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DocuSign Envelope ID:A687FB54-B533-4105-8613-14D7CAF73434 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: SYSTEM ELECTRIC CORPORATION Party/Vendor Contact Person: JOSH ANDERSON <br /> (JOSHA@SYSTEMELECTRICCOPR.COM) Contact Phone: 919.237.2178 Party/Vendor Address: PO BOX <br /> 91194 City RALEIGH State: NC Zip: 27675 Department: AMS Amount: $14,754.00 Purpose: REPLACE <br /> EXISTING DOORS WITH AUTOMATIC DOORS Budget Code(s): 61370035-880000-30001 Vendor # 63425 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New <br /> Renewal ❑ Amendment ❑ Effective Date 11/7/2016 Approved by Board Yes❑ No® Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> D Sg Cby. <br /> Department Director's Signature Date: 11/15/2016 <br /> �9E388A{(i <br /> Information Technologies <br /> (Applicable only to hardware/sofnvare purchases or related set-vices)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 /> Qlis <br /> as�otlwu{(o <br /> Office of the Risk Management OfficeJE ne Date: 11/16/2016 <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 /> Do S g C by <br /> �<, G�d,z <br /> Office of the Chief Financial Officer Date: 11/16/2016 <br /> esre�re� <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Dow Signed by: <br /> Office of the County Attorney P" pO ty s Date: 11/16/2016 <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 ep count n�c.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Revised 6/16 6 <br />