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000wSWn Envelope ID: 10C350Eo-33oB-4rr4~^r30-05048*4r50o1 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> PartyNendor Nomc Southeastern SecuritV C011SUItailts, Inc. PartyNendor Cou<mut Po-sou: Chris Goodman Contact <br /> P}moo: 866-966-7412 Party/Vendor Address: 1853 Piedmont Road, Suite 100 City Marietta State: GA Zip: 30066 <br /> Dopurtmeot: DFAP| Amount: $1995.00 Purpose: Background Check Screenin Budget Code(s): 10511020 630000 <br /> Vendor# 54724 (N/A |C new vendor) Vendor iooBUCCconsultant? <br /> � �oaR-- 0oM Contract Type: (Check <br /> --^Ncv ~ Kauenm| M Amm`duco/ �� �0tohvo Du(m Approved by Board Ycon oEl <br /> Agenda Date: <br /> ____ <br /> '[hio agreement is approved nxW1e <br /> 8/lZ/ZOl� <br /> ]�m0ortmnU|�iocctu,`xS|guo(uo'u K]uVo:______ <br /> Information Technologies <br /> (41)1.dicable on1j,to hai-tht,arelsoftware purchases oi-i-elated set,vices)This agreement has been reviewed and is <br /> approved nmto information technology content and specifications: <br /> Office oy the Chief Information Officer Doto:______ <br /> Risk Management <br /> This agreement i*approved for m'Oiuieneyof in Doe-standuds,specifications,and requirements: <br /> Office oY the Risk Management Officer Date: 8/13/2016 <br /> Financial Services <br /> This instrument has been pre-audited| (h RM&W Local Q /tDodgeioodFiuoo)ConUnl \c|: <br /> O0co*fUmKb|eKP<noxuin|ORo*r <br /> Date: 8/15/2016 <br /> Lelzall Services <br /> Thisngree/nentiu approved uamlegm| foi o"cu» : <br /> OyUceof the County Attorney ( Date* 8/15/2016 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Douus{gu contracts must bn copied tn Donna Lloyd upon completion @ <br /> ty <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> ' <br /> Office o[the Clerk *o the Board to:_______ <br /> � <br /> Revised 6/16 5 <br />