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DocuSign Envelope ID: C3E1991C-2B33-492A-A969-983D3B81FC1A <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Triangle Office Equipment Party/Vendor Contact Person: Trey Jones <br /> (trey @triangleofficeequipment.com) Contact Phone: 919-929-4203 Party/Vendor Address: 300B South Elliott Road <br /> City Chapel Hill State: NC Zip: 27514 Department: OCHD Amount: NTE $2800.00 Purpose: Disconnect / <br /> Reconnect Furniture Budget Code(s): 61370035-892000-30012 Vendor # 75 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑ No Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date <br /> 8/31/16 Approved by Board Yes❑No Agenda Date: <br /> FOS <br /> This agreement is approved as to technical form and content: <br /> DocuSlgned by <br /> 24 n <br /> Department Director's Signature ,cF6„ Date: 9/6/2016 <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 /> DocuS y d by <br /> Office of the Risk Management Office lL(sa �awLC ffa Date: 9/6/2016 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> Docu Signed by <br /> Office of the Chief Financial Officer C �° III° Date: 9/6/2016 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> c—Docu Signed by <br /> MaA, ret7 rfs 9/7/2016 <br /> Office of the County Attorney fl,F_8 a4� Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd a,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 6/16 5 <br />