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DocuSign Envelope ID: DEC6E89F-4DC8-4C11-98F2-131C3A1976FC <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Infrared Inspections & Imaging, Inc. Party/Vendor Contact Person: Wesley Carter <br /> (infraredinspections-imaging(a,earthlink.net) Contact Phone: 252-305-0043 Party/Vendor Address: 1002 W. Clam <br /> Shell Drive City Kill Devil Hills State: NC Zip: 27948 Department: Solid Waste/AMS Amount: NTE $1000.00 <br /> Purpose: Perform infrared scan & imaging for Solid Waste Administration Building located at 1207 Eubanks Road <br /> Chapel Hill Budget Code(s): 61370035-870000-30002 Vendor # n/a (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 4/10/19 <br /> 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 /> UocuSignedby. <br /> Department Director's Signature2oB13ENF8436904W_, <br /> OU� (AWa^S Date:4/10/2019 <br /> Agreements for emergency services <br /> 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 /> DocuSign�ed_by, <br /> . <br /> Office of the Risk Management Officer SUS& ('""rwb Date:4/10/2019 <br /> 7FDCF91768004M. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer s�gx.wra Date: 4/11/2019 <br /> 7NE5181ACC1409. <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiencv: <br /> OocuSigned by: <br /> ��k t, �S(h 4/11/2019 <br /> Office of the County Attorney Date: <br /> 079A4D525C0F4FB. <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 />