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<br />DocuSign Envelope ID: 98E711B6-8A9E-44E0-AF98-ED999B21F3CA <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br />Department <br />Party/Vendor Name: Axis Construction Management, IncParty/Vendor Contact Person: Tonny BranonContact <br />Phone: 919-306-2796 Party/Vendor Address: 3308 Durham-Chaple Hill Blvd. Ste 150 City DurhamState: NC <br />Zip: 27707Department: Board of ElectionsAmount: $2286.25Purpose: RenovationBudget Code(s): 61370035- <br />880000-10042.Vendor # 62799(N/A if new vendor) Vendor is a BOCC consultant? Yes NoContract <br />Type: (Check one) New Renewal Amendment Effective Date Approvedby Board YesNo <br />Agenda Date: <br />This agreement is approved as to technical form and content: <br />Department Director’s Signature <br />________________________________________ Date: ________ <br />Information Technologies <br />(Applicable only to hardware/software purchases or related services) This agreement has been reviewed and is <br />approved as to information technology content and specifications: <br />Office of the Chief Information Officer________ <br />___________________________ Date: ________ <br />Risk Management <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br />Office of the Risk Management Officer <br />___________________________________ Date: _________ <br />Financial Services <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br />Act: <br />Office of the Chief Financial Officer <br />____________________________________ Date: _________ <br />Legal Services <br />This agreement is approved as to legal form and sufficiency: <br />Office of the County Attorney <br />__________________________________________Date: ________ <br />Clerk to the Board <br />Received for record retention: <br />All Docusign contracts must be copied to Donna Lloydupon completion@Dolloyd@orangecountync.gov <br />The following signature block is for hard copies only and is not required for Docusign contracts: <br />Revised 10/14 <br />5 <br /> <br />