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Revised 10/17 <br /> <br /> <br />5 <br /> <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br /> <br />______________________________________________________________________________ <br />Department <br /> <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 Amount: 530.00 Purpose: Install dedicated 20A circuit with a <br />breaker lock for the new fire alarm panel at the Efland Cheeks Community Center Budget Code(s): 61370035-880000- <br />30001 Vendor # 55477 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check <br />one) New Renewal Amendment Effective Date 2/16/18 Approved by Board Yes No Agenda <br />Date: <br /> <br />This agreement is approved as to technical form and content: <br /> <br />Department Director’s Signature ________________________________________ Date: ________ <br /> <br /> <br />Information Technologies <br /> <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 /> <br />Office of the Chief Information Officer___________________________________ Date: ________ <br /> <br /> <br />Risk Management <br /> <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br /> <br />Office of the Risk Management Officer___________________________________ Date: _________ <br /> <br /> <br />Financial Services <br /> <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> <br />Office of the Chief Financial Officer ____________________________________ Date: _________ <br /> <br /> <br />Legal Services <br /> <br />This agreement is approved as to legal form and sufficiency: <br /> <br />Office of the County Attorney __________________________________________Date: ________ <br /> <br /> <br />Clerk to the Board <br /> <br />Received for record retention: <br />All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov <br /> <br />The following signature block is for hard copies only and is not required for Docusign contracts: <br /> <br />DocuSign Envelope ID: 52A49306-C416-4C8C-BE2F-5CDE93DAED71 <br /> <br /> <br /> <br />