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DocuSign Envelope ID:2E3BCFE8-9E55-4B63-900C-98F63F0612C6 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Carolina Awning Fabricators LLC Party/Vendor Contact Person: Mike Cockerham <br /> (carolinaawning@centrylink.net) Contact Phone: 336-873-7065 Party/Vendor Address:PO Box 512 City Seagrove <br /> State: NC Zip: 27341 Department: AMS Amount: $2,059.75 Purpose: Awing at back door of Library Budget <br /> Code(s): 61370035-880000-30001 Vendor#64076 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑ <br /> No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 11/7/16 Approved by <br /> Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> D Sg tlby. <br /> Department Director's Signature � °°fi"°" Date: 10/27/2016 <br /> CgE 6046 6 4 <br /> Information Technologies <br /> (Applicable only to hardivare/sof ware 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 /> DocuSignetl by. <br /> Office of the Risk Management Officer QUSOL (hw 6 Date: 10/31/2016 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> D Sg tlby. <br /> Office of the Chief Financial Officer C'�"N �" Date:10/31/2016 <br /> BSESfi&1fo. 9... <br /> i� <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> D Sg tlby. <br /> Office of the County Attorne �0�"'�`' Date: 10/31/2016 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dollo dy @orangecountync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Revised 6/16 6 <br />