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DocuSign Envelope ID: D1DF359E-9612-459E-8293-F383F2149BD8 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Carolina Cleaning Associates Party/Vendor Contact Person: Joe Bumearner, Jr. Contact <br /> Phone: 919-880-7870 Party/Vendor Address: 348 Elizabeth Brady Road City Hillsborough State:NC Zip: 27278 <br /> Department: AMS Amount: $37,044 Purpose: cleaning couM facilities Budget Code(s): 10240520-630000 <br /> Vendor# 14996 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑No❑ Contract Type: (Check one) <br /> New❑ Renewal ® Amendment ❑ Effective Date 07/01/2019 Approved by Board Yes❑No❑ Agenda <br /> 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 /> UocuSigned by: 9/11/2019 <br /> 1�0 <br /> Department Director's Signature � Qn� Date:Agreements for emergency services or rj_r�?oo9CoLBs,844 C&___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 insurance standards,specifications,and requirements: <br /> a <br /> Docu5igned_by: <br /> . <br /> Office of the Risk Management Officer Usa ('6Vln.t,{�6 Date:9/11/2019 <br /> 7FOCF9176900498. <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> Docu5igned by: <br /> Office of the Chief Financial Officer 9/13/2019 <br /> `�' �' Date: <br /> 704E51S1ACC1409. <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiencv: <br /> UocuSigned by: <br /> Office of the County Attorney , 66A. K6kk�S Date:9/13/2019 <br /> EAA3MaEMAE4&- <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 />