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DocuSign Envelope ID:9296A247-B9DA-4BA7-B4BC-35C77BF2CC17 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Seegars Fence Co. Party/Vendor Contact Person: Jason Daniels (jason @seegarsfence.com) <br /> Contact Phone: 919-489-5303 Party/Vendor Address: PO Box 61378 City Durham State: NC Zip: 27715 <br /> Department: AMS Amount: $4645.00 Purpose: Furnish and install(3) areas of metal grate between parking deck and <br /> retaining wall using 2" x 2" x 1/4" angle iron with 1" ground bar grating. Budget Code(s): 61370035-880000-30001 <br /> Vendor# 41409 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) <br /> New® Renewal ❑ Amendment ❑ Effective Date 5/18/17 Approved by Board Yes❑ No Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> Department Director's Signature ° '"°" Date: 5/9/2017 <br /> �9 <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 /> o sg aey <br /> Office of the Risk Management Office tri'C'"6 Date: 5/9/2017 <br /> Financial Services <br /> .s, This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> �L �—oos�gea ey: <br /> Office of the Chief Financial Officer el" Date: 5/15/2017 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> �—oos�gea ey: <br /> ,)otuA,roknts 5/16/2017 <br /> Office of the County Attorney, Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@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 2/17 5 <br />