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DocuSign Envelope ID: CDA358DE-25B5-4DOA-916F-A1E693AB219A <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Southeastern Security Consultants, Inc. Party/Vendor Contact Person: Chris Goodman Contact <br /> Phone: 866-966-7412 Party/Vendor Address: 1853 Piedmont Road, Suite 100 City Marietta State: GA Zip: 30066 <br /> Deparinrent: DEAPR Amount: $300.00 Purpose: Background Check Screenings Budget Code(s): 1051 1020 630000 <br /> Vendor# 54724 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) <br /> New® Renewal ❑ Amendment ❑ Effective Date April 20,2015 Approved by Board Yes[] No❑ Agenda <br /> Date: <br /> DOCUS' ned by: <br /> This agreement is approved as to technical fa�r�l ��rt�uC <br /> 1J DD�� 4/16/2015 <br /> Department Director's Signature 611CFA1D507A495... Date: <br /> Information Technologies <br /> (itpplicable ont),to kar(livare/sojhs,are purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of 77FDCF9176800498...• ftVY ` Idards,specifications,and requirements: <br /> ura, rbVtit,t�b 4/21/2015 <br /> Office of the Risk Management Officer Date: <br /> Financial Services <br /> This instrument has been pre-audited iir the'I witiriocumqmired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer pm/,L to D""`bvu Date: 4/21/2015 <br /> zsz�FCrc�Aaa� ... <br /> Legal Services <br /> This agreement is approved as to legal o lv}oh`#Td%` lmiciency: <br /> �6IA,171 1°b�t, s 4/22/2015 <br /> Office of the County Attortie) EAA3D33ED8A8465... Date: <br /> Cleric to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Do1.loL@orangecountyne.gov_ <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Cleric to the Board Date: <br /> tZevised I[3114 4 ff <br />