HomeMy WebLinkAboutResolutions 2025-67 - Authorizing Change Order 1 with CK May Excavating for Riverside Lift Station and Force Main1 of 2
RESOLUTION 2025-67
A RESOLUTION OF THE CITY COMMISSION OF THE CITY OF BOZEMAN, MONTANA,
APPROVING ALTERATION/MODIFICATION OF CONTRACT WITH CK MAY EXCAVATING,
INC
WHEREAS, the City Commission did, on the 17TH day of April 2025, authorize award of the bid for
the Riverside Lift Station and Force Main Project to CK May Excavating Inc; and
WHEREAS, Section 7-5-4308, Montana Code Annotated, provides that any such alterations or
modifications of the specifications and/or plans of the contract be made by resolution; and
WHEREAS, it has become necessary in the prosecution of the work to make alterations or
modifications to the specifications and/or plans of the contract.
NOW, THEREFORE, BE IT RESOLVED by the City Commission of the City of Bozeman, Montana, that
the proposed modifications and/or alterations to the contract between the City of Bozeman, a municipal
corporation, and CK May Excavating Inc, as contained in Change Order No. 1, attached hereto, be and the
same are hereby approved; and the City Manager is hereby authorized and directed to execute the contract
change order for and on behalf of the City; and the City Clerk is authorized and directed to attest such
signature.
PASSED, ADOPTED, AND APPROVED by the City Commission of the City of Bozeman, Montana, at
a regular session thereof held on the 21st day of October, 2025
__________________________________________
TERRY CUNNINGHAM
Mayor
ATTEST:
________________________________________
MIKE MAAS
City Clerk
Docusign Envelope ID: 2612F96C-3B2B-455E-BBEC-B9AE39C2CC50
Resolution 2025-67, Change Order 1 for Riverside Lift Station and Force Main Project
2 of 2
APPROVED AS TO FORM:
_____________________________________________
GREG SULLIVAN
City Attorney
Docusign Envelope ID: 2612F96C-3B2B-455E-BBEC-B9AE39C2CC50
406-586-8834 ■ 800-865-9847 (fax) ■ 1283 N. 14th Ave; Ste 101 ■ Bozeman, Montana 59715 ■ www.dowl.com
October 3, 2025
Mr. Kellen Gamradt
City of Bozeman
P.O. Box 1230
Bozeman, MT 59771
Subject: Riverside Lift Station and Force Main – Change Order 1; Recommendation for
Approval
Dear Mr. Gamradt:
Please see the following change order for the Bozeman Riverside Lift Station and Force Main project.
This change order is the result of three field orders. First, the automatic transfer switch that controls
power between the grid and the generator was described in the bid documents as “provided by
owner” but must be sourced by the contractor, at a cost of $3,018.75. Installation of the equipment is
included in the construction documents.
Second, during the installation of gravity sewer main to connect the existing wastewater system to the
new sewer lift station the domestic water supply line from the existing water storage tank was found in
a different location than shown in the record drawings and was in conflict with the proposed manhole
and sewer main. Revision of the alignment and manhole locations to avoid both the potable water line
and an unknown irrigation pipeline required additional piping and excavation work, at a cost of
$5,596.32.
Third, the domestic water service pipeline to the Riverside Country Club was found to be shallower
than expected. This required the force main to cross the waterline at less than the required
separation. Pursuant to a deviation request approved by MT DEQ, flowable fill material was placed
between the water and force main pipes, at a cost of $955.51. The bid documents included a cost to
lower the waterline if the water and force main were in conflict that could not otherwise be resolved
with minor grade adjustments. This bid cost of $7,250 for this item will not be expended, as the water
main will not need to be lowered.
The increase in the contract amount for the three items on this change order is $9,570.58, a portion of
which will be offset by deleting the noted bid item to lower the water main. This adjustment/deduction
will be captured on the final reconciliation of quantities at the end of the project. Thus, the approval of
this change order will add the noted additional costs to the contract total. We recommend approval of
this change order for the amount of $9,570.58.
Please let us know if you have any questions.
Sincerely,
DOWL
Kevin R. Johnson, PE, BCEE
Project Manager
Attachment(s): As stated
Docusign Envelope ID: 2612F96C-3B2B-455E-BBEC-B9AE39C2CC50
EJCDC C-941 Change Order
Prepared by the Engineers Joint Contract Documents Committee and endorsed by the Construction Specifications Institute.
