DOC1743665697.pdf
PDF 639 KB Posted
- Attached to
- CN NE|CW36843
- Contract number
- CW36843
- Issued by
- Nebraska
About this file
This is a contract between the Board of Regents of the University of Nebraska, specifically the University of Nebraska Medical Center (UNMC) Cognitive department, and Upstream Brewing Company for a business dinner and poster session. The contract involves the Procure-to-Pay department of the University of Nebraska and is specific to the UNMC campus, with Anthony Taylor serving as the sourcing agent and Tova Safford as the department contact.
The contract is for a business dinner and poster session on October 30, 2025, from 5:00 PM to 8:00 PM in Upstream Brewing Company's Party Room. The event will accommodate 35 guests with a guaranteed food and beverage minimum of $1,600.00. A deposit of $200.00 is required by September 23, 2025, and the total event cost will be $1,600.00. The contract includes specific restrictions, such as no open flame candles or confetti, and requires all food and beverage to be purchased through Upstream Brewing Company. The event is categorized under the UNMC "Under $50K" competition classification.
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Procure-to-Pay
3835 Holdrege Street | Lincoln, NE 68583-0742 | 402.472.2126 nebraska.edu/p2p
University of Nebraska Contract Summary
CONTRACTOR/COMPANY INFORMATION
Supplier Upstream Contact Maria Jackson mjackson@upstreambrewing.
com
Sourcing Agent Anthony Taylor
REQUESTING DEPARTMENT
Participating Campuses
UNMC
Administrative Unit/Dept.
CON
Department Contact Tova Safford tdsafford@unmc.edu
CONTRACT DESCRIPTION/INFORMATION
Contract Summary (brief description and/ or event name)
Annual CONDA advisory committee meeting dinner at Upstream on October 30, 2025. Contract needs signature.
Contract Document Document Amt Total Amt Start Date End Date Notes
Master Agreement $1,600 $1,600 10/30/2025 10/30/2025
COMPETITION/BID INFORMATION
Bid Number N/A
Competition UNMC Under $50K
Contract Information
N/A
INTERNAL USE ONLY
CW36843
Unpaid
X X
Business Dinner/Poster Session Thursday, October 30, 2025
EVENT CONTRACT
SALES MANAGER: Maria Jackson EMAIL: mtczechut@gmail.com
PHONE: (402) 344-0200
ACCOUNT: The Board of Regents of the University of Nebraska on behalf of UNMC Cognitive CONTACT: Kendall Panas
ADDRESS:
EMAIL: kpanas@unmc.edu PHONE: (402) 659-2905
EVENT SUMMARY
Name Date Time Areas Event Type
Guests Gtd Rental Event
F&B Min
Business Dinner/ Poster Session
10/30/
5:00 pm – 8:00 pm
Party Room
Dinner 35 $1,600.00
SETUP
**Upstream Brewing Company does not allow the use of open flame candles, confetti/table “sprinkles” of any kind and nothing may be affixed to walls or suspended from ceiling.
ESTIMATED BILLING
Total
Subtotal $0.00
Service Charge 20.0% $0.00
State Sales Tax 9.675% $0.00
Grand Total $1,600.00
Deposit (Due 9/23/2025) $200.00
Estimated Amount Due $1,600.00
F&B Minimum $1,600.00 Total
-$0.00 Met
$1,600.00
Updated: 9/16/2025
1 of 5 Business Dinner/Poster Session
2 of 5 Business Dinner/Poster Session
Business Dinner/Poster Session Thursday, October 30, 2025
TERMS AND CONDITIONS
A deposit and this contract with your signature will confirm the reservation on a definite basis. Should you cancel your event once this contract is signed and returned to us, the deposit is only refundable if we are able to re-book the same space with a similar event. However, if the event is cancelled less than 60 days prior to the scheduled event, you will be liable for the full purchase minimum. The amount of the deposit will be applied to your final bill.
A minimum purchase of the amount specified on the contract in food, beverage and/or room rental (not including tax and service charge) is required for your event (prices in our banquet menus do not include tax or service charge). A final guaranteed number of guests would be required from you by 12:00 PM three days in advance of your event. We will contact you by telephone for this guarantee at the number provided by you in the space above. If we are unable to obtain a guarantee from you, the number of guests shown above will become the guarantee.
To ensure a successful event, we ask that your menu selection and all event details be finalized at least ten days in advance of your scheduled event date. Menu items and menu prices are subject to change-we will guarantee pricing ninety days before your event. After planning of your event has been completed, I will send a detailed Banquet Event Order to you for your final approval.
