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DocuSign Envelope ID:04DB30E9-D54D-4F95-8391-C9A6A248DC20 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Intellicom. Inc Party/Vendor Contact Person: Mark Vaughn Contact Phone: 919-957-1949 <br /> Party/Vendor Address: 4301 Bennett Memorial Rd City Durham State: NC Zip: 27703 Department: AMS Amount: <br /> 2560.00 Purpose: Whitted ES Cables Budget Code(s): 10240320-570001 Vendor # 44533 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑ Amendment ❑ <br /> Effective Date 11/19/2018 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical fo atav <br /> �'Vav<.1S �`�� Date: 1/2/2019 <br /> Department Director's Signature <br /> Est-arza36a <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 insgaa nSe sIgpdards,specifications, and requirements: <br /> ocu <br /> Qvvub <br /> Office of the Risk Management Officer USA, rb Date:1/3/2019 <br /> 7FDCF9176800498i... <br /> Financial Services <br /> This instrument has been pre-audited in the m gX.Kq@ q�l by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer rq-4a 0.1 �2oZ Date: 1/4/2019 <br /> 7D4E5181ACC1409... <br /> Lezal Services <br /> This agreement is approved as to legal form an y6y: <br /> ,�b <br /> Office of the County Attorney IQbb v s Date: 1/8/2019 <br /> EAA3D33EDSA 1465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: sin-ep rsoll a orangecountync.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 10/17(Mgr appry 5k 6/18) 4 <br />