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DocuSign Envelope ID:75DE7265-DAF3-4484-873B-40098EEOBD26 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Otis Elevator Party/Vendor Contact Person; Nikki Josey Contact Phone: 919-781-1555 <br /> Party/Vendor Address: PO Box 730400 City Dallas State: TX Zip: 75373 Department: AMS Amount; $557.50 <br /> Purpose:Justice Elevator Repair Budget Code(s): 10240320-570000 Vendor#50936 (N/A if new vendor) Vendor <br /> is a BOCC consultant? Yes [] No❑ Contract Type: (Check one)New❑ Renewal ❑ Amendment ❑ Effective <br /> Date 10/22/18 Approved by Board Yes❑No❑ Agenda Date; <br /> This agreement is approved as to technical fog*- oo u5igned by: <br /> �l j -- <br /> Department Director's Signature �`t$ ��o- Date: 10/26/2018 <br /> 9E88CA46CF64498... <br /> Information Technologies <br /> (Applicable only to hardwarelsof fare 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 rF'-C7oeusigned ay: '� ' specifications,and requirements: <br /> [,USX (h�' 6 10/26/2018 <br /> Office of the Risk Management Officer, <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the ma Docusigned 6y: Government Budget and Fiscal Control Act: <br /> 0/26/2018 <br /> Office of the Chief Financial+Officer 7D4E5181ACC14C9... Date'1 <br /> Legal Services <br /> This agreement is approved as to legal forr- - Docus g ed by'. <br /> Office of the County Attorney 6LW Kk�vfs _Date; 10/26/2018 <br /> EAAM33ED&AM65... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersol]i gran ecountync.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(Mgr appry 5k 6/18) 4 <br />