HomeMy WebLinkAboutR 2015-381-E Tax - Zoll Data Systems, Inc. to provide training for in-house EMS billing and collection DocuSign Envelope ID: E49FBB4E-2281-4303-A3F6-F6BBB81858FB
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Zoll Data Systems, Inc. Party/Vendor Contact Person: Kurt Sandstrom Contact Phone: 303-
801-0000 Party/Vendor Address: 11802 Ridge Parkway, Suite 400 City Broomfield State: CO Zip: 80021
Department: Tax Amount: 9,000 Purpose: Training for in-house EMS Billing & Collection Budget Code(s):
10335020-630000 Vendor#57181 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract
Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date July 31,2015 Approved by Board Yes
❑No❑ Agenda Date:
This agreement is approved as to tec ' 94115 MWd content:
VWaV A, f V1V,,SOVL 7/16/2015
Department Director's Signature E9978�Eea4a ___ Date:
Information Technologies
(Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficienc 4tmRewstandards, specifications, and requirements:
Q�Sa r,6V1tit�0 7/18/2015
Office of the Risk Management Officer ca
L7RAnnAa8 Date:
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control
Act: DocuSigned by:
'&V D t [A 6VL 7/20/2015
Office of the Chief Financial Officer D, Date:
Legal Services
This agreement is approved as to ef9 �1 sufficiency:
Office of the Count Attorney tt��''11 Date:7/20/2015
Y ,7 FAAAn'4,AFnAAR4R5
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloydLc orangecount n�gov
The following signature block is for hard copies only and is not required for Docusign contracts:
DocuSign Envelope ID: E49FBB4E-2281-4303-A3F6-F6BBB81858FB
Office of the Clerk to the Board Date: