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DocuSign Envelope ID:CD64977C-17FD-49F0-9672-81D6326AF370 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Ecolane USA, Inc. Party/Vendor Contact Person: Ryan Larsen Contact Phone: <br /> 712.249.6156 Party/Vendor Address: 940 West Valley Road City Wayne State: PA Zip: 19087 Department: <br /> Orange County Public Transportation Amount: 89,302.50 Purpose: Updating dispatching and scheduling software <br /> Budget Code(s): 10435020-630000 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ <br /> No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date Approved by <br /> Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical forma ij6ed by: <br /> 11/10/2018 <br /> Department Director's Signature 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 ifW&ti®ps: <br /> �(wt 44vty 11/12/2018 <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of ins -%W"Os,specifications,and requirements: <br /> &A, rbV7n�& 11/12/2018 <br /> Office of the Risk Management Officer 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 /> Office of the Chief Financial Officer Er <br /> 1 (�nrc�an4 Date: 12/21/2018 <br /> �naFs�a <br /> Legal Services <br /> This agreement is approved as to legal form and s 1cRfIYG�ned by: <br /> �AaMe S bV'�A.ln, 12/31/2018 <br /> Office of the County Attorney R�Rn dR SdQAdFS Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: sin.erg sollkoran e�ync.gov <br /> The following signature block is for hard copies o djftW1Pr'equired for Docusign contracts: <br /> Vbin.In.A. LAW 1/1/2019 <br /> Office of the Clerk to the Board Date: <br /> Revised 10/17 <br /> 9 <br />