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DocuSign Envelope ID:822F2A3A-D8B0-4E4A-8E3A-08067637D391 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> NOT A CONTRACT EXHIBIT OR ATTACHMENT <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 /> Department: DEAPR Amount: $3000.00 Pin-pose. Background Check Screening Budget Code(s): 10511020 630000 <br /> Vendor# 54724 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) <br /> Now ® Renewal ❑ Amendment ❑ Effective Date August 15, 2014 Approved by Board Yes❑ No[!] <br /> Agenda Date: <br /> This agreement is approved as to technical forr- <br /> 611CFAlD507A49S... <br /> 9aki'dlt:dLby: <br /> � �faJAAU� 8/10/2015 <br /> Depar#n►cut Director's Signahurc Date: <br /> Information Technologies <br /> (Applicable only to hm•d}v(irelsoft}vur•e piri chases o1•related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Director of Information Technology Date: <br /> Risk Manal4cmen <br /> This agreement is approved for e901wyo9:insurance standards,specifications,and requirements: <br /> Q�tSA. c6vvt,e,tt0 8/10/2015 <br /> Office Of RiskManageiucnt 7FDCF�l7BB 04gR Date: <br /> Financial Services <br /> DocuSigned by: <br /> This instrument has been pre-audited in the n lalrel'ye uirec ., e Local Government Budget and Fiscal Control Act:AUL 8/10/2015 <br /> Office of the Chief Financial Office' 232DFFC2CFA8476... Date: <br /> Lesal Services <br /> This agreement is approved as to le I fPWW C§Wfficiency: <br /> ,�66u 16kxfS 8/10/2015 <br /> Office of the County Attorney E D33ee Date: <br /> Cleric to the Board <br /> Received for record retention: <br /> Office of the Cleric to the Board Date: <br /> Revised 7114 4 <br /> DS <br /> D <br />