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DocuSign Envelope ID:A6DDA299-CAC4-498F-BDDA-047F6lE99851 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Intellicom, Inc Party/Vendor Contact Person: Mike Bullock, Mike@intellicomusa.com <br /> Contact Phone: 919.957.1949 Party/Vendor Address: 2902 S. Miami Blvd, Ste C City Durham State: NC Zip: <br /> 27703 Department: AMS Amount: NTE $5,000.00 Purpose: Historic Courthouse Fire Alarm Upgrades Budget <br /> Code(s): 61370035-880000-30001 Vendor#44533 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ <br /> No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date April 22, 2016 <br /> Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> 7h�yew <br /> Department Director's Signature�������� � <br /> , Date: 4/21/2016 <br /> Information Technologies <br /> (Applicable only to hardrvare/sofhvare purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> lip N° 4/25/2016 <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 /> Q(aSas / / <br /> Office of the Risk Management OfficerE' "�6"'_ Date: 4 2 5 2016 <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 /> 9 <br /> Office of the Chief Financial Officer Date: 4/28/2016 <br /> oc, <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney 0i� rehwfs Date: 4/28/2016 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy@oran eg coun nc.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Revised 1/16 5 <br />