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7 <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />________________________________________________________________________ <br />Party/Vendor Name: EMSAR Party/Vendor Contact Person: James Parrott Contact Phone: <br />(803)468-3474 Party/Vendor Address: 270 Davids Drive City Wilmington State: OH Zip: <br />45177 Department: Emergency ServicesAmount: 8,400 Purpose: Stretcher Maintenance Budget <br />Code(s):10757520-571000 Vendor # N/A (N/A if new vendor) Vendor is a BOCC <br />consultant? Yes No X Contract Type: (Check one) New Renewal X Amendment <br />Effective Date 05-01-2022 Approved by Board Yes No X Agenda Date: <br />This agreement is approved as to technical form and content and I as Department Director affirmatively <br />state work on this project has not been initiated prior to execution of the agreement: <br />Department Director’s Signature ________________________________________ Date: ________ <br />Agreements for emergency services or repair are not subject to the above affirmation. If services related to <br />this agreement have already begun or been completed please briefly describe the nature of the emergency <br />condition that was addressed: <br />Information Technologies <br />(Applicable only to hardware/software purchases or related services) This agreement has been reviewed <br />and is 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 />Office of the Risk Management Officer___________________________________ Date: _________ <br />Financial Services <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal <br />Control Act: <br />Office of the Chief Financial Officer ____________________________________ Date: _________ <br />Legal Services <br />This agreement is approved as to legal form and sufficiency: <br />Office of the County Attorney __________________________________________Date: ________ <br />Clerk to the Board <br />Received for record retention: All Docusign contracts must be copied to Sherri Ingersoll upon completion: <br />Singersoll@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 />DocuSign Envelope ID: 13C619D3-FFCF-4509-91E9-A76BEA1CDEA4 <br />4/17/2022 <br />4/19/2022 <br />4/20/2022 <br />4/20/2022