Orange County NC Website
DocuSign Envelope ID:2F57457B-A466-4E84-8672-82E24B7EA8B7 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Pete Duty and Associates, Inc Party/Vendor Contact Person: Rob Shelden Contact Phone: 919- <br /> 264-3709 PartyNcndor Address: 2219 Leah Dr. City Hillsborough State: Nc Zip: 27278 Department: AMS and <br /> DEAPR Amount: $1900 Purpose: Replace Modems Budget Code(s): 10240320-570000($1,050)&61370035 880000 <br /> 20039($850) Vendor#60377 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: <br /> (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 10/13/2016 Approved by Board Yes❑ No® <br /> Agenda Date: <br /> This agreement is approved as to to �ocuSigned by: nt: <br /> Department Director's Signature C ���. Date:10/27/2016 <br /> 9E88CA40CFFi4498... <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 and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of in zurnnrP standards, specifications,and requirements: <br /> DocuSigned by: <br /> Office of the Risk Management Office aUS& ("� 6 Date: 10/31/2016 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in Docusigned by: he Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer � � Date: <br /> 10/31/2016 <br /> 1r7D4E5181A=409... <br /> Legal Services <br /> This agreement is approved as t DocuSigned by: iciency: <br /> �6� K6k'6 10/31/2016 <br /> Office of the County Attorney EAMSDs8EDSA84s5... Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydgoran eg countync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Revised 6/16 5 <br />