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DocuSign Envelope ID: BEC19F48-B45F-4E24-9B06-510E862BB015 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: ProNet Systesm, Inc. Party/Vendor Contact Person: Alan Jellev Contact Phone: 919-277-2070 <br /> Party/Vendor Address: 3200 Glen Royal Rd, Ste 107 City Raleigh State:NC Zip: 27617 Department:AMS Amount: <br /> $1805.61 Purpose: Install new Smart Card reader at SHSC employee entrance Budget Code(s): 10240320-570001 <br /> Vendor# 57979 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) <br /> New ❑ Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑ No❑ Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> uSigned by: <br /> Department Director's Signature 5i; � Date: <br /> 9E880A46CF64498... 2/23/2016 <br /> Information Technolosies <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 sufficiency of insurance standards, specifications,and requirements: <br /> DocuSigned by: <br /> Office of the Risk Management Officer FllS. (,6nttN Date: <br /> 7FDCF9176800498... 2/24/2016 <br /> Financial Services <br /> This instrument has been pre-audited in the tregrne gired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer 1_r;.Cou�a Date: <br /> 7D4E5181ACC1409... 212412016 <br /> Legal Services <br /> This agreement is approved as to le a1DfI or a,44 sufficiency: <br /> Office of the County Attorney ,b6, r6ufs Date: <br /> EAA3D33ED8A8465... 2/26/2016 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy(d c�orangecount.nic.Rov <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 /> Revised 1/16 4 <br />