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Docusign Envelope ID : EF1EEE70-841D4BBC-A429-CADADA6E1ED9 <br /> ORANGE COUNTY-INTERNAL USE ONLY <br /> Finance Information <br /> Vendor Name : Excellance, Inc Vendor Contact Person : Tommy Pugh Phone : (256) 772 -9321 Address : 453 <br /> Lanier Road City Madison State : AL Zip : 35758 Department: Emergency Services Amount: 1 , 051 ,257. 79 <br /> Purpose : One new ambulance and two remounted ambulances Budget Code(s) : 61354035 -8021642000 Vendor # <br /> 56564 <br /> Vendor Status with NCSOS : Registered Vendor is a BOCC consultant : ❑Yes ® No <br /> Contract Details <br /> Contract Type : ® New ❑ Amendment (Original Contract : ) (Most Recent Amendment ) <br /> Effective Date 2/20/2025 End Date Notice Date (Notice Purpose ) <br /> Award <br /> ® Approved by Board (Agenda Date : October 1 , 2024) ; ❑ Made or Administered by <br /> Signature Authority <br /> ® BOCC Express Delegation (Agenda Date : October 1 , 2024) <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(#NCSA #25 - <br /> 05 -0521 <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 /> ❑ This agreement is approved as to technical form and content . Services related to this agreement have already <br /> begun or been completed. Descriptio of th�gency condition that was addressed: <br /> 2 /21/ 2025 <br /> Department Director ' s Signature A9R Date : <br /> Information Technologies <br /> This agreement has been reviewed and is approved as to information technology content and specifications : <br /> Office of the Chief Information Officer Date : <br /> ❑ Inapplicable because no hardware/software purchases or related services <br /> Risk Management <br /> This agreement is approved for sufficiency,CESSO" 11 fit.V c standards, specifications , and requirements : <br /> Office of the Risk Management Officer Date : 2 / 25 / 2025 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: E <br /> DocuSfgned by: <br /> 0" goy ,,JcKroov 2 / 25 / 2025 <br /> Office of the Chief Financial Officer Date : <br /> Legal Services <br /> This agreement is approved as to eg�i°fftilAd sufficiency : <br /> Office of the County Attorney T �rl Date : 3 /4 / 2025 <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 /> Revised 01 / 24 <br /> 9 <br />