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DocuSign Envelope ID: D795F274-B784-4602-A8A8-BAD708D630DA <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Clegg's Pest Control Party/Vendor Contact Person: Contact Phone: 919-477-2134 <br /> Party/Vendor Address: PO Box 3089 City Durham State:NC Zip:27715 Department:AMS Amount: $11,855.36 <br /> Purpose: Annual Pest Control Budget Code(s): 10240320-630000 Vendor# 8575 (N/A if new vendor) Vendor <br /> is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑ Amendment ❑ <br /> Effective Date 7/1/2019 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 /> �DLocu''S..igned by: <br /> Department Director's Signature �r - kmA Date:8/21/2019 <br /> sooscD6a84844c5. <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 inst -^^�cus;an a_by.cam--ifications,and requirements: <br /> Office of the Risk Management Officer �US66 (,6 6 Date: 8/26/2019 <br /> 7FDCF9176800498. <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 /> 4 " 8/27/2019 <br /> Office of the Chief Financial Officer 7D4E51a_[ 1ACCAN. Date: <br /> Legal Services <br /> This agreement is approved as to legal form aj [ DocuSigned by: <br /> ,�6�.Jn.Office of the County Attorney Date: 8/28/2019 <br /> EAA3D33ED&AW5.. <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 />