Orange County NC Website
DocuSign Envelope ID:72684DD1-B3A5-4A51-BA4C-2689B97B5FDA <br /> ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br /> Department <br /> Party/Vendor Name: Federal Engineering Party/Vendor Contact Person: Ron Bosco,FE President Contact Phone: 703-359- <br /> 8200 Party/Vendor Address: 10600 Arrowhead Drive City Fairfax State: VA Zip: 22030 Department: Orange County <br /> Emergency Services Amount: $3370.00 Purpose: Meeting with NCSHP ref Radio Project for OC Budget Code(s): <br /> 61370035-870000-30060 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract <br /> Type: (Check one)New ❑ Renewal ❑ Amendment ® Effective Date June 22,2017 Approved by Board Yes❑No❑ <br /> Agenda Date: <br /> This agreement is approved as to technical form an( t,UocuSigned by: <br /> ,�t pit.5 <br /> Department Director's Signature Date: 6/26/2017 <br /> 56558C891A84473... <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 /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> Office of Risk Management Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner r oocusigned by: rernment Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer ��. Date: 6/26/2017 <br /> Ir7NE5181ACC1400 <br /> Legal Services <br /> This agreement is approved as to legal form and suffi OocuSigned by: <br /> Office of the County Attorney - � '° - Date: 6/26/2017 <br /> 4035CB8304CA4M... <br /> Clerk to the Board <br /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br /> Revised December 2016 <br />