XXXX XXXXXXXXXX Construction Project Manager (Signature) (Date) 5/17/2023 XXXX XXXXXXXXXX Bond Program Manager (Signature) (Date) 5/17/2023 XXX XXXX Associate Superintendent, Business & Facilities (Signature) (Date) 5/17/2023 P a g e 2 | 2 DocuSign Envelope ID: 4C6B8DFD-FA81-492B-BBFB-85977DFAB4F6 Sycamore Elementary School Sycamore ES Security Fencing Xxxxxxx Xxxx Xxxxxx General Engineering School Name: Project Name: To: CM/ Project Coordinator From: Contractor SIMI VALLEY UNIFIED SCHOOL DISTRICT CHANGE ORDER PROPOSAL (COP) CHANGE ORDER PROPOSAL (COP) April 28, 2023 X073-01-23 B23FS388 Date: COP Number:
Appears in 1 contract
Samples: resources.finalsite.net
Required hardware and software. The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: xxxxx://xxxxxxx.xxxxxxxx.xxx/guides/signer-guide- signing-system-requirements. Acknowledging your access and consent to receive and sign documents electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm that: • You can access and read this Electronic Record and Signature Disclosure; and • You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and • Until or unless you notify Zones OBO City of Xxxxxx Central Washington University as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by Zones OBO City of Xxxxxx Central Washington University during the course of your relationship with Zones OBO City Central Washington University. Electronic Record and Signature Disclosure created on: 10/31/2017 1:57:13 PM Parties agreed to: Xxxx Xxxx CONSUMER DISCLOSURE From time to time, Central Washington University (we, us or Company) 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 through the DocuSign, Inc. (DocuSign) electronic signing system. 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 Xxxxxxthis document. Getting paper copies At any time, you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the ability to download and print documents we send to you through the DocuSign Envelope ID: CF646127system during and immediately after signing session and, if you elect to create a DocuSign signer account, you may access them 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 copies of any such documents from our office to you, you will be charged a $0.00 per-61F0-45BA-9586-5A0660ACD05D Amendment Name page fee. You may request delivery of Contractor: Law Office such paper copies from us by following the procedure described below. Withdrawing your consent If you 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. How you must inform us of Xxxxxx Xxxxxxxx (“Attorney”) Contract Name: Contract for Indigent Defense Services (“Contract”) Original Agreement Date: Signed by Contractor your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below. 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 December 5, 2018 Signed by City on November 19, 2018 the signing page of a DocuSign envelope instead of signing it. This Amendment is made between 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 the City of Xxxxxx DocuSign system to receive required notices and the Law Office of Xxxxxx Xxxxxxxx (Attorney), collectively, “the Parties,” and amends the original Contractconsents 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 the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other provisions 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 original Contract 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 inconsistent agree with this Amendment shall remain in full force and effectprocess, please let us know as described below. For valuable consideration and by mutual consent Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the Partiesnotices and disclosures electronically from us. How to contact Central Washington University: 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: xxxxxxx.xxxxxx@xxx.xxx To advise Central Washington University 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 xxxxxxx.xxxxxx@xxx.xxx and in the Agreement is modified as followedbody of such request you must state: your previous e-mail address, your new e-mail address. We do not require any other information from you to change your email 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 the DocuSign system. To request paper copies from Central Washington University To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an e-mail to xxxxxxx.xxxxxx@xxx.xxx and in the body of such request you must state your e-mail address, full name, US Postal address, and telephone number. We will bill you for any fees at that time, if any. To withdraw your consent with Central Washington University To inform us that you no longer want to receive future notices and disclosures in electronic format you may:
Appears in 1 contract
Samples: Articulation Agreement
