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DocuSign Envelope ID:322293E0-C321-4064-8108-64E2EBBA433A <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <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: 27416 Department: AMS Amount: <br /> 5267.48 Purpose: Battle Courtroom Roof Leak Budget Code(s): 61370035-882000-30002 Vendor#57369 (N/A <br /> if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: (Check one)New❑ Renewal ❑ <br /> Amendment ❑ Effective Date 1/16/2019 Approved by 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 /> 1DocuSigned by: <br /> Q6A. P6V*aIA, 1/21/2019 <br /> Department Director's Signature 21 EFMACD4s4EF.. Date: <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 /> was addressed: Emergency repair declared by Orange County Risk Manager. <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 i oocusigned_ay:.�' pecifications,and requirements: <br /> aUsa (,6Vln.t,{�6 1/22/2019 <br /> Office of the Risk Management Officer 7FDCF91 76800498. Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> o�.wa' . 1/23/2019 <br /> Office of the Chief Financial Officer lr7NE5181ACC1409. Date: <br /> Legal Services <br /> This agreement is approved as to leg DocuSigned by: �y: <br /> , 66A, K6�C '6 1/23/2019 <br /> Office of the County Attorney EAMMaEDSAa4s5.. Date: <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 <br /> 8 <br />