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DocuSign Envelope ID:9EAFBE54-OC17-4035-9610-6143BA641245 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: SensoScientific Party/Vendor Contact Person: Jennifer Davis Contact Phone: 805-915-4471 <br /> Party/Vendor Address: 685 Cochran St. Suite 200 City Simi Valley State: CA Zip: 93065 Department: Health <br /> Amount: $2,710 Purpose: Purchase and monitoring of fridge and freezer temperature probes Budget Code(s): <br /> 10414020-740000-71408 & 10414020-571000-71408 Vendor#65762 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes❑No® Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date 10- <br /> 15-19 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 /> S&Wof 10/3/2019 <br /> Department Director's Signature[3C16F2D09E3445F. Date: <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 sufficient, -W* cusigned by: -ds,specifications,and requirements: <br /> QuSa �,DV1n.��b 10/9/2019 <br /> Office of the Risk Management Officer_ 7FDCF0176800408. Date: <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 /> 4 � 10/9/2019 <br /> Office of the Chief Financial Officer 7D 1ACC1409. Date: <br /> Legal Services <br /> This agreement is approved as DocuSigned by: <br /> §WAk �t, 1 10/9/2019 <br /> Office of the County Attorney 079A4D525COF4FB. 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 />