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DocuSign Envelope ID:894C0863-6C72-46D6-B9C7-2C8AD4776D29 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Intellicom Party/Vendor Contact Person: Mike Bullock Contact Phone: 919-957-1949 <br /> Party/Vendor Address: 2902 S Miami Blvd Suite C City Durham State: NC Zip: 27703 Department: AMS <br /> Amount: $10915.00 Purpose: To provide data outlets at 308 West Franklin Street Budget Code(s): 37600530- <br /> 803000 Vendor# 35730 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: <br /> (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 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 <br /> on this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> Department Director's Signat reSLL W, AMA Date: 1/1/2021 <br /> Agreements for emergency services OffeaTAffhot 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: <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 /> Cer4t� <br /> DocuSigned by: <br /> Office of the Chief Information OM Nb Date 1/4/2021 <br /> C11BA91E73A64DF... <br /> Risk Management <br /> This agreement is approved for sufficienc q jWl &jF standards,specifications,and requirements: <br /> Office of the Risk Management Offic r &A, Chvw list�b Date: 1/4/2021 <br /> 7FDCF9176800498... <br /> LDS Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> &rr7D4E,1,1ACC1409 <br /> ocuSigned by: <br /> Office of the Chief Financial Offic "'p `"^"'�. Date: <br /> 1/7/2021 <br /> ... <br /> Legal Services <br /> This agreement is approved a � 9 and sufficiency: <br /> Office of the County Attor ey�bstp� � � Date: 1/7/2021 <br /> 4C5F3CDDF0B94F6... <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 />