R 2016-607-E AMS -Signs Now for signage for OC Health Dept.

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DocuSign Envelope ID:939B30A0-BD67-4148-9CFD-92A39F81606A ORANGE COUNTY-DEPARTMENT USE ONLY Department �D5 Party/Vendor Name: Signs Now Party/Vendor Contact Person: John Stokes (csr@signsnow353.com) Contact Phone: John Stokes Party/Vendor Address: 1322 Fordham Blvd. #5 City Chapel Hill State: NC Zip: 27514 Department: AMS Amount: $15,163.15 Purpose: Signage for OCHD Budget Code(s): 61370035-892000-30012 Vendor#40883 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® 'Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 10/12/16 Approved by Board Yes❑ No® Agenda Date: This agreement is approved as to technical form and content: C Department Director's Signature �* p"°" Date: 10/27/2016 o< Information Technologies (Applicable only to hardwm•e/sofhvare purchases or related services)This agreement has been reviewed and is approved as to information technology content and specifications: Office of the Chief Information Officer Date: Risk Management This agreement is approved for sufficiency of insurance standards,specifications,and requirements: U 59 dby Office of the Risk Management Office AUS0,C,awu b Date: 10/31/2016 �,Fees<,beb,�a_ Financial Services This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: U 5g dby, Office of the Chief Financial Officer�� Date: 10/31/2016 Legal Services This agreement is approved as to legal form and sufficiency: Office of the County Attorney�966 9r6u s Date: 10/31/2016 Clerk to the Board Received for record retention: All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd a,oran eg countync.gov The following signature block is for hard copies only and is not required for Docusign contracts: Office of the Clerk to the Board Date: Revised 6/16 8