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DocuSign Envelope ID: B75CEBC2-C459-471 5-91 EF-F379A63CF3D9 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Orange County 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: $7,200.00 Purpose: AutoAttach for <br /> Scanned Documents Software Addition Budget Codes): 10335020-630000 Vendor 4 57181 (NIA if new vendor) <br /> Vendor is a B GCC 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 7sP:nnz8428FB34eF...RIT&RUlaWd content: <br /> WaVA, f?ViVuS6Vu <br /> 9/29/2015 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 Plflfi%pMfications: <br /> lWt �b <br /> 10/1/2015 <br /> Office of the Chief Information Officer rc118A91 E73A54DF... Date: <br /> Risk Management <br /> This agreement is approved for sufficient WmWws8tystandards,specifications,and requirements: <br /> AUSA, (hnu& <br /> l0/Z/Z015 <br /> Office of the Risk Management Officer 7FOCF917680049s__. 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 /> P&(/I to+bv., l0/4/Z015 <br /> Office of the Chief Financial Officer 232DFFC2CFA8478... Date: <br /> Leal Services <br /> This agreement is approved as t e °���or�liid bred efficiency: <br /> S <br /> 10/5/2015 <br /> Office of the County Attorney EAA3o33r=a�AS4s�... Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion 4 Dollud(dwffli ecoultync. <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 />