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DocuSign Envelope ID:5217DEC1-2EF1-4A49-AD1 F-F6CBCC3F8A9E <br /> ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br /> Department <br /> Party/Vendor Name: ESO Solution, Inc. Party/Vendor Contact Person: Chris Dillie Contact Phone: 512-466-8123 <br /> Party/Vendor Address: 9020 North Capital of Texas Highway — Building 11-300 City Austin State: Texas Zip: <br /> 78759 Department: Information Technology Amount: $47,572.50 Purpose: EHR / Billing Software Budget <br /> Code(s): 61370035-897209-30007 Vendor#64783 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ <br /> No X Contract Type: (Check one) New X Renewal ❑ Amendment ❑ Effective Date 9/29/17' Approved by <br /> Board Yes No X Agenda Date: <br /> This agreement is approved as to to iicaLirotaond content: <br /> �li�t,alA, �t�Vit,S 9/29/2017 <br /> Department Director's Signatur Date: <br /> 5655BC891A64473... <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 co•.c_ <br /> (V% J6k' 9/29/2017 <br /> Office of the Chief Information Office Date: <br /> Risk Management <br /> This agreement is approved f Fag}tycf insurance standards,specifications, and requirements: <br /> aUsa CortA ,Ilb 9/29/2017 <br /> Office of Risk Managemen Date: <br /> /YUl.Y9 I/b8UU498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> Office of the Chief Financial Office Date: 9/29/2017 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as t gtolufarrea send sufficiency: <br /> Office of the County Attorne ia,MGs brr Date: 9/29/2017 <br /> 328DC480549A4F5... <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br /> Revised 2/17 <br />