DocuSign_CPA_Contract_for_Signatures.pdfMayor’s/CP docs/Procedures/VENDOR.COVER SHEET.UPDATED.6-02 cp
City of Northampton
Vendor Contract Cover Sheet
(To Accompany All City Contracts to City Auditor, Purchasing and Mayor’s Office)
1. Department and/or Division Name:
2. Vendor Name:
3. Munis Vendor I.D.#:____________ Department Contract # (if any):
4. Source and Amount of Funds: Please Fill in Below
Source: (Please check
all that apply) Account
Name:
Account
Number:
Amount: Total Per
Source
Budget:
Total of Contract
5. Period of Contract Coverage (If Applicable) ___________________________________________
6. Brief Description of Goods and/or Services being provided (e.g., Is this a part of a larger project,
stand alone, or is it an amendment to a contract?):
7. Does the vendor have a Northampton Office: ____ Yes _ No
(if local) Taxes owed: ____ Yes ____ No
8. Please list time and dates that contracts were delivered:
Signature Date
Department Head, _________________ ___ _______________
Auditor, _________________________ ___ _______________
Chief Procurement Officer, __________ _____________________ _______________
Finance Director, __________________ ___ _______________
Mayor ___________________________ ___ _______________
Contract #:
DocuSign Envelope ID: CC739D63-A201-4427-A5D4-1F2753A80026
Housing
Disabled
Homeless CPA 0.00
Borrowing
0.00
0.00
Independent Housing Solutions
Revolving
Community Preservation c/o Planning & Sustainability
Grant 0.00
X
0.00
152
49230
608,000
0.00
Creation of a supportive, ADA-accessible facility at 5 Franklin
Street to house 16 medically complex chronically houseless
individuals
608,000608,000
0.00
3100933-59333
7-22
X
0.00
0.00
0.00
3 years from contract execution
Wayne Feiden 3/31/2022 | 10:25 AM EDT
Joyce Karpinski 3/31/2022 | 10:30 AM EDT
4/1/2022 | 4:16 PM EDTJoe Cook
4/1/2022 | 4:28 PM EDTCharlene Nardi
4/1/2022 | 4:57 PM EDTGina-Louise Sciarra
272-22
1
CITY OF NORTHAMPTON, MASSACHUSETTS
CONTRACT FOR
HOUSING THE DISABLED HOMELESS PROJECT
THIS Contract for a Community Preservation Act Project ("Contract"), is executed this ______________, by
and between Independent Housing Solutions, Inc, 5 Franklin Street, Northampton MA, 01062, hereinafter called
"Grantee" and the City of Northampton, acting through its Community Preservation Committee (the
"Northampton CPC"), c/o Office of Planning and Sustainability, 210 Main Street, Northampton, MA 01060 , a
municipal corporation in the County of Hampshire, Commonwealth of Massachusetts, hereinafter called "City".
WITNESSETH, that for the consideration hereinafter mentioned, the City and the Grantee shall agree to the
terms and conditions contained in this Contract.
The Grantee's Community Preservation Act Project ("Project") shall be completed according to the terms and
conditions of this Contract and of the Grantee's Community Preservation Act Project Application and any
additional information provided during the Northampton CPC's evaluation process ("Project Application"),
which Project Application is hereby incorporated into this Contract by reference and forms a part thereof. These
documents can be accessed at
http://archive.northamptonma.gov/WebLink/Browse.aspx?id=722339&dbid=0&repo=CityOfNorthampton
The City shall pay the Grantee up to $608,000 (six hundred and eight thousand) dollars for the performance of
this Contract, in accordance with the City Council Appropriation dated December 2, 2021. The City shall pay
the Grantee upon the recording of a first mortgage to the City, as outlined below, completion of the Project or
portions of the Project, upon receipt and approval of invoices, as further specified below:
The Grantee shall: create a supportive, ADA-accessible facility at 5 Franklin Street to house sixteen medically
complex chronically houseless individuals. Units shall be restricted to individuals earning 100% of Area
Median Income or below. Invoices submitted, in the proper form and with proper documentation, to the City
are typically paid within 45 calendar days, and shall be made payable to the Grantee. All invoices shall be
submitted using AIA Application and Certificate for Payments and shall be for work to improve the property for
the allowed purposes and in conformance with all building and other permits.
