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Revised 2/17 9 <br />ORANGE COUNTY—DEPARTMENT USE ONLY <br />______________________________________________________________________________ <br />Department <br /> <br />Party/Vendor Name: Alsco, Inc. Party/Vendor Contact Person: Eric Beu Contact Phone: 919-596-2186 <br />Party/Vendor Address: 1720 E. Lawson St. City Durham State: NC Zip: 27703 Department: Solid Waste <br />Amount: Estimate maximum of 20,000 per year, three yr. total of 60,000 Purpose: Uniform provision and <br />laundering Budget Code(s): 50350020-630003, 50350020-670000, 50351020-670000, 50352020-670000, <br />50353020-670000 Vendor # 16942 (N/A if new vendor) Vendor is a BOCC consultant? Yes No <br />Contract Type: (Check one) New Renewal Amendment Effective Date July 1, 2017 Approved by <br />Board Yes No Agenda Date: <br /> <br />This agreement is approved as to technical form and content: <br /> <br />Department Director’s Signature ________________________________________ Date: ________ <br /> <br /> <br />Information Technologies <br /> <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 /> <br />Office of the Chief Information Officer___________________________________ Date: ________ <br /> <br /> <br />Risk Management <br /> <br />This agreement is approved for sufficiency of insurance standards, specifications, and requirements: <br /> <br />Office of the Risk Management Officer___________________________________ Date: _________ <br /> <br /> <br />Financial Services <br /> <br />This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br />Act: <br /> <br />Office of the Chief Financial Officer ____________________________________ Date: _________ <br /> <br /> <br />Legal Services <br /> <br />This agreement is approved as to legal form and sufficiency: <br /> <br />Office of the County Attorney __________________________________________Date: ________ <br /> <br /> <br />Clerk to the Board <br /> <br />Received for record retention: <br />All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov <br /> <br />The following signature block is for hard copies only and is not required for Docusign contracts: <br /> <br />Office of the Clerk to the Board __________________________________________Date:_________ <br /> <br />DocuSign Envelope ID: 263713C2-C652-4F0D-A49E-D7FE86601625 <br />6/27/2017 <br />7/3/2017 <br />7/3/2017 <br />7/5/2017 <br />DocuSign Envelope ID: 1E7F5B77-9E4B-45B4-AC2D-D395CD0EEC14