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DocuSign Envelope ID: D896B050-02E5-4528-A544-F66B5FF05BE0 <br /> ORANGE COUNTY DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: BIRS, Inc Party/Vendor Contact Person: Mike McClure Contact Phone: 336-574-3060 <br /> Party/Vendor Address:PO Box 36197 City Greensboro State:NC Zip:274 6 Department:AMS Amount:$1,900.00 <br /> Purpose: BOE Roof Budget Code(s): 1 024 03 20-5 700 0 Vendor# 57369 (NIA if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑ Amendment ❑ ) frective Date <br /> 11/27/2018 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical fort^^ A <br /> 1�1� DocuSigned by: <br /> Department Director's Signature aW. PbV*aaA. Date: 11/27/2018 <br /> 21EF373ACD454EF... <br /> Information Technola ies <br /> (Applicable only to hardwarefsoftware purchases or relaled set-vices)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� i (,DV1n. 6 DocuSigned try: " " specifications,and requirements: <br /> �6L <br /> Office of the Risk Management 0ffieer 13atc 11/27/2018 <br /> --- 7FDCF917E804498... <br /> Financial Services <br /> This instrument has been pre-audited in the Doeusigoed�6r:'" " ',ocal Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Aw Date:11/27/2018 <br /> 7DaE51a1Acc1409... <br /> Legal Services <br /> This agreement is approved as to le , £oocusigned by: ' icy: <br /> 2LW �b�t,Y�S 11/27/2018 <br /> Office of the Caunty Attorney^ AAM33EMA8435... <br /> Clerk to the Board <br /> i <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: sin=erg sol]Ca)orangecoun nc.goy <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Cleric to the Board Date: <br /> Revised 10117(Mgr appry Sk 6/18) 4 <br />