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DocuSign Envelope ID:626CADB8-1D9F-499D-BB9E-85CF9853E35A <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Orange Countv Tax Administration <br /> Party/Vendor Name: Zoll Data Systems,Inc Party/Vendor Contact Person: Sandy King, Accounting Operations <br /> Manager Contact Phone: 303-801-1876 Party/Vendor Address: 11802 Ridge Parkway, Suite 400 City Broomfield <br /> State: Colorado Zip: 80021 Department: Tax Administration Amount: $2,550.00 Purpose: AutoAttach for <br /> Scanned Documents Software Addition Budget Code(s): 10335020-630000 Vendor 4 57181 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ❑ Renewal ❑ Amendment <br /> Effective Date September 1,2015 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to tec . frghd content: <br /> WaV A, f V1V,,SOVL 9/29/2015 <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 co ^PTRg41i Wications: <br /> JAW` 10/1/2015 <br /> Office of the Chief Information Officer c11aA91F71AR4nF Date: <br /> Risk Management <br /> This agreement is approved for sufficienc o fgf`rpnu&��§tandards,specifications,and requirements: <br /> QUs& 10/2/2015 <br /> Office of the Risk Management Officer 7FDCF9176800498... 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 /> 1P MAL tbVL 10/4/2015 <br /> Office of the Chief Financial Officer 232DFFC2CFA847B... Date: <br /> Legal Services <br /> This agreement is approved as t e a Torinedand ufficiency: <br /> b -ultS 10/6/2015 <br /> Office of the County Attorney EAA3D33ED8A8465... Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloyLyorangecou go v <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br />