Attachment 2 - Amendment No. 1 — Lake Elsinore City Council, April 23, 2024

3 1
8 4
2 AMENDMENT NO. 1

TO AGREEMENT FOR PROFESSIONAL SERVICES
FCG Consultant, Inc.

I-15/Main Street Interchange Improvements – Construction Management & Inspection This Amendment No. 1 to Agreement for Professional Services is made and entered into as of 9/12/2023, by and between the City of Lake Elsinore, a municipal corporation (“City), and FCG Consultants, Inc., a Corporation (“Consultant”).

RECITALS
A. The City and Consultant have entered into that certain Agreement for Professional Services dated as of 10/13/2020, (the “Original Agreement”). Except as otherwise defined herein, all capitalized terms used herein shall have the meanings set forth for such terms in the Original Agreement.

B. The Original Agreement provided for compensation to Consultant in an amount of Seven Hundred Forty-Three Thousand Four Hundred Ninety-One dollars and Thirty-Five cents ($743,491.35).

C. The parties now desire to amend the scope of services and increase the payment for such services as set forth in this Amendment No 1.

NOW, THEREFORE, in consideration of the mutual covenants and conditions set forth herein, City and Consultant agree as follows:

1. Section 1, Scope of Services, of the Original Agreement is hereby amended to add the following:

Consultant shall also perform the services described in Consultant’s 8/14/2023 Proposal (attached to this Amendment No. 1 as Exhibit A-1).

Consultant shall provide such services at the time, place, and in the manner specified in Exhibit A-1, subject to the direction of the City through its staff that it may provide from time to time.

2. Section 3, Compensation, of the Original Agreement is hereby amended to read in its entirety as follows:

Notwithstanding the foregoing, for purposes of Amendment No. 1 and the term thereof, compensation to be paid to Consultant shall be in accordance with the Schedule of Charges set forth in Consultant’s Proposal (referenced collectively as Exhibit A-1 Amendment No. 1). In no event shall Consultant’s compensation related to Exhibit A-1 to Amendment No. 1 exceed Three Hundred Forty-Nine Thousand Nine Hundred Forty-Four dollars and Forty-Eight cents ($349,944.48) without additional written authorization from the City Council. Total compensation shall not exceed One Million Ninety-Three Thousand Four Hundred Thirty-Five dollars and Eighty-Three cents ($1,093,435.83).

DocuSign Envelope ID: 00ACCFC2-6F56-49E0-8DC7-778CD218BC7F 3 1
8 4
2 Notwithstanding any provision of Consultant’s Proposal to the contrary, out of pocket expenses set forth in Exhibit A-1 respectively, shall be reimbursed at cost without an inflator or administrative charge. Payment by City under this Agreement shall not be deemed a waiver of defects, even if such defects were known to the City at the time of payment.

3. Except for the changes specifically set forth herein, all other terms and conditions of the Original Agreement shall remain in full force and effect.

IN WITNESS WHEREOF, the parties have caused this Amendment No. 1 to be executed on the respective dates set forth below.
“CITY”
CITY OF LAKE ELSINORE, a municipal
corporation
“CONSULTANT”
FCG Consultants, Inc.

City Manager
Date:

Maha Fakhouri, President & CEO
Date: __
ATTEST:

City Clerk
APPROVED AS TO FORM:

