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ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: AOK Lock Service Party/Vendor Contact Person: Otis King Contact Phone: 919 668-1408 <br /> Party/Vendor Address: 3425 Cheek Road City Durham State: NC Zip: 27704 Department: A10 Amount: <br /> 3395.00 Purpose: Whiffed 3rd Floor RekpyLmZ Budget Code(s): 10240320-57000 Vendor # 32727 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑ <br /> Amendment ❑ Effective Date Approved by Board Yes❑Non Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> Department Director's Signature Si (t-�+-�---� Date: lo•t�•r' <br /> Information Technologies <br /> (Applicable only to hardwarelsoftware 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 of insurance standards,specifications,and requirements: <br /> Office of the Risk Management Officer 14�� Date: / 22 <br /> Financial Services <br /> This instrument has been pre-audited in the m e e e the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date: 1 �s <br /> Legal Services <br /> This agreement is approved as to legal form/and su ciency: :_) <br /> Office of the County Attorney Date: �- <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollo d a oran ecoun=c.gov <br /> The following signature block is for hard copies ly, s t required for Docusign contracts: /L <br /> Office of the Clerk to the Board Date: <br /> Revised 10/14 4 <br />