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DocuSign Envelope I D:40AOE7DE-3ClE-4A74-9237-4A9ElFB8FAB4 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> ............. ...................... <br /> Department <br /> Party/Vendor Narne: 'rarbeel Gene r <br /> r <br /> S <br /> g_tp LLC , Parry/Vendor Contact Person: Rriatj-.5 iATc Contact Phone: 919-663- <br /> 3095 Party/Vendor Address: PO Box 753 City 5iler Ci State: NC Zip: 27344 Department: AMS Amount: <br /> $11,655.84 Purpose: install double throw transfer switches on MP Generator Budget Code(s): 1,0240420-560O00 <br /> Vendor 4 55643 (N/A if new vendor) Vendor is a BOCC consultant? Yes f-I NoF1 Contract Type-, (Check one) <br /> New Z Renewal F-I Amendment ❑ Effective Date Approved by Board YesE] NoE] Agenda Date: <br /> This agreement is approved as to techni. [&%,md,contenv <br /> Department Director's Signature Ye# Date,--10/12/2015 <br /> Information Technologies <br /> (Applicable onh,to har4hvarel'sq/tivare purchases or relatedservices)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 Manazement <br /> This agreement is approved for sufficiency of i%ur, I I <br /> ,Vge,gtandards specifications, and requirements: <br /> gne y: <br /> Office of the Risk Management Office Date: <br /> 10/14/2015 <br /> r�2 Ocu <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> DocuSigm by: <br /> Office of the Chief Financial,Officer �—: Date: 10/15/2015 <br /> Lep-al Services <br /> This agreement is approved as to legal to • &mfiikaiwicy: <br /> Office of the County Attorney Date: 10/16/2015 <br /> r=AA8DMM9A846577—------- <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna I.Joyd upon completion (ir},L)oL!ovd(trloi-ajigecotiti yncgov <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 <br /> Revised 10/14 4 <br />