HomeMy WebLinkAbout05(F) - Approve Amendment 2 to the Verizon Communication Facilities Lease Agreement at the Tower Street Water Tower Report
MEETING DATE:
September 07, 2021
PREPARED BY:
Nick Zurbey, Public Works Technician
PRESENTED BY:
Andy Brotzler, Public Works Director/City Engineer
AGENDA ITEM:
Approve Amendment 2 to the Verizon Communication Facilities Lease Agreement at the Tower Street Water Tower
GOAL AREA
OBJECTIVE:
High-Value City Services
5. Grow collaborations to provide efficient and cost-effective services to the community.
RECOMMENDED ACTION:
Approve a resolution authorizing the Mayor and City Manager to execute an amendment to the Communications Facilities Lease Agreement with Verizon.
BACKGROUND:
The purpose of this agenda item is to consider executing an amendment to the Communication Facilities Lease Agreement with Verizon Wireless to allow them to install new equipment on
the Tower St Water Tower. The City and Verizon are parties to a Communication Facilities Lease Agreement dated January 1, 2017, amended by Amendment 1 to Communication Facilities Lease
Agreement dated September 4, 2018.
The City holds several lease agreements with telecommunications companies to allow use of the City’s water towers to mount antenna with ground equipment shelters on the property. The
terms of those leases require those companies to temporarily remove their equipment whenever the water tower requires significant maintenance. The Tower St water tower was reconditioned
and painted in June-July 2021. All telecommunications equipment was removed from the water tower during the reconditioning project and placed on a temporary pole so the telecommunications
services could continue without interruption.
As part of the reconditioning, a new railing was installed on the top of the of the water tower that is larger and built to better accommodate the equipment being mounted to it. Verizon
is leasing space on the top of the water tower and, with the project nearing completion, Verizon has submitted plans to reinstall their equipment on the water tower. Their plans take
into account the improvements made to the water tower, which will require them to mount their new equipment and cable in new locations. The purpose of this amendment is to memorialize
the type and location of all their new equipment.
A copy of the partially executed amendment is included with this report.
FINANCIAL IMPACT:
The annual rent amount will remain the same because the new equipment is like-kind to what the current lease allows.
ALTERNATIVES:
Motion and second as part of the consent agenda to adopt a resolution authorizing the Mayor and City Manager to execute an amendment to the Communication Facilities Lease Agreement with
Verizon for the Tower Street Water Tower property.
Motion and second to remove this item from the consent agenda for additional discussion.
ATTACHMENTS:
Resolution - Approve Amendment 2 to the Verizon Communication Facilities Lease Agreement at the Tower Street Water Tower
Verizon Com Facility Amendment 2, Tower Street Tower - PE
1
MIN Prior Lake/140207
AMENDMENT 2 TO COMMUNICATION FACILITIES LEASE AGREEMENT
This Amendment to Communication Facilities Lease Agreement (“Amendment”) is made and
entered into this _______ day of _______________, 2021 (“Effective Date”), by and between the City of
Prior Lake, a Minnesota municipal corporation (hereinafter referred to as the “City”) and Cellco
Partnership d/b/a Verizon Wireless, successor in interest to Verizon Wireless (VAW) LLC d/b/a Verizon
Wireless, (hereinafter referred to as “Communications Company”).
A. The City and Communications Company entered into that certain Communication
Facilities Lease Agreement signed on January 23, 2017 and as amended by Amendment 1 to
Communication Facilities Lease Agreement dated September 4, 2018 (“Antennae Agreement”), relating
to the Tower Street Water Tower, located at 4741 Tower Street, Prior Lake, MN 55372. The Antennae
Agreement provides Communications Company with a limited license to install and use certain
equipment on the Water Tower subject to the terms and conditions therein.
B. The City and Communications Company hereby seek to amend the terms of the
Antennae Agreement to clarify the terms related to permitted equipment.
