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DocuSign Envelope ID:73B8BD54-5EOD-4513-82EE-D3847F95CE4C <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Systel Business Equipment Party/Vendor Contact Person: Michelle Shepard Contact Phone: <br /> (336) 808-8000 Party/Vendor Address: P.O. Box 3591 City Fayetteville State: NC Zip: 28303 Department: <br /> Finance Amount: $65,000.00 Purpose: Cost per copy service plan Budget Code(s): 10240120-590000 Vendor# <br /> 11999 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New <br /> Renewal ❑ Amendment ❑ Effective Date 3March2021 Approved by Board Yes❑ No® Agenda Date: <br /> N/A <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work <br /> on this project has not been initiated prior to execution of the agreement: <br /> FocuSigned by: <br /> r;.-NDepartment Director's Signature 0 Date: 3/5/2021 <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that <br /> was addressed: N/A <br /> Information Technoloiies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and s .w6y: <br /> ht►� Na <br /> Office of the Chief Information Officer J Date: 3/6/2021 <br /> �e <br /> Risk Management <br /> This agreement is approved for sufficiency of insura 4ox",,specifications,and requirements: <br /> Office of the Risk Management Officer �eF�v>tie llb Date:3/ / <br /> 9 2021 <br /> r-7 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> Office of the Chief Financial Officer <br /> �4ta <br /> 0 . Date:3/10/2021 <br /> 409 <br /> Legal Services <br /> This agreement is approved as to legal form and EA:=$,sa, <br /> d V�AIn,by: <br /> Office of the County Attorney Date:3/10/2021 <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 /> Revised 07/20 <br /> 9 <br />