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35_Village_Hill_Smart_Growth_Density-40 Payment application-DocuSign    September 2, 2020  Bill Reyelt, Principal Planner, Smart Growth  MA Dept. of Housing & Community Development  100 Cambridge Street, Suite 300  Boston, MA 02114    RE: Northampton Density Bonus Payment Application‐ Smart Growth Zoning‐ Chapter 40R   Sustainable Growth Overlay, 35 Village Hill, Northampton    Dear Bill,    Attached is our application for our Density Bonus Payment for the above project.  The project has  obtained a building permit and is currently under construction and nearing completion.    Attached please find:  1. A certified copy of the building permit for the project  2. A site plan showing the building location  3. A certified copy of the density plan  4. A certified copy of Smart Growth Residential Spreadsheet, including calculation of Bonus Units  5. 40R Plan Approval approving the project  6. Affordable housing deed restriction  7. The Density Bonus Payment Application    I am the project coordinator, so please send any correspondence, contract, and the notice of density  bonus payment to my attention.  I can be reached at WFeiden@NorthamptonMA.gov or 413‐587‐1265.    Thank you.    Sincerely,        Wayne Feiden, FAICP  Director of Planning & Sustainability  DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 9/2/2020 | 11:29 AM EDT 40R Density Bonus Payment – City of Northampton  35 Village Hill Road, Northampton, Parcel 38A‐109‐001  Sustainable Growth Overlay District at Village Hill    # Bonus Units Payment per Bonus Unit Total  12 $3,000 $36,000      Payment schedule per M.G.L. c. 40R, § 9(b): …The commonwealth shall pay from the trust fund a one-time density bonus payment to each city or town with an approved smart growth zoning district. This payment shall be $3,000 for each housing unit of new construction that is created in the smart growth zoning district. and 760 CMR 59.06: 59.06: Payments and Repayments of Trust Fund Monies Each Municipality with an Approved District shall be entitled to payments as described below... The commonwealth shall pay from the trust fund a one-time density bonus payment to each city or town with an approved smart growth zoning district. This payment shall be $3,000 for each housing unit of new construction that is created in the smart growth zoning district. The amount due shall be paid on a unit-by-unit basis, within 10 days of submission by a city or town of proof of issuance of a building permit for a particular housing unit or units within the district. DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 212 Main Street, Phone (413) 587-1240, Fax: (413) 587-1272 Louis Hasbrouck - Building Commissioner 35 VILLAGE HILL RD BP-2020-0034 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 38A - 109 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: MIXED USE NEW BLDG BUILDING PERMIT Permit # BP-2020-0034 Project # JS-2018-000815 Est. Cost: $3199912.50 Fee: $9498.60 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: WESTERN BUILDERS INC 073697 Lot Size(sq. ft.): 17598.24 Owner: HOSPITAL HILL DEVELOPMENT LLC C/O MASSDEVELOPMENT LLC Zoning: PV(100)/SG_b(100)/ Applicant: WESTERN BUILDERS INC AT: 35 VILLAGE HILL RD Applicant Address: Phone: Insurance: P O BOX 587 (413) 467-9171 Workers Compensation GRANBYMA01033 ISSUED ON:11/20/2019 0:00:00 TO PERFORM THE FOLLOWING WORK: 3 LEVEL MIXED USE BUILDING, 1ST FLOOR OFFICES, 2ND & 3RD FLOOR RESIDENTIAL POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W.Building Inspector Underground:Service:Meter: Footings: Rough:Rough:House #Foundation: Driveway Final: Final:Final: Rough Frame: ______________ Gas:Fire Department Fireplace/Chimney: Rough:Oil:Insulation: Final:Smoke:Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy signature:______________________________________ FeeType: Date Paid: Amount: Building 11/20/2019 0:00:00 $9498.60 Certified copy 2/10/20 Louis Hasbrouck City of Northampton Building Commissioner DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 I certify that this work is within the Smart Growth Overlay District 9/2/2020 | 11:29 AM EDT DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 City of Northampton