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Home My WebLink About20231651.tiff&VISO) Co gaikyets BOARD OF COUNTY COMMISSIONERS PASS -AROUND REVIEW PASS -AROUND TITLE: MFD for Accounting New Location DEPARTMENT: Accounting DATE: 07-18-23 PERSON REQUESTING: Edna Mata for Chris D'Ovidio Brief description of the problem/issue: Accounting and Purchasing will be moving to a new location(1301 N.17th Ave) and will need a multi -functional device. What options exist for the Board? (include consequences, impacts, costs, etc. of options): The cost of the machine with a fax board is 4,776.70 and maintenance will be charged $0.007 for black images and $0.05 for color images. THIS IS A REVISED CONTRACT. THE FAX BOARD WAS NOT NEEDED AND WAS NOT INSTALLED. CONTRACT JUST NEEDS TO BE SIGNED. Recommendation: Machine is needed to conduct day to day operations. Perry L. Buck, Pro-Tem Mike Freeman, Chair Scott K. James Kevin D. Ross Lori Saine amen+ Aeaut /73 Approve Recommendation Schedule Work Session et! PS Cgtit-(17 g/ rip 3 Other/Comments: ZOZ3H(%06[ nC,0Om Pu 062` CAPITAL BUSINESS SYSTEMS, INC. FCO243 e -Automate Account # Sales Order Agreement 52389 Order ID# Customer Bill To: Full Legal Name: Weld County Address: PO Box 758, Greeley, CO 80632 Contact Name: Edna Mata(970) Tel. #: 970 400-2050 E mail: emata@weld.ov.com Customer Ship To: Full Legal Name: Weld County Accounting Address: 1301 N 17th Ave, Greeley, CO 80631 Contact QTY Name: Edna Mata Description - Make, Model Tel. #: (970) 400-2050 Item Email: emata@weld•ov.com # Unit Price Total Amount 1 imageRUNNER ADVANCE DX C5840i- CA-3827C002AA $2,930.00 $2,930.00 1 Inner Finisher L1- CA-4000C002BA $650.00, $650.00 1 Cassette Feedin• Unit-AQ1- CA-4030C002BA $650.00 $650.00 Subtotal Special Instructions/Terms $4,230.00 Sales Tax N/A Total Cash Paid Balanced Owed I. Law/Forum. You agree that the Agreement and any claim related to the Agreement shall be governed by the internal laws of the state in which our principal place of business is located and any dispute concerning the Agreement will be adjudicated in a federal or state court in such state. You hereby consent to personal jurisdiction and venue in such courts and waive transfer of venue. Each party waives any right to a jury trial. II. Loss or Damage. You are responsible for any damage to or loss of the Equipment after delivery is completed. No such loss or damage will relieve you from your payment obligations under the Agreement. Except for claims losses, or damages caused by our gross negligence or willful misconduct you agree to indemnify us against any claims, losses, or damages, including attorney fees, in any way relating to the Equipment. In no event, will we be liable for any consequential or indirect damages. III. Software/ Data. Except as provided in this paragraph, references to "Equipment' include software included as part of, or installed on, the Equipment. We do not own the software and cannot transfer any interest in it to you. We are not responsible for the software and have no rights or obligations under any related license agreement. You agree that you will look only to the publisher, licensor, or other third parties, if any, who granted you your right to use the software to determine those rights. You are solely responsible for protecting and removing any confidential information. IV. Limitation of Warranties. Except to the extent that we have provided you a warranty in writing, we make no warranties express or implied, including warranties of merchantability or fitness for a purpose. You chose any/all third -party service providers based on your judgement. You may contact us or the manufacturer for a statement of the warranties, if any, that the manufacturer is providing. We assign to you any warranties given to us. V. Default and Remedies. If you do not pay any sum within 10 days after its due date, or if you breach any other term of the Agreement or any other agreement with us, you will be in default and we may require that you return the Equipment to us at your expense and pay us all past due amounts. We may also use all other legal remedies available to us, including reasonable attorney fees, incurred in enforcing the Agreement. You also agree to pay interest on all past due amounts, from the due date, at 1.5% per month. VI. Miscellaneous. The Agreement is the entire agreement between you and us relating to our providing of the