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DocuSign Envelope ID:C8lB04D3-907C-4F2A-9BAE-5F635C5EE6CE <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Party/Vendor Name: Custom Over Head Doors Party/Vendor Contact Person: Jarrod Luck Contact Phone: 919- <br /> 876-4555 x122 Party/Vendor Address: PO Box 18628 City Raleigh State: NC Zip: 27619 Department: AMS <br /> Amount: $7453.99 Purpose: To furnish and install sectional doors at the Old MotorPool Budget Code(s): <br /> 10240320-570000 Vendor#61121 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑No® Contract <br /> Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑No <br /> ❑ 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 /> UocuSigned by: <br /> Department Director's Signatu Siw• 9MA Date: 4/17/2020 <br /> Agreements for emergency servic 2D❑9C❑6a81s44C5.. 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 sufficiency of insurance standards,specifications,and requirements: <br /> DocuSigned by: <br /> Office of the Risk Management Offi SUS& Chvm& Date:4/20/2020 <br /> 7FDCF9176800498... <br /> D.S <br /> r Financial Services <br /> l/ This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: DocuSigned by: <br /> Office of the Chief Financial Offic t rt�j Date: 4/23/2020 <br /> 7NE5181 ACC 1409... <br /> LeEal Services <br /> This agreement is approved as—I---' f ".a —'ricienc : <br /> g Pp Docusigned by: y <br /> Office of the County AttorneC�6%,w 6l.Vl V, Date: 4/23/2020 <br /> 4C5F3CDDF0694F6... <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 />