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DocuSign Envelope ID:9F4A9FCF-54CC-46AF-8928-75CFFCE670D0 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Harris Brothers Electric and Controls, Inc Party/Vendor Contact Person: Calvin Harris <br /> Contact Phone: 919-286-7592 Party/Vendor Address: 2712 Hillsborough i Rd City Durham State: NC Zip: 27705 <br /> Department: AMS Amount: $5,009 Purpose: Install electrical Service for Mobile Office Trailer Budget Code(s): <br /> 61370035-880000-10068 Vendor# 55477 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® <br /> Contract Type: (Check one)New® Renewal ❑ Amendment ❑ Effective Date 3/21/2019 Approved by Board <br /> Yes❑No❑ Agenda Date: <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 /> C21EFMAGD4�4EF_ <br /> � Off),4aln. 3/22/2019 <br /> natur <br /> Department Director's Sig Date: <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 <br /> was addressed: <br /> Risk Management <br /> This agreement is approved for sufficienc} DocuSigned by: ds,specifications,and requirements: <br /> �usx (,4Wt.t 6 <br /> Office of the Risk Management Officer- 7FDCF9176800408. Date:3/22/2019 <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 Offic CC 41 � Date: 3/2 5/2019 <br /> 7NE5181ACC1400. <br /> Le,aal Services <br /> This agreement is approved as ' Docusigned by: ' ficiency: <br /> Office of the County Attorne C�66A, K6 Y S Date:3/25/2019 <br /> EAA3D33ED8AW5.. <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 5 <br />