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DocuSign Envelope ID:0357B852-8C7E-4F80-BC7A-1 ECD7138CA959 <br /> 0RANG'E COUNTY-DEPARTMENT USE ONLY <br /> ..................... <br /> Department: <br /> Party/Vendor Name: Warren-Flay Party/Vendor Contact Person: Ron LaPann Contact Phone: 919-732-4362 <br /> .............. <br /> Party/Vendor Address: PO Box 818 City Lfillsborough State- NQ Zip: 27278 Department: ANIS Amount: $2884 <br /> Purpose: CO2 Sensor at Rena Community Ct Budget Code(s): 10240320-570000 Vendor 4 25352 (N/A it' new <br /> vendor) Vendor is a BOCC consultant? Y'es ❑ No[:] Contract Type: (Check one) New 0 Renewal <br /> Amendment F] Effective Date 08/3 1/20IJ Approved by Board YesR No El Agenda Date: <br /> This agreement is approved as to techn <br /> Department Director's Signature Date: -9/2/2015 <br /> Information Technoloizies <br /> (Applicable on y to hai,"tliv,ai-elsojiwarepui-chaves or related services)This agreement has been reviewed and is <br /> approved as to inforitiation technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency 0f'i&tau ElIgne C <br /> II <br /> ,�standards, specifications,and requirements: <br /> W Y: <br /> Office of the Risk Management Officer, (h�b Date: 9/3/2015 <br /> Financial Services <br /> 1'lafs instrument has been pre-audited in the n arin g..r <br /> I juggd:by the Local Government Budget and Fiscal Control Act: <br /> n <br /> Office of the Chief Financial Officer P� �aVu Date: 9/4/2015 <br /> ......... ............. <br /> 232DFFC2CFA847B <br /> Legal Services of 4 fora y: <br /> agreement is approved as t0 legal forn <br /> Office of the County Attorney 9/4/2015 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion Dolloyd(dlorangecount nc.<,,ov <br /> flee following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board <br /> Revised 1011 4 <br />