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DocuSign Envelope ID:96COOCFO-A422-4AA9-BOC1-EB82D2EBA648 <br /> E-6 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Creative Business Interiors, Inc. Party/Vendor Contact Person: D.C. Ramey Contact Phone: <br /> 919-788-4800 Party/Vendor Address: 8720 Fleet Services Drive City Raleieh State: NC Zip: 27617 Department: <br /> AMS Amount: NTE $4,000 Purpose: Rental Furniture addendum Budget Code(s): 61370035 880000 10068 Vendor <br /> # 65561 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ❑ <br /> Renewal❑ Amendment ® Effective Date 7/15/2019 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 /> DoouSigned by: <br /> Department Director's Signature FEA, p6mak, Date 7/12/2019 <br /> Agreements for emergency services or repair 11131L bu Jam:L w 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: <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 /> 1) SfinedIy: 7/12/2019 <br /> Office of the Risk Management Officer Usa Ctm L l`6 Date: <br /> TFDCF917&303495.. DS <br /> Financial Services P <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> DocuSi!ned by: <br /> Office of the Chief Financial Officer (' �� Date:7/12/2019 <br /> 71)4E5161ACC'40P <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney�� - Xb� S Date:?/12/2019 <br /> EAA3D33ED7A1A55. <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 />