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ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br />Department <br />Party/Vendor Name: A. D.'s Area Vacuum Service, Inc.Party/Vendor Contact Person: Anthony HarrisContact <br />Phone: 919-423-6769Party/Vendor Address: 3734 Mallory CtCity HillsboroughState: NCZip: 27278Department: <br />AMSAmount: $1600Purpose: quarterly Eno River Parking Deck sweepingBudget Code(s): 10240520-630000 <br />Vendor # 62830(N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) <br />New Renewal Amendment Effective Date 07/01/2018Approved by Board Yes No Agenda <br />Date: <br />This agreement is approved as to technical form and content: <br />Department Director’s Signature ________________________________________ Date: ________ <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 insurance standards, specifications, and requirements: <br />Office of the Risk Management Officer___________________________________ Date: _________ <br />Financial Services <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br />Office of the Chief Financial Officer ____________________________________ Date: _________ <br />Legal Services <br />This agreement is approved as to legal form and sufficiency: <br />Office of the County Attorney __________________________________________Date: ________ <br />Clerk to the Board <br />Received for record retention: <br />All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@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 10/17(Mgr apprv 5k 6/18)4 <br />DocuSign Envelope ID: 0F990C3F-5655-44AD-BAFB-8904E9644683 <br /> <br /> <br /> <br />