Orange County NC Website
DocuSign Envelope ID:CA7FA61C-E307-4F45-8B89-7AA755F612E3 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: NWN Corporation Party/Vendor Contact Person: Jack Lodge Contact Phone: 781-788-4475 <br /> Party/Vendor Address: 271 Waverley Oaks Road City Waltham State: MA Zip: 02452 Department: IT Amount: <br /> $20,000.00 Purpose: IT deployment Budget Code(s): 10315020/630000 Vendor # 40081 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ <br /> Effective Date 01 October2020 Approved by Board Yes❑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 /> DocuSigned by: <br /> F <br /> pM 4 10/26/2020 <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: 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 sp xsat d by: <br /> �lwt 44ny 10/26/2020 <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of ins ecbl dm4s,specifications,and requirements: <br /> Office of the Risk Management Officer 79USA, cbVln.t..{fb Date: 10/26/2020 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: D.�ocuSigned by: <br /> sL�osza.�2ora <br /> Office of the Chief Financial Officer Date: 10/27/2020 <br /> attEs7 <br /> Legal Services <br /> This agreement is approved as to legal form and h 'flB"6d by: <br /> 1LS Office of the County Attorney �av' Date:10/27/2020 <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 />