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DocuSign Envelope ID:3E770E82-6A5F-4B54-88EB-9EA5620471F7 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Infrared Inspections & Imaging, Inc. Party/Vendor Contact Person: Wesley Carter <br /> (infraredinspections-imagingna,earthlink.net) Contact Phone: 252-305-0043 Party/Vendor Address: 1002 W Clam <br /> Shell Drive City Kill Devil Hills State: NC Zip: 27948 Department: Hillsborough Commons DSS Amount: NTE <br /> $1900.00 Purpose: Provide infrared scanning services for the Department of Social Services Building located at 113 <br /> Mayo Street, Hillsborough NC 27278. Budget Code(s): 61370035-870000-30002 Vendor # 65625 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ <br /> Amendment ❑ Effective Date 09/30/2019 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 /> Department Director's Signature � t Qnn�k Date:9/17/zo19 <br /> C, <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: N/A <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 /> Office of the Risk Management Office Ksx bn1t f° Date:9/21/2019 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> PL <br /> Office of the Chief Financial Office r�I-N Date:9/24/2019 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney rovh Date: 9/24/2019 <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 />