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DocuSign Envelope ID:A91745B2-0048-49DC-B6BF-676F03362AEA <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Hoffman Mechanical Solutions, Inc Party/Vendor Contact Person: Dan K. Epperson <br /> (dan.gpperson(a)hoffinech.com) Contact Phone: 803.451.8361 Party/Vendor Address: 104 Vantage Point Drive City <br /> Cayce State: SC Zip: 29033 Department: AMS Amount: $2,632.00 Purpose: Board of Elections Daiken Service <br /> Agreement Budget Code(s): 61370035-800000-30018 Vendor # 65278 (N/A if new vendor) Vendor is a BOCC <br /> consultant? Yes ❑ No® Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date <br /> 1/21/2021 Approved by Board Yes❑No® Agenda Date: <br /> This agreement is approved as to technical form and content and I as Department Director affirmatively state work on <br /> this project has not been initiated prior to execution of the agreement: <br /> D Sig b <br /> C <br /> Department Director's Signature fw�fink Date: 1/14/2021 <br /> Agreements for emergency services or repair are not subject to the above affirmation. If services related to this <br /> agreement have already begun or been completed please briefly describe the nature of the emergency condition that was <br /> addressed: N/A <br /> Information Technologies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards, specifications,and requirements: <br /> D. Sig g by: <br /> Office of the Risk Management Office QGsa(anu$e Date:1/15/2021 <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> P( D...Sign by: <br /> Office of the Chief Financial Officer 0 Date: 1/19/zozl <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> D 5'g g by: <br /> Office of the County Attorney Att J69,f�,hyviv, Date:1/20/2021 <br /> ass�,caarasga <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@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 07/20 4 <br />