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DocuSign Envelope ID:2C304718-BA25-4043-9BDC-F17B3EF664D8 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> ...... ........................ <br /> Departmen <br /> Party/Vendor Name. Baker Roofing Cg�lajjy Party/Vendor Contact Person: L9gallyAr�Qjis Contact Phone., 919- <br /> 605-9164 Party/Vendor Address; 517 Mercury Street. City RjI[ei <br /> State: NC Zip: 27603 Department: Asset <br /> IvIgirit Srvcs Aniouriv ill 0_90 Purpose: remedial roofing at 14wv 86 North Budget Code(s): 61370035-882000- <br /> 30002 Vendor # 54603 (N/A if new vendor) Vendor is a BOCC COTISLIhant? Yes n NoEl Contract Type: <br /> (Check one) New ff"i-enewal n Amendment ❑ Effective Date 08/12/2015 Approved by Board Yes[ l No <br /> n Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by, <br /> Department Director's Signature Z7�n _..mm._................. Date. 8/14/2015 <br /> �_,,0A46CF64498_. <br /> Information Technologies <br /> (Alrplicabl'e onty to hai,clwarc.lsoftvi,ai-epurclicives 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 Date: <br /> Risk Managenien <br /> rance Standards,specifications, and requirements: <br /> This agreement is approved for sufficiency ofinsy, Signe y: <br /> Office of the Risk Management Officer_. Usti, (h�6-__ ................................................. Date: 8/14/2015 <br /> El 0ou <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: gned by: <br /> Office of the Chief Financial Officer (A+6LA, Date: 8/14/2015 <br /> _E_Pt','2'DL',s F!C_2C F A8­4 7 B <br /> Levi Services <br /> This agreement is approved as to legal forin Ayf&, �uatjvy: <br /> Office of the County Attorney Date: 8/14/2015 <br /> CEAAMKED8A8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloydupon completion @ <br /> 1-he following signature block is for hard copies only and is not required for Docusign contracts: <br /> Revised 10/14 5 <br />