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<br />DocuSign Envelope ID: C67B67B4-6F71-44A9-844B-90980E7FBBC0 <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br />Department <br />Party/Vendor Name: Intellicom, INCParty/Vendor Contact Person:Mark VaughanContact Phone: 919 957 1949 <br />Party/Vendor Address: 2902 S. Miami Blvd Suite CCity DurhamState: NCZip: 27703Department: ITAmount: <br />$7,000Purpose: Budget Code(s): 10315020 630000Vendor # 44533(N/A if new vendor) Vendor is a <br />BOCC consultant? Yes NoContract Type: (Check one) New Renewal Amendment Effective Date <br />11/1/2014Approved by Board YesNoAgenda Date: <br />This agreement is approved as to technical form and content: <br />Department Director’s Signature <br />________________________________________ Date: ________ <br />Information Technologies <br />Applicable only to hardware/software purchases or related services <br />() This agreement has been reviewed and is <br />approved as to information technology content and specifications: <br />Office of the Chief Information Officer________ <br />___________________________ Date: ________ <br />Risk Management <br />This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br />Office of the Risk Management Officer <br />___________________________________ Date: _________ <br />Financial Services <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br />Office of the Chief Financial Officer <br />____________________________________ Date: _________ <br />Legal Services <br />This agreement is approved as to legal form and sufficiency: <br />Office of the County Attorney <br />__________________________________________Date: ________ <br />Clerk to the Board <br />Received for record retention: <br />All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov <br />The following signature block is for hard copies onlyand is not required for Docusign contracts: <br />Office of the Clerk to the Board <br />__________________________________________Date:_________ <br />4 <br />Revised 10/14 <br />