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DocuSign Envelope ID:277C13A8-9A1A-4D58-A232-848A3869DB85 <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 /> 550.00 Purpose:ES Cables Budget Code(s): 10240320-570001 Vendor#44533 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑No❑ Contract Type: (Check one)New ❑ Renewal ❑ Amendment ❑ Effective Date <br /> 11/19/2018 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form a rbltS ,Sk ed by: <br /> Department Director's Signature ravuS ftyvu Date: 1/30/2019 <br /> OA3E816126364B4... <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related set-vices)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 ,J. A"" b dFdss,specifications, and requirements: <br /> Q�tSa <br /> Office of the Risk Management Officer C,bvv�,e Date:1/30/2019 <br /> Financial Services <br /> This instrument has been pre-audited in the ma bregijhwd by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer � o '�" Date.1/30/2019 <br /> 7D4E5181A=409... <br /> Legal Services <br /> This agreement is approved as to legal II g Apiency: <br /> �btt I�OI�W�S Office of the County Attorney Date: 1/30/2019 <br /> EAA3D33EDSA8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sheri Ingersoll upon completion: sin ersoll e oran 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 /> i <br /> z <br /> I <br /> i <br /> Revised 10/17(Mgr appry 5k 6/18) 4 <br />