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DocuSign Envelope ID: 15092B8F-0126-44C5-817A-8F730D62BC94 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: LRC Indoor Testing & Research, Inc Party/Vendor Contact Person: Cathy Richmond <br /> (cathyrichmond(a)LRCresearch.com) Contact Phone: 919-342-4936 Party/Vendor Address: 140 Iowa Lane, Suite 102 <br /> City Cary State: NC Zip: 27511 Department: AMS Amount: $440.00 Purpose: Air Quality testing at 137 West <br /> Margaret Lane (HR File Room) Budget Code(s): 10240320-630000 Vendor# 62070 (N/A if new vendor) Vendor <br /> is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective <br /> 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 <br /> this project has not been initiated prior to execution of the agreement: <br /> UocuSigned by: <br /> L��� 4/15/2020 <br /> Department Director's Signatu si= gn'A Date: <br /> Agreements for emergency servic.a v..,Fagg-. 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: 4/15/2020 <br /> Office of the Risk Management OM QUSA c6nuff6 Date: <br /> D.S 7FDCF9176800498... <br /> �L Financial Services <br /> This instrument has been pre-audited in the manner rennired by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Office C I 1.�a Date: 4/18/2020 <br /> 704E5181ACC1409... <br /> Legal Services <br /> This agreement is approved as t- cer-g;e-d dy: ---"icienc :i Office of the County Attornec�6%,w ht.Nl v, Date: 4/18/2020 <br /> 4C5F3CDDFOB94F8... <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 12/18 4 <br />