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DocuSign Envelope ID: ED2A5FB4-DB7B-41C3-A925-86250E9AE590 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Partv/Vendor Name: Eric Tavlor dba Tavlor Technolouv Consultinu, LLC Part-/Vendor Contact Person: Eric <br /> Tavlor Contact Phone: (919) 824-3823 Party/Vendor Address: 214 West Hill Ave., S City Hillsborouuh State: <br /> NC Zip: 27278 Department: Information Technologies Amount: S10,000.00 Purpose: Work station support <br /> and system maintenance Buduet Code(s): [10315020 571000- S2500], [10315020 630000 - S7500] Vendor 4 <br /> 63771 (N/A if new vendor) ®ndoo a BOCC consultant? Yes No ®Contract Ta: (Check one) ❑ <br /> Ness- Renewal Amendment Effective Datj ii un i to Approved by Board Yes No Auenda <br /> Date: N <br /> This agreement is approved as to technic-1 fnrm mici C-r,atent. <br /> DocuSigned by: <br /> Department Director's Signature 0C11BA91E73A64DF iw 44 Date: 5/17/2016 <br /> ... <br /> Information Technologies <br /> (_41)plicable only to hmchrme�'sofnrme pin-chases or related scrvices) This aureement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> DocuSigned by: <br /> Office of the Chief Information Office �im 44ruf Date: 5/17/2016 <br /> C116A91E73A64DF... <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 Offic QUsa l,wvu.1�6 Date: 5/18/2016 <br /> 7FDCF917e800498.., <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Goveriuient Budget and Fiscal Control <br /> Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer 1)-N ` -1111 ' '°"' Date:5/18/2016 <br /> lr7NE5181ACC1409 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the Count-Attorney- <br /> �a 0 5 -[aJA' Date: 5/18/2016 <br /> 328DC4e0549A4F5... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusiun contracts must be copied to Donna Lloyd upon completion!(l <br /> The followinu siunatnre block is for hard copies only and is not required for Docusign contracts: <br />