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DocuSign Envelope ID:29D5036B-2FDE-43C4-9872-7AC3C2BEF79D <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Intellicom, Inc Party/Vendor Contact Person: Mike Bullock Contact Phone: 919-957-1949 <br /> Party/Vendor Address: 2902 S. Miami Blvd, Ste C City Durham State: NC Zip: 27703 Department: IT Amount: <br /> 3 153.00 Purpose: Internal Cabling for 405 Meadowlands Budget Code(s): 61370035/880000/10077 Vendor#44533 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal <br /> ❑ Amendment ❑ Effective Date 12/18/2019 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 /> P <br /> W 4"y <br /> DocuSigned by: <br /> Department Director's Signature Date:12/18/2019 <br /> C11&A91E73A64DF.. <br /> Agreements for emergency services or repair are not sunject tome 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( Jim 4�DocuSigned by: <br /> J <br /> Office of the Chief Information Officer C116A91E73A64DF.. Date: 12/18/2019 <br /> Risk Management <br /> This agreement is approved for sufficiency of insurar- DocuSigned ay----""ations,and requirements: <br /> a <br /> Office of the Risk Management Officer USA �,4Wt&6 Date:12/19/2019 <br /> 7FQCF917E800498. <br /> Financial Services <br /> This instrument has been pre-audited in the n s�"�ocuSigned by: T ical Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date:12/19/2019 <br /> 704E5181ACC1469. <br /> Legal Services <br /> This agreement is approved as to legal f61 DocuSigned by, <br /> Office of the County Attorney D328DC490549A4F5. <br /> xmts ` NA, <br /> � Date: 12/19/2019 <br /> . <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 11/19 4 <br />