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DocuSign Envelope ID:6C6B4OBA-190D-4744-9248-ABA56D29933C <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: A&W Pressure Washing Party/Vendor Contact Person: Torrey White Contact Phone: <br /> 336.212.8239 Party/Vendor Address: 1649 Woodbrooke Drive City Burlington State: NC Zip: 27217 <br /> Department: OCPT Amount: NTE $36,000.00 Purpose: bus washing Budget Code(s): 10435020-63000 / <br /> 10240420-630000 Vendor it 64715 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No Contract <br /> Type: (Check one)New ® Renewal❑ Amendment ❑ Effective Date Octoberber 1,2017 Approved by Board <br /> Yes No Agenda Date:N/A <br /> This agreement is approved as to tec h qn, rd:content: <br /> Department Director's Signature // Date: 10/17/2017 <br /> Eao-saAB25-490... <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 /> andards specifications, <br /> This agreement is approved for sufficiency 81y� ®",�,t'� and requirements: <br /> 1ViSa (,6Vht,t(o 10/18/2017 <br /> Office of the Risk Management Officer Date: <br /> 7PBCff 1766H0#9b... <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 /> e' '�of°4'1' 10/19/2017 <br /> Date: <br /> Office of the Chief Financial Officer ,BaE51a� <br /> � cc,aoo. <br /> Legal Services <br /> This agreement is approved as to b �rna�ri:sufficiency: <br /> ,.)O 1-S br 1UA, 10/19/2017 <br /> Office of the County Attorney y Date: <br /> e28Hea&O5 9A4 P5... <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 /> is <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 />