MASSACHUSETTS In the Year Two Thousand Twenty Upon the Recommendation of Mayor David J. Narkewicz and Planning & Sustainability 20.006 An Ordinance to Amend Zoning Map to Add New Smart Growth Overlay District at Laurel Street An Ordinance of the City of Northampton, Massachusetts, providing that the Code of Ordinances, City of Northampton, Massachusetts, be amended by amending Section 350-3.4, the Zoning Map, to add a new Smart Growth-c overlay district. Be it ordained by the City Council of the City of Northampton, in City Council assembled, as follows: Amend {§ 350-3.4 Zoning Map to add additional Smart Growth-c overlay district (SG-c), in addition to the existing three SG overlays, overlain on the existing Planned Village District (PV), on Map ID 38A-049-001, as shown below. SG-c does not increase the allowed density (the existing PV has no minimum lot size, frontage, width, depth, or setback requirements) but does allow Commonwealth Smart Growth Overlay bonus to the City for affordable housing. Map 38A-049 has already been dedicated to affordable housing by the City’s State Hospital reuse planning and the resulting state legislation.} DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 20.006 In City Council, March 19, 2020 Passed First Reading on Roll Call Vote of 8 Yes, 0 No, 1 Absent (Councilor Nash) Attest: __________________________________________________, Clerk of Council In City Council, April 2, 2020 Passed Second Reading on Roll Call Vote of 8 Yes, 0 No, 1 Absent (Councilor Foster) Attest: ___________________________________________________, Clerk of Council Approved: David J. Narkewicz, Mayor Passed two readings, ordained and enrolled. I hereby certify that the above Ordinance passed the Northampton City Council on April 2, 2020 David J. Narkewicz, Mayor approved the Ordinance on April 8, 2020 Attest: ___________________________________________________, Clerk of Council DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 9/2/2020 | 11:29 AM EDT I certify that 35 Village Hill is within the Smart Growth Overlay District shown in this ordinance Jonathan Flagg, Building Commissioner New Village Hill SG‐Sub District‐CDocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 City of Northampton Smart Growth Overlay District at Village Hill  Area Developable  (Acres)  As‐of‐right  without SGOD  As‐of‐right residential  density under SGOD  Bonus units   (built less as‐of‐right)   Village Hill SGOD 16 1    300   35 Village Hill 0.6 0 12 12 (Building Permit  attached)      I certify this is a true and accurate copy of our Smart Growth Residential Spreadsheet    ___________________________________________________________ September 2, 2020  Wayne Feiden, FAICP, Director of Planning and Sustainability  (40R single point of contact)  DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 Planning - DecisionCity of Northampton Hearing No.:PLN-2018-0033Date: January 23, 2018 APPLICATION TYPE:SUBMISSION DATE: PB 40R Review12/12/2017 Applicant'sName:Owner'sName: NAME: NAME: Community Builders, Inc.HOSPITALHILLDEVELOPMENTLLCC/OMA ADDRESS:ADDRESS: 322Main Street160 FEDERAL ST TOWN:STATE:ZIP CODE:TOWN:STATE:ZIP CODE: SPRINGFIELDMA01105-2408BOSTONMA02110 PHONE NO.:FAX NO.: PHONE NO.:FAX NO.: 737-0207 () EMAIL ADDRESS: EMAIL ADDRESS: Site Information:Surveyor'sName: STREET NO.:COMPANY NAME: SITE ZONING: VILLAGEHILLRD PV(100)/SG_b(100)/ TOWN:ADDRESS: ACTION TAKEN: NORTHAMPTONMA01060 ApprovedWithConditions MAP:BLOCK:LOT:MAP DATE: SECTION OF BYLAW: 38A109001 350-20: Smart GrowthOverlayDistrict TOWN:STATE:ZIP CODE: Book:Page: PHONE NO.:FAX NO.: EMAIL ADDRESS: NATURE OF PROPOSED WORK: Constructionofa3story15,000+ squarefootmulti-use buildingwith12residentialunitsandapproximately 3,000sfof commercialspace. HARDSHIP: CONDITION OF APPROVAL: 1)Priortoanysitework, theapplicantmusthavealltreeprotectionmeasuresinstalled andinspectedby theCity. TreeprotectionmustconformtoANSI300Standards, Part5. 