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DocuSign Envelope ID: E30BEDC7-948D-435B-A81 E-A5290EB885F3 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Party/Vendor Contact Person: Contact Phone: Party/Vendor Address: City <br /> State: Zip: Department: Amount: Purpose: Budget Code(s): Vendor # <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)New ❑ Renewal <br /> ❑ Amendment ❑ Effective Date Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technic-' „+ <br /> f pacu5igned by: - -nd I as Department Director affirmatively state work on this <br /> project has not been initiated prior to exec CV56,55BC891A64473 <br /> {k4yffy u. <br /> 8/22/2019 <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 agreement have <br /> already begun or been completed please briefly describe the nature of the emergency condition that was addressed: <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to <br /> 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 /> Office of the Risk Management Officer Date: <br /> Fi,.,,. 1 <br /> — DocuSigned by: <br /> This instrument has been pre-audited in the manner req " invent Budget and Fiscal Control Act: <br /> 7NE5181ACC1409. 8/22/2019 <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> OocuSigned by, <br /> This agreement is approved as to legal form and sufficiency: � }� <br /> 4035 C B8304CA4A9 8/22/2019 <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 6/19 <br />