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DocuSign Envelope ID:9873F8FB-347E-4F54-96C2-C188C918673F <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Alsco Inc. Party/Vendor Contact Person: Tim Richard Contact Phone: (919) 596-2186 <br /> Party/Vendor Address: 1720 E Lawson St, City Durham State: NC Zip: 27703 Department: Transportation Services <br /> Amount: $2,441.40 Purpose: Uniforms Rental Budget Code(s): 630000/10435020 Vendor # 16942 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ <br /> Amendment ❑ Effective Date 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 Date: 9/12/2019 <br /> 722E5DDOA625490 . <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 insurar DocuSigned by: rations,and requirements: <br /> 1 <br /> US66 (��6 9/12/2019 <br /> Office of the Risk Management Officer 7FDC F91 76800498. Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner r Docusigned by: remment Budget and Fiscal Control Act: <br /> 9/13/2019 <br /> Office of the Chief Financial Officer 7NE5181ACC1409. Date: <br /> Legal Services <br /> This agreement is approved as to legal form and suffi ' h Docusignedby: <br /> Office of the County Attorney db <br /> I GS [NA, Date: 9/13/2019 <br /> 328DC480549A4F5.. <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 />