2). Atleast15dayspriorto requestfora buildingpermit, theapplicantshallsubmitrevisedfinal constructionplans, signedandsealedbyaMassachusettsregisteredP.E. on allapplicableplan sheets, totheDepartmentofPublicWorks (DPW) forreviewandapproval at least15daysprior tothe issuanceofanyCitybuildingorconstructionpermits. Allrevisedplansshallincludetestpitresultsof soilswheretheproposedraingardenislocatedanddetailplanting mediumshallbeprovided 3). Priortoissuance ofaBuildingPermit, theapplicantshallrecordan executedStormwater Operation, Maintenance, andInspectionAgreementthatisbindingonallsubsequent ownersofland servedbytheprivatestormwatermanagementfacilityby recordingitinthelandrecordsofthe RegistryofDeeds. ThisagreementmustbeapprovedbytheNorthamptonDPWpriortofinal signatures. 4). PriortoissuanceofaBuildingPermit, theapplicantshallrecordanexecutedStormwater Operation, Maintenance, andInspectionAgreementthatisbindingonallsubsequent ownersofland servedbytheprivatestormwatermanagementfacilityby recordingitinthelandrecordsofthe RegistryofDeeds. ThisagreementmustbeapprovedbytheNorthamptonDPWpriortofinal signatures. 5). AllwaterlinesshallmeettheDepartmentofPublicWorksstandardsforsizeandconnections. 6). Prior toCertificateofOccupancy, alltreereplacementrequirementsshallbecompleted. FINDINGS: ThePlanningBoardapprovedtheapplicationunder §350-20.18 VillageHillSustainable GrowthOverlay (MGLChapter40R) basedonthe followinginformation andplans submittedwiththeapplication: 1. Site PlanApplicationSupplement 40RCompliancestatementsDatedDecember8, 2017. 2. “VillageHillSitePlanReview”, BytheBerkshireDesignGroup, DatedDecember8, 2017 SheetsL3, L4, L5(rev. 12/26/17,. Sheets L6, L7Dated12/26/17. 3. ElevationsandRenderings byDavisSquareArchitects, datedDecember8, 2017. ThePlanning Boardapprovedthe40R applicationupondeterminingthattherequirementswithin §350-20.18hadbeenmet, including evaluationof uses, density, design, andaccessibilityand affordability. Atotalof ~60% oftheunitswillbeaffordablewiththeremaining GeoTMS® 2018 Des Lauriers Municipal Solutions, Inc. DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 Planning - DecisionCity of Northampton Hearing No.:PLN-2018-0033Date: January 23, 2018 40% targeted to workforce housing, meeting 120% of AMI. COULD NOT DEROGATE BECAUSE: FILING DEADLINE:MAILING DATE:HEARING CONTINUED DATE:DECISION DRAFT BY:APPEAL DATE: 12/12/20171/4/20184/11/2018 REFERRALS IN DATE:HEARING DEADLINE DATE:HEARING CLOSE DATE:FINAL SIGNING BY:APPEAL DEADLINE: 12/28/20174/1/20181/11/20184/11/20182/12/2018 FIRST ADVERTISING DATE:HEARING DATE:VOTING DATE:DECISION DATE: 12/28/20171/11/20181/11/20181/23/2018 SECOND ADVERTISING DATE:HEARING TIME:VOTING DEADLINE:DECISION DEADLINE: 1/4/20187:00 PM4/11/20184/11/2018 MEMBERS PRESENT:VOTE: Samuel Taylorvotes toGrant Euripedes DeOliveiravotes toGrant Theresa (Tess) Poevotes toGrant Alan Versonvotes toGrant Dan Feltenvotes toGrant John Lutzvotes toGrant Debin Brucevotes toGrant Mark Sullivanvotes toGrant MOTION MADE BY:SECONDED BY:VOTE COUNT:DECISION: Theresa (Tess) PoeDan Felten7Approved with Conditions MINUTES OF MEETING: Availableatwww.northamptonma.gov I, CarolynMisch, asagenttothePlanningBoard, certifythat this isatrueandaccurate decisionmadebythePlanningBoardandcertify thatacopy ofthisandallplans havebeenfiledwith theBoardandtheCityClerkonthedateshownabove. Icertify thatacopyofthisdecisionhasbeenmailedtotheOwnerandApplicant. NoticeofAppeal AnappealfromthedecisionofthePlanningBoardmaybemadebyanypersonaggrievedpursuanttoMGLChapt. 40A, Section17as amendedwithintwenty (20) daysafter thedateofthefiling ofthenoticeofthedecisionwiththe CityClerk. Thedateislisted above. Such appealmaybemadetotheHampshireSuperiorCourtwithacertifiedcopyoftheappealsenttotheCityClerkoftheCity ofNorthampton. GeoTMS® 2018 Des Lauriers Municipal Solutions, Inc. DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 *As defined in 760 CMR 59.02. See attached definition page. ** As defined in MGL, Chapter 184, section 31. See attached definition page 8/14/2018 Density Bonus Payment Application Page 1 of 5 Density Bonus Payment Application Smart Growth Zoning District-Chapter 40R In order to receive a Density Bonus Payment* of $3,000 for each Bonus Unit*, the Municipality* must submit for each project an application for payment that includes the following: (a)A certified copy of the building permit(s) for the Project*; ATTACHED (b)A site plan that indicates building(s) location (and if available, address) within the district; ATTACHED (c)A certified copy, by