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DocuSign Envelope ID:63F461C3-2BFE-44AE-B3D1-76B5DB35C3BD <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Console Cleaning Specialist Party/Vendor Contact Person: Jenny Mason Contact Phone: <br /> 855-227-2329 Party/Vendor Address: 1595 Bishop Rd City Chelais State: WA Zip: 98532 Department: <br /> Emergency Services Amount: $3,850.00 Purpose: Console cleaning and furniture maintenance Budget Code(s): <br /> 35755120-571000 Vendor#62529 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract <br /> Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective Date 09/03/2015 Approved by Board Yes❑ <br /> No❑ Agenda Date: <br /> This agreement is approved as to technical fo doecsbiy: <br /> tv�n, �tis�+Pe.�- 9/9/2015 <br /> Department Director's Signature Date: <br /> 6AF79FFECTA ... <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 Date: <br /> Risk Management <br /> This agreement is approved for sufficiency LZUS& E&� Wndards,specifications,and requirements: <br /> r,6v vt Yb_ 9/10/2015 <br /> Office of the Risk Management Officer 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: DocuSign�e�d�bby::� <br /> Office of the Chief Financial Officer � Date: 9/10/2015 <br /> ei=Fege�asa-r ... <br /> Legal Services <br /> This agreement is approved as to 7�'7� �ysufficiencyOffice of the County Attorney 1 Date: 9/11/2015 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloyLyorangecou go v <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br />