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DocuSign Envelope ID: 141732AE-98DD-42B0-B3F4-E76AB4233C9F <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Harris Brothers Electric and Controls, Inc. Party/Vendor Contact Person: Calvin Harris Contact <br /> Phone: 919-286-7592 Party/Vendor Address: 2712 Hillsborough Rd City Durham State:NC Zip: 27705 Department: <br /> AMS Amount: $658.00 Purpose: Provide dedicated power to Cubical Budget Codc(s): 61370035 880000 10068 <br /> Vendor# 55447 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) <br /> New® Renewal❑ Amendment ❑ Effective Date 2/28/2019 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 /> Department Director's Signaturetl� yffy u Date: 3/1/2019 <br /> . <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: <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 WocuSignted_by: <br /> . rds,specifications,and requirements: <br /> aUsa (D 6 3/1/2019 <br /> Office of the Risk Management Office 7FDCF9176900498. Date: <br /> Financial Services <br /> This instrument has been pre-audited DocuSigned by: �the Local Government Budget and Fiscal Control Act: <br /> 4 3/1/2019 <br /> Office of the Chief Financial Oftice 7NE5181ACC1400. Date: <br /> Legal Services <br /> This agreement is approved as to UocuSigned by: ciency: <br /> , 66A, K6�C '6 3/4/2019 <br /> Office of the County Attorney EAA3D33ED8A84s5.. Date: <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 />