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DocuSign Envelope ID:C2063C1A-926C-4144-9830-38AC585A1867 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Racanelli Construction South Inc. Party/Vendor Contact Person: Edward Dreyer <br /> (edreyer(a)racanelliconstruction.com) Contact Phone: 919.363.3600 Party/Vendor Address: 1091 Pemberton Hill Road Ste <br /> 102 City Apex State: NC Zip: 27502 Department: AMS/PFAP Amount: $88,000.00 Purpose: Install freezers at Piedmont <br /> Food and A,g Processing Budget Code(s): 30600030 800000 71370/34600020 900059 Vendor#62962 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective <br /> Date 7/9/2019 Approved by Board Yes®Nor-1 Agenda Date: 5/21/19 <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on this <br /> project has not been initiated prior to execution of the agreement: <br /> Department Director's Signature Qtau,P/anx�[ r m om_ Date: 7/15/2019 <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this agreement have <br /> already begun or been completed please briefly describe the nature of the emergency condition that was addressed: N/A <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> Office of the Risk Management Office QED Date:7/15/2019 <br /> Financial Services <br /> P� This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officers Date:7/15/2019 <br /> Leal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney � ' ��° Date:7/16/2019 <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 11 <br />