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DocuSign Envelope ID:9BA16521-54C1-4D78-BE61-99EECC43994D <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Hammerstruck LLC Party/Vendor Contact Person: Garrett Paschall Contact Phone: 919-694- <br /> 1001 Party/Vendor Address: 5100 Paschall Dr City Durham State: NC Zip: 27705 Department: Solid Waste <br /> Amount: 10,068.00 Purpose: Repair Buildings at three Waste and Recycling Centers Budget Code(s): 50353020- <br /> 570000 Vendor # N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: <br /> (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 5-20-19 Approved by Board Yes❑ No® <br /> 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 /> Department Director's Signature AWa^S Date: 5/21/2019 <br /> Agreements for emergency services oi S11EBU843690496 . <br /> .,r�.. �.. .. ,. 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 sufficiency of insurance standards,specifications,and requirements: <br /> DocuSigned by: <br /> Office of the Risk Management Officer aUSa �6 Date: <br /> 5/22/2019 <br /> 7FDCF9176900498. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> Docusigned by: <br /> Office of the Chief Financial Officer � Date: 5/22/2019 <br /> 7NE5181ACC1409. <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Docu,5igned by: <br /> Office of the County Attorney <br /> irt� AA, kavit, U0 Date: 5/22/2019 <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 5 <br />