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DocuSign Envelope ID:234B0168-7DD8-4F95-A2D1-25D37F4A4C22 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: 105 West Corbin Street,LLC. Party/Vendor Contact Person: Tori.Reid Contact Phone: 919- <br /> 245-8473 Party/Vendor Address: 960 Corporate Drive, Suite 404 City Hillsborough State:NC Zip: 27278 <br /> Department: AMS Amount: $30,000 Purpose: Lease of Office Space Budget Code(s): 10240320 580000 <br /> Vendor#65588 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one) <br /> New ❑ Renewal ❑ Amendment ❑ Effective Date 3/20/2019 Approved by Board Yes®No❑ Agenda <br /> Date: 3/7/2019 <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work <br /> on this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> C <br /> � Off),4aan. 3/15/2019 <br /> Department Director's Sig, Date: <br /> 21 EF373ACD454EF.. <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 <br /> was 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 sufficien WcuSigned by: irds,specifications,and requirements: <br /> USX CDV1n. 6 3/15/2019 <br /> Office of the Risk Management Office[,7FDCF917e800498. Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> Office of the Chief Financial Office 0 � Date: 3/19/2019 <br /> Cr7NE5181ACC1409. <br /> Legal Services <br /> This agreement is approved as tc ' oocusigned by:' r iciency: <br /> Office of the County Attorney �66A, K6kkY S Date: 3/20/2019 <br /> EAA3MaEDSA94S5.. <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 <br />