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DocuSign Envelope ID: FEB529C0-9949-408E-BA70-88A22C3EE071 <br /> ORANGE COUNTY-DEPARTME NT USE ONLY <br /> .......................®...___.______._®.------ ............ ................ ......... <br /> Department <br /> Party/Vendor Name: Carol ina_Earthsca es Inc. Party/Vendor Contact Person: David Fletcher Contact Phone: 9119- <br /> 730-373 Party/Vendor Address: 1841 'North,,N C 18 City Mg[L. tne State: NC Zip: 27302 Department: Asset <br /> Manavernent Services Amount: J2 5_36 Put-pose: Su ply and install monitor at Central Orange and 5Sy L nour 0 <br /> _5 11i r <br /> Centers Budget Code(s): 10240320-570000=$922: 10315020-630000�",�"$222_1 Q 130120-629000=$4(ij- and 2Q430320- <br /> 6300 -='461 Vendor# 63117 (N/A if new vendor) Vendor is a BBC CC consultant'? Yes El NoEl Contract'Type: <br /> (Check one)New 2 Renewal ❑ Amendtnent [:] Effective Date 08/17/2015, Approved by Board YesF1 No[:] <br /> Agenda Date: <br /> This agreement is approved as to technical <br /> Z�I <br /> Department Director's Signature ....................... Date: 8/27/2015 <br /> Information Technolop-ics <br /> (Appli•able only to or relaledservices)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 Management <br /> This agreement is approved for sufficiency o, specifications,and requirements: <br /> Office of the Risk Management Officer 8/28/2015 <br /> rg <br /> Financial Services <br /> This instrument has been pre-audited in the i fu"i94kd by the Local Government Budget and Fiscal Control Am <br /> Office of the Chief Financial Officer Date: 8/28/2015 <br /> Legal Services <br /> 'this agreement is approved as to legal forni 'SavWguy: <br /> Office of the County Attorney .._Date. 8/28/2015 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Hoycl upon completion @ —eq put!(y <br /> qz,QY <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board......... ...............—Date <br /> Revised 10/14 4 <br />