Orange County NC Website
DocuSign Envelope ID:512569B2-AA7E-4E38-9DBB-D25332005593 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: ProNet Systems, Inc PartyNendor Contact Person: Alan Jell ev Contact Phone: 919-277-2070 <br /> Party/Vendor Address:3200 Glen Royal Rd Ste 107 City Raleigh State:NC Zip:27617 Department:ANTS Amount: <br /> $2756.19 Purpose: Whitted Dental Door Access Budget Codc(s):61370035-880000-10063 Vendor# 5M (N/A if <br /> new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)New ❑ Renewal ❑ <br /> Amendment ❑ Effective Date 912411$ Approved by Board Yes[]No❑ Agenda Date: <br /> This agreement is approved as to technic ' 'Docu5igned by, <br /> Department Director's Signature 74001. Date:9/25/2018 <br /> 9ESSCA46CF64408... <br /> Information Technologies <br /> (Applicable only to hai-dwat-e/softivare ptrt-clvases 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 sufficiency of in iiocus-' �by: ' ecifications,and requirements: <br /> Office of the Risk Management Officer us& CbV1nt{�b Date:10/8/2018 <br /> . <br /> Financial Services <br /> This instrument has been pre-audited in the _ oocuSigned ay:-'' Local Government Budget and Fiscal Control Act: <br /> Office of the Chiefnaneial Officer Date:10/8/2018 <br /> 704E5181ACCidD9... <br /> Legal Services <br /> This agreement is approved as to legal Uocuiigned ay:' <br /> Office of the County Attorney E�66, K6�t kis Date: 10/8/2018 <br /> EAAM33EMAW5... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: sz 1 e. rsoll@orangecoun c.gov r <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Cleric to the Board Date: <br /> Revised 10117(Mgr appry 5k 6/18) 4 <br />