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DocuSign Envelope ID: 15050DBC-5185-4A7C-BF51-67322707D03F <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Siemens Industry. Inc Party/Vendor Contact Person: Nate Grimm <br /> (Nathaniel.Grimm(a�Siemens.com) Contact Phone: 919-758-7310 Party/Vendor Address: 215 South Port Drive, <br /> Ste 900 City Morrisville State:NC Zip: 27560 Department: AMS Amount: $16,957.00 Purpose: Orange County <br /> Main Library Replace Compressor A2 Budget Code(s): 61370035-800000-30018 Vendor # 53525 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ <br /> Amendment ❑ Effective Date March 12,2020 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 <br /> on this project has not been initiated prior to execution of the agreement: <br /> Department Director's Signatur Ste-ar'^e[,� Date:3/18/2020 <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 <br /> was addressed: N/A <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 /> Office of the Risk Management Officer Qt Date: 3/18/2020 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> p� Act: oIXVslp <br /> Office of the Chief Financial Officer Date: 3/18/2020 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney[?? H3+�'qu Date:3/18/2020 <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 <br /> 9 <br />