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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: Jeff Mooney Contact Phone: 781-859-4061 <br /> Party/Vendor Address: 155 North Lake Avenue, Suite 900 City Pasadena State: CA Zip: 91101 Department: <br /> Health Amount: $37,237.53 Purpose: COVID-19 Vaccine Appointment Software Budget Code(s): 10410020- <br /> 630000-95034 Vendor# 62700 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract <br /> Type: (Check one)New ❑ Renewal ❑ Amendment ® Effective Date 2/10/21 Approved by Board Yes❑ <br /> 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 /> S1t"Ay <br /> DocuSig AvUq,Lt,A,1ned by: <br /> Department Director's Signature Date: 2/9/2021 <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 h sp*ifications: <br /> Jl� �Office of the Chief Information Office Date: 2/9/2021 <br /> BF... <br /> Risk Management <br /> This agreement is approved for sufficienc Q o cinstandards,specifications,and requirements: <br /> guso, (hvv t�b 2/10/2021 <br /> Office of the Risk Management Officer F9-1a6Qe Date: <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 /> fqta +� � <br /> Office of the Chief Financial Officer Date: 2/11/2021 <br /> Legal Services <br /> This agreement is approved as t 'W�§Wv"Td sufficiency: Does geed bY: <br /> Office of the County Attorney QI�� �l.A if, �S h Date: alit bt t, V1l Ayll. 1 Sv <br /> ... 5COF4FB... <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 />