DOC2091934045.pdf

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Attached to
CN NE|CW43183
Contract number
CW43183
Issued by
Nebraska

About this file

This is a University of Nebraska contract award document executed by the Procure-to-Pay department for the University of Nebraska Medical Center (UNMC) College of Public Health. The contract is with Fun Services Repair LLC, a vendor located in Omaha, Nebraska. The contract was sourced by Melody Stark and signed by Michael Hrncirik, Assistant Vice Chancellor for Business at UNMC, on March 25, 2026. The agreement was facilitated through the DocuSign electronic signature system and is assigned Contract ID CW 43183.

The contract covers equipment rental services for the 6/12/26 COPH Annual Retreat event held at Mahoney State Park in Ashland, Nebraska. The services include delivery, setup, and teardown of a Moonwalk/Jumper inflatable unit ($200.00) and a Hungry Hungry Hippos inflatable game ($550.00), with a combined rental subtotal of $750.00. Additional charges include distance charges of $85.00 and sales tax of $56.45, resulting in a total contract amount of $893.45. The event was funded directly through Foundation funds, with a deposit of $178.69 already paid and a remaining balance due of $893.45. The event took place on Friday, June 12, 2026, from 11:00 a.m. to 3:00 p.m., with delivery between 9:00 a.m. and 10:00 a.m. and pickup from 3:00 p.m. to 4:00 p.m. The contract was classified as a competition under $50,000 and required the client to provide two 20-amp electrical circuits within 50 feet for equipment operation.

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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 FUN SERVICES REPAR LLC Contact Grace Woebbecke

Sourcing Agent Melody Stark Email office@funservicesneia.com

REQUESTING DEPARTMENT

Participating Campuses

UNMC

Administrative Unit/Dept.

Department Contact Pam Ehmke

CONTRACT DESCRIPTION/INFORMATION

Contract Summary (brief description and/ or event name)

6/12/26 COPH Annual Retreat at Mahoney State Park – paid directly by Foundation funds.

Contract Document Document Amt Total Amt Start Date End Date Notes

CW 43183 $893.00 06/12/2026 06/12/202

COMPETITION/BID INFORMATION

Bid Number

Competition Under $50k

Contract Information

INTERNAL USE ONLY

Contract ID CW 43183 office@funservicesneia.com

03/25/26 | 21:50 CDT

Michael Hrncirik

Certificate Of Completion Envelope Id: A3708C07-9C46-453D-ACB2-4C9E740C95EA Status: Completed

Subject: CW43183 - Fun Services_UNMC_COPH_EHMKE June 2026

Source Envelope:

Document Pages: 3 Signatures: 1 Envelope Originator:

Certificate Pages: 5 Initials: 0 Melody Stark

AutoNav: Enabled

EnvelopeId Stamping: Disabled

Time Zone: (UTC-08:00) Pacific Time (US & Canada)

1400 R Street

LINCOLN, NE 68588

melody.stark@nebraska.edu

IP Address: 35.223.106.21

Record Tracking Status: Original

3/25/2026 12:13:53 PM

Holder: Melody Stark melody.stark@nebraska.edu

Location: DocuSign

Signer Events Signature Timestamp 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: 75.163.90.168

Signed using mobile

Sent: 3/25/2026 12:15:46 PM

Viewed: 3/25/2026 9:50:01 PM

Signed: 3/25/2026 9:50:13 PM

Electronic Record and Signature Disclosure:

Accepted: 3/25/2026 9:50:01 PM ID: 12603da9-e531-42b3-9b74-99a38496225d

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 Pam Ehmke pehmke@unmc.edu

Assistant Dean of Finance

College of Public Health

Security Level: Email, Account Authentication (None)

Sent: 3/25/2026 12:15:45 PM

Viewed: 3/25/2026 12:24:51 PM

Electronic Record and Signature Disclosure:

Accepted: 3/20/2026 4:11:36 PM ID: c98b2ad3-d8dd-4f68-9ef1-cd97aed692d3

Grace Woebbecke

Goffice@funservicesneia.com

Security Level: Email, Account Authentication (None)

Sent: 3/25/2026 9:50:15 PM

Electronic Record and Signature Disclosure:

Not Offered via Docusign

Carbon Copy Events Status Timestamp Melody Stark melody.stark@nebraska.edu

Sourcing Agent

University of Nebraska

Security Level: Email, Account Authentication (None)

Sent: 3/25/2026 9:50:15 PM

Electronic Record and Signature Disclosure:

Accepted: 11/13/2023 10:42:36 AM ID: f6be8008-ef45-4d6e-b4e3-5c6f95447db3

Witness Events Signature Timestamp

Notary Events Signature Timestamp

Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 3/25/2026 12:15:45 PM

Certified Delivered Security Checked 3/25/2026 9:50:01 PM

Signing Complete Security Checked 3/25/2026 9:50:13 PM

Completed Security Checked 3/25/2026 9:50:15 PM

Payment Events Status Timestamps

Electronic Record and Signature Disclosure

ELECTRONIC RECORD AND SIGNATURE DISCLOSURE

From time to time, NU Contracts+Ariba (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: 5/16/2023 6:53:28 PM Parties agreed to: Michael Hrncirik, Pam Ehmke, Melody Stark

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 NU Contracts+Ariba:

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: richard.horner@nebraska.edu

To advise NU Contracts+Ariba 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 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

2026-03-25T20:39:26-0700
Digitally verifiable PDF exported from www.docusign.com

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