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DocuSign Envelope ID: E14CA88B-01E6-4E05-B20A-B1A199703000 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Departmcnt <br /> Party/Vendor Dame: Custom Overhead Door&Gate Party/Vendor Contact Person: Nate Spann Contact Phone: 919- <br /> 876-4555 Party/Vendor Address: 830 South New 1-lope Rd City Raleigh State: NC Zip: 27610 Deparhnent: AMS <br /> Amount:$6904.00 Purpose: Animal Services Door Budget Code(s): 10240320-570001 Vendor#61121 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No[] Contract "Type: (Check one) New ❑ Renewal ❑ <br /> Amendment ❑ Effective Date Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technic--i F-- —1,.nnf—f- <br /> {DocuSigned by: <br /> Department Director's Signature �`�6 ? Date: 11/12/2017 <br /> 9E88CA46CF64408... <br /> Information'Technologies <br /> (Applicable only to hardwarelsoftware purchases or related sejvices)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 or"'-oocu5igned`ay:A—A,, specifications,and requirements: <br /> Office of the Risk Management OfficeraUSX Cbl� 6 —��Date: 11/13/2017 <br /> 7F6CF917E800438... <br /> Financial Services <br /> This instrument has been pre-audited in d DocuSigned by: s Local Government Budget and Fiscal Control Act: <br /> -w <br /> Office of the Chief Financial Officer sL� Date: 11/13/2017 <br /> 704E5181ACC1409... <br /> Legal.Services <br /> This agreement is approved as to legal f--—1 cliffri—y: <br /> UocuSigned hy: <br /> Office of the County Attorney__:�EAOMaEMAW5 <br /> 6LL P k s Date: 11/13/2017 <br /> .. <br /> Clerk to the Board. <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd a orangecountync.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: <br /> Revised 211.7 5 <br />