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DocuSign Envelope ID:5C96407F-01C8-436B-9803-438A891DFC99 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Hammerstruck LLC Party/Vendor Contact Person: Garrett Paschall Contact Phone: 919-694-1001 <br /> Party/Vendor Address: 5100 Paschall Dr. City Durham State: NC Zip: 27705 Department: Solid Waste Amount: $3,980.00 <br /> Purpose: Repair of Breakroom at Landfill Budget Code(s): 50351020-570000 Vendor # 65676 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes ❑ No® Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective <br /> Date 3-16-2020 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 this <br /> project has not been initiated prior to execution of the agreement: <br /> DOCUSigneeld.44brryrr: <br /> Department Director's Signature �0� WILLtA�IS Date: 3/25/2020 <br /> Agreements for emergency services or 8BEBSFs4369NW_.. 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: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> WcuSigned_by: <br /> . <br /> Office of the Risk Management Officer aUSX (D b Date:3/26/2020 <br /> 7FDCF9176800498... <br /> Financial Services <br /> This instrument has been pre-audited in the manner reauired by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Officer � � � Date: 3/29/2020 <br /> 704E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as to legal fn,-m a„d q„ff,r;Pncy: <br /> DocuSigned by: <br /> Office of the County Attorney f, 6% , �t.Nl v, Date3/30/2020 <br /> 4C5FXDDFOB94F6... <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 />