This Contract shall not be altered in any particular without the consent of all parties to this Contract. All
alterations to this Contract must be in writing and must be executed by the Northampton CPC and
Northampton's Director of Planning and Sustainability, City Auditor, Chief Procurement Officer, and Mayor.
The Grantee shall not delegate, assign or transfer any of its duties delineated in this Contract without prior
written consent from the City, although certain services may be provided by third parties if and to the extent
contemplated in the Grantee's Project Application.
In the event the Grantee is a corporation, a clerk’s certificate that the person executing this Contract is duly
authorized to sign must accompany this Contract.
Notwithstanding anything in this Contract to the contrary, any and all payments that the City is required to make
under this Contract shall be subject to appropriation or other availability of funds as certified by the
Northampton City Auditor. Obligations for payments beyond the current fiscal year are subject to appropriation
and this Contract shall be canceled in the event of non-appropriation. The City has already appropriated the
funds for the full amount of this contract and those funds remain secure during the period of this contract.
The Grantee shall indemnify and hold harmless, the City and all of its officers, agents, and employees against all
suits, claims or liabilities of every nature, arising out of, or in consequence of, the acts or omissions of the
Grantee, its employees, agents, or subcontractors in connection with their rendering of services or goods under
DocuSign Envelope ID: CC739D63-A201-4427-A5D4-1F2753A80026
4/1/2022 | 4:57 PM EDT
2
this Contract and will, at the Grantee's own cost and expense, defend any and all such suits and actions
No Liability of City. By making this award, the City does not accept any liability whatsoever for any acts,
omissions or errors associated with the Project. Grantee agrees to indemnify and defend the City from all
claims, suits or demands resulting from implementation of the Project.
By signing this Contract the Grantee agrees to subject any dispute to mediation, at the option of the City, prior to
filing suit in any forum.
This Contract shall be deemed to be a Massachusetts contract and its interpretation and construction shall be
governed by the laws of Massachusetts and the Charter and Ordinances of the City.
The provisions of this Contract are severable. If any provision of this Contract shall be held unconstitutional or
invalid by any court of competent jurisdiction, the decision of such court shall not affect any other provisions of
this Contract.
The City is not bound by this Contract until it is executed by the duly authorized representatives of all parties.
Pursuant to M.G.L. Chapter 62C, Section 49A, the Grantee certifies under the penalties of perjury that it has, to
the best of its knowledge and belief, complied with the laws of the Commonwealth relating to taxes, reporting of
employees and contractors, and withholding and remitting child support. The Grantee authorizes the City of
Northampton to deduct from the amounts due under this Contract, any overdue taxes, real or personal, or any
other fees due to the City of Northampton from the Grantee which become due and payable by the Grantee
during the term of this Contract or until the final amounts due under this Contract are paid in full.
Grantee does have a Northampton office.
Fair Wages The Grantee certifies that a) neither it nor any of its subcontractors have been subject to a federal or
state criminal or civil judgment, administrative citation, final administrative determination, order or debarment
resulting from a violation of G.L. c. 149, c. 151, or the Fair Labor Standards Act within five (5) years prior to
the date of the Contract, or b) that if it or any of its subcontractors have been subject to a federal or state
criminal or civil judgment, administrative citation, final administrative determination, order or
debarment resulting from a violation of G.L. c. 149, c. 151, or the Fair Labor Standards Act within
five (5) years prior to the date of the Contract, the Contractor has provided copies of any such judgment,
citation, determination or order to the City prior to the date of the Contract and has procured a wage bond or
insurance. The Contractor certifies that while the Contract is in effect, it will report any instance of the above
to the City within five (5) days of Contractor's receipt.
The Grantee shall obtain from any general contractor or construction supervisor a Fair Wage Compliance
Certification and shall require that such general contractor or construction manager obtain such Certification
from each subcontractor on the project. These certifications shall be provided to the CPC.
Other Terms and Conditions for CPA Projects:
Term. The term of this Contract and the deadline for completion of all work is three years from the date of the
City's full execution of this Contract. The City shall not make payments for any costs incurred after the
expiration of the Contract. The City shall be obligated to return any unused funds to the Community
Preservation Fund Reserve ("Reserve"), and such funds shall be available for future appropriation to other
recipients.
Repayment of Funds. If the Northampton CPC determines that funds have been spent on goods or services not
included in the Project budget or otherwise not authorized under this Contract or the Community Preservation
Act, the Grantee shall be responsible for repayment of such funds to the Reserve.
