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DocuSign Envelope ID:8FF67418-E481-498A-99FD-471DE125EDF5 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: Advanced Door Automation Party/Vendor Contact Person: Henry Rutledge Contact Phone: <br /> 919-384-0232 Party/Vendor Address: PO Box 61678 City Durham State: NC Zip: 27715 Department: AMS <br /> Amount: $9659.00 Purpose: To Replace the Man Swing Door Gate at the Justice Facility Budget Code(s): <br /> 10240320-570000 Vendor#57343 (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 /> DocuSigned by: I' <br /> Department Director's SignatuCeshm , AMA Date: 4/5/2021 <br /> Agreements for emergency servic ?4Wp90edwWot 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 <br /> ""by: <br /> ''ll� <br /> Office of the Risk Management Office auSa rbvvu lib Date: 4/5/2021 <br /> 7FDCF9176800498... <br /> DS <br /> I 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 OfficeILD4E5181ACC1409... <br /> � '� °" 4/14/2021 <br /> '�O Date: <br /> Legal Services <br /> This agreement is approved as to[7AS __Date: <br /> Office of the County Attorney 4/14/2021 <br /> DF0B94F6... <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 /> 9 <br />