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DocuSign Envelope ID:4707631 D-C830-4BA5-B9EB-926C6FB1 F07D <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Walker Automotive Supply, Inc. Party/Vendor Contact Person: John Kelley Contact Phone: <br /> 919-995-6635 Party/Vendor Address: PO Box 19348 City Raleigh State: NC Zip: 27619 Department: <br /> AMS/OCPT Amount: $55,617 Purpose: Annual Parts Supplier Budget Code(s): 10240320-630000 (40%), <br /> 10240520-630000 (10%), and 10435120-630000 (50%)_ Vendor # 58664 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective <br /> Date 07/01/2019 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: os <br /> Q� 10/3/2019 <br /> Docu3 igned by Dom by, <br /> Department Director's Signatur� �1� QVtn Date:10/4/2019 <br /> Agreements for emergency service,._122E5DD011126 Ml. t 2D�9CDB1913! C5 _mation. 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 /> DocuSigned by: <br /> pp�� <br /> Office of the Risk Management Office aUsa ( Q�6 Date:10/7/2019 <br /> 7FDCF9176900498. <br /> Financial Services <br /> This instrument has been pre-auditcd in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> DocuSigned by: , <br /> Office of the Chief Financial Office Date: <br /> 10/7/20C19 <br /> ('� '�' � <br /> 7D4E5181Ar-C1400 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attorney �661 Pkku s Date: 10/8/2019 <br /> EAA3MaED8AW&- <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 />