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DocuSign Envelope ID: DEAC3767-0BA7-46CE-90A8-8653E11910A6 <br /> Attachment A <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: PLM Equipment Services Party/Vendor Contact Person: Pam Mims Contact <br /> Phone: 919- 233-2231 Party/Vendor Address: 212 Powell Dr Suite 122 City Raleigh State:NC <br /> Zip: 27606 Department: Emergency Services Amount: $14,030,00 Purpose: Maintenance for <br /> EMS Stretchers Budget Code(s): 10757520-571000 Vendor # (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal <br /> Amendment ❑ Effective Date July 1, 2020 Approved by Board Yes❑ No® Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively <br /> state work on this project has not been initiated prior to execution of the agreement: <br /> �l� J`�I'`ts <br /> DocuSigned^/by: <br /> Department Director's Signature Date: 11/19/2020 <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to <br /> this agreement have already begun or been completed please briefly describe the nature of the emergency <br /> condition that was addressed: <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed <br /> and is 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 sufficiency of insurance standards,specifications,and requirements: <br /> Office of the Risk Management Officer 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: DocuSigned by: <br /> 4.4/1. 11/23/2020 <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as tc&gWcfsxmcwW sufficiency: <br /> Office of the County Attorney -44"".\-- Date: 1112512020 <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 /> 3 <br /> Addendum <br /> Rev. 11120 <br />