NOW, THEREFORE, in consideration of the foregoing recitals and for other good, valuable and
fair consideration, the receipt and sufficiency of which is hereby acknowledged the parties agree as
follows:
1. Definitions. All terms defined in the Antennae Agreement shall have the same
definitions when used in this Amendment.
2. Permitted Equipment. Exhibits C and C-1 to the Antennae Agreement are hereby
deleted in their entirety and replaced by Exhibit C-2, a copy of which is attached and made a part hereof.
DocuSign Envelope ID: 150AE352-75E4-4909-9C8B-956AE73CD7BC
2
MIN Prior Lake/140207
IN WITNESS HEREOF, the parties have executed this Amendment as of the date first written
above.
CITY OF PRIOR LAKE
____________________________
Kirt Briggs, Mayor
_____________________________
Jason Wedel, City Manager
TENANT: Cellco Partnership d/b/a Verizon Wireless
By:___________________________________
Name:________________________________
Title:_________________________________
Date:_________________________________
DocuSign Envelope ID: 150AE352-75E4-4909-9C8B-956AE73CD7BC
Aug 19, 2021
Sr. MGR GP RE
Courtney Bednarz
3
MIN Prior Lake/140207
EXHIBIT C-2
DocuSign Envelope ID: 150AE352-75E4-4909-9C8B-956AE73CD7BC
SHEET CONTENTS:LESSOR APPROVALNORTHCONTACTSISSUE SUMMARYSHEET INDEXDEPARTMENTAL APPROVALSVICINITY MAPGENERAL NOTESPROJECT INFORMATION9973 VALLEY VIEW RD.(952) 903-929910801 BUSH LAKE ROADBLOOMINGTON, MN 55438(952) 946-4700PROJECT DRAWN BY:DATE:CHECKED BY:LOC. CODE # 14020720202185428MINPRIOR LAKEC-BAND4741 TOWER ST. NEPRIOR LAKE, MN 55372SJD03-30-21MJSREV. A06-11-21REV. B06-22-21REV. C07-01-21WWW.DESIGN1EP.COMDESIGNEDEN PRAIRIE, MN 55344NOT FORCONSTRUCTIONHERZOG ENGINEERING530 NORTH 3RD STREET, SUITE 230MINNEAPOLIS, MN 55401(612) 844-1234NO CHANGES.CHANGES NEEDED. SEE COMMENTS ON PLANS.LESSOR / LICENSOR: PLEASE CHECK THE APPROPRIATE BOX BELOWVICINITY MAP145.0' AGL (APPROX.)11-16-20PROJECT INFORMATIONSITE NAME:SITE ADDRESS:COUNTY:GROUND ELEVATION:BASED ON RFDS DATED:PROJECT NUMBER:OVERALL STRUCTURE HEIGHT:ANTENNA TIP HEIGHT:ANTENNA CENTERLINE HEIGHT:DESIGNER:LESSEE:CONTACTSVERIZON WIRELESS10801 BUSH LAKE ROADBLOOMINGTON, MN 55438CONSTRUCTION DEPT (952) 946-4700DESIGN 1 OF EDEN PRAIRIE, LLC.9973 VALLEY VIEW ROADEDEN PRAIRIE, MN 55344(952) 903-9299MIN PRIOR LAKESITE LOCATIONMIN PRIOR LAKEC-BAND4741 TOWER ST. NEPRIOR LAKE, MN 553721015.0' AMSLLONGITUDE: LATITUDE:GENERATOR ON SITE:SITE PHOTOTOWER BUILT:1973STRUCTURE HEIGHT:129.7' AGL (APPROX.)20202185428SCOTTWN°'"°'"444217.87932527.82134.0' AGLVARIES (SEE KEYS)T-1PROJECT DESCRIPTION:REMOVE:·(12) ANTENNAS·(3) 1-5/8" COAX CABLES·(6) 7/8" COAX CABLES·ALL RADIOS, TTAs AND DIPLEXERSPROPOSED:·(12) ANTENNAS·(6) RADIOS·(2) TOWER DIST. BOXES·(2) RACK-MOUNTED DIST. BOXES·POWERSHIFT EQUIPMENTCABLE ROUTES:LESSOR:"X" COAX RUN = (1) 1-5/8" LINES @ 250' (EXISTING)"Y" COAX RUN = (1) 1-5/8" LINES @ 250' (EXISTING)"Z" COAX RUN = (1) 1-5/8" LINES @ 250' (EXISTING)= (3) HYBRID CABLE (PROPOSED)SHEET INDEXSHEETSHEET DESCRIPTIONT-1PROJECT INFORMATION, MAPS, DIRECTIONS, AND SHEET INDEXA-1TOWER ELEVATION & PHOTOA-2MOUNTING PLAN & SHELTER PLANA-3EXISTING KEYS AND CABLE ENTRY DETAILSA-4PROPOSED KEYSA-5ONE-LINE DIAGRAM, GENERAL NOTES & SPECIFICATIONSA-6PHOTOSISSUE SUMMARYREVDESCRIPTIONSHEET OR DETAILAISSUED FOR REVIEWALLBISSUED FOR LESSOR APPROVALALLCISSUED FOR REVIEWALLVZW DEPARTMENTAL APPROVALSJOB TITLENAMEDATERF ENGINEERJORDAN ALSTAD06-16-21CONSTRUCTION ENGINEERBRENT FORBES06-18-21LESSOR / LICENSOR APPROVALSIGNATUREPRINTED NAMEDATECITY OF PRIOR LAKEYES (VZW/DIESEL)STRUCTURALENGINEER:DocuSign Envelope ID: 150AE352-75E4-4909-9C8B-956AE73CD7BC
