Orange County NC Website
DocuSign Envelope ID:9D6029B6-6E55-4FOD-8B38-05A477C62908 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Automon LLC Party/Vendor Contact Person: Scot Asher Contact Phone: (480) 368-8555, <br /> ext. 125 Party/Vendor Address: 6621 North Scottsdale Road City Scottsdale State: AZ Zip: 85250 Department: <br /> Criminal Justice Resource Department Amount: (i)First Year payment of Five thousands dollars ($S000.00) rOne <br /> thousand dollars ($1,000.00) for implementation and four thousand dollars ($4,000.00) for first year software <br /> subscription] (ii) Ongoing Annual software subscription costs: year 2: $4,160.00, year 3: $4,326.40, year <br /> $4,499.00, year 5: $4,679.00. Purpose: CJRM Drug Treatment Case Management Software Budget Code(s): CIP <br /> 61370035-897186-30007 / 10315020-625010 Vendor # 65281 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date <br /> Approved by Board Yes®No❑ Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work <br /> on this project has not been initiated prior to execution of the agreement: <br /> 1C27D78E8EFC51493 <br /> �DocuSigned by: <br /> Department Director's Signature &A• F��. Date /15/2019 <br /> Agreements for emergency services or repair are o one aoove affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that <br /> was addressed: N/A <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 s DocuSigned by: <br /> �JC11&AAE73A64DF.. <br /> im 44yv fOffice of the Chief Information Officer Date,;/15/2019 <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> Docusigned by: 1/15/2019 <br /> Office of the Risk Management Officer 9US66 (D b Date: <br /> 7FDCF91768004M. <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 � Date: 1/15/2019 <br /> 7NE5181ACC1409. <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> h 1/15/2019 <br /> Office of the County Attorney ,J Gs aJ"' Date: <br /> 328DC480549A4F5.. <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@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 12/18 <br /> 8 <br />