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DocuSign Envelope ID:29A5BD89-F11F-4BA3-8DC5-2DCD052483E7 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Harris Bros. Electric and Controls, Inc. Party/Vendor Contact Person: Calvin Harris Contact <br /> Phone: 919-220-8500 Party/Vendor Address: 2712 Hillsborough Road City Durham State: NC Zip: 27705 <br /> Department: AMS/HCD/DEAPR Amount: $2,467 Purpose: To install electrical outlets and track lighting Budget <br /> Code(s): 61370035-880000-20039($1,233.50) and 10460120-62000($1,233.50) 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 2/18/2019 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 /> DocuSigned by: DocuSigned by: <br /> 0AMJ Sf�uC � 2/27/2019 2/24/2019 <br /> Department Director's Signature — IEEOF29E7en447g. Date: <br /> Agreements for emergency services or repair acre not 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 sufficienc`--r oocusigned ay`__'--ds,specifications,and requirements: <br /> Office of the Risk Management Officer Q6, Cb�6 Date: 2/28/2019 <br /> 7FDC F91 7e800498. <br /> Financial Services <br /> This instrument has been pre-audite DocuSigned by: 'by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Offs o a . Date: 2/28/2019 <br /> 7D4E5181ACC1409. <br /> Legal Services <br /> This agreement is approved as to oacusignea ay --- 'eiency: <br /> Office of the County Attorney 66111 Pitfs Date:2/28/2019 <br /> EAA=ED8A8405.. <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 />