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DocuSign Envelope ID:95724FC4-3213-43D4-8D2C-2A793885F3F8 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Sparrow& Sans, Inc Party/Vendor Contact Person: Jonathan Sparrow Contact Phone: 919-942- <br /> 5171 Party/Vendor Address: 305 Weaver St City Carrboro State: Ne Zip: 27510 Department: AMS Amount: <br /> 692.37 Purpose: WHSC Sewer Repair Budget Code(s): 10240320-570000 Vendor# 22599 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No[] Contract Type: (Check one)New ❑ Renewal ❑ Amendment ❑ <br /> Effective Date 4/3/2018 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technic ` _oocusigned by: <br /> Department Director's Signature `�6/ 74o j — Date:5/16/2018 <br /> 9E88CA46CF64498... — - <br /> Information Technologies <br /> (Applicable only to hardivare/software pu rchases 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 Date: <br /> Risk Management <br /> This agreement is approved for sufficiency c "pacusigned by:_A'.3 specifications,and requirements: <br /> [,USX ('bV1n.t 6 5/16/2018 <br /> Office of the Risk Management Officer Date: <br /> 7FOCF9176800498... -" <br /> Financial Services <br /> This instrument has been pre-audited in the man Docusigned by: Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date: 5/16/2018 <br /> 7D4E5981ACC14C9_. <br /> Legal Services <br /> This agreement is approved as to legal Docusigned by: Y: <br /> Office of the County Attorney f_7�itc.5/16/2018 <br /> 1eLW Pkkw s <br /> EAA3D33ED8A&W"5... --- -- <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll @orangccountypc.goy <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 10/17 5 <br />