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DocuSign Envelope ID: F04C1D12-F351-4620-BCOD-3A95DF49248A <br /> DS 0S <br /> V� <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: ProNet Systems,Inc Party/Vendor Contact Person: Richard McClenny Contact Phone: 919-255- <br /> 0915 Party/Vendor Address: 3200 Glen Royal Road, Suite 107 City Raleigh State: NC Zip: 27617 Department: <br /> DSS/AMS Amount: $2,301.13 Purpose: SHSC additional CCTV coverage employee parking/reception area Budget <br /> Code(s): 10400130-800100 Vendor# 57979 (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 /> Department Director's Signature N �bbR�t' Date: 6/4/2019 <br /> Agreements for emergency services or re,-..DAE1U29 83@455_` o 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 sufficiency of insurance standards, specifications,and requirements: <br /> DocuSigned by: <br /> Office of the Risk Management Officer 9US66 Vln.t 6 Date: 6/4/2019 <br /> 7FDCF9176800498. DS <br /> Financial Services Ir <br /> L <br /> This instrument has been pre-audited in the mpnnar ran„irarl by the r nf-,al Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer 0m'Y a, Date: 6/6/2019 <br /> 7NE5181ACC1409. <br /> Legal Services <br /> This agreement is approved as to legal form ara c DocuSigned by: <br /> Office of the County Attorney �6LW K6ku'l5 Date: 6/6/2019 <br /> EAA3D33ED8AM65.. <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 />