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DocuSign Envelope ID:72FCB29C-9B00-4947-BBBO-lBDBA765B810 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Muter Construction Party/Vendor Contact Person: Beth Muter Contact Phone:919-404-8330 Party/Vendor Address: I I I E.Vance <br /> Street City Zebulon State: NC Zip: 27597 Department: AMS Amount: $6198.74 Purpose: Install connect track, receptacles, white boards, and <br /> patch/paint room 107 Budget Code(s): (80%) 10240330-803000($4959.00)20% 10400130-803000 ($1239.74) Vendor#62812 (N/A if new vendor) <br /> Vendor is a BOCC consultant? Yes®No❑ Contract Type: (Check one)New® Renewal❑ Amendment ❑ Effective Date Approved by <br /> 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 this project has not been initiated <br /> prior to execution of the agreement: <br /> DocuSigned by: <br /> Department Director's SignatuM`,k Date:3/1/2021 <br /> QfWt <br /> Agreements for emergency services offl�RTNNNbt subject to the above affirmation. If services related to this agreement have already begun or been <br /> completed please briefly describe the nature of the emergency condition that was addressed: <br /> Risk Management <br /> This agreement is approved for sufficiency fdgystandards,specifications,and requirements: <br /> Q�tSA.Office of the Risk Management Officer rbvvu lib Date: 3/11/2021 <br /> 7FDCF9176800498... <br /> DS <br /> l F Financial Services <br /> This instrument has been pre-audited in tIW nW g required by the Local Government Budget and Fiscal Control Act: <br /> 3/20/2021 <br /> y. <br /> Office of the Chief Financial Office1- 7D4E5181ACC1409 <br /> �"'N "�'l'�2oZ Date: <br /> . <br /> Legal Services <br /> This agreement is approved as t ,fWMda*d sufficiency: <br /> I�S � � 3/20/2021 <br /> Office of the County Attorney Date: <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 <br />