the Building Official, of the Smart Growth Residential Density Plan (Attachment 5-1 of the Smart Growth Zoning Application Form) indicating that the building permits were issued for residential units located within the Smart Growth Zoning District*; ATTACHED (d)If the Smart Growth Zoning District contains sub-districts, a certified copy, by the Building Official, of the Smart Growth Residential Density Spreadsheet (Attachment 5-2 of the Smart Growth Zoning Application Form) indicating the number of building permits issued within each sub-district; ATTACHED (e)If there are Existing Zoned Units (See Attachments 4-1 and 4-2 of the Smart Growth Zoning Application.) a calculation of the number of Bonus Units for the Project (i.e. subtract Existing Zoned Units from the project’s total number of units). ATTACHED (f)A copy of the Approving Authority’s * decision approving the Project; ATTACHED (g)Form of the affordability covenant; and, ATTACHED (h)A completed original of this form. The Department may request additional information. A response is required for each blank. N/A and 0 are acceptable responses. , MA Name of Municipality Northampton DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 *As defined in 760 CMR 59.02. See attached definition page. ** As defined in MGL, Chapter 184, section 31. See attached definition page 8/14/2018 Density Bonus Payment Application Page 2 of 5 , MA Name of Municipality B.Building Permit: Total Number of Units Number of Bonus Units Total Number of Rental Units For Projects in each Approved District* provide the following: (Attach additional sheets if municipality has more than one (1) Project) A. Project Name:District Name: Number of single-family Number of 2-3 family Number of Multi-family* Affordable Market Rate 1 bedroom & studio 2 bedrooms 3 bedrooms Accessible 1 bedroom 2 bedrooms 3 bedrooms Northampton 35 Village Hill Sustainable Growth Overlay District 12 12 12 12 6 6 3 3 00 2 0 0 4 (2 studio) 2 0 0 1 bedroom & studio 2 bedrooms 3bedrooms DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 *As defined in 760 CMR 59.02. See attached definition page. ** As defined in MGL, Chapter 184, section 31. See attached definition page 8/14/2018 Density Bonus Payment Application Page 3 of 5 Is the Project exclusively for the elderly, disabled, or for assisted living? Yes No (If yes, then 25% of the Project needs to be affordable.) C. Units completed (issuance of occupancy permits) since District* was Approved Total Number of Units Number of Bonus Units Total Number of Rental Units Number of single-family Number of 2-3 family Number of Multi-family* Affordable Market Rate 1 bedroom 1 bedroom 2 bedrooms 2 bedrooms 3 bedrooms 3 bedrooms Accessible 1 bedroom 2 bedrooms 3 bedrooms , MA Name of Municipality Total Number of Homeownership Units Number of single-family Number of 2-3 family Number of Multi-family* Affordable Market Rate 1 bedroom 1 bedroom 2 bedrooms 2 bedrooms 3 bedrooms 3 bedrooms Accessible 1 bedroom 2 bedrooms 3 bedrooms Northampton 0 No 0 0 0 0 0 0 0 00 0 0 0 00 0 000 0 0 0 0 0 0 0 0 0 00 0 00 0 DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 *As defined in 760 CMR 59.02. See attached definition page. ** As defined in MGL, Chapter 184, section 31. See attached definition page 8/14/2018 Density Bonus Payment Application Page 4 of 5 D. If the zoning ordinance or bylaw did not specify an Administering Agent, submit minutes of meeting indicating date and vote of the appointing authority selection of the Administering Agent. E.Is the Project receiving Federal or State subsidy for housing, e.g. HOME, Low Income Housing Tax Credits (LIHTC)? Number of single-family Number of 2-3 family Number of Multi-family* Affordable Market Rate 1 bedroom 1 bedroom 2 bedrooms 2 bedrooms 3 bedrooms 3 bedrooms Accessible 1 bedroom 2 bedrooms 3 bedrooms Total Number of Homeownership Units Phone: Fax: D. Name, address, and phone and fax number of administering agent for affordable units , MA Name of Municipality Yes No Northampton 0 0 0 0 00 0 0 0 0 00 0 0 0 0 The Community Builders Inc. 31 Trumbull Road, Northampton, MA 01060 RCrowley@tcbinc.org 413-923-9022 YES DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 *As defined in 760 CMR 59.02. See