HomeMy WebLinkAboutR 2016-580-E ES - Communication Center Specialists - Outside Agency Performance Agreement DocuSign Envelope ID:E7E2AC23-E3B6-4B7D-8086-97FOB91OD1AE
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Communication Center Specialists Party/Vendor Contact Person: Jenny Mason Contact Phone:
503-799-3601 Party/Vendor Address: PO BOX 538 City Chehalis State: WA Zip: 98532 Department: Emergency
Services Amount: 3850.00 Purpose: 9-1-1 Console Cleaning Budget Code(s): 35755120-571000 Vendor # 62529
(N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal
® Amendment ❑ Effective Date October 19, 2017 Approved by Board Yes® No❑ Agenda Date: Budget
Approval
This agreement is approved as to teeple a' 1,5 content:
l �tV1
Department Director's Signature Date: 10/25/2016
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 Dimosraar:standards,specifications,and requirements:
MSa. (hnutl6 10/26/2016
Office of the Risk Management Office $ �a gea Date.
Financial Services
This instrument has been pre-audited i �gtff�ti *quired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Office re 16o4 &a Date: 10/26/2016
Legal Services
This agreement is approved as t e fdPfV z%d sufficiency:
Office of the County Attorney 4 40 4kl Date: 10/26/2016
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollo d&oran etync. oovv
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
Revised 6/16 5