Thank you again for the opportunity to serve you. I’m sure you’ll find your experience here at Upstream Brewing Company to be a great one. If you have any questions please call me at 402-344-8013.
*Please note that all food and beverage must be purchased through Upstream Brewing Company. Please inquire about purchasing cakes but any cakes brought in must be supplied by a licensed bakery, be approved and on the banquet event order.
Client Signature Print Your Name "Review your signature"
Type it Draw it I accept the terms of this agreement
Updated: 9/16/2025
3 of 5 Business Dinner/Poster Session
Michael Hrncirik
Business Dinner/Poster Session Thursday, October 30, 2025
CREDIT CARD AUTHORIZATION
ACCOUNT: UNMC Cognitive SALES MANAGER: Maria Jackson CONTACT: Kendall Panas EMAIL: mtczechut@gmail.com
ADDRESS: PHONE: (402) 344-0200
EMAIL: kpanas@unmc.edu
PHONE: (402) 659-2905
Please fill in the following form to secure your reservation on Thursday, October 30, 2025 at Upstream Brewing Company. The deposit for this event is $200.00 and will be charged to the card below. The remaining balance will be presented to the host at the close of the event.
The Food & Beverage Minimum for your event is, $1,600.00. If the minimum is not met a room rental fee for the outstanding balance will be added to your final bill.
You can return this form via fax at 402-344-4051, via email at mjackson@upstreambrewing.com, or call in your credit card number at 402-344-8013.
4 of 5 Business Dinner/Poster Session
Credit Card Authorization Form Credit Card Type:
Name on Credit Card:
Credit Card Number: Security Code:
Expiration Date:
Credit Card Billing Address:
I understand that by signing this Credit Card Authorization form that this credit card will be charged in accordance with our terms.
Cardholder's Signature:
Print Name:
Date:
5 of 5 Business Dinner/Poster Session
Title: Legal and Policy Compliance Addendum Revised: 160425
University of Nebraska Legal and Policy Compliance Addendum
This University of Nebraska Legal and Policy Compliance Addendum (the “Addendum”) to the Upstream
Brewing Company LLC dated concurrently with this Addendum (the “Agreement”) is effective as of the date of the last signature set forth below between the Board of Regents of the University of Nebraska a public body corporate and governing body of the University of Nebraska (“University”), which is composed of a chief governing administrative unit (University of Nebraska System), four universities (University of
Nebraska at Kearney, University of Nebraska-Lincoln, University of Nebraska Medical Center, and
University of Nebraska at Omaha), and such other institutions and units as may be designated by the
Nebraska Legislature, and Upstream Brewing Company LLC (“Supplier”).
RECITALS
A. University desires to enter the Agreement with Supplier.
B. The Agreement is in the form provided by Supplier, which the parties are using for their mutual convenience.
C. The Agreement is, with the exceptions noted in this Addendum, acceptable to University.
D. Certain provisions in the Agreement cannot be accepted or are required in the Agreement by
University as a matter of law and policy of the State of Nebraska and University.
E. Supplier is willing to modify the Agreement as set forth in this Addendum.
AGREEMENT
NOW, THEREFORE, in consideration of the mutual covenants set forth in the Agreement and herein and the above recitals, which are incorporated herein by this reference, the parties agree as follows:
1. Incorporation and Priority of Terms. The Agreement is amended as stated herein and this
Addendum is incorporated into the Agreement by this reference. In the event of a conflict between the terms of this Addendum and the Agreement, the terms of this Addendum shall prevail.
2. Assignment. The Agreement is non-assignable and non-transferrable unless agreed to in writing by the parties. Any attempt by either party to assign its rights or obligations hereunder without the written agreement of the other party shall be void.
3. Governing Law and Forum. The Agreement shall be governed by the laws of the State of
Nebraska without giving effect to its conflicts of law provisions. Any legal actions brought by either party hereunder shall be in the state courts located in Lancaster County, Nebraska. Any legal action by Supplier in relation to the Agreement shall be instituted in accordance with the provisions of the Nebraska State
Contract Claims Act (Neb. Rev. Stat. §§ 81-8,302 to 81-8,306).
4. Liability. To the fullest extent allowed by law, Supplier shall defend, indemnify, and hold harmless
University, its regents, officers, employees, agents, and students for any loss, claim, damage, expense, or liability of any kind arising out of or in connection with the acts or omissions of Supplier and its officers, employees, agents, and subcontractors under the Agreement.
