Orange County NC Website
DocuSign Envelope ID:BDA7E64D-AE04-4453-8E17-223D610346CF <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Party/Vendor Contact Person: Contact Phone: Party/Vendor <br /> Address: City State: Zip: Department: Sheriffs Office and Emergency Services <br /> Amount: Purpose: Mutual Aid Agreement for Tactical EMS Budget Code(s): N/A Vendor # <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)New <br /> Renewal ❑ Amendment ❑ Effective Date 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 <br /> work on this project has not been initiated prior to execution of the agreement: <br /> Docusigned by: <br /> Department Director's SignatureFvIKA� yffyit,S Date:12/31/2020 <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 <br /> that was 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 /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficienc &Wpa .''stta�andards,specifications,and requirements: <br /> &A, rbnW6 1/4/2021 <br /> Office of the Risk Management Office Date. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal <br /> Control Act: <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as t elepkAmmawd sufficiency: <br /> Office of the County Attorne 444 1�� Date: 1/7/2021 <br /> _)U ,1 1/8/2021 <br /> EEoseFeoF2�ikbrk 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 /> 5 <br />