HomeMy WebLinkAboutR 2017-157-E HR - Selerix Systems, Inc. for 2017 ACA Subscription Agreement DocuSign Envelope ID:97D49820-FEB8-4DCA-BA8C-7909CD9FA2F9
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Selerix Systems, Inc. Party/Vendor Contact Person: Michelle DeShong Contact Phone: 214-
856-4211 Party/Vendor Address: 2851 Craig Drive, Suite 300 City McKinney State: TX Zip: 75070 Department:
Amount: $12,792.00 Purpose: 2017 ACA Subscription Agreement Budget Code(s): 10250020/630000 Vendor
#63369 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ❑
Renewal® Amendment ❑ Effective Date 1/1/2017 Approved by Board Yes No Agenda Date:
This agreement is approved as to tec •' alc1csrot l content:
5/10/2017
Department Director's Signature /1711A413
Date:
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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 Y3l PRV_'' tanndards, specifications, and requirements:
((USA. rbvvutl6 5/10/2017
Office of the Risk Management Officer 7FDCF9176800498... Date:
Financial Services
This instrument has been pre-audited i 2€14nequired by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer ��� Date: 5/10/2017
7D4E5181ACC1409...
Legal Services
This agreement is approved as t Il$4fi1 r Yd sufficiency:
A. ov arlt. fibSG6
Office of the County Attorney Date:
5/10/2017
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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 2/17 5