Public Records. All reports and Project documents submitted to the Northampton CPC shall become the
DocuSign Envelope ID: CC739D63-A201-4427-A5D4-1F2753A80026
3
property of the City of Northampton and shall be available for use by the City and available to the public under
the Massachusetts Public Records Law.
Compliance with Laws and Contract. Grantee understands and agrees that projects funded through this Contract
are made pursuant to and must comply with the requirements of the Community Preservation Act, M.G.L. c.
44B, and all other applicable laws and regulations. Grantee also agrees to comply with all requirements of this
Contract.
Permits and Licenses. It is the obligation of the Grantee to obtain all permits and licenses necessary for
implementation of the Project. The execution of this Contract waives no federal, state or local permit or license.
Community Preservation Act Awareness. The Grantee shall identify that the Project was funded through the
City of Northampton Community Preservation Act in its written materials about the Project, including websites,
social media, press releases, brochures, etc.
Reports. Each year until the completion of the Project, the Grantee shall provide the Northampton CPC with a
written update on the progress toward completion of the work. A final report, including photo documentation, is
due not later than 30 days after the date of completion. The final report shall be to the satisfaction of the
Northampton CPC, which approval shall not be unreasonably withheld. Grantee shall, upon request of the
Northampton CPC, give an oral presentation of its final report at a meeting of the Northampton CPC.
Housing Development Consultant. Prior to payment of any portion of the grant. The Grantee shall demonstrate
that a qualified affordable housing development consultant has been retained for the duration of the project.
Insurance. Prior to payment of any portion of the grant, the Grantee shall provide evidence of fire and building
insurance. The insurance company shall notify the Grantor as the insurance policy changes
Budget. Prior to payment of any portion of the grant, the Grantee shall provide a detailed budget for approval
by the Director of Planning & Sustainability for use of CPA funds
Mortgage. Prior to payment of any portion of the grant, the Grantee shall execute a mortgage at 2.5% simple
interest, senior to all other financing, that could be released if CPA funds are returned with principal and simple
interest. 5% of the mortgage principal and interest shall be forgiven each year starting with when the property is
used for its intended purpose and continuing for so long as that intended purpose continues. The Grantee shall
carry insurance for the building (fire and other damage), for liability ($1 million/$3 million), and, if there are
any employees, for workers compensation during the entire term of the mortgage with insurance certificates
provided to the City prior to any payment and notice to the City when there is any change in insurance coverage.
The City agrees to subordinate this first mortgage to a Massachusetts bank or other lender acceptable to the City
in its sole discretion if the value of the combined mortgages does not exceed 80% of the appraised property
value, based on an independent appraisal provided to the City of Northampton by the bank or other acceptable
lender based on accepted independent appraisal standards estimating the market value of the property sold on
the open market.
Use of Property for Intended Purpose. If the property is vacant for a period of six months or longer, or if it
ceases to be utilized at any point as a supportive affordable housing facility as outlined herein, or if the required
annual report is not filed, the mortgage shall become due and exercisable. Enforcement of this clause shall be at
the sole discretion of City. Any election by the City as to the manner and timing of its right to enforce this
clause shall not be deemed or construed to be a waiver of such rights and the Grantee expressly waives any
rights to claim that such rights have been waived. The Grantee shall submit an annual statement by December
31 confirming that the facility is utilized for supportive affordable housing in accordance to their application,
this contract and shall provide documentation of the same.
DocuSign Envelope ID: CC739D63-A201-4427-A5D4-1F2753A80026
4
IN WITNESS WHEREOF the City caused these presents to be signed and approved by Gina-Louise
Sciarra, its Mayor and the said Grantee has caused these presents to be signed and its official seal to be
hereto affixed by its officer or agent thereunto duly authorized (by the attached corporate resolution).
This instrument shall take effect as a sealed instrument.
Grantee: Independent Housing Solutions
it's
President
_____________________
CLERK’S CERTIFICATE
The undersigned certifies that s/he is the duly elected, qualified and acting Clerk of Independent
Housing Solutions, a Massachusetts corporation (the “Corporation”), and that:
1. Attached hereto as Exhibit A is a true copy of the resolution which was duly adopted by the Board of
Directors of the Corporation at a meeting by a quorum being present and voting at all times, and which
continues in full force and effect on the date hereof without further modification or amendment.
