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DocuSign Envelope ID:4FFA7281-CFBD-4801-AB1C-61840AB40A88 <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: $3,695.76 Purpose: Finance Department Budget Code(s): 10240120/590000 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 /> DocuSi'g`n1 1 <br /> ed.by: <br /> Department Director's Signature F�i. Aed1 Date:7/1/2020 <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 ' elikieso> <br /> kiwi Na 7/1/2020 <br /> Office of the Chief Information Officer Date: <br /> 1-8�91-€73�P4B <br /> Risk Management <br /> This agreement is approved for sufficiency of insura W&v"%yspecifications,and requirements: <br /> Office of the Risk Management Officer Msa (muN Date:71112020 <br /> 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: DocuSigned by: <br /> Office of the Chief Financial Officer �4t Date: 2/2/2020 <br /> Legal Services <br /> This agreement is approved as to legal form e"q <br /> awtt,S 6VY NA, / /2020 <br /> Office of the County Attorney Date: 2 <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 />