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DocuSign Envelope ID:78B556CA-0O28-4315-8EF4-948059C1C6F0 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: NetPlanner Systems, Inc Party/Vendor Contact Person: Mike Dycus Contact Phone: <br /> 770.833.3130 Party/Vendor Address: 1229 Perry Road, Suite 108 City Apex State: NC Zip: 27502 Department: <br /> OCIT Amount: $307,070.14 Purpose: Outside Plant Fiber Optic Infrastructure per RFP#367-005301 Budget <br /> Code(s): 61370035-897086-30007 Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ <br /> No® Contract Type: (Check one)New ® Renewal❑ Amendment ❑ Effective Date 3/3/2021 Approved by <br /> Board Yes®No❑ Agenda Date:2/16/2021 <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 /> h DocuSign'edd by: <br /> � N <br /> Jl� N6rl`'`''"`f' 3/9/2021 <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 and related services)This agreement has been reviewed and is <br /> approved as to information technology content and7�w` <br /> fxsby: <br /> �64" / / <br /> Office of the Chief Information Officer Date: 3 9 2021 <br /> t4 r- <br /> Risk Management <br /> This agreement is approved for sufficiency of insuraroq,g&q%ds,specifications,and requirements: <br /> Office of the Risk Management Officer F9USA, r,Ovvu 6 Date3/10/2021 <br /> 7FDCF9176800498... <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 ( Date 12/2021 <br /> �ea€�1�inesl4ee... <br /> Legal Services <br /> This agreement is approved as to legal form and su Vdlfii�igned by: <br /> ,�awiLS ��, Aan, 3/12/2021 <br /> Office of the County Attorney Date: <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 9 <br />