Orange County NC Website
DocuSign Envelope ID:2A1FF9C3-5E84-4494-AE50-59EAC650084E <br /> ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br /> Department <br /> Party/Vendor Name: Bridgepay Network Solutions, LLC Party/Vendor Contact Person: Richard Taylor, CEO <br /> Contact Phone: 407-960-6440. Party/Vendor Address: 600 North Lake Blvd., Suite 260 City Altamonte Springs <br /> State:FL Zip: 32701 Department:Finance Amount: $1,000 Purpose:Facilitate Orange County's online collection <br /> of permit fees/fines as part of the implementation of the Land Management Central Permitting System. Budget <br /> Code(s): 10230020-630000 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® <br /> Contract Type: (Check one)New ® Renewal❑ Amendment ❑ Effective Date immediate Approved by Board <br /> Yes No Agenda Date: <br /> This agreement is approved as to technical ornclI et P e : <br /> e 10/12/2017 <br /> Department Director's Signature 7D4E5181ACC1409_, 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 a xis: <br /> �llM 10/12/2017 <br /> Office of the Chief Information Officer Date: <br /> e`-1-87A91-E73A64e F... <br /> Risk Management <br /> This agreement is approved for sufficiency of ins cgOludouvls,specifications,and requirements: <br /> tills . ( vvul o 10/12/2017 <br /> Office of Risk Management 7 DC�a„sew49s Date: <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 /> e'p '�°” '"°12. 10/12/2017 <br /> Office of the Chief Financial Officer 7D4E51_51ACC14nA Date: <br /> Legal Services <br /> This agreement is approved as to legal form and:I r r l £e'fiigr.d by: <br /> jawt,S fnavt., 10/13/2017 <br /> Office of the County Attorney Date: <br /> � �s <br /> es4s49A4Fs... <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br /> Revised 2/17 <br />