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DocuSign Envelope ID:A8572162-C9C7-4650-B736-416F50928E3E <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 /> Planning and Inspections Amount: $7,896.00 Purpose: Copier for Planning Budget Code(s): 10620020-590000 <br /> Vendor# 11999 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one) <br /> New® Renewal❑ Amendment ❑ Effective Date 3December2020 Approved by Board Yes❑No® <br /> 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 /> D�ocuSign¢ed,by: <br /> ' 1 <br /> (,�'.; 1/�.vwdd(� 12/8/2020 <br /> Department Director's Signature Date: <br /> Agreements for emergency services or repair are not su sect to tfie 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: N/A <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 "by: <br /> Office of the Chief Information Officer J Date:12 8/2020 <br /> Risk Management <br /> This agreement is approved for sufficiency of insuran `` lTO Weccifications,and requirements: <br /> Office of the Risk Management Officer FES& rbvvu Date:12/8/2020 <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 Oq Date:12/8/2020 <br /> aa�s��raeeia <br /> Legal Services <br /> This agreement is approved as to legal forn aMflg"tt%cy: <br /> Office of the County Attorney �mts br� Date:12/8/2020 <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 />