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DocuSign Envelope ID: AEDEF235- 8770- 4AA4- 868D- B7F9A7872965 <br />ORANGE COUNTY— DEPARTMENT USE ONLY <br />Department <br />Party /Vendor Name: Tarlieel Glass, INC Party /Vendor- Contact Verson: Garland McFalls. Jr Contact Phone: 919- <br />732 -1977 Party/Vendor Address: 151 Bonne Square Station City Hillsborough State: NC Zip: 27278 <br />Department: AMS Amount: $6046.88 Purpose: ES Window Replacement Budget Codes): 151370035-880000 - <br />30062 Vendor # 62636 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: <br />(Check one) New ❑ Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑ No❑ <br />Agenda Date: <br />This agreement is approved as to technica DocuSigned by, <br />Department Director's Signature __ _� 740 rl;"� <br />9E88CA40CF64498... <br />Information Tcelinolodes <br />8/20/2018 <br />(Applicable only to ha?%hvarae1stgfN aiv 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 insur -- oocusigned by: -- _- `fications, and requirements: <br />197FDCF917C,9004N US& cbvwh Ofiice of the Risk Management Management Officer Date: 9/4/2018 <br />... <br />Financial Services <br />This instrument has been pre - audited in the manner required by the Local Government Budget and Fiscal Control <br />.Act: �ocuSigned by: <br />Office of the Chief Financial Officer 01.414 Date: 9/4/2018 <br />704E5181ACC1469... <br />Legal Services <br />This agreement is approved as to legal form and s — docuSigned 6y: <br />Office of the County Attorney 6LW Pkk�s Date: 9/4/2018 <br />. --[� EAAM33EMA8435... <br />Clerk to the .Board <br />Received for record retention: <br />All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.l;ov <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 117117 <br />8 <br />