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DocuSign Envelope ID:CA5813A6-DA5B-48E2-BFD6-DF48954D5C75 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Triangle Insulation Services, Inc Party/Vendor Contact Person: Kevin Vaughan Contact <br /> Phone: 919-682-4300 Party/Vendor Address: 903 E Trinity Ave Suite 104 City Durham State: NC Zip: 27704 <br /> Department: AMS Amount: $32,500.00 Purpose: WCOB insulation of chill water line Budget Code(s): 10240320- <br /> 570000 Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: <br /> (Check one)New ❑ Renewal ❑ Amendment ❑ Effective Date 9/1/2019 Approved by Board Yes❑ No❑ <br /> 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 /> FDLocu-S-igned by: <br /> AV,,ADepartment Director's Signature Date:8/28/2019 <br /> Agreements for emergency services or repair are not su j'ect to t e 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 insur stwi6__ ;""specifications,and requirements: <br /> Q�tSa Cbvv�,t.l�b 8/29/2019 <br /> Office of the Risk Management Officer 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 /> +� 8/30/2019 <br /> Office of the Chief Financial Officer Date: <br /> Legal Services <br /> This agreement is approved as to legal form and Aai�of r.d by. <br /> ^bl� lebtit vfs <br /> / <br /> Office of the County Attorney J Date: 9 3/2019 <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 <br /> 8 <br />