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DocuSign Envelope ID: DB5FD682-9018-443A-B967-D3449D69B2DF <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Racanelli Construction South, Inc Party/Vendor Contact Person: Scott Drebitko <br /> (srebitko(a)racanelliconstruction.com) Contact Phone: 919.363.3600 Party/Vendor Address: 1001 Pemberton Hill Road <br /> Suite 202 City Apex State: NC Zip: 27502 Department: AMS Amount: $9,414.00 Purpose: Provide Fire Sprinkler <br /> Protection in the two freezers and additional li fights Budget Code(s): 34600020-880000-10076 Vendor# 62962 (N/A if new <br /> vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ <br /> Effective Date 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 this <br /> project has not been initiated prior to execution of the agreement: <br /> Department Director's Signatur Date: <br /> �f avueL{ 3/19/2020 <br /> Agreements for emergency services or repair are not 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: N/A <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> Sl <br /> Office of the Risk Management Offic J S; I #f° Date:3/19/2020 <br /> ,,u.�, <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> Office of the Chief Financial Officer E Date:3/22/2020 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> Office of the County Attorney5s hmv- Date 3/22/2020 <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 10 <br />