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DocuSign Envelope ID: FF637EFB-0592-4561-9D88-8E3DA71F2304 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Harris Bros. Electric & Controls, Inc Party/Vendor Contact Person: Calvin Harris Contact <br /> Phone: 919-220-8500 Party/Vendor Address: 2712 Hillsborough Rd City Durham State:NC Zip: 27705 Department: <br /> AMS Amount: $3,090.00 Purpose: WCOB Receptacles Budget Code(s): 10240320-570001 Vendor#55477 (N/A if <br /> new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑ <br /> Amendment ❑ Effective Date 10/20/2019 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 /> ocuSigned by: <br /> Department Director's Signature 9MA Date: 10/17/2019 <br /> ED DD9CD6681844C5. <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 insure--- oeus gnea 6y:� `lications,and requirements: <br /> a <br /> Office of the Risk Management Officer USA c6n �b Date:10/18/2019 <br /> 7FQCF917E800498. <br /> Financial Services <br /> This instrument has been pre-audited in the ma17NE5181AMA00 <br /> Docusigned by: al Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer 4 . � Date:10/18/2019 <br /> Legal Services <br /> This agreement is approved as to legal forn Docusigned by: <br /> �66A, K6kY S 10/18/2019 <br /> Office of the County Attorney Date: <br /> EAA3033E08A84,i5.. <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 />