Orange County NC Website
DocuSign Envelope ID:82419B41-BC86-47FF-BB30-6F2DCE12483E <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Sparkle Window Cleaners,LLC Party/Vendor Contact Person: Daniel Langham Contact Phone: <br /> 919-886-9490 Party/Vendor Address: 5320 Cascade Dr City Chapel Hill State: NC Zip: 27514 Department: Solid <br /> Waste Amount: 550 Purpose: Clean Windows Budget Code(s): 50350020 570000 Vendor # 62242 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ <br /> Amendment ❑ Effective Date 10-1-16 Approved by Board Yes❑ No® Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> uSigned by: <br /> Fi;�� <br /> Department Director's Signature mtko" Date: 11/9/2016 <br /> 6E763F604A144E2... <br /> Information Technolo6ies <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 /> FDocuSigned by: <br /> ES& '" '�Office of the Risk Management Officer vvt,c,llb Date: 11/11/2016 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> --_DocuSigned by: <br /> Office of the Chief Financial Officer ���+ Date: 11/14/2016 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficie Qv: <br /> Office of the County Attorney Jb �6� 5 Date:11/14/2016 <br /> EAAMKEDM8465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd a oran eg countync.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 4 <br />