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DocuSign Envelope ID:A45C1 1 C6-3162-44FB-82E4-F3B430644D4E <br /> DS <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> DS <br /> Department <br /> Party/Vendor Name: Muter Construction Party/Vendor Contact Person: John Muter Contact Phone: 919-404-8330 <br /> Party/Vendor Address: 100 N. Arendell Avenue City Zebulon State: NC Zip: 27597 Department: AMS Amount: <br /> $50,592 Purpose: Roof restoration at Magistrates' Office Budget Code(s): 61370035-882000-30002 Vendor 4 <br /> 62812 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New <br /> Renewal❑ Amendment ❑ Effective Date 09/17/15 Approved by Board Yes❑No® Agenda Date:N/A <br /> This agreement is approved as to technical fo x,90 : <br /> �e 7L1.11001111 Department Director's Signature Date: <br /> 11/8/2015 <br /> 9E880A46CF64498... <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 of incur %g tam dards,specifications,and requirements: <br /> QOffice of the Risk Management Officer (hm,&b Date: 11/9/2015 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: OCUSigned by: <br /> Office of the Chief Financial Officer 4N � Date: 11/10/2015 <br /> L�D 4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form C�6.7qqFBRA iont�y: <br /> 1°6kxfs 1 1/10/2015 <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 @ Dolloai.oran ecoun nc. <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 5 <br />