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DocuSign Envelope ID:5044C153-B8F0-49E9-9B25-B9349EC994DA <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Harris Bros. Electric & Controls, Inc Party/Vendor Contact Person: Calvin Harris Contact <br /> Phone: 919-220-8.500 PartyNendor Address: 2712 Hillsborough Rd City Durham State: NC Zip: 27705 <br /> Department: AM5 Amount: 16 379.91 Purpose: ATS Switches Budget Code(s): 10240320-570001 Vendor ## <br /> 5j 4 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: (Check one)New❑ <br /> Renewal ❑ Amendment ❑ Effective Date 12/11/2017 Approved by Board Yes❑ No[] Agenda Date: <br /> This agreement is approved as to techni i7ocusigned by: <br /> Department Director's Signature_ Date: 12/8/2017 <br /> 9E88CA48CF04498... <br /> Information Technologies <br /> (Applicable only to hardWarelsoftware 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 Date: <br /> Risk Management <br /> This agreement is approved for sufficiency r.f'niiocusignedraY.„`—As=specifications,and requirements: <br /> � <br /> Office of the Risk Management Officer_ Us& (,bl^ln.t 6 Date: 12/8/2017 <br /> 7FDCF5176-900498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: Docu5igned by: <br /> Office of the Chief Financial Officer 41.&1. Date: 12/8/2017 <br /> 3D4E5181ACC1469... <br /> Legal Services <br /> This agreement is approved as to legs1EAA3D33EDaA905_._ <br /> Docusigned by: Y: <br /> Office of the County Attorney Date. 12/11/2017 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Floyd upon completion @ Dolloyd Lb orange coun nc. <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 10117 <br /> 8 <br />