Page 1 of 2
Change Order
No. 1
Date of Issuance: 10/3/2025 Effective Date: 10/3/2025
Project: Riverside LS & FM
Owner: City of Bozeman
Owner's Contract No.: Kellen Gamradt
Date of Contract: June 5, 2025
Contractor: CK May
Engineer's Project No.: 4563.12580.01
The Contract Documents are modified as follows upon execution of this Change Order:
Description:
CO1-1: Supply automatic transfer switch.
CO1-2: Adjust manhole locations around existing potable and irrigation lines not as shown in record drawings.
CO1-3: Add flowable fill between existing water and new sewer force main to account for required DEQ vertical
separation requirements and per the actual elevations discovered in the field.
Attachments (list documents supporting change):
CO1-1: See attached documentation. Per Field Order #1
CO1-2: See attached documentation: Per Field Order #2
CO1-3: See attached documentation: Per Field Orders #3/#4
Item Description Unit Quantity Unit Price Total Price
CO1-1 Automatic X-fer Switch LS 1 3,018.75$ 3,018.75$
CO1-2 MH Location Adjustments LS 1 5,596.32$ 5,596.32$
CO1-3 Flow Fill For Sewer Separation LS 1 955.51$ 955.51$
9,570.58$
Docusign Envelope ID: 2612F96C-3B2B-455E-BBEC-B9AE39C2CC50
EJCDC C-941 Change Order
Prepared by the Engineers Joint Contract Documents Committee and endorsed by the Construction Specifications Institute.
Page 2 of 2
CHANGE IN CONTRACT PRICE: CHANGE IN CONTRACT TIMES:
Original Contract Price: Original Contract Times: Working days Calendar days
Substantial completion (days or date): 180
$1,782,351.00 Ready for final payment (days or date): 210
[Increase] [Decrease] from previously approved
Change Orders No. to No. : [Increase] [Decrease] from previously approved Change Orders
No. to No. :
Substantial completion (days): 0
$0.00 Ready for final payment (days): 0
Contract Price prior to this Change Order: Contract Times prior to this Change Order:
Substantial completion (days or date): 180
$1,782,351.00 Ready for final payment (days or date): 210
[Increase] of this Change Order: [Increase] [Decrease] of this Change Order:
Substantial completion (days or date): 0
$9,570.58 Ready for final payment (days or date): 0
Contract Price incorporating this Change Order: Contract Times incorporating approved Change Orders:
Substantial completion (days or date): 180
$1,791,921.58 Ready for final payment (days or date): 210
RECOMMENDED: ACCEPTED: ACCEPTED:
By: By: By:
Engineer (Authorized Signature) Owner (Authorized Signature) Contractor (Authorized Signature)
Date: Date: Date:
Approved by Funding Agency (if applicable):
____________________________________________________________
Date:
Docusign Envelope ID: 2612F96C-3B2B-455E-BBEC-B9AE39C2CC50
10/26/2025
Bozeman, MT
QTY Hours Unit Price Cost Comments
$ -
$ -
$ -
QTY Hours Unit Price Cost Comments
$ -
$ -
$ -
QTY Units Unit Price Cost Comments
$ -
$ -
$ -
QTY Units Unit Price Cost Comments
1 EA $ 2,875.00 $ 2,875.00
$ -
$ 143.75
Total Cost $ 3,018.75
Contractors Fee (5%)
Date: 09/29/2025Authorized Signature
Description
Contractors Fee (15%)
SUBCONTRACT:RTSW200K3 Transfer Switch
Description
MATERIALS:N/A
Contractors Fee (15%)
Description
EQUIPMENT:N/A
Contractors Fee (15%)
Description
LABOR:N/A
DOWL
FAX:July 9, 2025
DESCRIPTION:Field Order 01: Transfer Switch
Specifications indicated the transfer switch was to be owner-provided. Contractor/electrician needs to procure the transfer
switch instead. Please provide quote for provision of this equipment for formalizing in a Work Directive.
