Consent_to_Assignment_Executed_REDACTED.pdf
PDF 2 MB Posted
- Attached to
- Master Agreement AZ|CTR075549
- Contract number
- CTR075549
- Issued by
- Arizona
About this file
This is a Consent to Assignment document from the Arizona Department of Administration's General Services Division, involving Safe Site Utility Services LLC as both the Assignor (original contractor) and Assignee (new contractor). The document facilitates the transfer of Contract No. CTR065428 for Utility Locating Services (Arizona Blue Stake) from one legal entity to another within the same company, with the state's consent.
The contract pertains to Utility Locating Services, specifically for Arizona Blue Stake. The assignment transitions the existing contract (CTR065428) to a new contract number (CTR075549), with the Assignee assuming all obligations and responsibilities of the original contract. The assignment is effective January 24, 2025, at which point the original contract will be terminated and only the new contract will remain active. The document includes mutual representations and warranties from both the Assignor and Assignee, ensuring continuity of service and compliance with the original contract's terms and conditions.
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Text version
Katie Hobbs
Governor
Elizabeth Alvarado-Thorson
Director
ARIZONA DEPARTMENT OF ADMINISTRATION
GENERAL SERVICES DIVISION
1400 WEST WASHINGTON STREET • SUITE B200
PHOENIX, ARIZONA 85007
(602) 542-1796
Document ID and Title: 602 Consent to Assignment Revision No.: 0 | Revision Date: 05-24-23 | Page 1 of 1
Safe Site Utility Services LLC (IV0000002261) hereinafter referred to as the "ASSIGNOR," hereby represents and warrants that the ASSIGNOR desires to assign Contract No. CTR065428 for Utility Locating Services (Arizona Blue Stake), hereinafter the “CONTRACT” to Safe Site Utility Services LLC (IV0000087883) hereinafter referred to as the "ASSIGNEE”
ASSIGNOR warrants and represents ASSIGNOR has full right and authority to transfer the CONTRACT and the contract rights upon execution of this document.
THEREFORE, essential to the STATE consenting to the assignment of the Contract from ASSIGNOR to ASSIGNEE, ASSIGNOR and ASSIGNEE represent, warrant, and agree with the STATE to the following statements:
1. ASSIGNEE represents and warrants that:
(a) it has read and understands the terms and conditions of the Contract;
(b) it has thorough knowledge of all work performed by ASSIGNOR under the Contract; and
(c) any remaining work under the Contract can and shall be performed in a timely and satisfactory manner for the remaining Term of the Contract.
2. ASSIGNOR warrants and represents that the CONTRACT is in full force and effect and is fully assignable.
3. ASSIGNOR and ASSIGNEE hereby acknowledge and agree with the STATE that upon the date of signatures that neither ASSIGNOR nor ASSIGNEE have basis for filing any claim against the STATE in connection with the CONTRACT; and that no event has occurred which itself constitutes or would in the future constitute a default under the terms of the CONTRACT.
4. ASSIGNEE understands and agrees that it shall assume and be responsible for all obligations of ASSIGNOR under the CONTRACT, including but not limited to those pertaining to the quality and workmanship of all work performed by ASSIGNOR, and shall fully warrant such work in accordance with the requirements of the CONTRACT.
5. ASSIGNOR hereby releases and discharges the STATE from any and all claims and liabilities relating to or arising out of the CONTRACT.
Further, ASSIGNOR understands and agrees that this consent shall not relieve ASSIGNOR of any of the obligations to be observed and performed by ASSIGNOR under the CONTRACT and that this consent shall not be construed as a waiver or limitation of any right the STATE has or may have against ASSIGNOR, and all rights of the STATE under the CONTRACT and/or under the law are expressly reserved.
As witnessed below the ASSIGNOR and ASSIGNEE have executed this Agreement.
ASSIGNOR: Tim Story ASSIGNEE: Tara Penny
TIN: TIN:
Taxpayer Identification Number as it appears on IRS Form W-9 Taxpayer Identification Number as it appears on IRS Form W-9
By: By:
Authorized Representative Signature Date Authorized Representative Signature Date
Printed Name / Title Printed Name / Title
Contract No. CTR065428 is without modification and remains on the terms and conditions contained and shall hereinafter be assigned Contract No. CTR075549. The ASSIGNOR’s obligations under the Contract hereby ends by mutual agreement on the 24th day of January, 2025. After this date, the Existing Contract CTR065428 shall be terminated and only New Contract CTR075549 shall be an active state contract.
