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DocuSign Envelope ID: A35DEDEE -3F13- 4125- B653- 349525E3C6A5 <br />ORANGE COUNTY — DEPARTMENT USE ONLY <br />Department <br />Party/Vendor Name: Elia K Bizzarri Party/Vendor Contact Person: Contact Phone: 919 - 732 -3321 <br />Party/Vendor Address: 2815 Moorefields Rd City Hillsborough State: NC Zip: 27278 Department: Coun <br />Manager Amount: 500 Purpose: Wood Furniture Budget Code(s): 34600020 900057 Vendor # 65265 (N /A if <br />new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New E Renewal ❑ <br />Amendment ❑ Effective Date Approved by Board Yes❑ No❑ Agenda Date: <br />This agreement is approved as to technical form and content: <br />DocuSigned by: <br />Department Director's Signature -r MMS Vt 1, Date: 8/21/2018 <br />-110A3E81B12B364B4 <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 />Risk Management <br />Date: <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br />DocuSigned by: <br />Office of the Risk Management Officer US0. b6�6 Date: 8/23/2018 <br />7FDCF9176800498... <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 />DocuSigned by: <br />Office of the Chief Financial Officer � A.I. Date: 8/23/2018 <br />7NE5181ACC1409... <br />Legal Services <br />This agreement is approved as to legal form and sufficiencv: <br />DocuSigned by: <br />Office of the County Attorney �6LW KkA Date: 8/24/2018 <br />EAAM33EMAW5... <br />Clerk to the Board <br />Received for record retention: <br />All Docusign contracts must be copied to Sherri Ingersoll upon completion: sin er,_erg sollgorangecountync.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 <br />LF2018 v.1. <br />7 <br />Date: <br />