2. I further certify that the above vote is in accordance with the Articles of Organization, the Bylaws of the
Corporation, and that the Corporation is a duly organized corporation under the laws of the Commonwealth
of Massachusetts.
3. I further certify that the authorized signatories of the Corporation are set forth below:
Executed under seal this______________
_______________________________
IHS President
______________________________
Corporate Clerk
City of Northampton (Grantor), by:
__________________________________
Wayne Feiden, FAICP, Director of Planning and Sustainability
__________________________________
Joyce Karpinski, City Auditor, approved as to appropriation.
____________________________________
Joe Cook, Chief Procurement Officer, as to MGL c. 30B compliance
___________________________________
Mayor Gina-Louise Sciarra
DocuSign Envelope ID: CC739D63-A201-4427-A5D4-1F2753A80026
3/30/2022 | 5:06 PM PDT
3/31/2022 | 10:25 AM EDT
3/31/2022 | 10:30 AM EDT
4/1/2022 | 4:16 PM EDT
4/1/2022 | 4:57 PM EDT
City of Northampton
Community Preservation Committee
210 Main Street, City Hall
Northampton, MA 01060
Fair Wage Compliance Certificate
Grantee Information Please Print Legibly_
Project Name: Housing the Disabled Homeless
Business/Organization Name: Independent Housing Solutions
Address: 5 Franklin Street
City/State/Zip: Northampton MA 01060
Phone #:
The Northampton Community Preservation Committee requires certification of compliance with wage and hour laws
prior to issuance of contracts involving CPA funds. Each grantee must certify that they are not subject to a federal
or state criminal or civil judgment, administrative citation or final administrative determination resulting from a
violation of M.G.L. c149, c150, or the Fair Labor Standard Act. Any grantee who does not certify to the above may
be required by the City of Northampton to provide a wage bond or insurance prior to issuance of a contract for CPA-
funded work. Grantees shall obtain from any general contractor or construction supervisor a Fair Wage Compliance
Certification and shall require that such general contractor or construction manager obtain such Certification from
each subcontractor on the project. These certifications shall be provided to the CPC.
Grantees / contractors must check box 1 or box 2 as applicable and must sign this Form, certifying compliance with
the requirements set out in this Form.
This grantee/contractor is not subject to a federal or state criminal or civil judgment, administrative
citation, order or final administrative determination resulting from a violation of G.L. c. 149, c. 151, or
the Fair Labor Standards Act within the last five years.
This grantee/contractor is subject to a federal or state criminal or civil judgment, administrative citation,
order or final administrative determination resulting from a violation of G.L. c. 149, c. 151, or the Fair
Labor Standards Act within the last five years. This grantee will provide a wage bond or wage insurance
for the period of the contract.
Jessica Bossie ______________________________
(Typed or printed name of person signing) Signature
________________________________
Date
DocuSign Envelope ID: CC739D63-A201-4427-A5D4-1F2753A80026
3/31/2022 | 9:15 AM EDT
X
Certificate Of Completion
Envelope Id: CC739D63A2014427A5D41F2753A80026 Status: Completed
Subject: DocuSign: CPA Contract for Signatures
Source Envelope:
Document Pages: 6 Signatures: 13 Envelope Originator:
Certificate Pages: 6 Initials: 0 Sarah LaValley
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-05:00) Eastern Time (US & Canada)
210 Main Street
Northampton, MA 01060
slavalley@northamptonma.gov
IP Address: 50.235.91.10
Record Tracking
Status: Original
3/29/2022 2:55:09 PM
Holder: Sarah LaValley
slavalley@northamptonma.gov
Location: DocuSign
Security Appliance Status: Connected Pool: StateLocal
Storage Appliance Status: Connected Pool: City of Northampton Location: DocuSign
Status: Original
3/29/2022 4:24:34 PM
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
Sarah LaValley
slavalley@northamptonma.gov
Department Assistant
City of Northampton
Security Level: Email, Account Authentication
(None)
Completed
Signed by link sent to
