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DocuSign Envelope ID:263713C2-C652-4F0D-A49E-D7FE86601625 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Alsco, Inc. Party/Vendor Contact Person: Eric Beu Contact Phone: 919-596-2186 <br /> Party/Vendor Address: 1720 E. Lawson St. City Durham State: NC Zip: 27703 Department: Solid Waste <br /> Amount: Estimate maximum of 20,000 per year, three yr. total of 60,000 Purpose: Uniform provision and <br /> laundering Budget Code(s): 50350020-630003, 50350020-670000, 50351020-670000, 50352020-670000, <br /> 50353020-670000 Vendor # 16942 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No <br /> Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date July 1, 2017 Approved by <br /> Board Yes No® Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> DocuSigneed�by: <br /> Department Director's Signature <br /> OUitt- Wl(Sbin, <br /> E Date: 6/27/2017 <br /> 6E763F604A144E2... <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 /> r---DocuSiggned""vt,c,116 by: <br /> ''��.. <br /> Office of the Risk Management Officer [NSA, C,bv Date: 7/3/2017 <br /> `'*• 7FDCF9176800498... <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 /> , ---DocuSigned by: <br /> Office of the Chief Financial Officer (71 An Date: 7/3/2017 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal f�Q17 m ,afj4ciency: <br /> Office of the County Attorney jAt S br���' Date: 7/5/2017 <br /> \.--328 DC480549A4F5... <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 9 <br />