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DocuSign Envelope ID: 12C2C73B-E5A5-42D3-861F-608EF32071C0 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Siemens InduslU, Inc PartyfVendor Contact Person: Greg Collins Contact Phone: 919-468- <br /> 2324 Party/Vendor Address;215 Southport Dr,Ste 900 City Morrisville State:NC Zip:27560 Department: AMS <br /> Amount:$26,835,00 Purpose: Justice Humidity_Project Budget Code(s): 10700020-665000 Vendor 4 53325 (N/A <br /> if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type:(Check one)New❑ Renewal ❑ <br /> Amendment ❑ Effcclive Date 1/21/19 Approved by Board Yes❑No❑ Agenda Date: <br /> This agreement is approved as to technical forth and content and I as Department Director affirmatively state work <br /> on this project has not been initiated prior to execution of the agreement: <br /> �DocuSigned by: <br /> Department Director's Signature l YES A&�MJA, Date -/14/2019 <br /> Agreements for emergency services or repair"arciiu8lsuujUi4.giu mu above affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that <br /> was addressed: <br /> Information Technologies <br /> (Applicable only to hardwai•elsofhvm•e pin•chases 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 cu5igned_by��Y�c specifications,and requirements: <br /> Office of the Risk Management Officer aUSA c6rW i6 Date: 1/14/2019 <br /> 7FDCF8176900498" <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: D 704E5981ACC1409"ocuSigned by: <br /> Office of the Chief Financial Officer Date:1/14/2019 <br /> " <br /> Legal Services <br /> This agreement is approved as to I eg(—Docusigned by: icy: <br /> j6� Pkk , 5 1/15/2019 <br /> Office of the County Attorney EAAM33EMAM65"" Date: <br /> Cleric to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoII a orange countync.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 12/18 <br /> 8 <br />