9973 VALLEY VIEW RD.(952) 903-929910801 BUSH LAKE ROADBLOOMINGTON, MN 55438(952) 946-4700PROJECT DRAWN BY:DATE:CHECKED BY:LOC. CODE # 14020720202185428MINPRIOR LAKEC-BAND4741 TOWER ST. NEPRIOR LAKE, MN 55372SJD03-30-21MJSREV. A06-11-21REV. B06-22-21REV. C07-01-21WWW.DESIGN1EP.COMDESIGNEDEN PRAIRIE, MN 55344NOT FORCONSTRUCTIONSHEET CONTENTS:SCALE:1TOWER ELEVATION1"=20'-0"TOWER ELEVATIONTOWER PHOTOA-12TOWER PHOTODocuSign Envelope ID: 150AE352-75E4-4909-9C8B-956AE73CD7BC
9973 VALLEY VIEW RD.(952) 903-929910801 BUSH LAKE ROADBLOOMINGTON, MN 55438(952) 946-4700PROJECT DRAWN BY:DATE:CHECKED BY:LOC. CODE # 14020720202185428MINPRIOR LAKEC-BAND4741 TOWER ST. NEPRIOR LAKE, MN 55372SJD03-30-21MJSREV. A06-11-21REV. B06-22-21REV. C07-01-21WWW.DESIGN1EP.COMDESIGNEDEN PRAIRIE, MN 55344NOT FORCONSTRUCTIONSHEET CONTENTS:SCALE:1MOUNTING PLAN3/16" = 1'-0"NORTHMOUNTING PLANSHELTER PLANA-2SCALE:2SHELTER PLAN3/16" = 1'-0"NORTH●●DocuSign Envelope ID: 150AE352-75E4-4909-9C8B-956AE73CD7BC
SHEET CONTENTS:9973 VALLEY VIEW RD.(952) 903-929910801 BUSH LAKE ROADBLOOMINGTON, MN 55438(952) 946-4700PROJECT DRAWN BY:DATE:CHECKED BY:LOC. CODE # 14020720202185428MINPRIOR LAKEC-BAND4741 TOWER ST. NEPRIOR LAKE, MN 55372SJD03-30-21MJSREV. A06-11-21REV. B06-22-21REV. C07-01-21WWW.DESIGN1EP.COMDESIGNEDEN PRAIRIE, MN 55344NOT FORCONSTRUCTION1EXISTING KEYSEXISTING KEYSCABLE ENTRY DETAILSVIEW: FROM INSIDE2EXISTING CABLE ENTRY DETAILVIEW: FROM INSIDE3PROPOSED CABLE ENTRY DETAILA-3DocuSign Envelope ID: 150AE352-75E4-4909-9C8B-956AE73CD7BC
SHEET CONTENTS:9973 VALLEY VIEW RD.(952) 903-929910801 BUSH LAKE ROADBLOOMINGTON, MN 55438(952) 946-4700PROJECT DRAWN BY:DATE:CHECKED BY:LOC. CODE # 14020720202185428MINPRIOR LAKEC-BAND4741 TOWER ST. NEPRIOR LAKE, MN 55372SJD03-30-21MJSREV. A06-11-21REV. B06-22-21REV. C07-01-21WWW.DESIGN1EP.COMDESIGNEDEN PRAIRIE, MN 55344NOT FORCONSTRUCTION1PROPOSED KEYSPROPOSED KEYSA-4DocuSign Envelope ID: 150AE352-75E4-4909-9C8B-956AE73CD7BC
SHEET CONTENTS:9973 VALLEY VIEW RD.(952) 903-929910801 BUSH LAKE ROADBLOOMINGTON, MN 55438(952) 946-4700PROJECT DRAWN BY:DATE:CHECKED BY:LOC. CODE # 14020720202185428MINPRIOR LAKEC-BAND4741 TOWER ST. NEPRIOR LAKE, MN 55372SJD03-30-21MJSREV. A06-11-21REV. B06-22-21REV. C07-01-21WWW.DESIGN1EP.COMDESIGNEDEN PRAIRIE, MN 55344NOT FORCONSTRUCTIONONE-LINE DIAGRAMGENERAL NOTESSPECIFICATIONSSCALE:1ONE-LINE DIAGRAMNTSA-5General Notes:1.In the event that Special Inspections are not performed in compliance with the contract terms, bid specifications and/or specified form, the GeneralContractor will be liable for all damages, construction performance, failures, and corrective actions related to the same.2.The following general notes shall apply to drawings and govern unless otherwise noted or specified.3.The work delineated in these drawings and described in the specifications shall conform to codes, standards and regulations that have jurisdiction in thestate of MN, and the city of PRIOR LAKE.4.Requirements and regulations pertaining to R.F. safety codes and practices must be incorporated in the work even though they may not be listedindividually and separately in either the drawings or the specifications.5.Compare field conditions with drawings. Any discrepancies shall be directed to the Designer/Engineer for clarification prior to fabrication