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DocuSign Envelope ID: 17154650-24B9-4A0E-A055-AE398AFEDB1 F <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Carolina Cleaning Associates/O.E. Enterprises, Inc. Party/Vendor Contact Person: Joe <br /> Bumgarner, Jr. Contact Phone: 919-880-7870 Party/Vendor Address: 348 Elizabeth Brady Road City Hillsborough <br /> State: NC Zip: 27278 Department: AMS Amount: $7351.12 Purpose: Cleaning facility at 137 W Marg Ln Budget <br /> Code(s): 10240320-630000 Vendor# 14996 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ <br /> Contract Type: (Check one) New® Renewal❑ Amendment ❑ Effective Date Approved by Board Yes <br /> ❑No❑ Agenda Date: <br /> This agreement is approved as to technical form andreor tents by: <br /> ' p.# �O"`"�°"' Date: 12/17/2015 <br /> Department Directors Signature <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 insuring standards, specifications,and requirements: <br /> ocu i'ned""by''11i1 <br /> Office of the Risk Management Officer <br /> ((USX �,Orvu X16 Date: 12/17/2015 <br /> �---7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the ma neq igi.r by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date: 12/17/2015 <br /> /U4Eb1: ' .O•... <br /> Legal Services <br /> This agreement is approved as to legal form a - • E'i y5v: <br /> jOLtA, leb1wl' 12/17/2015 <br /> Office of the County Attorney Date: <br /> 4•JU63ED6A 4b5... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov <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 4 <br />