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DocuSign Envelope ID:47D12065-7220-4277-A47F-FC1DACOCA54F <br /> Ds Ds <br /> l <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Otis Elevator Company Party/Vendor Contact Person: Kimberly Willoughby Contact Phone: 984-215- <br /> 0643 Party/Vendor Address:200 Perimeter Park Drive Suite A City Morrisville State: NC Zip: 27560 Department: AMS <br /> Amount: $129,578 Purpose: Replace elevator and upgrade cab interior at WHSC Bldg A Budget Code(s): 61370035-880000- <br /> 30001 Vendor # 50936 (N/A if new vendor) Vendor is a BOCC consultant? Yes No Contract Type: (Check one) New Z <br /> Renewal_Amendment Effective Date 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 this <br /> project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> Department Director's Signature L0L Off),40L Date:8/2/2019 <br /> Agreements for emergency services or rep 21EFMAGD454EF.. he 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: <br /> Risk Management <br /> This agreement is approved for sufficiencv of insurance standards,specifications,and requirements: <br /> DocuSigg'nRed__by: <br /> .'��tt <br /> Office of the Risk Management Office aUSA, '-^'r�t6 Date:8/2/2019 <br /> 7FDCF9176900498. <br /> Ir <br /> DSFinancial Services F <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> DocuSlgned by: <br /> 8/2/2019 <br /> Office of the Chief Financial Officer 1f7FMFn1.9'ACC14N <br /> 6.z - Date: <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Docusig nod by: <br /> Office of the County Attorney _�� o Date: 8/2/2019 <br /> FAA3n33F0SA:sde� <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Sherri Ingersoll upon completion: sin erg soll(a-)oran eg countync.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 12 <br />