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DocuSign Envelope ID:97C6BOCE-B1BA-4D4C-998E-96873287058F <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Don Hill's Lock & Safe Shop Party/Vendor Contact Person: Tina (safeke mangaol.com) <br /> Contact Phone: 919.286.0253 Party/Vendor Address: 2602 Hillsborough Road City Durham State: NC Zip: 27278 Q� <br /> Department: AMS/ES Amount: NTE $500 Purpose: Safe Rental for(3) months Budget Code(s): 61370035-880000- <br /> 10068 Vendor#56266 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check <br /> one)New ® Renewal ❑ Amendment ❑ Effective Date 2/22/19 Approved by Board Yes❑ No❑ Agenda <br /> 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 /> o ss any: <br /> Department Director's Signatur Date: 2/21/2019 <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 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 /> o s'g ea by: <br /> Office of the Risk Management Office gUsa(muff6 Date:2/27/2019 <br /> rlC,� <br /> Financial Services <br /> p This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> f�s o sg a by: <br /> Office of the Chief Financial Officer �"" Date:2/28/2019 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> o ss any: <br /> Office of the County Attorney Mu PkA Date: 2/28/2019 <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 />