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DocuSign Envelope ID: 3BD8OFE0-64C4-46A0-A78C-24DDE4774C71 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Harris Bros. Electric & Controls. Inc. Party/Vendor Contact Person: Calvin Harris Contact <br /> Phone: 919-220-8500 Party/Vendor Address: 2712 Hillsborough Road City Durham State: NC Zip: 27705 <br /> Department: AMS Amount: $969.00 Purpose: 600 Hwy 86 North: air compressor electrical work Budget Code(s): <br /> 10240320-570001 Vendor# 55477 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract <br /> Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 10/09/17 Approved by Board Yes' No <br /> ❑ Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> DocuSigned by: <br /> 10/12/2017 <br /> Department Director's Signature ye# Date: <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 insuon a et'td1aa1rrLds,specifications,and requirements: <br /> Office of the Risk Management Officer a �,6vvu,tt0 Date: 10/14/2017 <br /> 7FDCF9176800498... <br /> DS <br /> Financial Services 7f2 <br /> This instrument has been pre-audited in the rpaardguelattitcrl by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer 6/47 00..a460.. Date: 10/17/2017 <br /> "---7D4E5181 ACC1409_. <br /> Legal Services <br /> This agreement is approved as to legal form aighgteceiy cy: <br /> ,)tiLtA, lej ,jS 10/18/2017 <br /> Office of the County Attorney Date: <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 5 <br />