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Revised 06/21 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br /> <br />Party/Vendor Name: Catharine Rice Party/Vendor Contact Person: Catharine Rice Contact Phone: 919-740-0257 Party/Vendor <br />Address: 424 East Alexandria Ave City Alexandria State: VA Zip: 22301 Department: IT Amount: $10,000.00 Purpose: <br />Broadband Consulting for ARPA funds Budget Code(s): 61370035-897085-30007 Vendor # 67134 (N/A if new vendor) Vendor <br />is a BOCC consultant? Yes NoX Contract Type: (Check one) New Renewal Amendment X Effective Date <br />12August2021 Approved by Board Yes NoX Agenda Date: --- For Section XIV. c. contracts only, Approved by Board in <br />Current FY Budget Yes No <br /> <br />This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this pro ject has <br />not been initiated prior to execution of the agreement: <br /> <br /> <br />Department Director’s Signature ________________________________________ Date: ________ <br />Agreements for emergency services or repair are not subject to the above affirmation. If servic es related to this agreement have <br />already begun or been completed please briefly describe the nature of the emergency condition that was addressed: <br /> <br />Information Technologies <br /> <br />(Applicable only to hardware/software purchases or related services) This agreement has been reviewed and is approved as to <br />information technology content and specifications: <br /> <br />Office of the Chief Information Officer___________________________________ Date: ________ <br /> <br />Risk Management <br /> <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br /> <br />Office of the Risk Management Officer ___________________________________ Date: _________ <br /> <br />Financial Services <br /> <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> <br />Office of the Chief Financial Officer ____________________________________ Date: _________ <br /> <br />Legal Services <br /> <br />This agreement is approved as to legal form and sufficiency: <br /> <br />Office of the County Attorney __________________________________________Date: ________ <br /> <br />Clerk to the Board <br /> <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 /> <br />Office of the Clerk to the Board __________________________________________Date:_________ <br />DocuSign Envelope ID: 390C267F-A862-46F6-9F25-13BB7E297E9D <br />8/13/2021 <br />8/13/2021 <br />8/24/2021 <br />8/26/2021 <br />8/26/2021