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DocuSign Envelope ID:8FB10AE2-FF42-455E-B977-09A898706984 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Carolina Parking&Entry Systems,LLC Party/Vendor Contact Person: Cameron Miller Contact <br /> Phone: 336-893-0811 Party/Vendor Address: 301 Twinwood Rd City Clemmons State:NC Zip:27012 Department: <br /> AMS Amount:. $6,650.00 Purpose: Parking Deck Gate replacement Budget Code(s): 10240320-570000 Vendor# <br /> 63705 (N/A if new vender) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)New ❑ <br /> Renewal❑ Amendment ❑ Effective Date Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to techn' '6ocuSigned'by: <br /> � I <br /> Department Director's Signature Date: 9/12/2017 <br /> 9E88CA48CF64498... <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 o �6� �V1n. 6` �u� sgn-ed-by:' specifications,and requirements: <br /> Office of the Risk Management Officer__ Date: 9/12/2017 <br /> 7F6CF9176890498... <br /> Financial Services <br /> This instrument has been pre-audited in tl DocuSigned by: ;Local Government Budget and Fiscal Control Act: <br /> [Office of the Chief Financial Officer � s��. Date: 9/12/2017 <br /> 704E5181ACC1469... <br /> Local Services <br /> This agreement is approved as to 1 oocusigned by: r- iency: <br /> Office of the County Attorney_DEAAM3aEMAW5 <br /> 66A, Kb�t� Date. 9/12/2017 <br /> ... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must he copied to Donna Lloyd upon completion @DolloydrJae orangecauntync,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 2/17 <br />