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DocuSign Envelope ID:5F8D875E-969F-44D2-B301-E6E756DDE589 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: WxProofing Party/Vendor Contact Person: Robert McDowell(rmcdowell(a)wxproofing com) <br /> Contact Phone: 336-664-8038 Party/Vendor Address: PO Box 8030 City Greensboro State: NC Zip: 27419 <br /> Department: AMS Amount: $12,320.00 Purpose: Provide sealing and water repellent at the Link Building Budget <br /> Code(s): 61370035-882000-30002 Vendor#65272 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ <br /> No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 1/17/19 Approved by <br /> Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form 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 /> Department Director's Signature Q�'"�d""�" Date: 1/18/2019 <br /> C-, <br /> Agreements for emergency services or repair are not subject to the 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 /> wasaddressed: This work requested by the former director. AMS staff was not awz <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> Office of the Risk Management Office QGs�,bn1t f° Date: 1/18/2019 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> P� Act: <br /> Office of the Chief Financial Officer[ Date:1/18/2019 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney Date:1/22/2019 <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: singersoll@orangecountync.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 5 <br />