City Attorney

EXHIBIT A-1
CONSULTANT’S PROPOSAL
[ATTACHED]
DocuSign Envelope ID: 00ACCFC2-6F56-49E0-8DC7-778CD218BC7F 22885 Savi Ranch Pkwy, Suite G Yorba Linda, CA 92887 Phone: 714.312.0317 Fax: 714.720.5885 August 14, 2023 Mr. Bradley Brophy, PE Traffic Engineer City of Lake Elsinore 130 South Main Street Lake Elsinore, CA 92530 RE: I -15 / Main Street Project – FCG CM & Inspection Budget This letter is to inform you that due to contractor delay and change orders to complete the work within the original project schedule, the FCG budget for this contract will be depleted prior to completion of work on the project. See attached spread sheet showing anticipated work hours by FCG staff to complete the work based on anticipated schedule of work due to reasons mentioned. The original Project completion date was for May 2023 (300 Working Days). Due to Contractor delay in completing the project on time with original completion date of May 17th, 2023, the Project is now anticipated to be completed in December 2023 (approximately 465 Working Days). The original contract amount is $743,491.35 amounts needed for each project is $349,944.48 for a grand total of $1,093,435.83 See attached table for details on all charges per company so far. Should you have any questions or comments, please do not hesitate to contact AB Fakhouri or myself. Sincerely, Maha Fakhouri President and CEO Cell 714.883.8068 CC: Abdallah Fakhouri, Project Manager / Resident Engineer DocuSign Envelope ID: 00ACCFC2-6F56-49E0-8DC7-778CD218BC7F FCG Consultants Inc. - DBE City of Lake Elsinore
Construction Management & Inspection Services
Revised Cost Proposal - 8/11/23
Classification Hours Hourly Rate Cost
Pre-construction Phase (20 Working Days)
Resident Engineer 80 187.05$ 14,964.38$ Structures Representative - RTEA 40 168.53$ 6,741.00$ Public Outreach Officer - RTEA 40 89.88$ 3,595.20$ Office Engineer - RTEA 20 80.89$ 1,617.84$ Subtotal (FCG Only) 180 14,964.38$
Construction Phase (465 Working Days)
Resident Engineer 930 187.05$ 173,960.89$ Structures Representative - RTEA 800 168.53$ 134,820.00$ Construction Inspector 3600 124.70$ 448,931.34$ Electrical Inspector 480 124.70$ 59,857.51$ Public Outreach Officer - RTEA 80 89.88$ 7,190.40$ Office Engineer - RTEA 400 80.89$ 32,356.80$ Subtotal (FCG Only) 6,290 682,749.75$
Post-Construction Phase (20 Working Days)
Resident Engineer 40 187.05$ 7,482.19$ Structures Representative - RTEA 20 168.53$ 3,370.50$ Construction Inspector 20 124.70$ 2,494.06$ Office Engineer - RTEA 20 80.89$ 1,617.84$ Subtotal (FCG Only) 100 14,964.59$
Misc. Expenses Months Monthly Cost Total
Vehicles 14 -$ -$
Labtops 14 -$ -$
Cell Phones 14 -$ -$
Office Supplies 14 -$ -$ Field Office 14 -$ -$
Subtotal (FCG Only) -$
DBE %
FCG Total 65.18% 712,678.72$
Subconsultants
DBE %
RTEA - DBE Project Support 17.50% 191,309.58$
MB Pro - Material Testing Materials Testing 120,000.00$ ZTC Source Inspection 54,447.53$
HES Envi. Monitoring 15,000.00$
Subtotal 380,757.11$
1,093,435.83$
Original Cost 743,491.35$
Additional Amount Needed 349,944.48$
Limitations & Conditions:

Construction duration is estimated at 465 Working Days with 20 Working Days for preconstruction & 20 Working Days for closeout phase.

Inspectors will be fully equipped with vehicles, computers, and tools and equipment required to perform their tasks.

Overtime and Weekend work is not included. Overtime is to be charged at 1.5 the above rate.

Cost proposal is subject to pervailing wage rates, and prvailing wage rate change for inspectors.

Misceleanous expenses includes stationeries and other items needed for CM team.

All costs are subject to negotiations.

