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DocuSign Envelope ID:8F96EDOD-E6B2-41 E8-A560-4BC381 EC1 DE6 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Rice's Glass Company Party/Vendor Contact Person: Mike Jones Contact Phone: 919-900-0095 <br /> Party/Vendor Address: 107 Lloyd St City Carrboro State: NC Zip: 27510 Department: Solid Waste Amount: <br /> 941.00 Purpose: Provide and install replacement window Budget Code(s): 50351020-570000 Vendor# 104 (N/A <br /> if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ <br /> Amendment ❑ Effective Date 8-26-19 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 /> DacuSigned by: <br /> Department Director's Signature 9/9/2019 <br /> p g �6�� �l�,lA.++HS Date: <br /> Agreements for emergency services 8BE66F843S90496. -ct 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 insurance standards, specifications,and requirements: <br /> DocuSigned by: <br /> Office of the Risk Management Officer �U56 (¢�,i 6 Date: 9/9/2019 <br /> 7FDCF9176800498. <br /> Financial Services <br /> This instrument has been pre-audited in the manner ren„iced by the r,ocal Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer .611.41 ° Date:9/9/2019 <br /> 704E5981ACC1409. <br /> Legal Services <br /> This agreement is approved as to leeal form and sufficiencv: <br /> DocuSigned by: <br /> Office of the County Attorney § � <br /> WVk t, -t�Sa Date 9/9/2019 <br /> 079A4D525C0F4FB. <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 />