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DocuSign Envelope ID: 33C88EF4-FFB2-404E-9835-D756AFACAOOD <br /> ORANGE COUNTY-DEPAR'TMENT USE ONLY <br /> .................. ........ <br /> Department <br /> Party/Vendor Name: Scott.. It r Electric Electrical & Alarm_Services Party/Vendor Contact Persom Scott <br /> -. ai_gle�_ <br /> ila gle r Contact Phone: 919-479-9550 Party/Vendor Address: 6616 Blalock Road City Baharna State: NC Zip: <br /> 2_7501 Department: Asset Man&njgit Services Amount: 114.00 Purpose pEcjyide elctrical install for automated <br /> doors at 113 Mayo St Budget Code(s): 10400130-803000 Vendor It 62639 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes [:] No❑ Contract Type: (Check one)New ff Renewal E] Amendment El Effective <br /> Date 08/21/2015 Approved by Board Yes❑ No❑ Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signature ......................... Date: 8/18/2,015 <br /> Information Technologie <br /> (Applicable on y to or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief I nforniation Officer ................ Date: <br /> Risk Manazemen <br /> This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br /> DocuSigned by: <br /> Office of the Risk Management Officer PCs& (h�b Date: 8/18/2015 <br /> .................. <br /> '--7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control, <br /> Act: DocuSigned by: <br /> P (A+6vu 8/18/2015 <br /> Office of the Chief Financial Officer Date: <br /> 1,e al Services <br /> This agreement is approved as to legal form AuSkJaKy: <br /> Office of the County Attorney........... 6U Date:.8/19/2015 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloydupon completion @ 1) <br /> The following signature Mock is for hard copies only and is not required br Docusign contracts: <br /> Revised 10/14 5 <br />