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DocuSign Envelope ID:27D28DB4-9B84-41D4-BFCB-D7A58C051145 <br /> os <br /> iDSk� <br /> s <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: $2,206.65 Purpose: HBOC loading dock video intercom Budget Code(s): 10400130-800100 <br /> Vendor# 57979 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) <br /> New ® Renewal ❑ 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 Signature � 6t&� Date:6/4/2019 <br /> Agreements for emergency services or re N DAE1E,s6A83@455 __ 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 /> WcuSigned by: <br /> Office of the Risk Management Officer &A c6V1n.t& Date:6/4/2019 <br /> 7FDCF017E800408. <br /> Financial Services E <br /> F <br /> This instrument has been pre-audited in the ma^„-Docusigned by:"+1--r""al Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer 1 Date: 6/6/2019 <br /> 7NE5181ACC1409. <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney , 6Ll.W K6 ,fs Date:6/6/2019 <br /> EAUD33ED&A84S5.. <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 />