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DocuSign Envelope ID:25652F75-AF12-4268-84EE-407518477C5B <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Pronet Systems,Inc Party/Vendor Contact Person: Richard McClenny Contact Phone: 919-255- <br /> 0915 Party/Vendor Address: 3200 Glenn Royal Road Suite, City Ralei State: NC Zip: 27617 Department: Health <br /> Amount: 2105.58 Purpose: Comply with HEPPA Budget Code(s): 61370035-892000-30012 Vendor#57979 (N/A if <br /> new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ® Renewal ❑ <br /> Amendment ❑ Effective Date 5/5/2016 Approved by Board Yes❑No[] Agenda Date: <br /> This agreement is approved as to tr_�q,_j <br /> WkR4.b3nd content: <br /> Department Director's Signatur Ao or, Date: 5/19/2016 <br /> 880A46C F64498... <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 fslq�ystandards, specifications,and requirements: <br /> Office of the Risk Management Officer Qusa, r brin,c 6 Date: 5/19/2016 <br /> 7FDCF91 6800498... <br /> Financial Services <br /> This instrument has been pre-audited i daalaW*equired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Office <br /> i7Dta <br /> Date: 5/25/2016 <br /> 4E 181ACC1409... <br /> Legal Services <br /> This agreement is approved as rjEAA3D33ED8A8465... <br /> ggj.+ rl�gpd sufficiency: <br /> Office of the County Attorne 66, �� Date:5/25/2016 <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 />