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DocuSign Envelope ID: E4652A7D-FDAF-4F3C-BFA4-22CB029C0980 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY DS <br /> EG`� <br /> Department <br /> Party/Vendor Name: BIBS. Inc. Party/Vendor Contact Person: Levi Broeker Contact Phone: 336-574-3060 <br /> Party/Vendor Address: PO Box 36197 City Greensboro State: NC Zip: 27416 Department: Asset Management <br /> Services Amount: $39,689 Purpose: Repair Jail Roof Budget Code(s): 61370035-882000-30002 Vendor 4 57369 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New <br /> Renewal ❑ Amendment ❑ Effective Date 10/29/2015 Approved by Board Yes❑ No® Agenda Date: <br /> N/A <br /> This agreement is approved as to technical form and c&n �;d by: <br /> Department Director's Signature <br /> Date: 11/11/2015 <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 insurance standards,specifications,and requirements: <br /> DocuSigned""by: <br /> ''111L <br /> Office of the Risk Management Officer PCs& 66vvt,e 6 Date: 11/12/2015 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer ` p Date: 11/14/2015 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form an r66 0&AG1'&y6: <br /> 1°e�t t�S <br /> Office of the County Attorney Date: 11/16/2015 <br /> EAA3D33EDSA8465... <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 /> Revised 10/14 5 <br />