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DocuSign Envelope ID:920A2621-7398-4086-AB1 E-FEE85C2064B3 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Adam's Specialty Products. LLC Party/Vendor Contact Person: Ted Judy Contact Phone: (608) <br /> 695-0540 Party/Vendor Address: 7260 Commerce Plaza Dr City Neenah State: WI Zip: 54956 Department: Animal <br /> Services Amount: 2457.28 Purpose: Catio for shelter cat enrichment Budget Code(s): 10215220 630000 Vendor# <br /> N/A (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New <br /> Renewal❑ Amendment ❑ Effective Date 10/10/19 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 /> s,� M: <br /> Department Director's SignaturZEkv�6Date:10/11/2019 <br /> n-ss_n❑dnn <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: <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 /> ❑ 58 dhy <br /> Q <br /> Office of the Risk Management Officer �Sa fan 6 Date:10/11/2019 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> ❑ sated ny: <br /> 10/11/2019 <br /> Office of the Chief Financial OfficerI °` Date: <br /> rns=s vinrndx <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> ❑ se�ny <br /> Office of the County Attorney Q� � �asca Date:10/11/2019 <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 />