P.O. Box 1426
Belgrade, MT 59714 PROJECT LOCATION:
PHONE: 406-539-6559 REQUESTED FROM:
ON DATE:
Field Order - Pricing Detail
CONTRACTOR: CK May Excavating PROJECT NAME:Riverside Lift Station and Force Main
REPRESENTATIVE:Jim Blair
ADDRESS:
Docusign Envelope ID: 2612F96C-3B2B-455E-BBEC-B9AE39C2CC50
6131 Homestead Blvd
PO Box 1934
Colstrip, MT 59323
TEL: (406) 748-4048
FAX: (406) 748-3135
647 S. 18th Street W.
Billings, MT 59102
TEL: (406) 656-4365
FAX: (406) 656-4534
4105 S. Broadway
Minot, ND 58701
TEL: (701) 500-1007
FAX: (406) 748-3135
www.ceionline.com
Page 1 of 1
Brodie McDonald
Project Manager
July 22, 2025
CK May Excavating
RE: Riverside Lift Transfer Switch
Attn: Jim Blair
Per your request, CEI would like to offer the following price for the above-mentioned
project located in Bozeman, MT.
Estimate:
Provide 200A transfer switch $2875.00
Notes:
1) Based on providing RTSW200K3 transfer switch.
If you have any further questions, please call me at (406)670-4183.
Respectfully,
Docusign Envelope ID: 2612F96C-3B2B-455E-BBEC-B9AE39C2CC50
Bozeman, MT
QTY Hours Unit Price Cost Comments
1 15.00 $ 58.50 $ 877.50
1 15.00 $ 15.15 $ 227.25
1 14.00 $ 51.00 $ 714.00
1 14.00 $ 16.35 $ 228.90
$ 307.15
QTY Hours Unit Price Cost Comments
19.00 $ 202.69 $ 1,824.21
11.50 $ 69.73 $ 104.60
$ 289.32
QTY Units Unit Price Cost Comments
1 EA $ 110.00 $ 110.00
1EA $ 116.78 $ 116.78
1EA $ 59.66 $ 59.66
1EA $ 603.47 $ 603.47
$ 133.49
QTY Units Unit Price Cost Comments
$ -
$ -
Total Cost $ 5,596.32
Field Order - Pricing Detail
CONTRACTOR: CK May Excavating PROJECT NAME:Riverside Lift Station and Force Main
REPRESENTATIVE:Jim Blair
ADDRESS:
DOWL
FAX:July 10, 2025
DESCRIPTION:Field Order 02: Gravity Sewer Adjustment
To accommodate the actual position of the existing 8” water line, adjust the gravity sewer pipe and manholes per revised sheet c3. The manhole rim
elevation for sta 1+37.88 will need to be modified to accommodate existing grade. The invert into the wet well will remain the same. Additional
gravity sewer main paid on bid item unit price.
To avoid conflict with the existing 8-inch watermain discovered in a different location than anticipated, shift manholes to the south per the attached
drawings. Additional gravity sewer main paid on bid item unit price.
Manhole 2 (original station 1+51) will be too tall and the barrel section will need shortened or replaced. No cost.
Manhole 1 (original station 1+05) would be about 3” too high with the grade rings removed. Thus, the barrel section on this manhole may also need
shortened or replaced. No cost.
Existing Irrigation Line: The AC pipe can be cut and capped/plugged east of the proposed location of MH1. Waiting for confirmation from RCC if the
main is charged by the irrigation system or not. Costs below.
CK May Field Notes:
07/10/2025: Dig up sewer line. Found sewer line. After digging under sewer line for manhole install we found the water line within 18” of pipe running
underneath the sewer line. Exposed lines to establish a plan. After deciding to move manhole to the south we continue to expose the sewer line to
the south. After reaching the new manhole location we found an 8” AC irrigation pipe that conflicted with the new manhole location. Met with engineer
to discuss options and make a plan.
07/11/2025: Dig around 8” ac pipe to confirm OD.
07/15/2025: Dig up AC irrigation pipe south east of new manhole location for abandonment. Backfill half of manhole excavation from original location.
Pick up concrete block for thrust block and fittings and parts from hd Fowler for capping pipe. Break and drain irrigation AC piping in manhole
excavation. Break and remove piping from bell in hole south east. Install macro adapting coupler and 2’ of c900 with an end cap.
