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DocuSign Envelope ID:C2F490D9-6B0B-4E73-8B7D-64FF45180D42 <br /> ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br /> Department <br /> Party/Vendor Name: FESCO Emergency Sales Party/Vendor Contact Person: Peter W. Laake, Jr. Contact Phone: 1- <br /> 8006380926 Party/Vendor Address: 7010 Troy Hill Drive City Elkridge State: MD Zip: 21075 Department: OCES <br /> Amount: $217,457 Purpose: New Ambulance Budget Code(s): 72757530802000 Vendor # 62976 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ❑ Renewal ❑ Amendment ® Effective <br /> Date February 6,2017 Approved by Board Yes No Agenda Date: December 13,2016 <br /> This agreement is approved as to technical form and co pocuSigned by: <br /> 4/14/2017 <br /> Department Director's Signature Date: <br /> er55130391AC4473... <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to <br /> information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insur. n-,gosgray '-�s•,specifications, and requirements: <br /> U.�SA. £ r1u Uo 4/17/2017 <br /> Office of Risk Management Date: <br /> FDCI-91/5800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner requ-ketill,,tititiveldoral Government Budget and Fiscal Control Act: <br /> 4/17/2017 <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as to legal form and sufti 015ieusigned by: <br /> Office of the County Attorney ' s Date: 4/17/2017 <br /> 4035CB8304CA4A9... <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br /> Revised December 2016 <br />