5. Work Status Verification. Supplier and its subcontractors shall use a federal immigration verification system to determine the work eligibility status of new employees physically performing services within the State of Nebraska pursuant to Neb. Rev. Stat. §§ 4-108 to 4-114.
6. Taxes and Fees. University is generally exempt from payment of state sales and use taxes and local occupation taxes within the State of Nebraska. University will furnish exemption certificates upon written request by Supplier. If Supplier is required to pay any taxes from which University is exempt as a result of doing business with University, Supplier shall be solely responsible for the payment of those taxes.
Revised: 160425
If a tariff is imposed on any Deliverables provided under this Agreement, each party shall pay an equal share of the costs of such tariff.
7. Debarment List. Supplier certifies and warrants that it has not been debarred, suspended, or declared ineligible as defined in the Federal Acquisition Regulation 48 CFR Ch.1 Subpart 9.4. Supplier also certifies that Supplier, its partners, directors, officers, employees, licensees, subcontractors, or agents have not been excluded or debarred or otherwise become ineligible to participate in federal health care programs pursuant to 42 USC § 1320a-7. The certification and warranty set forth in this section shall be an ongoing certification and warranty during the term of the Agreement, and Supplier shall immediately notify University of any change in the status of the certification and warranty set forth in this section. If Supplier becomes excluded from federal health care program participation or placed on the Consolidated List of Debarred, Suspended, and Ineligible Contractors, the Agreement may be terminated immediately, for cause, by
University. If any partners, directors, officers, employees, licensees, subcontractors, personnel, or agents of Supplier become excluded from federal health care program participation, such individual shall be removed from participating in the Agreement immediately. Failure by Supplier to remove such excluded individual immediately shall provide University the right to terminate the Agreement immediately for cause.
8. Taxpayer Transparency Act. Under Neb. Rev. Stat. §§ 84-602.01 to 84-602.04, University is required to provide the Nebraska Department of Administrative Services with a copy of each contract that is a basis for an expenditure of state funds, including any amendments and documents incorporated by reference in the contract. Copies of all such contracts and documents will be published by the Nebraska
Department of Administrative Services at https://statecontracts.nebraska.gov/. It shall be the sole responsibility of Supplier (a) to notify University of any requested redactions to the Agreement, any amendment to the Agreement, and any document incorporated by reference into the Agreement and (b) to indicate the legal basis for such requested redactions at the time of execution thereof. In addition, Supplier shall defend any challenge to such redactions at its own expense. Supplier’s failure to request redactions to any contracts or documents released by University under this section shall constitute a complete waiver of any and all claims for damages caused by any such release.
9. Public Records. Under Neb. Rev. Stat. §§ 84-712 to 84-712.09, information or records of or belonging to University regarding, related to, or part of the Agreement will be open to public inspection and copying unless exempted from disclosure in accordance with University’s interpretation and application of applicable law. It shall be the sole responsibility of Supplier (a) to notify University of requested redactions to any such information or records that may otherwise be required to be open to public inspection and copying and (b) to indicate the legal basis for such requested redactions. In addition, Supplier shall defend any challenge to such requested redactions at its own expense. Supplier’s failure to request redactions to any information or records released by University under this section shall constitute a complete waiver of any and all claims for damages caused by any such release.
10. Federal Funding Compliance. If the Agreement involves federal funds, (a) Supplier’s compliance in all respects with all applicable federal anti-discrimination laws is material to Supplier’s performance under the Agreement; (b) Supplier certifies that it does not operate any programs promoting diversity, equity, and inclusion that violate such laws; and (c) Supplier’s failure to comply with such laws shall be considered a material breach of the Agreement.
If the Agreement is for $15,000 or more and involves federal funds, then Supplier shall comply with 41 CFR
§§ 60-300.5(a) and 60-741.5(a), which are incorporated herein by this reference. These regulations prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and require action to employ and advance in employment individuals without regard to disability or veteran status.
If Supplier has fifty (50) or more employees and the Agreement involves payment of $50,000 or more in federal funds to Supplier, then Supplier shall develop or maintain a program as described in 41 CFR 60‐
741, subpart C. If Supplier has fifty (50) or more employees and the Agreement involves payment of https://statecontracts.nebraska.gov/
Revised: 160425
$150,000 or more in federal funds to Supplier, then Supplier shall develop or maintain a program as described in 41 CFR 60‐300, subpart C. To the extend any of the provisions of Appendix II to 2 CFR Part
200 apply to the Agreement, such provisions are incorporated herein by this reference and apply to Supplier as a “contractor,” “recipient,” or “subrecipient.”
