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DocuSign Envelope ID:AAOD69CA-7549-4F42-9DB3-55679AC61BB3 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Brown Brothers Plumbing & Heating Co, Inc. Party/Vendor Contact Person: Jeff Addison <br /> Contact Phone: 919-220-2554 Party/Vendor Address: PO Box 15668 2820 N. Roxboro Rd City Durham State: NC <br /> Zip: 27704-0668 Department: AMS Amount: Not to exceed(Two Thousand Eight Hundred and Thirty Five Dollars) <br /> $2835.00 Purpose: Remove and Install floor drain at Whitted Building in Hillsborough Budget Code(s): 10240320- <br /> 570000 Vendor#35730 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract Type: (Check <br /> one)New ® Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑ No® Agenda <br /> Date: 02/02/2020 <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 /> oocusigned by: 2/25/2020 <br /> Department Director's Signat si= � �+ Date: <br /> Agreements for emergency serviuZo v,,vpag$1a4c 1V L 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 sufficiencii of inc„rnnna Qtnndards, specifications,and requirements: <br /> Docu5igned by: <br /> usa. �,4W�.t,{�6 2/27/2020 <br /> Office of the Risk Management Off[, Date: <br /> 7FDCF317E800438... <br /> °S Financial Services <br /> �L <br /> oo1'cus fined by rP^���rP�by the Local Government Budget and Fiscal Control Act:This instrument has been pre-audite,' i- <br /> 3/2/2020 <br /> Office of the Chief Financial Off 'C �" Date: <br /> 704E5981ACC1469... <br /> Legal Services <br /> This agreement is approved ap tn lPaal form and -efficiency: <br /> OocuSigned by: <br /> 3/2/2020 <br /> Office of the County Attor 36%f 1, hN1 v, Date: <br /> 4C5F3CL)DFOB84F8... <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 />