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DocuSign Envelope ID:52D9F43B-A272-4CB5-A7BA-52014DB5B3EF <br /> oS <br /> ORANGE COUNTY—DEPARTMENT USE ONLY j <br /> Party/Vendor Name: Intellicom Communication Specialists Party/Vendor Contact Person: Mike Bullock Contact <br /> Phone: 919-614-8110 Party/Vendor Address: 2902 South Miami Boulevard, Suite C City Durham State: NC Zip: <br /> 27703 Department: AMS Amount: $550 Purpose: ES remediation: wiriting logistics trailer Budget Code(s): <br /> 61370035-880000-10068 Vendor # 44533 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ <br /> Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes <br /> ❑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 /> kL Off),40L <br /> Department Director's Signature Date:4/30/2019 <br /> Agreements for emergency services or repair are not sunjec04to me 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 was <br /> addressed: This work was approved by the former Asset Management Services Director,and funding advice was <br /> finalized 04/29/2019 by new director for CIP. <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 /> DocuSigned by: <br /> Office of the Risk Management Officer U$66 (,6�6 Date: 5/2/2019 <br /> 7FDCF91769004M. OS <br /> Financial Services �L <br /> This instrument has been pre-audited in the m DocuSigned by: T cal Government Budget and fiscal Control Act: <br /> Office of the Chief Financial Officer , Date: 5/3/2019 <br /> 7NE51S1ACC14N. <br /> Legal Services <br /> This agreement is approved as to legal form and suffciencv: <br /> DocuSigned by: <br /> Office of the County Attorney �61LVI Pkyfs Date: 5/6/2019 <br /> EAA3D33EMA905.. <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 />