R 2016-637-E ES - Physio-Control - Services Contract

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DocuSign Envelope ID:ED704241-DAC9-4108-91D2-95053DDC364F ORANGE COUNTY—DEPARTMENT USE ONLY Department Party/Vendor Name: Physio-Control Party/Vendor Contact Person: Lane Rushing Contact Phone: 919-349-4078 Party/Vendor Address: 11811 Willows Road NE City Redmond State: Washington Zip: 98073-9706 Department: Emergency Services Amount: 4,156.92 Purpose: Services Contract Budget Code(s): 10757520-571000 Vendor # 45414 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal® Amendment ❑ Effective Date July 1,2016 Approved by Board Yes❑ No❑ Agenda Date: This agreement is approved as to to k f(PtM ft�d,�content: .��(f VIt,S Department Director's Signature vl� Date: 11/6/2016 56550^0o�1,4E;�3... Information Technologies (Applicahle only to hardwarelsofdware purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficienc &a%qwA":sttandards, specifications,and requirements: a�iSA. chn"�6 11/7/2016 Office of the Risk Management Office � Date: Financial Services This instrument has been pre-audited i "ef4sequired by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Officer I-t-A 0.&. Date: 11/7/2016 �;eraa ... Legal Services This agreement is approved as t �4� d sufficiency: Office of the County Attorney Date: 11/7/2016 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd&orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: Revised 6/16 1