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DocuSign Envelope ID:96E209C3-C7F9-48B3-9370-71 FDFDA5E135 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Intellicom, Inc Party/Vendor Contact Person: Mike Bullock <mike @intellicomusa.com> <br /> Contact Phone: 919-957-1949 Party/Vendor Address: 2902 S Miami Blvd, Ste C City Durham State: NC Zip: <br /> 27703 Department: AMS Amount: $5978.00 Purpose: Install data from IT room to each desk for the back up call <br /> center including individual UPS units at each desk Budget Code(s): 61370035-880000-10062 Vendor # 44533 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New <br /> Renewal❑ Amendment ❑ Effective Date 4/12/17 Approved by Board Yes' No Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> Department Director's Signature ° '"° Date: 4/11/2017 <br /> C9 <br /> Asset Management <br /> (Applicable only to construction contracts)This agreement has been reviewed and is approved as to construction <br /> services content and specifications: <br /> o se any <br /> Office of the Asset Management Directo ',, Date: 4/11/2017 <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> �—oos�gea ey: <br /> Qlisa(01W-to 4/11/2017 <br /> Office of the Risk Management Officer,_ Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> �—oos�gea ey: <br /> Office of the Chief Financial Officer ("1" Date: 4/19/2017 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> oos�gea ey: <br /> �o(un 4/19/2017 <br /> Office of the County Attorney D°±�oaAea s_ Date: <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 /> Revised 2/17 6 <br />