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DocuSign Envelope ID: E3784150-6543-4F73-9335-68E9BB000372 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Carolina Restoration Services of North Carolina,Inc. Party/Vendor Contact Person: Phil Rhodes <br /> Contact Phone: 919-469-1955 Party/Vendor Address: 3401 Gateway Centre Blvd. City Morrisville State: NC Zip: <br /> 27560 Department: AMS Amount: $2,088.45 Purpose: Skills and Development Water Mitigation Emergency Budget <br /> Code(s): 10240320-570000 Vendor# 63827 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ <br /> Contract Type: (Check one) New ❑ Renewal ❑ Amendment ❑ Effective Date 9/30/2019 Approved by Board <br /> 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 /> Docu5igned by: <br /> 12DD9CD6B81844C5 <br /> � k iy 9/23/2019 <br /> Department Director's Signature D� Date: <br /> Agreements for emergency services or repair are no D 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 was <br /> addressed: Carolina Restoration called out for emergency water mitigation in offices 116& 117 due to HVAC system <br /> leaking through ceiling. <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 insuro Qocusignea by: ications,and requirements: <br /> QUSa �,DV1n.tr�b 9/23/2019 <br /> Office of the Risk Management Officer 7FDCF0176800408. Date: <br /> Financial Services <br /> This instrument has been pre-audited in the mans Docusigned by: Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer Date:9/24/2019 <br /> 7n4E51S1ACC1409. <br /> Legal Services <br /> This agreement is approved as to legal form and -DocuSigned by: <br /> 66A, K6kW'6 <br /> Office of1 the County Attorney Date:9/24/2019 <br /> EAA3D33EDSAW5.. <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 />