Required hardware and software. The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: xxxxx://xxxxxxx.xxxxxxxx.xxx/guides/signer-guide- signing-system-requirements. Acknowledging your access and consent to receive and sign documents electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm that: • You can access and read this Electronic Record and Signature Disclosure; and • You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and • Until or unless you notify Zones OBO City County of Xxxxxx Santa Xxxx as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by Zones OBO City County of Xxxxxx Santa Xxxx during the course of your relationship with Zones OBO City County of XxxxxxSanta Xxxx. Certificate Of Completion Envelope Id: CBB0CFAB7D9448C08D4142FC94A3721C Status: Completed Subject: Complete with DocuSign: Live_Oak_Library_Lease_Final.pdf Source Envelope: Document Pages: 25 Signatures: 3 Envelope Originator: Certificate Pages: 5 Initials: 0 Xxxxxxxx Xxxxxx AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-08:00) Pacific Time (US & Canada) 000 Xxxxx Xxxxxx Xxxxx Xxxx, XX 00000 Xxxxxxxx.Xxxxxx@xxxxxxxxxxxxxxxxx.xxx IP Address: 63.194.190.100 Record Tracking Status: Original 10/10/2023 9:27:53 AM Holder: Xxxxxxxx Xxxxxx Xxxxxxxx.Xxxxxx@xxxxxxxxxxxxxxxxx.xxx Location: DocuSign Envelope Security Appliance Status: Connected Pool: FedRamp Storage Appliance Status: Connected Pool: County of Santa Xxxx Location: DocuSign Signer Events Signature Timestamp Xxxxxxx Xxxx xxxxx@xxx-xxx.xxx X Security Level: Email, Account Authentication (None) Signature Adoption: Drawn on Device Using IP Address: 12.39.145.2 Sent: 10/10/2023 9:29:26 AM Viewed: 10/10/2023 9:41:37 AM Signed: 10/10/2023 9:41:57 AM Electronic Record and Signature Disclosure: Accepted: 5/25/2022 2:00:27 PM ID: CF64612743a42096-61F05645-45BA-95864cda-868d-53e48da5cdf0 Xxxxxxx Xxxxxxx xxxxxxxx@xxxxxxxxxxx.xxx Security Level: Email, Account Authentication (None) Signature Adoption: Pre-5A0660ACD05D Amendment Name selected Style Using IP Address: 205.155.237.34 Sent: 10/10/2023 9:41:59 AM Viewed: 10/10/2023 10:09:11 AM Signed: 10/10/2023 10:09:18 AM Electronic Record and Signature Disclosure: Accepted: 10/10/2023 10:09:11 AM ID: 53bfd618-f42d-43a3-8d66-08f2eb557050 Xxxx Xxxxxxx Xxxx.Xxxxxxx@xxxxxxxxxxxxxxx.xx Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 63.194.190.100 Sent: 10/10/2023 10:09:20 AM Viewed: 10/10/2023 2:45:02 PM Signed: 10/10/2023 2:45:22 PM Electronic Record and Signature Disclosure: Accepted: 10/10/2023 2:45:02 PM ID: d50cc620-5342-4b50-b292-3031824dc46c 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 Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 10/10/2023 9:29:26 AM Certified Delivered Security Checked 10/10/2023 2:45:02 PM Signing Complete Security Checked 10/10/2023 2:45:22 PM Completed Security Checked 10/10/2023 2:45:22 PM Payment Events Status Timestamps Electronic Record and Signature Disclosure Electronic Record and Signature Disclosure created on: 2/28/2022 5:23:37 PM Parties agreed to: Xxxxxxx Xxxx, Xxxxxxx Xxxxxxx, Xxxx Xxxxxxx ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, County of Contractor: Law Office of Xxxxxx Xxxxxxxx Santa Xxxx (“Attorney”we, us or Company) Contract Name: Contract may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for Indigent Defense Services providing to you such notices and disclosures electronically through the DocuSign system. Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature Disclosure (“Contract”) Original Agreement Date: Signed by Contractor on December 5, 2018 Signed by City on November 19, 2018 This Amendment is made between the City of Xxxxxx and the Law Office of Xxxxxx Xxxxxxxx (AttorneyERSD), collectivelyplease confirm your agreement by selecting the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. Getting paper copies At any time, “you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the Parties,” ability to download and amends print documents we send to you through the original ContractDocuSign system during and immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents 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 copies of any such documents from our office to you, you will be charged a $0.00 per-page fee. You may request delivery of such paper copies from us by following the procedure described below. Withdrawing your consent If you 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. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below. 