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DocuSign Envelope ID: F4D38498-6182-495F-9F57-49F44D76229A <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: FESCO Emergency Party/Vendor Contact Person: Peter W. Laake,Jr. Contact Phone: <br /> 18006380926 Party/Vendor Address: 7010 Troy Hill Drive City Elkri State: MD Zip: 21075 Department: OCES <br /> Amount: $2154,197.00 Purpose: New Ambulance Budget Code(s): 72757530802000 Vendor#62976 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New ❑ Renewal ❑ <br /> Amendment Effective Date May 254, 2016 Approved by Board Yeses No Agenda Date: December <br /> 2015 <br /> This agreement is approved as to technical forma Ontel*ed by: <br /> ot" J�LS 5/31/2016 <br /> Department Director's Signature Date: <br /> Information Technolol!ikes <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and i s <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Mana ement <br /> This agreement is approved for sufficiency of insuran s wecifications,and requirements: <br /> Q�ISA. r,Orv�t,�16 5/31/2016 <br /> Office of the Risk Management Officer rOu Date: <br /> Financia is ervices <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act0: DocuSigned by: <br /> Office of the Chief Financial Officer �� ��n�� Date: 6/2/2016 <br /> %W"Wou"t <br /> aaf-s,is Tf+utl... <br /> Lej!al Services <br /> This agreement is approved as to legal form and sufT77 Signed b,,: <br /> Office of the County Attorney � TDU` Date: 6/3/2016 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloydkorangecountyLac.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br />