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DocuSign Envelope ID:C69A4C19-8C45-4ADF-B597-BCF80FOD3FFB <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: FESS Fire Protection Party/Vendor Contact Person: Ryan Willoughby Contact Phone: 919- <br /> 469-8099 Party/Vendor Address: 131 International Dr City Morrisville State: NC Zip: 27560 Department: AMS <br /> Amount: $6182.10 Purpose: Annual Fire Extinguisher Inspections Budget Code(s): 10240320-630000 Vendor# <br /> 60454 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No❑ Contract Type: (Check one)New ❑ <br /> Renewal ❑ Amendment ❑ Effective Date 7/16/2019 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 <br /> on this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> � <br /> Department Director's Signature 61A. PO*an. Date: 7/16/2019 <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 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 insui DocuSigned <br /> _by: <br /> . fications,and requirements: <br /> �USa '-^'r�tb 7/17/2019 <br /> Office of the Risk Management Officer 7FDCF9176800498. Date: <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 /> 7/17/2019 <br /> Office of the Chief Financial Officer (`7DaEs,s,Are,aas. Date: <br /> Legal Services <br /> This agreement is approved as to legal fourD <br /> DocuSigned by: <br /> b6, K6� 7/17/2019 <br /> Office of the County Attorney EA A, & Date' <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 <br /> 8 <br />