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DocuSign Envelope ID:4545A94D-3ECE-4FAB-B1 B8-DD1 DB71 FE51`3 <br /> ORANGE COUNTY—DE ARTMENT USE ONLY <br /> Department <br /> PartyNendor Narne: Siernens_LijdusZ.,jn ac d Acct Exec Contact <br /> Party/Vendor Contact Persom J ...ob___Sqy �Lr_­- <br /> Phone: 919-411,111,31,11-111,116,16,161 Party/Vendor Address: 215 Southport Drive, Su" 9011 City Morrisville State: NC Zip: <br /> 27560 Department: Asset Management Services Amount:,S2_-55_Q Purpose: create and irnpiemettt.de.-..hjL.IM-idi fi cat ion <br /> strategy at WHSC Roorn 230 Unit AIIIJ-2A Budget Code(s): 10240'20-630000 Vendor # 53325 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes M NoEl Contract Type: (Check one) New Z Renewal E:1 <br /> Amendment ❑I Effective Date— Approved by Board Yesn Non Agenda Date: <br /> This agreement is approved as to technical forrn and content: <br /> DOCUSIgned by: <br /> Department Director's Signature-.—........ Date: 5/25/2015 <br /> 9E880A46CF64498­. <br /> Information Technolozies <br /> (Applicable oii4y to hardivarelsajhvare 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 prate: ............. <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications, and requirernents; <br /> DocuSigned by: <br /> Office of the Risk Management Officer,­­-.... US& (hnuftb Date: 6/3/2015 <br /> E7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> Office of the Chief Financial Officer rpau Date: 6/3/2015 <br /> Le2al Services <br /> This agreement is approved as to legal forn, a oll <br /> 6 <br /> Office of the County Attorney ______.._...._......Late <br /> 6/4/2015 <br /> EAA3D33EDSA8465... ...................... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloydupon completion((�i, <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Revised 10/14 5 <br />