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Professional Services Agreement
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PROFESSIONAL SERVICES AGREEMENT BETWEEN
THE CITY OF MEDINA AND MAHONEY PLANNING, LLC
THIS PROFESSIONAL SERVICES AGREEMENT (this “Agreement”) is entered into
by and between the City of Medina, Washington, a municipal corporation (the “City”) and Mahoney
Planning, LLC, a limited liability company organized under the laws of the State of Washington,
located and doing business at 12225 237th Ave Ct E Buckley, WA 98321 (hereinafter, the
“Consultant”). The City and the Consultant are sometimes referred to individually as a “Party”
and collectively as the “Parties.”
RECITALS:
WHEREAS, the City desires to have certain work performed; and
WHEREAS, the City has selected the Consultant to perform such services pursuant to
certain terms and conditions as set forth herein; and
NOW, THEREFORE, in consideration of the mutual benefits and conditions set forth
below, the Parties agree as follows:
AGREEMENT:
1. Scope of Services to be Performed by Consultant.
The Consultant shall perform the work as assigned by the City, which may include the
services described in Exhibit A of this Agreement, which is attached hereto and incorporated herein
by this reference as if set forth in full. Additional work may be assigned by the City, however, this
Agreement does not obligate the City to assign any specific work or any work to the Consultant.
Any changes to the scope of services provided hereunder shall be in writing and signed by both
parties. In performing the services, the Consultant shall comply with all federal, state, and local laws
and regulations applicable to the services. The Consultant shall perform the services diligently and
completely and in accordance with professional standards of conduct and performance.
The City shall pay the Consultant for services rendered according to the rates set forth in
Exhibit B. The Consultant shall submit to the City a voucher or invoice for services rendered. The
City shall pay the Consultant for services rendered within ten (10) days after City Council voucher
approval. However, if the City objects to all or any portion of an invoice, it shall notify Consultant
and reserves the option to only pay that portion of the invoice not in dispute. In that event, the Parties
will immediately make every effort to settle the disputed portion. No payment shall be made for any
service rendered by the Consultant except for services identified and set forth in this Agreement.
2. Duration of Agreement. This Agreement shall be in full force and effect for a period
commencing on the date the last Party executes this Agreement and ending December 31, 2028,
unless sooner terminated under the provisions of this Agreement or extended by mutual agreement
of the Parties. Time is of the essence of this Agreement in each and all of its provisions in which
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performance is required. The Parties may, by mutual agreement, extend the Agreement for an
additional three (3) years by signing an agreement extension prior to the expiration date of this
Agreement.
3. Ownership and Use of Documents.
A. Ownership. Any records, files, documents, drawings, specifications, data, or
information, regardless of form or format, and all other materials produced by the Consultant
in connection with the services provided to the City, shall be the property of the City whether
the project for which they were created is executed or not.
B. Records preservation. Consultant understands that this Agreement is with a
government agency and thus all records created or used in the course of Consultant’s work
for the City are considered “public records” and may be subject to disclosure by the City
under the Public Records Act, Chapter 42.56 RCW (“the Act”). Consultant agrees to
safeguard and preserve records in accordance with the Act. The City may be required, upon
request, to disclose the Agreement, and the documents and records submitted to the City by
Consultant, unless an exemption under the Public Records Act applies. If the City receives
a public records request and asks Consultant to search its files for responsive records,
Consultant agrees to make a prompt and thorough search through its files for responsive
records and to promptly turn over any responsive records to the City’s public records officer
at no cost to the City.
4. Independent Consultant. The Parties intend that an independent contractor-client
relationship will be created by this Agreement. As the Consultant is customarily engaged in an
independently established trade which encompasses the specific service provided to the City
hereunder, no agent, employee, representative or sub-consultant of the Consultant shall be or shall
be deemed to be the employee, agent, representative or sub-consultant of the City. In the
performance of the work, the Consultant is an independent contractor with the ability to control and
direct the performance and details of the work, the City being interested only in the results obtained
under this Agreement. None of the benefits provided by the City to its employees, including, but
not limited to, compensation, insurance, and unemployment insurance are available from the City
to the employees, agents, representatives, or sub-consultants of the Consultant. The City shall not
be responsible for withholding or otherwise deducting federal income tax or social security or
contributing to the State Industrial Insurance Program, or otherwise assuming the duties of an
employer with respect to the Consultant, or any employee of the Consultant. The Consultant will be
solely and entirely responsible for its acts and for the acts of its agents, employees, representatives,
and sub-consultants during the performance of this Agreement. The City may, during the term of
this Agreement, engage other independent contractors to perform the same or similar work that the
Consultant performs hereunder.
