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DocuSign Envelope ID:A2BEC72B-1019-4ECC-A6DB-E6EE96E550F3 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> NOT A CONTRACT EXHIBIT OR ATTACHMENT <br /> Department <br /> Party/endor Name: Intellicom, Inc PartyNendor Contact Person: Paul Connor Contact Phone: 919-614-8111 <br /> PartyNendor Address: 2902 S. Miami Blvd.,Ste C City Durham State: NC Zip: 27703 Department: Asset <br /> Management Services Amount: $17,920.00 Purpose: C_ edar Grove Comm Ctr Wiring Budget Code(s): 61370035- <br /> 880000-10016 Vendor#44533 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract <br /> Type: (Check one)New❑ Renewal® Amendment ❑ Effective Date 12/15/2015 Approved by Board Yes❑ <br /> No❑ Agenda Date: <br /> This agreement is approved as to technicaicfos anrblycontent: <br /> r <br /> Department Director's Signature 24 ilO"`ro°f' Date: <br /> --9E880A46CF64498... 12/19/2015 <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 Director of Information Technology Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> r DocuSigned"by: <br /> '�.�. <br /> • Office of Risk Management aLSo tort td{{b Date: <br /> 12/19/2015 <br /> �---7FDCF9178800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer E 0 Date: <br /> 7D4E5181ACC1409... 12/24/2015 <br /> Legal Services <br /> This agreement is approved as to legal form g nd sufficiency: <br /> r <br /> Office of the County Attorney jOLIA, lebliV/6 Date: <br /> '4^---EAA3D33ED8A8465... 12/28/2015 <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br /> Revised 7/14 <br /> 8 <br />