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DocuSign Envelope ID: FD088DB9-0868-4027-99A4-FFA9346F63AC <br /> DS <br /> ORANGE COUNTY-DEPARTMENT USE ONLY vb <br /> Department <br /> Party/Vendor Name: Carolina Cleaning Associates Party/Vendor Contact Person: Joe M Bumgarner, Jr. Contact <br /> Phone: 919-880-7870 Party/Vendor Address: 348 Elizabeth Brady Road City Hillsborough State: NC Zip: 27278 <br /> Department: AMS Amount: $37,252.64 + Emergency Callback Purpose: Cleaning needs at various county <br /> locations Budget Code(s): 10240520-630000 Vendor # 14996 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes El No Contract Type: (Check one) New El Renewal ❑ Amendment El Effective Date <br /> 07/01/2017 Approved by Board Yes❑Non Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signature P.# �O"`7"�°"' Date: 8/4/2017 <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 in urancc edsttandards, specifications,and requirements: <br /> r <br /> Office of the Risk Management Officer ((USX �,Orvu X16 Date: 8/7/2017 <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: l DocuSigned by: <br /> Office of the Chief Financial Officer 6/°9' Vo../40" Date: 8/7/2017 <br /> 17D4E5181 ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and s> fficicncy: <br /> ocu ignedy: <br /> Office of the County Attorney <br /> jaLtA, lebtitx,L s Date: 8/7/2017 <br /> '----EAA3D33ED8A8465... <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 />