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. Further, you will no longer be able to use the DocuSign system 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 the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other provisions 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 original Contract 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 inconsistent agree with this Amendment shall remain in full force and effectprocess, please let us know as described below. For valuable consideration and by mutual consent Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the Partiesnotices and disclosures electronically from us. How to contact County of Santa Xxxx: 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: xxxx.xxxxxxxx@xxxxxxxxxxxxxxx.xx To advise County of Santa Xxxx of your new email address To let us know of a change in your email address where we should send notices and disclosures electronically to you, you must send an email message to us at xxxx.xxxxxxxx@xxxxxxxxxxxxxxx.xx and in the Agreement is modified as followedbody of such request you must state: your previous email address, your new email address. We do not require any other information from you to change your email address. If you created a DocuSign account, you may update it with your new email address through your account preferences. To request paper copies from County of Santa Xxxx To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an email to xxxx.xxxxxxxx@xxxxxxxxxxxxxxx.xx and in the body of such request you must state your email address, full name, mailing address, and telephone number. We will bill you for any fees at that time, if any. To withdraw your consent with County of Santa Xxxx To inform us that you no longer wish to receive future notices and disclosures in electronic format you may:
Appears in 1 contract
Samples: Lease Agreement
Required hardware and software. The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: xxxxx://xxxxxxx.xxxxxxxx.xxx/guides/signer-guide- signing-system-requirements. Acknowledging your access and consent to receive and sign documents electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save s ve this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. check- By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm check- irm that: • You can access and read this Electronic Record and Signature Disclosure; and • You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and • Until or unless you notify Zones OBO City of Xxxxxx Admin - Flexiplace as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by Zones OBO City of Xxxxxx Admin - Flexiplace during the course of your relationship with Zones OBO City Admin - Flexiplace. FLEXIPLACE APPLICATION & AGREEMENT Equal Opp. Specialist, 0360, GS-13 _Sajid Shahriar______ EMPLOYEE NAME TITLE, SERIES & GRADE FHEO Boston xxxxx.xxxxx@xxx.xxx PROGRAM OFFICE OFFICE/DIVISION/BRANCH IMMEDIATE SUPERVISOR E-MAIL ADDRESS 00 Xxxxxxxx Xxxxxx #000, Xxxxxx, XX 00000 _ 000-000-0000 TELEWORK OR REMOTE WORKSITE ADDRESS: TELEPHONE NUMBER: CITY: COUNTY: STATE: _ n OFFICE PHONE NUMBER CURRENT OFFICIAL DUTY STATION ADDRESS TYPE OF FLEXIPLACE ARRANGEMENT REGULAR TELEWORK - Number of Xxxxxxdays per pay period NOTE: If you select Regular Telework, you are automatically approved for Situational Telework. DocuSign Envelope IDSITUATIONAL TELEWORK ONLY COOP TELEWORK ONLY NOTE: CF646127-61F0-45BA-9586-5A0660ACD05D Amendment Name If this application is being submitted in order to utilize only Situational or COOP telework in the future, employees must provide start and end dates and a reason/justification by email to the approving official each time telework is to be used and obtain approval in writing. X REMOTE WORK – NEAR HUD OFFICE (within 50 miles of ContractorHUD office) REMOTE WORK – OUTSIDE COMMUTING AREA (more than 50 miles from HUD office) Process Process TOUR OF DUTY In NOTE: Law For employees on flexitime/flexitour schedules, start times may vary from those indicated within the applicable window. Work Week 1 Start Time End Time LOCATION: HUD Office or Telework/Remote Site Work Week 2 Start Time End Time LOCATION: HUD Office or Telework/Remote Site Monday 8:00 4:30 TW/Remote Monday 8:00 4:30 TW/Remote Tuesday 8:00 4:30 TW/Remote Tuesday 8:00 4:30 TW/Remote Wednesday 8:00 4:30 TW/Remote Wednesday 8:00 4:30 TW/Remote Thursday 8:00 4:30 TW/Remote Thursday 8:00 4:30 TW/Remote Friday 8:00 4:30 TW/Remote Friday 8:00 4:30 TW/Remote Identify type of Xxxxxx Xxxxxxxx (“Attorney”) Contract Name: Contract for Indigent Defense Services (“Contract”) Original Agreement Date: Signed by Contractor work to be performed at ALTERNATIVE/REMOTE worksite. Use the overflow box on December 5, 2018 Signed by City on November 19, 2018 This Amendment the last page if more space is made between the City of Xxxxxx and the Law Office of Xxxxxx Xxxxxxxx (Attorney), collectively, “the Parties,” and amends the original Contractneeded. All work/duties OR identify specific tasks below: All work/duties including union representational duties, which may require visits to the union office and other provisions of the original Contract not inconsistent with this Amendment shall remain in full force and effect. For valuable consideration and by mutual consent of the Parties, the Agreement is modified as followed:Regional offices.
