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DocuSign Envelope ID:86B251A7-A1C6-4DED-807D-F8CC7AD67489 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: ProNet Systems, Inc Party/Vendor Contact Person: Alan Jelley Contact Phone: 919-277- <br /> 2070 Party/Vendor Address: 3200 Glen Royal Rd City Raleigh State: NC Zip: 27617 Department: AMS <br /> Amount: $5,208.66 Purpose: Whitted 2'Floor access door repair Budget Code(s): 10240320-570001 Vendor# <br /> 57979 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: (Check one)New ❑ <br /> Renewal ❑ Amendment ❑ Effective Date 7/15/2019 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 <br /> on this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by- <br /> Department 06V*aln.� <br /> Department Director's Signature Date:7/12/2019 <br /> 21 E FMACD454EF.. <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 <br /> was 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 insura---- &omuSignea_by:�-b- r cations,and requirements: <br /> Office of the Risk Management Officer Eaus. LQ►►fi Date: 7/12/2019 <br /> 7FDCF9176800498. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> Office of the Chief Financial Officer 41rx.w4/1ra. Date: 7/12/2019 <br /> 7NE5181ACC1400 <br /> Legal Services <br /> This agreement is approved as to legal form a DocuSigned by: <br /> Office of the County Attorney E 1�66A, K6AA3D33ED8AW5.. Date: 7/12/2019 <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 12/18 <br /> 8 <br />