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DocuSign Envelope ID:4349C350-DD1D-4C44-9413-042BEB26FA9A <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 /> DocuSigned by: <br /> Department Director's Signature' Date: <br /> Agreements for emergency services or i'f°a"WtRibject 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 andgpys: <br /> 7KA N 11/4/2020 <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance staia&r ,s specifications,and requirements: <br /> Crcu igne''``b�:-�ll� <br /> Office of the Risk Management Officer aUSA, rbvv�.c.N Date: 11/5/2020 <br /> 7FDCF9176800498... <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 (q-�a �� Date:111512020 <br /> Legal Services <br /> This agreement is approved as to legal form hmLs br�aft6fl iemy: <br /> � <br /> Office of the County Attorney a Date:11/5/2020 <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 />