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DocuSign Envelope ID: D44B85E0-6EFC-4E75-B499-1B3856DB3A1A <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: First Security Service, Inc. Party/Vendor Contact Person: Chris Benitez Contact Phone: 919- <br /> 383-7362 Party/Vendor Address: P.O. Box 61779 City Durham State: NC Zip: 27715 Department: Solid Waste <br /> Amount: 612.00 Purpose: Provide and install Camera and Surveillance system Budget Code(s): 50350020-570000 <br /> Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) <br /> New ® Renewal ❑ Amendment ❑ Effective Date August 26, 2019 Approved by Board Yes[—] No® <br /> 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 r6u, wi�.�.ia.+n,S Date: 9/19/2019 <br /> c Agreements for emergency services 8sEa6F84369o496. _ t 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 insurance standards, specifications,and requirements: <br /> WcuSigned by: <br /> Office of the Risk Management Officer QU56 9/21/2019 <br /> V1n.��b Date: <br /> 7FDC F91 76 900498. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> �y 9/24/2019 <br /> Office of the Chief Financial Officer sU�rx.e.&Iw Date: <br /> 7n4E5181ACC1409. <br /> Legal Services <br /> This agreement is approved as to legal e,,ffiriPnnv- <br /> DocuSigned by: <br /> Office of the County Attorney 1079A4D525C0F4FB_ <br /> WAk �t, �S(b Date:9/24/2019 <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 4 <br />