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DocuSign Envelope ID:8F4640AF-9AC1-4D50-AABB-3D796391BEAE <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Public Consulting Group LLC Party/Vendor Contact Person: Alina Coffman Contact Phone: <br /> 517-777-5468 Party/Vendor Address: 148 State Street, 10 Floor City Boston State: MA Zip: 02109 Department: <br /> Emergency Services Amount: $64,500 Purpose: EMS System Analysis Budget Code(s): 61370035-870000-10053 <br /> Vendor#N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one) <br /> New® Renewal❑ Amendment ❑ Effective Date 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 <br /> this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: 2/7/2 0 2 2 <br /> Department Director's Signature Sawn krs Date: <br /> Agreements for emergency services TUNWHM not subject 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 and 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 sufficiency of insurance standards,specifications,and requirements: <br /> DocuSigned by: 2/7/2 0 2 2 <br /> Office of the Risk Management Officer 16So, rbl�b Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned by: 2/2 8/2 0 2 2 <br /> Office of the Chief Financial Officerr— Date: <br /> o. <br /> 704E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: 212812022 <br /> Office of the County Attorney�Qq aA.A. _60 �69"a. Date: <br /> 831A1DOB5096469... <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 9 <br />