11. Nondiscrimination. Neither Supplier nor any of its subcontractors shall discriminate against any employee, or applicant for employment to be employed in the performance of the Agreement, with respect to hire, tenure, terms, conditions, or privilege of employment because of the race, color, religion, sex, disability, or national origin of the employee or applicant in accordance with the Nebraska Fair Employment
Practice Act (Neb. Rev. Stat. §§ 48-1101 to 48-1125).
12. Logos or University Marks. Supplier shall not use or display any University campus name, logo, trademark, service mark (individually a “Mark” and collectively the “Marks”) and/or other indicia designated by University as a source identifier, unless expressly authorized in writing by University. Any unauthorized use of University Marks is expressly prohibited. Supplier shall not use University’s name in any manner that acts as an endorsement or is an appearance of any endorsement in any promotion, advertisement, solicitation, or other communication, especially as it relates to Supplier’s business.
13. Right to Audit Privilege. University reserves the right to audit or inspect work performed by
Supplier under the Agreement. University may participate directly or through an appointed representative in order to verify that the services related to the Agreement have been performed in accordance with the procedures indicated.
14. Purchase Order Requirement. A purchase order shall be issued by University to Supplier for payment in accordance with the terms of the Agreement. All invoice(s) submitted by Supplier shall make reference to the appropriate purchase order number to be eligible for payment.
15. Conflict of Interest. Supplier certifies, to the best of its knowledge and belief, that (a) there is no unresolved actual or potential conflict of interest related to the Agreement and (b), if Supplier is a University employee, immediate family member of a University employee, or business associated with a University employee and the Agreement is valued at $2,000 or more, Supplier has, prior to execution of the
Agreement, provided written notification to the vice president for business and finance or relevant vice chancellor for business and finance, as applicable, of Supplier’s status as, relation to, or association with a
University employee and of the Agreement. If an actual or potential conflict of interest related to the
Agreement arises during the Term, Supplier shall provide to the vice president for business and finance or relevant vice chancellor for business and finance, as applicable, a written disclosure statement that describes all relevant information concerning the actual or potential conflict of interest. If the actual or potential conflict of interest cannot be resolved or University determines Supplier’s certification set forth in this section is false, University may declare the Agreement void and of no further force or effect and
University shall have no further obligations under the Agreement.
16. Compliance. Supplier and its employees and agents will comply with all laws, ordinances, codes, rules, regulations, and licensing requirements that are applicable to the conduct of its business, including those of federal, state, and local agencies having jurisdiction and/or authority, as well as applicable
University policies.
17. Insurance. Supplier shall at its own expense obtain and maintain throughout the term of the
Agreement general commercial liability insurance against claims for bodily injury, death, and property damage with limits of not less than $1,000,000.00 per occurrence, and $3,000,000.00 general aggregate to cover such liability caused by, or arising out of, activities of Supplier and its agents and/or employees while engaged in or preparing for the provision of the goods or services provided under the Agreement. If the goods or services include providing technology services, software, or support, Supplier shall obtain and maintain cyber liability insurance coverage of not less than $10,000,000.00 per occurrence and in the aggregate to cover such liability resulting or arising from acts, errors, or omissions in rendering such
Revised: 160425 technology services, software, or support. Upon request by University, Supplier shall furnish to University certificates of insurance evidencing such insurance is effective prior to commencement of work under the
Agreement. By requiring such minimum insurance, University shall not be deemed or construed to have assessed the risk or limited the liability that may be applicable to Supplier under the Agreement. Supplier shall assess its own risks and, if it deems appropriate, maintain higher limits or broader coverages. Supplier shall, upon request, include University as an additional insured on its general liability insurance policy on a primary and non-contributory basis. Supplier is not relieved of any liability or other obligations assumed or pursuant to the Agreement by reason of its failure to obtain or maintain insurance in sufficient amounts, duration, or types.
18. Notice. Any notice required or permitted to be given under the Agreement shall be in writing, sent via certified mail or hand delivery, effective when received, and delivered to the addresses provided on the signature page of this Addendum.
