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DocuSign Envelope ID:37AF196F-70A9-40BD-BDE0-4E0A39EC4A40 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> PartyNendor Name: Siemens Industry,Inc Party/Vendor Contact Person: Brian Beebe Contact Phone: 919-468- <br /> 2324 PartyNendor Address: 245 Southport Dr City Morrisville State: NC Zip: 27560 Depai lment: AMS <br /> Amount: $48,118.00 Purpose: HVAC Service Budget Code(s): 10240320-630000 Vendor# 53325 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑ <br /> Amendment ❑ Effective Date Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technicaab/fornand content: <br /> Department Director's Signature E�6O"'"Y.°"` Date: 8/1/2017 <br /> 9E880A46CF64498... <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 i1surncae standards, specifications,and requirements: <br /> ocu igne'"by:' <br /> Office of the Risk Management Officer a(lSa Cort&c,ltb <br /> g Date: 8/1/2017 <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: DocuSigned by: <br /> Office of the Chief Financial Officer elo Date: 8/1/2017 <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to 1 famigiviolbsufficiency: <br /> ,6LIA, rbtiuhS <br /> Office of the County Attorney Date:8/1/2017 <br /> EAA3D33ED8 84'63... <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 <br /> 8 <br />