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DocuSign Envelope ID: 1F6C3130-88B9-4000-9D58-54137CABBF9C <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Central Square Party/Vendor Contact Person: Hailie Tennell Contact Phone: 407-304-3037 <br /> Party/Vendor Address: 1000 Business Center Drive City Lake Mary State:FL Zip: 32746 Department: <br /> Emergency Services Amount: 9450.00 Purpose: Town of Chapel Hill GIS project Budget Code(s): 10755020-571000 <br /> Vendor # 67241 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ❑ <br /> Renewal ❑ Amendment ® Effective Date February 17, 2022 Approved by Board Yes❑ No® Agenda Date: --- <br /> For Section XIV. c.contracts only,Approved by Board in Current FY Budget Yes❑No❑ <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this project has <br /> not been initiated prior to execution of the agreement: <br /> EDOCUSIgned by: <br /> S� <br /> Department Director's Signature Date: 2/24/2022 <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have <br /> already begun or been completed please briefly describe the nature of the emergency condition that was addressed: <br /> Information Technologies <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 /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiencyr"Mdards,stan specifications,and requirements: <br /> bvv�.tlTb <br /> Office of the Risk Management Officer Date: 2/25/2022 <br /> Financial Services <br /> This instrument has been pre-audited in rre#caquired by the Local Government Budget and Fiscal Control Act: <br /> -N +� 2/25/2022 <br /> Office of the Chief Financial OfficerLI,F O1409 Date: <br /> Legal Services <br /> This agreement is approved as to -b&,4n,'&":sufficiency: <br /> Office of the County Attorney haA Date: 2/28/2022 <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 06/21 <br />