Orange County NC Website
DocuSign Envelope ID: BA4A68D9-A6AC-48D0-A9C1-D50BFBB7B826 <br /> ORANGE COUNTY DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Physio-Control,Inc. Party/Vendor Contact Person: Alexandra Carvalho Contact Phone: 800- <br /> 442-1142 x 74003 Party/Vendor Address: 11811 Willows Rd. NE City Reding n State: Washington Zip: 98052 <br /> Department: Emergency Services Amount: 14,612.00 Purpose: AED service and maintenance Budget Code(s): <br /> 10757520571000 Vendor 4 45414 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No Contract <br /> Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective Date July 1, 2015 Approved by Board Yes <br /> ❑No® Agenda Date: <br /> This agreement is approved as to to C1�)69Q9AP75F-F-EG4A1;eafn�g9Y hid content: <br /> `''�' `�ti�'r'�" 8/20/2015 <br /> Department Director's Signature Date: <br /> Information Technologies <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 Management <br /> This agreement is approved for sufficienc mF-DCF9-V nsaiimumstandards,specifications,and requirements: <br /> aura, (hm,&b 8/24/2015 <br /> Office of the Risk Management Office ggg4g 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: Doc 'uSigned by: <br /> �AU� A.U� 'vu <br /> Office of the Chief Financial Officer Date: <br /> 8/24/2015 <br /> ei=�ege ... <br /> Legal Services <br /> This agreement is approved as t Plth2frid sufficiency: <br /> Office of the County Attorney Date: 8/24/2015 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Doll2ydLvorangecounlyne.go v <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br />