DocuSign, Inc.
221 Main Street, Suite 1550
San Francisco, CA 94105
Offer Valid Through: May 10,
2022
Prepared By: Ashley Bolanos
Quote Number: Q-00747164
ORDER FORM
Address Information
Bill To: Ship To:
City of Redondo Beach City of Redondo Beach
415 Diamond St,
Redondo Beach, CA, 90277
United States
P.O. BOX 270,
Redondo Beach, CA, 90277-0270
United States
Billing Contact Name: Shipping Contact Name:
Eleanor Manzano Eleanor Manzano
Billing Email Address:
[email protected]
Shipping Email Address:
[email protected]
Billing Phone:
(310) 318-0656
Shipping Phone:
(310) 318-0656
Order Details
Order Start Date: May 10, 2022 Payment Method: Check
Order End Date: May 9, 2023 Payment Terms: Net 30
Billing Frequency: Annual Currency: USD
Products
Product Name Start Date End Date Quantity Net Price
eSignature Enterprise Pro Edition - Envelope Subs. May 10, 2022 May 9, 2023 500 $3,627.00 Enterprise Premier Support May 10, 2022 May 9, 2023 1 $797.94 Grand Total: $4,424.94
Product Details
eSignature Envelope Allowance: 500
Overage/Usage Fees
eSignature Enterprise Pro Edition - Envelope Subs. (Per Transaction): $8.80 Order Special Terms
Terms & Conditions
This Order Form covers the products and services described herein and is governed by the attached terms and conditions.
Billing Information
Prices shown above do not include any state and local taxes that may apply. Any such taxes are the responsibility of the Customer and will appear on the final Invoice.
Is the contracting entity exempt from sales tax?
Please select Yes or No: \tax1\
If yes, please send the required tax exemption documents immediately to [email protected].
Invoices for this order will be emailed automatically from [email protected]. Please make sure this email is on an approved setting or safe senders list so notifications do not go to a junk folder or caught in a spam filter.
Purchase Order Information
Is a Purchase Order (PO) required for the purchase or payment of the products on this Order Form?
Please select Yes or No: \por1\
If yes, please complete the following:
PO Number: \po1\
PO Amount: $\pa1\
By signing this Agreement, I certify that I am authorized to sign on behalf of the Customer and agree to the Terms and Conditions of this Order Form and any documents incorporated herein.
Customer DocuSign,
Inc.
Signature: \si1\ Signature: \si3\
Name: \na1\ Name: \na3\
Job Title: \ti1\ Job Title: \ti3\
Date: \ds1\ Date: \ds3\
\ \in2\
William C. Brand
Mayor
ATTEST:
______________________________
Eleanor Manzano, City Clerk
APPROVED AS TO FORM:
______________________________
Michael W. Webb, City Attorney