P.O. Box 1426
Belgrade, MT 59714 PROJECT LOCATION:
PHONE: 406-539-6559 REQUESTED FROM:
ON DATE:
Contractors Fee (15%)
Description
EQUIPMENT:Komatsu PC490LCi-11
Contractors Fee (15%)
Description
LABOR:Trysten Bousquet (OT Wage)
Komatsu PC88MR-10
Trysten Bousquet (Hourly Fringe Benefit)
Peter Lonergan (OT Wage)
Peter Lonergan (Hourly Fringe Benefit)
Description
MATERIALS:1/2 YD BLOCK FLAT FACE
8" MJ CAP DI, SSB, AWWA C153
8" COMPACT BODY MJ ACC KIT
8" MACRO TWO-BOLT WR COUPLING
Date: 09/29/2025Authorized Signature
Description
Contractors Fee (15%)
SUBCONTRACT:N/A
Contractors Fee (5%)
Docusign Envelope ID: 2612F96C-3B2B-455E-BBEC-B9AE39C2CC50
To:
~ H.D. FOWLER ~ COMPANY
REMIT: PO Box 84368, Seattle, WA 98124
Invoice
Number 17066915 BZWH
# 031133
Corporate Office
3633 136th Pl SE, Ste 100, Bellevue, WA 98006
PO Box 160, Bellevue, WA 98009-0160
Phone 425-654-8800 * Fax 425-641-8885
Bozeman Branch
401 E MAIN ST
Belgrade, MT 59714
(406) 388-1169 Fax (406) 388-4963
Ship to: HD Fowler Company -Bozeman 1 /1
T-0 CK MAY EXCAVATING INC
PO BOX 1426
Belgrade MT 59714
BELGRADE MT 597141426 Order# Inv Date: Order Writer:
08603606 07 /15/25 Bryan Binder
Terms: 1 0P+30 Due: 09/10/25 PO/JOB: RIVERSIDE
FOB: H. D. FOWLER Ship Via: Will-Call Here (Order RIVERSIDE LIFT STATION AND F
Line
1
2
3
TRYSTEN
Qty
Ship'd
1
1
1
Qty Part#
BO'd UoM Description
0 EA 8" MJ CAP DI, SSB, AWWA C153, LESS
ACCESSORIES (22 LBS)
0 EA 8" COMPACT BODY MJ ACCESSORIES KIT
COMPLETE WITH GLAND, GASKET AND (6) 3/4" X 4"
T-BOLTS
0 EA 8" MACRO TWO-BOLT WIDE RANGE COUPLING 8.60
-9.75 EPOXY L&C EPDM GASKET 304SS B&N HP
(HIGH PERFORMANCE) ROMAG
2[:L)
Db
(jh A~,,rv,ry,0
Serving the Pacific Northwest since 1911
www.hdfowler.com
Terms & Conditions: hdfowler.com/tcs
Unit
Price
116.780
59.660
603.470
Sub total
Freight
Tax
Grand Total
Extended T
Price X
116.78
59.66
603.47
779.91
0.00
0.00
779.91
Docusign Envelope ID: 2612F96C-3B2B-455E-BBEC-B9AE39C2CC50
Docusign Envelope ID: 2612F96C-3B2B-455E-BBEC-B9AE39C2CC50
Bozeman, MT
QTY Hours Unit Price Cost Comments
12.00 $ 37.00 $ 74.00
12.00 $ 13.44 $ 26.88
$ -
$ 15.13
QTY Hours Unit Price Cost Comments
$ -
$ -
$ -
QTY Units Unit Price Cost Comments
4.5 CY $ 140.00 $ 630.00
1EA $ 50.00 $ 50.00
1EA $ 50.00 $ 50.00
$ -
$ 109.50
QTY Units Unit Price Cost Comments
$ -
$ -
$ -
Total Cost $ 955.51
Field Order - Pricing Detail
CONTRACTOR: CK May Excavating PROJECT NAME:Riverside Lift Station and Force Main
REPRESENTATIVE:Jim Blair
ADDRESS:
DOWL
FAX:August 29, 2025
DESCRIPTION:Field Order 04: Flow Fill
Description: Per Montana DEQ deviation RSLS-1, flowable fill shall be placed between the existing water line and installed
force main at sta 24+35 per sheet FM5-r2. Void space between water and force main pipes shall be cleared of material to allow
flowable fill to separate the pipes.
CK May Field Notes:
09/08/2025 - Pour flowable fill between force main and water main in front of country club.
