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DocuSign Envelope ID: 1 E46E4CE-018A-4C83-9CF6-FFE93457910C <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Intellicom, Inc Party/Vendor Contact Person: Mike Bullock Contact Phone: 919-957-8737 <br /> Party/Vendor Address: 2902 S. Miami Blvd, Ste. C City Durham State: NC Zip: 27703 Department: IT Amount: <br /> 4 045.00 Purpose: Sheriff Dept AV Screen Budget Code(s): 61370035/897208/30007 Vendor#44533 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ <br /> Amendment ❑ Effective Date August 8,2019 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 /> Department Director's Signature ,�1m � Date9/26/2019 <br /> C11&A91E73A64DF.. <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 an �Ul� �ocuSigned by: <br /> Office of the Chief Information Officer C11&A91E73A64DF.. Date: 9/26/2019 <br /> Risk Management <br /> This agreement is approved for sufficiency of ir° r oocu5igned byY�c °^ecifications,and requirements: <br /> Office of the Risk Management Officer &A c6nu& Date: 9/30/2019 <br /> 7FDCF9176800498. <br /> Financial Services <br /> This instrument has been pre-audited in the man DocuS.igned'by: Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date:9/30/2019 <br /> 7NE5181ACC1409. — - <br /> Legal Services <br /> This agreement is approved as to legal form and sr-rr'-oo-cusgned by: <br /> �xmGS bv�Office of the County Attorney i7 L Date 9/30/2019 <br /> : <br /> 3286C480549A4F5.. <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 />