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DocuSign Envelope ID: D4C3AF61-7A25-4247-AF54-DF979AA890B6 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: W.L. Bishop Construction Company Party/Vendor Contact Person: Jerry Smith <br /> (ierrykwlbishop.com) Contact Phone: 919.732.2546 Party/Vendor Address: 2211 Leah Drive City Hillsboroueh <br /> State: NC Zip: 27278 Department: AMS Amount: $3,350.00 Purpose: Rework existing receptionist desk for <br /> complicance with ADA requirements. Budget Code(s): 61370035-880000-30001 Vendor # 59867 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ <br /> Amendment ❑ Effective Date 2/11/2019 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 on <br /> this project has not been initiated prior to execution of the agreement: <br /> Q� pbmav, 1/28/2019 <br /> Department Director's Signature[IX, 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 was <br /> addressed: N/A <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 /> Office of the Risk Management Office�Lt L bn1t f° Date:1/29/2019 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> PL <br /> Office of the Chief Financial Officer[ Date:1/30/2019 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney Date:1/30/2019 <br /> C .,__ <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 />