and/orconstruction. Submit necessary shop drawings prior to fabrication for approval by the Designer/Engineer. No information or details on these sheets may beused without the permission of the owner, or the Designer/Engineer.6.Do not scale drawings.7.Unless otherwise shown or noted, typical details shall be used where applicable.8.Details shall be considered typical at similar conditions.9.Safety measures: The contractor shall be solely and completely responsible for the conditions of the job site, including safety of the persons and propertyand for independent engineering reviews of these conditions. The job site review is not intended to include review of the adequacy of the contractor's safetymeasures.10.Within these plans and specifications, "Owner" implies VERIZON WIRELESS.11.The work is the responsibility of the general contractor unless noted otherwise.12.The terms "contractor" and "g.c." refer to the owner's general contractor and the general contractor's sub-contractors. It is the general contractor'sresponsibility to determine the division of work among sub-contractors.13.The general contractor is responsible in obtaining necessary public and private underground utility locate services prior to start of excavating / construction.KLM Notes:a)All equipment must be mounted as stated in construction drawings, if any extra mast pipes are needed for mounting of any equipment (RRU, TMA, Raycaps, ext.), contractor must have drawings edited to match and SA rerun to match the as built condition. This documentation must be sent to the City and KLM for their records. b)ON ALL NEW AND EXISTING METAL TO METAL CONTACT POINTS: INCLUDE NEOPRENE, NYLON WASHERS, AND A METAL SHIM AS NECESSARY BENEATH AND AROUND ALL CLAMPS, ANGLE ADAPTERS, ETC. AT ALL PAINTED CONTACT POINTS. ON ALL PAINTED EXTERIOR U- 2 BOLT OR COMPRESSION MOUNT CONTACT POINTS ALSO USE COLOREDTAPE TO MATCH THE TOWER. c)Compression style crossover plates/pipe to pipe mounts must be used to mount mast pipes, utilizing proper coating protection of neoprene and tape under all mounts. d)No welding or drilling to tank will be allowed upon reinstallation to the newly coated tower. e)All unused components, cables, hardware, and any other trash shall be removed from the tower site. f)All new components/cables shall be installed so as not to create a tripping hazard or interfere with access to the climbing ladders, man-way hatches, or hand-railings. g)All antennas, mast pipes, exterior components, cables, cable shrouds/dog houses and hardware; shall be painted to color match. Cables may be wrapped with a color matching tape as an alternative to painting. All Non C-Band antennas and mast pipes must be shop painted and inspected. (KLM preferred shop painter is IPS in Hugo, MN) h)Welded end caps are required on all exterior pipes. i)Cables shall be manufactured or terminated to the appropriate length and installed as neatly/discreetly as possible. j)All cables are required to follow the approved cable management route. k)All cables should be routed on 1 cable bridge from the top of the drywell tube out to the handrail. Cut unistrut ends shall be coated with a cold galvanizing compound and covered with fitted plastic covers.l)All antennas, radios, junction boxes, and cables at all penetrations shall be labeled with weatherproof labels, clearly labeling equipment as “Verizon” equipment. m)No Equipment or Cables may be grounded to Tower by piercing tower coating, it