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Revised 07/20 9 <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br />Department <br />Party/Vendor Name: NetPlanner Systems, Inc Party/Vendor Contact Person: Mike Dycus Contact Phone: <br />770.833.3130 Party/Vendor Address: 1229 Perry Road, Suite 108 City Apex State: NC Zip: 27502 Department: <br />OCIT Amount: $307,070.14 Purpose: Outside Plant Fiber Optic Infrastructure per RFP#367-OC5301 Budget <br />Code(s): 61370035-897086-30007 Vendor # N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes <br />No Contract Type: (Check one) New Renewal Amendment Effective Date 3/3/2021 Approved by <br />Board Yes No Agenda Date: 2/16/2021 <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 />Department Director’s Signature ________________________________________ Date: ________ <br />Agreements for emergency services or repair are 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: N/A <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 />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 Control <br />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: <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 />DocuSign Envelope ID: 78B556CA-C028-4315-8EF4-948059C1C6F0 <br />3/9/2021 <br />3/9/2021 <br />3/10/2021 <br />3/12/2021 <br />3/12/2021 <br />DocuSign Envelope ID: E0C7DD5C-4FA6-4C9E-85B9-3CA337445269