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DocuSign Envelope ID:3C82534E-AFB3-4C21-8943-F082904898FD <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Walker Automotive Supply, Inc. Party/Vendor Contact Person: John Kelley Contact Phone: <br /> 919-995-6635 Party/Vendor Address: PO Box 19348 City Raleigh State: NC Zip: 27619 Department: <br /> AMS/OCPT Amount: $55,617 Purpose: Annual Parts Supplier Budget Code(s): 10240320-630000 (40%), <br /> 10240520-630000 (10%), and 10435120-630000 (50%)_ Vendor # 58664 (N/A if new vendor) Vendor is a <br /> BOCC consultant? Yes ❑No❑ Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective <br /> Date Approved by Board Yes No [ get d❑;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 /> Department Director's SignatuCe�sfwjl art"'A Date: 12/29/2020 <br /> Agreements for emergency services or repair 6are 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 sufficieng off in urappce standards,specifications,and requirements: <br /> docu igned"ley:'ll <br /> Office of the Risk Management OfficeL!7FDCF9176800498uSa Chvw,{fb Date: 1/28/2021 <br /> .. <br /> DS <br /> p� Financial Services <br /> ff 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 Ire7D4E.1,1ACC1409 <br /> 2/1/2021 <br /> "'� "��'ofz Date:... <br /> Legal Services <br /> This agreement is approved as l�e�;' yand sufficiency: <br /> Office of the County Attorn y, Se p�, Date:2/1/2021 <br /> 4C5F3CDDF0B94F6... <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 <br /> 8 <br />