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DocuSign Envelope ID: 1 D5BBB55-D588-451 F-B00E-C60D100758CE <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Carolina Awning Fabricators Party/Vendor Contact Person: Michael Cockerham <br /> (carolinaawning @centurylink.net) Contact Phone: 336-736-6258 Party/Vendor Address: PO Box 512 City Seagroves <br /> State: NC Zip: 27341 Department: AMS Amount: 3.086.95 Purpose: Recover existing awning with new black cover <br /> Budget Code(s): 10240320-570001 Vendor# 64076 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ <br /> No Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 9/21/17 Approved by Board <br /> Yes❑No Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> Department Director's Signature P! °"�'"°" Date: 9/21/2017 <br /> �aEeaaaas6r�aaee._ <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 /> Office of the Risk Management Office atria 6611"'`116 Date: 9/2 5/2017 <br /> 91,80 rtse._ <br /> Financial Services <br /> l " This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> 1/ Office of the Chief Financial Officer Date: 9/25/2017 <br /> B4,-5481,4E01409 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> L6(un,rebi,vfs 9/26/2017 <br /> Office of the County Attorney 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 />