Orange County NC Website
DocuSign Envelope ID:CF88711B-EC21-4B19-9D93-F2D593C7F3CA <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: DC Group Party/Vendor Contact Person: Collin Duke Contact Phone: 612-655-1543 <br /> Party/Vendor Address: 1977 West River Rd City Minneaolis State: NIN Zip: 55411 Department: AMS Amount: <br /> 1100.00 Purpose: Annual UPS service contract Budget Code(s): 10240320-63000 Vendor # 65719 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑ <br /> Amendment ❑ Effective Date 7/1/2019 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 /> 121EFMAGD454EF_ <br /> WPbV*aan. 7/12/2019 <br /> Department Director's Signature . Date: <br /> Agreements for emergency services or repair are not subject 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 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' oocusignea_ay:- - ;pecifications,and requirements: <br /> Office of the Risk Management Officer [USA, �,DV1n.���7FDCFs17e8004a8.b Date: 7/12/2019 <br /> Financial Services <br /> This instrument has been pre-audited in the Docusigned by: cal Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer rq �7NE51 81 ACC 1 4N � Date 7/12/2019 <br /> — _ <br /> Legal Services <br /> This agreement is approved as to legal form Docusigned by: <br /> CEAA3D3aED8AW5__ <br /> 6� K6k� 7/12/2019 <br /> Office of the County Attorney Date: <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 />