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DocuSign Envelope ID:92842175-DOOA-4311-BO62-209FFA3A94C8 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Duct Doctor USA of Charlotte Party/Vendor Contact Person: Matt Campbell <br /> (matt.campbell(a)ductdoctor.com) Contact Phone: 919.822.2218 Party/Vendor Address: 8508 Park Road# 128 City <br /> Charlotte State:NC Zip:28210 Department: AMS Amount: $4,200.00 Purpose: AHU&RTU Cleaningto o keep units <br /> running Budget Code(s): 61370035-880000-30018 Vendor # 65734 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 8/1/19 <br /> 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 /> Department Director's Signature ��""�d"" Dater/zs/zo19 <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 was <br /> addressed: N/A <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 /> Office of the Risk Management Office Ksx bn1t f° Date:7/26/2019 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> PLo�vsa�� <br /> Office of the Chief Financial Officer �N Date: /z9/zo19 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney k�rov s Date: 8/1/2019 <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 4 <br />