HomeMy WebLinkAboutIT16-444 - Change Order - #6 - Cannon Solutions America, Inc. - Multi-function Device Purchase Order Addendum - 09/16/2021ApprovalOriginator:Department:
Date Sent:Date Required:
Authorized to Sign:
Director or Designee
Date of Council Approval:
Grant? Yes No
Type:Review/Signatures/RoutingComments:
Date Routed to the City Clerk’s Office:Agreement InformationVendor Name:Category:
Vendor Number:Sub-Category:
Project Name:
Project Details:
Agreement Amount:
Start Date:
Basis for Selection of Contractor:
Termination Date:
Local Business? Yes No*
Business License Verification: Yes In-Process Exempt (KCC 5.01.045)
If meets requirements per KCC 3.70.100, please complete “Vendor Purchase-Local Exceptions” form on Cityspace.
Notice required prior to disclosure?
Yes No
Contract Number:
Agreement Routing Form
For Approvals, Signatures and Records Management
This form combines & replaces the Request for Mayor’s Signature and Contract Cover
Sheet forms.
Visit Documents.KentWA.gov to obtain copies of all agreementsadccW22373_1_20
Budget Account Number:
Budget? Yes No
Dir Asst:
Sup/Mgr:
Dir/Dep:
rev. 20210513
FOR CITY OF KENT OFFICIAL USE ONLY
(Optional)
* Memo to Mayor must be attached
CHANGE ORDER NO. 6
NAME OF CONTRACTOR:Canon Solutions America, Inc. (“Contractor”)
CONTRACT NAME & PROJECT NUMBER:Multi-Function Device (Extension + Pricing)
ORIGINAL CONTRACT DATE:02/01/2017
This Change Order amends the above-referenced contract; all other provisions of the
contract that are not inconsistent with this Change Order shall remain in effect. For valuable
consideration and by mutual consent of the parties, the project contract is modified as follows:
1.Section I of the Agreement, entitled “Description of Work,” is hereby modified to add
additional work or revise existing work as follows:
In addition to work required under the original Agreement and any prior
Amendments, Contractor shall provide all labor, materials, and
equipment necessary to:
[Extend the contract end term date from December 31, 2020 to January
31, 2021 during the transition to new multifunctional devices deployed.
Extend the contract pricing by $11,693.85 to process Invoice#
260063599 for payment under PO 134942]
2.The contract amount and time for performance provisions of Section II “Time of
Completion,” and Section III, “Compensation,” are hereby modified as follows:
Original Contract Sum,
(including applicable alternates and
WSST)
$378,298.08
Net Change by Previous Change Orders
(incl. applicable WSST)
$431,076.04
Current Contract Amount
(incl. Previous Change Orders)
$809,374.12
Current Change Order $10,621.12
Applicable WSST Tax on this Change
Order
$1,072.73
Revised Contract Sum $821,067.97
CHANGE ORDER - 1 OF 3
Original Time for Completion
(insert date)
01/31/2020
Revised Time for Completion under
prior Change Orders
(insert date)
12/31/2020
Days Required (±) for this Change Order 31 calendar days
Revised Time for Completion
(insert date)
01/31/2021
The Contractor accepts all requirements of this Change Order by signing below.
All acts consistent with the authority of the Agreement, previous Change Orders (if any),
and this Change Order, prior to the effective date of this Change Order, are hereby ratified and
affirmed, and the terms of the Agreement, previous Change Orders (if any), and this Change Order
shall be deemed to have applied.
The parties whose names appear below swear under penalty of perjury that they are
authorized to enter into this contract modification, which is binding on the parties of this contract.
3.The Contractor will adjust the amount of its performance bond (if any) for this project
to be consistent with the revised contract sum shown in section 2, above.
IN WITNESS, the parties below have executed this Agreement, which
will become effective on the last date written below.
CONTRACTOR:
By:
CITY OF KENT:
By:
Print Name:
(signature)
Print Name:
(signature)
Its Its
DATE:
(title)
DATE:
(title)
CHANGE ORDER - 2 OF 3
09/13/21
Mike Carrington
IT Director
09-16-2021
ATTEST:
Kent City Clerk
CHANGE ORDER - 3 OF 3
Certificate Of Completion
Envelope Id: 06037D69955D41F7A71733857BC62122 Status: Completed
Subject: Please DocuSign: City of Kent 2020-2021 Canon -Change Order 6 clean 9.10.21.pdf
Source Envelope:
Document Pages: 3 Signatures: 1 Envelope Originator:
Certificate Pages: 5 Initials: 0 ESS Document Review
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-05:00) Eastern Time (US & Canada)
1 Canon Park
Melville, NY 11747-3036
essdocumentreview@csa.canon.com
IP Address: 146.184.0.84
Record Tracking
Status: Original
9/13/2021 3:00:01 PM
Holder: ESS Document Review
essdocumentreview@csa.canon.com
Location: DocuSign
Signer Events Signature Timestamp
Dawn Rouse
drouse@csa.canon.com
Senior Director, Strategic Pricing
Canon Solutions America, Inc.
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 146.184.0.84
Sent: 9/13/2021 3:01:10 PM
Viewed: 9/13/2021 3:09:15 PM
Signed: 9/13/2021 3:09:20 PM
Electronic Record and Signature Disclosure:
Accepted: 9/13/2021 3:09:15 PM
ID: 7b614f81-8e90-491f-9702-4a2e3308be94
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
ESS Document Review
essdocumentreview@csa.canon.com
CSA
Security Level: Email, Account Authentication
(None)
Sent: 9/13/2021 3:01:10 PM
Resent: 9/13/2021 3:09:22 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 9/13/2021 3:01:10 PM
Certified Delivered Security Checked 9/13/2021 3:09:15 PM
Signing Complete Security Checked 9/13/2021 3:09:20 PM
Completed Security Checked 9/13/2021 3:09:20 PM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
CONSUMER DISCLOSURE
From time to time, Canon Solutions America, 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 agreement by clicking
the ‘I agree’ button at the 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 ou r office to you, you will be charged a
$0.00 per-page fee. You may request delivery of suc h 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 disclo sures only in paper format, it will slow the
speed at which we can complete certain steps in tra nsactions 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 the signing 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 requi red 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 n otices 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 Canon Solutions America, 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 email send messages to: msinanian@csa.canon.com
To advise Canon Solutions America, 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 msinanian@csa.canon.com and in
the body 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 arra nge 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 Canon Solutions America, 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 msinanian@csa.canon.com 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 Canon Solutions America, 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 msinanian@csa.canon.com and in the body of such request you
must state your e-mail, full name, US Postal 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
Operating Systems: Windows® 2000, Windows® XP, Windows
Vista®; Mac OS® X
Browsers: Final release versions of Internet Explorer® 6.0
or above (Windows only); Mozilla Firefox 2.0
or above (Windows and Mac); Safari™ 3.0 or
above (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 wi ll 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
by clicking the ‘I agree’ button below.
By checking the ‘I agree’ box, I confirm that:
• I can access and read this Electronic CONSENT TO ELECTRONIC RECEIPT OF
ELECTRONIC CONSUMER 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 Canon Solutions America, 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 Canon Solutions America, Inc. during the course of my relationship
with you.