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m5-- (.o )3 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: TWC Party/Vendor Contact Person: Rod Egdorf Contact Phone: (310) 647-6535 <br /> Party/Vendor Address: 550 N.Continental Blvd. City El Segundo State: CA Zip: 90245 Department: IT Amount: <br /> 0 Purpose: WiFi service at 4 county locations Budget Code(s): N/A Vendor # 47938 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ <br /> Effective Date immediately Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to tectin tent,:: n <br /> Department Director's Signature i`�0 V Date: <br /> n Technolo ies <br /> (Applicable only to hardware/software purchases 0 related services)This agreement has been reviewed and is <br /> approved as to information technology content a ec' ications: <br /> Office of the Chief Information Officer 6 2V Date: G 1 S <br /> Risk anagement <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> Office of the Risk Management Officer a�e__- 4 0 a,, Date: <br /> Financial Services <br /> This instrument has been pre-audited in the er r ired by the Local Government Budget and Fiscal Control <br /> Act: <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney Date: ,Z(�Y (j <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydkoran ecount,ny c•eov <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 />