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DocuSign Envelope ID:43A172E7-E29E-49DA-966A-C47C5091A3DD <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Creative Business Interiors, Inc. Party/Vendor Contact Person: D.C. Ramey Contact Phone: <br /> 919-788-4800 Party/Vendor Address: 8720 Fleet Services Drive City Raleieh State: NC Zip: 27617 Department: <br /> AMS Amount: $5,000 Purpose: Rental Furniture Budget Code(s): 61370035 880000 10068 Vendor#65561 (N/A if <br /> new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ <br /> Amendment ❑ Effective Date 2/18/2019 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 /> UocuSigned by- <br /> De <br /> partment PbV*aJA. 2/19/2019 <br /> Department Director's Signatur Date: <br /> Agreements for emergency services or r suoject 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: <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 sufficienev of inc„rnnvP-zt—lords,specifications,and requirements: <br /> DocuSigrneed by: <br /> �sa <br /> Office of the Risk Management Office Q V00498- Date/19/2019 <br /> 7F©CF317E80498 <br /> Financial Services <br /> This instrument has been pre-audited it oocuSigned by: the Local Government Budget and Fiscal Control Act:17D-NOffice of the Chief Financial Officer 4 � Date?/19/2019 <br /> L <br /> 4E51S1ACC1409. <br /> Legal Services <br /> This agreement is approved as tcD <br /> Uocusigned by: iciency: <br /> b61 P Ys 2/20/2019 <br /> Office of the County Attorney Date: <br /> EAA3033E08A84S5.. <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 />