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DocuSign Envelope ID:C935184B-D090-4E31-8070-B347099417FF <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Swab Wagon Company Inc. Party/Vendor Contact Person: Fred Margerum Contact Phone: <br /> 717-362-4579 Party/Vendor Address: 44 S Callowhill Street City Elizabethville State: PA Zip: 17023 <br /> Department: Transportation Services Amount: 19,765 Purpose: Climate Controlled Animal Box Budget Code(s): <br /> 61215335-802000 Vendor # 570907 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ <br /> Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date Approved by Board <br /> 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 /> DocuSigned by: <br /> 2/20/2020 <br /> Department Director's Signature 722E5DDone254s0... Date: <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: <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 sufficient oocuSigned by, rds,specifications,and requirements: <br /> �Sa LpVlrt.��b 2/20/2020 <br /> Office of the Risk Management Officer �7FDCF9176800498... Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> 4 . 2/20/2020 <br /> Office of the Chief Financial Officer 1acC,40s... Date: <br /> Legal Services <br /> This agreement is approved as t Docusigned by: :lency: <br /> �6%f� �GVI v, 2/24/2020 <br /> Office of the County Attorney 4c5F3CD❑Foe94Fs... 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 <br /> 9 <br />