Orange County NC Website
DocuSign Envelope ID:7C59C104-7B85-42A9-A705-FBE016F4359D <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: ProNet Security Systems Inc Party/Vendor Contact Person: Alan Jelley <br /> (alanj@pronetsystemsne.com Contact Phone: 919.277.2070 Party/Vendor Address: 3200 Glen Royal Road St 107 <br /> City Raleigh State: NC Zip: 27617 Department: AMS Amount: 2395.61 Purpose: Badge Reader for Dental Clinic <br /> Door B124 Budget Code(s): 61370035-880000-30001 Vendor# 57979 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 11/7/16 <br /> Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> U Sg y <br /> Department Director's Signature p"°" Date: 10/27/2016 <br /> �o< <br /> Information Technologies <br /> (Applicable only to harchvare/sofhvare 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 of insurance standards,specifications, and requirements: <br /> Office of the Risk Mana Management Office Q(asab(odiryn�fl° <br /> g �o< Date: 10/30/2016 <br /> I <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> U 5'gned by: <br /> Office of the Chief Financial Officer�� Date: 10/31/2016 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> U 59 dby: <br /> Office of the County Attorney Date: 10/31/2016 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountyne.gov <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 6/16 4 <br />