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DocuSign Envelope ID: D278501D-795E-42B1-AAD3-FC23FD5B9A60 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: OTIS Elevator Company Party/Vendor Contact Person: Kimberly Willoughby <br /> (Kimberly.Willoughbygotis.com) Contact Phone: 919-510-6417 Party/Vendor Address: 200 Perimeter Park Drive, <br /> Suite A City Moorisville State:NC Zip: 27560 Department: AMS Amount:Not to exceed(Three Hundred and Forty <br /> Nine Dollars)$349.00 Purpose:Furnish and install replacement lens for the car operating panel at Gateway Center(200 <br /> South Churton Street) Budget Code(s): 10240320-570000 Vendor#50936 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No® Contract Type: (Check one) New ❑ Renewal ❑ Amendment ❑ Effective Date <br /> 03/02/2020 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 on <br /> this project has not been initiated prior to execution of the agreement: <br /> DocuSigned by: <br /> Department Director's Signatu Sri- kmA Date:3/2/2020 <br /> Agreements for emergency servic_. _ P9CDGB81844C5� 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 sufficiency of insurance standards, specifications,and requirements: <br /> DocuSigned by: <br /> Office of the Risk Management Offic �US66 ('6�6 Date:3/18/2020 <br /> DS 7FDCF9176900498... <br /> �7L 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 Off 41.&1 Date: 3/18/2020 <br /> 7❑4E5981ACC1409... <br /> Legal Services <br /> This agreement is approved ao tn lPaal form and -efficiency: <br /> DocuSigned by: <br /> Office of the County Attor 36%ft , hNI v, Date: 3/18/2020 <br /> 4C5F3C❑DF0B94F6... <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 />