Equipment and supersedes any prior representations or agreements, including any purchase orders. The parties agree that the original of the Agreement for enforcement and perfection purposes shall be that paper copy of the applicable Schedule which: bears the stamped or electronically applied replica of your signature or other indication of your intent to enter into the Agreement; and bears the original of our manually applied signature. Any change to the Agreement must be in writing signed by each party. Customer's Authorized Signature ONCE YOU SIGN THIS OWNER accepts THIS ORDER WALL NON -C NCELA3LE (As Stated Above) X -- Customer Owner ("We", "Us","Our") 3001 East Pershing Blvd., Ste 100, Cheyenne, WY, 82001 Signature Mike Freeman, BOCC Chair Print Name & Title Print Name & Title AUG 0 2 232 Date 2o23 i//c' CAPITAL BUSINESS SYSTEMS, INC. AFTERMARKET SUPPORT AGREEMENT Customer Bill To: Customer Name: Weld County Address: PO Box 758, Greeley, CO 80632 Telephone: (970) 400-2050 Attention: Edna Mata Email: ennata@weld•ov.com Customer Ship To: Customer Name: Weld County Accounting Address: 1301 N 17th Ave, Greeley, CO 80631 Telephone: (970) 400-2050 Attention: Edna Mata Email: emata@weldgov.com cn tiJ ox 0 Make, Model, Included Accessories Serial # ID# Base Payment Beginning Meter Reading Image Allowance Excess Per Image Charge (Plus Tax) Monthly Monthly x Quarterly Quarterly Annually Annually B &W Color B & W Color B &W Color 1 Canon imageRUNNER ADVANCE DX C5840i 0 0 $0.007 $0.05 2 Inner Finisher L1 0 0 $0.0000 $0.0000 3 Canon Cassette Feeding Unit-AQ1 _ 0 0 $0.0000 ¶0.0000 End User Details Location / Address (if different to supply shipments) Name Email 1 2 3 4 5 x Supplies Included x Items Excluded: paper and staples See attached equipment or group billing schedule. Meter Frequency: * The consolidated image allowance and excess per image amounts shown above (or on the attached equipment or group billing schedule), if any applies to (check one): Equipment installed under this schedule only, Equipment installed under this schedule together with equipment listed on any other applicable or x schedule (I.E.an aggregate consolidation), if no image allowance or excess per image amounts are shown above (or on the attached equipment or group billing schedule), images made on the equipment under this schedule will be included in determining your image and overages charges the applicable prior schedule to master agreement. TERM (check one term option) Term: The end of the term of this schedule is the end of the term of the schedule to agreement identified as schedule NO. Term: In Months: O (Applies to this schedule only) Start Date: x PAYMENT (check one term option) Monthly Base Payment Amount: $ 0 (Plus Tax) x (Includes amounts due under this schedule only) Quarterly Base Payment Amount: $ (Plus Tax) Annual Base Payment Amount. $ (Plus Tax) ADDITIONAL TERMS AND CONDITIONS IMAGE ALLOWANCE CHARGES AND OVERAGES. You are entitled to make the total number of images shown under Image Allowance Per Machine (or Total Consolidated Image Allowance, if applicable) each period during the term of this Agreement. If you make more than the allowed images any period, you will pay us an additional amount equal to the number of the excess images made during such period multiplied by the applicable Excess Per Image Charge. Regardless of the number of images made in any period, you will never pay less than the Base Payment Amount. You agree to provide us with the actual meter readings on any business day as designated by us; we may estimate the number of images used if such meter reading are not received within five days after being requested. We will adjust the estimated charge for excess images upon receipt of actual meter readings. You agree that the Base Payment Amount and the Excess Per Image Charges may be proportionately increased at any time if our estimated average page coverage is exceeded. After the end of the first year of this Schedule and not more than once each successive (twelve-month period thereafter, the Base Payment Amount and the Excess Per Image Charges (and at our election, the Base Payment Amount and Excess Per Image Charges under any other schedules for imaging equipment between you and us that incorporate the terms of the Master Agreement) may be increased by a maximum of 15% of the then existing payment or charge. At Expiration of original or any