Orange County NC Website
i <br /> DocuSign Envelope ID: DA8A04AC-8CCD-4098-A780-B36AO2FO7BA9 <br /> s <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Pronet Sytems, Inc Party/Vendor Contact Person: AIan Jet ley Contact Phone: 9t9-277-2070 <br /> f <br /> Party/Vendor Address: 3200 Glen Royal Road, Suite 107 City Raleigh State: NC Zip: 27617 Department: DEAPR <br /> Amount: $812.86 Purpose: Reinstall Camera System at Millhouse Budget Code(s): 10515020 630000 Vendor # <br /> 57979 (NIA if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New <br /> RenewaI❑ Amendment ❑ Effective Date 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 P�4 �fi�lll.6[� Date: 6/4/2019 <br /> Agreements for emergency service. 61IrFA1❑5o7A495.. ect 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 hardwarelsoftware 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 Managemen <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> DocuSigned by: <br /> Office of the Risk Management Office aUsa cbVln.fh Date: 6/4/2019 <br /> 7FDCF917e800498. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief,Financial OfficeCDGCUSIgnedby: <br /> j� VC.'IMse.. Date: 6/4/2019 <br /> 7NE5981ACC1400 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County AttorneyCEAA=ED8MQ405.. <br /> 6Lo, K6 tGfs Date: 6/5/2019 <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 12/19 4 <br />