19. Unavailability of Funding. Due to possible future reductions in state and/or federal funds, University cannot guarantee the continued availability of funding of the Agreement notwithstanding the consideration contained within the Agreement. In the event funds to finance the Agreement become unavailable, either in full or in part, due to such reductions, University may terminate the Agreement or reduce the consideration upon notice in writing to Supplier. Said notice shall be delivered by certified mail
(return receipt requested) or in person (with proof of delivery). University shall be the final authority as to the availability of funds. The effective date of such termination or reduction in consideration shall be the actual effective date of the elimination or reduction of funding. In the event of a reduction in consideration, Supplier may cancel the Agreement as of the effective date of the proposed reduction upon the provision of advance written notice to University. Supplier shall be entitled to receive just and equitable compensation for any satisfactory work performed up to the effective date of the termination. In the event of unavailability of funding, University shall not be liable for any penalty, expense, or liability, or for general, special, incidental, consequential, or other damages resulting therefrom.
20. No Personal Liability. In no event shall any regent, official, officer, employee, agent, or student of
University be personally liable or responsible for any representation, statement, covenant, warranty, or obligation contained in, or made in connection with, the Agreement, express or implied.
21. Foreign Adversary Certification. The terms in this section defined in Neb. Rev. Stat. § 73-903 shall have the meaning defined therein. If the Agreement is for a technology-related product or service and no exception set forth in Neb. Rev. Stat. § 73-906(2) applies, Supplier certifies that it is not a scrutinized company, it will not subcontract with any scrutinized company for any aspect of performance of the
Agreement, and any products or services provided under the Agreement do not originate with a scrutinized company. The certification set forth in this section shall be an ongoing certification during the term of the
Agreement and Supplier shall immediately notify University of any change in the status of the certification set forth in this section.
22. Unenforceability of Certain Terms. For the purposes of this section, “University” expressly includes any University employee acting in the course and scope of employment. Notwithstanding any provision of the Agreement to the contrary, any of the following terms within the Agreement shall have no effect and shall not be enforceable:
a. Any term making the Agreement period perpetual, providing for unlimited renewals of the
Agreement, or automatically continuing the Agreement period from term to term;
b. Any term requiring or stating that the terms of the Agreement shall prevail over the terms of this
Addendum in the event of conflict;
c. Any term requiring University to indemnify or to hold harmless Supplier or any third party for any act or omission;
Revised: 160425
d. Any term imposing interest charges contrary to those allowed by Neb. Rev. Stat. § 81-2404;
e. Any term requiring the application of the law of any state other than the State of Nebraska in interpreting or enforcing the Agreement or requiring or permitting that any dispute under the Agreement be resolved in courts other than the courts of the State of Nebraska;
f. Any term limiting the time period within which claims can be made or actions can be brought;
g. Any term waiving the sovereign immunity of the State of Nebraska;
h. Any term limiting Supplier’s or any third party’s liability for damages to University for any cause whatsoever related to: (i) intellectual property indemnity required by the Agreement; (ii) liquidated damages assessed under the Agreement; (iii) claims for personal injury, including death; (iv) claims for damage to real property or tangible or intangible property arising from Supplier’s acts or omissions under the
Agreement; (v) any loss or claim to the extent the loss or claim is covered by a policy of insurance maintained, or required by this Addendum or the Agreement to be maintained, by Supplier; (vi) damages arising from the gross negligence or willful misconduct of Supplier, its employees, its subcontractors, or its agents; and (vii) damages arising from Supplier’s breach of data security or confidentiality obligations under the Agreement;
i. Any term permitting unilateral modification of the Agreement by Supplier or any third party;
j. Any term obligating University to pay attorneys’ fees;
k. Any term requiring the confidentiality of records in contravention of the Nebraska public records statutes, Neb. Rev. Stat. §§ 84-712 to 84-712.09;
l. Any term binding University to any method of resolution of disputes under the Agreement not instituted in accordance with the provisions of Neb. Rev. Stat. §§ 81-8,302 to 81-8,306;
m. Any term requiring University to endorse or perform any act that may be perceived as an endorsement of a commercial good or service, Supplier, or any third party;
n. Any term requiring University to waive its rights to a jury trial or to participate in a class action; or
o. Any term granting Supplier or any third party a security interest in property of University.
[Signature page to follow]
Revised: 160425
IN WITNESS WHEREOF, the parties have entered into this Addendum as of the date set forth below.
