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DocuSign Envelope ID: F7467C1E-FFEO-4DBE-A382-7EO964F1DFD5 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Intellicom, Inc Party/Vendor Contact Person: Mike Bullock Contact Phone: 919-614-8110 <br /> Party/Vendor Address: 2029 S Miami Blvd City Durham State: NC Zip: 277 Department: AMS Amount: $1,200 <br /> Purpose: Installation of TV Budget Code(s): 10240320-580000 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 /> 3/21/2019 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 on <br /> this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> Department Director's Signatur Q ocu �bVw16t1n' Date: 3/22/2019 <br /> Agreements for emergency services �r6�ainP fit 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: <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 sufficien197�T <br /> b �aaq:standards, specifications,and requirements: <br /> tSa rbVln,t,{�b 3/22/2019 <br /> Office of the Risk Management Office Date: <br /> DGFs=1-�68Co4s8--- <br /> Financial Services <br /> This instrument has been pre-audited i wmequired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer rl �� Date: 3/27/2019 <br /> Legal Services <br /> This agreement is approved as tr_EAAMWEDW465 <br /> l�fsogrmd��nd..��sufficiency: <br /> Office of the County Attorney6A. r6kY ' Date: 3/27/2019 <br /> ... <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 />