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DocuSign Envelope ID:2CDD1A17-B035-4812-8F35-A9B16898AB3C <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Siemens IndustrY,Inc Party/Vendor Contact Person: Greg Collins Contact Phone: 919-465- <br /> 5216 Party/Vendor Address: 215 Southport Dr City Morrisville State: NC Zip: 27597 Department: AMS <br /> Amount: $26,835 Purpose: Justice Humdity Budget Code(s): 10700020-665000 Vendor# 53325 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑ <br /> Amendment ❑ Effective Date 2/11/2019 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work <br /> on this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> QW VbV1M0& <br /> Department Director's Signature Date: 2/8/2019 <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that <br /> was addressed: <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of' , 6 � ardds,specifications,and requirements: <br /> Office of the Risk Management Officer a�Sa (hVV L,f6 Date: 2/10/2019 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> (act: DocuSigned by: <br /> 1 . <br /> Office of the Chief Financial Officer FI �� & Date;2/11/2019 <br /> s$€�rstee aa9 <br /> Legal Services <br /> This agreement is approved as to legal fobU,Vt/I , �D�t.V'�S u�i�ncy: <br /> ^^ <br /> Office of the County Attorney J i> E Date:2/11/2019 <br /> FXA-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 /> I <br /> s <br /> i <br /> Revised 12/18 <br /> 8 <br />