Docusign Envelope ID: ED8FA565-C7BD-410F-AAED-9FCF5466A6EB
24-Jan-25 | 12:50 PM PST
President & CEOTim Story Tara Penny
24-Jan-25 | 1:11 PM PST
Accounting & HR Manager
Dustin Deason Text Box Redacted
Dustin Deason Text Box Redacted
Katie Hobbs
Governor
Elizabeth Alvarado-Thorson
Director
ARIZONA DEPARTMENT OF ADMINISTRATION
GENERAL SERVICES DIVISION
1400 WEST WASHINGTON STREET • SUITE B200
PHOENIX, ARIZONA 85007
(602) 542-1796
Document ID and Title: 602 Consent to Assignment Revision No.: 0 | Revision Date: 05-24-23 | Page 2 of 1
The STATE hereby consents to this Assignment to the ASSIGNEE effective as of this 24th day of January, 2025.
STATE OF ARIZONA
ARIZONA DEPARTMENT OF ADMINISTRATION
General Services Division
By: Date:
Dustin Deason Procurement Manager
Docusign Envelope ID: ED8FA565-C7BD-410F-AAED-9FCF5466A6EB
24-Jan-25 | 4:20 PM MST
Certificate Of Completion Envelope Id: ED8FA565-C7BD-410F-AAED-9FCF5466A6EB Status: Completed
Subject: Complete with Docusign: 602 Consent to Assignment_Template_r0_05-24-23.docx
Source Envelope:
Document Pages: 2 Signatures: 3 Envelope Originator:
Certificate Pages: 5 Initials: 0 Dustin Deason
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-07:00) Arizona
1840 W Jackson St.
Phoenix, AZ 85007 dustin.deason@azdoa.gov
IP Address: 70.171.206.121
Record Tracking Status: Original
1/24/2025 1:05:11 PM
Holder: Dustin Deason dustin.deason@azdoa.gov
Location: DocuSign
Security Appliance Status: Connected Pool: StateLocal
Storage Appliance Status: Connected Pool: Arizona Department of Administration -
General Services Division
Location: DocuSign
Signer Events Signature Timestamp Tim Story
TIM@safesitellc.com
President & CEO
Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style
Using IP Address: 72.219.228.53
Sent: 1/24/2025 1:08:37 PM
Viewed: 1/24/2025 1:44:01 PM
Signed: 1/24/2025 1:50:01 PM
Electronic Record and Signature Disclosure:
Accepted: 1/24/2025 1:44:01 PM ID: 7b9fda67-d07b-473e-9a71-af2fb3037a5b
Tara Penny tara@safesitellc.com
Accounting & HR Manager
Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style
Using IP Address: 98.170.136.236
Sent: 1/24/2025 1:50:03 PM
Viewed: 1/24/2025 2:10:40 PM
Signed: 1/24/2025 2:11:13 PM
Electronic Record and Signature Disclosure:
Accepted: 1/24/2025 2:10:40 PM ID: fb1100f1-dd53-4a44-b69c-c45b618b7d65
Dustin Deason dustin.deason@azdoa.gov
Procurement Manager
ADOA
Security Level: Email, Account Authentication (None)
Signature Adoption: Pre-selected Style
Using IP Address: 70.171.206.121
Sent: 1/24/2025 2:11:14 PM
Viewed: 1/24/2025 4:19:56 PM
Signed: 1/24/2025 4:20:03 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
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 1/24/2025 1:08:37 PM
Certified Delivered Security Checked 1/24/2025 4:19:56 PM
Signing Complete Security Checked 1/24/2025 4:20:03 PM
Completed Security Checked 1/24/2025 4:20:03 PM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
ELECTRONIC RECORD AND SIGNATURE DISCLOSURE
From time to time, State of Arizona Department of Administration - General Services Division
(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: 8/8/2020 3:29:12 PM Parties agreed to: Tim Story, Tara Penny
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 State of Arizona Department of Administration - General Services
Division:
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: marjorie.mckenna@azdoa.gov
To advise State of Arizona Department of Administration - General Services Division 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 marjorie.mckenna@azdoa.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 State of Arizona Department of Administration - General
Services Division
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 marjorie.mckenna@azdoa.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 State of Arizona Department of Administration - General
Services Division
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 marjorie.mckenna@azdoa.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 State of Arizona Department of Administration - General
Services Division 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 State of Arizona
Department of Administration - General Services Division during the course of your relationship with State of Arizona Department of Administration - General Services
Division.
https://support.docusign.com/guides/signer-guide-signing-system-requirements https://support.docusign.com/guides/signer-guide-signing-system-requirements
| 602 Consent to Assignment_Template_r0_05-24-23 |
| Consent to Assignment Executed |
File details come from the government source that posted it. Updated .