Orange County NC Website
ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br />______________________________________________________________________________ <br />Department <br /> <br />Party/Vendor Name: Motorola Party/Vendor Contact Person: Chris Prusik Contact Phone: 800-247-2346 <br />Party/Vendor Address: 1299 E Algonquin Rd City Schaumburg State: IL Zip: 60196 Department: Emergency <br />Services Amount: 59360.93 Purpose: Motorola MCC 7500 Console Maintenance Budget Code(s): 35755120- <br />571000 Vendor # 52626 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: <br />(Check one) New Renewal Amendment Effective Date 10/26/2018 Approved by Board Yes No <br /> Agenda Date: 2018-2019 budget Approval <br /> <br />This agreement is approved as to technical form and content: <br /> <br />Department Director’s Signature ________________________________________ Date: ________ <br /> <br /> <br />Information Technologies <br /> <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 /> <br />Office of the Chief Information Officer___________________________________ Date: ________ <br /> <br /> <br />Risk Management <br /> <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br /> <br />Office of Risk Management_____________________________________________ Date: _________ <br /> <br /> <br />Financial Services <br /> <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br />Act: <br /> <br />Office of the Chief Financial Officer ____________________________________ Date: _________ <br /> <br /> <br />Legal Services <br /> <br />This agreement is approved as to legal form and sufficiency: <br /> <br />Office of the County Attorney __________________________________________Date: ________ <br /> <br /> <br />Clerk to the Board <br /> <br />Received for record retention: <br /> <br />Office of the Clerk to the Board __________________________________________Date:_________ <br /> <br />Revised 10/17 <br />DocuSign Envelope ID: 509F326B-9412-4710-A466-D71C66A37E01 <br />10/29/2018 <br />10/29/2018 <br />11/1/2018 <br />11/2/2018