Common use of ELECTRONIC TRANSACTION Clause in Contracts

ELECTRONIC TRANSACTION. The parties agree that signatures on this Agreement may be delivered electronically or by facsimile in lieu of an physical signature and agree to treat electronic or facsimile signatures as binding. [TBD] CITY OF ▇▇▇ ARBOR By: By: Name: [TBD] Name: ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇. Title: [TBD] Title: City Administrator Date: Date: Approved as to form: By: Name: ▇▇▇▇▇▇ ▇▇▇▇ Title: City Attorney Date: All vendors interested in conducting business with the City of ▇▇▇ Arbor must complete and return the Vendor Conflict of Interest Disclosure Form in order to be eligible to be awarded a contract. Please note that all vendors are subject to comply with the City of ▇▇▇ Arbor’s conflict of interest policies as stated within the certification section below. If a vendor has a relationship with a City of ▇▇▇ Arbor official or employee, an immediate family member of a City of ▇▇▇ Arbor official or employee, the vendor shall disclose the information required below. 1. No City official or employee or City employee’s immediate family member has an ownership interest in vendor’s company or is deriving personal financial gain from this contract. 2. No retired or separated City official or employee who has been retired or separated from the City for less than one (1) year has an ownership interest in vendor’s Company. 3. No City employee is contemporaneously employed or prospectively to be employed with the vendor. 4. Vendor hereby declares it has not and will not provide gifts or hospitality of any dollar value or any other gratuities to any City employee or elected official to obtain or maintain a contract. 5. Please note any exceptions below: Name of City of ▇▇▇ Arbor employees, elected officials or immediate family members with whom there may be a potential conflict of interest. ( ) Relationship to employee ( ) Interest in vendor’s company ( ) Other (please describe in box below) *Disclosing a potential conflict of interest does not disqualify vendors. In the event vendors do not disclose potential conflicts of interest and they are detected by the City, vendor will be exempt from doing business with the City. Questions about this form? Contact Procurement Office City of ▇▇▇ Arbor Phone: 734/▇▇▇-▇▇▇▇, ▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇ The “non discrimination by city contractors” provision of the City of ▇▇▇ Arbor Non-Discrimination Ordinance (▇▇▇ Arbor City Code Chapter 112, Section 9:158) requires all contractors proposing to do business with the City to treat employees in a manner which provides equal employment opportunity and does not discriminate against any of their employees, any City employee working with them, or any applicant for employment on the basis of actual or perceived age, arrest record, color, disability, educational association, familial status, family responsibilities, gender expression, gender identity, genetic information, height, HIV status, marital status, national origin, political beliefs, race, religion, sex, sexual orientation, source of income, veteran status, victim of domestic violence or stalking, or weight. It also requires that the contractors include a similar provision in all subcontracts that they execute for City work or programs. In addition the City Non-Discrimination Ordinance requires that all contractors proposing to do business with the City of ▇▇▇ Arbor must satisfy the contract compliance administrative policy adopted by the City Administrator. A copy of that policy may be obtained from the Purchasing Manager The Contractor agrees: (a) To comply with the terms of the City of ▇▇▇ Arbor’s Non-Discrimination Ordinance and contract compliance administrative policy, including but not limited to an acceptable affirmative action program if applicable. (b) To post the City of ▇▇▇ Arbor’s Non-Discrimination Ordinance Notice in every work place or other location in which employees or other persons are contracted to provide services under a contract with the City. (c) To provide documentation within the specified time frame in connection with any workforce verification, compliance review or complaint investigation. (d) To permit access to employees and work sites to City representatives for the purposes of monitoring compliance, or investigating complaints of non-compliance. The undersigned states that he/she has the requisite authority to act on behalf of his/her employer in these matters and has offered to provide the services in accordance with the terms of the ▇▇▇ Arbor Non-Discrimination Ordinance. The undersigned certifies that he/she has read and is familiar with the terms of the Non-Discrimination Ordinance, obligates the Contractor to those terms and acknowledges that if his/her employer is found to be in violation of Ordinance it may be subject to civil penalties and termination of the awarded contract. Company Name Signature of Authorized Representative Date Print Name and Title Address, City, State, Zip Phone/Email Address