P.O. Box 1426
Belgrade, MT 59714 PROJECT LOCATION:
PHONE: 406-539-6559 REQUESTED FROM:
ON DATE:
Contractors Fee (15%)
Description
EQUIPMENT:N/A
Contractors Fee (15%)
Description
LABOR:Daniel Wacker (Hourly Wage)
Daniel Wacker (Hourly Fringe Benefit)
Description
MATERIALS:LOWSTRENGTHBACKFILL
FUEL SURCHARGE
SHORT LOAD CHARGE 5 YD
Date: 09/29/2025Authorized Signature
Description
Contractors Fee (15%)
SUBCONTRACT:N/A
Contractors Fee (5%)
Docusign Envelope ID: 2612F96C-3B2B-455E-BBEC-B9AE39C2CC50
Date
09/08/25
09/08/25
09/08/25
Concrete Materials of Montana, LLC
PO Box 567
Belgrade, MT 59714
406-388-8182 office@conmatmt.com
CK MAY EXCAVATING INC.
PO BOX 1426
BELGRADE MT 59714
Ticket Qty Description
158292 4.50 CY LOWSTRENGTHBACKFILL
158292 1.00 EA FUEL SURCHARGE
158292 1.00 EA SHORT LOAD CHARGE 5 YD
Total Cubic Yards 4.50
PLEASE REFERENCE INVOICE NUMBERS WHEN PAYING
rlrlr INVOICE -lrlrlf
Customer No. CK MAY
Invoice Date 9/8/2025
Invoice Number 90946 Pg 1
Job Id SPRINGHILL RD ,,r PO# / Lot# 2500
Credit Terms Net 10th of Month
Price
140.00
Sub-Total
Sales Tax-MT
Invoice Total
50.00
50.00
Amount
630.00 *
50.00 *
50.00 *
730.00
0.00
730.00
Docusign Envelope ID: 2612F96C-3B2B-455E-BBEC-B9AE39C2CC50
CONCRETE MATERIALS of MONT ANA, LLc ODOMETER: Billing Address: 1059 Amsterdam Road Belgrade, MT 59714
BATCH PLANT (406) 388-6100 LOADING: _____ _
SOLD TO:
TIME FORMULA LOAD SIZE
DATE LOAD#
WARNING: IRRITATING TO THE SKIN & EYES
Contains Portland Cement Wear Rubber Boots and Gloves PROLONGED CONTACT
MAY CAUSE BURNS Avoid contact with eyes and prolonged contact with skm In case of
contact with sk111 or eyes. flush ttioroughly with water It ,mtation persists. get medical atten~
lion KEEP CHILDREN AWAY
-CONCRETE is a PERISHABLE COMMODITY and BECOMES the PROPERTY of the PURCHASER
UPON LEAVING the PLANT, ANY CHANGES or CANCELLATION of ORIGINAL INSTRUCTIONS
MUST be TELEPHONED to the OFFICE BEFORE LOADING STARTS.
-Concrete Materials of Montana will not be responsible for in place concrete that has been placed in a
manner not in accordance with applicable ASTM or ACI specifications.
-The undersigned promises to pay all costs, including reasonable attromey's fees, incurred in
collecting any sums owed.
-AU accounts not paid within 30 days of delivery will bear interest at the rate of 18% per annum,
Not responsible for Reactive Aggregate or Color Quality. No claim allowed unless made at lime
material is delivered.
-On the job delivery time allowance computed @ 8 min.le. y.
-A $30.00 Service Charge and Loss of the Cash Discount will be collected on all Returned Checks.
Excess delay time Charged @ $60.00/hour.
QUANTITY CODE DESCRIPTION
RETURNED TO PLANT LEFT JOB FINISH UNLOADING
LEFT PLANT ARRIVED JOB START UNLOADING
AT JOB: _____ _
DELIVERY ADDRESS / Info ' RETURN: _____ _
YARDS ORDERED
YARDS DEL.
