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DocuSign Envelope ID:310A4076-3F71-410D-97E4-ED2CCF234171 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Stryker Sales Corporation, through its Medical Division Party/Vendor Contact Person: Tom <br /> Ensminger Contact Phone: 717-614-5854 Party/Vendor Address: 3800 E. Centre Avenue City Portage State: MI <br /> Zip:49002 Department:ES Amount: $42,984.00 Purpose: Service Agreement Budget Code(s): 10757520-571000 <br /> Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one) <br /> New ❑ Renewal ® Amendment ❑ Effective Date October 15 , 2020 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 on <br /> this project has not been initiated prior to execution of the agreement: <br /> DocuSignne-d by: <br /> Department Director's Signature <br /> E66� `��� Date: 9/27/2021 <br /> Agreements for emergency services or repair are not§ubject 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 specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficienc fD�} c�y:standards,specifications,and requirements: <br /> Q�tSa C,bVln,t�}b 9/27/2021 <br /> Office of the Risk Management Office Date: <br /> Financial Services <br /> This instrument has been pre-audited i gs ftetditquired by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Oq.Z Date: 9/27/2021 <br /> Legal Services <br /> This agreement is approved as t &�,, .._'4rr M id sufficiency: <br /> Office of the County Attorney 'VAV7� �b�`Vv Date:9/30/2021 <br /> AA <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 /> FINAL-SYK(Med)Orange County(NC)Srvc Agrat(10-9-2020) <br /> 8 <br />