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DocuSign Envelope ID: E93BD43D-BEBA-40BA-9369-A91730E5F629 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: LRC Indoor Testing & Research, Inc Party/Vendor Contact Person: Cathy Richmond Contact <br /> Phone: 919-342-4936 Party/Vendor Address: 140 Iowa Lane, Suite 102 City Cary State:NC Zip:27511 Department: <br /> AMS Amount: NTE $5,000 Purpose: Air Quality Testingas s requested at various locations Budget Code(s): <br /> 10240320-630000 Vendor# 62070 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract <br /> Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑ No❑ <br /> Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on <br /> this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> Department Director's Signature 9� Off),40L Date:1/22/2019 <br /> Agreements for emergency services o___21EF373Ac❑454EF-- .t 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 was <br /> addressed: Urgent(based on our procedure standard)services began upon report of air quality concerns in various <br /> locations,and continue to be reported,with air quality testing action required,as applicable. <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 insurance standards,specifications,and requirements: <br /> DocuSigned by: <br /> Office of the Risk Management Officer aUsa (DV1n• 6 Date: 1/23/2019 <br /> 7FDC F91 76900498- DS <br /> Financial Services Ir <br /> L <br /> This instrument has been pre-audited in tl oocusignea ay'�"" '`' "Local Government Budget and r fiscal Control Act: <br /> Office of the Chief Financial Officer ` .&I. Date: 1/23/2019 <br /> 7D4E5181ACC14M- <br /> Legal Services <br /> This agreement is approved as to legal f DocuSigned by: <br /> �66A, K6 YS <br /> Office of the County Attorney Date: 1/24/2019 <br /> EAA3D33ED8AW5-- <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 4 <br />