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ORANGE COUNTY - -- DEPARTMENT USE ONLY -- -HARD COPY ONLY <br />Department <br />Party/Vendor Name: Builders FirstSource Party/Vendor Contact Person: Paul Dunn Contact Phone: 214 - 880 -3512 <br />Ext 101 Party/Vendo ddress: 401 Valley Forge Rd City Hillsborough State: NC Zip: 27278 Department: AMS <br />,Amount: $2 urpose: Lease Renewal Budget Code(s): 10240101- 470502 Vendor # 51955 (N /A if new <br />vendor) Vendo i ' a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ <br />1 " mendment Effective Date 10/01/2017 Approved b Board Yes No Agenda Date: 09/19/2017 <br />� ❑ Pp Y ® ❑ g <br />V-0-y- l <br />This agreement is approved as to technical form and content: <br />Department Director's Signature <br />Information Technologies <br />Date: <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 <br />Risk Management <br />Date: <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br />Office of Risk Management Date: I 1 1, W (? <br />This instrument has been pre- audited <br />Act: <br />Office of the Chief Financial Officer <br />Financial Services <br />Legal Services <br />ment Budget and Fiscal Control <br />Date: <br />I /" /r.V <br />.1 <br />This agreement is approved as to legal fo suff nc . <br />Office of the County Attorney - Date: <br />Clerk to the Boar <br />Received for record retention: <br />Office of the Clerk to the Board Date: / <br />Revised 10/17 <br />