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DocuSign Envelope ID:90A54439-23B9-40AF-8246-BFCAAEAA529D <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Submittable Holdings Inc. Party/Vendor Contact Person: Bruce Tribbensee Contact Phone: <br /> (855) 211-3920 Party/Vendor Address: PO Box 8255 City Missoula State: MT Zip: 59807 Department: <br /> Economic Development Amount: $6,129.00 Purpose: Grant Submission Management Software Budget Code(s): <br /> 10600020-630000 Vendor#65091 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract <br /> Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 11/04/20 Approved by Board Yes❑ <br /> No® Agenda Date:N/A <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work <br /> on this project has not been initiated prior to execution of the agreement: <br /> D 3g dby <br /> 11/4/2020 <br /> Department Director's Signature [, D„ Date: <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that <br /> was addressed: N/A <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> L—OSig-d <br /> Nb Date: 11/5/2020 <br /> Office of the Chief Information Officer <br /> IBA51 E13A34DF.. <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> HS'-F91FG88W- <br /> S'g d by: <br /> 11/5/2020 <br /> Office of the Risk Management Officer //"" Date: <br /> �,oVtn.t,{}b... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> dby: 11/6/2020 <br /> Office of the Chief Financial Officer li�*�$ Date: <br /> 88 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> D Sig dby, 11/9/2020 <br /> Office of the County Attorney L�ZA, Date: <br /> AA3D33EDSA8L85.. <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 />