Board of Regents of the University of Nebraska
Signature:
Printed Name:
Date:
Title:
Supplier
Signature:
Printed Name:
Date:
Title:
Notices to University shall be sent to:
Safford, Tova Administrator I UNMC, Neurological Sciences
• (402) 559-5569
• 210 CDS, 68198-8435
• tdsafford@unmc.edu
Notices to Supplier shall be sent to:
[Name][Department] [Address] [City, State, Zip] [Email address]
With copy to:
Legal Notices C/O P2P Procurement Contracts 1700 Y Street, BSC 125 Lincoln, NE 68588-0645
With copy to (optional):
4890-8857-9324, v. 15
Maria Jackson
Upstream Brewing Co
514 South 11th street, Omaha Ne 68102
MJACKSON@UPSTREAMBREWINGLCOM
Catering Sales Manager
Maria Jackson
10/02/25 | 15:26 CDT
Assistant Vice Chancellor for Business F
Michael Hrncirik
10/03/25 | 12:39 CDT
tel:(402)%20559-5569 mailto:tdsafford@unmc.edu
Certificate Of Completion Envelope Id: E73396CF-59C0-4B39-A56C-9821767F667F Status: Completed
Subject: CW36843 - COVER SHEET.docx
Source Envelope:
Document Pages: 13 Signatures: 3 Envelope Originator:
Certificate Pages: 5 Initials: 0 Anthony Taylor
AutoNav: Enabled
EnvelopeId Stamping: Disabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
1400 R Street
LINCOLN, NE 68588
ataylor68@nebraska.edu
IP Address: 34.71.29.60
Record Tracking Status: Original
9/18/2025 8:12:27 AM
Holder: Anthony Taylor ataylor68@nebraska.edu
Location: DocuSign
Signer Events Signature Timestamp Maria Jackson mjackson@upstreambrewing.com
Catering Sales Manager
Upstream Brewing Company
Security Level: Email, Account Authentication (None)
Signature Adoption: Pre-selected Style
Using IP Address:
2001:579:7114:1ef0:f0c4:87e2:151b:47ad
Sent: 9/18/2025 8:15:08 AM
Resent: 10/2/2025 2:13:15 PM
Viewed: 10/2/2025 3:15:23 PM
Signed: 10/2/2025 3:26:14 PM
Electronic Record and Signature Disclosure:
Accepted: 10/2/2025 3:15:23 PM ID: 880ff8d9-054d-4b90-8864-8126e6dca4da
Michael Hrncirik mhrncirik@unmc.edu
Assistant Vice Chancellor for Business F
University of Nebraska Medical Center
Security Level: Email, Account Authentication (None)
Signature Adoption: Pre-selected Style
Using IP Address: 208.127.240.223
Sent: 10/2/2025 3:26:15 PM
Viewed: 10/3/2025 12:34:12 PM
Signed: 10/3/2025 12:39:55 PM
Electronic Record and Signature Disclosure:
Accepted: 10/3/2025 12:34:12 PM ID: b64e2e84-4b17-4d8c-a788-7e74a78cbb64
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 Tova Safford tdsafford@unmc.edu
Administrator I
Security Level: Email, Account Authentication (None)
Sent: 9/18/2025 8:15:08 AM
Viewed: 9/18/2025 9:57:40 AM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Carbon Copy Events Status Timestamp Tova Safford tdsafford@unmc.edu
Administrator I
Security Level: Email, Account Authentication (None)
Sent: 10/3/2025 12:39:57 PM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Kendall Panas kpanas@unmc.edu
Security Level: Email, Account Authentication (None)
Sent: 10/3/2025 12:39:58 PM
Viewed: 10/3/2025 12:41:25 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 9/18/2025 8:15:08 AM
Certified Delivered Security Checked 10/3/2025 12:34:12 PM
Signing Complete Security Checked 10/3/2025 12:39:55 PM
Completed Security Checked 10/3/2025 12:39:58 PM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
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All notices and disclosures will be sent to you electronically
Electronic Record and Signature Disclosure created on: 5/16/2023 6:53:28 PM Parties agreed to: Maria Jackson, Michael Hrncirik
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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 richard.horner@nebraska.edu 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 NU Contracts+Ariba
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 richard.horner@nebraska.edu 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 NU Contracts+Ariba
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 richard.horner@nebraska.edu 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 NU Contracts+Ariba 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 NU Contracts+Ariba during the course of your relationship with NU
Contracts+Ariba.
https://support.docusign.com/guides/signer-guide-signing-system-requirements https://support.docusign.com/guides/signer-guide-signing-system-requirements
| 2025-10-03T12:19:38-0700 | |
| Digitally verifiable PDF exported from www.docusign.com |
File details come from the government source that posted it. Updated .