HomeMy WebLinkAboutContract 55161-R5CSC No. ____________
Contract Renewal Page 1 of 2
CITY OF FORT WORTH
CONTRACT RENEWAL NOTICE
DocuSign, Inc.
Attn: Natalie LeMay
11493 Sunset Hills Road Suite 100
Reston, VA 20190
Re:Contract Renewal Notice
City Secretary Contract No. 55161 (the “Contract”)
Renewal Term No. 5: December 15, 2025 to December 14, 2026
The above referenced Contract with the City of Fort Worth expires on December 14, 2025
(the “Expiration Date”). Pursuant to the Contract, renewals are at the sole option of the City. This
letter is to inform you that the City is exercising its right to renew the Contract for an additional
one (1) year period, which will begin immediately after the Expiration Date. All other terms and
conditions ofthe Contract remain unchanged.Please return this signed acknowledgement letter,
along with a copy of your quote for charges for the new renewal term and a current insurance
certificate, to the address set forth below, acknowledging receipt of the Contract Renewal
Notice. Failure to provide a signed acknowledgment does not affect the renewal.
Please log onto PeopleSoft Purchasing at http://fortworthtexas.gov/purchasing to ensure
that your company information is correct and up-to-date.
If you have any questions concerning this Contract Renewal Notice, please contact me at
the telephone number listed below.
Sincerely,
__________________________
Erin Roden
Sr Contract Compliance
Specialist 817-392-7455
CSC No. ____________
Contract Renewal Page 2 of 2
CITY OF FORT WORTH:
By: _________________________
Name:Dianna Giordano
Title: Assistant City Manager
Date:, 2025
APPROVAL RECOMMENDED:
By:
Name:
Title:uman Resources Director
ATTEST:
By:
Name: Jannette Goodall
Title: City Secretary
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.
By:
______________________________
Name: Victor Escobedo
Title: Human Resources Manager
APPROVED AS TO FORM AND LEGALITY:
By:
Name:
Title: Assistant City Attorney
CONTRACT AUTHORIZATION:
M&C:N/A
Form 1295:_N/A
VENDOR:
Date: , 2025
By: _________________________
Name: Natalie LeMay
Title: Contracts Manager
October 9
Government - Price Quotation
Docusign Government at Carahsoft
. 11493 Sunset Hills Road � Suite 100 � Reston, Virginia 20190
��OCUSIgI1. Phone (703) 871-8500 � Fax (703) 871-8505 � Toll Free (888) 662-2724 carahsoft�
www,carahsoft.com � sales@carahsoft.com
TO: Victor Escobedo
Human Resources Manager
City of Fort Worth
100 Fort Worth Trl
Fort Worth, TX 76102 USA
EMAIL: Victor.Escobedo@fortworthtexas.gov
PHONE: (817) 392-7778
TERMS: FTIN: 52-2189693
Shipping Point: FOB Destination
Remit To: Same as Above
Payment Terms: Net 30 (On Approved Credit)
Cage Code: 1 P3C5
DUNS No: 088365767
UEI: DT8KJHZXVJH5
Credit Cards: VISA/MasterCard/AMEX
Sales Tax May Apply
LIiVE NO. PART NO.
1 DSI-0000484
2 DSI-0000075
FROM: Meagan Phillips
Docusign Government at Carahsoft
11493 Sunset Hills Road
Suite 100
Reston, Virginia 20190
EMAIL: Meagan.Phillips@carahsoft.com
PHONE: (703) 581-6727 FAX: (703) 871-8505
QUOTE NO:
QUOTE DATE:
QUOTE EXPIRES:
RFQ NO:
SHIPPING:
TOTAL PRICE:
TOTAI QUOTE:
DESCRIPTION -
eSignature Business Pro for Gov - Envelope(Annual) �
DocuSign, Inc. - DSI-0000484
Start Date: 12/15/2025
End Date: 12/14/2026
Premier Support 15% of Recurring Fees (15% of List Price
per $100 of List License Fees). Annual
DocuSign, Inc. - DSI-0000075
Start Date: 12/15/2025
End Date: 12/14/2026
SUBTOTAL:
TOTAL PRICE:
TOTAL QUOTE;
60362569
09/29/2025
10/31 /2025
ESD
$22,661.58
$22,661.58
QUOTE PRICE QTY EXTEMDED PRICE
$5.6300 OM 3,500 $19,705.00
$2,956.58 OM 1 $2,956.58
$22,661.58
$22,661.58
$22,661.58
CONFIDENTIAL QUOTE DATE: 09/29/2025
PAGE 1 of 2 QUOTE NO: 60362569
Government - Price C�uotation
�! docusign.
Docusign Government at Carahsoft
11493 Sunset Hills Road � Suite 100 � Reston, Virginia 20190
Phone (703) 871-8500 � Fax (703) 871-8505 � Toll Free (888) 662-2724
www.carahsoft.com � sales@carahsoft.com
carahsofta
Product Details
eSignature Envelope Allowance: 3,500
Overage/Usage Fees
eSignature Business Pro for State and Local Government - Envelope: $7.56
Order Spectal Terms
Terms & Conditions
Custamer Data uploaded lnto a DocuSign eSignature Gavernment Product wlll be hosted
within DocuSign's FedRAMP Moderate authorized boundary. "FedRAMP" means the Federel
Risk and AuthorizaHon Management Program.
DocuSign eSignature Government Products (but not CLM Government Products) include
features and functionality that allow Customers to connect to other pocuSign products or to
third-party praducts or services for interoperability purposes. Interoperablllty refers to multiple
computer systems that are connected in a manner that allows them to exchange infarmation.
