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DocuSign Envelope ID:8541D12F-AB76-4A42-BOEE-OF54104EE073 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: NWN Corporation Party/Vendor Contact Person: Jack Lodge Contact Phone: 781-788-4475 <br /> Party/Vendor Address: 271 Waverley Oaks Road City Waltham State: MA Zip: 02452 Department: IT Amount: <br /> $15,256.80 Purpose: Server Patch Mg_mt Budget Code(s): 10315020-630000 Vendor # 40081 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ <br /> Amendment ❑ Effective Date 6 April 2021 Approved by Board Yes❑No® Agenda Date: <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 /> DocuSigned by: <br /> Department Director's Signature 3M 4nq" Date:4/6/2021 <br /> LSA <br /> Agreements for emergency services or repair are not su ject to t e 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 ands i" M ;y: <br /> Office of the Chief Information Officer J Date: 4/ <br /> 6/2021 <br /> ttB�Y€93AP�6F... <br /> Risk Management <br /> This agreement is approved for sufficiency of insura 4yvAl*yspecifications,and requirements: <br /> ,_ -ll <br /> Office of the Risk Management Officer a�isa �V `b Date:4/7/2021 <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: 4/7/2021 <br /> Legal Services <br /> This agreement is approved as to legal form a itsgc�bY: <br /> cuMt.S �V' A.In, <br /> Office of the County Attorney Date: 4/7/2021 <br /> &DC-480-5-49A-4F <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 />