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Docusign Envelope ID ,; 75DE7265wDAF34484w873B3 40098EEOBD26 ( � q <br /> ORANGE COUN TY--DEPARTMENT USE ONLY <br /> Department <br /> PartyNendor Name ; Otis Elevator PartyiVendor Contact Person : Nikki 3osey Contact Phone : 919481 - 1555 <br /> PartyNendor Address ; PO Box 730400 City Dallas Stake ; TX Z ' • 75373 Department; AMS Amount: $ 557 . 50 �� C` <br /> Purpose : Justice Elevator Repair Budget Code(s) ; 10240320 = 570000 (��ndor #f 50936 (NIA if new vendor) 'vendor <br /> is a BOCC consultant? Yes ❑ No [] Contract Type : (Check one) . , Renewal ❑ Amendment ❑ Effective <br /> Date 10/22/ 18 Approved by Board Yes ❑ No ❑ Agenda Date : <br /> This agreement is approved as to technical form and content: <br /> Department Director' s Signature Date: ! ZO <br /> Information Techno ] U es <br /> (Applicahle only to hard vares'sojhvore 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 insurance standards , specifications , and requirements : <br /> Office of the Risk Management Officer �( _ � Date : ` l z93 / Pe <br /> Financlial S6rvices <br /> This instrument has been pre-audited in the ma er re u ' by the Local Government Budget and Fiscal Control Act ; <br /> Office of the Chief Financial Officer Date: / / " Cheo ' <br /> Legal Services <br /> This agreement is approved as to legal form and suff dige,,nu . <br /> r <br /> Office: of the County Attorney Date : <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion : singersalloran ecyunt, nc . 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 (Mgr appry 5k 6119) ,� <br />