Orange County NC Website
DocuSign Envelope ID:835219A9-5F20-4A66-BEOD-37F6AO5F9A58 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: NetPlanner Systems,Inc Party/Vendor Contact Person: Mike Dycus Contact Phone: 770.833.3130 Party/Vendor Address: 1229 <br /> Perry Road, Suite 108 City Apex State: NC Zip: 27502 Department: OCIT Amount: $11,358.12 Purpose: Copper cabling Budget Code(s): <br /> 61370035-897086-30007 Vendor#67077 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ❑ <br /> Renewal❑ Amendment ® Effective Date 14Apr2021 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 on this project has not been initiated <br /> prior to execution of the agreement: <br /> h DocuSigned by: <br /> Jt� �Department Director's Signature Date: 4/15/2021 <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have already begun or been <br /> completed please briefly describe the nature of the emergency condition that was addressed: N/A <br /> Risk Management <br /> This agreement is approved for sufficiency of insuran b,specifications,and requirements: <br /> Office of the Risk Management Officer Date:4/15/2021 <br /> 1_7MCF91 6800498 <br /> Financial Services <br /> This instrument has been pre-audited in the mane " the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer rqta <br /> Date: 4/16/2021 <br /> Legal Services <br /> This agreement is approved as to legal form and --.Wte$19�00 by: <br /> 4/16/2021 <br /> Office of the County Attorney Date: <br /> sz�aeus�s�-au ... <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 />