slavalley@northamptonma.gov
Using IP Address: 50.235.91.10
Sent: 3/29/2022 4:24:34 PM
Viewed: 3/29/2022 4:24:50 PM
Signed: 3/29/2022 4:24:54 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Jessica Bossie
independenthousingsolutions@gmail.com
President of IHS
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Signed by link sent to
independenthousingsolutions@gmail.com
Using IP Address: 50.250.18.165
Sent: 3/29/2022 4:24:56 PM
Viewed: 3/31/2022 9:15:29 AM
Signed: 3/31/2022 9:15:46 AM
Electronic Record and Signature Disclosure:
Accepted: 3/31/2022 9:15:29 AM
ID: 0978bd18-519e-42a5-8a44-15a1077e210a
Company Name: City of Northampton
Sami Cunningham
samisilverthorn@gmail.com
Security Level: Email, Account Authentication
(None)
Signature Adoption: Drawn on Device
Signed by link sent to samisilverthorn@gmail.com
Using IP Address: 71.192.39.92
Sent: 3/29/2022 6:26:52 PM
Viewed: 3/30/2022 8:06:02 PM
Signed: 3/30/2022 8:06:20 PM
Electronic Record and Signature Disclosure:
Accepted: 3/30/2022 8:06:02 PM
ID: 4edb5d97-e792-443d-b4c3-b78be0c022b4
Company Name: City of Northampton
Signer Events Signature Timestamp
Wayne Feiden
wfeiden@northamptonma.gov
Planning Director
Planning & Sustainability
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Signed by link sent to wfeiden@northamptonma.gov
Using IP Address: 172.58.216.73
Signed using mobile
Sent: 3/31/2022 9:15:50 AM
Viewed: 3/31/2022 10:24:47 AM
Signed: 3/31/2022 10:25:45 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Joyce Karpinski
jkarpinski@northamptonma.gov
City Auditor
City of Northampton
Signing Group: Auditor Group
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Signed by link sent to
jkarpinski@northamptonma.gov
Using IP Address: 50.235.91.10
Sent: 3/31/2022 10:25:49 AM
Viewed: 3/31/2022 10:29:49 AM
Signed: 3/31/2022 10:30:26 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Joe Cook
jcook@northamptonma.gov
Chief Procurement Officer
City of Northampton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Signed by link sent to jcook@northamptonma.gov
Using IP Address: 50.235.91.10
Sent: 3/31/2022 10:25:50 AM
Viewed: 4/1/2022 4:16:07 PM
Signed: 4/1/2022 4:16:42 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Charlene Nardi
cnardi@northamptonma.gov
Finance Director
City of Northampton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Signed by link sent to cnardi@northamptonma.gov
Using IP Address: 50.235.91.10
Sent: 4/1/2022 4:16:46 PM
Viewed: 4/1/2022 4:27:13 PM
Signed: 4/1/2022 4:28:07 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Gina-Louise Sciarra
g-lsciarra@northamptonma.gov
Mayor
City of Northampton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Signed by link sent to
g-lsciarra@northamptonma.gov
Using IP Address: 50.235.91.10
Sent: 4/1/2022 4:28:11 PM
Viewed: 4/1/2022 4:56:41 PM
Signed: 4/1/2022 4:57:03 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Signer Events Signature Timestamp
Joe Cook
jcook@northamptonma.gov
Chief Procurement Officer
City of Northampton
Signing Group: CPO Group
Security Level: Email, Account Authentication
(None)
Completed
Signed by link sent to jcook@northamptonma.gov
Using IP Address: 50.235.91.10
Sent: 4/1/2022 4:57:07 PM
Viewed: 4/4/2022 3:09:49 PM
Signed: 4/4/2022 3:12:38 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
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
Durai Rajasekar
raj@rivervalleyresthome.com
Security Level: Email, Account Authentication
(None)
Sent: 3/29/2022 6:26:53 PM
Viewed: 3/29/2022 6:33:50 PM
Electronic Record and Signature Disclosure:
Accepted: 3/29/2022 6:20:55 PM
ID: b8066031-e512-42de-8c5f-f97cb59e67ef
Company Name: City of Northampton
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 3/29/2022 4:24:34 PM
Certified Delivered Security Checked 4/4/2022 3:09:49 PM
Signing Complete Security Checked 4/4/2022 3:12:38 PM
Completed Security Checked 4/4/2022 3:12:38 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. 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
Electronic Record and Signature Disclosure created on: 3/26/2020 7:44:12 AM
Parties agreed to: Jessica Bossie, Sami Cunningham, Durai Rajasekar
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.