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2021-071-E Health - Everbridge vaccination software
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2021-071-E Health - Everbridge vaccination software
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2/19/2021 3:58:09 PM
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DocuSign Envelope ID: 16086DFC-1613-4024-BF92-DD86916E213E <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Everbridge Party/Vendor Contact Person: Matt Severance Contact Phone: (781) 819-5194 <br /> Party/Vendor Address: 155 North Lake Avenue, Suite 900 City Pasadena State: CA Zip: 91101 Department: <br /> Emergency Services Amount: 54,639.36 Purpose: Emergency Alert Platform (OC ALERTS) Budget Code(s): <br /> 10750020-63000 Vendor#62700 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract <br /> Type: (Check one)New❑ Renewal® Amendment ❑ Effective Date 10/01/2020 Approved by Board Yes❑ <br /> No® Agenda Date: Operational Budget <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 /> rvl� yffi1t,S 10/1/2020 <br /> Department Director's Signature Date: <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: <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 co hPmq&7 ifications: <br /> J(M NOV VIA 10/1/2020 <br /> Office of the Chief Information Officer ,„RAQ,F73A64DF Date: <br /> Risk Management <br /> This agreement is approved for sufficiency iwvnla )standards, specifications,and requirements: <br /> guso, (hvwR fb 101112020 <br /> Office of the Risk Management Officer 7FDCF9176800498 Date: <br /> Financial Services <br /> This instrument has been pre-audited i e?flaftf$4 `uired by the Local Government Budget and Fiscal Control Act: <br /> +� � 10/2/2020 <br /> Office of the Chief Financial OfficerLr� <br /> aEs,a,acc,aos... Date: <br /> Legal Services <br /> This agreement is approved as to �ffleglld sufficiency: <br /> 10/2/2020 <br /> Office of the County Attorney 4�_ Date: <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 />
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