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DocuSign Envelope ID:B75E8AA0-ADE3-4E77-B32C-2134D9CAA555 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: C.T. Wilson Construction Co., Inc Party/Vendor Contact Person: Charlie Wilson III Contact Phone: <br /> 919-383-2535 Party/Vendor Address: 150 Golden Drive, Suite 200 City Durham State: NC Zip: 27705 Department: AMS <br /> Amount: $283,590.00 Purpose: Orange County Emergency Office Upfit at Whitted Building, 300 West Tryon Street. Budget <br /> Code(s): 61370035-880000-10079 Vendor# 64422 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® <br /> Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date Approved by Board Yes®No❑ <br /> Agenda Date: 12/15/2020 <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 /> DocuSigned by: <br /> Department Director's Signatur S Qy' A Date: 12/16/2020 <br /> Agreements for emergency service > 4QPAtv4%t subject 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 /> Ce� <br /> DocuSignedby"Office of the Risk Management Offi �tSA C,bV1.t t{fb Date: 12/17/2020 <br /> 7FDCF9176800498... <br /> DS <br /> D I Financial Services <br /> r l/ This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> DocuSigned by: <br /> Office of the Chief Financial Office 1/7/2021 <br /> CfD40181ACC1409 <br /> '� '�or�� Date: <br /> . <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> ocuSigned by: <br /> Office of the County Attorne 96SUL hMt& Date: 1/7/2021 <br /> 4C5F3CDDFOB94F6... <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 8 <br />