Orange County NC Website
Browse       Search
DocuSign Envelope ID:7DC98F9E-A436-44E5-B4EA-COOD479DAF41 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Systel Business Equipment,C.,Inc. Party/Vendor Contact Person: Michelle Shepard Contact <br /> Phone: (336) 808-8000 Party/Vendor Address: P.O. Box 3591 City Fayetteville State: NC Zip: 28303 <br /> Department: IT Amount: $6,785.28 Purpose: Solid Waste Department Budget Code(s): 50350020/581000 Vendor <br /> # 11999 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New <br /> ® Renewal ❑ Amendment ❑ Effective Date 0lJu1,2� 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 /> Doc ItUR <br /> �VTu.V�uSigneJJd''by,: <br /> Department Director's Signature Date:6/29/2020 <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: <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 s watia� mby: <br /> hlWl Iw <br /> Office of the Chief Information Officer J Date:6/29/2020 <br /> Risk Management <br /> This agreement is approved for sufficiency of insuranc g9"§d``gp-�ecci�ifications,and requirements: <br /> Office of the Risk Management Officer USA rbrvulTC Date:6/30/2020 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: ocuSigned by: <br /> Office of the Chief Financial Officer Fr;_�a0..&. Date:7/1/2020 <br /> 7D4E5181 ACC 1409... <br /> Legal Services <br /> This agreement is approved as to legal form and st kfiej%"ned by: <br /> , <br /> Office of the County Attorney �XmtS brUm& Date: 7/1/2020 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@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 11/19 <br /> 9 <br />