must be properly grounded and follow all local, state, and national electric code. n)All paint coatings shall be protected, and properly repaired by professional painter. (KLM preferred coating repair painter is Slack Painting). o)The contractor and subcontractors shall protect existing improvements, pavements, curbs, landscaping and structures. Any damaged part shall be repaired at contractor's expense to the satisfaction of the Owner/City.KLM Painting Specifications:a)Painting of all new items, and repair of all damaged areas of the tower will be required. Surface preparation and painting requirements are as follows: b)Remove all surface contaminants in accordance with SSPC-SP-1 Solvent Cleaning. Do not use hydrocarbon solvents on surfaces to be coated with water-based coating. c)Under the direction of the Engineer, spot repair the tank and tower surfaces where the coating has been damaged by structural repairs and modifications, to an SSPC-SP-10 Near White Metal Blast Clean. This work includes all new items and at other areas damaged by structural repairs or modifications. Feather edges of existing coating, at spotblasted areas, using SSPC-SP-3 Power Tool Cleaning methods. d)Before any primer or coating is applied, metal surfaces shall be completely dry, dust free, inspected and approved by the Engineer. e)No coating shall be permitted when the relative humidity is expected to exceed 85% or temperature is expected to drop below 40 degrees within 8 hours after the application of the coating. Proceed with surface preparation and coating application only when air and surface temperatures are above the manufacturer's recommended minimumsurface temperature and below 100 degrees F, and surface temperature is at least 5 degrees above wet bulb air temperature reading. Coating shall not be applied to dusty, wet, or damp surfaces, and shall not be applied in rain, snow, fog, or mist. If working conditions are questionable, the Engineer shall make the decision and the Contractor shallaccept the Engineer's interpretation as final and binding. f)Prime coat must be applied within 8 hours of abrasive blasting. g)Apply by brush one (1) additional coat of primer to ensure a uniform coat of primer thoroughly worked into and around all seams, welds, bolt assemblies, plate overlap seams, and other irregularities in the surface. h)Finish coat shall be uniform in color and sheen without streaks, laps, runs, sags or missed areas. i)Non C-Band Antennas, exterior coax cables and exterior jumper cables to be painted to match existing tank color. All items attached directly to the tank, such as mounting brackets and supports, should be painted to match existing tank coating system and color. Cables may require scarification prior to coating. j)Exposed coaxial cables: Prior to priming, solvent wipe all exposed cables with the recommended solvent. Prime the cables and jumper cables with 2 coats of X-I-M Coax Cable Bonder & Sealer (Product No. 1138). After priming apply one finish coat to the cables as directed by the engineer. k)If galvanized materials used, the galvanized surfaces must be solvent wiped and brushblasted prior to coating. l)Specifications apply to both shop and field coating. m)Exterior surface spot repair and re-coating: i)Spot prime and finish coat repaired areas as specified by manufacturer. The coating system shall match the existing coating system on the tower. The exterior primer shall be Tnemec Hi-Build