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Home My WebLink AboutC24-251 DocuSign DocuSign, Inc. 221 Main Street, Suite 1550 San Francisco, CA 94105 Offer Valid Through: Jun 8, 2024 Prepared By: Matt Leighton Quote Number: Q-01515871 ORDER FORM Address Information Bill To: Ship To: Eagle County Colorado Eagle County Colorado PO Box 850, Eagle, CO, 81631 United States P.O. BOX 850, Eagle, CO, 81631-0850 United States Billing Contact Name: Shipping Contact Name: Tracy Stowell Tracy Stowell Billing Email Address: tracy.stowell@eaglecounty.us Shipping Email Address: tracy.stowell@eaglecounty.us Billing Phone: 9703288686 Shipping Phone: 9703288686 Order Details Order Start Date: Jun 8, 2024 Payment Method: Check Order End Date: Jun 7, 2025 Payment Terms: Net 30 Billing Frequency: Annual Currency: USD Products Product Name Subscription No. Start Date End Date Quantity Net Price eSignature Business Pro Edition - Envelope Subs. SUB-2416208-1 Jun 8, 2024 Jun 7, 2025 1,000 $3,840.00 Premier Support - eSign SUB-2416208-1 Jun 8, 2024 Jun 7, 2025 1 $576.00 Grand Total: $4,416.00 Product Details eSignature Envelope Allowance: 1,000 Overage/Usage Fees eSignature Business Pro Edition - Envelope Subs. (Per Transaction): $5.80 Page 2 of 3 Order Special Terms Terms & Conditions This Order Form is governed by the terms Master Services Agreement available online at: https://www.docusign.com/legal/terms-and-conditions/msa/pub-sec and the applicable Service Schedule(s) and Attachments for the DocuSign Services described herein available online at https://www.docusign.com/legal/terms-and-conditions/msa-service-schedules. Billing Information Prices shown above do not include any state and local taxes that may apply. Any such taxes are the responsibility of the Customer and will appear on the final Invoice. Is the contracting entity exempt from sales tax? Please select Yes or No: \tax1\ If yes, please send the required tax exemption documents immediately to taxexempt@docusign.com. Invoices for this order will be emailed automatically from invoicing@erp.docusign.com. Please make sure this email is on an approved setting or safe senders list so notifications do not go to a junk folder or caught in a spam filter. Purchase Order Information ment of the products on this Order Form? Please select: \poryes1\Yes \porno1\No Order Form without a PO Number. If yes, please complete the following information, and attach your PO (if available), and the invoice will be issued referencing such PO Number: Page 3 of 3 PO Number: \po1\ Please attach PO Attachment here: \poatt1\ then Customer agrees to provide the PO information or PO document to DocuSign at its earliest convenience by sending to POSubmission@docusign.com referencing this Quote Number, but agrees to still process payment per the agreed upon terms. If Customer has attached a PO (or other document) to this Order Form, Customer acknowledges and agrees that any additional or conflicting terms appearing in such PO (or any other document) are invalid. By signing this Agreement, I certify that I am authorized to sign on behalf of the Customer and agree to the Terms and Conditions of this Order Form and any documents incorporated herein. Customer DocuSign, Inc. Signature: \si1\ Signature: \si3\ Name: \na1\ Name: \na3\ Job Title: \ti1\ Job Title: \ti3\ Date: \ds1\ Date: \ds3\ \ \in2\ Certificate Of Completion Envelope Id: 3DF5D66CC5734FEB964ADAAB7A92AAC8 Status: Completed Subject: [DocuSign] Request for eSignatures:Eagle County Colorado - Renewal fcorgid: 00D300000000bS4EAI Source Envelope: Document Pages: 3 Signatures: 2 Envelope Originator: Certificate Pages: 5 Initials: 1 Matt Leighton AutoNav: Disabled EnvelopeId Stamping: Enabled Time Zone: (UTC-08:00) Pacific Time (US & Canada) 221 Main Street Suite 1000 San Francisco, CA 94105 Matt.Leighton@docusign.com IP Address: 13.110.78.8 Record Tracking Status: Original 5/6/2024 3:25:57 PM Holder: Matt Leighton Matt.Leighton@docusign.com Location: DocuSign Signer Events Signature Timestamp Jeff Shroll jeff.shroll@eaglecounty.us County Manager Eagle County Security Level: Email, Account Authentication (None) Signature Adoption: Drawn on Device Using IP Address: 184.164.124.34 Sent: 5/7/2024 9:04:35 AM Viewed: 5/7/2024 9:08:08 AM Signed: 5/7/2024 9:08:58 AM Electronic Record and Signature Disclosure: Accepted: 5/7/2024 9:08:08 AM ID: f7d01822-87a1-40ac-b94c-bfc77fa2dfcb Ben Chester Ben.Chester@docusign.com RevOps Contract Specialist DocuSign, Inc. Signing Group: AOR Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 73.222.76.198 Sent: 5/7/2024 9:09:02 AM Viewed: 5/7/2024 11:17:51 AM Signed: 5/7/2024 11:18:47 AM Electronic Record and Signature Disclosure: Accepted: 