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DocuSign Envelope ID: 22DDA535- EA45- 448B- 9C14- 4375A5FBA8E3 <br />ORANGE COUNTY - DEPARTMENT USE ONLY <br />Department <br />Party/Vendor Name: Proctor Flooring & Acoustical, Inc. Party/Vendor Contact Person: Paul Sullivan Contact Phone: <br />919 - 383 -8511 Party/Vendor Address: 110 Brenrose Circle City Durham State: NC Zip: 27705 Department: AMS <br />Amount: $3110 Purpose: Link renovations Ceiling tiles lower level Budget Code(s): 10240320 - 570001 Vendor # <br />2079 (N /A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New <br />Renewal ❑ Amendment ❑ Effective Date 07/23/2018 Approved by Board Yes❑ No❑ Agenda Date: <br />This agreement is approved as to technical form and content: <br />Docu5igned by: <br />Department Director's Signature Ate*,, Date: 7/23/2018 <br />9E88CA40CF64498... <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 <br />Date: <br />Risk Mana>ement <br />This agreement is approved for sufficiency of irQ1rnnra et —in-le epecifications, and requirements: <br />CocuSigned by: <br />Office of the Risk Management Officer �_C7FDCF9176900498 USa � 6 Date: 7/24/2018 <br />. <br />DS <br />Financial Services IrF <br />This instrument has been pre- audited in the manner rennired by the Local Government Budget and Fiscal Control Act: <br />©ocu5igned by: <br />Office of the Chief Financial Officer A.&I. Date: 7/24/2018 <br />7D4E5181ACC1409... <br />Legal Services <br />This agreement is approved as to legal form nn`l cnFfirianw- <br />DocuSigned by: <br />Office of the County Attorney �bLW Pkk s <br />EAA3D33ED8A&W"5... <br />Clerk to the Board <br />Ds <br />Date: <br />Received for record retention: <br />All Docusign contracts must be copied to Sherri Ingersoll upon completion: sin erg sollgoran eg countync. og_v <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 <br />Revised 10/17 (Mgr appry 5k 6/18) 4 <br />Date: <br />