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DocuSign Envelope ID:98637986-D2B9-41 A2-977B-F767CDAC7A6C <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Harris Bros. Electric & Controls, Inc. Party/Vendor Contact Person: Calvin Harris <br /> (calvinrharris @msn.com) Contact Phone: 919.220.8500 Party/Vendor Address: 2712 Hillsborough Road City <br /> Durham State: NC Zip: 27705 Department: AMS/ES Amount: 1000.00 Purpose: Replace existing 60A/3Ph <br /> breaker with 100A/3Ph breaker Budget Code(s): 61370035-880000-30062 Vendor# 55477 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ <br /> Effective Date 9/21/17 Approved by Board Yes' No Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> Department Director's Signature �` �` s Date: 9/13/2017 <br /> 91 h <br /> Asset Management <br /> (Applicable only to construction contracts)This agreement has been reviewed and is approved as to construction <br /> services content and specifications: <br /> Office of the Asset Management Director a*74:7." Date: 9/14/2012 <br /> �Eeaaiwse _ <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> Office of the Risk Management Office atria 6611"'`116 Date: 9/14/2017 <br /> 91,80 rtse._ <br /> Financial Services <br /> r This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> l " Act: <br /> Office of the Chief Financial Officer rl" 'A 4°"" °" Date: 9/20/2017 <br /> "Ara,AGG 1409.. <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney �Obi vts Date: 9/21/2017 <br /> tY YC.�,„�„E _ <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd(a)orangecountync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Revised 2/17 6 <br />