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DocuSign Envelope ID: 13EE609C-712A-4435-AE F5-A872D26FA544 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Southeastern Secuirty Consultants,Inc. Party/Vendor Contact Person: Chris Goodman Contact <br /> Phone: 866-966-7412 Party/Vendor Address: 1853 Piedmont Road, Suite 100 City Mairetta State: GA Zip: 30066 <br /> Department: DEAPR-Recreation Amount: $1950.00 Purpose: Background Check Screening Budget Code(s): <br /> 10511020 630000 Vendor# 54724 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract <br /> Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date 8/1/17 Approved by Board Yes❑ No <br /> Agenda Date: <br /> This agreement is approved as to to . u Wild content: <br /> PSI sf� L 7/13/2017 <br /> Department Director's Signature ^� 495O7A495... Date: <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficienc : F- <br /> imam:atm/standards, specifications,and requirements: <br /> QUSL Corm-ffo 7/13/2017 <br /> Office of the Risk Management Officer Date: <br /> Financial Services <br /> This instrument has been pre-audited i e`Ilf ffN$Equired by the Local Government Budget and Fiscal Control Act: <br /> �" ` ru '°" 7/13/2017 <br /> Office of the Chief Financial Officer 7D4E5181Acc14o9... Date: <br /> Legal Services <br /> This agreement is approved as t e b fcIFITI d Sufficiency: <br /> Office of the County Attorney Date. 7/17/2017 <br /> County y FAA:�n:�3FI�FSAft4fi5 <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 /> r CDS s <br />