HomeMy WebLinkAboutContract 61135DocuSign Envelope ID: 545F2666-2380-4B59-8C33-A1F38D605AB4
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CSC No. 61135
Service Order
A. Issued to:
B. Order Details
C. Product Details:
Order Number: Q007008
Valid Until: 28 Feb 2024
Customer Contact Details:
City of Fort Worth
James West
200 Texas St
Fort Worth, Texas 76102
United States
Amendment Start Date: 02 Jan 2024
Initial Term Start Date: 02 Jan 2024
Term: 12 months
Invoice Date*: 02 Jan 2024
Payment Term: Net 30
Payment Method: Wire Transfer
Currency: USD
Product Description
Limit
Quantity
Billing Period
Recurrinq Charqes
Usability
Usability Maps
10
Annual
Standard Support
Each
1
Annual
SEO
Pages
3500
Annual
Accessibility
Pages
3500
Annual
PDF-check of documents
PDFs
500
Annual
Quality Assurance & Policy
Pages
3500
Annual
Deducted Value: USD - 267.56
The Service Order has an Estimated Annual Recurring Value of USD 5,189.52.
' Estimated Annual Recurring Value is calculated based on the monthly recurring revenue, so decimals differences can occur as the actual price is based on up to 9 decimals.
** Deducted Value is the deducted contract value for the remaining period of the Current Term.
The above amounts exclude VAT, GST, or applicable local Sales tax. This will be added to your invoice (only when applicable).
All services will be subject to a percentage increase based on the Consumer Price Index (United States) upon renewal.
Following the Initial Term, the Services will automatically renew for successive terms of 12 months until terminated according to the
Agreement.Customer will be invoiced at the start of any Renewal Term.
D. Limits:
Please Refer to Section C.
E. Terms:
General Terms:
Amendment to 5772. Except as set forth in this Service Order, the Terms and Conditions in 5772 will remain unaffected.
Page 1 of 5 OFFICIAL RECORD
Siteimprove, Inc
5600 West 83rd Street Suite 400 CITY SECRETARY
Bloomington Minnesota 55437 FT. WORTH, TX
United States
DocuSign Envelope ID: 545F2666-2380-4B59-8C33-A1F38D605AB4
itelimprove
F. Signatures:
Signature /
Michelle Frey ar 7, 202407:13 CST)
Date:
Name: Michelle Frey
Sitelmprove
r
DocuSigned by:
By: 1
Name .. r
Title: Director of Customer Success
CITY OF FORT WORTH
By:
Reynetellg (I��ar 18, 202412:19 CDT)
Name: Reyne Telles
Title: Chief Communications Officer
CONTRACT COMPLIANCE MANAGER:
By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract, including ensuring all performance and
reporting requirements.
IMar 7, 202407:13 CST) By: Michelle
Name: Michelle Gutt
Title: Director, Communications and Public
Engagement 4dp44pn��
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ATTEST: —.o oo
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By: U
Name: Jannette Goodall
Title: City Secretary
APPROVED AS TO FORM AND LEGALITY:
e�5�
By::
Name: Taylor Paris
Title: Assistant City Attorney
CONTRACT AUTHORIZATION: CSC# 45215
M&C: N/A
Page 2 of 5 OFFICIAL RECORD
Siteimprove, Inc
5600 West 83rd Street Suite 400 CITY SECRETARY
Bloomington Minnesota 55437 FT. WORTH, TX
United States
DocuSign Envelope ID: 545F2666-2380-4B59-8C33-A1F38D605AB4
iteim rove
Appendix A — Order Information
1. Purchase Order Information
Is a PO number required for this Service Order? YES ❑ NO
If YES, please enter the following information:
Must the PO number be renewed for each Subscription term? YES ❑ NO ❑
Please enter:
PO number
PO Renewal Contact Name
PO Renewal Contact Email
PO Renewal Contact Phone Number
2. Required Invoice References
Reference
Page 3 of 5
Siteimprove, Inc
5600 West 83rd Street Suite 400
Bloomington Minnesota 55437
United States
DocuSign Envelope ID: 545F2666-2380-4B59-8C33-A1F38D605AB4
iteim rove
Appendix B - Company Information
Customer Finance department to complete
1. Bill to information
If your Bill to address is different to the following address, please enter the information in section 1.1
Bill to Company name
City of Fort Worth
Bill to Street
Communications & Public Engagement 200 Texas Street
Bill to City
Fort Worth
Bill to State
Texas
Bill to Postal code
76102
Bill to Country
United States
1.1 Changes to Bill to address
Bill to Company name
Bill to Street
Bill to City
Bill to State
Bill to Postal code
Bill to Country
Is your bill to address information a third party company YES ❑ NO ❑
2. Billing Method
Please enter your preferred Billing Method Email ❑ E-invoicing ❑
If Email, please go to Section 2.1. If E-invoicing please go to Section 2.2.
2.1 Billing Method Email
Bill to email
Additional billing email
Additional billing email
2.2 Billing Method E-invoicing
E-invoice Portal
Please enter the following information
E-invoicing Platform name
Required access information
3. PO number Required
Is a PO number required on Siteimprove invoices YES ❑ NO ❑
Page 4 of 5
Siteimprove, Inc
5600 West 83rd Street Suite 400
Bloomington Minnesota 55437
United States
DocuSign Envelope ID: 545F2666-2380-4B59-8C33-A1F38D605AB4
iteim rove
4. Account Payable information
Accounts Payable Email
Accounts Payable Phone number
5. Sold to information
Below is the address where the Siteimprove Software as a Service/Product will be used. If you have any changes, please contact
your internal purchaser to ensure changes
are made before signature.
Sold to Company name
City of Fort Worth
Sold to Street
200 Texas St
Sold to City
Fort Worth
Sold to State
Texas
Sold to Postal code
76102
Sold to Country
United States
5.1 Company TAXNAT number
6. Sales Tax information
You may be subject to sales tax (or equivalent) unless you can provide proof of exemption prior to issuance of invoice.
Exempt from sales tax? YES ❑ NO
If yes, it is required to provide Siteimprove a copy of a valid Sales tax exemption form.
Sales Tax exemption number
For assistance or if any set-up documentation is required for Siteimprove to complete before an invoice can be processed, please
contact accountsreceivable(a)siteimprove.com.
Page 5 of 5
Siteimprove, Inc
5600 West 83rd Street Suite 400
Bloomington Minnesota 55437
United States