HomeMy WebLinkAbout063555-R1 - General - Contract - Versaterm Public Safety US, Inc.Docusign Envelope ID: 2F048F11-7194-46FF-A144-A7568735A87F
CSC No. 63555-Rl
CITY OF FORT W TH
CONTRACT RENEWAL NOTICE
March 27, 2026
Versaterm Public Safety US, Inc.
Attn: Legal and Cathy Masters, Enterprise Account Executive
1 North MacDonald, Suite 500
Mesa, AZ 85201
Re: Contract Renewal Notice
Fort Worth City Secretary Contract No. 63555 ("Contract")
First Renewal Term: June 27, 2026 to June 26, 2027
The above -referenced Contract with the City of Fort Worth expires on June 26, 2026
("Expiration Date"). This letter is to inform you that the City wishes to exercise its renewal option
for a First Renewal Term, which will begin immediately after the Expiration Date as outlined
above. All other terms and conditions of the Contract remain unchanged.
Please return this signed acknowledgment letter, along with a current copy of your
insurance certificate reflecting the City of Fort Worth as the Holder, to the email address set
forth below acknowledging receipt of the Contract Renewal Notice.
Please log onto PeopleSoft Purchasing at bgp:Hfortworthtexas.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,
Dominique 'Wagoner
Dominique Wagoner
Contract Compliance Specialist
Dominique.Wa og nerAfortworthtexas.gov
817-392-4834
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Contract Renewal — CSC 63555-R1 Pagel of 2
Docusign Envelope ID: 2F048F11-7194-46FF-A144-A7568735A87F
ACCEPTED AND AGREED:
CITY OF FORT WORTH
By:
-&- 9-e-
Name: William Johnson
Title: Assistant City Manager
Date: 04/06/2026
APPROVAL RECOMMENDED:
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.
tCatGr^ n, A4&e-
By• Kathryn Agee(Apr6,20260?A4:331
Name: Kathryn Agee
Title: Senior Management Analyst
By: DaW C-bbaia Av6.20261221MCDT) APPROVED AS TO FORM AND
Name: David Carabajal LEGALITY:
Title: Executive Assistant Chief
ATTEST:
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By:
Name: Jannette S. Goodall
Title: City Secretary
VERSATERM PUBLIC SAFETY
US, INC.
cby:
By:[D-IS19"Id
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Name: Adam Schwartz
Title: CRo
Mar 30, 2026 1 11:14 AM PDT
Date:
By: /�*/�
Name: Keanan M Hall
Title: Sr. Assistant City Attorney
CONTRACT AUTHORIZATION:
M&C: Not Required
Date Approved: N/A
Form 1295 Certification No.: N/A
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Contract Renewal — CSC 63555-R1 Page 2 of 2
0 docusign
Certificate Of Completion
Envelope Id: 2F048F11-7194-46FF-A144-A7568735A87F
Status: Completed
Subject: Complete with Docusign: CSC 63555 Versaterm Public Safety US, Inc. R1 (69c6eb54ac)
(version 1).pdf
Source Envelope:
Document Pages: 2 Signatures: 1
Envelope Originator:
Certificate Pages: 5 Initials: 0
Danielle Matheson
AutoNav: Enabled
2300 Carling Avenue
Envelopeld Stamping: Enabled
nil
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
Ottawa, ON K213 7G1
danielle.matheson@versaterm.com
IP Address: 99.209.71.68
Record Tracking
Status: Original Holder: Danielle Matheson Location: DocuSign
3/30/2026 9:29:21 AM danielle.matheson@versaterm.com
Signer Events Signature Timestamp
Adam Schwartz [D—Sig"IdbySent: 3/30/2026 9:31:08 AM
adam.schwartz@versaterm.com JAA S(,L.waYfly Viewed: 3/30/2026 11:14:38 AM
CRO DFes2CW80e4Ae... Signed: 3/30/2026 11:14:49 AM
Adam Schwartz
Security Level: Email, Account Authentication
Signature Adoption: Pre -selected Style
(None) Using IP Address: 65.113.157.119
Electronic Record and Signature Disclosure:
Accepted: 3/30/2026 11:14:38 AM
ID:e9b54e4f-2d40-4b2d-9e37-aOfc2d38467e
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
Ashley Olsen COPIED Sent: 3/30/2026 9:31:08 AM
ashley.olsen@versaterm.com Viewed: 3/30/2026 2:10:45 PM
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Accepted: 12/9/2025 12:04:49 PM
ID:1ec3a1af-da03-4ed6-8034-08a58346d3c4
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 3/30/2026 9:31:09 AM
Certified Delivered Security Checked 3/30/2026 11:14:38 AM
Signing Complete Security Checked 3/30/2026 11:14:49 AM
Completed Security Checked 3/30/2026 11:14:49 AM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
Electronic Record and Signature Disclosure created on: 1/19/2021 11:07:32 AM
Parties agreed to: Adam Schwartz, Ashley Olsen
ELECTRONIC RECORD AND SIGNATURE DISCLOSURE
From time to time, Versaterm (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 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 (ERSD), please
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 ability to download and print documents we send
to you through the DocuSign 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 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 Versaterm:
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: kathleen.mackinnon@versaterm.com
To advise Versaterm 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 kathleen.mackinnon@versaterm.com and in the body 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 Versaterm
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 kathleen.mackinnon@versaterm.com 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 Versaterm
To inform us that you no longer wish to receive future notices and disclosures in electronic
format you may:
i. decline to sign a document from within your signing session, and on the subsequent page,
select the check -box indicating you wish to withdraw your consent, or you may;
ii. send us an email to kathleen.mackinnon@versaterm.com and in the body of such request you
must state your email, full name, mailing address, and telephone number. We do not need any
other information from you to withdraw 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
The minimum system requirements for using the DocuSign system may change over time. The
current system requirements are found here: https:Hsupport.docusi-n.c�om/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 Versaterm 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 Versaterm during the course of your relationship with Versaterm.
FORT WORTH.
City Secretary's Office
Contract Routing & Transmittal Slip
Contractor's Name: Versaterm Public Safety US, Inc.
Subject of the Agreement:
Mindbase software platform subscription
M&C Approved by the Council? * Yes ❑ No 8
If so, the M&C must be attached to the contract.
Is this an Amendment to an Existing contract? Yes ❑ No 8
If so, provide the original contract number and the amendment number.
Is the Contract "Permanent"? *Yes ❑ No 8
If unsure, see back page for permanent contract listing.
Is this entire contract Confidential? *Yes ❑ No 8 If only specific information is
Confidential, please list what information is Confidential and the page it is located.
Effective Date: 6/27/2026
If different from the approval date.
Expiration Date:
6/26/2027
If applicable.
Is a 1295 Form required? * Yes ❑ No 8
*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 8 No ❑
Contracts need to be routed for CSO processing in the following order:
1. Katherine Cenicola (Approver)
2. Jannette S. Goodall (Signer)
3. Allison Tidwell (Form Filler)
*Indicates the information is required and if the information is not provided, the contract will be
returned to the department.