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DocuSign Envelope ID:9BOABE7A-606F-4A95-858E-6C13A445B70B <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Brown Brothers Plumbing & Heating Co, Inc Party/Vendor Contact Person: Jeff Addison <br /> Contact Phone: 919-220-2554 Party/Vendor Address: 2820 Roxboro Rd City Roxboro State: NC Zip: 27704 <br /> Department: AMS Amount: $1009.58 Purpose: Jail Piping Repair Budget Code(s): 10240320-570000 Vendor # <br /> 35730 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ <br /> Renewal❑ Amendment ❑ Effective Date 7/1/2019 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 /> DocuSigned by: <br /> Department Director's Signature �� O6 ),40L Date: 7/12/2019 <br /> Agreements for emergency services or repair are not suojeci O ie aouve 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: Emergency call to Jail for water falling from ceiling. Piping section in old Jail leaking. <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 in; Docusigned by: -ciflcations,and requirements: <br /> Musa. cb�6 7/15/2019 <br /> Office of the Risk Management Officer 7FDCF91769004M. Date: <br /> Financial Services <br /> This instrument has been pre-audited in the ma: Docusigned by: AGovernment Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer � 411-,� Date.: 7/15/2019 <br /> 7D4E5181 ACC 1400 - <br /> Legal Services <br /> This agreement is approved as to legal fc DocuSigned by: <br /> b6A, K6kw'6 7/16/2019 <br /> Office of the County Attorney Date: <br /> EAA3D33ED8AE4S5.. <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 />