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DocuSign Envelope ID:A460572D-33FD-41D4-B642-30AC78EOA8CD <br /> DS <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> rx� <br /> Department <br /> Party/Vendor Name: SERVPRO of South Durham & of Orange County Party/Vendor Contact Person: Dana <br /> Richardson Contact Phone: 919-886-3838 Party/Vendor Address: PO Box 14027 City Durham State: NC Zip: 27709 <br /> Department: AMS Amount: $12,056.28 Purpose: mold remediation in crawlspaces and living quarters in Jail Budget <br /> Code(s): 10240320-570000 Vendor# 61880 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ <br /> Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 03/04/2016 Approved by Board <br /> Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical fo a1 f'e8Vqfe fy: <br /> Department Director's Signature L'Ie#�?ho� ., 4/5/2016 <br /> Date: <br /> Information Technolosies <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 insurwc .standards, specifications,and requirements: <br /> ocu i9S.t by:''111i <br /> Office of the Risk Management Officer Qusa, (,6rin,��16 Date:4/6/2016 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the ma E tm6H -Py the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date: <br /> 4/8/2016 <br /> � <br /> 7D4E5181 ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form an rb ��SY: <br /> r6u� s 4/11/2016 <br /> Office of the County Attorney Date:33ED8A8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloy(d c�orangecount.ny_c.Rov <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 1/16 4 <br />