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DocuSign Envelope ID:46EEBC6C-B5CA-44D3-867D-F42A6EFOC768 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Siemens Industry,Inc Party/Vendor Contact Person: Greg Collins Contact Phone: 919-465- <br /> 5216 Party/Vendor Address: 215 Southport Dr St 900 City Morrisville State:NC Zip: 27597 Department: AMS <br /> Amount:$6888.00 Purpose: WCOB VFD Replacement Budget Codc(s): 10240320-570000 Vendor#53325 (N/A <br /> if new vendor) Vendor is a BOCC consultant? Yes❑Non Contract.Type: (Check one)New❑ Renewal ❑ <br /> Amendment ❑ !Effective Date 11/2/2018 Approved by Board Yes❑Non Agenda Date: <br /> This agreement is approved as to technical for L) Sig. d by: <br /> Department Director's Signature __ ___ 7A,.J " Date;10/31/2018 <br /> 19E88CA4,GCF64408 --- - - <br /> Information Technologies <br /> (Applicable only to hardwar alsofAvare 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 Mana re(. Rent <br /> This agreement is approved for sufficiency of in------�cuSigued ay:' ----cifications,and requirements: <br /> { 6 <br /> a <br /> Office of the Risk Management Officer us& cbvw Date:11/3/2018 <br /> 7FDCF817E$00498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: Docusigned by: <br /> Office of the Chief Financial Officer Date:11/5/2018 <br /> 7D4E5181ACC1409_. <br /> Legal Services <br /> This agreement is approved as to legal f DocuSigned by, <br /> Office of the County Attorney., �66 Pkk s Date: 11/5/2018 <br /> EAAM33ED8AW5... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll @oraneecountync.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 113117 <br /> 8 <br />