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DocuSign Envelope ID: F41AA9E0-120C-460A-96B2-F653337E8D2B <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Alamance County Party/Vendor Contact Person: Bryan Haygood Contact Phone: <br /> 336-228-1312 Party/Vendor Address:Alamance County Office Bldg <br /> 124 West Elm Street City Graham State: NC Zip: 27253 Deparl.ulent: EMS/Communications Amount: <br /> >$1500.00 Purpose: To provide more efficient EMS Response to an Orange County location only <br /> accesable through Alamance County Budget Code(s): 0 Vendor# (N/A if new vendor) Vendor <br /> is a BOCC consultant? Yes❑No Contract Type: (Check one)New® Renewal❑ Amendment ❑ <br /> Effective Date July 1,2017 Approved by Board Yes❑No Agenda Date: <br /> This agreement is approved as to to @�°f ^ content: <br /> Ut je I'c'1'S 6/29/2017 <br /> Department Director's Signature cncskrsv41A64473... Date. <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed <br /> and is 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 standards, specifications,and requirements: <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 <br /> Control Act: DocuSigned by: <br /> r144. SZIrtoal2M, <br /> Office of the Chief Financial Office Date:6/29/2017 <br /> 7D4C51944kCC1409... <br /> Legal Services <br /> This agreement is approved as egatuitfigill did sufficiency: <br /> a 'l' 1' 1SCd 7/2/2017 <br /> Office of the County Attorne 079A411525C0F4FB._ 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 /> 7 <br /> Rev. 6/17 <br />