4/29/2024 4:40:37 PM ID: 0d2532a8-8e59-4a3e-b5f0-2a6fad207aa5 Beatriz Benjamin Beatriz.Benjamin@docusign.com Senior Manager, Revenue Operations DocuSign, Inc. Signing Group: AOA Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 24.7.1.188 Sent: 5/7/2024 11:18:49 AM Viewed: 5/7/2024 11:29:52 AM Signed: 5/7/2024 11:29:59 AM Electronic Record and Signature Disclosure: Accepted: 10/27/2023 11:20:47 AM ID: 48b8ad55-c2e2-463f-b1a1-7eb8633efaf9 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 Tracy Stowell tracy.stowell@eaglecounty.us Security Level: Email, Account Authentication (None) Sent: 5/7/2024 9:04:36 AM Viewed: 5/7/2024 11:57:45 AM Electronic Record and Signature Disclosure: Accepted: 7/10/2019 9:43:28 AM ID: 7540eeec-bf7b-4749-b024-34d086d5634a Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 5/6/2024 3:27:00 PM Certified Delivered Security Checked 5/7/2024 11:29:52 AM Signing Complete Security Checked 5/7/2024 11:29:59 AM Completed Security Checked 5/7/2024 11:29:59 AM Payment Events Status Timestamps Electronic Record and Signature Disclosure ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, DocuSign, Inc. (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 agreem bottom of this 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 system 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-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. To indicate to us that you are changing your mind, you must page of a DocuSign envelope instead of signing it. This will indicate to us that you have withdrawn your consent to receive required notices and disclosures electronically from us and you will no longer be able to use 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 documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us. How to contact DocuSign, Inc.: 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 paper mail, please send correspondence to: DocuSign, Inc. 221 Main St., Suite 1000 San Francisco, CA 94105 To advise DocuSign, Inc. 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 and in the body of such request you must state: your previous e-mail address, your new e-mail address. Please reach out to the sender of the envelope if you want 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 DocuSign, Inc. 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 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. Please reach out to the sender of the envelope if you want to request paper copies. To withdraw your consent with DocuSign, Inc. To inform us that you no longer want to receive future notices and disclosures in electronic format you may: i. decline to sign a document from within your DocuSign session, and on the subsequent page, select the check-box indicating you wish to withdraw your consent, or you may; ii. send us an e-mail to and in the body of such request you must state your e-mail, full name, US Postal Address, and telephone number. Please reach out to the sender of the envelope if you want to withdraw your consent.. The consequences of your withdrawing consent for online documents will be that transactions may take a longer time to process.. Required hardware and software Operating Systems: Windows® 2000, Windows® XP, Windows Vista®; Mac OS® X Browsers: Final release versions of Internet Explorer® 6.0 or above (Windows only); (Mac only) PDF Reader: Acrobat® or similar software may be required to view and print PDF files Screen Resolution: 800 x 600 minimum Enabled Security Settings: Allow per session cookies ** These minimum requirements are subject to change. If these requirements change, you will be asked to re-accept the disclosure. Pre-release (e.g. beta) versions of operating systems and browsers are not supported. Acknowledging your access and consent to receive materials 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 verify that you were able to read this electronic disclosure and that you also were able to print on paper or electronically save this page for your future reference and access or that you were able to e-mail this disclosure and consent to an address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format on the terms and conditions described above, please let us know I can access and read this Electronic CONSENT TO ELECTRONIC RECEIPT OF ELECTRONIC RECORD AND SIGNATURE DISCLOSURES document; and I can print on paper the disclosure or save or send the disclosure to a place where I can print it, for future reference and access; and Until or unless I notify DocuSign, Inc. as described above, I consent to receive from exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to me by DocuSign, Inc. during the course of my relationship with you.