5. Indemnification. Consultant shall defend, indemnify, and hold the City, its officers,
officials, employees, agents, and volunteers harmless from any and all claims, injuries, damages,
losses or suits including attorneys’ fees brought against the City, arising out of or resulting from the
acts, errors or omissions of the Consultant in performance of this Agreement, except for injuries and
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damages caused by the sole negligence of the City.
Should a court of competent jurisdiction determine that this Agreement is subject to RCW
4.24.115, then, in the event of liability for damages arising out of bodily injury to persons or
damages to property caused by or resulting from the concurrent negligence of the Consultant and
the City, its officers, officials, employees, and volunteers, the Consultant’s liability, including the
duty and cost to defend, hereunder shall be only to the extent of the Consultant’s negligence.
It is further specifically and expressly understood that the indemnification provided herein
constitutes the Consultant’s waiver of immunity under Industrial Insurance, Title 51 RCW, solely
for the purposes of this indemnification. This waiver has been mutually negotiated by the Parties.
The provisions of this section shall survive the expiration or termination of this Agreement.
6. Insurance. The Consultant shall procure and maintain for the duration of the Agreement,
insurance against claims for injuries to persons or damage to property which may arise from or in
connection with the performance of the work hereunder by the Consultant, its agents,
representatives, or employees.
A. Minimum Scope of Insurance. Consultant shall obtain insurance of the types
described below:
i. Automobile Liability insurance covering all owned, non-owned, hired and
leased vehicles. Coverage shall be written on Insurance Services Office (ISO)
form CA 00 01 or a substitute form providing equivalent liability coverage.
If necessary, the policy shall be endorsed to provide contractual liability
coverage.
ii. Commercial General Liability insurance shall be written on ISO occurrence
form CG 00 01 and shall cover liability arising from premises, operations,
independent Consultants and personal injury and advertising injury. The City
shall be named as an insured under the Consultant’s Commercial General
Liability insurance policy with respect to the work performed for the City.
iii. Workers’ Compensation coverage as required by the Industrial Insurance
laws of the State of Washington.
iv. Professional Liability insurance appropriate to the Consultant’s profession.
B. Minimum Amounts of Insurance. Consultant shall maintain the following
insurance limits:
i. Automobile Liability insurance with a minimum combined single
limit for bodily injury and property damage of $1,000,000 per
accident.
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ii. Commercial General Liability insurance shall be written with limits
no less than $1,000,000 each occurrence, $2,000,000 general
aggregate.
iii. Professional Liability insurance shall be written with limits no less
than $1,000,000 per claim and $1,000,000 policy aggregate limit.
C. Other Insurance Provision. The Consultant’s Automobile Liability and
Commercial General Liability insurance policies are to contain, or be endorsed to contain,
that they shall be primary insurance as respect the City. Any Insurance, self-insurance, or
insurance pool coverage maintained by the City shall be excess of the Consultant’s insurance
and shall not contribute with it.
D. Acceptability of Insurers. Insurance is to be placed with insurers with a current
A.M. Best rating of not less than A-VII.
E. Verification of Coverage. The Consultant shall furnish the City with original
certificates and a copy of the amendatory endorsements, including but not necessarily
limited to the additional insured endorsement, evidencing the insurance requirements of the
Consultant before commencement of the work. At the City’s discretion, the verification
described above may be attached to this Agreement as Exhibit C.
F. Notice of Cancellation. The Consultant shall provide the City with written notice
of any policy cancellation, within two business days of their receipt of such notice.
G. Failure to Maintain Insurance. Failure on the part of the Consultant to maintain
the insurance as required shall constitute a material breach of contract, upon which the City
may, after giving five business days’ notice to the Consultant to correct the breach,
immediately terminate the contract or, at its discretion, procure or renew such insurance and
pay any and all premiums in connection therewith, with any sums so expended to be repaid
to the City on demand, or at the sole discretion of the City, offset against funds due the
Consultant from the City.