Appears in 1 contract
Samples: www.afgecouncil222.com
Required hardware and software. The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: xxxxx://xxxxxxx.xxxxxxxx.xxx/guides/signer-guide- signing-system-requirements. Acknowledging your access and consent to receive and sign documents electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm that: • You can access and read this Electronic Record and Signature Disclosure; and • You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and • Until or unless you notify Zones OBO City of Xxxxxx CliftonLarsonAllen LLP as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by Zones OBO City of Xxxxxx CliftonLarsonAllen LLP during the course of your relationship with Zones OBO City of XxxxxxCliftonLarsonAllen LLP. DocuSign Envelope ID: CF646127-61F0-45BA-9586-5A0660ACD05D Amendment Name of Contractor: Law Office of Xxxxxx Xxxxxxxx (“Attorney”) Contract Name: Contract for Indigent Defense Services (“Contract”) Original Agreement Date: Signed by Contractor on December 5, 2018 Signed by City on November 19, 2018 This Amendment is made between the City of Xxxxxx and the Law Office of Xxxxxx Xxxxxxxx (Attorney), collectively, “the Parties,” and amends the original Contract. All other provisions of the original Contract not inconsistent with this Amendment shall remain in full force and effect. For valuable consideration and by mutual consent of the Parties, the Agreement is modified as followed:STATE OF MISSISSIPPI MISSISSIPPI DEPARTMENT OF HUMAN SERVICES CONTRACT FOR PERSONAL OR PROFESSIONAL SERVICES
Appears in 1 contract
Samples: www.osa.state.ms.us
Required hardware and software. The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: xxxxx://xxxxxxx.xxxxxxxx.xxx/guides/signer-guide- signing-system-requirements. Acknowledging your access and consent to receive and sign documents electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm that: • You can access and read this Electronic Record and Signature Disclosure; and • You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and • Until or unless you notify Zones OBO City of Xxxxxx Simi Valley Unified School District as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by Zones OBO City of Xxxxxx Simi Valley Unified School District during the course of your relationship with Zones OBO City of XxxxxxSimi Valley Unified School District. DocuSign Envelope ID: CF6461273072F9E4-61F0E03B-4219-45BA-9586A244-5A0660ACD05D 6C1CD7ECC6EF AMENDMENT NO. 2 (Master Lease-Leaseback Agreement Royal High School Projects) This Amendment Name of Contractor: Law Office of Xxxxxx Xxxxxxxx No. 1 (“AttorneyAmendment”) Contract Name: Contract for Indigent Defense to the Master Lease-Leaseback Agreement (which is comprised of the Master Site Lease, Master Sublease, and Master Construction Services Agreement, collectively referred to as the “Master Lease-Leaseback Agreement”) between Simi Valley Unified School District (“ContractDistrict”) Original Agreement Date: Signed by Contractor on December 5and Balfour Xxxxxx Construction, 2018 Signed by City on November 19, 2018 This Amendment LLC (“Contractor”) is made between the City of Xxxxxx and the Law Office of Xxxxxx Xxxxxxxx (Attorney), collectively, “the Parties,” and amends the original Contract. All other provisions of the original Contract not inconsistent with this Amendment shall remain in full force and effect. For valuable consideration and by mutual consent of the Parties, the Agreement is modified hereby amended as followedfollows:
Appears in 1 contract
Samples: resources.finalsite.net
Required hardware and software. The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: xxxxx://xxxxxxx.xxxxxxxx.xxx/guides/signer-guide- signing-system-requirements. Acknowledging your access and consent to receive and sign documents electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm that: • You can access and read this Electronic Record and Signature Disclosure; and • You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and • Until or unless you notify Zones OBO City of Xxxxxx GCP-Service International Ltd. & Co. KG- CFR Part 11 as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by Zones OBO City of Xxxxxx GCP-Service International Ltd. & Co. KG- CFR Part 11 during the course of your relationship with Zones OBO City of XxxxxxGCP-Service International Ltd. & Co. KG- CFR Part 11. Certificate Of Completion Envelope Id: 38F668CAA9CA4F39AA39CCCCC0426900 Status: Completed Subject: Complete with DocuSign: HECATE_EU_CZE01_Loan_Agreement.pdf Source Envelope: Document Pages: 13 Signatures: 1 Envelope Originator: Certificate Pages: 4 Initials: 0 Xxxxx Xxxxxxxx AutoNav: Enabled EnvelopeId Stamping: Disabled Time Zone: (UTC+01:00) Amsterdam, Berlin, Bern, Rome, Stockholm, Vienna xxxxxxxxx@xxx-xxxxxxx.xxx IP Address: 46.135.95.152 Record Tracking Status: Original 13-Jul-2023 | 16:16 Holder: Xxxxx Xxxxxxxx xxxxxxxxx@xxx-xxxxxxx.xxx Location: DocuSign Envelope Signer Events Signature Timestamp Xxxxxxxxx Xxxxxxx xxxxxxxxx.xxxxxxx@xxxxx.xxx Project Manager Clinical Affairs Sent: 13-Jul-2023 | 16:18 Viewed: 13-Jul-2023 | 16:19 Signed: 13-Jul-2023 | 16:20 Xxxx Xxxxx Meditec AG Security Level: Email, Account Authentication (Required) Electronic Record and Signature Disclosure: Accepted: 23-May-2022 | 15:24 ID: CF64612747ecb39d-61F0e8c5-45BA-95864059-5A0660ACD05D Amendment Name of Contractor9778-9043c4af60eb Signature Adoption: Law Office of Xxxxxx Xxxxxxxx Pre-selected Style Signature ID: 84EE072C-1D41-4664-A574-99C430A4D288 Using IP Address: 77.13.71.156 With Signing Authentication via DocuSign password With Signing Reasons (“Attorney”on each tab): Ich genehmige dieses Dokument 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 Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 13-Jul-2023 | 16:18 Certified Delivered Security Checked 13-Jul-2023 | 16:19 Signing Complete Security Checked 13-Jul-2023 | 16:20 Completed Security Checked 13-Jul-2023 | 16:20 Payment Events Status Timestamps Electronic Record and Signature Disclosure Electronic Record and Signature Disclosure created on: 20-Apr-2022 | 14:53 Parties agreed to: Xxxxxxxxx Xxxxxxx ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, GCP-Service International Ltd. & Co. KG- CFR Part 11 (we, us or Company) Contract Name: Contract may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for Indigent Defense Services providing to you such notices and disclosures electronically through the DocuSign system. Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature Disclosure (“Contract”) Original Agreement Date: Signed by Contractor on December 5, 2018 Signed by City on November 19, 2018 This Amendment is made between the City of Xxxxxx and the Law Office of Xxxxxx Xxxxxxxx (AttorneyERSD), collectivelyplease confirm your agreement by selecting the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. Getting paper copies At any time, “you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the Parties,” ability to download and amends print documents we send to you through the original ContractDocuSign system during and immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents 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 copies of any such documents from our office to you, you will be charged a $0.00 per-page fee. You may request delivery of such paper copies from us by following the procedure described below. Withdrawing your consent If you 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. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below. 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. Further, you will no longer be able to use the DocuSign system 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 the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other provisions 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 original Contract 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 inconsistent agree with this Amendment shall remain in full force and effectprocess, please let us know as described below. For valuable consideration and by mutual consent Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the Partiesnotices and disclosures electronically from us. How to contact GCP-Service International Ltd. & Co. KG- CFR Part 11: 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: xxxxxxxxx@xxx-xxxxxxx.xxx To advise GCP-Service International Ltd. & Co. KG- CFR Part 11 of your new email address To let us know of a change in your email address where we should send notices and disclosures electronically to you, you must send an email message to us at xxxxxxxxxxx@xxx-xxxxxxx.xxx and in the Agreement is modified as followedbody of such request you must state: your previous email address, your new email address. We do not require any other information from you to change your email address. If you created a DocuSign account, you may update it with your new email address through your account preferences. To request paper copies from GCP-Service International Ltd. & Co. KG- CFR Part 11 To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an email to xxxxxxxxx@xxx-xxxxxxx.xxx and in the body of such request you must state your email address, full name, mailing address, and telephone number. We will bill you for any fees at that time, if any. To withdraw your consent with GCP-Service International Ltd. & Co. KG- CFR Part 11 To inform us that you no longer wish to receive future notices and disclosures in electronic format you may:
Appears in 1 contract
Samples: smlouvy.gov.cz
Required hardware and software. The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: xxxxx://xxxxxxx.xxxxxxxx.xxx/guides/signer-guide- signing-system-requirements. Acknowledging your access and consent to receive and sign documents electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm that: • You can access and read this Electronic Record and Signature Disclosure; and • You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and • Until or unless you notify Zones OBO City of Xxxxxx Union Pacific Corporation as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by Zones OBO City of Xxxxxx Union Pacific Corporation during the course of your relationship with Zones OBO Union Pacific Corporation. City of XxxxxxSan Xxxx Contract/Agreement Transmittal Form Route Order Attached / Completed Electronically Signed TO: City Attorney Insurance Certificates / Waivers Electronically Si Yes City Manager City Clerk OR Return to ontacted Clerk re: Audit Trail Attached (if applicable) Dept. DocuSign Envelope ID(circle one) Type of Document: CF646127New Contract Supplemental Memorandums if applicable Type of Contract Other Select One REQUIRED INFORMATION FOR ALL CONTRACTS: Existing XXXXX # 667156-61F0-45BA-9586-5A0660ACD05D Amendment Name of 000 Contractor: Law Address: Phone: Email: Contract Description: Term Start Date: Term End Date: Extension: Select one Method of Procurement: Select one RFB, RFP or RFQ No.: Date Conducted: Agenda Date (if applicable): _ Resolution No.: Original Contract Amount: Option # of Option Amount: Agenda Item No.: Ordinance No.: Amount of Increase/Decrease: _ Fund/Appropriation: Business No Form 700 Required No Tax Certificate No.: Expiration Date: Department: DOT (51) Department Contact: Notes: Office of Xxxxxx Xxxxxxxx (“Attorney”) Contract Name: Contract for Indigent Defense Services (“Contract”) Original Agreement Date: Signed by Contractor on December 5, 2018 Signed by City on November 19, 2018 This Amendment is made between the City of Xxxxxx and the Law Office of Xxxxxx Xxxxxxxx (Attorney), collectively, “the Parties,” and amends the original Contract. All other provisions of the original Contract not inconsistent with this Amendment shall remain in full force and effect. For valuable consideration and by mutual consent of the Parties, the Agreement is modified as followedManager Signature:
Appears in 1 contract
Samples: records.sanjoseca.gov
Required hardware and software. The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: xxxxx://xxxxxxx.xxxxxxxx.xxx/guides/signer-guide- signing-system-requirements. Acknowledging your access and consent to receive and sign documents electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save s ve this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. check- By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm check- irm that: • You can access and read this Electronic Record and Signature Disclosure; and • You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and • Until or unless you notify Zones OBO City of Xxxxxx Admin - Flexiplace as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by Zones OBO City of Xxxxxx Admin - Flexiplace during the course of your relationship with Zones OBO City Admin - Flexiplace. FLEXIPLACE APPLICATION & AGREEMENT _ ___________ EMPLOYEE NAME TITLE, SERIES & GRADE PROGRAM OFFICE OFFICE/DIVISION/BRANCH IMMEDIATE SUPERVISOR E-MAIL ADDRESS OFFICE PHONE NUMBER CURRENT OFFICIAL DUTY STATION ADDRESS TOUR OF DUTY NOTE: For employees on flexitime/flexitour schedules, start times may vary from those indicated within the applicable window. Work Week 1 Start Time End Time LOCATION: HUD Office or Telework/Remote Site Work Week 2 Start Time End Time LOCATION: HUD Office or Telework/Remote Site Monday Monday Tuesday Tuesday Wednesday Wednesday Thursday Thursday Friday Friday Identify type of Xxxxxxwork to be performed at ALTERNATIVE/REMOTE worksite. DocuSign Envelope ID: CF646127-61F0-45BA-9586-5A0660ACD05D Amendment Name of Contractor: Law Office of Xxxxxx Xxxxxxxx (“Attorney”) Contract Name: Contract for Indigent Defense Services (“Contract”) Original Agreement Date: Signed by Contractor Use the overflow box on December 5, 2018 Signed by City on November 19, 2018 This Amendment the last page if more space is made between the City of Xxxxxx and the Law Office of Xxxxxx Xxxxxxxx (Attorney), collectively, “the Parties,” and amends the original Contractneeded. All other provisions of the original Contract work/duties OR identify specific tasks below: EMPLOYEE AGREES TO RETRIEVE VOICE MAIL MESSAGES EVERY HOURS AND TO RESPOND WITHIN HOURS OR EMPLOYEE WILL USE CALL FORWARDING FROM A HUD PHONE NUMBER OR USE A HUD-ISSUED CELL PHONE Other Requirements: _ TECHNOLOGICAL INFORMATION I have internet access at my alternative/remote worksite. High Speed Other (Explain): I have a HUD-issued laptop. I use a personal computer at my alternative/remote worksite in accordance with IT Helpdesk instructions because a HUD laptop is not inconsistent with this Amendment shall remain in full force and effectavailable. For valuable consideration and by mutual consent of the Parties, the Agreement is modified as followed:HUD-252228 (05/202
