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DocuSign Envelope ID:86752BD9-CCD6-4CAB-A7BE-A06208C721EE <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Party/Vendor Name: CE Rental Party/Vendor Contact Person: Daniel Wannemacher Contact Phone: 919-833- <br /> 9743003 Party/Vendor Address: 4300 Craftsman Drive City Raleigh State: NC Zip: 27609 Department: <br /> Emergency Services Amount: $15,000 Purpose: Rental of Tents for COVID Vaccination events Budget Code(s): <br /> 49750020-630000-95022 Vendor# 66954 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No® <br /> Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective Date 04/01/21 Approved by Board <br /> Yes❑No® 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 /> I DocuSigned by: <br /> 1r6V SAUdn,Axs 4/15/2021 <br /> Department Director's Signature Date: <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 <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 �,, tandards,specifications,and requirements: <br /> Office of the Risk Management Officer &A, (hrV,t{fb Date:4/26/2021 <br /> 498 <br /> Financial Services <br /> 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 Officer Date: 4/26/2021 <br /> Legal Services <br /> This agreement is approved as to leg WWdVfffficiency: <br /> al kit, kaytt, '6S(b 4/26/2021 <br /> Office of the County Attorney 8525C0F4FB 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 />