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DocuSign Envelope ID: E095E6A8-9DC2-4D20-9BED-D87C646E307A <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Cameron & Cameron Assembly, Moving & Storage Party/Vendor Contact Person: Bennie <br /> Cameron(Bennie @camcammoving.com) Contact Phone: 919-530-1202 Party/Vendor Address: 1818 Avondale Drive, <br /> Ste 18 City Durham State: NC Zip: 27701 Department: AMS Amount: $1500.00 Purpose: Remove all flood <br /> damaged furniture and fixtures from the basement of the Board of Elections building and dispose. Budget Code(s): <br /> 61370035-880000-10008 Vendor # 35179 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No <br /> Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 8/8/17 Approved by Board Yes <br /> ❑No Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> �—oo<s�gea oy: <br /> Department Director's Signature 2 m w Date: 8/1/2017 <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 /> oo<s�gea ey: <br /> Qlisa(01W-to 8/2/2017 <br /> Office of the Risk Management Office Date: <br /> Financial Services <br /> —.e 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" Date: 8/2/2017 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> �—oo<s�gea ey: <br /> ,)66.rok.nts 8/3/2017 <br /> Office of the County Attorney---ea„ 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 />