renewal terms, this agreement shall be automatically renewed for a minimum of one year. No refunds will be made if contract is cancelled prior to original or renewal terms. Customer Signature: Weld County CUSTOMER SIGNATURE Mike Freeman, _ Chair _ BOCC AUG 0 2 2023 NAME & TITLE DATE Capital Business Systems Signature: (Av./S-11O11p Y 9 ll-en t-er a SCA (es x REPRESENTATIVE SIGNATURE F--.0-?3 Revised Date: 2/22/17 CAPITAL BUSINESS SYSTEMS, INC. Installation & Integration Agreement Nisalb.4..FIWINIIN•t• ow ■ Customer Name: Weld County Accounting Street Address: 1301 N 17th Ave City, State, & Zip: Greeley, CO 80631 Mata Phone: (970) 400 2050 Contact Name: Edna Email: emata@weldgov.com Product # imageRUNNER ADVANCE DX CS840i - Serial # FUNCTION NUMBER OF USERS PRICE TO CLIENT Included x Print x Email Folder As Needed Separate scope of work document prepared. This includes all labor on above -listed product/software installation and integration only. Additional Instructions: VII. CONDITIONS 1. Customer shall ensure that all of its computer system files and data is adequately duplicated and backed up to your satisfaction prior to Capital beginning integration. Capital will not be responsible for Customers failure to do so, or for the cost of reconstruction of files and data lost during the performance of services. 1. LIMITATIONS 1. Hardware & software support other than those items listed on this or another support agreement; 2. Backup or restores 3. Liability for delay or failure to furnish services if such delay is caused by an act of God, strike, government action, or any cause beyond reasonable control of Capital Business Systems, Inc. 1. DISCLAIMER OF LIABILITY AND WARRANTY 1. Except as specifically provided herein; there are no other warranties expressed or implied, including, but not limited to, warranties of merchantability and fitness for a particular purpose. 1. In no event shall Capital Business Systems, Inc. be liable for any damages resulting from loss of data, loss of profits, loss of use of products or Equipment, or for any incidental or consequential damages, even if advised of the possibility of such damages. Customer's right to recover damages caused by Capital's fault or negligence shall be limited to moneys actually paid by Customer for the services involved. This limitation of liability shall apply regardless of the form of action, whether in contract or tort including negligence. Any action brought against Capital Business Systems, Ii it. iriusl be bought within three (3) months of the alleged act or omission in giving rise to damages. 1. GENERAL 1. The terms and conditions of this agreement prevail over the terms and conditions of any order submitted by the Customers for services under this agreement. 2. The terms and provisions of this agreement shall not be amended or modified without specific provisions to do so. By signing this agreement, Capital Business Systems, Inc. and Customer acknowledge they have read, understand, and agree to be bound by its terms and conditions. Further which, the parties agree that it is their complete statement of agreement between them, superseding all others, oral or written, relating to the subject matter of this agreement. Signatures: Customer: Titie:Mike Free Date: 61fl0 CC Capital Business Systems, Inc.: Title: Ce (�2 ) Date: -z -z3 Cheryl Hoffman To: Cc: Subject: Attachments: Good morning, Esther and Edna, Edna Mata; Esther Gesick Cheryl Hoffman FW: REVISED CONTRACT Weld County Accounting REVISED C5840 Purchase Docs.pdf; pass around for the accounting mfd 2ND CONTRACT.pdf I just received a call from Edna who needs to do a revision on Tyler 2023-1651 because accounting does not need the FAX option on the MFD. I printed out the signed pass around and I'll hold this one until Edna gets the revised contract signed by the contractor. Cheryl L. Hoffman Deputy Clerk to the Board 1150 O Street/P.O. Box 758 Greeley, CO 80632 Tel: (970) 400.4227 choffman@weld.gov From: Edna Mata <emata@weld.gov> Sent: Wednesday, August 2, 2023 9:40 AM To: Cheryl Hoffman <choffman@weld.gov> Subject: FW: REVISED CONTRACT From: Edna Mata Sent: Tuesday, July 18, 2023 1:26 PM To: Karla Ford <kford@weld.gov> Cc: Cheryl Pattelli <cpattelli@weld.gov> Subject: REVISED CONTRACT This machine has already been purchased and installed. It was decided that a fax board was not necessary. Attached is a revised contract without the fax board. I