Epoxoline Series 66 or Tneme-Fascure Series 161, 4.0-6.0 mils DFT. The exterior intermediate coat shall be Tnemec Hi-Build Epoxoline Series 66 orTneme-Fascure Series 161, 4.0-6.0 mils DFT. The DFT of the primer plus the 4 intermediate coat at any individual spot measurement location shall be 9.0 mils minimum. The exterior finish coat shall be Tnemec Endurashield II Series 1075- Color to match the tower, 3.0-5.0 mils DFT. The total dry film thickness including the primer and the finish coatshall be 11 mils minimum - 17.0 mils with an average of 13.0 mils DFT. The minimum dry film thickness of the coating at any individual spot location shall be 12.5 mils. Color shall match the existing coating to the Owner's satisfaction. Color drawdowns shall be obtained from the paint manufacturer for the reservoir owner to confirm color selection(s).ii) Exterior coating shall be by brush and roller only. n)Interior dry spot repair and re-coating: i) The interior dry coating system shall be compatible with the existing coating system on the tank. The interior dry primer shall be Tnemec Pota-Pox Plus Series N140, 4.0 - 6.0 mils dry film thickness. The DFT of the primer at any individual spot measurement location shall be 2.5 mils minimum. The interiordry intermediate coat shall be Tnemec Pota-Pox Plus Series N140, 4.0 - 6.0 mils dry film thickness. The DFT of the primer plus intermediate at any individual spot measurement location shall be 6.5 mils minimum. The interior dry finish coat shall be Tnemec Pota-Pox Plus Series N140, 4.0 - 6.0 mils dry film thickness. The total dry film thickness includingthe primer, intermediate and finish coats shall be 10.5 mils minimum - 15.5 mils with an average of 13.0 mils. The minimum dry film thickness of the coating system at any individual spot location shall be 10.5 mils. The color shall match the existing interior dry color to the Owner's satisfaction. Color drawdowns shall be obtained from the paintmanufacturer for the reservoir owner to confirm color selection(s). o)Interior wet surface spot repair and re-coating: i) Spot blast the interior wet area of the tank at locations damaged during installation of new exterior and interior dry items, including antenna and cable support brackets and handrail, to an SSPC-SP-10 Near White Metal Blast. Feather edges of existing coating, at spot blasted areas, using SSPC-SP-3Power Tool Cleaning methods. ii) The interior wet coating system shall be compatible with the existing coating system on the tank. The interior wet primer shall be Tnemec Pota-Pox Plus Series N140, 4.0 - 6.0 mils dry film thickness. The DFT of the primer at any individual spot measurement location shall be 2.5 mils minimum. The interior dryintermediate coat shall be Tnemec Pota-Pox Plus Series N140, 4.0 - 6.0 mils dry film thickness. The DFT of the primer plus intermediate at any individual spot measurement location shall be 6.5 mils minimum. The interior dry finish coat shall be Tnemec Pota-Pox Plus Series N140, 4.0 - 6.0 mils dry film thickness. The total dry film thickness including theprimer, intermediate and finish coats shall be 10.5 mils minimum - 15.5 mils with an average of 13.0 mils. The minimum dry film thickness of the coating system at any individual spot location shall be 10.5 mils. The color shall match the existing interior dry color to the Owner's satisfaction. Color drawdowns shall be obtained from the paintmanufacturer for the reservoir owner to confirm color selection(s).DocuSign Envelope ID: 150AE352-75E4-4909-9C8B-956AE73CD7BC
