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Revised 10/17 (Mgr apprv 5k 6/18) <br /> <br /> <br />4 <br /> <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br /> <br />______________________________________________________________________________ <br />Department <br /> <br />Party/Vendor Name: CT Plumbing Incorporated Party/Vendor Contact Person: Chris Turner <br />(CTplumbinginc@gmail.com) Contact Phone: 919.730.5798 Party/Vendor Address: 3014 New Sharon Church Road <br />City Hillsborough State: NC Zip: 27278 Department: AMS Amount: $4180.00 Purpose: Demo existing pipes for <br />sink inside of wall, install mop sink and new breakroom sink for Link Lower level (Public Defender) Budget Code(s): <br />10240320-570001 Vendor # 65280 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract <br />Type: (Check one) New Renewal Amendment Effective Date 8/12/18 Approved by Board Yes No <br />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 the Risk Management Officer___________________________________ 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 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 />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 /> <br />Office of the Clerk to the Board __________________________________________Date:_________ <br />DocuSign Envelope ID: C23EFEB1-F23E-4ED6-ABBC-D370C7C2E69E <br /> <br /> <br /> <br />