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DocuSign Envelope ID:65EDE2B8-3578-4B96-9EDC-73B4CA12AFB5 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Triangle Office Equipment Party/Vendor Contact Person: Trey Jones <br /> (trey(d,triangleofficeequipment.com) Contact Phone: 919.929.4203 PartyNendor Address: 300B South Elliott Rd 05 <br /> City Chapel Hill State: NC Zip: 27514 Department: Library Amount: $7,951.96 Purpose: Install furniture wall aD <br /> per proposal for additional staff Budget Code(s): 10500030-801000 Vendor#75 (N/A if new vendor) Vendor is <br /> a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective <br /> Date 2/4/19 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 /> D 5'g tl by: <br /> Department Director's Signature[""`-ft Date: 1/28/2019 <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: N/A <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> D 5'g tl by: <br /> Office of the Risk Management Office ausa(nuf o Date:1/29/2019 <br /> ,FDDFgfl8B�9g... <br /> Financial Services <br /> Ds <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> P� Act: <br /> D M tl by: <br /> Office of the Chief Financial Officei.E 0"` Date: 1/30/2019 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Doc 9'g tl by: <br /> Office of the County Attorney�d t r6�tyh Date: 1/30/2019 <br /> �voc1D33EDBAHIIE3.. <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 />