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DocuSign Envelope ID:2F57457B-A466-4E84-8672-82E24B7EA8B7 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Pete Duty and Associates,Inc Party/Vendor Contact Person: Rob Shelden Contact Phone: 919- <br /> 264-3709 Party/Vendor Address: 2219 Leah Dr. City Hillsborough State: Nc Zip: 27278 Department: AMS and <br /> DEAPR Amount: $1900 Purpose: Replace Modems Budget Code(s): 10240320-570000($1.050)&61370035 880000 <br /> 20039($850) Vendor# 60377 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: <br /> (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 10/13/2016 Approved by Board Yes❑ No[] <br /> Agenda Date: <br /> This agreement is approved as to to eatftl And content: <br /> � <br /> `740.p".,Department Director's Signature 6d��esoeF Date:10/27/2016 <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 /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of inzan�c standards, specifications,and requirements: <br /> Docu igned""y.''111i <br /> Office of the Risk Management Office Q�SA (,6rin,��16 Date: 10/31/2016 <br /> 7FDCF9176S00498... <br /> Financial Services <br /> This instrument has been pre-audited in Pic-ftmWRrTequircd by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date10/31/2016 <br /> Legal Services <br /> This agreement is approved as t Jcf,6A1nd sufficiency:: <br /> 66, r6ufs 10/31/2016 <br /> Office of the County Attorney Date:81018 4 65... <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.Rov <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 />