H. No Limitation. Consultant’s maintenance of insurance as required by this
Agreement shall not be construed to limit the liability of the Consultant to the coverage
provided by such insurance, or otherwise limit the City’s recourse to any remedy available
at law or in equity.
7. Record Keeping and Reporting.
A. The Consultant shall maintain accounts and records, including
personnel, property, financial, and programmatic records, which sufficiently and
properly reflect all direct and indirect costs of any nature expended and services
performed pursuant to this Agreement. The Consultant shall also maintain such other
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records as may be deemed necessary by the City to ensure proper accounting of all
funds contributed by the City to the performance of this Agreement.
B. The foregoing records shall be maintained for a period of seven (7)
years after termination of this Agreement unless permission to destroy them is
granted by the Office of the Archivist in accordance with Chapter 40.14 RCW and
by the City.
8. City’s Right of Inspection and Audit.
A. Even though the Consultant is an independent contractor with the
authority to control and direct the performance and details of the work authorized
under this Agreement, the work must meet the approval of the City and shall be
subject to the City’s general right of inspection to secure the satisfactory completion
thereof. The Consultant agrees to comply with all federal, state, and municipal laws,
rules, and regulations that are now effective or become applicable within the terms
of this Agreement to the Consultant’s business, equipment, and personnel engaged
in operations covered by this Agreement or accruing out of the performance of such
operations.
B. The records and documents with respect to all matters covered by this
Agreement shall be subject at all times to inspection, review or audit by the City
during the performance of this Agreement. All work products, data, studies,
worksheets, models, reports, and other materials in support of the performance of the
service, work products, or outcomes fulfilling the contractual obligations are the
products of the City.
9. Consultant to Maintain Records to Support Independent Contractor Status. On
the effective date of this Agreement (or shortly thereafter), the Consultant shall comply with all
federal and state laws applicable to independent contractors including, but not limited to the
maintenance of a separate set of books and records that reflect all items of income and expenses of
the Consultant’s business, pursuant to the Revised Code of Washington (RCW) Section 51.08.195,
as required to show that the services performed by the Consultant under this Agreement shall not
give rise to an employer-employee relationship between the Parties which is subject to RCW Title
51, Industrial Insurance.
10. Work Performed at the Consultant’s Risk. The Consultant shall take all
precautions necessary and shall be responsible for the safety of its employees, agents, and sub -
consultants in the performance of the work hereunder and shall utilize all protection necessary for
that purpose. All work shall be done at the Consultant’s own risk, and the Consul tant shall be
responsible for any loss of or damage to materials, tools, or other articles used or held by the
Consultant for use in connection with the work.
11. Termination.
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A. The City reserves the right to terminate or suspend this Agreement at any
time, with or without cause, upon seven (7) days’ prior written notice. In the event of
termination or suspension, all finished or unfinished documents, data, studies, worksheets,
models, reports, or other materials prepared by the Consultant pursuant to this Agreement
shall promptly be submitted to the City.
B. In the event this Agreement is terminated or suspended by the City, the
Consultant shall be entitled to payment for all services performed and reimbursable expenses
incurred to the date of termination.
C. This Agreement may be canceled by the City immediately if the Consultant’s
insurance coverage is canceled for any reason, or if the Consultant is unable to perform the
services called for by this Agreement, or if the key professionals providing the services are
no longer able to provide services to the City under this Agreement, or if Consultant fails to
comply with any other provisions of this Agreement, and the Consultant fails to correct such
noncompliance within five (5) business days’ of written notice from the City to correct such
breach.
D. The Consultant reserves the right to terminate this Agreement with not less
than fourteen (14) days written notice, or in the event that outstanding invoices are not paid
by the City within sixty (60) days.
E. This provision shall not prevent the City from seeking any legal remedies it
may otherwise have for the violation or nonperformance of any provisions of this
Agreement.
