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DocuSign Envelope ID:981D7912-374C-46D1-ABOD-38453305CE3C <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: BIRS, Inc Party/Vendor Contact Person: Mike McClure Contact Phone: 336-574-3060 <br /> Party/Vendor Address: PO BOX 36197 City Greensboror State: NC Zip: 27416 Department: AMS Amount: <br /> 1159.87 Purpose:DSS Roof Budget Code(s): 10240320-570000 Vendor ff 57369 (N/A if new vendor) Vendor <br /> is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑ Amendment ❑ <br /> Effective Date 5/25/18 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to tech ' bf ndycontent: <br /> Department Director's Signature Date: 5/17/2018 <br /> F64498_ — <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related set-vices)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency specifications,and requirements: <br /> 7&a:b�tandards, <br /> 5/18/2018 <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: DocuSigned by: <br /> Office of the Chief Financial Officer 0,. � Date: 5/21/2018 <br /> A661409 <br /> Legal Services <br /> This agreement is approved as to CW]MeMW sufficiency: <br /> Office of the County Attorney J Date:5/21/2018 <br /> i <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: sin Jersoll@oran eg coun nc.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: j <br /> I <br /> I <br /> C <br /> Revised 10/17 <br /> 8 <br />