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<br />Revised 07/20 <br />9 <br /> <br /> <br /> <br /> <br /> <br /> <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br /> <br /> <br />Party/Vendor Name: NWN Corporation Party/Vendor Contact Person: Michael Hansil Contact Phone: 704-496- <br />6919 Party/Vendor Address: 7025 Albert Pick Road, Suite 302 City Greensboro State: NC Zip: 27409 <br />Department: IT Amount: $36,300 Purpose: IT deployment Budget Code(s): 10315020-630000 Vendor # <br />67127 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New <br />Renewal Amendment Effective Date 1, September 2022 Approved by Board Yes No <br /> Agenda Date: <br /> <br /> <br /> <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 /> <br /> <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 /> <br />Information Technologies <br /> <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 /> <br />Office of the Chief Information Officer Date: <br /> <br />Risk Management <br /> <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br /> <br />Office of the Risk Management Officer Date: <br /> <br />Financial Services <br /> <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 /> <br />Legal Services <br /> <br />This agreement is approved as to legal form and sufficiency: <br /> <br />Office of the County Attorney Date: <br /> <br /> <br />Clerk to the Board <br /> <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 /> <br />Office of the Clerk to the Board Date:_ <br />DocuSign Envelope ID: 5B3E5794-94D1-437F-A5A9-905BF8487214 <br />10/4/2022 <br />10/4/2022 <br />10/12/2022 <br />10/14/2022 <br />10/14/2022