12. Force Majeure. Notwithstanding anything to the contrary in this Agreement, any
prevention, delay or stoppage due to strikes, lockouts, labor disputes, acts of God, acts of war,
terrorist acts, inability to obtain services, labor, or materials or reasonable substitutes therefor,
governmental actions, governmental laws, regulations or restrictions, civil commotions, Casualty,
actual or threatened public health emergency (including, without limitation, epidemic, pandemic,
famine, disease, plague, quarantine, and other significant public health risk), governmental edicts,
actions, declarations or quarantines by a governmental entity or health organization, breaches in
cybersecurity, and other causes beyond the reasonable control of the Party obligated to perform,
regardless of whether such other causes are (i) foreseeable or unforeseeable or (ii) related to the
specifically enumerated events in this paragraph (collectively, a "Force Majeure"), shall excuse the
performance of such Party for a period equal to any such prevention, delay or stoppage. To the
extent this Agreement specifies a time period for performance of an obligation of either Party, that
time period shall be extended by the period of any delay in such Party’s performance caused by a
Force Majeure. Provided, however, that the current COVID-19 pandemic shall not be considered a
Force Majeure unless constraints on a Party’s performance that result from the pandemic become
substantially more onerous after the effective date of this Agreement. In order to claim Force
Majeure, the Party claiming must provide notice to the other Party within fourteen (14) days of the
event which constitutes Force Majeure, or such claim shall be waived for any period in which notice
was due.
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13. Discrimination Prohibited. The Consultant shall not discriminate against any
employee, applicant for employment, or any person seeking the services of the Consultant under
this Agreement, on the basis of race, color, religion, creed, sex, sexual orientation, age, national
origin, marital status, presence of any sensory, mental or physical disability, or other circumstance
prohibited by federal, State or local law or ordinance, except for a bona fide occupational
qualification.
14. Assignment and Subcontract. The Consultant shall not assign or subcontract any
portion of the services contemplated by this Agreement without the prior written consent of the City.
The City reserves the right to reject, without cause, any such assignment. Any assignment made
without the prior approval of the City is void.
15. Conflict of Interest. The Consultant represents to the City that it has no conflict of
interest in performing any of the services set forth in Exhibit A. In the event that the Consultant is
asked to perform services for a project with which it may have a conflict, Consultant will
immediately disclose such conflict to the City.
16. Confidentiality. All information regarding the City obtained by the Consultant in
performance of this Agreement shall be considered confidential. Breach of confidentiality by the
Consultant shall be grounds for immediate termination.
17. Non-Appropriation of Funds. If sufficient funds are not appropriated or allocated
for payment under this Agreement for any future fiscal period, the City will so notify the Consultant
and shall not be obligated to make payments for services or amounts incurred after the end of the
current fiscal period. This Agreement will terminate upon the completion of all remaining services
for which funds are allocated. No penalty or expense shall accrue to the City in the event that the
terms of the provision are effectuated.
18. Employment of State Retirees. The City is a “DRS-covered employer” which is an
organization that employs one or more members of any retirement system administered by the
Washington State Department of Retirement Systems (DRS). Pursuant to RCW 41.50.139(1) and
WAC 415-02-325(1), the City is required to elicit on a written form if any of the Consultant’s
employees providing services to the City retired using the 2008 Early Retirement Factors (ERFs),
or if the Consultant is owned by an individual who retired using the 2008 ERFs, and whether the
nature of the service and compensation would result in a retirement benefit being suspended. Failure
to make this determination exposes the City to significant liability for pension overpayments. As a
result, before commencing work under this Agreement, Consultant shall determine whether any of
its employees providing services to the City or any of the Consultant’s owners retired using the 2008
ERFs, and shall immediately notify the City and shall promptly complete the form provided by the
City after this notification is made. This notification to DRS could impact the payment of retirement
benefits to employees and owners of Consultant. Consultant shall indemnify, defend, and hold
harmless the City from any and all claims, damages, or other liability, including attorneys’ fees and
costs, relating to a claim by DRS of a pension overpayment caused by or resulting from Consultant’s
failure to comply with the terms of this provision. This provision shall survive termination of this
Agreement.
