Electronic Disclosures and Signatures Consent.pdf

PDF 135 KB Posted

Attached to
FY25 NODC Air Handler, Building 601 State and local contract opportunity
Solicitation number
SRC0000029535
Issued by
Lucas County, Ohio

About this file

The document is an Electronic Signatures Disclosure and Consent form outlining the terms for electronic delivery of required information in a business relationship. The form provides comprehensive guidelines for how an organization will communicate and share required information electronically, including the conditions under which electronic records and signatures can be used in place of traditional paper documents. Customers are required to consent to electronic delivery, with clear stipulations that declining electronic delivery will prevent the establishment of a business relationship.

The document details the technical requirements for electronic consent, including having internet access, email capabilities, and the ability to download and print documents. The organization retains the option to deliver information electronically or via paper, and customers can request paper copies by calling the organization. The consent covers all required information, associated notices, disclosures, and other documents related to the business relationship, with the ability to withdraw consent at any time, though doing so may terminate the ability to proceed with the products, services, or account in question.

View the file

Other files for this state and local contract opportunity

Other files attached to FY25 NODC Air Handler, Building 601, newest first.
File Type Posted
NODC_FY25_Air_Handler_601__Round_2.pdf PDF
Contractor_Information_Form__rev._5.24_.pdf PDF
STANDARD AFFIRMATION AND DISCLOSURE FORM (EO 2019-12D 2022-02D).pdf PDF
NODC FY25 Air Handler 601.docx DOCX document
Contractor_Information_Form__rev._5.24_.pdf PDF

On GovTribe

Work with this file on GovTribe

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

ESIGN DISCLOSURES AND CONSENT

It is required by law to provide you with certain disclosures and information about the products, services or accounts you may receive or access in connection with your relationship with us ('Required Information'). With your consent, we can deliver Required Information to you by a) displaying or delivering the Required Information electronically; and b) requesting that you print or download the Required Information and retain it for your records.

This notice contains important information that you are entitled to receive before you consent to electronic delivery of Required Information. Your consent also permits the general use of electronic records and electronic signatures in connection with the Required Information.

After you have read this information, if you agree to receive Required Information from us electronically, and if you agree to the general use of electronic records and electronic signatures in connection with our relationship, please click the 'ACCEPT' button.

Statement of electronic disclosures:

You may request to receive Required Information on paper, but if you do not consent to electronic delivery of Required Information, we cannot proceed with the acceptance and processing to create a relationship with you in connection to the products, services or account.

If you consent to electronic delivery of Required Information, you may withdraw that consent at any time. However, if you withdraw your consent we will not be able to continue processing to create a relationship with you in connection to the products, services or account.

If you consent to electronic disclosures, that consent applies to all Required Information we give you or receive from you in connection with our relationship and the associated notices, disclosures, and other documents.

You agree to print out or download Required Information when we advise you to do so and keep it for your records. If you are unable to print or download any Required Information, you may call us and request paper copies. If you need to update your e-mail address or other contact information with us, you may do so by calling us and requesting the necessary updates.

If you wish to withdraw your consent to electronic disclosures, you may do so by calling us and requesting withdrawal of consent. After consenting to receive and deliver Required Information electronically, you may request a paper copy of the Required Information by calling us.

If you do not have the required software and/or hardware, or if you do not wish to use electronic records and signatures for any other reason, you can request paper copies of the Required Information to be sent to you by calling us.

Your consent does not mean that we must provide the Required Information electronically.

We may, at our option, deliver Required Information on paper. We may also require that certain communications from you be delivered to us on paper at a specified address.

I have read the information about the use of electronic records, disclosures, notices, and e-mail, and consent to the use of electronic records for the delivery of Required Information in connection with our relationship. I have been able to view this information using my computer and software. I have an account with an internet service provider, and I am able to send e-mail and receive e-mail with hyperlinks to websites and attached files. I also consent to the use of electronic records and electronic signatures in place of written documents and handwritten signatures.

ESIGN DISCLOSURES AND CONSENT
Statement of electronic disclosures:
I have read the information about the use of electronic records, disclosures, notices, and e-mail, and consent to the use of electronic records for the delivery of Required Information in connection with our relationship. I have been able to view this...
2024-07-28T16:39:04+0000
Client IP: 98.29.4.205, Transaction ID: EL9fI9SAvtvzt8X5nKUMy68ndMY=
OneSpan
E-SIGNED by Melissa Miller (mmiller@neco-ohio.com), ID: a9ffd6b1-8981-42ad-a6b5-93a7a060375d
2024-07-29T13:40:06+0000
Client IP: 156.63.84.135, Transaction ID: EL9fI9SAvtvzt8X5nKUMy68ndMY=
OneSpan
E-SIGNED by Trina Kincaid (trina.kincaid@dodd.ohio.gov), ID: d4cf4966-a914-401c-a0c4-959f9d608c34

File details come from the government source that posted it. Updated .