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DocuSign Envelope ID:93D03012-FAF4-4641-AFE7-399DF48FAB9B <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: BIBS, Inc Party/Vendor Contact Person: Mike McClure Contact Phone: 336-574-3060 <br /> PartyNendor Address: PO Box 36197 City Greensboro State:NC Zip:27416 Department: AMS Amount: $867.80 <br /> Purpose: BOE Roof Leaks Budget Code(s): 10240320-570000 Vendor# 57369 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes❑No❑ Contract Type:(Check one)New❑ Renewal ❑ Amendment ❑ Effective Date <br /> 2/26/19 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: <br /> Department Director's Signature QW& PbiMM1i7U/l. Date; 3/5/2019 <br /> 21EF373ACD454EF.. <br /> Agreements for emergency services or repair are not sunject to the anove 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: Emergency roof leak repair for Whitted B Facility <br /> Information Technolor-ics <br /> (Applicable only to hardwar'elsoftware purchases or relater!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 inso-a"oocus gr�lar .0 coo ficattons,and requirements: <br /> Office of the Risk Management Officer ��sa rtb Date: 3/5/2019 <br /> 7FDCF9176800498. <br /> Financial Services <br /> This instrument has been pre-audited in the mz---oocusigned ay "`L-it Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer '6 � Date;3/6/2019 <br /> 7D4E5981ACC1409. <br /> Legal Services <br /> This agreement is approved as to le DocuSigned dy: cy: <br /> ,�b�t.Jn. �°b�C,YfS 3/6/2019 <br /> Office of the County Attorney EAA3D33ED8AW5.. 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 /> I <br /> Revised 12/18 4 <br />