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DocuSign Envelope ID: B5A97CD7-BDF4-434A-BB80-68FEFOEE1412 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Intellicom. Inc. Party/Vendor Contact Person: Mark Vaughan Contact Phone: 919-957-1949 <br /> Party/Vendor Address: 2902 S Miami Blvd, Ste C City Durham State: NC Zip: 27703 Department: AMS Amount: <br /> 59180 Purpose: data and video cabling in Link, GSC Budget Code(s): 10240320-570001 Vendor # 44533 (N/A if <br /> new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑ <br /> Amendment ❑ Effective Date Approved by Board Yes❑Nor-1 Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> uSigned by: <br /> Department Director's Signature 5i; Ao jxov., Date: <br /> 9E880A46CF64498... 4/4/2016 <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 allSA. (,6nttN Date: <br /> 7FDCF9176800498... 4/4/2016 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned b : <br /> Office of the Chief Financial Officer (' �°n.�l Date: <br /> 7D4E5181ACC1409... 4/5/2016 <br /> Legal Services <br /> This agreement is approved as to l76-- <br /> fop.,eAq sufficiency: <br /> ocu igne y. <br /> Office of the County Attorney Date: <br /> AA3D33ED8A8465... 4/8/2016 <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 />