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DocuSign Envelope ID:94F04810-ED21-4E95-8CDC-D01821E590AE <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Keenan A Williams, Electrical Contractor PartyNendor Contact Person: Keenan Williams <br /> Contact Phone: 919-510-6417 PartyNendor Address: 730 Eagle Point Rd City Pittsoboro State: NC Zip: 27312 <br /> Department: AMS Amount: $792.00 Purpose: Gateway Electrical. Budget Code(s): 10335030-803000 Vendor ## <br /> 65426 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)New ❑ <br /> Renewal❑ Amendment ❑ Effective Date 11/19/2018 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical form and c oocuSigned by: <br /> Department Director's Signature �� Aaron, Datc�l/14/2018 <br /> 9E88GAaGCFG44B8... <br /> Information Technologies <br /> (Applicable only to hardware/software 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 of h Docusigned ay: aecifrcations,and requirements: <br /> aUS& c6l'ln.t{�6 11/19/2018 <br /> Office of the Risk Management Officer Date: <br /> 7F6CF917e80C�498... <br /> Financial Services <br /> This instrument has been pre-audited in the M. oocusigned ay:` .al Government Budget and Fiscal Control Act: <br /> �rc <br /> Office of the Chief Financial Officer s[1 Date;11/19/2018 <br /> oaES�a1ACC1409... T- <br /> Legal Services <br /> This agreement is approved as to legal Uocusigned by:66 P <br /> Office of the County Attorney Date:11/19/2018 <br /> EAA3033E08AE465... <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: sing.,ei:sollaoi-an egecvuntync.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 10/17 fMP,r appry 5k 6/18) 4 <br />