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DocuSign Envelope ID: 7AC381CB-4AC4-46B1-8BE7-56D9F7188FOA <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Deuartment <br /> Party/Vendor Name: Cameron & Cameron Assembly, Moving & Storage Party/Vendor Contact Person: Bennie <br /> Cameron Contact Phone: 919-530-1202 Party/Vendor Address: 1818 Avondale Drive, Ste 18 City Durham State: NC <br /> Zip: 27701 Department: AMS Amount: $2,500 Purpose: moving furniture and fixtures for flooring restoration at <br /> WHSC Dental Clinics Budget Code(s): 10240520-630000 Vendor#35179 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No❑ Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date <br /> 04/29/2016 Approved by Board Yes❑Nor-1 Agenda Date: <br /> This agreement is approved as to technical form arbd�conneiq: <br /> ' i; �O"`7"�O"' Date: 4/30/2016 <br /> Department Director's 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 insipran-e standards, specifications, and requirements: <br /> ocu igned""y:''11ii <br /> Office of the Risk Management Officer rausa, rbvv�cal6 Date: 5/2/2016 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the 9trs1F, fed by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer 7n,� `�OZ"��"� Date:5/2/2016 <br /> 4E 5181 ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal for ,m fioicwy:: <br /> �66t, r6ufs 5/3/2016 <br /> Office of the County Attorney Ero�D3sEa Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ DolloydL�oranaecountync.Qov <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 5 <br />