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DocuSign Envelope ID:3BE6B883-B8C3-41 EC-91 BF-FB29A23E2350 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Trades of The Triangle Party/Vendor Contact Person: Alexander Butorins Contact Phone: 919- <br /> 883-8468 Party/Vendor Address: 622 Latimer St City Hillsborough State: NC Zip: 27278 Department: AMS <br /> Amount: NTE $1000.00 Purpose: Hillsborough Commons TV Mounting Budget Code(s): 10240320-570001 Vendor <br /> # (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)New ❑ <br /> Renewal❑ Amendment ❑ Effective Date 8/30/2019 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 by: <br /> Department Director's Signature 9MA Date:8/20/2019 <br /> sooscoae81844c5. <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 -.-oocuSigned by:: _ ;ifications,and requirements: <br /> aUS66 (,6 �6 <br /> Office of the Risk Management Officer Date:9/5/2019 <br /> 7FDCF9178800498. <br /> Financial Services <br /> This instrument has been pre-audited in the main Docusigned by: Government Budget and Fiscal Control Act: <br /> 0". . 9/5/2019 <br /> Office of the Chief Financial Officer 704E51S1ACC1409. Dat( - <br /> Legal Services <br /> This agreement is approved as to legal form a.DEAAM33EMA9405.. <br /> Docusigned by: <br /> 6Ll.W PklvfS 9/5/2019 <br /> Office of the County Attorney 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 />