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ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br />Department <br />Party/Vendor Name: Carolina Cleaning Associates Party/Vendor Contact Person: Joe Bumgarner, Jr. Contact <br />Phone: 919-880-7870Party/Vendor Address: 348 Elizabeth Brady RoadCity HillsboroughState: NCZip: 27278 <br />Department: AMSAmount: $37,252.64 + $30/emergency call back hour by AMSPurpose: <br />weekly/monthly/emergency cleaning of couny facilitiesBudget Code(s): 10240520-630000Vendor # 14996(N/A <br />if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Renewal <br />Amendment Effective Date 07/01/2018Approved by Board Yes No Agenda 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 InformationOfficer___________________________________ 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 <br />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 <br />8 <br />DocuSign Envelope ID: 47479A27-DB12-4AD5-A9C3-00DEB3BE7224 <br /> <br /> <br /> <br />