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DocuSign Envelope ID: F4540FC9-8C77-47A9-82AC-9AOE3D4B0000 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Williams E. Smith Masonry Party/Vendor Contact Person: Tiffany Bennett Contact Phone: <br /> 513-235-5733 Party/Vendor Address: 1818 Marions Ford Road City Chapel Hill State: NC Zip: 27516 <br /> Department: New Courthouse Amount: $5200.00 Purpose: Replace damaged tiles and secure 3 lower handrails on <br /> the lower landing at the front entrance to the New Courthouse. Repairing the brickwork on the edge of the lower <br /> landing. All of this is to be done for safety measures. Budget Code(s): 10240320-570000 Vendor#65715 (N/A if <br /> new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ <br /> Amendment ❑ Effective Date 09/18/2019 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 <br /> on this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> Department Director's Signatu CSfuw_ 9MA Date: <br /> Agreements for emergency service,., ?ooscD111B2 44c5_ abject 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: N/A <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 OM ,US66 ( �6 Date: <br /> 7FDCF9176900498. <br /> Financial Services <br /> DS <br /> �L This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Offic CC <br /> 41 " Date: <br /> 7NE5181ACC1409. <br /> Legal Services <br /> This agreement is approved as to legal fern,and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney �66A, K6k'l5 Date: <br /> EAA3D33ED8AW5.. <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 5 <br />