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DocuSign Envelope ID:9CC23CFF-lB9E-4A5E-9FBC-6DD72E9F9AE5 <br /> DS DS <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Design Element of Durham Party/Vendor Contact Person: Erick Saavedra Torres Contact <br /> Phone: 919-383-3500 Party/Vendor Address: 3702 Hillsborough Road, Suite 1 City Durham State: NC Zip: 27705 <br /> Department: DSS Amount: $899.19 Purpose: DSS and loading/unloading signs for HBOC Budget Code(s): <br /> 10400120-629000 Vendor# 65142 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract <br /> Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 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 on <br /> this project has not been initiated prior to execution of the agreement: <br /> Oocusigned by: <br /> Department Director's Signature N �bMbw Date:6/5/2019 <br /> Agreements for emergency services or repair 7 DAE1E196A83M55 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: <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 /> DocuSigned by: <br /> Office of the Risk Management Officer aUS& cbvwh Date:6/6/2019 <br /> 7FDCF917e800498. DS <br /> Financial Services Ir <br /> F <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 <br /> .61 .41� Date:6/6/2019 <br /> 7D4E5981ACC1409. <br /> Legal Services <br /> This agreement is approved as to legal form and miffiriPnry <br /> DocuSigned by: <br /> ,fsOffice of the County Attorney �bk Date/6/2019 <br /> EAA3D33ED&AW5.. <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 />