PROPERTY DAMAGE RELEASE
(To be signed if delivery to be made inside curb line)
Dear Customer, The driver if this truck in presenting this
RELEASE to you for your signature is of the opinion that the
size and weight of his truck may possibly cause damage to the
premises and/or adjacent property if he places the material in
this load where you desire ii. It is our wish to help you in every
way that we can, but in order to do this the driver is requesting
that you sign this RELEASE relieving him and this supplier from
DRIVER/TRUCK PLANT/TRANSACTION
WATER TRIM SLUMP TICKET NUMBER
Excessive Water is Detrimental to Concrete Performance
H,O Added By Request /Authorized By
GAL r:Jr'
WEIGH MASTER:
any responsibility from any damage that may occur to the !------------------------------
premises and/or adjacent property. buildings, sidewalks, NOTICE and WAIVER: Backcharges and claims for damages resulting from delay due to the
drive-ways, curbs, etc, by the delivery of this material, and that fault of the Lessor shall be deemed waived by Lessee unless claim is made in writing to Lessc
you also agree to help him remove mud from the wheels of his within forty•eight (48) hours from the beginning of the delay.
vehicle so that he will not litter the public street. Further, as
additional consideration, the under•signed agrees to indemnify
and hold harmless the driver of this truck and this supplier for
any and all damage to !he premises and/or adjacent property
which may be claimed by anyone to have arisen out of delivery
of this order.
Load received by:
re= @=
UNIT PRICE EXTENDED PRICE
DELAY EXPLANATION/CYLINDER TEST TAKEN
1. JOB NOT READY 6. TRUCK BROKE DOWN
TOTAL ______ _
2. SLOW POUR OR PUMP 7.ACCIDENT
3. TRUCK AHEAD ON JOB 8. CITATION GRAND TOTAL:
4. CONTRACTOR BROKE DOWN 9. OTHER
5. ADDED WATER
Docusign Envelope ID: 2612F96C-3B2B-455E-BBEC-B9AE39C2CC50
Certificate Of Completion
Envelope Id: 2612F96C-3B2B-455E-BBEC-B9AE39C2CC50 Status: Completed
Subject: Complete with Docusign: F.12 Resolution 2025-67 Authorizing CO1 w CK May for Riverside Lift Sta...
Source Envelope:
Document Pages: 13 Signatures: 4 Envelope Originator:
Certificate Pages: 5 Initials: 0 Mike Maas
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-07:00) Mountain Time (US &
Canada)
Stamps: 2 PO Box 1230
Bozeman, MT 59771
Mmaas@bozeman.net
IP Address: 155.190.3.5
Record Tracking
Status: Original
10/23/2025 11:12:46 AM
Holder: Mike Maas
Mmaas@bozeman.net
Location: DocuSign
Security Appliance Status: Connected Pool: StateLocal
Storage Appliance Status: Connected Pool: City of Bozeman Location: Docusign
Signer Events Signature Timestamp
Terry Cunningham
tcunningham@bozeman.net
Mayor
City of Bozeman
Security Level: Email, Account Authentication
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Signature Adoption: Pre-selected Style
Using IP Address:
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Signed using mobile
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Electronic Record and Signature Disclosure:
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Greg Sullivan
gsullivan@bozeman.net
Bozeman City Attorney
City of Bozeman, Montana
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Chuck Winn
cwinn@bozeman.net
City Manager
City of Bozeman
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Signer Events Signature Timestamp
Mike Maas
Mmaas@bozeman.net
City Clerk
City of Bozeman
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Signature Adoption: Pre-selected Style
Using IP Address: 155.190.3.5
Sent: 10/26/2025 2:27:47 PM
Viewed: 10/27/2025 12:41:59 PM
Signed: 10/27/2025 12:42:11 PM
Electronic Record and Signature Disclosure:
Accepted: 1/6/2020 4:08:14 PM
ID: 79370d6f-72a4-4837-866f-9ec31f00062f
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
Kellen Gamradt
kgamradt@bozeman.net
COB Engineer II
Security Level: Email, Account Authentication
(None)
Sent: 10/27/2025 12:42:13 PM
Electronic Record and Signature Disclosure:
Accepted: 2/3/2020 8:16:58 AM
ID: f6481adb-a8df-4324-8a7b-21bc2f5e4b0d
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Notary Events Signature Timestamp
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Electronic Record and Signature Disclosure
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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: 7/9/2018 4:06:02 PM
Parties agreed to: Terry Cunningham, Greg Sullivan, Chuck Winn, Mike Maas, Kellen Gamradt
How to contact City of Bozeman:
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: jolson@bozeman.net
To advise City of Bozeman 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 jolson@bozeman.net 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 City of Bozeman
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 jolson@bozeman.net 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 City of Bozeman
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 jolson@bozeman.net 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 City of Bozeman 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 City of Bozeman during the course of my relationship with you.