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DocuSign Envelope ID:25349A10-B33E-4310-A43D-1814D5489C29 <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 /> Library Amount: $3,534.72 Purpose: Orange County Library Budget Code(s): 10500020-581000 Vendor# 11999 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New <br /> Renewal ❑ Amendment ❑ Effective Date 120ctober2020 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 /> uSigned by: <br /> rtz-�- <br /> Department Director's Signature Date:1012112020 <br /> Agreements for emergency services or repair are not su ject to t e 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 sp ' - a/Iby: <br /> �(,KA .V <br /> Office of the Chief Information Officer Date: 10/21/2020 <br /> Risk Management <br /> This agreement is approved for sufficiency of insurances eade �gasflcations,and requirements: <br /> AUSa. (avMA6 10/21/2020 <br /> Office of the Risk Management Officer 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 0.�� Date: 10/22/2020 <br /> _ 106e1409_ <br /> Legal Services <br /> This agreement is approved as to legal form e": <br /> / / <br /> Office of the County Attorney awtGS �a)A, Date: 10 22 2020 <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 />