Orange County NC Website
DocuSign Envelope ID:96B910A7-1A6F-41C8-8873-FC9512F41139 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Stryker Sales Corporation, through its Medical Division Party/Vendor Contact Person: Pat <br /> Vereb Contact Phone: 4126515210 Party/Vendor Address: 3800 E. Centre Avenue City Portag State: MI Zip: <br /> 49002 Department: Emergency Services Amount: 2,187.90 Purpose: Service plan Budget Code(s): 10757520- <br /> 571000 Vendor#45414 (N/A if new vendor) Vendor is a BOCC consultant?❑Yes® NoContract <br /> Type(Check one)®New ❑Renewal ❑Amendment Effective Date February 12,2021 Approved by Board❑ <br /> Ye4Z No Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on <br /> this project has not been initiated prior to execution of the agreement: <br /> DocuSignce-d by: <br /> Department Director's Signature E6 128. <br /> 6� `�aWAkXS Date: 2/16/2021 <br /> Agreements for emergency services or repair are not§ubject 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 content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficienEPDCF9176!B00498_ <br /> �gg."sl1tlLandards,specifications,and requirements: <br /> 2/17/2021 <br /> Office of the Risk Management Office Date: <br /> Financial Services <br /> This instrument has been pre-audited i dnamyomrVquired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer rq-O 0. . Date: 2/17/2021 <br /> 181A=409... <br /> Legal Services <br /> This agreement is approved as t tftd sufficiency: <br /> Office of the County Attorney 1� Date: 2/21/2021 <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 /> FINAL-SYK(Med)Orange County(NC)Srvc Agrat(10-9-2020) <br /> 8 <br />