spoke with Esther and she suggested I do a pass around. Let me if you would like for me to do something different. Thank you Edna Mata Print Shop 1500 2nd ST PO Box 758 Greeley CO 80632-0758 970-400-2050 1 Confidentiality Notice This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited 2 REVISED INSTALLATION AND INTEGRATION AGREEMENT, SALES ORDER AGREEMENT, AND AFTERMARKET SUPPORT AGREEMENT, FOR MULTI -FUNCTIONAL DEVICE FOR ACCOUNTING DEPARTMENT - CAPITAL BUSINESS SYSTEMS, INC APPROVED AS TO SUBSTANCE. Elected Official, or"Department Head APPROVED AS TO FUNDING a Chief Financial Officer, or Controller APPROVED AS TO FORM CoritAvg County Attorney BOARD OF COUNTY COMMISSIONERS PASS -AROUND REVIEW PASS -AROUND TITLE: MFD for Accounting New Location DEPARTMENT: Accounting DATE: 06-05-23 PERSON REQUESTING: Edna Mata for Chris D'Ovidio Brief description of the problem/issue: Accounting and Purchasing will be moving to a new location(1301 N.17th Ave) and will need a multi -functional device. What options exist for the Board? (include consequences, impacts, costs, etc. of options): The cost of the machine with a fax board is 4,776.70 and maintenance will be charged $0.007 for black images and $0.05 for color images. Recommendation: Machine is needed to conduct day to day operations. We recommend purchasing this equipment. Perry L. Buck, Pro -Tern Mike Freeman, Chair Scott K. James Kevin D. Ross Lori Saine Schedule Work Session Other/Comments: e6: �s(K� 2023-1651 mai) Cbn� - C ) A C. 00 23 u/tZlz3 1i/.2/? -3 ?u002_4 CAPITAL BUSINESS SYSTEMS, INC. Installation & Integration Agreement omer Information: Customer Name: Weld County Accounting Street Address: 1301 N 17th Ave City, State, & Zip: Greeley, CO 80631 Contact Name: Edna Mata Phone: (970) 400-2050 Email: emata@weldgov.com Product # imageRUNNER ADVANCE DX C5840i - Serial # FUNCTION NUMBER OF USERS PRICE TO CLIENT As Needed Included x Print x Email Folder U Separate scope of work document prepared. This includes all labor on above -listed product/software installation and integration only. Additional Instructions: VII. CONDITIONS 1. Customer shall ensure that all of its computer system files and data is adequately duplicated and backed up to your satisfaction prior to Capital beginning integration. Capital will not be responsible for Customers failure to do so, or for the cost of reconstruction of files and data lost during the performance of services. 1. LIMITATIONS 1. Hardware & software support other than those items listed on this or another support agreement 2. Backup or restores 3. Liability for delay or failure to furnish services if such delay is caused by an act of God, strike, government action, or any cause beyond reasonable control of Capital Business Systems, Inc. 1. DISCLAIMER OF LIABILITY AND WARRANTY 1. Except as specifically provided herein; there are no other warranties expressed or implied, including, but not limited to, warranties of merchantability and fitness for a particular purpose. 1. In no event shall Capital Business Systems, Inc. be liable for any damages resulting from loss of data, loss of profits, loss of use of products or Equipment or for any incidental or consequential damages, even if advised of the possibility of such damages. Customer's right to recover damages caused by Capital's fault or negligence shall be limited to moneys actually paid by Customer for the services involved. This limitation of liability shall apply regardless of the form of action, whether in contract or tort including negligence. Any action brought against Capital Business Systems, Inc. must be brought within three (3) months of the alleged act or omission in giving rise to damages. 1. GENERAL 1. The terms and conditions of this agreement prevail over the terms and conditions of any order submitted by the Customers for services under this agreement. 