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DocuSign Envelope ID:E53B24FF-8900-482C-BC81-C6277D8784B3 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: NEOGOV,Inc Party/Vendor Contact Person: Jayme Dolan Contact Phone: 714-824-1772 Party/Vendor <br /> Address: 222 N. Sepulveda Blvd, Suite 2000 City El Segundo State: CA Zip: 90245 Department: Amount: <br /> $29,000.00 Purpose: License Subscription to NEOGOV Perform Budget Code(s): 61370035/897187/30007 Vendor # <br /> 60972 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) <br /> New Renewal Amendment Effective Date Approved by Board Yes No Agenda Date: <br /> DocuSigned b <br /> This agreement is approved as to to n al 1 forrrb anc poont�nt:�� <br /> Department Director's Signature � (� Date: <br /> 6/22/2017 <br /> h g R1 C9Fn7R0F014AF <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to <br /> information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> DocuSto <br /> ed b This agreement is approved for sufficiene og}n� rce syta Ards,specifications,and requirements: <br /> (�1 6/26/2017 <br /> Office of the Risk Management Officer 7F� �04g$ Date: <br /> Financial Services <br /> This instrument has been pre-audited in RPd'i'IAW*11Yiired by the Local Government Budget and Fiscal Control Act: <br /> rlocrt Artsc4Q 6/26/2017 <br /> Office of the Chief Financial Officer Date: <br /> /U4t51 S 1 AC,1,140y... <br /> Legal Services <br /> This agreement is approved as to egaPTi?IV *P ufficiency: <br /> ate, ALot'1t 1I SC, 6/26/2017 <br /> Office of the County Attorney Date: <br /> 0 i aA4D575'COF4FD... <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 />