R 2016-643-E ES - Physio-Control - Services Contract

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DocuSign Envelope ID:4B9608DD-72DD-4EA2-8423-04DB66114A62 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: 32,744.52 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,44`WP?A Whd content: Vl� yffy1t,S 11/4/2016 Department Director's Signatur Date: 56550^o�,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 himq�w%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 ' Ponqklwwtbrcquircd by the Local Government Budget and Fiscal Control Act: Office of the Chief Financial Office j-t-A �� Date: 11/9/2016 Legal Services This agreement is approved as t eF'i�ii'fid$1id sufficiency: Office of the County Attorney � ��- Date: 11/10/2016 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