Orange County NC Website
DocuSign Envelope ID:AF86554F-681A-44A5-AAC5-B28783EE4F95 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: an JelleyProNet Systems, Inc Party/Vendor Contact Person: Alan Jellev <br /> (alanj@nronetsystemsnc.com) Contact Phone: 919-277-2070 Party/Vendor Address: 3200 Glen Royal Road, Suite 107 <br /> City Raleigh State: NC Zip: 27617 Department: AMS Amount: $753.24 Purpose: To replace a camera that was <br /> stolen at the Eno River Parking Deck. Budget Code(s): 10240320-570000 Vendor # 57979 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ <br /> Effective Date 04/03/2020 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 /> DocuSigned by: <br /> Department Director's Signatu Si�• 9MA Date: <br /> Agreements for emergency servic 2D❑9C❑ae81844C5... 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 /> CJC11&N)1E7aA64DF <br /> UocuSigned by: <br /> Office of the Chief Information OMtm 4� Date: <br /> ... <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> UocuSigned by: <br /> . <br /> Office of the Risk Management Offic aUS66 cb_ b Date: <br /> 7FDCF9176800498... <br /> DS <br /> r Financial Services <br /> l/ This instrument has been pre-audited in the manner rPriiiirp,1 by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Office Cr7NE5181ACC14N <br /> Date: <br /> . <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorne1?C5F3CDDF0B94F6 <br /> �, �l mv, Date: <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 />