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DocuSign Envelope ID: F2F9AD46-A8C2-4670-93E9-3ACCCBC6F498 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Seegars Fence Company Party/Vendor Contact Person: Jason Chamberlain Contact Phone: 919- <br /> 489-5303 Party/Vendor Address: P.O Box 61378 City Durham State: NC Zip: 27715 Department: AMS Amount: <br /> 1656.00 Purpose: Boiler Fence Budget Code(s): 10240320-570001 Vendor#41409 (N/A if new vendor) Vendor <br /> is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)New ❑ Renewal ❑ Amendment ❑ Effective <br /> Date Approved by Board Yes❑No❑ Agenda Date: 10/20/2019 <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 /> Docusigned by: <br /> Department Director's Signature 12DD9CD6B81844C5 <br /> ip• 9MADate:10/16/2019 <br /> . <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 inQ---oocu5igned by�c --cifications,and requirements: <br /> Office of the Risk Management Officer USA c6nu& Date: 10/17/2019 <br /> 7FDCF9176900498. <br /> Financial Services <br /> This instrument has been pre-audited in the manni Docusigned by: 3overnment Budget and Fiscal Control Act: <br /> 0" Date.10/17/2019 <br /> Office of the Chief Financial Officer <br /> 704E51S1ACC1409. - <br /> Legal Services <br /> This agreement is approved as to legal fUEAA=ED8MQ405.. <br /> Docusigned by: <br /> b6A, K6kGfS 10/17/2019 <br /> Office of the County Attorney Date' <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 />