2021-101-E IT-Systel Business Equipment Elections copier

Browse Search

DocuSign Envelope ID:CC6C5574-9459-44B6-A341-DC9C8D043392 ORANGE COUNTY—DEPARTMENT USE ONLY Party/Vendor Name: Systel Business Equipment Party/Vendor Contact Person: Michelle Shepard Contact Phone: (336) 808-8000 Party/Vendor Address: P.O.Box 3591 City Fayetteville State: NC Zip: 28303 Department: Library Amount: $3,534.72 Purpose: Orange County Board of Elections copier lease Budget Code(s): 10310020- 630000 Vendor# 11999 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 120ctober2020 Approved by Board Yes❑ No® Agenda Date: This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has not been initiated prior to execution of the agreement: DocuSignedby: Department Director's Signature f 1 v Date: 2/15/2021 Agreements for emergency services or repair are not su ject to t e above affirmation. If services related to this agreement have already begun or been completed please briefly describe the nature of the emergency condition that was addressed: Information Technoloiies (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology content and WAI%y: Office of the Chief Information Officer �lWl 44VI Date: 211512 021 Risk Management This agreement is approved for sufficiency of insura i2a �nd''s__q�s""pl1el1cifications,and requirements: Q�tSa Cbvu,u�b 2/15/2021 Office of the Risk Management Officer z�oc�a�zsaooa9a Date: Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: DocuSigned by: Office of the Chief Financial Officer Date:2/16/2021 Legal Services This agreement is approved as to legal form and ^ficd a by: Office of the County Attorney Date: 2/16/2021 Clerk to the Board Received for record retention: All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@orangecountync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: Revised 07/20 9