SHEET CONTENTS:9973 VALLEY VIEW RD.(952) 903-929910801 BUSH LAKE ROADBLOOMINGTON, MN 55438(952) 946-4700PROJECT DRAWN BY:DATE:CHECKED BY:LOC. CODE # 14020720202185428MINPRIOR LAKEC-BAND4741 TOWER ST. NEPRIOR LAKE, MN 55372SJD03-30-21MJSREV. A06-11-21REV. B06-22-21REV. C07-01-21WWW.DESIGN1EP.COMDESIGNEDEN PRAIRIE, MN 55344NOT FORCONSTRUCTIONPHOTOSA-62SITE PHOTO1SITE PHOTO4SITE PHOTO3SITE PHOTODocuSign Envelope ID: 150AE352-75E4-4909-9C8B-956AE73CD7BC
Certificate Of Completion
Envelope Id: 150AE35275E449099C8B956AE73CD7BC Status: Sent
Subject: MIN PRIOR LAKE/P1519942/Felipe Martinez Review Approved 8-19-21/VZ manager to sign.
Source Envelope:
Document Pages: 10 Signatures: 1 Envelope Originator:
Certificate Pages: 5 Initials: 0 felipe
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
felipe.martinez@verizonwireless.com
IP Address: 69.78.1.236
Record Tracking
Status: Original
8/19/2021 9:24:38 AM
Holder: felipe
felipe.martinez@verizonwireless.com
Location: DocuSign
Signer Events Signature Timestamp
Courtney Bednarz
courtney.bednarz2@verizonwireless.com
Sr. MGR GP RE
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 174.219.142.205
Signed using mobile
Sent: 8/19/2021 9:33:26 AM
Viewed: 8/19/2021 1:50:34 PM
Signed: 8/19/2021 1:50:43 PM
Electronic Record and Signature Disclosure:
Accepted: 6/15/2021 7:40:20 PM
ID: 4f6e5bea-2c41-4013-a90e-9c20135859d7
Nick Zurbey
nzurbey@cityofpriorlake.com
Security Level: Email, Account Authentication
(None)
Sent: 8/19/2021 1:50:45 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Nick Zurbey
nzurbey@cityofpriorlake.com
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
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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
Joseph Matthew
matthew.joseph@verizonwireless.com
Security Level: Email, Account Authentication
(None)
Sent: 8/19/2021 9:33:26 AM
Viewed: 8/19/2021 9:51:26 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Carbon Copy Events Status Timestamp
Julie Plante
jplante@design1ep.com
Security Level: Email, Account Authentication
(None)
Sent: 8/19/2021 9:33:26 AM
Viewed: 8/19/2021 10:13:37 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Susan Blixrud
susan.blixrud@verizonwireless.com
Verizon
Security Level: Email, Account Authentication
(None)
Sent: 8/19/2021 9:33:27 AM
Viewed: 8/19/2021 11:36:58 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Witness Events Signature Timestamp
Notary Events Signature Timestamp
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Envelope Sent Hashed/Encrypted 8/19/2021 9:33:27 AM
Payment Events Status Timestamps
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Electronic Record and Signature Disclosure created on: 9/23/2020 1:45:36 PM
Parties agreed to: Courtney Bednarz
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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 tricsha.fatakia@verizonwireless.com 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 VBG Network Real Estate
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 tricsha.fatakia@verizonwireless.com 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 elect ronically
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 VBG Network Real Estate 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 VBG Network Real Estate during the course of your relationship with
VBG Network Real Estate.