Orange County NC Website
DocuSign Envelope ID: EE161906-E91D-4AAB-90FO-OFD7EF29360C <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: ProNet Systems, Inc Party/Vendor Contact Person: Alan Jelled(alanj(&nronetsystemsnc.com) <br /> Contact Phone: 919.277.2070 Party/Vendor Address: 3200 Glen Royal Rd, Ste 107 City Raleigh State: NC Zip: <br /> 27617 Department: AMS Amount: $2,164.56 Purpose:Install card reader at Southern Human Services door leading to <br /> the BOCC dais Budget Code(s): 61370035-880000-30001 Vendor#57979 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 3/25/19 <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 on <br /> this project has not been initiated prior to execution of the agreement: <br /> Department Director's Signature Q ' �d"" Date: 3/20/2019 <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 was <br /> 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 specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> Office of the Risk Management Office Qt s� ���� d Date: 3/20/2019 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> PL ° <br /> Office of the Chief Financial Officer Date:3/20/2019 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney �'�` ° Date:3/21/2019 <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 4 <br />