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DocuSign Envelope ID:33751333-2C77-4007-AD1 B-D260E24EFE47 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: ProNet Systems, Inc. Party/Vendor Contact Person: Alan Jelley Contact Phone: 919-277-2070 <br /> Party/Vendor Address: 3200 Glenn Royal Rd Suite 107 City Raleigh State: NC Zip: 27617 Department: AMS <br /> Amount: $10,218.74 Purpose: Install card reader SYSTEM Budget Code(s): 61370035-880000-30001 Vendor # <br /> 57979 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New IZI <br /> Renewal❑ Amendment ❑ Effective Date 01/25/2017 Approved by Board Yes' No Agenda Date: <br /> This agreement is approved as to technical fa;c i a wntent: <br /> Department Director's Signature 2 a°fidoa Date: 1/24/2017 <br /> 9E880A46CF64498... <br /> Information Technologies <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 insurance ne y standards,specifications,and requirements: <br /> /---- ocu ig : <br /> Office of the Risk Management Officer auSa rbV7n, b Date: 1/27/2017 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the mpluitwatiiii,a4by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer `�°" '`"` Date: <br /> 1/31/2017 <br /> �p <br /> -7D4E5181 ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form ar .upw: <br /> KhliVtS <br /> Office of the County Attorney 1 Date: 1/31/2017 <br /> EAA3D33ED8A8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @orangecountync.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 />