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DocuSign Envelope ID: 1152D302-3E2A-4168-95EB-7031BEAF5629 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Brown Brothers Plumbing & Heatinr7 Co-Inc Party/Vendor Contact Person: Jeff Addison <br /> Contact Phone: 919-220-2554 Party/Vendor Address: 2820 N Roxboro Rd City Durham State: NC Zip: 27704 <br /> Department: AMS Amount: $7,738.00 Purpose: Cedar Grove Bath House Sewer Lime Replacement Budget <br /> Code(s):61370035-883000-10016 Vendor#35730 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑ <br /> No❑ Contract Type:(Check one)New❑ Renewal ❑ Amendment ❑ Effective Date 6/20/2019 Approved by <br /> Board 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 /> Department Director's Signature �W PbV*aan. Date: 6/10/2019 <br /> 21EF373ACD454EF.. <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 hardwarelsoftware purchaser 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 in`""'oocusignea by: --cifications,and requirements: <br /> Office of the Risk Management Officer &A C6Vln&6 Date:6/13/2019 <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: DocuSigned by: <br /> Office of the Chief Financial Officer 7D4E51S1ACC1409 Date: 6/13/2019 <br /> . <br /> Legal Services <br /> This agreement is approved as to legal form Docusigned by: <br /> Office of the County Attorney �b� K6 tG fs D,itc6/17/2019 <br /> El+A3DnED8AS405.. ......... <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 Cleric to the Board Date: <br /> Revised 12/18 <br /> 8 <br />