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19. Entire Agreement. This Agreement contains the entire agreement between the
Parties, and no other agreements, oral or otherwise, regarding the subject matter of this Agreement
shall be deemed to exist or bind either of the Parties. If there is a conflict between the terms and
conditions of this Agreement and the attached exhibit, then the terms and conditions of this
Agreement shall prevail over the exhibit. Either Party may request changes to the Agreement.
Changes which are mutually agreed upon shall be incorporated by written amendments to this
Agreement.
20. Notices. All notices or other communications required or permitted under this
Agreement shall be in writing and shall be (a) personally delivered, in which case the notice or
communication shall be deemed given on the date of receipt at the office of the addressee; (b) sent
by registered or certified mail, postage prepaid, return receipt requested, in which case the notice or
communication shall be deemed given three (3) business days after the date of deposit in the United
States mail; or (c) sent by overnight delivery using a nationally recognized overnight courier service,
in which case the notice or communication shall be deemed given one business day after the date of
deposit with such courier. In addition, all notices shall also be emailed, however, email does not
substitute for an official notice. Notices shall be sent to the following addresses:
Notices to the City of Medina shall be sent to the following address:
Steven R. Wilcox
Development Services Director
PO Box 144
Medina, Washington 98039
swilcox@medina-wa.gov
425-233-6409
With a copy to the City Clerk at the same address.
Notices to the Consultant shall be sent to the following address:
Mahoney Planning, LLC
Attn: Kimberly Gunderson
PO Box 160
Puyallup, WA 98371
kmahoney.planning@gmail.com
21. Applicable Law; Venue; Attorneys’ Fees. This Agreement shall be governed by
and construed in accordance with the laws of the State of Washington. In the event any suit,
arbitration or other proceeding is instituted to enforce any term of this Agreement, the Parties
specifically understand and agree that venue shall be exclusively in King County, Washington. The
prevailing party in any such action shall be entitled to its attorneys’ fees and costs of suit, which
shall be fixed by the judge hearing the case and such fee shall be included in the judgment.
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22. Compliance with Laws. The Consultant agrees to comply with all federal, state, and
municipal laws, rules, and regulations that are now effective or in the future become applicable to
Consultant’s business, equipment, and personnel engaged in operations covered by this Agreement
or accruing out of the performance of those operations.
23. Authorized Signatures. By their signatures below, each Party represents that they
are fully authorized to sign for and on behalf of the named principal above.
24. Counterparts. This Agreement may be executed in any number of counterparts,
each of which shall constitute an original, and all of which will together constitute this one
Agreement.
25. Severability. Any provision or part of this Agreement held to be void or
unenforceable under any law or regulation shall be deemed stricken and all remaining provisions
shall continue to be valid and binding upon the City and the Consultant, who agree that the
Agreement shall be reformed to replace such stricken provision or part with a valid and enforceable
provision that comes as close as reasonably possible to expressing the intent of the stricken
provision.
IN WITNESS WHEREOF, the City and the Consultant have executed this Agreement as of
the dates listed below.
CITY OF MEDINA CONSULTANT
________________________
Jeff Swanson
City Manager Name: Kimberly Gunderson
Title: Owner, Mahoney Planning, LLC
Date: _________________________ Date: June 17, 2025
ATTEST
Aimee Kellerman
City Clerk
APPROVED AS TO FORM
Jennifer S. Robertson, City Attorney
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EXHIBIT A
SCOPE OF SERVICES
Under the direction and oversight of the Development Services Director or designee, the Consultant
will assist the City by providing on-call, and task order-based planning services as may be assigned
at the discretion of the City.
A. On-Call Current Planning
1. Pre-Application Process.
• Pre-application and feasibility meetings scheduled with staff, consultants and
applicants for each Wednesday as needed.
• Consultant receives prior notice to meeting scheduling.
• Meeting preparation.
• On-line meeting participation.
• Follow-up complete application checklist, compliance notes for the applicant.
2. Building Permit Review to verify consistency with land use ordinances and/or land use
entitlements.
• Residential and non-residential.
• Mechanical permit site review.
• Wireless telecommunications facilities.
3. Land Use, Environmental and Development
• Special Use Permit.
• Conditional Use Permit.
• Shoreline Development Permit.
• SEPA. This may include assignment as the City’s SEPA responsible official.
• Variances. This may include staff report drafting and hearing presentation.