Appears in 1 contract
Samples: www.afgecouncil222.com
Required hardware and software. The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: xxxxx://xxxxxxx.xxxxxxxx.xxx/guides/signer-guide- signing-system-requirements. Acknowledging your access and consent to receive and sign documents electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm that: • You can access and read this Electronic Record and Signature Disclosure; and • You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and • Until or unless you notify Zones OBO City King County Sub Account - Office of Xxxxxx Labor Relations as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by Zones OBO City King County Sub Account - Office of Xxxxxx Labor Relations during the course of your relationship with Zones OBO City of Xxxxxx. DocuSign Envelope ID: CF646127-61F0-45BA-9586-5A0660ACD05D Amendment Name of Contractor: Law King County Sub Account - Office of Xxxxxx Xxxxxxxx (“Attorney”) Contract Name: Contract for Indigent Defense Services (“Contract”) Original Agreement Date: Signed by Contractor on December 5, 2018 Signed by City on November 19, 2018 This Amendment is made between the City of Xxxxxx and the Law Office of Xxxxxx Xxxxxxxx (Attorney), collectively, “the Parties,” and amends the original Contract. All other provisions of the original Contract not inconsistent with this Amendment shall remain in full force and effect. For valuable consideration and by mutual consent of the Parties, the Agreement is modified as followed:Labor Relations.
Appears in 1 contract
Samples: Coalition Labor Agreement
Required hardware and software. The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: xxxxx://xxxxxxx.xxxxxxxx.xxx/guides/signer-guide- signing-system-requirements. Acknowledging your access and consent to receive and sign documents electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm that: • You can access and read this Electronic Record and Signature Disclosure; and • You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and • Until or unless you notify Zones Carahsoft OBO City of Xxxxxx SHI OBO Washington County as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by Zones Carahsoft OBO City of Xxxxxx SHI OBO Washington County during the course of your relationship with Zones Carahsoft OBO City SHI OBO Washington County. ATTACHMENT C BUS STOP CAPITAL ASSET CONDITION ASSESSMENT FORM {00849521; 1 } Bus Stop Capital Asset Condition Assessment Form Jurisdiction Assessment Date Staff Person Signature Stop Location (Road Name and Intersecting Street) Direction or Side of Xxxxxx. DocuSign Envelope ID: CF646127-61F0-45BA-9586-5A0660ACD05D Amendment Name of Contractor: Law Office of Xxxxxx Xxxxxxxx Street Asset Type Asset Number / Serial Number Condition Assessment Description Needs Repair or Replacement? (“Attorney”Y/N) Contract Name: Contract for Indigent Defense Services Additional Notes and/or Photos (“Contract”please attach as necessary) Original Agreement Date: Signed by Contractor on December 5Condition Assessment Score 5 Excellent No visible defects, 2018 Signed by City on November 19new or near new condition, 2018 This Amendment is made between the City of Xxxxxx and the Law Office of Xxxxxx Xxxxxxxx (Attorneymay still be under warranty if applicable 4 Good Good condition, but no longer new, may have some slightly defective or deteriorated component(s), collectively, “the Parties,” and amends the original Contract. All other provisions but is overall functional 2 Marginal Defective or deteriorated component(s) in need of the original Contract not inconsistent with this Amendment shall remain replacement; exceeded useful life 1 Poor Critically damaged component(s) or in full force and effect. For valuable consideration and by mutual consent need of the Parties, the Agreement is modified as followed:immediate repair; well past useful life Capital Assets Shelter (including lighting) Bench within Shelter Standalone Bench Trash Can (attached or standalone)
Appears in 1 contract
Samples: Intergovermental Agreement