DocuSign eSignature Government Product features allowing for interoperability currently
include DocuSign Payments, Comments and Agreement Actions. A complete list of
interoperable e5ignature Government Product features can be found at
https://www.docusign.com/legal/terms-and-conditions/esignature-interapereble-features.
These features are dlsabled by default for new customers but can be enabled by Customer
request. Customers may also use "connectors" to connect DocuSign eSignature Government
Products ar CLM Government Products to other systems to exchange informallon. For
example, a DocuSign/Salesforce Connector can be used to connect DocuSign e5ignature
Government Products to a Salesforce product so that Information may be exchanged between
the two cannected systems.
If Customer chooses to connect DocuSign eSignature Government Products to any other
DocuSign product or to any third-party products or services, Customer authorizes DocuSign to
export Customer Data outside of DocuSign's FedRAMP Moderate authorized boundary for the
processing and use of Customer Data by Customer, DocuSlgn, and/or such thlyd parties (as
applicable). For clarity, where Customers connect DocuSign eSignature Government Products
with any other products or services (including but not limited to by use of Payments,
Comments, Connector or Agreement Action functionality), DocuSign disclaims all liability for
FedRAMP control compliance or Customer's obligations relating ta Customer Data exported
from DocuSign's FedRAMP Moderete authorized boundary.
Customer must reference Quote num6er on Purchase Order.
Should Customer purchase vla Reseller all terms of Carehsoft Quote must be incorporeted In Reseller quote and Customer Purchase Order ta Reseller.
Any increase in subscription and support pricing will be in accordance with DocuSign's pricing and policies in effect at the tlme of the renewal or as otherwise agreed to by the
parties.
Licensee agrees that any order for pocuSign will be governed by the terms and conditions of the Carahsoft Docusign Servlce Agreement copies of which are found at
https://staHc.carahsoft.com/concrete/files/2616/5962/5258/DocuSign_Master Services_Agreement_fo_Public_Sector.pdf and all Schedules and Documentation referenced
by the Terms are made a part hereof. The parties agree that any term or condition stated in a Customer purchase order or in any other Customer arder documentation
(excluding Quotes) is void. In the event of any canflict or inconsistency among the following documents, the order of precedence shall be: (1) the applicable Quotes (and their
Contract Vehlcle), (2) the TOU, and (3) the Documentallon. Licensee acknowledges it has had the opportunity to review the Terms, prtor to executing an order.
Should the customer purchase any verslon of DocuSign's IL-4licensing the below terms wlll apply.
Reference the Memorandum previously provided to DISA Authorizing OfTicial (dated October 22, 2023) detailing the Provisional AuthorizaHon (PA) granted by DISA, exceptions
to/exclusions from the PA, and conditions DocuSign is required to meet in order to maintain the PA for U.S. Department of Defense Impact Level 4(DoD/IL-4). Customer
agrees:
- not ta use DocuSign DoD/IL-4 in production without a BCAP connecHon (or DISA approval);
- not to process, store or transmit IL-4 producHon data without a BCAP connection to NIPRnet; o not to use DocuSign DoD/IL-4 to connect to any DocuSign services or
applications via an unauthorized endpoint outside of the NIPRnet or non-BCAP connections;
- Customer Is responsible for any Customer Data sent to third party applications (regardless of whether such thlyd-party appllcations are IL-4 cerNfied);
Enterprise Premier Support for IL-4 customers is avallable from 9:OOam - 8:30pm Eastern Standard Tlme.
CONFIDENTIAL QUOTE DATE: 09/29/2025
PAGE 2 of 2 QUOTE NO: 60362569
City Secretary’s Office
Contract Routing & Transmittal Slip
*Indicates the information is required and if the information is not provided, the contract will be
returned to the department.
Contractor’s Name:
Subject of the Agreement:
M&C Approved by the Council? *Yes No
If so, the M&C must be attached to the contract.
Is this an Amendment to an Existing contract? Yes No
If so, provide the original contract number and the amendment number.
Is the Contract “Permanent”? *Yes No
If unsure, see back page for permanent contract listing.
Is this entire contract Confidential?*Yes No If only specific information is
Confidential, please list what information is Confidential and the page it is located.
Effective Date: Expiration Date:
If different from the approval date. If applicable.
Is a 1295 Form required?* Yes No
*If so, please ensure it is attached to the approving M&C or attached to the contract.
Project Number:If applicable.
*Did you include a Text field on the contract to add the City Secretary Contract (CSC)
number? Yes No
Contracts need to be routed for CSO processing in the following order:
(Approver)
Jannette S. Goodall (Signer)
Allison Tidwell (Form Filler)
Permanent Contracts
Advanced Funding Agreements
Architect Service
Community Facilities
Completion Agreement
Construction Agreement
Credit Agreement/ Impact Fees
Crossing Agreement
Design Procurement
Development Agreement
Drainage Improvements
Economic Development
Engineering Services
Escrow Agreement
Interlocal Agreements
Lake Worth Sale
Maintenance Agreement/Storm Water
Parks/Improvement
Parks/Other Amenities
Parks/Play Equipment
Project Development
Property/Purchase (Property owned by the City)
Property/Sales (Property owned by the City)
Property/Transfers (Property owned by the City)
Public Art
Sanitary Sewer Main Replacements
Sanitary Sewer Rehabilitations
Settlements (Employees Only)
Streets/Maintenance
Streets/Redevelopment
Streets/Repairs
Streets/Traffic Signals
Structural Demolition (City owned properties)
Utility Relocation
Water Reclamation Facility
Water/Emergency Repair
Water/Interceptor
Water/Main Repairs
Water/Main Replacement
Water/Sanitary Sewer Rehabilitation
Water/Sewer Service
Water/Storage Tank