attached definition page. ** As defined in MGL, Chapter 184, section 31. See attached definition page 8/14/2018 Density Bonus Payment Application Page 5 of 5 F.The zoning bylaw/ordinance requires that units of Affordable Housing be dispersed throughout the Project of which they are part. Attach a plan or other document showing how affordable units will be disbursed throughout the Project. Date Print Name , MA Name of Municipality Northampton I hereby certify that I have issued building permit(s) for the construction of 12 Bonus Units and such residential units are authorized to be constructed in a Smart Growth Zoning District approved pursuant to G.L. c.40R and 760 CMR 59.00 et seq. and therefore, meet eligibility requirements for payment of a Density Bonus Payment in the amount of $ 36,000. September 2, 2020 Signature Building Inspector/Commissioner Jonathan Flagg DocuSign Envelope ID: B4F20A5A-353F-4DAE-A498-AE6246174F12 9/2/2020 | 11:29 AM EDT 9/2/2020 | 11:29 AM EDT Prepared by Wayne Feiden Certificate Of Completion Envelope Id: B4F20A5A353F4DAEA498AE6246174F12 Status: Completed Subject: DocuSign: 35 Village Hill Smart Growth Density Payment Source Envelope: Document Pages: 57 Signatures: 5 Envelope Originator: Certificate Pages: 5 Initials: 0 Wayne Feiden AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-05:00) Eastern Time (US & Canada) 210 Main Street Northampton, MA 01060 wfeiden@northamptonma.gov IP Address: 73.159.213.190 Record Tracking Status: Original 9/2/2020 11:18:23 AM Holder: Wayne Feiden wfeiden@northamptonma.gov Location: DocuSign Security Appliance Status: Connected Pool: StateLocal Storage Appliance Status: Connected Pool: City of Northampton Location: DocuSign Status: Original 9/2/2020 11:28:05 AM Holder: City Signatures Processing cpo@northamptonma.gov Location: DocuSign Security Appliance Status: Connected Pool: StateLocal Storage Appliance Status: Connected Pool: City of Northampton Location: DocuSign Signer Events Signature Timestamp Wayne Feiden wfeiden@northamptonma.gov Planning Director City Of Northampton Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 73.159.213.190 Sent: 9/2/2020 11:28:04 AM Viewed: 9/2/2020 11:28:33 AM Signed: 9/2/2020 11:29:09 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign Jonathan Flagg jflagg@northamptonma.gov Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 50.235.91.10 Sent: 9/2/2020 11:29:26 AM Viewed: 9/2/2020 1:44:46 PM Signed: 9/2/2020 1:47:23 PM Electronic Record and Signature Disclosure: Accepted: 9/2/2020 1:44:46 PM ID: 53d24da7-cccd-4a9b-8a96-c037a5643639 Company Name: City of Northampton 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 Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 9/2/2020 11:29:26 AM Certified Delivered Security Checked 9/2/2020 1:44:47 PM Signing Complete Security Checked 9/2/2020 1:47:23 PM Completed Security Checked 9/2/2020 1:47:23 PM Payment Events Status Timestamps Electronic Record and Signature Disclosure ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, City of Northampton (we, us or Company) may be required by law to provide to you certain written notices or disclosures. 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All notices and disclosures will be sent to you electronically Electronic Record and Signature Disclosure created on: 3/26/2020 7:44:12 AM Parties agreed to: Jonathan Flagg 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 City of Northampton: 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: apagan@northamptonma.gov To advise City of Northampton 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 apagan@northamptonma.gov 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 City of Northampton 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 apagan@northamptonma.gov 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 City of Northampton 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 apagan@northamptonma.gov 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://support.docusign.com/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 City of Northampton 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 City of Northampton during the course of your relationship with City of Northampton.