DOC2317991400.pdf
PDF 693 KB Posted
- Attached to
- CN NE|CW47360
- Contract number
- CW47360
- Issued by
- Nebraska
About this file
This is a University of Nebraska contract award summary and event booking agreement for the Hampton Inn Omaha Midtown-Aksarben IOU LLC, located in Omaha, Nebraska. The contract involves the University of Nebraska Medical Center (UNMC) as the requesting department, with Melody Stark serving as the sourcing agent and Abby Vaughan as the department contact. The supplier contact is Tim Darby at MH Hospitality. The contract was processed through the University of Nebraska's Procure-to-Pay system under Contract ID CW47360 and executed electronically via DocuSign on July 17, 2026, with signatures from Tim Darby (Area Director of Sales) and Michael Hrncirik (Assistant Vice Chancellor for Business Finance).
The contract covers event space booking at the Hampton Inn for a Crucial Conversations faculty training event sponsored by the Munroe Meyer Institute, scheduled for September 23-24, 2026. The meeting room rental is $300 per day plus a 20% service charge, with food and beverage services including coffee service at $25 per gallon and assorted muffins at $25 per dozen. The total contract amount is $800.00, comprising $600 for meeting space and $200 for food and beverage. The event accommodates 40 participants in a classroom-style setup with two front tables and five chairs. The competition category is classified as Under $50k. All charges are routed to the university's credit card on file.
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Text version
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 HAMPTON INN OMAHA MIDTOWN-
AKSARBEN IOU LLC
Contact Tim Darby
Sourcing Agent Melody Stark Email tdarby@mhhospitality.net
REQUESTING DEPARTMENT
Participating Campuses
UNMC
Administrative Unit/Dept.
Department Contact Abby Vaughan
CONTRACT DESCRIPTION/INFORMATION
Contract Summary (brief description and/ or event name)
Booking an event space at the Hampton Inn for the upcoming Crucial Conversations faculty training in September Meeting space $600 food and beverage $200
Contract Document Document Amt Total Amt Start Date End Date Notes
CW 47360 $800.00 $800.00 09/23/2026 09/24/2026
COMPETITION/BID INFORMATION
Bid Number
Competition Under $50k
Contract Information
INTERNAL USE ONLY
Contract ID CW47360 tdarby@mhhospitality.net
Hampton Inn & Suites Omaha Midtown-Aksarben Area 1401 South 72nd Street
Omaha, NE 68124 402-933-5510 tdarby@mhhospitality.net
EVENT NAME MUNROE MEYER INSTITUTE FACULTY
EVENT TYPE MEETING
EVENT DATE SEPTEMBER 23/24, 2026
START TIME 8AM
END TIME 5PM
EXPECTED ATTENDANCE 40
GUARANTEED ATTENDANCE 40
CLIENT INFORMATION
ORGANIZATION / COMPANY MUNROW MEYER
PRIMARY CONTACT NAME SHELBIE JOHNSON
TITLE
EMAIL ADDRESS SHELBIE.JOHNSON@UNMC.EDU
PHONE NUMBER 504-952-0628
VENUE & ROOM SETUP
MEETING SPACE / ROOM NAME MAIN MEETING ROOM
ROOM SETUP STYLE CLASSROOM SET FOR 40, 2 TABLES IN FRONT FOR W/ 5 CHAIRS
ROOM RENTAL $300 PER DAY PLUS 20% SERVICE CHARGE
PAYMENT METHOD
ALL CHARGES WILL BE ROUTED TO CREDIT CARD ON FILE
FOOD & BEVERAGE
Coffee service @ $25 per gallon, Assorted muffins @ $25 per dozen
AUDIO VISUAL
Signature Date
07/17/26 | 09:45 CDT
07/17/26 | 20:05 CDT
mailto:tdarby@mhhospitality.net
Certificate Of Completion Envelope Id: 26E54231-5021-84C4-80C4-354DC5BE955F Status: Completed
Subject: CW47360 - Hampton Inn and Suites Omaha Midtown-Aksarben Area - UNMC - Sept 2026
Source Envelope:
Document Pages: 2 Signatures: 2 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: 34.71.29.60
Record Tracking Status: Original
7/17/2026 9:42:28 AM
Holder: Melody Stark melody.stark@nebraska.edu
Location: DocuSign
Signer Events Signature Timestamp Tim Darby tdarby@mhhospitality.net
Area Director of Sales
Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style
Using IP Address: 163.116.147.134
Sent: 7/17/2026 9:43:35 AM
Viewed: 7/17/2026 9:44:47 AM
Signed: 7/17/2026 9:45:23 AM
Electronic Record and Signature Disclosure:
Accepted: 7/17/2026 9:44:47 AM ID: 81fa2c3a-3f46-4141-9746-286fa88f235a
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: 97.119.201.117
Signed using mobile
Sent: 7/17/2026 9:45:24 AM
Viewed: 7/17/2026 8:04:28 PM
Signed: 7/17/2026 8:05:23 PM
Electronic Record and Signature Disclosure:
Accepted: 7/17/2026 8:04:28 PM ID: 19cdf7ba-cdc8-4a06-96da-ca32fa02db15
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 Abby Vaughan abvaughan@unmc.edu
Security Level: Email, Account Authentication (None)
Sent: 7/17/2026 9:43:35 AM
Viewed: 7/17/2026 9:45:02 AM
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: 7/17/2026 8:05:24 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 7/17/2026 9:43:35 AM
Certified Delivered Security Checked 7/17/2026 8:04:28 PM
Signing Complete Security Checked 7/17/2026 8:05:23 PM
Completed Security Checked 7/17/2026 8:05:25 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: Tim Darby, Michael Hrncirik, 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
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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.
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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
| 2026-07-18T02:29:48+0000 | |
| Digitally verifiable PDF exported from www.docusign.com |
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