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DocuSign Envelope ID:A34DOEFD-2D9B-454D-9548-D241OC733DCA <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Brady Trane Service, Inc Party/Vendor Contact Person: Sussane Brown Contact Phone: 336- <br /> 378-0670 Party/Vendor Address: PO Box 13587 City Greensboro State:NC Zip: 27415 Department: AMS Amount: <br /> 1749.00 Purpose: WCOB Boiler adjustment Budget Code(s): 10240320-570000 Vendor # 35152 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ❑ Renewal ❑ <br /> Amendment ❑ Effective Date 1/15/2020 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 /> DocuSigned by: <br /> Department Director's Signature 91'h Date: 1/22/2020 <br /> 2DD9CD6e81844C5... <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 insura— r <br /> --4ications,and requirements: <br /> DocuSigned by: <br /> aUS& cbvwh 3/8/2020 <br /> Office of the Risk Management Officer Date: <br /> 7FDCF817E800498... <br /> Financial Services <br /> This instrument has been pre-audited in the man DocuSigned by: l Government Budget and Fiscal Control Act: <br /> 4 3/10/2020 <br /> Office of the Chief Financial Officer Date: <br /> 7NE5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form a DocuSigned by: <br /> �b� ��� 3/10/2020 <br /> Office of the County Attorney E1A=ED8A8435... 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 11/19 4 <br />