R 2015-381-E Tax - Zoll Data Systems, Inc. to provide training for in-house EMS billing and collection

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DocuSign Envelope ID: E49FBB4E-2281-4303-A3F6-F6BBB81858FB ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Zoll Data Systems, Inc. Party/Vendor Contact Person: Kurt Sandstrom Contact Phone: 303- 801-0000 Party/Vendor Address: 11802 Ridge Parkway, Suite 400 City Broomfield State: CO Zip: 80021 Department: Tax Amount: 9,000 Purpose: Training for in-house EMS Billing & Collection Budget Code(s): 10335020-630000 Vendor#57181 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date July 31,2015 Approved by Board Yes ❑No❑ Agenda Date: This agreement is approved as to tec ' 94115 MWd content: VWaV A, f V1V,,SOVL 7/16/2015 Department Director's Signature E9978�Eea4a ___ Date: Information Technologies (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficienc 4tmRewstandards, specifications, and requirements: Q�Sa r,6V1tit�0 7/18/2015 Office of the Risk Management Officer ca L7RAnnAa8 Date: Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: DocuSigned by: '&V D t [A 6VL 7/20/2015 Office of the Chief Financial Officer D, Date: Legal Services This agreement is approved as to ef9 �1 sufficiency: Office of the Count Attorney tt��''11 Date:7/20/2015 Y ,7 FAAAn'4,AFnAAR4R5 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloydLc orangecount n�gov The following signature block is for hard copies only and is not required for Docusign contracts: