Orange County NC Website
DocuSign Envelope ID: FA2C5CD3-C4A1-4A45-9467-80319BE5D7B1 <br /> ORANGE COUNTY—INTERNAL USE ONLY <br /> Finance Information <br /> Vendor Name: DEX Imaging LLC Vendor Contact Person: Matt Young Phone: Address: 5109 W.Lemon <br /> St. City Tampa State:FL Zip: 33609 Department: Finance Amount: $35,000.00 Purpose:Laser Printer <br /> Management Budget Code(s): 10240120-590000 Vendor#67732 <br /> Vendor Status with NCSOS: Vendor is a BOCC consultant: ❑Yes ®No <br /> Contract Details <br /> Contract Type: ®New ❑Amendment(Original Contract: )(Most Recent Amendment ) <br /> Effective Date 07/01/2023 End Date 06/30/2024 Notice Date (Notice Purpose ) <br /> Award <br /> ❑Approved by Board(Agenda Date: ❑ Made or Administered by <br /> Signature Authority <br /> - ❑ BOCC Express Delegation(Agenda Date: <br /> - Policy 9.4: ❑Under$5,000; ❑ Service Under$90,000; ❑ Construction Under$250,000 <br /> - ❑ Budget Policy Section XV(Capital Improvement Project: <br /> Bidding <br /> ❑ Informal Bidding($30k-$90k); ❑ Formal RFP($90k+); ❑ Other(<$30k); ❑Exception(#_--) <br /> Department Affirmation <br /> ® This agreement is approved as to technical form and content and I as Department Director affirmatively state <br /> work on this project has not been initiated prior to execution of the agreement. <br /> ❑ Services related to this agreement have already begun or been completed.Description of the nature of the <br /> emergency condition that was addresse . Docusigned by: <br /> 04 8/9/2023 <br /> Department Director's Signature _7nAFm Date: <br /> Information Technologies <br /> This agreement has been reviewed and is ppravedrag to information technology content and specifications: <br /> SblAAA, 15&St,AAf 8/11/2023 <br /> Office of the Chief Information Office Date: <br /> ❑Inapplicable because no hardware/software purchases or related services <br /> Risk Management <br /> This agreement is approved for sufficien MAWallft standards,specifications,and requirements: <br /> ktLSSa fit,f�t,�.W' 8/11/2023 <br /> Office of the Risk Management Office aEasas,essFsaE,... 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: Docusigned by: <br /> � '�" � 8/9/2023 <br /> Office of the Chief Financial Officer E'J.' a nrr ana Date: <br /> Legal Services <br /> This agreement is approved as to 1 i� k1!ysufficiency: <br /> �b�t,ln, I°bl�t,v¢s 8/14/2023 <br /> Office of the County Attorney �aaaesa� Date: <br /> Clerk to the Board <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 /> Received for record retention: <br /> Office of the Clerk to the Board Date: <br /> Revised 04/23 <br /> 9 <br />