Orange County NC Website
DocuSign Envelope ID:3625232C-ECAF-48EA-A935-64B54DCBAEEC <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Intellicom, Inc Party/Vendor Contact Person: Mike Bullock Contact Phone: (919) 614-8110 <br /> Party/Vendor Address: 2902 South Miami Boulevard, Suite C City Durham State: NC Zip: 27703 Department: IT <br /> Amount: $3,632.00 Purpose: Southern Human Services Skills Move Budget Code(s): 61370035/897140/30007 <br /> Vendor#44533 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) <br /> New ® Renewal ❑ Amendment ❑ Effective Date February 18, 2020 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 /> iw1 4V� / <br /> Department Director's Signature ... Date: 2 18/2 02 0 <br /> DC11&A91E7aA64DF <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 and s 'oocuSigned by: <br /> Office of the Chief Information Officer EC11&N)1E7aA64DF <br /> lk 4&ny Date: 2/ <br /> 18/2020 <br /> Risk Management <br /> This agreement is approved for sufficiency of insurani 'oo,,usigppea_ay:. itions,and requirements: <br /> USX L.bw 6 2/19/2020 <br /> Office of the Risk Management Officer Date: <br /> 11 7FDCF817E800498... <br /> Financial Services <br /> This instrument has been pre-audited in the mannt Do �cusigned by: iovemment Budget and Fiscal Control Act: <br /> ('� � <br /> Office of the Chief Financial Officer Date: <br /> 2/19/2020 <br /> 7D4E59S1ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and rh DocuSigned by: <br /> Office of the County Attorney �xmLS _ `aW Date: 2/19/2020 <br /> 328DC480549A4F5... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountyne.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 />