CM & Inspection for Main St. Interchange Improvement Project Total Cost (NOT TO EXCEED)
DocuSign Envelope ID: 00ACCFC2-6F56-49E0-8DC7-778CD218BC7F Month FCG RTEA MB Pro ZTC HES Total
January-22 5,486.80$ 5,486.80$
February-22 6,110.30$ 14,072.26$ 20,182.56$ March-22 17,208.60$ 5,730.02$ 10,533.60$ 33,472.22$ April-22 26,062.30$ 3,707.66$ 3,121.69$ 32,891.65$ May-22 17,458.00$ 3,249.21$ 7,974.23$ 2,580.80$ 31,262.24$ June-22 30,302.10$ 8,486.81$ 1,430.85$ 40,219.76$ July-22 26,436.40$ 8,480.06$ 3,092.13$ 1,144.68$ 39,153.27$ August-22 30,052.70$ 15,956.02$ 7,684.87$ 1,144.68$ 54,838.27$ September-22 29,304.50$ 14,317.97$ 3,410.00$ 10,424.10$ 57,456.57$ October-22 27,059.90$ 10,933.87$ 4,260.00$ 1,446.60$ 858.51$ 44,558.88$ November-22 24,565.90$ 9,552.10$ 8,360.00$ 6,439.17$ 48,917.17$ December-22 29,740.95$ 11,630.00$ 882.40$ 42,253.35$ January-23 28,681.00$ 24,335.16$ 15,503.75$ 1,595.33$ 70,115.24$ February-23 29,242.15$ 15,416.79$ 13,072.50$ 1,253.41$ 58,984.85$ March-23 33,419.60$ 15,258.28$ 5,210.00$ -$ 596.20$ 54,484.08$ April-23 33,232.55$ 4,651.34$ 5,091.00$ -$ 42,974.89$ May-23 34,167.80$ -$ 288.27$ 34,456.07$ June-23 40,028.70$ 26,499.16$ 1,830.00$ -$ 68,357.86$ 468,560.25$ 180,646.71$ 68,367.25$ 54,447.53$ 8,043.99$ 780,065.73$ (36,574.38)$
July-23 40,000.00$ 15,000.00$ 12,925.00$ 1,750.00$ 69,675.00$ August-23 45,000.00$ 15,000.00$ 10,000.00$ 1,750.00$ 71,750.00$ September-23 40,000.00$ 7,500.00$ 10,000.00$ 1,750.00$ 59,250.00$ October-23 36,000.00$ 2,500.00$ 2,500.00$ 1,706.01$ 42,706.01$ November-23 25,000.00$ 2,500.00$ 2,500.00$ 30,000.00$ December-23 35,989.09$ 2,500.00$ 1,500.00$ 39,989.09$ 221,989.09$ 45,000.00$ 39,425.00$ -$ 6,956.01$ 313,370.10$ FCG RTEA MB Pro ZTC HES Total
Original Contract Amount438,462.51$ 149,919.84$ 104,945.00$ 39,714.00$ 10,450.00$ 743,491.35$ Paid to Date 468,560.25$ 180,646.71$ 68,367.25$ 54,447.53$ 8,043.99$ 780,065.73$ Subtotal (36,574.38)$
Ammendment Amount221,989.09$ 45,000.00$ 39,425.00$ -$ 6,956.01$ (349,944.48)$ DocuSign Envelope ID: 00ACCFC2-6F56-49E0-8DC7-778CD218BC7F /

CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)
8/15/2023
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS

CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.

If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

PRODUCER
Germa ni Insurance Services
3415 S Sepulveda Blvd
1100
Los Angeles CA 90034
CONTACT Willia m Germani NAME:

PHONE (310) 733-2390 (A/C, No, Ext):

FAX
(A/C, No):

E-MAIL willia m@germa niinsura nce.net ADDRESS:

INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A : VALLEY FORGE INSURANCE COMPANY 20508

INSURED
FCG CONSULTANTS, INC.
22885 SAVI RANCH PKWY, Unit #G

YORBA LINDA CA 92887-4659
INSURER B : OHIO SECURITY INSURANCE COMPANY 24082
INSURER C : CONTINENTAL CASUALTY COMPANY 60606
INSURER D : AMERICAN CASUALTY CO OF READING, PENNSY 20427 INSURER E : UNDERWRITERS AT LLOYDS 32727
INSURER F :

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS

CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

INSR ADDL SUBR POLICY EFF POLICY EXP

LTR TYPE OF INSURANCE
✘COMMERCIAL GENERAL LIABILITY

INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS

EACH OCCURRENCE $

2,000,000

CLAIMS-MADE

A
✘OCCUR

7012791991

06/22/2023 06/22/2024

DAMAGE TO RENTED
PREMISES (Ea occurrence) $
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
1,000,000
10,000
2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 ✘POLICY
OTHER:

PRO-
JECT LOC PRODUCTS - COMP/OP AGG $
$
4,000,000

AUTOMOBILE LIABILITY
✘ANY AUTO
OWNED

AUTOS ONLY
HIRED

AUTOS ONLY

✘UMBRELLA LIAB

C EXCESS LIAB

SCHEDULED
AUTOS

NON-OWNED

AUTOS ONLY

✘OCCUR

CLAIMS-MADE

BAS66391043

7012792025

06/22/2023

06/22/2024

COMBINED SINGLE LIMIT
(Ea accident)
BODILY INJURY (Per person) $
BODILY INJURY (Per accident) $

PROPERTY DAMAGE
(Per accident)
$

EACH OCCURRENCE $
AGGREGATE $
1,000,000

5,000,000
5,000,000
DED ✘RETENTION $ 10,000 $

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

ANY PROPRIETOR/PARTNER/EXECUTIVE
D OFFICER/MEMBER EXCLUDED?

Y / N
Y

N / A

6021566857

06/22/2023

06/22/2024
PER

STATUTE
E.L. EACH ACCIDENT
OTH-
ER
$

1,000,000
(Mandatory in NH)
If yes, describe under E.L. D ISEASE - EA EMPLOYEE $ 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $

EACH CLAIM
1,000,000
1,000,000
E PROFESIONAL LIABILITY FEIAEP11933 06/22/2023 06/22/2024 AGGREGATE 2,000,000 DEDUCTIBLE 10,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

CERTIFICATE HOLDER CANCELLATION

ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD

The City of Lake Elsinore, its employees, officers and a gents

AUTHORIZED REPRESENTATIVE

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
✘
B
$
$
DocuSign Envelope ID: 00ACCFC2-6F56-49E0-8DC7-778CD218BC7F

CITY OF LAKE ELSINORE

TO BE POSTED IN A CONSPICUOUS PLACE
Business Name:

Business Location:

Owner Name(s):

BUSINESS LICENSE NO.

Issue Date:

Description:

Expiration Date:

BUSINESS LICENSE
THIS IS YOUR LICENSE • NOT TRANSFERABLE
31900 MISSION TRL STE 110 Business Type:

LAKE ELSINORE, CA 92530-4534

FCG CONSTRUCTION
22885 SAVI RANCH PKWY STE G
YORBA LINDA, CA 92887-4624
This business license is issued for revenue purposes only and does not grant authorization to operate a business. This business license is issued without verification that the holder is subject to or exempted from licensing by the state, county, federal government, or any other governmental agency.

Administrative Services - Licensing
130 South Main Street, Lake Elsinore, CA 92530
PH (951) 674-3124

FCG CONSTRUCTION

MAHA ALFAKHOURI

CONSULTING SERVICES
CONSTRUCTION MANAGEMENT |

CONSTRUCTION INSPECTION
027961
10/4/2023 11/30/2024
Starting January 1, 2021, Assembly Bill 1607 requires the prevention of gender -based discrimination of business establishments. A full notice is available in English or other languages by going to: https://www.dca.ca.gov/publications/ DocuSign Envelope ID: 00ACCFC2-6F56-49E0-8DC7-778CD218BC7F Certificate Of Completion
Envelope Id: 00ACCFC26F5649E08DC7778CD218BC7F
Status: Completed
Subject: Complete with DocuSign: CC approved Attachment 1 - Amendment No 1 FCG.pdf Source Envelope:

Document Pages: 8
Signatures: 5
Envelope Originator:

Certificate Pages: 5
Initials: 0
Nicole McCalmont
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
130 S. Main Street
Lake Elsinore, CA 92530
[email protected]
IP Address: 47.180.22.242
Record Tracking
Status: Original
11/13/2023 9:28:59 AM
Holder: Nicole McCalmont
[email protected]
Location: DocuSign
Signer Events
Signature
Timestamp
Shannon Buckley
[email protected]
Assistant City Manager
Security Level: Email, Account Authentication
(None)