• Review of other land use, shoreline, and environmental permits or entitlements
administered by the City of Medina Development Services Department. This may
include staff report or decision drafting and hearing presentation.
B. Task Order Long-Range Planning
• Task orders for long-range planning must be issued by the City in writing by a
formal Task Order document. An assignment becomes effective when a formal
Task Order document is signed by the Consultant and the City.
• Each Task Order will be individually negotiated between the City and the
Consultant.
• The City is not obligated to assign any specific number of tasks to the Consultant.
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The payment amount established for each Task Order will be the maximum amount payable for that
assignment unless modified in writing by the City.
C. Administration
1. Administrative tasks as may be agreed to on an hourly basis.
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EXHIBIT B
RATES OF SERVICE
Reference Mahoney Planning, LLC 2025 Fee Schedule, attached.
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Certificate Of Completion
Envelope Id: DA0C5CF1-0836-4328-BD2E-5798C6019229 Status: Completed
Subject: Complete with Docusign: Mahoney Planning LLC Contract.docx
Source Envelope:
Document Pages: 12 Signatures: 4 Envelope Originator:
Certificate Pages: 5 Initials: 0 Aimee Kellerman
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
501 Evergreen Road
Medina, WA 98039
akellerman@medina-wa.gov
IP Address: 146.129.245.86
Record Tracking
Status: Original
6/25/2025 9:22:57 AM
Holder: Aimee Kellerman
akellerman@medina-wa.gov
Location: DocuSign
Signer Events Signature Timestamp
Kimberly Gunderson
kmahoney.planning@gmail.com
Security Level: Email, Account Authentication
(None)
Signature Adoption: Drawn on Device
Using IP Address:
2607:fb91:1514:13c9:4df1:855c:4475:f546
Signed using mobile
Sent: 6/25/2025 9:27:45 AM
Viewed: 6/25/2025 10:09:44 AM
Signed: 6/25/2025 10:10:16 AM
Electronic Record and Signature Disclosure:
Accepted: 6/25/2025 10:09:44 AM
ID: c1302401-0315-4a40-8913-40c19a33571e
Jeffrey R. Swanson
jswanson@medina-wa.gov
Interim City Manager
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 146.129.245.86
Sent: 6/25/2025 10:10:17 AM
Viewed: 6/25/2025 11:44:12 AM
Signed: 6/25/2025 11:46:23 AM
Electronic Record and Signature Disclosure:
Accepted: 6/25/2025 11:44:12 AM
ID: a0587429-aefc-4aa6-a532-b9d368eb958d
Jennifer S. Robertson
jrobertson@insleebest.com
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 209.63.25.21
Sent: 6/25/2025 11:46:24 AM
Viewed: 6/25/2025 12:02:20 PM
Signed: 6/25/2025 12:02:26 PM
Electronic Record and Signature Disclosure:
Accepted: 3/21/2024 11:27:16 AM
ID: 4741b87c-004c-442b-bcc8-6191b237fec2
Aimee Kellerman
akellerman@medina-wa.gov
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 146.129.245.86
Sent: 6/25/2025 12:02:28 PM
Viewed: 6/25/2025 12:11:07 PM
Signed: 6/25/2025 12:11:18 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
Steve Wilcox
swilcox@medina-wa.gov
Development Services Director
City of Medina
Security Level: Email, Account Authentication
(None)
Sent: 6/25/2025 12:11:19 PM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 6/25/2025 9:27:45 AM
Certified Delivered Security Checked 6/25/2025 12:11:07 PM
Signing Complete Security Checked 6/25/2025 12:11:18 PM
Completed Security Checked 6/25/2025 12:11:20 PM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
ELECTRONIC RECORD AND SIGNATURE DISCLOSURE
From time to time, City of Medina (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: 1/30/2023 10:06:04 AM
Parties agreed to: Kimberly Gunderson, Jeffrey R. Swanson, Jennifer S. Robertson
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 Medina:
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: akellerman@medina-wa.gov
To advise City of Medina 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 akellerman@medina-wa.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 Medina
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 akellerman@medina-wa.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 Medina
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 akellerman@medina-wa.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 Medina 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 Medina during the course of your relationship with City of
Medina.