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DocuSign Envelope ID:011 AC816-5686-4AAD-8FCF-2F8148EDBCC8 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Porter Scales Party/Vendor Contact Person: Ed Chada Contact Phone: (919)828-1750 <br /> Party/Vendor Address: PO Box 27905-27611 City Raleigh State: NC Zip: 27603 Department: Solid Waste <br /> Amount: $69,310 Purpose: Installation of new truck scale Budget Code(s): 50351030-800000 Vendor# 53652 <br /> (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New <br /> Renewal ❑ Amendment ❑ Effective Date 9/11/2017 Approved by Board Yes No Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> Department Director's Signature <br /> G0,-du^, DR-1,1 r Date: 9/7/2017 <br /> 25E5DBCA7B8941 B... <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 /> DocuSigned by: <br /> Office of the Risk Management Offic r at(SSA. C6"v.c,llb Date: 9/7/2017 <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: DocuSigned by: <br /> ,�„ 2,n 9/8/2017 <br /> Office of the Chief Financial Office i G671 Date: <br /> 7D4E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legglu grnmd Kid sufficiency: <br /> Office of the County Attorne E3bLIA. rod S Date: 9/11/2017 <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 />