2021-148-E IT-Systel Business Equipment Services DSS copier

Browse Search

DocuSign Envelope ID: E29C5E6F-lED2-410E-9BDB-05E8D94lA1AD 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: Department of Social Services Amount: $5,496.00 Purpose: Copier for DSS Budget Code(s): 10400120-590000 Vendor# 11999 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one) New® Renewal❑ Amendment ❑ Effective Date 2February2021 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: DocuSigned'by: Department Director's Signature N C,bSfbin. Date:2/25/2021 NDAEAgreements for emergency services or repair are not su Ject tote 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: N/A Information Technologies (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is approved as to information technology content and spe ' JJ by: �lWl VTUVI 212512021 Office of the Chief Information Officer Date: 212 512 02 1 Risk Management This agreement is approved for sufficiency of insura atansdw Vspecifications,and requirements: ausai ChnulTb 2/26/2021 Office of the Risk Management Officer ;EFIDGF9176800498... 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 41N 0 . Date: 2/26/2021 409 Legal Services This agreement is approved as to legal form and 9t0u€tFed by: Office of the County Attorney J Date:3/1/2021 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