Orange County NC Website
DocuSign Envelope ID:4DDA78F3-4A40-47DF-B610-589666A418F5 <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 /> AMS Amount: $1,555.56 Purpose: Efland Checkcs Comm Ctr Exterior Dome Camera-vandalized Budget Code(s): <br /> 10240320-570001 Vendor# 57979 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract <br /> Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑ No❑ <br /> 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 <br /> N040L Date:6/5/2019 <br /> Agreements for emergency services or repair 21EFMAGD454EF.. 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 aUS& ('6�6 Date:6/6/2019 <br /> 7FDCF9176900498. DS <br /> Financial Services rb <br /> This instrument has been pre-audited in the manner ranmrpd by the T n-al Government Budget anu 1 vocal Control Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer 1 Date:6/6/2019 <br /> 7NE5181 ACC 1469. <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency- <br /> DocuSigned by: <br /> Office of the County Attorney �61LW Pkk l 5 Date:6/6/2019 <br /> EAA3D33ED&AW5.. <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 />