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DocuSign Envelope ID: FDEAE919-EFF3-415A-AOE5-783A71BAE682 <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 N Roxboro Rd City Durham State: NC Zip: 27704 <br /> Department: AMS Amount: $1200.00 Purpose: Whitted Sewer Line Cleaning Budget Code(s): 10240320-570000 <br /> Vendor# 35730 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) <br /> New❑ Renewal ❑ Amendment ❑ Effective Date 8/2/2019 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 dy- <br /> ��' 06V*0' 8/2/2019 <br /> Department Director's Signature 21EFMAGD454EF_. Date: <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: <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 insr-----Docusignea ay- ----ifications,and requirements: <br /> a <br /> Office of the Risk Management Officer USA, �,bb Datc:8/6/2019 <br /> 7FDCF917E8 MN- <br /> Financial Services <br /> This instrument has been pre-audited in the manner n Docusigned by: - emment Budget and Fiscal Control Act: <br /> ('� � � <br /> Office of the Chief Financial Officer Date:8/6/2019 <br /> 7NE5181ACC14M — - <br /> Legal Services <br /> This agreement is approved as to legal form an DoeuSigned by: <br /> I <br /> 66A, K6�C '6 8/7/2019 <br /> Office of the County Attorney EAA3D33ED8AW5.. 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 4 <br />