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DocuSign Envelope ID: B535C95A-4CF2-4038-8B8C-739FFC092B57 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Nelson Alarms Inc Party/Vendor Contact Person: Leigh Ann Nelson Contact Phone: 336- <br /> 498-2377 Party/Vendor Address: P.O Box 10 City Randleman State: NC Zip: 27317 Department: AMS <br /> Amount: $11,224.80 Purpose: Annual Alarm Monitoring Budget Code(s): 10240320-630000 Vendor # 39886 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ <br /> Renewal❑ 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 <br /> on this project has not been initiated prior to execution of the agreement: <br /> 1u& PbVt+►NA,DocuSigned by: <br /> Qu <br /> Department Director's Signature Date: 7/12/2019 <br /> 21EF373ACD454EF.. <br /> Agreements for emergency services or repair are not suDject 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 ins Docusignei ay:' cifications,and requirements: <br /> Office of the Risk Management Officer 11Usa (A�b 7FDCF9176800498. Date: 7/15/2019 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> [act: �DoccuSSiigned by: <br /> Office of the Chief Financial Officer �'' A Date:7/15/2019 <br /> 7D4E51S1ACC1400- <br /> Legal Services <br /> This agreement is approved as to legal fort DocuSigned by: <br /> �6LW Pkku s 7/16/2019 <br /> Office of the County Attorney EAA3D33ED8AW5.. 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 <br /> 8 <br />