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DocuSign Envelope ID: F23214B8-OE00-4B20-8C6A-OEB9A497A1DC <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Applied_Drives Inc Party/Vendor Contact Person: Dennis Hayes Contact Phone: 704-573- <br /> 2324 Party/Vendor Address: PO Box 690245 City Charlotte State: NC Zip: 28227 Department: AMS Amount: <br /> $10,500.00 Purpose: Whiffed VFD Budget Code(s): 10240320-570000 Vendor # 64802 (NIA if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑No❑ Contract Type:(Check one)New❑ Renewal ❑ Amendment ❑ <br /> Effective Date 2/1 1120 1 9 Approved by Board Yes❑Nor-1 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 /> DocuSigned by: <br /> Department Director's Signature FLv& <br /> 06vm ttn, Date: 2/6/2019 <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: <br /> Information Technologies <br /> (Applicable only to hardwarelsoftware 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' fri�n�+ }lards,specifications,and requirements: <br /> Q�tSa CbVt�,t,{fb <br /> Office of the Risk Management Officer_ ,FDeE���esoe4 ... Date'2/6/2019 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: [:� <br /> cuSigned by: <br /> Office of the Chief Financial Officer 41N <br /> 01n� Date: 2/6/2019 <br /> Legal Services <br /> This agreement is approved as to legal a�aslgiency: <br /> Office of the County Attorney Da(e.2/7/2019 <br /> EAA3D33ED8A8465... <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 /> 1 <br /> ReviBed 12118 <br /> 8 <br />