Orange County NC Website
Browse       Search
DocuSign Envelope ID:5CB4DBA5-FB26-43D8-80EO-CA7FODB8AE03 <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 /> Department of Social Services Amount: $5,496.00 Purpose: Copier for DSS Budget Code(s): 10400120-590000 <br /> Vendor# 11999 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one) <br /> New® Renewal❑ Amendment ❑ Effective Date 2February2021 Approved by Board Yes❑No® <br /> 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 N C,bSfbin. Date:2/25/2021 <br /> NDAEAgreements for emergency services or repair are not su Ject tote 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 or related services)This agreement has been reviewed and is <br /> approved as to information technology content and spe ' JJ by: <br /> �lWl VTUVI 212512021 <br /> Office of the Chief Information Officer Date: 212 512 02 1 <br /> Risk Management <br /> This agreement is approved for sufficiency of insura atansdw Vspecifications,and requirements: <br /> ausai ChnulTb 2/26/2021 <br /> Office of the Risk Management Officer ;EFIDGF917680048... Date: <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 41N 0 . Date: 2/26/2021 <br /> 409 <br /> Legal Services <br /> This agreement is approved as to legal form and 9t0u€tFed by: <br /> Office of the County Attorney J Date:3/1/2021 <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 />