2. The terms and provisions of this agreement shall not be amended or modified without specific provisions to do so. By signing this agreement, Capital Business Systems, Inc. and Customer acknowledge they have read, understand, and agree to be bound by its terms and conditions. Further which, the parties agree that it is their complete statement of agreement between them, superseding all others, oral or written, relating to the subject matter of this agreement s customer:Weld County Capital Business Systems, Inc.: G Ara 4 c4 % Sa1/4nimLsr Title: Mike Freeman, BOCC Chair Title: itettS Date: 06/12/2023 Date: - t - z 3 cs2 40°2 3 — sW CAPITAL BUSINESS SYSTEMS, INC. FC0243 e -Automate Account # Sales Order Agreement 52389 Order ID # Customer Bill To: Full Legal Name: Weld County Address: PO Box 758, Greeley, CO 80632 Contact Name: Edna Mata Tel. #: (970) 400-2050 Email: errata@weld•ov.com Customer Ship To: Full Legal Name: Weld County Accounting Address: 1301 N 17th Ave, Greeley, CO 80631 Contact Name: Edna Mata Tel. #: (970) 400-2050 Email: emata@weld•ov.com QTY Description - Make, Model Item # Unit Price Total Amount 1 imageRUNNER ADVANCE DX C5840i- CA-3827C002AA $2,930.00 $2,930.00 1 Inner Finisher L1- CA-4000C002BA $650.00 $650.00 1 Super G3 FAX Board -AX 1- CA -3998C001 AA $546.70 $546.70 1 Cassette Feedin. Unit-AQ1- CA-4030O002BA $650.00 $650.00 Subtotal $4,776.70 Special Instructions/Terms Sales Tax N/A Total Cash Paid Balanced Owed I. Law/Forum. You agree that the Agreement and any claim related to the Agreement shall be governed by the internal laws of the state in which our principal place of business is located and any dispute concerning the Agreement will be adjudicated in a federal or state court in such state. You hereby consent to personal jurisdiction and venue in such courts and waive transfer of venue. Each party waives any right to a jury trial. II. Loss or Damage. You are responsible for any damage to or loss of the Equipment after delivery is completed. No such loss or damage will relieve you from your payment obligations under the Agreement. Except for claims losses, or damages caused by our gross negligence or willful misconduct you agree to indemnify us against any claims, losses, or damages, including attorney fees, in any way relating to the Equipment. In no event will we be liable for any consequential or indirect damages. III. Software/ Data. Except as provided in this paragraph, references to "Equipment" include software included as part of, or installed on, the Equipment. We do not own the software and cannot transfer any interest in it to you. We are not responsible for the software and have no rights or obligations under any related license agreement. You agree that you will look only to the publisher, licensor, or other third parties, if any, who granted you your right to use the software to determine those rights. You are solely responsible for protecting and removing any confidential information. IV. Limitation of Warranties. Except to the extent that we have provided you a warranty in writing, we make no warranties express or implied, including warranties of merchantability or fitness for a purpose. You chose any/all third -party service providers based on your judgement. You may contact us or the manufacturer for a statement of the warranties, if any, that the manufacturer is providing. We assign to you any warranties given to us. V. Default and Remedies. If you do not pay any sum within 10 days after its due date, or if you breach any other term of the Agreement or any other agreement with us, you will be in default, and we may require that you return the Equipment to us at your expense and pay us all past due amounts. We may also use all other legal remedies available to us, including reasonable attorney fees, incurred in enforcing the Agreement. You also agree to pay interest on all past due amounts, from the due date, at 1.5% per month. VI. Miscellaneous. The Agreement is the entire agreement between you and us relating to our providing of the Equipment and supersedes any prior representations or agreements, including any purchase orders. The parties agree that the original of the Agreement for enforcement and perfection purposes shall be that paper copy of the applicable Schedule which: bears the stamped or electronically applied replica of your signature or other indication of your intent to enter into the Agreement; and bears the original of our manually applied signature. Any change to the Agreement must be in writing signed by each party. Customer's ONCE Authorized YOU SIGN THIS OWNER Signature accepts THIS ORDER WILL ON -CANCELABLE es"_ (As Stated Above) X __ _ Mike Freeman, BOCC Chair 06/12/23 Customer Signature Print Name & Title Date Owner ("We", "Us","Our') Capital Business Systems, Inc. X rra1 turn, - //c,Ssr-' • Scjfes ' 1 m e 3 Owner Signature Print Name & Title Date _ _ 3001 East Pershing Blvd., Ste 100, Cheyenne, WY, 82001 o2oa3- j�/ CAPITAL BUSINESS SYSTEMS, INC. AFTERMARKET SUPPORT AGREEMENT Customer Bill To: Customer Name: Weld County Address: PO Box 758, Greeley, CO 80632 Telephone: (970) 400-2050 Attention: Edna Mata Email: emata@weldgov.com Customer Ship To: Customer Name: Weld County Accounting Address: 1301 N 17th Ave, Greeley, CO 80631 Telephone: (970) 400-2050 Attention: Edna Mata Email: emata@weldgov.com Serial # ID# Base Payment Beginning Meter Reading Image Allowance Excess Per Image Make, Model, Included Accessories to v 5 a Monthly Charge Monthly x Quarterly (Plus Tax) x Quarterly Annually Annually B &W Color B &W Color B & W _ Color Canon imageRUNNER ADVANCE DX C5840i 0 l) S0.007 $0.05 1 Inner Finisher L1 0 0 $0.0000 $0.0000 2 Canon Super G3 FAX Board-AX1 0 0 $0.0000 $0.0000 3 Canon Cassette Feeding Unit-AQ1 I 0 0 $0.0000 _ $0.0000 4 _ End User Details Location / Address (if different to supply shipments) Name Email 1 2 3 4 5 See attached equipment or group billing schedule. Meter Frequency. * The consolidated image allowance and excess per image amounts shown above (or on the attached equipment or group billing schedule), if any applies to (check one): Equipment installed under this schedule only, Equipment installed under this schedule together with equipment listed on any other applicable or schedule (I.E.an aggregate consolidation), if no image allowance or excess per image amounts are shown above (or on the attached equipment or group billing schedule), images made on the equipment under this schedule will be included in determining your image and overages charges the applicable prior schedule to master agreement. x TERM (check one term option) x Term: The end of the term of this schedule is the end of the term of the schedule to agreement identified as schedule NO. Term: In Months: (Applies to this schedule only) Start Date: PAYMENT (check one term option) Monthly Base Payment Amount: $ 0 (Plus Tax) (Includes amounts due under this schedule only) x Quarterly Base Payment Amount: $ (Plus Tax) Annual Base Payment Amount: $ (Plus Tax) ADDITIONAL TERMS AND CONDITIONS IMAGE ALLOWANCE CHARGES AND OVERAGES You are entitled to make the total number of images shown under Image Allowance Per Machine (or Total Consolidated Image Allowance, if applicable) each period during the term of this Agreement. If you make more than the allowed images any period, you will pay us an additional amount equal to the number of the excess images made during such period multiplied by the applicable Excess Per Image Charge. Regardless of the number of images made in any period, you will never pay less than the Base Payment Amount. You agree to provide us with the actual meter readings on any business day as designated by us; we may estimate the number of images used if such meter reading are not received within five days after being requested. We will adjust the estimated charge for excess images upon receipt of actual meter readings. You agree that the Base Payment Amount and the Excess Per Image Charges may be proportionately increased at any (line if our estimated average page coverage is exceeded. After the end of the first year of this Schedule and not mnre than nnre earh siirreccive (twelve-mnnth period thereafter. the Base Payment Amount and the Excess Per Image Charges (and at our election, the Base Payniel st Amuusit and EALeSS Per Image Charges under any other schedules for imaging equipment between you and us that incorporate the terms of the Master Agreement) may be increased by a maximum of 1S% of the then existing payment or charge. At Expiration of original or any renewal terms, this agreement shall be automatically renewed for a minimum of one year. No refunds will be made if contract is cancelled prior to original or renewal terms. Customer Signature: Weld County TO:D x CUSTOMER SIGNATURE Mike Freeman, BOCC Chair 06/12/2 NAME & TITLE DATE Capital Business Systems Signature: an's4/44N REPRESENTATIVE SIGNATURE Revised Date: 2/22/17 24,2,5 - 5/ INSTALLATION AND INTEGRATION AGREEMENT, SALES ORDER AGREEMENT, AND AFTERMARKET SUPPORT AGREEMENT FOR MULTI -FUNCTIONAL DEVICE (COPIER) FOR ACCOUNTING AND PURCHASING DEPARTMENTS - CAPITAL BUSINESS SYSTEMS, INC. APPROVED AS TO SUBSTANCE: avvig 4Atet Elected Official, Department Head, or Deputy Department Head APPROVED AS TO FUNDING: eiteA.4 .P033sth, Chief Financial Officer, or Controller APPROVED AS TO FORM: 4/,„i County Attorney Hello