HomeMy WebLinkAboutHelloSign - Pre-Employment Agreementv HELLOSIG'N
D o10Pb6A CCrMJK7'11J
Order Form for City of Pasco
Order Form Effective Date
11/8/2021
Services Term
11/30/2021 - 11/29/2022
Payment Frequency
Due on Receipt
Payment Terms
Net 30
Current
SUSS
Total Contract Value
$324.00
Item
Quantity
Annualized
License Price
Minimum Fees
HelloSign Essentials 50 - Annual Allotment (600 Requests
Annually)
1
N/A
$324.00
Total Contract Value
$324.00
Billing Information
Company Name: City of Pasco
Billing Zip / Postal Code: 99301
Billing Street: 525 N. 3rd Avenue
Billing Country: United States
Billing City: Pasco, WA
AP Contact (email): cachom@pasco-wa.gov
VAT Number: Colleen Cha in
Order Form Terms
Purchasinq HelloSign Services: The HelloSign Terms of Use apply to all HelloSign services purchased under this Order Form. By
signing the Order Form, Customer acknowledges it has read, understood, and agrees to the HelloSign Terms of Use at
httos://www.hellosian.com/terms, which are incorporated into this Order Form by this reference for the HelloSign services purchased
under this Order Form.
Purchase Orders. If Customer requires the use of a purchase order or purchase order number, Customer: (a) must provide the
purchase order number at the time of purchase; and (b) agrees that any terms and conditions on a Customer purchase order will not
apply to the Agreement and are null and void.
This is a non -cancelable and non-refundable purchase. By signing below, I represent both that I am an authorized signatory,
and that I accept and agree to the terms of this Order Form.
Customer: City ofPas/co /� JN Projects, Inc. d/b/a HelloSign
Signature: C0111 A CAAa OZuL Signature:
Printed Name: Colleen Chapin Printed Name: Whit Bouck
Title: Colleen Chapin Title: COO
Date: Date: 11 / 10 / 2021
HelloSign Order Form - 06012020
Doc ID: 6f6fa4369f97447a702c7910afad3fb6cb3b16f2
YHELLOSIGN
TITLE
FILE NAME
DOCUMENT ID
AUDIT TRAIL DATE FORMAT
STATUS
HelloWorks Order Form
content
6f6fa4369f97447a702c7910afad3fb6cb3b 16f2
MM / DID / YYYY
Completed
This document was requested from hellosign--hellosign.na141.visual.force.com
Document History
CU
SENT
VIEWED
REASSIGNED
VIEWED
Audit Trail
11 / 09 / 2021 Sent for signature to Adriana Zuniga (zunigaa@pasco-wa.gov)
16:42:49 UTC-8 and Whit Bouck (whitney.bouck@hellosign.com) from
nick.pellegrini@hellosign.com
IP: 73.241.72.186
11 / 10 / 2021 Viewed by Adriana Zuniga (zunigaa@pasco-wa.gov)
09:51:14 UTC-8 IP: 64.184.156.54
11 / 10 / 2021 The document has been reassigned by Adriana Zuniga
09:53:50 UTC-8 (zunigaa@pasco-wa.gov) to Colleen Chapin
(chapinc@pasco-wa.gov)
P: 64.184.156.54
11 / 10 / 2021 Viewed by Colleen Chapin (chapinc@pasco-wa.gov)
17:12:33 UTC-8 IP: 64.184.156.54
Powered by OHELLOSIGN
V HELLOSIGN
TITLE
HelloWorks Order Form
FILE NAME
content
DOCUMENT ID
6f6fa4369f97447a702c7910afad3fb6cb3b16f2
AUDIT TRAIL DATE FORMAT
MM / DD / YYYY
STATUS
I Completed
This document was requested from hellosign--hellosign.na141.visual.force.com
Document History
11 / 10 / 2021 Signed by Colleen Chapin (chapinc@pasco-wa.gov)
SIGNED 17:14:37 UTC-8 IP: 64.184.156.54
Audit Trai
<E> 11 / 10 / 2021 Viewed by Whit Bouck (whitney.bouck@hellosign.com)
VIEWED 19:21:49 UTC-8 IP: 47.208.186.199
11 / 10 / 2021 Signed by Whit Bouck (whitney.bouck@hellosign.com)
SIGNED 19:22:06 UTC-8 IP: 47.208.186.199
C:1 11 / 10 / 2021 The document has been completed.
COMPLETED 19:22:06 UTC-8
Powered by OHELLOSIGN