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DocuSign Envelope ID: 1570C93D-2C14-4EDC-AE35-B6A58D9A2F81 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: W.L. Bishop Construction Company Party/Vendor Contact Person: Jerry Smith(jerryAwlbishop.com) <br /> Contact Phone: 919-732-2546 Party/Vendor Address: 2211 Leah Drive, Suite 1 City Hillsborough State: NC Zip: 27278 <br /> Department: AMS Amount: $20,681.00 Purpose: To install a wall in the Housing Department Conference Room, add a front <br /> counter glass in the lobby area, and adding a break room. (Whitted 3rd Floor Housing,) see attached proposal Budget Code(s): <br /> $9908.00 (10460130-803000) $5000.00 (32470330-803000) $5773.00 (10240320-570001) Vendor # 59867 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ <br /> Effective Date 03/06/2020 Approved by Board Yes❑Nor-1 Agenda Date: <br /> This agreement is approved as to technical fnrm and rnntent and I as DocuSigned by: Department Director affirmatively state work on this <br /> project has not been initiated prior to execu 3/7/2020 <br /> 'y: <br /> ftew <br /> DocuSigne D42B075CF42E4D7... <br /> rL��� 3/6/2020 <br /> Department Director's Signat J i�• 9MA Date: <br /> Agreements for emergency sere 2DD9CD6Bs1844C5... t subject to the above affirmation. If services related to this agreement have <br /> already begun or been completed please briefly describe the nature of the emergency condition that was addressed: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> Docu5i9pned_by:.�t <br /> Office of the Risk Management OffiC <br /> llSa LQ►►�i6 Date:3/10/2020 <br /> 7FDCF9176800498... <br /> DS <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Offi � s� �ra. Date: 3/11/2020 <br /> gx.w <br /> 7NE5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> DocuSigned by: <br /> Office of the County Attor �6 , �l,y v, Date:3/12/2020 <br /> 4C5F3CDDF0B94F6... <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 10 <br />