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DocuSign Envelope D: 787725A8-5582-4l E2-8F7C-1 E637F3B2D39 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: ALSCG,Inc Party/Vendor Contact Person: Tim Richard,Asst District Mir Contact Phone: 919- <br /> 596-2186 Party/Vendor Address: PG Box 3594 City Durham State:NC Zip: 27702 Department: Asset Management <br /> Services Amount:per item and qty detailed in provided Service Agreement Schedule A Purpose: Motor Pool Supplies, <br /> and uniforms delivered weekly Budget Codes): 10240420-670000 Vendor 4 16942 (NIA if new vendor) Vendor is <br /> a B GCC consultant`? Yes El No❑ Contract Type: (Check one) New ❑ Renewal ® Amendment ❑ Effective <br /> Date 10/1512015 Approved by Board Yes❑No F-1 Agenda Date: <br /> This agreement is approved as to technical'F oaigrgant: <br /> � � <br /> Department Director's Signature Date: 11/14/215 <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 /> Office of the Risk Management Officer ���� ntd Date <br /> 11/16/215 <br /> 7FDCF91 76800498... <br /> Financial Services <br /> This instrument has been pre-audited in the mann ��4ad � d :the Local Government Budget and Fiscal Control Act: <br /> • (l Arz.4�a� 11/17/215 <br /> Office of the Chef Financial Officer Date: <br /> 7D4E5181ACC1409... <br /> Leal Services <br /> This agreement is approved as to legal form and j&qy� by: <br /> �bLvtw s 11/17/2015 <br /> Office of the County Attorney Date: <br /> Ei�EYMC—D EWV_, . <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion 4 Dolloyd(dwm-i ecoujtync. <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 10114 4 <br />