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DocuSign Envelope ID: D3681F3B-8C57-4991-949F-E667356D92FF <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Apex Fire Systems LLC Party/Vendor Contact Person: Chris Register <br /> (chrisregister31 @gmail.com) Contact Phone: 919.303.3000 Party/Vendor Address: PO Box 879 City Sanford State: <br /> NC Zip: 27331 Department: AMS Amount: $1.400.00 Purpose: Provide design drawings and battery calculations for <br /> the fire alarm system upgrade at the Historic Court House to obtain permit from Town of Hillsborough Budget <br /> Code(s): 61370035-880000-30001 Vendor#56834 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No <br /> ® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date 5/15/17 Approved by Board <br /> Yes❑No Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> �—oo<s�gea oy: <br /> Department Director's Signature� °�'"'°" Date: 5/9/2017 <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 /> Office of the Risk Management Office aGsa(oinn�ffo Date: 5/10/2017 <br /> Financial Services <br /> of, This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> �—oo<s�gea ey: <br /> Office of the Chief Financial Officer el'ta " Date: 5/15/2017 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> 9olA,rokvts 5/16/2017 <br /> Office of the County Attorne y Date: <br /> ooaq8a g <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 />