Orange County NC Website
Browse       Search
DocuSign Envelope ID:97D49820-FEB8-4DCA-BA8C-7909CD9FA2F9 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Selerix Systems, Inc. Party/Vendor Contact Person: Michelle DeShong Contact Phone: 214- <br /> 856-4211 Party/Vendor Address: 2851 Craig Drive, Suite 300 City McKinney State: TX Zip: 75070 Department: <br /> Amount: $12,792.00 Purpose: 2017 ACA Subscription Agreement Budget Code(s): 10250020/630000 Vendor <br /> #63369 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ❑ <br /> Renewal® Amendment ❑ Effective Date 1/1/2017 Approved by Board Yes No Agenda Date: <br /> This agreement is approved as to tec •' alc1csrot l content: <br /> 5/10/2017 <br /> Department Director's Signature /1711A413 <br /> Date: <br /> lit(.Y&D2e FSU148h... <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 sufficienc Y3l PRV_'' tanndards, specifications, and requirements: <br /> ((USA. rbvvutl6 5/10/2017 <br /> Office of the Risk Management Officer 7FDCF9176800498... Date: <br /> Financial Services <br /> This instrument has been pre-audited i 2€14nequired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer ��� Date: 5/10/2017 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as t Il$4fi1 r Yd sufficiency: <br /> A. ov arlt. fibSG6 <br /> Office of the County Attorney Date: <br /> 5/10/2017 <br /> o7-9€4D525C0F4FC... <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 2/17 5 <br />