Orange County NC Website
DocuSign Envelope ID: 5695CF2A-BD5B-49C1-A343-7324CBOD4B20 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Eric Taylor dba Taylor Technology Consulting Party/Vendor Contact Person: Eric Tam <br /> Contact Phone: 919-824-3823 Party/Vendor Address: 214 West Hill Ave., S City Hillsborough State: NC Zip: 27278 <br /> Department: IT Amount: $10,000.00 Purpose: Work station support and system maintenance Budget Code(s): <br /> /10315020 630000- $5,0001, /10315020 540000-$5,0001 Vendor#63771 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No[] Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective Date <br /> immediate Approved by Board Yes❑No❑ Agenda Date:N/A <br /> This agreement is approved as to technical forth and content: <br /> D <br /> ocu5igned by: <br /> Department Director's Signature 'm N66ny Date: 11/8/2016 <br /> C11BA91E73A64DF... <br /> Information Technolosies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Docu5igned by <br /> Office of the Chief Information Officer 5m Nb� Date: 11/8/2016 <br /> C11BA91E73A64DF... <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> [-DocuSigned by: 11i1 <br /> Office of the Risk Management Officer allSA. ('6nA '',ll b Date: 11/11/2016 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Office C_f7D4E5181ACC1409 <br /> R.uy Date: 11/13/2016 <br /> �osr�losz <br /> . <br /> Legal Services <br /> This agreement is approved as to legal forth and sufficiency: <br /> usigned.,by: <br /> Office of the County Attorney 5;t's b Alp, Date: 11/13/2016 <br /> 328DC480549A4F5... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy(d c�orangecount.nic.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 5 <br />