HomeMy WebLinkAboutR 2016-637-E ES - Physio-Control - Services Contract DocuSign Envelope ID:ED704241-DAC9-4108-91D2-95053DDC364F
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Physio-Control Party/Vendor Contact Person: Lane Rushing Contact Phone: 919-349-4078
Party/Vendor Address: 11811 Willows Road NE City Redmond State: Washington Zip: 98073-9706 Department:
Emergency Services Amount: 4,156.92 Purpose: Services Contract Budget Code(s): 10757520-571000 Vendor #
45414 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ❑
Renewal® Amendment ❑ Effective Date July 1,2016 Approved by Board Yes❑ No❑ Agenda Date:
This agreement is approved as to to k f(PtM ft�d,�content:
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Department Director's Signature vl� Date: 11/6/2016
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Information Technologies
(Applicahle only to hardwarelsofdware 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 &a%qwA":sttandards, specifications,and requirements:
a�iSA. chn"�6 11/7/2016
Office of the Risk Management Office � Date:
Financial Services
This instrument has been pre-audited i "ef4sequired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer I-t-A 0.&. Date: 11/7/2016
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Legal Services
This agreement is approved as t �4� d sufficiency:
Office of the County Attorney Date: 11/7/2016
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd&orangecountync.gov
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 1