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DocuSign Envelope ID: DD6426E6-FB6A-4F57-9462-CFFDBOA2838B <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Harris Bros. Electric & Controls, Inc Party/Vendor Contact Person: Calvin Harris <br /> (calvinrharris(&msn.com) Contact Phone: 919.220.8500 Party/Vendor Address: 2712 Hillsborough Road City os <br /> Durham State: NC Zip: 27705 Department: Emergency Services Amount: $1,930.00 Purpose: Install Shore Line at <br /> the Eno Fire Station for Ambulance Budget Code(s): 10757520-630000 Vendor # 55477 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ <br /> Effective Date 2/15/2019 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 /> PSignature �its z/8/2o19 <br /> Department Directors C,IX flQ RP„, 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 Officer IESOL bn1t f° Date:2/10/2019 <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 �Office of the Chief Financial Officer Date: z/11/zo19 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney �' ` ° Date: 2/11/2019 <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 />