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Revised 10/17 <br />ORANGE COUNTY---DEPARTMENT USE ONLY---HARD COPY ONLY <br />______________________________________________________________________________ <br />Department <br /> <br />Party/Vendor Name: OWASA(Mueller Systems, Agent) Party/Vendor Contact Person: Todd Taylor (John <br />Krumenacker, Agent) Contact Phone: 919-537-4216/ttaylor@owasa.org (610-709- <br />7377/jkrumenacker@muellersystems.com Party/Vendor Address: 400 Jones Ferry Road City Carrboro State: NC <br />Zip: 27510 Department: AMS Amount: N/A Purpose: Licensing Agreement for OWASA Metering Equipment <br />Mounting on Rogers Road Community Center Budget Code(s): N/A Vendor # N/A (N/A if new vendor) Vendor <br />is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal Amendment <br />Effective Date 5/11/18 Approved by Board Yes No Agenda 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 Risk Management_____________________________________________ 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 <br />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 /> <br />Office of the Clerk to the Board __________________________________________Date:_________ <br /> <br />DocuSign Envelope ID: 454AC100-1926-4795-B94B-86B8B3246CC0 <br /> <br /> <br />