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DocuSign Envelope ID:95ED4E50-2135-4421-9D73-64AF3CA1B6D8 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Xybix Systems, Inc Party/Vendor Contact Person: Cher Stepanov(cherIkNybix.com) Contact Phone: <br /> 303.683.5656 Party/Vendor Address: 8207 South Park Circle City Littleton State: Colorado Zip: 80120 Department: <br /> AMS/ES Amount: $171,423.00 Purpose: Provide and install furniture for the Orange County 9-1-1 Communication Center <br /> Budget Code(s): 61370035-880000-10068 Vendor# 63767 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ <br /> No® Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date 9/30/19 Approved by Board Yes Sd <br /> ❑No® Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this <br /> project has not been initiated prior to execution of the agreement: <br /> Department Director's Signature CimIXL ,is Date:10/1/2019 <br /> s Q, <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: N/A <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> Office of the Risk Management Officer , S,bn1t f° Date:10/4/2019 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officers Date:10/7/2019 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the Count Attorne '�'�'" Date: 10/8/2019 <br /> y y��4..,,,��wa,P <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 11 <br />