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DocuSign Envelope ID:OF8CA084-4E39-4AF4-95BB-A19ECD4D16EO <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: GeoComm,Inc. Party/Vendor Contact Person: Heather Hoskins Contact Phone: (320)240-0040 <br /> Party/Vendor Address: 601 West St. Germain St City St. Cloud State: NN Zip: 56301 Department: Tax <br /> Administration Amount: 1,800.00 Purpose: NexGen 911 Budget Code(s): 10331020-630000 Vendor#N/A (N/A if <br /> new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ <br /> Amendment ❑ Effective Date 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 <br /> this project has not been initiated pric r to @reftit6ifty0f the agreement: <br /> Department Director's Signature J, <br /> IV" FMVMaan, Date: 4/20/2021 <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 was <br /> 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 6psrgii&stions: <br /> ('M Nov�l�vl <br /> Office of the Chief Information Officer J Date: 5/6/2021 <br /> el <br /> Risk Management <br /> This agreement is approved for sufficiency of in �gAtq.dards, specifications,and requirements: <br /> Office of the Risk Management Officer Q�WA C,bVl�t t{fb Date:5/11/2021 <br /> 98 <br /> Financial Services <br /> This instrument has been pre-audited in t Val guired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer (1 '�"`" °'L 5/12/2021 <br /> '�O Date: <br /> 7D4E5181A DC1409... <br /> Legal Services <br /> This agreement is approved as to le iandbxfficiency: <br /> akkxj, M.A it, �Sch 5/13/2021 <br /> Office of the County Attorney Date: <br /> a�A4D5256efaFe... <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 4 <br />