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DocuSign Envelope ID:09B804BD-B4AA-4F79-A9F5-OFB61D7E3A9F <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Intellicom,Inc Party/Vendor Contact Person: Mike Bullock(Mike(a)intellicomuse.com) Contact <br /> Phone: 919-957-1949 Party/Vendor Address: 2902 South Miami Blvd, Suite C City Durham State: NC Zip: 27703 <br /> Department: AMS Amount: Not to exceed (Four Thousand Seven Hundred Fifty Four Dollars) $4754.00 Purpose: <br /> Install Universal Projector Mount and projector in Housing Conference Room (Whitted Building 3rd floor) Budget <br /> Code(s): 10460130-803000 Vendor# 35730 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® <br /> Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 03/03/2020 Approved by Board <br /> 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 exe D"USigned by: -nt: 3/3/2020 <br /> Docusign. ,�U4l�IlL <br /> '. D42Ba75CF42E4D7... 3/3/2020 <br /> Department Director's Signatu StLL wu. G WAT Date: <br /> Agreements for emergency servic_. _ P9CDGB81844C5� 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 specifications: <br /> Docusigned by: 3/4/2020 <br /> Office of the Chief Information Off Ci <br /> im 4&ny Date: <br /> C11&A91E73A64DF... <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> DocuSigned by: <br /> h aUS& Chvw <br /> Office of the Risk Management Off L� Date: 3/4/2020 <br /> 7FDCF9176900498... <br /> DS <br /> r Financial Services <br /> l/ This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> CDocuSigned by: <br /> Office of the Chief Financial Offic 4 Date: 3/5/2020 <br /> 704E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the Count Attor 3/8/2020 <br /> y ,�DSt.�I, �l..Vl'lln. Date: <br /> 4C5F3C❑DF0B94F6... <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 />