Orange County NC Website
DocuSign Envelope ID:OA6FEBA7-7CB5-4523-A4D2-2089COOE5340 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Information Inc Party/Vendor Contact Person: Michael Bradley Contact Phone: 919-545- <br /> 0246 Party/Vendor Address: 9961 NC Hwy 87N City Pittsboro State: NC Zip: 27312 Department: DSS <br /> Amount: $10,000 Purpose: Provide 12 12 hours of on-site maintenance and application support for NCDSS- <br /> Da sheets application Budget Code(s): 10400120-630000 Vendor 9 61342 (NIA if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective <br /> Date 07/01/15 Approved by Board Yes[]No❑ Agenda Date: <br /> This agreement is approved as to technical form nttntg/d by: <br /> NAAn.CI� �,OSf01�, <br /> Department Director's Signature ex€�€,gees Date: 7/15/2015 <br /> Information Technolozies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Mana ement <br /> This agreement is approved for sufficiency of insuran i adoEt44tgpecifications,and requirements: <br /> aura, r,6m,&b 7/15/2015 <br /> Office of the Risk Management Officersaeaa$ Date: <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 /> �,,al 6VU <br /> Office of the Chief Financial Officer rNAL Date: 7/15/2015 <br /> Pr <br /> Legal Services <br /> This agreement is approved as to legal form and sur4: ,oy�ignedd by: <br /> Office of the County Attorney \ Date: 7/15/2015 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion C Dolloyd c ooranvecountync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br />