Signature Adoption: Pre-selected Style
Using IP Address: 47.180.22.242
Sent: 11/13/2023 9:33:18 AM
Viewed: 11/13/2023 11:16:44 AM
Signed: 11/13/2023 11:17:25 AM
Electronic Record and Signature Disclosure:

Accepted: 11/13/2023 11:16:44 AM
ID: 55d83f79-d049-4e88-aef9-5cd0511e9b87
Barbara Leibold
[email protected]
City Attorney
Security Level: Email, Account Authentication
(None)

Signature Adoption: Pre-selected Style
Using IP Address: 184.183.85.151
Sent: 11/13/2023 11:17:27 AM
Viewed: 11/13/2023 2:22:40 PM
Signed: 11/13/2023 2:28:08 PM
Electronic Record and Signature Disclosure:

Accepted: 11/13/2023 2:22:40 PM
ID: 43d5a9df-0f31-4961-a255-12d365d7203a
Maha Fakhouri
[email protected]
ceo
fcg consultants inc
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 76.170.248.12
Sent: 11/13/2023 2:28:09 PM
Viewed: 11/13/2023 2:29:57 PM
Signed: 11/13/2023 2:30:06 PM
Electronic Record and Signature Disclosure:

Accepted: 11/13/2023 2:29:57 PM
ID: f55b176b-77b6-4db6-abed-7ab978cbca0c
Jason Simpson
[email protected]
City Manager
city of Lake Elsinore
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 47.180.22.242
Sent: 11/13/2023 2:30:07 PM
Viewed: 11/13/2023 2:35:43 PM
Signed: 11/13/2023 2:35:52 PM
Electronic Record and Signature Disclosure:

Accepted: 11/13/2023 2:35:43 PM
ID: 33a62340-b010-4f10-8b08-591c23eab52a

Signer Events
Signature
Timestamp
Candice Alvarez
[email protected]
City Clerk
City of Lake Elsiniore
Security Level: Email, Account Authentication
(None)
Signature Adoption: Uploaded Signature Image
Using IP Address: 47.180.22.242
Sent: 11/13/2023 2:35:53 PM
Viewed: 11/13/2023 2:50:55 PM
Signed: 11/13/2023 2:52:27 PM
Electronic Record and Signature Disclosure:

Accepted: 10/24/2019 11:01:03 AM
ID: 0018f862-4e7a-4c04-91a9-67d7112db44f
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
Luz Reyes
[email protected]
Deputy City Clerk
City of Lake Elsinore
Security Level: Email, Account Authentication
(None)
Sent: 11/13/2023 2:52:28 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
11/13/2023 9:33:18 AM
Certified Delivered
Security Checked
11/13/2023 2:50:55 PM
Signing Complete
Security Checked
11/13/2023 2:52:27 PM
Completed
Security Checked
11/13/2023 2:52:28 PM
Payment Events
Status
Timestamps
Electronic Record and Signature Disclosure

CONSUMER DISCLOSURE
From time to time, Carahsoft OBO City of Lake Elsinore (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 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 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 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.

Electronic Record and Signature Disclosure created on: 2/5/2018 9:41:59 AM Parties agreed to: Shannon Buckley, Barbara Leibold, Maha Fakhouri, Jason Simpson, Candice Alvarez How to contact Carahsoft OBO City of Lake Elsinore:

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 phone call: 951-674-3124 x269
To contact us by email send messages to: [email protected] To advise Carahsoft OBO City of Lake Elsinore 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 [email protected] 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 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 Carahsoft OBO City of Lake Elsinore 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 [email protected] 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 Carahsoft OBO City of Lake Elsinore 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 [email protected] 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 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 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 Carahsoft OBO City of Lake Elsinore 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 Carahsoft OBO City of Lake Elsinore during the course of my relationship with you.

Lake Elsinore City CouncilApril 23, 2024

Lake Elsinore City Council
April 23, 2024