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DocuSign Envelope ID:9666D6DE-7FE9-442A-BC33-561 E1910EBD4 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: NWN Corporation Party/Vendor Contact Person: Jack Lodge Contact Phone: 781-788-4475 <br /> Party/Vendor Address: 271 Waverley Oaks Road City Waltham State: MA Zip: 02452 Department: IT Amount: <br /> $21,120.00 Purpose: IT deployment Budget Code(s): 10315020/630000 Vendor # 40081 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ <br /> Effective Date 1lJanuary2021 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 <br /> on this project has not been initiated prior to execution of the agreement: <br /> li <br /> cuSigned by: <br /> Department Director's Signature 4Vg" Date:111112021 <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 <br /> was addressed: n/a <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 andF�i_ <br /> �ai"dlit": <br /> � <br /> Office of the Chief Information Officer Date: 1/11/2021 <br /> Risk Management <br /> This agreement is approved for sufficiency of insur &bys''peecifications,and requirements: <br /> Office of the Risk Management Officer &A, rbvv�.t ttb Date:111112021 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> Office of the Chief Financial Officer ta <br /> Date:1/11/2021 <br /> Legal Services <br /> This agreement is approved as to legal form and s "ned by: <br /> awtt.S Office of the County Attorney bv�A.ln, Date:l/1112021 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@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 07/20 <br /> 9 <br />